Physical exam and history: An exam of the body to check general signs of health, including checking for signs of disease, such as lumps or anyone else that seems unusual. A history of the patient's health habits, exposure to asbestos, past illnesses and treatments will also be taken.
Chest x-ray: An x-ray of the organs and bones inside the chest. An x-ray is a type of energy beam that can go through the body and onto film, manufacture a photo of areas inside the body.
Microscope
Complete blood count (Cbc): A course in which a sample of blood is drawn and checked for the following:
The estimate of red blood cells, white blood cells, and platelets.
The estimate of hemoglobin (the protein that carries oxygen) in the red blood cells.
The measure of the blood sample made up of red blood cells.
Sedimentation rate: A course in which a sample of blood is drawn and checked for the rate at which the red blood cells conclude to the bottom of the test tube.
Biopsy: The dismissal of cells or tissues from the pleura or peritoneum so they can be viewed under a microscope by a pathologist to check for signs of cancer. Procedures used to get the cells or tissues comprise the following:
Fine-needle aspiration biopsy: The dismissal of part of a lump, suspicious tissue, or fluid, using a thin needle. This course is also called a needle biopsy.
Lung biopsy. The inpatient lies on a table that slides through the computed tomography (Ct) machine which takes x-ray pictures of the inside of the body. The x-ray pictures help the doctor see where the abnormal tissue is in the lung. A biopsy needle is inserted through the chest wall and into the area of abnormal lung tissue. A small piece of tissue is removed through the needle and checked under the microscope for signs of cancer.
Thoracoscopy: An incision (cut) is made between two ribs and a thoracoscope (a thin, lighted tube) is inserted into the chest.
Peritoneoscopy: An incision (cut) is made in the abdominal wall and a peritoneoscope (a thin, lighted tube) is inserted into the abdomen.
Laparotomy: An incision (cut) is made in the wall of the abdomen to check the inside of the abdomen for signs of disease.
Thoracotomy: An incision (cut) is made between two ribs to check inside the chest for signs of disease.
Bronchoscopy: A course to look inside the trachea and large airways in the lung for abnormal areas. A bronchoscope (a thin, lighted tube) is inserted through the nose or mouth into the trachea and lungs. Tissue samples may be taken for biopsy.
Bronchoscopy. A bronchoscope is inserted through the mouth, trachea, and major bronchi into the lung, to look for abnormal areas. A bronchoscope is a thin, tube-like instrument with a light and a lens for viewing. It may also have a cutting tool. Tissue samples may be taken to be checked under a microscope for signs of disease.
Cytologic exam: An exam of cells under a microscope (by a pathologist) to check for anyone abnormal. For mesothelioma, fluid is taken from around the lungs or from the abdomen. A pathologist checks the cells in the fluid.
Certain factors sway prognosis (chance of recovery) and rehabilitation options.
The prognosis (chance of recovery) and rehabilitation options depend on the following:
The stage of the cancer.
The size of the tumor.
Whether the tumor can be removed fully by surgery.
The estimate of fluid in the chest or abdomen.
The patient's age and general health, including lung and heart health.
The type of mesothelioma cancer cells and how they look under a microscope.
Whether the cancer has just been diagnosed or has recurred (come back).
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