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Treatments & Therapies

Medical

Treatment for an asbestos-related cancer is rarely one thing. Most people see a combination of approaches, and the words for them can pile up fast. This category explains the surgeries, drugs, and supportive care used against mesothelioma and related diseases, so you can follow what your team is proposing and why.

Surgery ranges widely. Pleurectomy/Decortication (P/D) and Extrapleural Pneumonectomy (EPP) target pleural disease, while Cytoreductive Surgery paired with HIPEC (heated chemotherapy delivered during the operation) treats mesothelioma in the abdomen. On the drug side, the Platinum-Pemetrexed combination, often Cisplatin or Carboplatin with Pemetrexed (Alimta), has long been standard, and immunotherapy checkpoint inhibitors like Nivolumab (Opdivo) and Ipilimumab (Yervoy) are now common.

Care isn't only about shrinking tumors. Palliative Care, Pleurodesis, and an Indwelling Pleural Catheter can ease breathing and pain, and Hospice supports comfort when that becomes the goal. A Multidisciplinary Team and treatment at a High-Volume Center often shape outcomes.

Every term below links to a full plain-language definition.

Terms in this category

  • Active SurveillanceActive surveillance is a planned strategy of closely monitoring a disease or suspicious finding with regular …
  • Adjuvant TherapyAdjuvant therapy is treatment given after the primary treatment, usually surgery, to destroy any cancer cells…
  • AntifolateAntifolates are a class of chemotherapy drugs that block the body's ability to use folate (vitamin B9), a nut…
  • Atezolizumab (Tecentriq)Atezolizumab, sold as Tecentriq, is an immunotherapy drug that blocks PD-L1. It is approved for several cance…
  • BevacizumabBevacizumab is a laboratory-made antibody (a targeted drug) that blocks a protein called VEGF, which tumors u…
  • Bowel ResectionBowel resection is a surgical procedure in which a diseased or damaged segment of the small or large intestin…
  • BrachytherapyBrachytherapy is a form of radiation treatment in which small radioactive sources are placed directly inside …
  • CapecitabineCapecitabine is an oral chemotherapy pill that the body converts into 5-fluorouracil (5-FU), a drug that inte…
  • CAR-T CellCAR-T (chimeric antigen receptor T-cell) therapy is a form of immunotherapy in which a patient's own T cells …
  • CarboplatinCarboplatin is a platinum-based chemotherapy drug used to treat several cancers linked to asbestos exposure, …
  • Cetuximab (Erbitux)Cetuximab is a targeted cancer therapy given by IV infusion that blocks the epidermal growth factor receptor …
  • cGycGy stands for centigray, a unit used to measure the dose of radiation absorbed by body tissue during radioth…
  • checkpoint inhibitorsCheckpoint inhibitors are immunotherapy drugs that release the natural "brakes" on the immune system so it ca…
  • ChemotherapyChemotherapy is treatment with drugs that kill cancer cells or stop them from dividing, usually given through…
  • CisplatinCisplatin is a platinum-based chemotherapy drug that damages cancer cells' DNA so they cannot divide. For mes…
  • Clinical TrialA clinical trial is a research study that tests a new treatment, or a new use of an existing one, in voluntee…
  • CRS-207CRS-207 is an experimental cancer vaccine made from a weakened Listeria monocytogenes bacterium engineered to…
  • Cytoreductive SurgeryCytoreductive surgery (often called "debulking") is an operation that removes as much visible tumor as possib…
  • DecorticateTo surgically peel away a thickened, fibrous rind that has formed around an organ, most often the lung. In as…
  • Diaphragmatic ResectionDiaphragmatic resection is a surgical procedure in which part or all of the diaphragm, the dome-shaped breath…
  • DoxorubicinDoxorubicin is an intravenous chemotherapy drug in the anthracycline family that damages cancer cell DNA and …
  • Dual Checkpoint Inhibitor TherapyDual checkpoint inhibitor therapy is a cancer treatment that combines two immunotherapy drugs to help the imm…
  • Durvalumab (Imfinzi)Durvalumab, sold as Imfinzi, is an immunotherapy drug that blocks PD-L1, a protein tumors use to switch off t…
  • Extrapleural Pneumonectomy (EPP)Extrapleural pneumonectomy is a major surgery used to treat pleural mesothelioma in which the surgeon removes…
  • EZH2 InhibitorAn EZH2 inhibitor is a targeted cancer drug that blocks an enzyme tumor cells use to silence genes that would…
  • First-line TherapyFirst-line therapy is the initial, preferred treatment a doctor recommends for a newly diagnosed disease base…
  • Fluorouracil (5-FU)Fluorouracil, known as 5-FU, is a chemotherapy drug that interferes with cancer cells' ability to make DNA an…
  • FOLFIRI (5-FU, Leucovorin, and Irinotecan)FOLFIRI is a combination chemotherapy regimen built from three drugs: 5-fluorouracil (5-FU), leucovorin (foli…
  • FOLFOXFOLFOX is a combination chemotherapy regimen built from three drugs: folinic acid (leucovorin), 5-fluorouraci…
  • Galinpepimut-S (WT1)Galinpepimut-S is an investigational cancer vaccine that trains the immune system to recognize and attack cel…
