Malignant Mesothelioma – Diagnostic Procedures

As symptoms of Mesothelioma are not distinctive to it and the disease’s comparative rarity, mesothelioma misdiagnosis are not unusual. At times it is tricky to decipher the disparity between malignant mesothelioma and lung cancer. The below stated tests and procedures could be conducted:

Physical Examination

During the course of the physical examination, the body is checked for overall health condition inclusive of looking for signs of any ailment like lumps or any dubious appearance. The patient’s history is probed to identify health habits, any previous asbestos exposure, past infirmity and treatments undergone.

Chest X-ray

An x-ray is an energy shaft that could pass via the body and onto film, capturing images of inner organs and bones of the body. The chest x-ray is performed for obtaining x-rays of the organs and bones within the chest region.

Complete Blood Count or CBC

A procedure involving the withdrawal of a blood sample to check for the below stated:

• The red blood cells (RBC), white blood cells (WBC) and platelets count.
• The haemoglobin (the oxygen-carrying protein) content in the red blood cells.
• The part of the blood sample that constitute the red blood cells.

Sedimentation Rate

During the procedure the blood sample drawn is evaluated for the settling rate of the red blood cells to the base of the test tube.

Biopsy

The extraction of cells or tissues is done from the pleura or peritoneum to be sent for microscopic analysis for spotting malignant growth. Procedures employed for collection of tissue or cell samples involve the following:

Fine-needle aspiration (FNA) biopsy of the lung

With the guidance offered by the imaging procedure, through a small incision done on the skin, a fine needle is passed for drawing out tissue or fluid samples from dubious or abnormal tissues or fluid accumulation in the lung.

Thoracoscopy

Through a small slit made in the inter-rib area, a thoracoscope – a fine, tubular illuminated device fixed with a viewing lens is inserted within the chest.

Peritoneoscopy

A tiny opening made on the abdominal wall is made thorough which a slender, tube-alike, light and lens fitted device is passed into the abdomen.

Laparotomy

Through a small cut made in the abdominal wall, the interiors of the abdomen are examined for any presence of disease.

Thoracotomy

An inter-rib slit is done for observing the chest interiors for presence of ailment.

Bronchoscopy

In this procedure the interiors of the trachea and the large air passages in the lung are examined for irregular growths. With the assistance of a bronchoscope (a slender, tubular, illuminated and lens-attached device) passed nasally or orally into the trachea and lungs for viewing and removal of tissue samples to be analysed microscopically for cancer signs.

Cytologic examination

In case of mesothelioma, the fluid build-up in the region around the lungs or abdominal region is drawn to be forwarded to the pathologist for microscopic analysis for checking the cells present in the fluid.

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