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Chemotherapy
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Patricia Shelton

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Published On: March 22, 2024

Page Features:6 cited research

Patricia Shelton - author

Dr. Patti Shelton reviews medical information on the site for accuracy. She holds both a Doctor of Medicine degree as well as a Bachelor’s degree in neuroscience from the University of Washington in Seattle. Her work focuses on communicating scientific information to the public and helping make complex concepts understandable so that patients can make their own informed decisions. She also teaches anatomy and physiology courses at the college level.

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Chemotherapy Treatment for Mesothelioma

Doctor talking to patient receiving medical treatment in hospital ward stock photo

Chemo (the term for chemotherapy) is an integral part of treatment for mesothelioma cancer – a rare, but lethal, cancer that can be found in asbestos-related people. These procedures are supposed to kill multiple cancer cells at once. That’s why everyone who has been diagnosed with mesothelioma needs to know what chemotherapy is and why it is far more effective.

Patients can receive chemotherapy during treatment: before surgery that can shrink tumors (preoperative therapy); after surgery to flush out cancer cells and sanitize any remaining ones left behind (postsurgical therapy); or as a single therapy if these individuals are simply making a living in the meantime, trying to maintain symptoms in check and prevent spread.

How is Chemotherapy Used to Treat Mesothelioma?

Chemotherapy is a chemotherapy treatment against mesothelioma with anti-cancer medications. This can be given in various forms, depending on what a patient’s need is and what stage of the disease.

Chemotherapy usually works in cycles, each course requiring a time-out for the body to recover. Those cycles usually run three weeks or so then they take about half as long off work.

Administration Methods

Systemic chemotherapy and intrapleural/intraperitoneal chemotherapy are two types of chemotherapy for mesothelioma. 

Systemic chemotherapy delivers the drugs through a vein into the bloodstream, where they circulate throughout the body. This means they can spot a target like cancer anywhere in one’s body of blood vessels and destroy it there. Giving chemotherapy by injecting drugs into the chest cavity or abdomen.

Chemotherapy Usage

Chemotherapy can be used at different stages in the peritoneal mesothelioma treatment. An individual may be given neoadjuvant therapy in advance of surgery: this is supposed to shrink the tumor and reduce its potential to spread in the postoperative period.

Adjuvant therapy – administered after surgery – kills the cancer cells and prevents them from recurrence. Chemotherapy, alone or with radiotherapy, is used for the majority of patients who can’t have surgery. Chemotherapy can shrink tumors and halt their spread, but it is never able to kill cancer.

Chemotherapy Side Effects and Considerations

The side effects of chemotherapy must be disclosed to patients. Chemotherapy side effects include fatigue, nausea, vomiting, hair loss and the risk of infection due to reduced white blood cells. Patients need to talk through these possible side effects with their physicians in order to manage them and get the best possible quality of life while being treated.

Chemotherapy is still an important treatment for mesothelioma, and promises hope for better prognoses and longer survival for most patients. Current studies are investigating the best combination of drugs and treatment regimens to optimize chemotherapies in mesothelioma care.

Benefits of Chemotherapy for Mesothelioma

The main treatment for mesothelioma is chemotherapy, which aims to kill the cancer cells with powerful anti-cancer medications. Chemotherapy suppresses the growth and dissemination of these cells to control mesothelioma.

It is given before surgery to shrink the growth, after surgery to kill any cancer cells left behind, or as a last resort when surgery isn’t an option.

How Chemotherapy Treats Mesothelioma

Chemotherapy can be administered systemically (via the blood) or intrapleural/intraperitoneally (into the chest or abdomen). The drugs attack fast-growing cancer cells, which they hope will reduce tumors and cut off spread. This can make surgery for the removal of tumors more efficient and less disruptive.

Significant Benefits of Chemotherapy

There are some huge advantages to chemotherapy for mesothelioma patients. It shrinks tumors so that they can be surgically dissected (neoadjuvant therapy). After surgery, adjuvant chemotherapy kills any lingering cancer cells, keeping them from returning.

Chemotherapy also reduces pain and breathing issues because it shrinks the tumour. It’s been shown that chemotherapy extends survival even more, particularly if other interventions such as surgery and radiation are added to the mix. The overall goal is higher median survival and greater life quality.

Additional Advantages

Chemotherapy can be combined with other treatments, enhancing overall effectiveness. Newer chemotherapy drugs, such as pemetrexed, specifically target mesothelioma cells, improving outcomes.

This versatility allows chemotherapy to be tailored to individual patient needs, whether as a primary treatment or in combination with other therapies. Chemotherapy remains a cornerstone in the fight against mesothelioma, offering hope and improved quality of life and survival rates for many patients.

Systemic Chemotherapy Process for Mesothelioma

Chemotherapy for mesothelioma typically begins with a thorough evaluation by an oncologist to determine the most effective treatment plan. This initial phase often involves diagnostic tests such as biopsies and imaging scans to assess the extent of the disease.

Once the diagnosis is confirmed, the patient may start with systemic chemotherapy, which involves administering drugs that travel through the bloodstream to target and kill cancer cells throughout the body.

