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Mesothelioma<br><br>Mesothelioma is a cancerous growth that develops in the linings of organs such as the abdomen and lungs (pleura) is caused by exposure to asbestos. It is usually caused by asbestos exposure, a grouping of minerals comprised of microscopic fibers.<br><br>It could take between 20 and 60 years after exposure for mesothelioma to begin to show up. Blood tests and X-rays can aid in diagnosing mesothelioma as well as reveal how far it has taken over.<br><br>Pleural Mesothelioma<br><br>Pleural Mesothelioma occurs when malignant cells grow in the lining around the lungs (pleura). The pleura is a two-layered tissue that covers various organs. The cancerous pleural mesothelioma affects the chest wall and lungs and can trigger symptoms such as shortness of breath and chest pain or difficulty breathing.<br><br>Asbestos is the primary cause of pleural [https://moparwiki.win/wiki/Post:15_Reasons_To_Not_Ignore_Mesquite_Mesothelioma_Attorney mesothelioma lawyers]. Inhaling asbestos fibers can cause damage to the lining of the lungs. This can lead to scarring and inflammation that could cause changes that result in an out of control growth of cells.<br><br>People who have been exposed to asbestos might not be able to recognize symptoms until decades after their initial exposure. This is due to the fact that mesothelioma can take several years or more to develop. Males and male-born individuals are more likely to be diagnosed with mesothelioma. Other common diagnoses include older people working in industries that employed asbestos in large quantities prior to when it was regulated or who were in the Navy.<br><br>Symptoms vary depending on where the tumor is located and are usually caused by elevated pressure or swelling in the affected lung. The symptoms could include coughing, chest or back pain and weight loss that is not explained and fatigue. X-rays or CT or MRIs may be used for a diagnosis to rule out any other conditions that could cause the same symptoms. If pleural mesothelioma is identified, doctors will determine the stage of the disease in order to determine the most effective treatment options.<br><br>The International Mesothelioma Interest Group has created the staging system. The first step in determining 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 is any tumors or other abnormalities that could indicate mesothelioma.<br><br>There are three different types of mesothelioma that can be categorized based on the kind of cells that make up: Epithelioid Mesothelioma: The most frequent kind of malignant mesothelioma (60 percent to 90% of cases). It is more easily treated compared to other kinds. Sarcomatoid Mesothelioma Sarcomatoid Mesothelioma: This is the second most common type of mesothelioma (10 15% 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 prevalent than the pleural form. Like all mesotheliomas, peritoneal cancer is caused by asbestos exposure. This type of mesothelioma is more likely to be caused by ingestion than inhalation, unlike the pleural. This type of mesothelioma typically occurs in older individuals and is more common for women than men.<br><br>Mesothelioma can take years to show signs and the non-specific nature of its earliest stages makes it difficult to determine the cause. Experts in mesothelioma know how to identify the disease. A thorough patient history and imaging and blood tests, will help doctors make the [https://hackett-erichsen.thoughtlanes.net/the-10-most-dismal-best-mesothelioma-lawyer-fails-of-all-time-could-have-been-prevented/ mesothelioma lawsuit] diagnosis.<br><br>If mesothelioma has been diagnosed A doctor will determine the stage of the cancer by using the TNM system. The staging system outlines the extent of the tumors' spread and impacts the treatment options. The lower the stage, the more treatment options are available.<br><br>It can be difficult to detect peritoneal msothelioma because it is so rare. The symptoms of this condition are similar to those of other diseases that affect the digestive tract and abdomen, such as abdominal pain, fever and weight loss. For this reason, those suffering from undiagnosed symptoms should see a doctor.<br><br>Doctors will start by conducting a physical exam and conducting basic blood tests. If these tests indicate the possibility of having a disease, an oncologist can perform more in-depth diagnostic tests, like biopsies. This will give an accurate image of a person's health and identify any potential mesothelioma symptoms.<br><br>Asbestos is the main reason for mesothelioma. Exposure to asbestos usually happens at work, but it can also happen at home or in schools. Asbestos is most dangerous when exposed for a long period of time. Mesothelioma is a form of cancer that can develop when asbestos particles or dust enter the body and cause inflammation or irritation. 