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Mesothelioma<br><br>Mesothelioma is a type of cancer that develops in the organ's lining, including the lungs (pleura) and abdomen. It is usually caused by asbestos exposure. a grouping of minerals comprised of microscopic fibers.<br><br>Mesothelioma can appear anywhere between 20 and 60 years after exposure. X-rays and blood tests can help diagnose mesothelioma, as and also show how far it has spread.<br><br>Pleural Mesothelioma<br><br>Pleural Mesothelioma is caused by malignant cells that grow in the lining of the lungs. Pleura is a two-layer of tissue that surrounds most organs. Cancerous pleural mesothelioma most often affects the lungs and chest wall and can cause symptoms such as breath shortness and chest pain or difficulty breathing.<br><br>Asbestos is the leading cause of pleural mesothelioma. When asbestos fibers from the air are inhaled, they could travel through the throat and into the lungs, which could cause damage to the lining. This can cause scarring and inflammation, which may trigger changes that result in uncontrolled cell growth.<br><br>Certain asbestos-related exposure victims may not notice symptoms until decades after the initial exposure. Mesothelioma could take a few years to develop. Males and those born male are more likely to be diagnosed with mesothelioma. Other diagnoses that are common include older people working in industries that employed asbestos in large quantities prior to the time it was controlled, or those who served in the Navy.<br><br>The symptoms may vary depending on the location of the tumor and are typically caused by increased pressure or swelling around the affected lung. The symptoms could include coughing, chest or back pain, unexplained weight loss, and fatigue. X-rays, CT or MRI scans can be used to rule out other conditions that may be causing similar symptoms. If pleural asbestosis is identified doctors will determine the stage of cancer to determine the most effective treatment options.<br><br>The staging system is developed by the International Mesothelioma Interest Group. The first step in determining the stage of the disease is to conduct an examination of the medical records of the patient. X-rays and chest MRI are also used to determine if there are abnormalities, or tumors, that may indicate mesothelioma.<br><br>There are three different types of mesothelioma that can be categorized based on the kind of cells that form: Epithelioid Mesothelioma: The most common kind of malignant mesothelioma (60 percent to 80percent of cases). It is usually less difficult to treat than other kinds. Sarcomatoid Mesothelioma is the second-most commonly diagnosed type of mesothelioma (between 10% and 15% of cases). It is more difficult to treat than epithelioid [https://zenwriting.net/beatfork62/5-laws-everyone-working-in-washington-mesothelioma-lawyer-should-know mesothelioma lawyers].<br><br>Peritoneal Mesothelioma<br><br>Peritoneal mesothelioma is a cancer that develops in lining of the abdominal cavity (peritoneum). It is less frequent than the pleural form. Like all mesotheliomas, peritoneal cancer is caused by asbestos exposure. This mesothelioma type is more likely to be caused by ingesting rather than inhalation, as opposed to pleural. This type of mesothelioma typically occurs in older people and is more prevalent for women than men.<br><br>Mesothelioma can take years to show symptoms, and the nonspecific nature of its earliest stages makes it difficult to identify. Experts in [https://stilling-haynes.hubstack.net/11-creative-methods-to-write-about-top-mesothelioma-lawyer/ mesothelioma lawsuit] know how to identify the disease. A thorough patient history and imaging and blood tests can help doctors make a mesothelioma diagnosis.<br><br>A doctor will use the TNM system to determine the stage of cancer following a mesothelioma diagnosis. The staging system outlines how the tumors have spread and influences the treatment options. The lower the stage, the greater treatments are available.<br><br>Because peritoneal mesothelioma is so rare, it can be difficult to identify. This condition can have symptoms that are similar to other diseases that affect the gastrointestinal tract and abdomen like abdominal pain, fever and weight loss. This is why those suffering from undiagnosed symptoms should see a doctor.<br><br>Doctors begin with a physical examination and conducting basic blood tests. If these tests reveal that a disease is present and an oncologist is needed, they can conduct more thorough diagnostic tests, like biopsies. This will provide an accurate picture of a person's health and identify any potential mesothelioma symptoms.<br><br>Asbestos exposure is the main reason for all mesothelioma cases. Exposure to asbestos usually happens in the workplace, however it can also happen at home or in schools. Asbestos can be dangerous if it is exposed for a long time. Mesothelioma is caused due to asbestos dust or particles entering the body, causing irritation or inflammation. Over time the inflammation and irritation can cause cells to mutate into cancerous cells and form tumors. The cancerous tissue that develops may then invade and attack other tissues of the body which can cause symptoms such as abdominal discomfort and weight loss, fever and swelling.