Getting a clear answer about an asbestos-related illness usually takes several steps, and each one has its own vocabulary. This category collects the tests, scans, and lab measurements doctors use to find mesothelioma, asbestosis, and related conditions, then to confirm exactly what they're dealing with.
Imaging often comes first. A CT Scan or High-Resolution CT (HRCT) can show pleural thickening or fluid, and a PET-CT helps map how far disease has spread. When something looks suspicious, a Biopsy, often taken during Video-Assisted Thoracoscopic Surgery (VATS) or thoracoscopy, gives pathologists tissue to examine.
Much of the real answer lives in the Pathology Report. Immunohistochemistry stains like Calretinin, Podoplanin (D2-40), and mesothelin help tell mesothelioma apart from other cancers, while markers such as Ki-67 describe how fast cells are dividing. Blood and fluid tests, including the MESOMARK assay for Soluble Mesothelin-Related Peptides (SMRP), add more detail.
Because these reports are easy to misread, a Second Pathology Review can matter a great deal. Every term below links to a full plain-language definition.
Terms in this category
- 8-Nitroguanine8-Nitroguanine is a chemically damaged form of guanine, one of the four building blocks of DNA. It forms when…
- 8-OHdG8-OHdG (8-hydroxy-2'-deoxyguanosine) is a chemically modified form of the DNA building block guanosine that f…
- Alpha-fetoprotein (AFP)Alpha-fetoprotein is a protein normally produced by the liver and yolk sac of a developing fetus. In adults, …
- Ascitic Fluid CytologyAscitic fluid cytology is the laboratory examination of fluid drawn from the abdominal cavity (ascites) to lo…
- Atypical Mesothelial ProliferationAtypical mesothelial proliferation is the term a pathologist uses when mesothelial cells look abnormal but ca…
- AutopsyAn autopsy is a medical examination of the body after death to determine the cause of death and the diseases …
- B-ReaderA B-Reader is a physician, usually a radiologist or pulmonologist, who has passed a National Institute for Oc…
- B72.3 (TAG-72)B72.3 is a monoclonal antibody used in immunohistochemistry (IHC), a laboratory staining technique applied to…
- BAL FluidBAL fluid (bronchoalveolar lavage fluid) is the liquid recovered when a doctor washes a small section of the …
- Ber-EP4Ber-EP4 is an antibody used in pathology to detect a protein (EpCAM) found on the surface of most adenocarcin…
- Beta-hCGBeta-hCG (beta human chorionic gonadotropin) is a hormone protein normally produced during pregnancy by place…
- BiomarkerA biomarker is a measurable biological signal, often a protein, gene, or other substance in blood, tissue, or…
- Biomarker TestingBiomarker testing looks for specific molecules, proteins, genes, or other signals in blood, tissue, or fluid …
- BiopsyA biopsy is a procedure in which a doctor removes a small sample of tissue, fluid, or cells so it can be exam…
- Broad-spectrum CytokeratinBroad-spectrum cytokeratin refers to a group of antibody stains (such as AE1/AE3, CAM 5.2, and MNF116) that d…
- Bronchoalveolar Lavage (BAL)Bronchoalveolar lavage is a procedure in which a thin, flexible scope (bronchoscope) is passed into a small a…
- BronchoscopyBronchoscopy is a procedure in which a doctor passes a thin, flexible tube with a camera (a bronchoscope) thr…
- CA-125CA-125 (cancer antigen 125) is a protein measured in the blood that can be elevated in several cancers, inclu…
- CalretininCalretinin is a calcium-binding protein that pathologists detect in tissue samples to help confirm mesothelio…
- CAM5.2CAM5.2 is a monoclonal antibody used by pathologists to detect low-molecular-weight cytokeratins (cytokeratin…
- CAP/Roggli Histologic CriterionThe CAP/Roggli histologic criterion is a pathology standard used to confirm a diagnosis of asbestosis by requ…
- Carcinoembryonic Antigen (CEA)CEA is a protein normally produced during fetal development that can reappear in the blood of adults with cer…
- CD34CD34 is a protein found on the surface of certain cells, including blood vessel lining cells (endothelial cel…
- Cell BlockA cell block is a small paraffin block made from cells spun out of pleural fluid, ascites or a needle aspirat…
- Chest X-RayA chest X-ray is a quick, low-dose picture of the lungs, heart and chest wall. It is the standard first test …
- CK7CK7 (Cytokeratin 7) is a protein found in the structural skeleton of certain epithelial and mesothelial cells…
- Claudin-4Claudin-4 is a protein found in the tight junctions between cells that line body cavities and organs (epithel…
- Completeness of Cytoreduction (CC) ScoreThe Completeness of Cytoreduction (CC) Score is a surgical grading system used to describe how much visible t…
- Composite Nuclear Grading SystemThe Composite Nuclear Grading System is a pathology scoring method used to predict prognosis in epithelioid m…