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 in the body, causing symptoms such as abdominal discomfort as well as weight loss, fever and swelling.<br><br>Cardiovascular Mesothelioma<br><br>Pericardial mesothelioma is a rare cancer that affects the heart's lining, or the pericardium. This kind of mesothelioma is less than 1% of mesothelioma and is difficult to detect due to the similar signs to heart disease. As a result, many people are diagnosed of heart disease before doctors can confirm that they have pericardial mesothelioma.<br><br>Like other forms of mesothelioma, asbestos exposure can cause pericardial cancer. Asbestos fibers are believed enter the pericardium via the bloodstream. The fibers could then travel to other organs, such as the heart. Pericardial Mesothelioma is usually found in the outer layer, but can also occur in its inner layer. Pericardial mesothelioma has a worse prognosis than other types mesothelioma.<br><br>The symptoms of fatigue, chest pain and difficulty breathing are the main symptoms of pericardial Mesothelioma. Due to the rarity of this mesothelioma type, it is especially important for patients to undergo an extensive medical exam. If they have any history of exposure to asbestos, it's crucial to inform their doctor.<br><br>A CT scan or an echocardiogram is typically the first step to diagnose mesothelioma. These tests can reveal the accumulation of fluid around the heart as well as visible pericardial tumors. If these tests show mesothelioma's presence, doctors can perform other procedures to confirm the diagnosis. This could include a biopsy or radiation.<br><br>A mesothelioma biopsies is a procedure where a small piece of tissue is removed from the affected area, and then examined under a microscope. This will help doctors determine the type of mesothelioma and the stage of the disease.<br><br>Patients with mesothelioma can be treated at cancer centers and specialized hospitals across the country. Depending on the type of [https://selfless.wiki/wiki/Your_Family_Will_Be_Grateful_For_Having_This_Mesothelioma_Compensation_Payouts mesothelioma lawsuits] that is being treated, options for treatment could include chemotherapy, surgery and radiation. Some patients may be eligible for low-cost or free health care through the Department of Veterans Affairs. This financial aid is essential for mesothelioma victims to reduce the cost of treatment. Contact a VA-approved [https://telegra.ph/What-Is-The-Mesothelioma-And-Lawyers-Term-And-How-To-Make-Use-Of-It-10-18 mesothelioma attorney] to learn more about the benefits available to you.<br><br>Reproductive [https://anotepad.com/notes/gptrxnrt mesothelioma lawsuits]<br><br>Mesothelioma may begin in the linings of organs in the abdomen or chest. It can also develop in the lining surrounding the testicles and heart (pericardium and tunica vaginalis). The risk for men is higher than women for reasons that are not known. Asbestos exposure is the primary risk factor. Symptoms do not usually appear for decades after asbestos exposure.<br><br>Mesothelioma is more frequent among asbestos-related workers while at work. In most cases, the first sign of mesothelioma is an ongoing cough or chest pains. Mesothelioma is often misdiagnosed since these symptoms are akin to other lung diseases. Once diagnosed, the patient will undergo a series of tests to determine how much the cancer spreads and its stage.<br><br>These tests could include imaging scans such as X-rays or 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 essential that a specialist in peritoneal mesothelioma is the person who performs the biopsy. Medical oncologists who are generalists are not qualified to recognize peritoneal msothelioma, and may misdiagnose it.<br><br>[https://k12.instructure.com/eportfolios/832150/Home/10_Quick_Tips_To_Mesothelioma_Lung_Cancer_Lawsuit mesothelioma lawyers] tests will aid doctors in determining the best treatment plan. Treatment will depend on the extent of the cancer and your general health. It is typically possible to treat symptoms and treatments include draining fluid from the lungs, chemotherapy, radiation, and surgery.<br><br>The majority of mesothelioma types can be treated with chemotherapy. However, these medicines can also affect healthy cells. They can cause damage to ovarian tissues and affect fertility. This is especially relevant for peritoneal asbestosis which affects the area around the reproductive organs.<br><br>The type and severity of mesothelioma you have, as well as your age and general health, will influence how quickly the cancer is treated and the prognosis. In the UK approximately 2700 people are diagnosed with mesothelioma per year. It is common for the disease to occur in the lung lining (pleura) but it can also form in the linings of the stomach (peritoneum) and less frequently around the testicles or heart.
