Mesothelioma history and symptoms: Difference between revisions

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==Overview==
==Overview==
 
Obtaining the history is the most important aspect of making a diagnosis when evaluating a patient for mesothelioma. Detailed history of the presenting symptom (onset, duration, and progression), other associated symptoms, and a thorough family and occupational history review. Other specific areas of focus include a history of any exposure to [[asbestos]] or [[radiation]].Presenting symptoms of mesothelioma appear after 20 to 50 years of exposure to [[asbestos]]. Symptoms of mesothelioma include [[chest pain]] nonpleuritic in nature, [[shortness of breath]], [[cough]], [[fatigue]], [[palpitation]], [[hemoptysis]], [[fever]] and [[weight loss]].
==History==
==History==
When evaluating a patient for mesothelioma, you should take a detailed history of the presenting symptom (onset, duration, and progression), other associated symptoms, and a thorough family and past medical history review. Other specific areas of focus include a history of any exposure to [[asbestos]] or [[radiation]].<ref name=Riskfactorsformesothelioma1>Risk factors for mesothelioma. Canadian cancer society 2016. http://www.cancer.ca/en/cancer-information/cancer-type/mesothelioma/risks/?region=on. Accessed on February 16, 2016</ref> Symptoms of mesothelioma may not appear until 20 to 50 years after exposure to [[asbestos]]. Symptoms of mesothelioma include [[chest pain]], [[shortness of breath]], [[cough]], [[abdominal pain]], [[palpitation]], [[hemoptysis]], and [[pedal edema|swelling in the legs]].<ref name=signsandsymptomsofmesothelioma1>Signs and symptoms of mesothelioma. Wikipedia 2016. https://en.wikipedia.org/wiki/Mesothelioma. Accessed on February 16, 2016</ref>
*Obtaining the history is the most important aspect of making a diagnosis when evaluating a patient for mesothelioma.<ref name="Riskfactorsformesothelioma1">Risk factors for mesothelioma. Canadian cancer society 2016. http://www.cancer.ca/en/cancer-information/cancer-type/mesothelioma/risks/?region=on. Accessed on February 16, 2016</ref><ref name="pmid29507793">{{cite journal |vauthors=Bianco A, Valente T, De Rimini ML, Sica G, Fiorelli A |title=Clinical diagnosis of malignant pleural mesothelioma |journal=J Thorac Dis |volume=10 |issue=Suppl 2 |pages=S253–S261 |date=January 2018 |pmid=29507793 |pmc=5830561 |doi=10.21037/jtd.2017.10.09 |url=}}</ref>
*A detailed history of the presenting symptom (onset, duration, and progression), other associated symptoms, and a thorough family and occupational history review. Other specific areas of focus include a history of any exposure to [[asbestos]] or [[radiation]].


==Symptoms==
==Symptoms==
Early mesothelioma does not have any symptoms. Symptoms of mesothelioma may not appear until 20 to 50 years after exposure to [[asbestos]]. As the tumor grows in size, it may present with one or more symptoms. Symptoms of mesothelioma depend on the location of the tumor.
*Presenting symptoms of mesothelioma appear after 20 to 50 years of exposure to [[asbestos]]. Symptoms of mesothelioma include [[chest pain]] nonpleuritic in nature, [[shortness of breath]], [[cough]], [[fatigue]], [[palpitation]], [[hemoptysis]], [[fever]] and [[weight loss]]. As the tumor grows in size, it may present with one or more symptoms. Symptoms of mesothelioma depend on the location of the tumor.<ref name="pmid18709470">{{cite journal |vauthors=Yang H, Testa JR, Carbone M |title=Mesothelioma epidemiology, carcinogenesis, and pathogenesis |journal=Curr Treat Options Oncol |volume=9 |issue=2-3 |pages=147–57 |date=June 2008 |pmid=18709470 |pmc=2717086 |doi=10.1007/s11864-008-0067-z |url=}}</ref><ref name="pmid295077932">{{cite journal |vauthors=Bianco A, Valente T, De Rimini ML, Sica G, Fiorelli A |title=Clinical diagnosis of malignant pleural mesothelioma |journal=J Thorac Dis |volume=10 |issue=Suppl 2 |pages=S253–S261 |date=January 2018 |pmid=29507793 |pmc=5830561 |doi=10.21037/jtd.2017.10.09 |url=}}</ref>


