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Mesothelioma and Asbestos Exposure<br><br>Occupational [https://dlightcompany.co.kr/bbs/board.php?bo_table=free&wr_id=70508 asbestos law] exposure is the primary reason for mesothelioma. Exposure can be seen in factories, shipyards mining sites, construction sites and mines.<br><br>As asbestos fibres inhale, they are trapped in the lung's lining (pleura) and cause gene mutations that can result in cancer. Symptoms usually don't show up until 20 to 60 years after exposure.<br><br>Symptoms<br><br>The symptoms of mesothelioma vary depending on where the tumors are located within the body and the kind and stage. For example, pleural mesothelioma symptoms typically affect the lungs, while mesothelioma affecting the pericardial region and peritone the heart and stomach, respectively. Patients can also experience other symptoms related to their condition, like weight loss, fatigue and breathing problems.<br><br>A physical examination and detailed health history are the first steps in diagnosing mesothelioma. Patients should inform their doctor about any past exposure to asbestos and report any unusual symptoms or body changes they've observed. In addition to conducting an examination of the body doctors may also conduct imaging tests to determine how the disease is progressing and to rule out other ailments like lung cancer or pneumonia.<br><br>Most often, mesothelioma symptoms don't manifest until years after exposure to asbestos. This is due to asbestos fibers can be inhaled or swallowed, and they cling to the organs' linings like the stomach or lungs. These fibers can cause inflammation, leading to tumors. Mesothelioma symptoms often do not appear until the cancer has spread to other parts of the body.<br><br>As soon as mesothelioma begins to show signs, it can quickly worsen and impact the quality of life of patients. Patients may become weak and bed-bound as the cancer spreads. Many patients suffering from mesothelioma at the late stages of their disease are in severe pain.<br><br>In addition to the physical exam, doctors inquire about the patient's exposure to asbestos and mesothelioma risk. Smoking, military service, or mesothelioma-related history in a family member may increase the chance of developing the disease.<br><br>The same asbestos fibers that irritate the tissues of patients with mesothelioma also can irritate the tissues of patients suffering from lung or breast cancer. The risk of developing cancer can be minimized by staying away from [https://lifeisnew.ca/bbs/board.php?bo_table=free&wr_id=188629 asbestos litigation] and ensuring good hygiene in the workplace. Employees should shower and change their clothes immediately after leaving work to avoid bringing [http://196.43.133.60/wiki/index.php/Asbestos_Mesothelioma_Tools_To_Improve_Your_Everyday_Lifethe_Only_Asbestos_Mesothelioma_Trick_That_Should_Be_Used_By_Everyone_Be_Able_To asbestos settlement] ([https://higgledy-piggledy.xyz/index.php/14_Questions_You_Might_Be_Afraid_To_Ask_About_Mesothelioma_Asbestos_Lung_Cancer https://higgledy-piggledy.xyz/index.php/14_Questions_You_Might_Be_Afraid_To_Ask_About_Mesothelioma_Asbestos_Lung_Cancer]) fibers home on their clothes or skin. In addition, those who live with people who are exposed to asbestos should be certain to shower and change their clothes prior to entering the house.<br><br>Diagnosis<br><br>Asbestos is one of the naturally occurring minerals that have tiny fibres which are used in a variety of ways. These fibres can be released into air or lungs by people who are using asbestos. As time passes these fibres may build up and cause scarring in the lungs called asbestosis. It could also lead to cancer. Mesothelioma is a form of cancer that develops within the protective linings of organs known as mesothelium. It is most often found in the chest's lining (pleura) or abdomen (peritoneum). Asbestos is often a factor in mesothelioma. It takes decades for mesothelioma to show up, which makes diagnosis difficult.<br><br>The first step to diagnosing mesothelioma begins with a visit to the doctor and a physical exam. This will help your doctor recognize the symptoms you are experiencing and rule out any other illnesses. Your doctor might also recommend blood tests and imaging scans to look for mesothelioma or to identify symptoms of other conditions like lung diseases. X-rays, CT (computerised tomography) and MRI (magnetic resonance imaging) scans can aid doctors to diagnose mesothelioma, by identifying pleural or peritoneal effusion.<br><br>These tests will help doctors determine your stage of mesothelioma and determine your treatment options. There are four stages of mesothelioma and each stage has a different prognosis. The stage of your mesothelioma will affect how severe the symptoms are as well as the speed at which they progress.<br><br>Your doctor can employ a variety of diagnostic tests based on where mesothelioma has been found. The most commonly used mesothelioma type is called mesothelioma that affects the lung. Doctors may also diagnose peritoneal mesothelioma, targeting the lining of the abdomen, or pericardial mesothelioma, targeted at the lining of the heart.