Initial Phase of Chemotherapy

The chemotherapy process usually starts with a combination of drugs tailored to the patient’s specific type of mesothelioma, whether it be pleural, peritoneal, or another form.

Commonly used drugs include pemetrexed and cisplatin. These drugs are administered intravenously in cycles, typically every three weeks, allowing the body time to recover between treatments. The goal during this phase is to shrink the tumors and alleviate symptoms.

Progression of Chemotherapy

As treatment progresses, the patient’s response to chemotherapy is closely monitored through regular imaging scans and blood tests. Adjustments to the drug regimen may be made based on the effectiveness and side effects experienced.

In some cases, patients may participate in clinical trials to access new and potentially more effective treatments. The overall aim is to improve median survival rates and enhance the quality of life.

Weaning Off Chemotherapy

Weaning off chemotherapy occurs when the oncologist determines that the patient has achieved maximum benefit from the treatment, or if the side effects become too severe. This decision is based on a combination of factors, including tumor response, overall health, and patient preference.

The weaning process involves gradually reducing the dosage and frequency of chemotherapy sessions. Patients are then transitioned to a maintenance phase, which may include regular follow-ups and supportive care to manage any residual symptoms.

Overall, the systemic chemotherapy process for mesothelioma involves an initial evaluation, a tailored treatment plan, and continuous monitoring to adjust the therapy as needed. The ultimate goal is to maximize the patient’s survival and quality of life while minimizing adverse effects.

Types of Chemotherapy Drugs for Mesothelioma

Chemotherapy for mesothelioma includes a variety of drugs designed to target and destroy cancer cells. The types of chemotherapy drugs used can depend on several factors, including the stage and type of mesothelioma. For instance, pleural mesothelioma and peritoneal mesothelioma might be treated with different chemotherapy regimens.

Different Types of Chemotherapy for Mesothelioma

There are many different chemotherapy options available for mesothelioma patients. This variety exists because mesothelioma can present differently in each patient, requiring a tailored approach to treatment. For instance, cisplatin and pemetrexed are commonly used drugs, but other combinations and newer drugs from clinical trials are also options. Ongoing research and clinical trials continually introduce new drugs and combinations to improve outcomes.

Deciding on the Right Chemotherapy

Picking the right chemotherapy means collaborating closely with your doctor about the appropriate form of chemotherapy. Considerations include patient health status, the type of mesothelioma present, and prior treatment. The decision can be based on the effectiveness and side effects of treatments such as cisplatin, pemetrexed, and so on. Clinical trials can also give patients access to advanced therapies.

Chemotherapy, in the grand scheme of things, is still an integral part of the cure for mesothelioma and offers many ways to treat and combat the illness.

FAQ: Chemotherapy Treatment for Mesothelioma

What is chemotherapy, and how does it work for mesothelioma?

Chemotherapy (chemo) uses anti-cancer drugs to kill cancer cells. For mesothelioma, chemo can shrink tumors, slow their growth, and help manage symptoms. It works by targeting rapidly dividing cells, which include cancer cells.

When is chemotherapy used in the treatment of mesothelioma?

Chemo is used in various stages of mesothelioma treatment. It can be given before surgery (neoadjuvant therapy) to shrink tumors or after surgery (adjuvant therapy) to kill remaining cancer cells. For inoperable cases, chemo may be the primary treatment.

What are the common chemotherapy drugs used for mesothelioma?

Common chemo drugs for mesothelioma include pemetrexed (Alimta) and cisplatin. These drugs are often used in combination to enhance their effectiveness.

How is chemotherapy administered for mesothelioma?

Chemo is usually given in cycles, with treatment periods followed by rest periods. It can be administered systemically through a vein, allowing the drugs to travel through the bloodstream to reach cancer cells throughout the body.

What are the potential side effects of chemotherapy for mesothelioma?

Chemo can cause side effects such as nausea, fatigue, hair loss, and an increased risk of infection. Howeve, side effects vary depending on the drugs used and the patient’s overall health.

How long does a chemotherapy treatment cycle last?

A typical chemo cycle lasts about three to four weeks. The exact duration and number of cycles depend on the specific treatment plan and the patient’s response to the therapy.

Can chemotherapy cure mesothelioma?

While chemo can shrink tumors and slow their growth, it is unlikely to cure mesothelioma. It is often used to manage symptoms and improve the quality of life.

What are the benefits of combining chemotherapy with other treatments?

Combining chemo with other treatments, such as surgery or radiation therapy, can improve outcomes. This multimodal approach can help reduce tumor size, kill remaining cancer cells, and prevent recurrence.

Are there any new developments in chemotherapy for mesothelioma?

Research is ongoing to find more effective chemo drugs and combinations. Clinical trials are exploring new therapies and methods to enhance the effectiveness of existing treatments.

How can cancer patients manage the side effects of chemotherapy?

Cancer patients can manage chemo side effects by maintaining a healthy diet, staying hydrated, and following their doctor’s recommendations. Medications are also available to help control nausea and other symptoms.

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