Mesothelioma
Cancer Risks
Mesothelioma is quite a rare cancer but it is becoming
more common. About 2,000 people are diagnosed with mesothelioma
every year in the UK. It is about 4 times as common
in men as in women. This is probably because many cases
have been caused by exposure to asbestos at work. Pleural
mesothelioma is more common than peritoneal mesothelioma.
This page is about the risk factors and possible causes
of mesothelioma. You can scroll down the page to read
all the information here. Or you can use these links
to go straight to sections on
* Asbestos and mesothelioma
* What is asbestos?
* How does asbestos cause mesothelioma?
* Radiation
* Other chemicals
* A virus called SV40
Asbestos and mesothelioma
Unusually for cancer, we do know what causes the majority
of cases of mesothelioma. It is most often linked to
exposure to asbestos. We have known of a link between
asbestos and lung disease since the beginning of the
18th century. But the link with mesothelioma has only
been known since the 1960's. Unfortunately, the number
of cases of mesothelioma in the UK each year is expected
to rise sharply over the next 20 years because of the
heavy use of asbestos in industry in the years following
the second world war.
Between 7 and 8 out of every 10 people (70 –
80%) diagnosed with mesothelioma say they have been
in contact with asbestos. Your risk is greater if you
were exposed to large amounts of it from an early age
for a very long period of time. But there are some cases
that say they have no history of any heavy exposure
to asbestos.
Remember: Many people who develop mesothelioma due
to asbestos exposure may be eligible for compensation.
You should talk to a solicitor about this as early as
possible. Your specialist doctor or nurse may be able
to give you some information on this from their dealings
with other mesothelioma patients. Or some of the mesothelioma
organisations in Help and Support should be able to
help.
What is asbestos?
Asbestos is an insulating material that is heat and
fire resistant. In the past, asbestos was used widely
in the
* Building industry
* Ship building industry
* Manufacture of household appliances
* Motor industry
So most cases of mesothelioma occur in men who have
worked in manufacturing using asbestos or used asbestos
products, particularly in construction or engineering.
The use of asbestos was very heavy in the years after
the war (after 1945). Mesothelioma may not develop until
15 - 40 years after you have been exposed to asbestos,
which is why we are seeing an increase in cases now.
The number of cases is expected to peak around 2018
and then start to decline.
There are three types of asbestos: blue, brown and
white. Blue and brown asbestos are linked with mesothelioma.
They have been banned since the late 1980's and cannot
be imported into the UK. White asbestos is now also
thought to be harmful. The use of all asbestos was banned
in 1999 in the UK.
How does asbestos cause mesothelioma?
Asbestos is made up of tiny fibres. You can breathe
these fibres in when you come into contact with asbestos.
The fibres work their way into the pleura, lining the
lung. They irritate the pleura and damage the cells
that the pleura are made of. Some of the fibres that
have been breathed in can be coughed up and swallowed.
This is probably the cause of peritoneal mesothelioma.
If you have been exposed to asbestos, your family may
also have been exposed. Asbestos fibres can be carried
home on your clothes. Research studies have confirmed
that the family of people exposed to asbestos also have
a higher risk of developing mesothelioma.
Radiation
Pleural and peritoneal mesothelioma has been known to
develop after exposure to a type of radiation called
thorium dioxide (Thorotast). This was used until the
1950's in some X-ray tests.
Other chemicals
A mineral found in Turkey called Zeolite may cause
mesothelioma.
The SV40 virus
There has been some research into a virus called SV40
(the SV stands for 'simian virus'). There is a lot of
dispute amongst scientists about this and it isn't generally
accepted as a cause. It seems more likely that the virus
doesn't cause mesothelioma. It is possible that SV40
may help to increase risk if you've been exposed to
another more major risk factor. Doctors call this a
'co-factor'. But SV40 certainly hasn't been proved to
be a co-factor so far. In any case, it is far less important
a risk factor than asbestos.
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