<br><br>Cardiovascular Mesothelioma<br><br>Pericardial mesothelioma is a rare type of cancer that affects the heart's lining, or the pericardium. This kind of mesothelioma makes up less than 1% of all mesothelioma and is difficult to detect due to the similar signs to heart disease. This is why many people receive a diagnosis of heart disease before doctors can confirm that they have mesothelioma of the pericardium.<br><br>As with other types of mesothelioma, pericardial mesothelioma can be caused by exposure to asbestos. It is thought that asbestos fibers enter the pericardium through the bloodstream. The fibers could later travel to other organs, including the heart. Pericardial mesothelioma typically occurs in the outer layer of the pericardium, but it can also occur in the inner layer. Pericardial Mesothelioma is associated with a poorer prognosis in comparison to other types of mesothelioma.<br><br>The signs of pericardial mesothelioma can include chest pain, breathing difficulties and fatigue. Due to the rarity of this form of mesothelioma and its resemblance to pericardial mesothelioma for patients to undergo an extensive medical exam. It is important that patients tell their doctor if they have had a history of asbestos exposure.<br><br>The first step to make a mesothelioma diagnosis is often an CT scan or echocardiogram. These tests can reveal fluid buildup around the heart, as well as any visible pericardial tumors. If these tests show the presence of mesothelioma, doctors can perform other procedures to confirm the diagnosis. These include a biopsy, or radiation.<br><br>A [https://chandler-tobiasen-2.blogbright.net/20-reasons-to-believe-mesothelioma-lawyer-will-not-be-forgotten-1729484701/ mesothelioma attorney] biopsy is a procedure by which a small amount of tissue is taken from the affected area and analyzed under a microscope. This will aid doctors in determining the type of mesothelioma they are looking for and the stage of the disease.<br><br>Patients with mesothelioma can be treated in cancer centers and specialist hospitals across the country. Depending on the kind of mesothelioma that is being treated, options for treatment could include chemotherapy, surgery and radiation. Some patients may be eligible for low-cost or free medical care from the Department of Veterans Affairs. For victims of mesothelioma, this financial aid is essential to making treatment more accessible. Contact a VA-approved [https://squareblogs.net/milegreece47/what-is-the-mesothelioma-trial-attorney-term-and-how-to-utilize-it mesothelioma lawyers] Attorney ([https://king-wifi.win/wiki/15_Of_The_Most_Popular_Pinterest_Boards_Of_All_Time_About_Top_Mesothelioma_Attorneys Https://King-Wifi.Win/]) to learn more about the benefits available to you.<br><br>Reproductive Mesothelioma<br><br>Mesothelioma may begin in the linings that surround organs in the chest and abdomen. It can also develop in the tissue of the heart (pericardium) and the testicles. Men are affected more than women for unknown reasons. Asbestos exposure is the primary risk factor. The signs usually don't appear until years after exposure.<br><br>People exposed to asbestos at work are at a higher risk of developing mesothelioma than other people. In the majority of instances chest pains or a persistent cough are the primary symptoms. Mesothelioma can be misdiagnosed because the symptoms are similar to other lung disorders. Once diagnosed, the patient will undergo a variety of tests to determine how far the cancer spreads and the stage at which it is.<br><br>These tests could include blood and imaging scans which include X-rays as well as CT scans. The mesothelioma doctor may also take a biopsy of the affected area to confirm the diagnosis. The biopsy can be performed using a core-needle or laparoscopically. It is essential that a specialist in peritoneal cancer conducts the biopsy. Medical oncologists who are generalists are not competent to diagnose peritoneal mesothelioma and may misdiagnose it.<br><br>Mesothelioma tests can help doctors determine the most effective treatment plan. The treatment you receive will depend on the extent to which the cancer has spread, as well as your overall health. It is often possible to control symptoms, and treatments include removing the lungs of fluid chemotherapy, radiation and surgery.<br><br>The majority of mesothelioma types can be treated by chemotherapy. However, these medications can also affect healthy cells. They can cause damage to ovarian tissues which can impact fertility. This is especially true for peritoneal mesothelioma which is found in the region around reproductive organs.<br><br>The mesothelioma type and the severity you suffer from, as well as your age and general health can affect how fast the cancer is treated and the prognosis. About 2,700 people in the UK are diagnosed with mesothelioma each year. It is typical for the disease to be found in the lung lining (pleura) but can also form in the linings of the tummy (peritoneum) and, less commonly, around the testicles or heart.