- Confluent DiseaseConfluent disease describes a stage of an illness in which separate, individual lesions or abnormalities have…
- Crackling RalesCrackling rales (also called crackles or crepitations) are abnormal lung sounds a doctor hears through a stet…
- CT ScanA CT (computed tomography) scan is an imaging test that combines many X-ray pictures taken from different ang…
- ctDNActDNA is small fragments of DNA shed into the bloodstream by cancer cells as they grow, die, or turn over. Be…
- Cytokeratin 5/6Cytokeratin 5/6 (CK5/6) are structural proteins found in certain cell types, including mesothelial cells (whi…
- CytologyCytology is the laboratory examination of individual cells (usually collected from fluids, washings, or fine-…
- CytopathologyCytopathology is the branch of pathology that diagnoses disease by examining individual cells, rather than in…
- DesminDesmin is a protein found inside muscle cells that helps hold their internal structure together. Pathologists…
- Diagnostic LaparoscopyDiagnostic laparoscopy is a minimally invasive surgical procedure in which a surgeon makes small incisions in…
- Differential DiagnosisA differential diagnosis is the systematic process a physician uses to identify which disease is causing a pa…
- Diffusing Capacity (DLCO)Diffusing capacity, or DLCO (diffusing capacity of the lung for carbon monoxide), is a breathing test that me…
- Diffusion-Weighted MRIDiffusion-weighted MRI (DW-MRI or DWI) is a specialized form of magnetic resonance imaging that measures how …
- Doppler UltrasoundDoppler ultrasound is a painless imaging test that uses sound waves to measure how blood moves through vessel…
- EchocardiogramAn echocardiogram is an ultrasound scan of the heart that uses sound waves to create moving pictures of its c…
- ECOG Performance StatusECOG Performance Status is a simple 0-to-5 scale doctors use to rate how well a patient can carry out everyda…
- EndoscopyEndoscopy is a procedure in which a doctor inserts a thin, lighted tube with a camera (an endoscope) into the…
- Endotracheal BiopsyAn endotracheal biopsy is a procedure in which a doctor removes a small piece of tissue from the inside linin…
- Epithelial Membrane Antigen (EMA)EMA, also known as MUC1, is a protein found on the surface of many cell types that pathologists detect using …
- F-fluoro-2-deoxy-D-glucose (FDG)FDG is a radioactive sugar (a glucose molecule tagged with a small amount of radioactive fluorine-18) that is…
- Ferruginous BodiesFerruginous bodies are microscopic structures that form in the lungs when the body coats an inhaled fiber wit…
- FEV1FEV1, or forced expiratory volume in one second, is the amount of air you can forcefully blow out in the firs…
- FEV1/FVC RatioThe FEV1/FVC ratio compares how much air a person can blow out in the first second (FEV1) with the total amou…
- Fiber Burden AnalysisFiber burden analysis is a laboratory test that counts and identifies the asbestos fibers and asbestos bodies…
- Fibulin-3Fibulin-3 is a protein made by cells that helps hold tissue scaffolding together. In medicine, it is studied …
- Fine-Needle AspirationFine-needle aspiration is a biopsy that uses a very thin needle to draw out cells from a lump, lymph node or …
- Fluid CytologyFluid cytology is a laboratory test in which fluid drained from a body cavity, most often the chest (pleural …
- Fluorescence In Situ Hybridization (FISH)FISH is a laboratory test that uses fluorescent DNA probes to detect specific genetic changes inside cells un…
- Frozen SectionA frozen section is a quick diagnosis made during surgery: the pathologist freezes a piece of tissue, cuts a …
- FVCFVC stands for Forced Vital Capacity, the total volume of air you can blow out as hard and as fast as possibl…
- GATA3GATA3 is a protein that pathologists stain for in tissue samples, using a test called immunohistochemistry. I…
- Ground-Glass OpacityA ground-glass opacity is a hazy gray area on a CT scan of the lungs, through which the blood vessels and air…
- HBME-1HBME-1 (Hector Battifora Mesothelial epitope-1) is an antibody used in immunohistochemistry, a laboratory tec…
- HEG1HEG1 is a protein on the surface of mesothelial cells that pathologists can stain for in tissue samples. A sp…
- Hematoxylin and Eosin (H&E) StainHematoxylin and eosin, or H&E, is the standard stain used on almost every tissue slide. Hematoxylin colors ce…
- Heterologous ElementsHeterologous elements are areas inside a tumor that look like a different tissue, such as bone, cartilage or …
- High-Power FieldA high-power field (HPF) is the area of a microscope slide visible at the highest routine magnification, typi…
- High-Resolution CT (HRCT)High-resolution CT (HRCT) is a specialized CT scan that produces very detailed, thin-slice images of the lung…
- Histological SubtypeHistological subtype refers to the category a tumor is placed in based on how its cells look under a microsco…