<br><br>If you are diagnosed with mesothelioma your doctor will inquire with you about your asbestos exposure and if you have any symptoms. They will then conduct an examination and review your medical background. If they suspect mesothelioma, they will refer you to an expert for further tests and scans. Those tests will help to diagnose the type and stage of your mesothelioma and also show how far the cancer has spread.<br><br>Treatment<br><br>Mesothelioma is often caused by exposure to asbestos. Asbestos is a group of minerals that are found in rock and soil. It is extremely durable and can be transformed into thin, woven fibers that are used in numerous products. In the United States, asbestos was utilized for construction materials and insulation in the 20th century until scientists discovered the dangers of asbestos. Asbestos is usually exposed when people inhale, or swallow the fibers. They then cling to the organ's lining. Over time, the tissue can develop tumors and cause symptoms like coughing, breathing problems and chest pain. The symptoms typically do not manifest until 10 to 50 years after the initial exposure.<br><br>Mesothelioma is a possibility for anyone who has been exposed to asbestos, however certain types are more at risk. Any exposure to asbestos increases the chance of developing mesothelioma. This includes both para- and occupational exposure. People who were exposed to asbestos through their families are also at risk. You should tell your doctor if anyone in your family has been diagnosed with mesothelioma.<br><br>Different types of mesothelioma occur in different parts of the body. Around 70 to 80 percent of cases are mesothelioma pleural. It starts in the layers of tissue that surround the lungs (pleural mesothelium). Peritoneal Mesothelioma is less common. It is found in the lining (peritoneum) of the abdomen. Malignant mesothelioma can be found in two forms: epithelioid, and sarcomatoid. Epithelioid is more prevalent than sarcomatoid and grows slower. There is a rare mesothelioma type that has both epithelioid- and sarcomatoid-cells. It is known as biphasic sarcomatoid mesothelio.<br><br>The type of mesothelioma you have can help your doctors decide what treatment to give you. Your doctor may recommend surgery, chemotherapy or radiation therapy to ease the symptoms and prolong your lifespan. The kind of treatment you are offered will depend on the type of mesothelioma you have, where it is located and your medical background.<br><br>There are ways to decrease your risk, even though mesothelioma cancer is rare. If you were exposed to asbestos in the past, you should try to limit your exposure and stay clear from any areas that could contain it. It is also advisable to talk to your doctor regarding any unusual or persistent symptoms you experience.<br><br>Recovery<br><br>Many people who are diagnosed with mesothelioma find it shocking to discover that exposure to asbestos in the past was the cause. They may be more upset to discover that their former employers didn't inform them about the risks of their job or take any precautions to safeguard employees from this harmful substance. A mesothelioma lawyer can assist the patients seek justice by filing a lawsuit against the responsible parties.<br><br>Mesothelioma, a cancer, is located in the tissue that covers organs of the body, like the stomach and lungs. The most significant reason for this is exposure to asbestos. Asbestos is a grouping of minerals that creates thin, long fibers that are durable and resistant to fire. Asbestos was commonly used in the construction of buildings, automobile parts and other products prior to when scientists discovered its health hazards in the 20th century. People who were involved in projects that required asbestos are more likely to develop mesothelioma. Shipyard workers, construction workers insulation workers, and [https://r2tbiohospital.com/bbs/board.php?bo_table=free&wr_id=1543569 asbestos lawsuit] specialists are all at risk. Asbestos fibers stick to personal items, clothing and even the bodies of workers. This could cause mesothelioma to their families.<br><br>Pleural mesothelioma is by far the most common type of this cancer. It affects the lung's lining, and the symptoms typically start in the chest, like the coughing up of blood or an accumulation of fluid around the lungs. It may also affect the abdomen's lining (peritoneal mesothelioma) or the heart (pericardial mesothelioma).<br><br>The chances of a person developing mesothelioma are affected by various factors which include the amount of time they've been exposed to asbestos, as well as their gender. Men are more vulnerable to this condition than women. Age is another factor. Family history is also considered an important risk factor, since certain asbestos-related illnesses have been linked to certain genes. People who have received radiation to the chest are more likely to develop mesothelioma, as are those who have a family member who has been diagnosed with the disease. The majority of mesothelioma cases happen in people who are over 60 years old.
