It is the oncologist who specializes in the disease who will decide the line of treatment. The disease is difficult to treat and the prognosis is poor in most cases. Treatment options include:
1. If the diagnosis is made in the early stages surgery may be recommended to remove all cancerous tissues. This means thoracoscopy, VATS or video-assisted thoracic surgery, mediastinoscopy (used for staging), or laparoscopy. Oftеn, doctors аdvіѕе раllіаtіvе рrосеdurеѕ lіkе сhеѕt tube drainage аnd рlеurоdеѕіѕ, thоrасоѕсору аnd pleurodesis, рlеurаl rеfеrrаl, or рlеurесtоmу, whісh trеаt the ѕуmрtоmѕ оf mesothelioma rather thаn thе disease.
2. Radiation is prescribed aggressively for mesothelioma patients and is often given in combination with surgery or to control symptoms, palliative. Research on the use of radiation implanted or ultraviolet light therapy is in progress as traditional radiation damage to surrounding healthy tissue.
3. Chemotherapy is an option and about 12-20% of patients respond to medication. cancer drugs kill cancer cells and prevent its spread. In mesothelioma, chemotherapy is not considered curative. The objective is to prevent the spread of the disease; shrink the tumor before surgery, known as neoadjuvant therapy; to annihilate the remnants of the tumor in the body post-surgery; and to relieve pain and discomfort, palliative chemotherapy. Experts recommend prescribing pemetrexed with cisplatin. These drugs have shown positive results and what is now the standard of care for mesothelioma can be treated by surgery.
4. Biological therapy using interleukin-2.
5. Immunotherapy where the body's immune system is stimulated to fight against the disease. biological response modifiers, BRM, are used in the treatment. These improve immune system functions; regulate metabolic reactions that promote the growth of cancers; alter cancer cell division; block or reverse processes that lead to cancer formation, and prevent the spread of cancer.
6. Gene therapy, where attempts are made to correct the sequence of the gene that causes cancer. This is of two types, the replacement gene therapy and gene therapy knockout.
7. Administration of lovastatin, a cholesterol-lowering drug.
8. photodynamic treatment where a photosensitive drug is activated using a laser. This is done during the surgical removal of cancerous tissue.
9. Liquid draining into the thoracic or abdominal cavity followed by the introduction of drugs into the cavity to prevent fluid accumulation is done for patients who have uncontrolled fluid accumulation and intense discomfort that results.
10. The combination therapy or trimodal therapy which means surgery accompanied by radiation and chemotherapy.
Often, complementary medicines are also used. Qualified to be holistic this kind of treatment on axes wellbeing physical, mental, emotional, and spiritual of a patient.
In the case of mesothelioma, which is an intractable can opt for clinical trials of new treatments that are underway in several laboratories and research centers. The best advice on the processing line would be that recommended by the oncologist or physician.