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Archive for the ‘Treatments’ Category

MD Anderson Focus Clinical Trials on Personalized Mesothelioma Treatment

Friday, October 23rd, 2009

The University of Texas M.D. Anderson Cancer Center is progressive in their research and mesothelioma treatment initiatives.

The Mesothelioma Cancer Department has a comprehensive program with over 30 specialists on staff dedicated and focused on mesothelioma. In their approach for mesothelioma treatment, the specialist team determines the patient’s cancer stage and if they are a candidate for surgery.

In conjunction with the surgical staging, Anderson is conducting a clinical trial of the drug, Dasatinib. Prior to surgery, patients are given Dasatinib to test the effectiveness of the drug therapy in preventing the progression of the disease.

For more information about mesothelioma treatment, check out the M.D. Anderson web site, or visit our pages on clinical trials, cancer centers, and leading mesothelioma doctors.


Paracentesis for Patients with Peritoneal Mesothelioma

Friday, August 7th, 2009

Doctors will perform various types of surgeries and procedures depending upon the primary goal of your mesothelioma treatment. One example is palliative surgery. Palliative surgery is aimed at relieving the symptoms of mesothelioma and providing relief for the patient.

Paracentesis is a palliative surgery performed on patients of peritoneal mesothelioma, which affects the stomach and abdomen. During this procedure, a long, thin needle is inserted into the belly to drain accumulated fluid. This fluid, known as ascites, can negatively impact the stomach, kidneys and intestines. Draining the ascites provides the mesothelioma patient with relief from the pain and pressure of having extra fluid.

In order to prepare for paracentesis, you need to tell your mesothelioma doctor:

  • If you are taking any medication
  • If you have any allergic reactions to medicines, including numbing medicines
  • If you have any bleeding problems, or are taking blood thinners or aspirin
  • If you are pregnant

Your doctor will numb the area before inserting the needle, and then drain the fluid. Depending upon the amount of fluid to be drained, the procedure can take anywhere from a few minutes to days. Paracentesis can be performed in the doctor’s office, the hospital or an emergency room.

Remember to follow your post-operative care instructions carefully, and let your doctor know of any issues you have after the procedure. Also, make sure to document all the information you receive during and after the procedure for future reference.


Chemotherapy Drugs Made from Plants

Wednesday, August 5th, 2009

Often your doctor will recommend chemotherapy as part of your mesothelioma treatment. There are various types or classes of chemotherapy drugs available. These drugs are frequently used in combination to form an overall treatment, as in the case of Alimta and Cisplatin. One class of chemotherapy drugs is derived from multiple types of plants, called plant alkaloids.

Plant alkaloids are cell-cycle specific, meaning they attack the cancer cells during various phases of division. The various plant alkaloid types include:

  • Vinca alkaloids made from the periwinkle plant (catharanthus rosea)
  • Taxanes made from Pacific Yew tree bark (taxus)
  • Podophyllotoxins made from the May apple plant.
  • Camptothecan analogs made from the Asian “Happy Tree” (Camptotheca acuminate

Vinca alkaloids and taxanes are also known as antimicrotubule agents, meaning they prevent cell division and replication, eventually resulting in cell death. Podophyllotoxins and camptothecan analogs are also known as topoisomerase inhibitors, meaning they interrupt the DNA of the cell, which also eventually results in cell death.

The popular chemotherapy drug names for each of these plant alkaloids include:

  • Vinca alkaloids – Vincristine, Vinblastine and Vinorelbine (Navelbine)
  • Taxanes – Paclitaxel and Docetaxel
  • Podophyllotoxins – Etoposide and Tenisopide
  • Camptothecan analogs – Irinotecan and Topotecan

Chemotherapy drugs often have side effects, such as nausea, vomiting, fatigue, weight loss and hair loss. It is very important to discuss details about your mesothelioma treatment with your doctor, particularly with regard to any medications you are taking, or any health issues you may have.

We understand you have a lot of questions that require answers in a short period of time. Research takes time, and sometimes it would be nice to speak with someone who can help you sort out the details. Contact one of our mesothelioma family advocates to ask questions and learn about your options. They can help.


Thoracotomy Surgery to Treat Mesothelioma

Tuesday, August 4th, 2009

There is no cure for mesothelioma. However, there are procedures used in treatment plans to provide support. A thoracotomy is one example. During a thoracotomy, a portion of or the entire lung is removed, depending upon the extent of your mesothelioma cancer.

There are three types of thoracotomy:

  • A segmentectomy (also known as a wedge resection) which removes a wedge section where the cancer is located
  • A lobectomy which removes an entire lobe of your lung.
  • A pneumonectomy which removes an entire lung.

Each of these surgeries is considered a major procedure. Therefore, you should discuss in detail the preparations you need to make prior to having a thoracotomy. Some discussion points you may want to consider:

  • Stop taking aspirin or ibuprofen before the surgery
  • Notify your doctor of all medications you currently take, and make sure to discuss which medications, if any, you can take on the day of surgery
  • Exactly what mesothelioma symptoms you presently have, and what to do if they get worse before surgery

When you arrive at the hospital, there are several procedures that will most likely take place, including:

  • Taking and monitoring your vital signs
  • Blood tests
  • Chest x-rays
  • Heart monitoring
  • Pulse Oximeter
  • Swan-Ganz (passing a thin tube into a vein near the collarbone and then into the heart and lungs to provide monitoring and give medicine)

After surgery, in addition to the typical procedures given after major surgery, you will be given breathing treatments and exercises. These will ensure that your lungs are functioning correctly and continue to get stronger, both while hospitalized and after you return home.

Make sure to document and follow all your post-operative care procedures to ensure the safest and quickest recovery. Also, consider asking for assistance if you live alone to allow for several days of help after surgery. As with any major surgery, you will need some help to get back on your feet.


 
 
 
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