This information represents the views of the doctors and nurses serving on the American Cancer Society's Cancer Information Database Editorial Board. These views are based on their interpretation of studies published in medical journals, as well as their own professional experience.

The treatment information in this document is not official policy of the Society and is not intended as medical advice to replace the expertise and judgment of your cancer care team. It is intended to help you and your family make informed decisions, together with your doctor.

Your doctor may have reasons for suggesting a treatment plan different from these general treatment options. Don't hesitate to ask him or her questions about your treatment options. If you have mesothelioma, your cancer care team will recommend one or more treatment options for you to consider. This is an important decision and you should take time to think about all of your choices.

The first part of this section describes the various types of treatments used for mesotheliomas. This is followed by a description of the most common approaches used based on the extent of the disease.

Making treatment decisions

After the tumor is found and staged, your cancer care team will discuss your treatment options with you. The main factors in selecting a treatment for mesotheliomas are the size and location of the tumor, whether it has spread to lymph nodes or other organs, and your health and your personal preferences.

Because mesothelioma is a rare cancer, it has been hard for doctors to compare the value of different treatments. Only a few large clinical trials of treatments for mesothelioma have been reported to date. In addition, many doctors have little or no experience treating this disease. They usually refer patients with this cancer to specialists who treat a large number of mesothelioma patients at major medical centers.

Another problem with treating mesothelioma is that it typically does not grow as a single tumor mass. It tends to spread along nearby surfaces, nerves, and blood vessels. Because of this it can be extremely difficult, except in rare situations, to completely get rid of it with surgery and/or radiation.

In many cases the treatment of mesothelioma may result in only modest benefit. Before deciding on a treatment option, it's very important to have an idea of its likely benefits and possible risks. You will probably have many questions about the treatment options suggested. Mesotheliomas are rare, so if time permits it is often a good idea to seek an opinion from a doctor who has a lot of experience in treating people with these cancers. A second opinion can provide more information and help you feel more confident about the treatment plan that you choose.

Last Medical Review: 03/17/2009
Last Revised: 03/17/2009