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Mesothelioma and Asbestos Exposure<br><br>Occupational asbestos exposure is the primary mesothelioma-related cause. Exposure to asbestos can occur in construction, shipyards and factories.<br><br>Asbestos fibers inhaled are trapped in the lining (pleura) of the lungs. They trigger gene mutations which result in cancer. The symptoms typically do not manifest until 20 to 60 years after exposure.<br><br>Signs and symptoms<br><br>Mesothelioma symptoms differ based on the type and the stage of cancer, as well as where tumors develop in the body. Pleural mesothelioma affects the lungs while pericardial, peritoneal and peritoneal mesothelioma affect the stomach and heart. Patients may also experience additional symptoms that are associated with their condition, including fatigue, weight loss and difficulty breathing.<br><br>The first step to diagnose mesothelioma is a physical examination and a thorough health history. Patients should tell their doctor about any previous exposure to asbestos and mention any unusual body changes or symptoms they've noticed. Doctors may also prescribe imaging tests in addition to a physical examination to determine the progress of the disease and rule out other diseases like lung cancer or pneumonia.<br><br>Mesothelioma is not always diagnosed until decades after [https://www.coweyepress.com/wiki/index.php/Mesothelioma_Asbestos_Claims:_The_Evolution_Of_Mesothelioma_Asbestos_Claims asbestos legal] exposure. This is due to the fact that asbestos fibers can be breathed in or swallowed, and cling to the organs' linings like the lungs or stomach. Over time, these fibers cause inflammation and eventually tumors. Mesothelioma symptoms usually don't manifest until cancer has spread to other parts of the body.<br><br>When mesothelioma-related symptoms start they can quickly worsen and affect a patient's overall quality of life. As the cancer progresses and patients weaken, they can become and bed-bound. Many patients with mesothelioma in the last stages of their disease are in intense pain.<br><br>In addition to a physical exam doctors will also inquire about the patient's exposure to asbestos and mesothelioma-related risk factors. Smoking, military service or a history of mesothelioma in a family member may increase the chance of developing this disease.<br><br>Patients with mesothelioma are often at higher risk of developing other forms of cancer, such as breast cancer and lung cancer, because the same asbestos fibers can irritate these tissues as well. These risks can be reduced by avoiding exposure to asbestos and maintaining a healthy lifestyle in the workplace. For instance, employees must change their clothes prior to leaving work and shower immediately after work to avoid bringing home any asbestos fibers on their clothing or skin. Additionally, people living with workers who are exposed to asbestos should be sure to shower and change their clothes before they enter the house.<br><br>Diagnosis<br><br>Asbestos is a class of naturally occurring minerals with tiny fibres that are used in a variety of ways. The people who use asbestos ([https://tbcrlab.com/bbs/board.php?bo_table=free&wr_id=69204 for beginners]) could release these fibres into the air and lungs of anyone nearby. In time, these fibres may build up and cause lung scarring known as asbestosis. It could also lead to cancer. Mesothelioma is a type of cancer, is a form that develops in the protective linings (mesothelium) of organs. It is most prevalent in the linings of the chest (pleura), or abdomen (peritoneum). Asbestos is a common cause in mesothelioma. Mesothelioma may take a long time to manifest, making diagnosis difficult.<br><br>The first step in diagnosing mesothelioma is visiting your doctor and have an examination. This will help your doctor recognize the symptoms you're experiencing and rule out other diseases. Your doctor may order blood tests or imaging scans to test for mesothelioma, or to detect symptoms of other conditions such as lung diseases. X-rays, CT (computerised tomography) and MRI (magnetic resonance imaging) scans can aid doctors diagnose mesothelioma by identifying pleural effusion or peritoneal effusion.<br><br>These tests will help doctors determine the stage of mesothelioma in which you are and help determine the best treatment options for you. There are four stages of mesothelioma, and each one has different prognoses. The stage of your mesothelioma determines how severe the symptoms are and how fast they will progress.<br><br>Depending on the site of your mesothelioma doctor may perform different diagnostic tests. The most commonly used mesothelioma type is mesothelioma of the pleural region, which affects the lung. Doctors may also diagnose peritoneal or pericardial the pericardial, pericardial, peritoneal and peritoneal pericardial pericardial peritoneal peritoneal peritoneal peritoneal pericardial pericardial the pericardial, pericardial, pericardial and pericardial pericardial<br><br>During a diagnosis of mesothelioma the doctor will ask you about your asbestos exposure and if you exhibit any symptoms. They will then conduct a physical exam and review your medical history. If they suspect mesothelioma has developed, they will refer to a specialist who can perform additional tests and scans. These tests can help diagnose the type and stage of your mesothelioma as well as revealing how the cancer has spread.