None of them may even bear the listed value. This content is for general use and to help you get more out of your websites. There is no guarantee that this information is accurate and true. Use at your own risk !
Note that regional differences exist. The values may differ regionally. Its always recommended to do the research yourself.
Keywords Cost / Click
mesothelioma $84.08
mesothelioma attorneys $80.93
mesothelioma lawyers $69.04
malignant pleural mesothelioma $55.95
Asbestos Cancer $54.17
mesothelioma symptoms $53.66
peritoneal mesothelioma $52.27
trans union $51.91
lung cancer $43.12
search engine optimization $30.19
mesothelioma diagnosis $28.70
home equity loans $20.06
baines and ernst $18.47
consolidate loans $17.74
lexington law $17.68
lexington law firm $16.81
debt problems $16.28
register domain $15.74
home equity line of credit $15.61
affiliate programs $14.33
refinance $14.21
video conferencing $13.63
payday loans $13.21
credit counseling $13.02
asbestos $12.79
debt solutions $12.64
cash loans $12.13
refinancing $12.09
broadband phone $12.08
debt management $11.86
fast loans $11.81
credit card processing $11.75
credit reports $11.59
making money on the internet $11.58
merchant account $11.46
line of credit $11.42
money magazine $11.27
adsense $11.13
credit counselors $11.02
identity theft $11.00
make money at home $10.84
free credit $10.76
cash advance $10.64
consumer credit counseling $10.63
freecreditreport $10.61
make money from home $10.35
free credit reports $10.26
make extra money $10.21
domain registration $10.19
adwords $10.08
citifinancial $10.06
my fico score $10.01
web hosting $09.88
american express credit $09.71
airlines credit card $09.52
credit report $09.52
earn money $09.51
hard drive recovery $09.49
hard money lenders $09.44
credit counseling service $09.44
consolidate $09.41
claims $09.20
debt consolidation $09.10
poor credit $09.09
low interest $08.89
web host $08.64
student credit cards $08.63
secured $08.60
merchant account application $08.59
loans $08.57
send money to india $08.43
discover credit $08.40
merchant accounts $08.39
hosting $08.35
money on the internet $08.34
credit loans $08.33
consumer credit $08.32
money making ideas $08.26
credit card applications $08.23
money lenders $08.10
discover credit card $08.09
money loans $08.08
dept help $08.01
credit card services $08.01
consolidation $07.94
ways to make money $07.84
student credit $07.73
online credit report $07.66
how to make money $07.51
accept credit $07.47
accept credit cards $07.43
student loan $07.43
internet money $07.39
credit repair $07.32
free credit check $07.28
bad credit $07.26
money making $07.21
SEO $07.18
University Degrees Online $07.16
credit card application $07.05
consolidating $07.05
people with bad credit $07.05
car loans $07.05
money fast $07.03
money now $06.88
household automotive $06.76
personal credit $06.73
money at home $06.72
bad debt $06.69
lenders $06.68
auto loans $06.63
making money online $06.61
Point of sale software $06.55
interest credit cards $06.53
credit history $06.53
lending $06.39
business credit $06.32
money to india $06.31
debt $06.17
online credit $06.15
student credit card $06.14
hard money $06.10
webhosting $06.06
credit cards $06.04
make money $05.97
credit application $05.96
online credit card $05.96
chase credit $05.90
interest credit $05.89
equifax credit $05.89
video conference $05.88
credit card offers $05.88
american credit $05.86
credit card fraud $05.82
best credit card $05.82
no credit check $05.79
credit card $05.75
bankruptcy $05.64
best credit $05.59
money market account $05.55
mbna credit $05.54
for credit $05.48
webhost $05.48
pengar $05.47
college credit $05.44
money market accounts $05.43
best credit cards $05.40
credit reporting agency $05.39
credit card debt $05.36
credit checks $05.36
visa credit $05.36
credit check $05.29
secured credit cards $05.26
one credit card $05.25
Credit report $05.24
i need money $05.16
low interest credit $05.15
credit services $05.08
credit reporting $05.06
preapproved $05.04
online approval $05.04
credit card rates $05.02
credit score $05.00
A friend sent me a list of supposedly highest paying keywords for contextual advertising. I wonder is this true or whether this is just a gimmick to make other people believe so... and me supporting the hype by reproducing it here? For your amusement the partial list is at the end of this article. (and don't be surprised if google actually serves you those ads matching those keywords.)
Assuming that whoever produced this list is correct, by looking at the data one can tell that NY and Chicago lawyers are willing to pay a lot of money to get a potential customer via online ads.