Mesothelioma<br><br>Mesothelioma is a type of cancer that grows in the lining of organs including the lung (pleura) and abdomen. It is usually caused by exposure to asbestos, a group of minerals comprised of microscopic fibres.<br><br>It can take between 20 and 60 years after exposure before [https://boel-mckinney-3.blogbright.net/where-are-you-going-to-find-mesothelioma-lawyer-mesothelioma-1-year-from-in-the-near-future/ mesothelioma lawsuits] starts to appear. Blood tests or X-rays can be used to diagnose mesothelioma and assess the extent to which it has spread.<br><br>Pleural Mesothelioma<br><br>Pleural Mesothelioma occurs when malignant cells develop in the lining surrounding the lung (pleura). The pleura is a two-layered tissue that is surrounded by many organs. Msothelioma pleural cancer is most typically found in the lungs or chest wall. This can cause symptoms such as breathing difficulty chest pain, shortness of breath, and breathing difficulties.<br><br>Asbestos is the most significant cause of pleural msothelioma. Inhaling asbestos fibers can cause damage to the lining of the lungs. This can cause inflammation and scarring that could cause changes that lead to out of control cell growth.<br><br>Some people exposed to asbestos may not experience symptoms until years after their initial exposure. This is because mesothelioma may take a long time to develop. Males and male-born individuals are more likely to be diagnosed with mesothelioma. Other diagnoses that are common include older people, those who worked in industries that used asbestos in large quantities prior to when it was regulated or who were in the Navy.<br><br>The symptoms can vary based on the location of the tumor and are usually caused by pressure or swelling near the affected lung. These symptoms include fatigue, undiagnosed weight loss, chest pain, and back pain. X-rays or CT or MRIs may be used for a diagnosis to rule out other medical conditions that could be causing similar symptoms. If pleural mesothelioma is diagnosed doctors will determine the stage of the disease in order to determine the most effective treatment options.<br><br>The staging system is established by the International Mesothelioma Interest Group. The first step to determine the stage is to perform a biopsy and reviewing the patient's medical history. X-rays and chest MRI are also used to determine if there are any abnormalities, or tumors that could be indicative of mesothelioma.<br><br>There are three kinds of mesothelioma. They can be classified based on the type of cells that form: Epithelioid Mesothelioma is the most frequent malignant mesothelioma (60 to 80 percent of cases). It is usually less difficult to treat than other kinds. Sarcomatoid Mesothelioma It is the second most prevalent type of mesothelioma (10% to 15% of cases). It is more difficult than epithelioid.<br><br>Peritoneal Mesothelioma<br><br>Peritoneal mesothelioma is a cancer that develops in lining of the abdominal cavity (peritoneum). It is less frequent than pleural [https://theflatearth.win/wiki/Post:15_Interesting_Facts_About_Top_Rated_Mesothelioma_Lawyers_That_You_Didnt_Know mesothelioma lawsuits]. Like all mesotheliomas the peritoneal cancer is caused by asbestos exposure. However, unlike pleural mesothelioma, people are more likely to develop this type of mesothelioma by ingesting asbestos fibers, rather than inhaling asbestos particles. This type of mesothelioma generally occurs in older people and is more prevalent in women than men.<br><br>Mesothelioma can take a long time to show signs, and the nonspecific nature of its early stages makes it difficult to diagnose. However, mesothelioma experts know how to spot the disease. Doctors can diagnose mesothelioma using detailed patient histories and imaging and blood tests.<br><br>When mesothelioma is discovered A doctor will determine the stage of the cancer using the TNM system. This system of staging outlines the extent of the tumor's spread and impacts the treatment options. The lower the stage, the better treatment options are available.<br><br>It is often difficult to detect peritoneal msothelioma because it is so rare. The symptoms of this condition are similar to those of other illnesses that affect the gastrointestinal tract and abdomen, such as abdominal discomfort, fever and weight loss. Because of this, those suffering from undiagnosed symptoms should consult a physician.<br><br>The doctor will then conduct an examination of the body and then take basic blood tests. If these tests show that a disease is present and an oncologist is needed, they can conduct more thorough diagnostic tests, including biopsies. This will provide a clear picture of the person's health, and identify any possible mesothelioma signs.