  • GemcitabineGemcitabine is an intravenous chemotherapy drug that interferes with cancer cells' ability to copy their DNA,…
  • Goals of CareGoals of care are the personal priorities, values, and treatment preferences that guide medical decisions dur…
  • HemiscrotectomyHemiscrotectomy is the surgical removal of one half of the scrotum, typically performed along with removal of…
  • High-Volume CenterA high-volume center is a hospital or cancer program that treats a large number of patients with a specific d…
  • HIPECHIPEC stands for Hyperthermic Intraperitoneal Chemotherapy. It is a procedure in which heated chemotherapy dr…
  • Histology-AgnosticHistology-agnostic refers to medical decisions, drug approvals, or treatment approaches that are based on a t…
  • HospiceHospice is a type of specialized care focused on comfort, dignity, and quality of life for people with a term…
  • HydrocelectomyHydrocelectomy is a surgical procedure to remove or drain a hydrocele, a collection of fluid that builds up a…
  • Immune-Related Adverse EventsImmune-related adverse events are side effects caused when immunotherapy drugs, such as nivolumab and ipilimu…
  • ImmunotherapyImmunotherapy is a type of cancer treatment that helps the body's own immune system find and attack cancer ce…
  • Indwelling Pleural CatheterAn indwelling pleural catheter (IPC) is a thin, flexible tube placed through the chest wall so fluid around t…
  • Intensity-Modulated Radiation Therapy (IMRT)Intensity-modulated radiation therapy (IMRT) is a form of external-beam radiation in which computer-controlle…
  • Intraoperative Radiation Therapy (IORT)Intraoperative radiation therapy is a single, concentrated dose of radiation delivered directly to a tumor be…
  • Intraperitoneal Maintenance TherapyIntraperitoneal maintenance therapy is the ongoing delivery of chemotherapy directly into the abdominal cavit…
  • Ipilimumab (Yervoy)Ipilimumab is an immunotherapy drug that helps the immune system attack cancer by blocking a protein on T cel…
  • Lung TransplantA lung transplant replaces one or both diseased lungs with donor lungs. It is a last-resort treatment for end…
  • MAT2A InhibitorA MAT2A inhibitor is a type of targeted cancer drug that blocks the enzyme methionine adenosyltransferase 2A …
  • Mesothelin-Targeted TherapyMesothelin-targeted therapy is a class of experimental cancer treatments that attack tumor cells displaying a…
  • Mesothelioma SpecialistA mesothelioma specialist is a doctor with specific expertise in diagnosing and treating mesothelioma, a rare…
  • Mitomycin CMitomycin C is a chemotherapy drug, originally derived from a soil bacterium, that damages cancer cells' DNA …
  • Monoclonal AntibodyA monoclonal antibody is a lab-made protein engineered to recognize and bind to one specific target, usually …
  • Multidisciplinary TeamA multidisciplinary team (MDT) is a group of medical specialists from different fields who meet together to r…
  • Multimodal TherapyMultimodal therapy is a coordinated treatment approach that combines two or more types of cancer treatment (t…
  • Needle BiopsyA needle biopsy is a minimally invasive procedure in which a doctor uses a thin, hollow needle to remove a sm…
  • Neoadjuvant ChemotherapyNeoadjuvant chemotherapy is chemotherapy given before the main treatment, usually surgery, rather than after …
  • Neoadjuvant TherapyNeoadjuvant therapy is treatment given before the main intervention, usually surgery, to shrink a tumor, lowe…
  • Nivolumab (Opdivo)Nivolumab, sold under the brand name Opdivo, is an immunotherapy drug called a checkpoint inhibitor. It block…
  • Nucleoside Analog DrugA nucleoside analog is a medication built to look almost identical to one of the natural building blocks of D…
  • OrchiectomyOrchiectomy is the surgical removal of one or both testicles along with the surrounding tissue layers (the tu…
  • Palliative CarePalliative care is specialized medical care focused on relieving the symptoms, pain, and stress of a serious …
  • Pegargiminase (ADI-PEG20)Pegargiminase (ADI-PEG 20) is an investigational enzyme therapy that depletes the amino acid arginine from th…
  • Pembrolizumab (Keytruda)Pembrolizumab is an immunotherapy drug given by IV infusion that helps the immune system recognize and attack…
  • Pemetrexed (Alimta)Pemetrexed is a chemotherapy drug that blocks several enzymes cancer cells need to make DNA, slowing or stopp…
  • Perfusion EquipmentPerfusion equipment is a set of medical machines and tubing used to circulate heated chemotherapy or other tr…
  • PericardiectomyPericardiectomy is open-heart surgery to remove part or all of the pericardium, the tough sac surrounding the…
  • PericardiocentesisPericardiocentesis is a procedure in which a doctor uses a thin needle, often followed by a small catheter, t…
  • Peritoneal Surface OncologyPeritoneal surface oncology is a specialized field of cancer medicine focused on tumors that grow on the peri…
  • Platinum-PemetrexedPlatinum-pemetrexed is a two-drug chemotherapy combination, a platinum-based drug (usually cisplatin or carbo…
