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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Prognosis For Mesothelioma While Having Cirrhosis Of The Liver?

Hi my husband has mesothelioma and now they said it has spread to around the heart and sternum. Will I be able to care for him at home? We can t afford to pay for a nursing home. Also what is the prognosis? He also has cirrhosis of the liver. Thank you
Wed, 20 Dec 2023
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General & Family Physician 's  Response
Hi,

By the history and information provided by you, it seems that your husband is suffering from pleural mesothelioma- stage 2 or stage 3. Though the prognosis depends on the extent of spread, cell type of mesothelioma, age, genetics and other co-morbidity present in the body.

Unfortunately, it is a very fast spreading cancer & does not seem to have a good prognosis even after best treatment. Usually, most of the patients have survival of 6 months after the diagnosis without treatment. However, with treatment modalities like surgical resection, radiotherapy, chemotherapy and immunotherapy in isolated manner or combined therapy, may extend the life up to 1-4 years.

It is really hard to care these patients at home, as they will need frequent testing to assess any spread, status and stage of disease by biopsy, imaging, fluid aspiration cytology etc. Also, they may need frequent removal of fluids for relief of their breathing difficulty or relief of pain due to pressure by the pleural fluid.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Satnarain Bansal, General & Family Physician
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What Is The Prognosis For Mesothelioma While Having Cirrhosis Of The Liver?

Hi, By the history and information provided by you, it seems that your husband is suffering from pleural mesothelioma- stage 2 or stage 3. Though the prognosis depends on the extent of spread, cell type of mesothelioma, age, genetics and other co-morbidity present in the body. Unfortunately, it is a very fast spreading cancer & does not seem to have a good prognosis even after best treatment. Usually, most of the patients have survival of 6 months after the diagnosis without treatment. However, with treatment modalities like surgical resection, radiotherapy, chemotherapy and immunotherapy in isolated manner or combined therapy, may extend the life up to 1-4 years. It is really hard to care these patients at home, as they will need frequent testing to assess any spread, status and stage of disease by biopsy, imaging, fluid aspiration cytology etc. Also, they may need frequent removal of fluids for relief of their breathing difficulty or relief of pain due to pressure by the pleural fluid. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Satnarain Bansal, General & Family Physician