<br><br>Asbestos exposure is the primary reason for mesothelioma cases in all forms. Asbestos exposure is commonplace in the workplace, but it can also occur at home or in schools. Asbestos is the most hazardous if it is exposed for a long period of time. Mesothelioma is caused by asbestos dust or particles entering the body, causing irritation or inflammation. As time passes inflammation and irritation could cause cells to grow and become cancerous. The cancerous tissue that develops may then invade and attack other tissues in the body and cause symptoms like abdominal discomfort, fever, weight loss and swelling.<br><br>Cardiovascular Mesothelioma<br><br>Pericardial Mesothelioma is a rare cancer that affects the pericardium, also known as the heart's lining. This type of mesothelioma is less than 1% all mesothelioma. It is also difficult to detect because of the similar symptoms that heart disease sufferers experience. Many people are diagnosed with heart disease before doctors are able to confirm that they have pericardial mesothelioma.<br><br>As with other types of mesothelioma, exposure to asbestos can cause pericardial cancer. Asbestos fibers can be absorbed into the pericardium through bloodstream. These fibers may then travel to other organs, including the heart. Pericardial mesothelioma usually occurs in the outer layer of the pericardium, but it can also occur in the inner layer. Pericardial Mesothelioma has been associated with a lower prognosis when compared to other types of mesothelioma.<br><br>The symptoms of pericardial mesothelioma are chest pain, breathing problems and fatigue. Due to the rareness of this mesothelioma type, it is especially important for victims to have an extensive medical exam. If they have an previous history of exposure to asbestos, it is essential to inform their doctor.<br><br>The first step in a mesothelioma diagnosis is often the CT scan or echocardiogram. These tests can detect fluid accumulation around the heart as well as visible pericardial tumors. If these tests show mesothelioma, doctors may perform additional procedures to confirm the diagnosis. These include a biopsy or radiation.<br><br>A mesothelioma biopsy is an operation where a tiny piece of tissue is removed from the affected area, and then examined under the microscope. This will help doctors determine the type of mesothelioma and the stage of the disease.<br><br>Patients suffering from mesothelioma may be treated in cancer centers and specialist hospitals across the nation. Treatment options for mesothelioma include chemo, surgery and radiation. Some victims may be eligible for free or low-cost health care through the Department of Veterans Affairs. This financial aid is essential for mesothelioma patients to make treatment more affordable. Contact a VA-approved [https://posteezy.com/how-create-successful-mesothelioma-talc-lawsuit-techniques-home mesothelioma lawyer] to learn more about the benefits available to you.<br><br>Reproductive Mesothelioma<br><br>[https://elearnportal.science/wiki/An_EasyToFollow_Guide_To_Choosing_Your_Mesothelioma_Attorney_Assistance mesothelioma attorney] may begin in the linings of organs in the abdomen or chest. It can also grow in the tissue of the heart (pericardium) and the testicles. Men are affected more than women for reasons that are not known. Exposure to asbestos is the most significant risk factor. The symptoms usually don't show until several decades after exposure.<br><br>Workers exposed to asbestos while at work are at a higher chance of developing mesothelioma than other people. In most instances chest pains or persistent cough are the primary symptoms. These symptoms are usually similar to those of other lung conditions, so mesothelioma is frequently mistakenly diagnosed. Once diagnosed, the patient will undergo a series of tests to determine the extent the cancer spreads and its stage.<br><br>These tests could include blood and imaging scans, including X-rays and CT scans. A biopsy may be taken by a mesothelioma specialist to confirm the diagnosis. The biopsy may be done with a laparoscopic needle or a core-needle. It is important that a specialist in peritoneal cancer performs the biopsy. General medical oncologists do not have the expertise to recognize peritoneal mesothelioma and could misdiagnose the condition.<br><br>The results of a mesothelioma test can help doctors determine the best treatment option. Treatment will depend on the severity of the cancer as well as your general health. It is often possible to treat symptoms and treatments include removing fluid from the lungs, chemotherapy, radiation, and surgery.<br><br>Chemotherapy is a successful treatment for all types of mesothelioma. However, these drugs can also affect healthy cells. They can damage the ovarian tissues, and this could affect fertility. This is particularly true for peritoneal asbestosis, which affects the area surrounding the reproductive organs.<br><br>The type and severity, as well as your age and general health will determine how quickly you're treated and your prognosis. About 2,700 people in the UK are diagnosed with mesothelioma every year. It is common for the disease to occur in the lining of the lungs (pleura) but it can also develop in the linings of the stomach (peritoneum) and less frequently around the testicles or the heart.