'''Mesothelioma that affects the pleura can cause:'''<ref name=signsandsymptomsofmesothelioma1>Signs and symptoms of mesothelioma. Wikipedia 2016. https://en.wikipedia.org/wiki/Mesothelioma. Accessed on February 16, 2016</ref>
'''Mesothelioma that affects the pleura can cause:'''
*[[Chest pain]]   
*[[Chest pain]]   
*[[Shortness of breath]]  
*[[Shortness of breath]]  
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*[[dysphagia|Difficulty in swallowing]]
*[[dysphagia|Difficulty in swallowing]]


'''Mesothelioma that affects the peritoneum can cause:'''<ref name=signsandsymptomsofmesothelioma1>Signs and symptoms of mesothelioma. Wikipedia 2016. https://en.wikipedia.org/wiki/Mesothelioma. Accessed on February 16, 2016</ref>
'''Mesothelioma that affects the peritoneum can cause:'''
*[[Abdominal pain]]
*[[Abdominal pain]]
*[[Ascites]]
*[[Abdominal distension]]
*[[Abdominal distension]]
*[[abdominal mass|Lump in the abdomen]]
*[[abdominal mass|Lump in the abdomen]]
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*[[Weight loss]]  
*[[Weight loss]]  


'''Mesothelioma that affects the pericardium can cause:'''<ref name=signsandsymptomsofmesothelioma1>Signs and symptoms of mesothelioma. Wikipedia 2016. https://en.wikipedia.org/wiki/Mesothelioma. Accessed on February 16, 2016</ref>
'''Mesothelioma that affects the pericardium can cause:'''
*[[Palpitation]]
*[[Palpitation]]
*[[Cough]]
*[[Cough]]
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*[[pedal edema|Swelling in legs]]
*[[pedal edema|Swelling in legs]]
*[[Fatigue]]
*[[Fatigue]]
*[[Night sweats]]


==References==
==References==
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[[Category:Occupational diseases]]
[[Category:Occupational diseases]]
[[Category:Oncology]]
[[Category:Oncology]]
[[Category:Up-To-Date]]
[[Category:Oncology]]
[[Category:Medicine]]

Latest revision as of 14:35, 19 March 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sujit Routray, M.D. [2]

Overview

Obtaining the history is the most important aspect of making a diagnosis when evaluating a patient for mesothelioma. Detailed history of the presenting symptom (onset, duration, and progression), other associated symptoms, and a thorough family and occupational history review. Other specific areas of focus include a history of any exposure to asbestos or radiation.Presenting symptoms of mesothelioma appear after 20 to 50 years of exposure to asbestos. Symptoms of mesothelioma include chest pain nonpleuritic in nature, shortness of breath, cough, fatigue, palpitation, hemoptysis, fever and weight loss.

History

  • Obtaining the history is the most important aspect of making a diagnosis when evaluating a patient for mesothelioma.[1][2]
  • A detailed history of the presenting symptom (onset, duration, and progression), other associated symptoms, and a thorough family and occupational history review. Other specific areas of focus include a history of any exposure to asbestos or radiation.

Symptoms

Mesothelioma that affects the pleura can cause:

Mesothelioma that affects the peritoneum can cause:

Mesothelioma that affects the pericardium can cause:

References

  1. Risk factors for mesothelioma. Canadian cancer society 2016. http://www.cancer.ca/en/cancer-information/cancer-type/mesothelioma/risks/?region=on. Accessed on February 16, 2016
  2. Bianco A, Valente T, De Rimini ML, Sica G, Fiorelli A (January 2018). "Clinical diagnosis of malignant pleural mesothelioma". J Thorac Dis. 10 (Suppl 2): S253–S261. doi:10.21037/jtd.2017.10.09. PMC 5830561. PMID 29507793.
  3. Yang H, Testa JR, Carbone M (June 2008). "Mesothelioma epidemiology, carcinogenesis, and pathogenesis". Curr Treat Options Oncol. 9 (2–3): 147–57. doi:10.1007/s11864-008-0067-z. PMC 2717086. PMID 18709470.
  4. Bianco A, Valente T, De Rimini ML, Sica G, Fiorelli A (January 2018). "Clinical diagnosis of malignant pleural mesothelioma". J Thorac Dis. 10 (Suppl 2): S253–S261. doi:10.21037/jtd.2017.10.09. PMC 5830561. PMID 29507793.


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