Mesothelioma<br><br>Mesothelioma, a cancerous growth that is found in the organs' linings, such as the lungs and abdomen (pleura) is caused by asbestos exposure. It is usually caused by exposure to asbestos, which is a group of minerals that are made of microscopic fibres.<br><br>Mesothelioma can appear anywhere between 20 and 60 year after exposure. Blood tests and X-rays can help diagnose mesothelioma, as and also show how far it has taken over.<br><br>Pleural Mesothelioma<br><br>Pleural Mesothelioma is caused by malignant cells that develop in the lung's lining. The pleura is a two-layered tissue that surrounds numerous organs. Cancerous pleural mesothelioma most often affects the lungs and chest wall, which can cause symptoms like shortness of breath, pain in the chest or breathing problems.<br><br>Asbestos is the leading cause of pleural [https://hikvisiondb.webcam/wiki/Skriverlove6518 mesothelioma lawyers]. Inhaling asbestos fibers can cause damage to the lung's lining. This can lead to inflammation and scarring which may cause changes that lead to out of control cell growth.<br><br>Certain asbestos-exposures may not show symptoms for years after exposure. This is because mesothelioma can 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 the time it was controlled or who were in the Navy.<br><br>The symptoms vary based on the location where the tumor is located and are typically caused by an increase in pressure or swelling in the affected lung. The symptoms include fatigue, undiagnosed chest pain, weight loss, and back pain. X-rays, CT or MRI scans can be used to rule out other conditions that could cause similar symptoms. If pleural mesothelioma is diagnosed, doctors will determine the stage of the disease to help determine the most effective treatment options.<br><br>The International Mesothelioma Interest Group has created the staging system. The first step in determining the stage of the disease is to perform a biopsy and examine the medical records of the patient. X-rays and chest MRI can also be used to determine if there are any abnormalities or tumors that indicate mesothelioma.<br><br>There are three distinct kinds of mesothelioma, which can be categorized based on the type of cells that form: Epithelioid Mesothelioma: The most commonly encountered kind of malignant mesothelioma (60% to 80percent of cases). It is more easily treated when compared to other types. Sarcomatoid Mesothelioma It is the second most prevalent kind of mesothelioma (10 percent to 15 percent of cases). It is more difficult than epithelioid.<br><br>Peritoneal Mesothelioma<br><br>The peritoneum (the lining of the abdominal cavity) is affected by peritoneal mesothelioma. It is less common than the pleural form. Like all mesotheliomas the peritoneal cancer is caused by asbestos exposure. This type of mesothelioma is more likely to be caused by ingestion than inhalation, unlike pleural. This type of mesothelioma typically occurs in older individuals and is more prevalent in women than men.<br><br>Mesothelioma can take decades to show signs, and the nonspecific nature of its early stages makes it difficult to determine the cause. Experts in mesothelioma know how to diagnose the disease. Doctors can identify mesothelioma using detailed patient histories and blood and imaging tests.<br><br>A doctor will employ the TNM system to determine the stage of cancer following an mesothelioma diagnosis. This staging system describes the extent of the tumors' spread and impacts treatment options. The lower the stage, the greater treatment options available.<br><br>Since peritoneal mesothelioma can be so rare, it is hard to recognize. The symptoms of this condition resemble those of many other illnesses that affect the gastrointestinal tract and abdomen, which includes abdominal pain, fever, and weight loss. Patients experiencing symptoms that are not explained should consult with a physician.<br><br>Doctors will start with a physical examination and taking basic blood tests. If these tests show the possibility of having a cancer, an oncologist will perform more extensive diagnostic tests, like biopsies. This will provide an accurate picture of the health of the individual, and identify any possible mesothelioma signs.<br><br>Asbestos is the most significant cause of mesothelioma. The exposure to asbestos is usually at work, but it can also happen at home or in schools. Asbestos is the most hazardous when exposed for a long time. Mesothelioma can form when asbestos dust or asbestos particles get into the body and cause inflammation or irritation. As time passes inflammation and irritation could cause cells to change and become cancerous. The cancerous tissue that has been created can later infiltrate other tissues and cause symptoms like abdominal discomfort as well as fever, weight gain and swelling.