Latest revision as of 11:24, 23 January 2025

Mesothelioma

Mesothelioma is a type of cancer that grows in the lining of organs including the lung (pleura) and abdomen. It is usually caused by exposure to asbestos, a group of minerals comprised of microscopic fibres.

It can take between 20 and 60 years after exposure before mesothelioma lawsuits starts to appear. Blood tests or X-rays can be used to diagnose mesothelioma and assess the extent to which it has spread.

Pleural Mesothelioma

Pleural Mesothelioma occurs when malignant cells develop in the lining surrounding the lung (pleura). The pleura is a two-layered tissue that is surrounded by many organs. Msothelioma pleural cancer is most typically found in the lungs or chest wall. This can cause symptoms such as breathing difficulty chest pain, shortness of breath, and breathing difficulties.

Asbestos is the most significant cause of pleural msothelioma. Inhaling asbestos fibers can cause damage to the lining of the lungs. This can cause inflammation and scarring that could cause changes that lead to out of control cell growth.

Some people exposed to asbestos may not experience symptoms until years after their initial exposure. This is because mesothelioma may take a long time to develop. Males and male-born individuals are more likely to be diagnosed with mesothelioma. Other diagnoses that are common include older people, those who worked in industries that used asbestos in large quantities prior to when it was regulated or who were in the Navy.

The symptoms can vary based on the location of the tumor and are usually caused by pressure or swelling near the affected lung. These symptoms include fatigue, undiagnosed weight loss, chest pain, and back pain. X-rays or CT or MRIs may be used for a diagnosis to rule out other medical conditions that could be causing similar symptoms. If pleural mesothelioma is diagnosed doctors will determine the stage of the disease in order to determine the most effective treatment options.

The staging system is established by the International Mesothelioma Interest Group. The first step to determine the stage is to perform a biopsy and reviewing the patient's medical history. X-rays and chest MRI are also used to determine if there are any abnormalities, or tumors that could be indicative of mesothelioma.

There are three kinds of mesothelioma. They can be classified based on the type of cells that form: Epithelioid Mesothelioma is the most frequent malignant mesothelioma (60 to 80 percent of cases). It is usually less difficult to treat than other kinds. Sarcomatoid Mesothelioma It is the second most prevalent type of mesothelioma (10% to 15% of cases). It is more difficult than epithelioid.

Peritoneal Mesothelioma

Peritoneal mesothelioma is a cancer that develops in lining of the abdominal cavity (peritoneum). It is less frequent than pleural mesothelioma lawsuits. Like all mesotheliomas the peritoneal cancer is caused by asbestos exposure. However, unlike pleural mesothelioma, people are more likely to develop this type of mesothelioma by ingesting asbestos fibers, rather than inhaling asbestos particles. This type of mesothelioma generally occurs in older people and is more prevalent in women than men.

Mesothelioma can take a long time to show signs, and the nonspecific nature of its early stages makes it difficult to diagnose. However, mesothelioma experts know how to spot the disease. Doctors can diagnose mesothelioma using detailed patient histories and imaging and blood tests.

When mesothelioma is discovered A doctor will determine the stage of the cancer using the TNM system. This system of staging outlines the extent of the tumor's spread and impacts the treatment options. The lower the stage, the better treatment options are available.

It is often difficult to detect peritoneal msothelioma because it is so rare. The symptoms of this condition are similar to those of other illnesses that affect the gastrointestinal tract and abdomen, such as abdominal discomfort, fever and weight loss. Because of this, those suffering from undiagnosed symptoms should consult a physician.

The doctor will then conduct an examination of the body and then take basic blood tests. If these tests show that a disease is present and an oncologist is needed, they can conduct more thorough diagnostic tests, including biopsies. This will provide a clear picture of the person's health, and identify any possible mesothelioma signs.