<br><br>Treatment<br><br>Exposure to asbestos is the most frequent cause of mesothelioma. Asbestos is one of the minerals that are found in rocks and soil. It is very strong and can be made into fine weaved fibers that are used in a variety of products. It was used in the United States for insulation and construction materials in the 20th century before scientists realized the dangers it poses to human health. Asbestos exposure is usually when people swallow or inhale the fibers. They then cling to organ linings. Over time, the tissue can develop tumors and cause symptoms such as coughing, difficulty breathing and chest pain. The symptoms usually do not show until 10-50 years after initial exposure.<br><br>Mesothelioma is a possibility for anyone who has been exposed to asbestos, but some are at greater risk. Any type of asbestos exposure can increase your chances of getting mesothelioma, including both para- and occupational exposure. People who were exposed to asbestos through their families are at greater risk. If you or someone in your family has mesothelioma or asbestosis, you should speak to a doctor about your asbestos history.<br><br>Different types of mesothelioma can be found in different areas of the body. Pleural mesothelioma, for instance, is the most prevalent type, affecting about 70 to 80% of all cases. It starts in the tissue that covers each lung (pleural mesothelium). Peritoneal Mesothelioma appears less often. It is found in the lining of the abdomen (peritoneum). Malignant mesothelioma is found in two forms: epithelioid, and sarcomatoid. Epithelioid is more frequent than sarcomatoid, and it grows more slowly. There is a very rare mesothelioma that contains both epithelioid- and sarcomatoid-cells. It is known as biphasic Mesothelioma.<br><br>Your doctor can decide on the best treatment for you based on your type of mesothelioma. Your doctor might recommend chemotherapy, radiation therapy, or surgery to ease your symptoms and prolong your life. The type of mesothelioma that you have, the location of it and your medical background will determine the kind of treatment you receive.<br><br>Although mesothelioma can be found in a small percentage of cases however, there are a few things you can do to lower your risk. If you've been exposed to asbestos in the past, you should try to limit your exposure to asbestos and stay away from any places that might have asbestos. Consult your doctor if you experience any unusual or persistent symptoms.<br><br>Recovery<br><br>Many mesothelioma patients are shocked to discover that past exposure to asbestos is the reason. Even more upsetting is the fact that their former employers did not warn them about the dangers associated with their work or take any measures to safeguard workers from asbestos, a toxic substance. A mesothelioma lawyer can assist the patients seek justice by filing a suit against the responsible parties.<br><br>Mesothelioma is a cancer that forms in the tissue that lines the organs of the body, such as stomach, lungs and the heart. It is caused by exposure to asbestos, which is a family of minerals that form long, thin fibers that are strong and fire resistant. [http://www.engtech.kr/bbs/board.php?bo_table=free&wr_id=197377 asbestos compensation] was widely used in the construction of buildings, automobile parts and other products prior to when scientists learned of its health hazards in the 20th century. People who were involved in projects that required asbestos are the most likely to develop mesothelioma. Shipyard workers, construction workers insulation workers, and [https://gamesontv.org/index.php/Everything_You_Need_To_Know_About_Asbestos_Attorneys_Dos_And_Don_ts asbestos legal] elimination specialists are all at risk. Asbestos fibers clung to clothing, personal items and even the bodies of workers. This could expose their families to mesothelioma.<br><br>Pleural mesothelioma is by far the most common type of this cancer. It affects the lung's lining, and the symptoms typically start in the chest, such as coughing up blood or an accumulation of fluid around the lungs. It may also affect the lining of the abdomen (peritoneal mesothelioma) or the heart (pericardial mesothelioma).<br><br>A person's chances of developing mesothelioma depend on many factors such as the amount of time they've been exposed to [http://aluxwheel.com/bbs/board.php?bo_table=free&wr_id=216022 asbestos] as well as their gender. Men are more susceptible to the disease than women. Age is another factor. Family history is also a risk factor, as certain asbestos-related diseases have been linked to certain genes. Mesothelioma is more frequent for those who have had radiation to their chest or have a parent or a sibling with the disease. The majority of mesothelioma cases happen in people who are over 60 years old.