<br><br>Cardiovascular Mesothelioma<br><br>Pericardial Mesothelioma, which is a rare cancer that affects the pericardium or lining of the heart. This kind of mesothelioma accounts for less than one percent of all mesothelioma cases, and is among the most difficult cancers to identify because the symptoms are similar to heart disease. As a result, many people receive a diagnosis of heart disease before doctors can confirm that they have mesothelioma of the pericardium.<br><br>Like other forms of mesothelioma, exposure to asbestos can cause pericardial cancer. It is believed that asbestos fibers are absorbed into the pericardium via the bloodstream. These fibers may be carried to other organs, such as the heart. Pericardial mesothelioma usually occurs in the outer layer of the pericardium but it can also occur in the inner layer. Pericardial mesothelioma is a more serious prognosis than other forms of mesothelioma.<br><br>Chest pain, fatigue and difficulty breathing are the main symptoms of pericardial mesothelioma. It is essential that patients undergo a thorough medical examination because this rare form of mesothelioma can be found in very few. It is crucial that patients inform their doctor if they have an asbestos-related exposure.<br><br>A CT scan or an echocardiogram is typically the first step to diagnose mesothelioma. These tests can identify an accumulation of fluid around the heart, as well as visible pericardial tumours. If these tests indicate the presence of mesothelioma doctors can carry out other procedures to confirm the diagnosis. These can include a biopsy or radiation.<br><br>A mesothelioma biopsy is a procedure by which a small amount of tissue is removed from the affected area and examined under a microscope. This allows doctors to determine the nature and stage of mesothelioma.<br><br>Patients suffering from mesothelioma are treated at cancer centers and specialized hospitals across the country. Based on the type of mesothelioma, treatment options may include surgery, chemotherapy and radiation. In some instances, patients may be eligible for free or reduced-cost health care through the Department of Veterans Affairs. This financial aid is essential for mesothelioma sufferers to help make treatment more affordable. Contact a VA-approved mesothelioma lawyer ([http://www.e10100.com/home.php?mod=space&uid=1983704 Read the Full Guide]) to learn more about the benefits available to you.<br><br>Reproductive Mesothelioma<br><br>Mesothelioma may develop in the linings of organs in the abdomen or chest. It may also be found in the heart's lining (pericardium) and testicles. It is more prevalent in men than women, but the cause isn't fully understood. Exposure to asbestos is the primary risk factor. The symptoms usually don't show until decades after exposure.<br><br>People exposed to asbestos in the workplace are at greater risk of developing [https://morphomics.science/wiki/20_Questions_You_Need_To_Have_To_Ask_About_Mesothelioma_Attorney_Illinois_Before_You_Decide_To_Purchase_It mesothelioma attorneys] more than others. In most cases chest pains or persistent cough are the first symptoms. These symptoms are often similar to those of other lung conditions, so [https://www.demilked.com/author/ouncecannon64/ mesothelioma lawsuit] is frequently misdiagnosed. After being diagnosed, the patient will undergo a series of tests to determine how much the cancer has spread and its stage.<br><br>These tests may include blood and imaging scans which include X-rays as well as CT scans. The mesothelioma doctor may also take a biopsy from the affected area to confirm the diagnosis. The biopsy can be done with a laparoscopic needle or a core-needle. The biopsy should be performed by a peritoneal-mesothelioma expert. General medical oncologists don't have the expertise to recognize peritoneal mesothelioma and could misdiagnose the condition.<br><br>The results of mesothelioma tests will help doctors decide on the best treatment option for you. Treatment will depend on the severity of the cancer and your general health. It is usually possible to control symptoms, and treatments may include draining fluid from the lungs, chemotherapy, radiation, and surgery.<br><br>Most types of mesothelioma can be treated by chemotherapy. These drugs can also affect healthy cells. They can damage ovarian tissue, and this could impact fertility. This is especially the case with peritoneal asbestosis which affects the area surrounding the reproductive organs.<br><br>The [https://selfless.wiki/wiki/10_Unexpected_Franklin_Mesothelioma_Lawyer_Vimeo_Tips mesothelioma attorney] type and severity you suffer from, as well as your age and general health can affect how fast the cancer is treated and its prognosis. In the UK, around 2,700 people are diagnosed with mesothelioma every year. It is typical for the disease to occur in the lung lining (pleura) but it could also develop in the linings of the tummy (peritoneum) and less frequently, around the testicles or the heart.