Asbestos exposure is the primary reason for mesothelioma cases in all forms. Asbestos exposure is commonplace in the workplace, but it can also occur at home or in schools. Asbestos is the most hazardous if it is exposed for a long period of time. Mesothelioma is caused by asbestos dust or particles entering the body, causing irritation or inflammation. As time passes inflammation and irritation could cause cells to grow and become cancerous. The cancerous tissue that develops may then invade and attack other tissues in the body and cause symptoms like abdominal discomfort, fever, weight loss and swelling.

Cardiovascular Mesothelioma

Pericardial Mesothelioma is a rare cancer that affects the pericardium, also known as the heart's lining. This type of mesothelioma is less than 1% all mesothelioma. It is also difficult to detect because of the similar symptoms that heart disease sufferers experience. Many people are diagnosed with heart disease before doctors are able to confirm that they have pericardial mesothelioma.

As with other types of mesothelioma, exposure to asbestos can cause pericardial cancer. Asbestos fibers can be absorbed into the pericardium through bloodstream. These fibers may then travel to other organs, including the heart. Pericardial mesothelioma usually occurs in the outer layer of the pericardium, but it can also occur in the inner layer. Pericardial Mesothelioma has been associated with a lower prognosis when compared to other types of mesothelioma.

The symptoms of pericardial mesothelioma are chest pain, breathing problems and fatigue. Due to the rareness of this mesothelioma type, it is especially important for victims to have an extensive medical exam. If they have an previous history of exposure to asbestos, it is essential to inform their doctor.

The first step in a mesothelioma diagnosis is often the CT scan or echocardiogram. These tests can detect fluid accumulation around the heart as well as visible pericardial tumors. If these tests show mesothelioma, doctors may perform additional procedures to confirm the diagnosis. These include a biopsy or radiation.

A mesothelioma biopsy is an operation where a tiny piece of tissue is removed from the affected area, and then examined under the microscope. This will help doctors determine the type of mesothelioma and the stage of the disease.

Patients suffering from mesothelioma may be treated in cancer centers and specialist hospitals across the nation. Treatment options for mesothelioma include chemo, surgery and radiation. Some victims may be eligible for free or low-cost health care through the Department of Veterans Affairs. This financial aid is essential for mesothelioma patients to make treatment more affordable. Contact a VA-approved mesothelioma lawyer to learn more about the benefits available to you.

Reproductive Mesothelioma

mesothelioma attorney may begin in the linings of organs in the abdomen or chest. It can also grow in the tissue of the heart (pericardium) and the testicles. Men are affected more than women for reasons that are not known. Exposure to asbestos is the most significant risk factor. The symptoms usually don't show until several decades after exposure.

Workers exposed to asbestos while at work are at a higher chance of developing mesothelioma than other people. In most instances chest pains or persistent cough are the primary symptoms. These symptoms are usually similar to those of other lung conditions, so mesothelioma is frequently mistakenly diagnosed. Once diagnosed, the patient will undergo a series of tests to determine the extent the cancer spreads and its stage.

These tests could include blood and imaging scans, including X-rays and CT scans. A biopsy may be taken by a mesothelioma specialist to confirm the diagnosis. The biopsy may be done with a laparoscopic needle or a core-needle. It is important that a specialist in peritoneal cancer performs the biopsy. General medical oncologists do not have the expertise to recognize peritoneal mesothelioma and could misdiagnose the condition.

The results of a mesothelioma test can help doctors determine the best treatment option. Treatment will depend on the severity of the cancer as well as your general health. It is often possible to treat symptoms and treatments include removing fluid from the lungs, chemotherapy, radiation, and surgery.

Chemotherapy is a successful treatment for all types of mesothelioma. However, these drugs can also affect healthy cells. They can damage the ovarian tissues, and this could affect fertility. This is particularly true for peritoneal asbestosis, which affects the area surrounding the reproductive organs.

The type and severity, as well as your age and general health will determine how quickly you're treated and your prognosis. About 2,700 people in the UK are diagnosed with mesothelioma every year. It is common for the disease to occur in the lining of the lungs (pleura) but it can also develop in the linings of the stomach (peritoneum) and less frequently around the testicles or the heart.