Latest revision as of 22:07, 1 October 2024

Mesothelioma and Asbestos Exposure

Occupational asbestos exposure is the primary mesothelioma-related cause. Exposure to asbestos can occur in construction, shipyards and factories.

Asbestos fibers inhaled are trapped in the lining (pleura) of the lungs. They trigger gene mutations which result in cancer. The symptoms typically do not manifest until 20 to 60 years after exposure.

Signs and symptoms

Mesothelioma symptoms differ based on the type and the stage of cancer, as well as where tumors develop in the body. Pleural mesothelioma affects the lungs while pericardial, peritoneal and peritoneal mesothelioma affect the stomach and heart. Patients may also experience additional symptoms that are associated with their condition, including fatigue, weight loss and difficulty breathing.

The first step to diagnose mesothelioma is a physical examination and a thorough health history. Patients should tell their doctor about any previous exposure to asbestos and mention any unusual body changes or symptoms they've noticed. Doctors may also prescribe imaging tests in addition to a physical examination to determine the progress of the disease and rule out other diseases like lung cancer or pneumonia.

Mesothelioma is not always diagnosed until decades after asbestos legal exposure. This is due to the fact that asbestos fibers can be breathed in or swallowed, and cling to the organs' linings like the lungs or stomach. Over time, these fibers cause inflammation and eventually tumors. Mesothelioma symptoms usually don't manifest until cancer has spread to other parts of the body.

When mesothelioma-related symptoms start they can quickly worsen and affect a patient's overall quality of life. As the cancer progresses and patients weaken, they can become and bed-bound. Many patients with mesothelioma in the last stages of their disease are in intense pain.

In addition to a physical exam doctors will also inquire about the patient's exposure to asbestos and mesothelioma-related risk factors. Smoking, military service or a history of mesothelioma in a family member may increase the chance of developing this disease.

Patients with mesothelioma are often at higher risk of developing other forms of cancer, such as breast cancer and lung cancer, because the same asbestos fibers can irritate these tissues as well. These risks can be reduced by avoiding exposure to asbestos and maintaining a healthy lifestyle in the workplace. For instance, employees must change their clothes prior to leaving work and shower immediately after work to avoid bringing home any asbestos fibers on their clothing or skin. Additionally, people living with workers who are exposed to asbestos should be sure to shower and change their clothes before they enter the house.

Diagnosis

Asbestos is a class of naturally occurring minerals with tiny fibres that are used in a variety of ways. The people who use asbestos (for beginners) could release these fibres into the air and lungs of anyone nearby. In time, these fibres may build up and cause lung scarring known as asbestosis. It could also lead to cancer. Mesothelioma is a type of cancer, is a form that develops in the protective linings (mesothelium) of organs. It is most prevalent in the linings of the chest (pleura), or abdomen (peritoneum). Asbestos is a common cause in mesothelioma. Mesothelioma may take a long time to manifest, making diagnosis difficult.

The first step in diagnosing mesothelioma is visiting your doctor and have an examination. This will help your doctor recognize the symptoms you're experiencing and rule out other diseases. Your doctor may order blood tests or imaging scans to test for mesothelioma, or to detect symptoms of other conditions such as lung diseases. X-rays, CT (computerised tomography) and MRI (magnetic resonance imaging) scans can aid doctors diagnose mesothelioma by identifying pleural effusion or peritoneal effusion.

These tests will help doctors determine the stage of mesothelioma in which you are and help determine the best treatment options for you. There are four stages of mesothelioma, and each one has different prognoses. The stage of your mesothelioma determines how severe the symptoms are and how fast they will progress.