  • Pleurectomy/Decortication (P/D)Pleurectomy/Decortication is a lung-sparing surgery for pleural mesothelioma in which the surgeon removes the…
  • PleurodesisPleurodesis is a procedure that seals the space between the lung and the chest wall to stop fluid from buildi…
  • PneumonectomyPneumonectomy is the surgical removal of an entire lung. It is performed for cancers that cannot be treated b…
  • Prophylactic Tract IrradiationProphylactic tract irradiation is a short course of radiation given to the skin and chest wall where a needle…
  • Proton TherapyProton therapy is radiation treatment that uses beams of protons instead of X-rays. Protons release most of t…
  • Pulmonary RehabilitationPulmonary rehabilitation is a structured, medically supervised program that combines supervised exercise, bre…
  • Radical Inguinal OrchiectomyA radical inguinal orchiectomy is a surgery that removes a testicle and the entire spermatic cord through an …
  • RaltitrexedRaltitrexed is a chemotherapy drug that blocks an enzyme called thymidylate synthase, which cancer cells need…
  • RamucirumabRamucirumab, sold as Cyramza, is an antibody drug that blocks VEGFR-2, a receptor tumors use to grow new bloo…
  • Regorafenib (Stivarga)Regorafenib, sold as Stivarga, is an oral targeted cancer drug known as a multikinase inhibitor. It blocks se…
  • Respite CareRespite care is short-term, temporary relief for the family members and friends who provide day-to-day care t…
  • Retroperitoneal Lymph Node Dissection (RPLND)Retroperitoneal lymph node dissection is a surgical procedure to remove lymph nodes located behind the abdomi…
  • Second-Line TherapySecond-line therapy is the treatment given when the first treatment, called first-line therapy, stops working…
  • Sorafenib (Nexavar)Sorafenib, sold under the brand name Nexavar, is an oral targeted therapy known as a multi-kinase inhibitor. …
  • Stereotactic Body Radiation Therapy (SBRT)Stereotactic body radiation therapy (SBRT) delivers a very high, precisely aimed dose of radiation to a small…
  • Sugarbaker ProcedureThe Sugarbaker Procedure is an aggressive multi-step surgery for pleural mesothelioma, most commonly referrin…
  • Sunitinib (Sutent)Sunitinib is an oral targeted cancer drug known as a multi-kinase inhibitor. It blocks several proteins (incl…
  • Supplemental OxygenSupplemental oxygen is extra oxygen breathed through nasal tubing or a mask, from a concentrator or tank, whe…
  • Surgical CandidacySurgical candidacy is the medical determination of whether a patient is healthy enough, and whether their dis…
  • Surgical ResectionSurgical resection is the removal of diseased tissue, a tumor, or an affected organ through an operation. In …
  • Systemic TherapySystemic therapy refers to any cancer treatment that travels through the bloodstream to reach cells throughou…
  • Talc PleurodesisTalc pleurodesis is a medical procedure used to prevent fluid from repeatedly building up in the space betwee…
  • Targeted TherapyTargeted therapy is cancer treatment that acts on specific molecules or genetic changes that help a tumor gro…
  • ThoracentesisThoracentesis is a bedside or outpatient procedure in which a doctor inserts a thin needle through the chest …
  • Thoracic SpecialistA thoracic specialist is a physician with advanced training in diseases of the chest, including the lungs, pl…
  • Thoracic SurgeryThoracic surgery is the surgical specialty that operates on organs and structures inside the chest, including…
  • Thoracoscopic BiopsyA thoracoscopic biopsy is a minimally invasive surgical procedure in which a thin camera is inserted through …
  • ThoracotomyA major surgery in which the surgeon makes an incision through the chest wall, usually between the ribs, to r…
  • Trans-scrotal ApproachThe trans-scrotal approach is a surgical technique in which a testicular or paratesticular mass is removed th…
  • TrastuzumabTrastuzumab is a monoclonal antibody drug (brand name Herceptin) that targets cells overexpressing the HER2 p…
  • TremelimumabTremelimumab is an immunotherapy drug that blocks CTLA-4, a brake on the immune system's T cells, in the same…
  • Trimodality TherapyTrimodality therapy is a treatment approach for mesothelioma that combines three types of treatment: surgery,…
  • Tumor BoardA tumor board is a regular meeting of cancer specialists from different fields (including surgeons, medical o…
  • Tumor Treating Fields (TTFields)Tumor Treating Fields is a non-invasive cancer therapy that delivers low-intensity, alternating electric fiel…
  • Tyrosine Kinase InhibitorA tyrosine kinase inhibitor, or TKI, is a type of targeted cancer drug that blocks specific enzymes (tyrosine…
  • VEGF inhibitorsVEGF inhibitors are drugs that block vascular endothelial growth factor, a signaling protein tumors use to gr…
  • VinorelbineVinorelbine is a chemotherapy drug given by IV infusion or as an oral capsule, used to treat non-small cell l…
  • Watchful WaitingWatchful waiting is a medical management approach in which a doctor monitors a patient's condition with regul…

Terms in this category

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