Revision as of 07:05, 11 January 2025

Mesothelioma

Mesothelioma, a cancerous growth that is found in the organs' linings, such as the lungs and abdomen (pleura) is caused by asbestos exposure. It is usually caused by exposure to asbestos, which is a group of minerals that are made of microscopic fibres.

Mesothelioma can appear anywhere between 20 and 60 year after exposure. Blood tests and X-rays can help diagnose mesothelioma, as and also show how far it has taken over.

Pleural Mesothelioma

Pleural Mesothelioma is caused by malignant cells that develop in the lung's lining. The pleura is a two-layered tissue that surrounds numerous organs. Cancerous pleural mesothelioma most often affects the lungs and chest wall, which can cause symptoms like shortness of breath, pain in the chest or breathing problems.

Asbestos is the leading cause of pleural mesothelioma lawyers. Inhaling asbestos fibers can cause damage to the lung's lining. This can lead to inflammation and scarring which may cause changes that lead to out of control cell growth.

Certain asbestos-exposures may not show symptoms for years after exposure. This is because mesothelioma can 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 the time it was controlled or who were in the Navy.

The symptoms vary based on the location where the tumor is located and are typically caused by an increase in pressure or swelling in the affected lung. The symptoms include fatigue, undiagnosed chest pain, weight loss, and back pain. X-rays, CT or MRI scans can be used to rule out other conditions that could cause similar symptoms. If pleural mesothelioma is diagnosed, doctors will determine the stage of the disease to help determine the most effective treatment options.

The International Mesothelioma Interest Group has created the staging system. The first step in determining the stage of the disease is to perform a biopsy and examine the medical records of the patient. X-rays and chest MRI can also be used to determine if there are any abnormalities or tumors that indicate mesothelioma.

There are three distinct kinds of mesothelioma, which can be categorized based on the type of cells that form: Epithelioid Mesothelioma: The most commonly encountered kind of malignant mesothelioma (60% to 80percent of cases). It is more easily treated when compared to other types. Sarcomatoid Mesothelioma It is the second most prevalent kind of mesothelioma (10 percent to 15 percent of cases). It is more difficult than epithelioid.

Peritoneal Mesothelioma

The peritoneum (the lining of the abdominal cavity) is affected by peritoneal mesothelioma. It is less common than the pleural form. Like all mesotheliomas the peritoneal cancer is caused by asbestos exposure. This type of mesothelioma is more likely to be caused by ingestion than inhalation, unlike pleural. This type of mesothelioma typically occurs in older individuals and is more prevalent in women than men.

Mesothelioma can take decades to show signs, and the nonspecific nature of its early stages makes it difficult to determine the cause. Experts in mesothelioma know how to diagnose the disease. Doctors can identify mesothelioma using detailed patient histories and blood and imaging tests.

A doctor will employ the TNM system to determine the stage of cancer following an mesothelioma diagnosis. This staging system describes the extent of the tumors' spread and impacts treatment options. The lower the stage, the greater treatment options available.

Since peritoneal mesothelioma can be so rare, it is hard to recognize. The symptoms of this condition resemble those of many other illnesses that affect the gastrointestinal tract and abdomen, which includes abdominal pain, fever, and weight loss. Patients experiencing symptoms that are not explained should consult with a physician.

Doctors will start with a physical examination and taking basic blood tests. If these tests show the possibility of having a cancer, an oncologist will perform more extensive diagnostic tests, like biopsies. This will provide an accurate picture of the health of the individual, and identify any possible mesothelioma signs.