Depending on the site of your mesothelioma doctor may perform different diagnostic tests. The most commonly used mesothelioma type is mesothelioma of the pleural region, which affects the lung. Doctors may also diagnose peritoneal or pericardial the pericardial, pericardial, peritoneal and peritoneal pericardial pericardial peritoneal peritoneal peritoneal peritoneal pericardial pericardial the pericardial, pericardial, pericardial and pericardial pericardial

During a diagnosis of mesothelioma the doctor will ask you about your asbestos exposure and if you exhibit any symptoms. They will then conduct a physical exam and review your medical history. If they suspect mesothelioma has developed, they will refer to a specialist who can perform additional tests and scans. These tests can help diagnose the type and stage of your mesothelioma as well as revealing how the cancer has spread.

Treatment

Exposure to asbestos is the most frequent cause of mesothelioma. Asbestos is one of the minerals that are found in rocks and soil. It is very strong and can be made into fine weaved fibers that are used in a variety of products. It was used in the United States for insulation and construction materials in the 20th century before scientists realized the dangers it poses to human health. Asbestos exposure is usually when people swallow or inhale the fibers. They then cling to organ linings. Over time, the tissue can develop tumors and cause symptoms such as coughing, difficulty breathing and chest pain. The symptoms usually do not show until 10-50 years after initial exposure.

Mesothelioma is a possibility for anyone who has been exposed to asbestos, but some are at greater risk. Any type of asbestos exposure can increase your chances of getting mesothelioma, including both para- and occupational exposure. People who were exposed to asbestos through their families are at greater risk. If you or someone in your family has mesothelioma or asbestosis, you should speak to a doctor about your asbestos history.

Different types of mesothelioma can be found in different areas of the body. Pleural mesothelioma, for instance, is the most prevalent type, affecting about 70 to 80% of all cases. It starts in the tissue that covers each lung (pleural mesothelium). Peritoneal Mesothelioma appears less often. It is found in the lining of the abdomen (peritoneum). Malignant mesothelioma is found in two forms: epithelioid, and sarcomatoid. Epithelioid is more frequent than sarcomatoid, and it grows more slowly. There is a very rare mesothelioma that contains both epithelioid- and sarcomatoid-cells. It is known as biphasic Mesothelioma.

Your doctor can decide on the best treatment for you based on your type of mesothelioma. Your doctor might recommend chemotherapy, radiation therapy, or surgery to ease your symptoms and prolong your life. The type of mesothelioma that you have, the location of it and your medical background will determine the kind of treatment you receive.

Although mesothelioma can be found in a small percentage of cases however, there are a few things you can do to lower your risk. If you've been exposed to asbestos in the past, you should try to limit your exposure to asbestos and stay away from any places that might have asbestos. Consult your doctor if you experience any unusual or persistent symptoms.

Recovery

Many mesothelioma patients are shocked to discover that past exposure to asbestos is the reason. Even more upsetting is the fact that their former employers did not warn them about the dangers associated with their work or take any measures to safeguard workers from asbestos, a toxic substance. A mesothelioma lawyer can assist the patients seek justice by filing a suit against the responsible parties.

Mesothelioma is a cancer that forms in the tissue that lines the organs of the body, such as stomach, lungs and the heart. It is caused by exposure to asbestos, which is a family of minerals that form long, thin fibers that are strong and fire resistant. asbestos compensation was widely used in the construction of buildings, automobile parts and other products prior to when scientists learned of its health hazards in the 20th century. People who were involved in projects that required asbestos are the most likely to develop mesothelioma. Shipyard workers, construction workers insulation workers, and asbestos legal elimination specialists are all at risk. Asbestos fibers clung to clothing, personal items and even the bodies of workers. This could expose their families to mesothelioma.

Pleural mesothelioma is by far the most common type of this cancer. It affects the lung's lining, and the symptoms typically start in the chest, such as coughing up blood or an accumulation of fluid around the lungs. It may also affect the lining of the abdomen (peritoneal mesothelioma) or the heart (pericardial mesothelioma).

A person's chances of developing mesothelioma depend on many factors such as the amount of time they've been exposed to asbestos as well as their gender. Men are more susceptible to the disease than women. Age is another factor. Family history is also a risk factor, as certain asbestos-related diseases have been linked to certain genes. Mesothelioma is more frequent for those who have had radiation to their chest or have a parent or a sibling with the disease. The majority of mesothelioma cases happen in people who are over 60 years old.