- HistopathologyHistopathology is the study of diseased tissue under a microscope to diagnose illness. A pathologist examines…
- ICD-10 Code C45C45 is the code for mesothelioma in the World Health Organization's International Classification of Diseases,…
- ILO ClassificationThe ILO Classification is a standardized system for reading and grading chest X-rays for signs of pneumoconio…
- ImmunohistochemistryImmunohistochemistry (IHC) is a laboratory technique that uses antibodies tagged with a colored stain to dete…
- Impairment RatingAn impairment rating is a doctor's measurement of how much a disease or injury has reduced a person's body fu…
- Ki-67Ki-67 is a protein found in cells that are actively dividing, and pathologists measure it to gauge how fast a…
- Lactate Dehydrogenase (LDH)Lactate dehydrogenase is an enzyme found inside almost every cell in the body that helps convert sugar into e…
- LaparotomyA laparotomy is a surgery in which a doctor makes a long incision through the abdominal wall to see and opera…
- LaryngoscopyLaryngoscopy is a procedure that lets a doctor look directly at the larynx (voice box) and surrounding throat…
- Lesion ScoreA lesion score is a numerical rating that pathologists or radiologists assign to describe how extensive or se…
- Light's CriteriaLight's criteria are a set of laboratory rules doctors use to tell what kind of fluid has built up around the…
- Liquid BiopsyA liquid biopsy is a test that looks for traces of cancer in a body fluid, usually blood, instead of in a pie…
- Low-Dose CT ScreeningLow-dose CT screening is a yearly CT scan of the chest, using much less radiation than a standard diagnostic …
- Lung-RADSLung-RADS is the scoring system radiologists use to report lung cancer screening CT scans. Each scan gets a c…
- M DescriptorThe M descriptor is the part of the TNM cancer staging system that indicates whether a cancer has spread (met…
- MediastinoscopyMediastinoscopy is a surgical procedure in which a doctor inserts a thin, lighted scope through a small incis…
- Medical ThoracoscopyMedical thoracoscopy is a minimally invasive procedure in which a doctor inserts a small camera through the c…
- MESOMARK® AssayThe MESOMARK assay is a blood test that measures soluble mesothelin-related peptides (SMRP), proteins release…
- MesothelinMesothelin is a protein found on the surface of normal mesothelial cells (the thin lining around the lungs, a…
- Mesothelioma MisclassificationMesothelioma misclassification is when a mesothelioma is wrongly identified as another cancer (or vice versa)…
- Mesothelioma StagingMesothelioma staging is the process of describing how far the cancer has spread, from limited disease confine…
- Mitotic CountMitotic count is the number of cells actively dividing (in mitosis) that a pathologist sees when examining a …
- Mitotic IndexThe mitotic index is a measurement of how many cells in a tumor sample are actively dividing at the moment th…
- MOC-31MOC-31 is an antibody used in pathology laboratories to detect a protein called EpCAM (epithelial cell adhesi…
- Modified RECIST (mRECIST)Modified RECIST (mRECIST) is the standard way of measuring whether pleural mesothelioma is shrinking, stable …
- MRIMRI (magnetic resonance imaging) is a scan that uses a strong magnet and radio waves, not radiation, to produ…
- MTAPMTAP (methylthioadenosine phosphorylase) is a gene and its protein, normally present in most cells. In many m…
- Next-Generation Sequencing (NGS)Next-Generation Sequencing is a high-speed laboratory technology that reads the DNA (and sometimes RNA) of ma…
- Nuclear AtypiaNuclear atypia refers to abnormal features of the nucleus of a cell (such as unusual size, shape, irregular b…
- Nuclear GradingNuclear grading is a system pathologists use to score how abnormal the nuclei (the control centers) of tumor …
- Nuclear PleomorphismNuclear pleomorphism is a microscopic feature in which the nuclei of cells vary noticeably in size, shape, an…
- Omental InvolvementOmental involvement means that the omentum (a fatty, apron-like sheet of tissue that hangs from the stomach a…
- OsteopontinOsteopontin (OPN) is a protein released by many cell types, including inflamed tissues and some tumors, that …
- Oxygen SaturationOxygen saturation is the percentage of hemoglobin in the blood that is carrying oxygen. It is usually measure…
- paracentesisParacentesis is a procedure in which a doctor inserts a thin needle or small catheter through the abdominal w…
- Pathology ReportA pathology report is the document a pathologist writes after examining tissue or fluid under a microscope to…
- Pathology ReviewPathology review is a second, careful examination of the tissue or fluid samples taken during a biopsy, usual…
- PD-L1PD-L1 (programmed death-ligand 1) is a protein found on the surface of some cells, including many cancer cell…
- Performance StatusPerformance status is a standardized score doctors use to describe how well a patient can carry out everyday …
