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Words to know: Mesothelioma

Mesothelium
The thin lining that covers the lungs, chest wall, belly organs, and heart.
Pleura
The lining around the lungs and inside the chest wall.
Peritoneum
The lining of the belly and the organs inside it.
Asbestos
A mineral once used in buildings and industry. Its tiny fibers can cause mesothelioma many years after exposure.
Pleural effusion
A buildup of fluid between the lung and the chest wall that can cause shortness of breath.
Ascites
A buildup of fluid in the belly.
Thoracentesis
Draining fluid from around the lung with a needle.
Thoracoscopy
A procedure that uses a small camera placed through the chest wall to look inside and take a biopsy. Also called VATS.
Biopsy
Taking a small piece of tissue to look at under a microscope.
Epithelioid
The most common cell type of mesothelioma, which tends to grow more slowly.
Sarcomatoid
A less common cell type of mesothelioma that tends to grow faster.
Biphasic
Mesothelioma with a mix of epithelioid and sarcomatoid cells.
Resectable
Able to be removed with surgery.
Pleurectomy and decortication
Surgery that removes the pleura and visible tumor while keeping the lung.
Pleurodesis
A procedure, often using talc, that seals the space around the lung so fluid cannot build up again.
Indwelling pleural catheter
A thin tube placed in the chest so fluid can be drained at home.
HIPEC
Heated chemotherapy washed through the belly during surgery for peritoneal mesothelioma.
Immune checkpoint inhibitor
A drug, such as nivolumab, ipilimumab, or pembrolizumab, that helps the immune system attack cancer.
Pemetrexed
A chemotherapy drug used with cisplatin or carboplatin to treat mesothelioma.
Platinum chemotherapy
Chemotherapy drugs such as cisplatin and carboplatin.
BAP1
A gene often changed in mesothelioma. An inherited change can raise the risk of mesothelioma and some other cancers.
PD-L1
A protein on some cancer cells that can be measured. It is not required for immune treatment of mesothelioma.
Palliative care
Care focused on easing symptoms and improving quality of life, given at any stage alongside cancer treatment.
Pulmonary rehab
A program of exercise and breathing training that helps people with lung problems feel stronger.

Last updated: 2026-10-27. Medically reviewed by Veli Bakalov, MD, medical oncologist (October 2026). General education from Step by Step, the patient portal of HemeOncBuddy.