Asbestos is the most significant cause of mesothelioma. The exposure to asbestos is usually at work, but it can also happen at home or in schools. Asbestos is the most hazardous when exposed for a long time. Mesothelioma can form when asbestos dust or asbestos particles get into the body and cause inflammation or irritation. As time passes inflammation and irritation could cause cells to change and become cancerous. The cancerous tissue that has been created can later infiltrate other tissues and cause symptoms like abdominal discomfort as well as fever, weight gain and swelling.

Cardiovascular Mesothelioma

Pericardial Mesothelioma, which is a rare cancer that affects the pericardium or lining of the heart. This kind of mesothelioma accounts for less than one percent of all mesothelioma cases, and is among the most difficult cancers to identify because the symptoms are similar to heart disease. As a result, many people receive a diagnosis of heart disease before doctors can confirm that they have mesothelioma of the pericardium.

Like other forms of mesothelioma, exposure to asbestos can cause pericardial cancer. It is believed that asbestos fibers are absorbed into the pericardium via the bloodstream. These fibers may be carried to other organs, such as the heart. Pericardial mesothelioma usually occurs in the outer layer of the pericardium but it can also occur in the inner layer. Pericardial mesothelioma is a more serious prognosis than other forms of mesothelioma.

Chest pain, fatigue and difficulty breathing are the main symptoms of pericardial mesothelioma. It is essential that patients undergo a thorough medical examination because this rare form of mesothelioma can be found in very few. It is crucial that patients inform their doctor if they have an asbestos-related exposure.

A CT scan or an echocardiogram is typically the first step to diagnose mesothelioma. These tests can identify an accumulation of fluid around the heart, as well as visible pericardial tumours. If these tests indicate the presence of mesothelioma doctors can carry out other procedures to confirm the diagnosis. These can include a biopsy or radiation.

A mesothelioma biopsy is a procedure by which a small amount of tissue is removed from the affected area and examined under a microscope. This allows doctors to determine the nature and stage of mesothelioma.

Patients suffering from mesothelioma are treated at cancer centers and specialized hospitals across the country. Based on the type of mesothelioma, treatment options may include surgery, chemotherapy and radiation. In some instances, patients may be eligible for free or reduced-cost health care through the Department of Veterans Affairs. This financial aid is essential for mesothelioma sufferers to help make treatment more affordable. Contact a VA-approved mesothelioma lawyer (Read the Full Guide) to learn more about the benefits available to you.

Reproductive Mesothelioma

Mesothelioma may develop in the linings of organs in the abdomen or chest. It may also be found in the heart's lining (pericardium) and testicles. It is more prevalent in men than women, but the cause isn't fully understood. Exposure to asbestos is the primary risk factor. The symptoms usually don't show until decades after exposure.

People exposed to asbestos in the workplace are at greater risk of developing mesothelioma attorneys more than others. In most cases chest pains or persistent cough are the first symptoms. These symptoms are often similar to those of other lung conditions, so mesothelioma lawsuit is frequently misdiagnosed. After being diagnosed, the patient will undergo a series of tests to determine how much the cancer has spread and its stage.

These tests may include blood and imaging scans which include X-rays as well as CT scans. The mesothelioma doctor may also take a biopsy from the affected area to confirm the diagnosis. The biopsy can be done with a laparoscopic needle or a core-needle. The biopsy should be performed by a peritoneal-mesothelioma expert. General medical oncologists don't have the expertise to recognize peritoneal mesothelioma and could misdiagnose the condition.

The results of mesothelioma tests will help doctors decide on the best treatment option for you. Treatment will depend on the severity of the cancer and your general health. It is usually possible to control symptoms, and treatments may include draining fluid from the lungs, chemotherapy, radiation, and surgery.

Most types of mesothelioma can be treated by chemotherapy. These drugs can also affect healthy cells. They can damage ovarian tissue, and this could impact fertility. This is especially the case with peritoneal asbestosis which affects the area surrounding the reproductive organs.

The mesothelioma attorney type and severity you suffer from, as well as your age and general health can affect how fast the cancer is treated and its prognosis. In the UK, around 2,700 people are diagnosed with mesothelioma every year. It is typical for the disease to occur in the lung lining (pleura) but it could also develop in the linings of the tummy (peritoneum) and less frequently, around the testicles or the heart.