- Peritoneal Cancer Index (PCI)The Peritoneal Cancer Index (PCI) is a scoring system surgeons use to measure how much tumor is present insid…
- Peritoneal fractionPeritoneal fraction refers to the proportion of mesothelioma cases that arise in the peritoneum (the lining o…
- PET ScanA PET scan (positron emission tomography) is an imaging test that shows how tissues in the body are using ene…
- PET-CTPET-CT is an imaging test that combines a positron emission tomography (PET) scan with a computed tomography …
- PharyngoscopyPharyngoscopy is a procedure in which a doctor examines the pharynx, the part of the throat behind the mouth …
- Placental Alkaline Phosphatase (PLAP)Placental alkaline phosphatase is an enzyme normally produced by the placenta during pregnancy that can also …
- PleomorphicPleomorphic means "having many shapes." In pathology, it describes cells that vary widely in size, shape, and…
- Pleural BiopsyA pleural biopsy is a medical procedure in which a small sample of tissue is removed from the pleura, the thi…
- Pleural ThicknessPleural thickness refers to how thick the pleura, the thin membrane lining the lungs and inner chest wall, ap…
- Podoplanin (D2-40)D2-40 is an antibody used in pathology that binds to a protein called podoplanin. Mesothelioma cells (especia…
- Posteroanterior (PA) ViewThe posteroanterior (PA) view is the standard chest X-ray taken with the X-ray beam passing from the patient'…
- Pulmonary Function Test (PFT)Pulmonary function tests (PFTs) are a group of breathing tests that measure how much air your lungs can hold,…
- Recurrence-Free SurvivalRecurrence-free survival (RFS) is the length of time after primary treatment (usually surgery, sometimes comb…
- RoentgenThe Roentgen (symbol R) is an older unit measuring exposure to X-ray or gamma radiation, defined by how much …
- S-100S-100 is a family of proteins detected by immunohistochemistry staining of tissue samples. Certain tumors lik…
- Six-Minute Walk TestThe six-minute walk test measures how far a person can walk on a flat indoor course in six minutes, usually w…
- Solid Architectural PatternThe solid architectural pattern is one of the ways mesothelioma cells can be arranged when a pathologist look…
- Soluble Mesothelin-Related Peptides (SMRP)Soluble Mesothelin-Related Peptides (SMRP) are protein fragments shed into the bloodstream by cells that prod…
- Specimen TypeSpecimen type refers to the kind of tissue or fluid sample collected from a patient for laboratory analysis. …
- Spindle CellA spindle cell is a long, thin, tapered cell that looks elongated and pointed under the microscope, somewhat …
- SpirogramA spirogram is the graph or tracing produced during a breathing test (spirometry) that shows how much air you…
- SpirometrySpirometry is a common breathing test that measures how much air you can move in and out of your lungs and ho…
- SputumSputum is the thick mucus produced deep in the lungs and airways that is brought up by coughing. It is differ…
- Stage GroupingStage grouping is the process of combining several individual cancer measurements — most often tumor size and…
- Stage IAStage IA is the earliest formal stage of pleural mesothelioma under the TNM staging system. It describes a tu…
- StagingStaging is the process doctors use to describe how far a cancer has spread in the body at the time of diagnos…
- Subpleural Curvilinear LineA subpleural curvilinear line is a thin curved line seen on high-resolution CT within about a centimeter of t…
- ThoracoscopyThoracoscopy is a procedure in which a surgeon inserts a small camera through a tiny incision in the chest wa…
- Thyroid Transcription Factor-1 (TTF-1)TTF-1 is a protein found inside the nuclei of cells in the thyroid gland and in certain lung cells. Pathologi…
- TNM ClassificationTNM is the international system doctors use to describe how far a cancer has spread. It combines three letter…
- TNM StagingTNM staging is a standardized system for describing how far a cancer has spread, using three factors: T for t…
- Tumor MarkerA tumor marker is a substance, often a protein, that can be measured in blood, other fluids, or tissue and ma…
- Tumor-Infiltrating LymphocytesTumor-infiltrating lymphocytes are white blood cells of the immune system, mostly T cells, that have moved ou…
- UltrasoundUltrasound is a diagnostic imaging technique that uses high-frequency sound waves to produce real-time images…
- Video-Assisted Thoracoscopic Surgery (VATS)VATS is a minimally invasive chest surgery in which a surgeon makes a few small incisions between the ribs an…
- WHO ClassificationThe WHO Classification is the World Health Organization's official system for naming and categorizing tumors …
Terms in this category
Browse the full Lexicon, or talk it through with a member of our litigation team, not a screener, at 833-4-ASBESTOS.