Mesothelioma
Mesothelioma is strongly associated with asbestos exposure and can appear decades after exposure. It is different from lung cancer.
Common signs and symptoms
Having one or more of these symptoms does not mean you have cancer. New, unexplained or persistent changes should be assessed.
- progressive breathlessness
- chest pain
- persistent cough
- abdominal swelling or pain
- unexplained weight loss and fatigue
Risk factors
A risk factor changes probability; it does not predict who will or will not develop cancer.
- past occupational or environmental asbestos exposure
- living with asbestos dust brought home on clothing
- age and duration since exposure
- rare inherited susceptibility
Screening and early detection
There is no established routine screening programme. People with known asbestos exposure should discuss symptoms and follow up with a clinician.
How it is investigated and diagnosed
Tests may include chest imaging, drainage and analysis of fluid, thoracoscopy or laparoscopy and tissue biopsy.
A biopsy or specialist test is usually needed to confirm the diagnosis and exact cancer type. Your healthcare team will explain which tests are appropriate.
Common treatment approaches
Treatment is individual and depends on the cancer subtype, stage, test results, general health and the patient’s priorities.
- systemic treatment such as chemotherapy or immunotherapy
- surgery for carefully selected patients
- radiotherapy in selected settings
- fluid control and symptom focused care
Only a qualified treating team can recommend a treatment plan.
Questions to ask your healthcare professional
- What exact cancer type and subtype has been found?
- What stage is it, and which tests established the stage?
- What are my treatment options, expected benefits and possible side effects?
- Should biomarker, genetic or inherited risk testing be considered?
- Who should I contact if my symptoms change or I need urgent help?
When to seek urgent help
Seek urgent help for severe breathlessness, chest pain, coughing blood, collapse or rapidly increasing abdominal swelling.
If someone is in immediate danger, contact emergency services or go to the nearest emergency department. CFC is not an emergency medical service.
Reliable medical sources
This guide was medically reviewed against current public information from the following authoritative organisations:
This page provides general information only. It cannot diagnose cancer, recommend treatment or replace advice from a qualified healthcare professional who knows your circumstances.