But can someone explain why mesothelioma is in the top rank? Is it because people are afraid to get it? Or is it because many people have it already?
Luckily Google doesn't allow porn ads, otherwise we would have been drowning in nasty ads, which probably would have had the highest click rate ever.
Here is a partial list:
$78.30 chicago personal injury lawyer
$73.01 chicago personal injury attorney
$69.17 lasik new york city
$64.27 new york personal injury lawyer
$64.17 new jersey car insurance
$63.10 new york personal injury attorney
$61.64 chicago personal injury lawyers
$61.17 mesothelioma lawyers
$60.74 atlanta personal injury lawyer
$60.29 new york personal injury lawyers
$59.00 lasik dallas
$58.68 new york personal injury lawyers
$58.38 miami personal injury attorney
$58.25 what is mesothelioma
$58.08 best equity loan
$57.95 lasik new york
$56.88 whole life insurance quote
$56.75 new york car insurance
[...]
$53.46 whole life insurance quotes
$53.42 car insurance in new jersey
$53.12 las vegas personal injury lawyer
$53.12 term life insurance quotes
$52.57 mesothelioma treatments
$52.41 equity loan rate
$51.78 equity loan
$51.50 new york personal injury lawyer
$51.29 equity loan rates
$51.15 fixed rate equity loan
$50.54 causes of mesothelioma
[...]
$45.33 los angeles botox
$45.07 new lasik
$44.86 fixed equity loan
$44.51 san diego personal injury attorney
$44.19 125 equity loans
$43.58 mesothelioma cases
$43.57 car insurance in new york
$42.97 equity refinance
$42.70 asbestos and mesothelioma
$42.52 auto insurance quote
[...]
$40.47 [cosmetic surgery los angeles]
$40.04 personal injury attorney atlanta
$39.67 car insurance california
$39.66 oregon personal injury lawyer
$39.43 auto insurance
$39.35 albany personal injury lawyer
$39.21 fixed equity loans
$39.11 personal injury lawyers
$38.84 ameriquest mortgage
$38.31 auto insurance quotes
$38.19 mortgage refinance
$38.17 lump sum settlement
$37.43 cause of mesothelioma
[...]
I wonder whether I should research topics about lawyers and mesothelioma :)
The most common symptoms of swine flu are similar to those of seasonal flu, including fever, weakness and fatigue and aching muscles and joints, although, these could be more severe. Certain people are most at risk, including pregnant women, the elderly and young children and people with underlying health conditions.
What is swine flu and how serious is it?
A new strain of Influenza A (H1N1), also known as swine flu, was confirmed in the UK in April and has spread to nearly 200 countries around the world.
Although symptoms have generally proved mild, a small number of patients will develop more serious illness. Many of these people have other underlying health conditions, such as heart or lung disease, that put them at increased risk.
Symptoms
Check your symptoms
The symptoms of swine flu are similar to the symptoms of regular seasonal flu and include:
fever
lack of energy
lack of appetite
coughing
Some people with swine flu also have reported:
runny nose
sore throat
nausea
vomiting
diarrhoea
As with any sort of influenza, how bad and how long the symptoms last will depend on treatment and the patient’s individual circumstances.
Who is at risk?
Some groups of people are more at risk of serious illness if they catch swine flu. It is vital that people in these higher risk groups get anti-viral drugs and start taking them as soon as possible – within 48 hours of the onset of symptoms.
Health authorities are still learning about the swine flu virus, but the following people are known to be at higher risk:
pregnant women
people aged 65 years and older
young children under five years old
People suffering from the following illnesses are also at increased risk:
chronic lung disease
chronic heart disease
chronic kidney disease
chronic liver disease
chronic neurological disease
Immunosuppression (whether caused by disease or treatment)
Diabetes mellitus
patients who have had drug treatment for asthma within the past three years
$69.1 mesothelioma treatment options $66.46 mesothelioma risk $65.85 personal injury lawyer michigan $65.74 michigan personal injury attorney $62.59 student loans consolidation $61.44 car accident attorney los angeles $61.26 mesothelioma survival rate $60.96 treatment of mesothelioma $59.44 online car insurance quotes $59.39 arizona dui lawyer $59.04 mesothelioma article $58.44 new york mesothelioma $57.93 epithelioid mesothelioma $57.87 michigan car accident attorney $57.54 mesothelioma facts $57.13 mesothelioma resource $56.59 free auto insurance quote $56.57 mesothelioma doctor $56.24 mesothelioma $55.67 mesothelioma lung $55.61 mesothelioma texas $55.57 mesothelioma attorneys $55.36 mesothelioma compensation $55.28 mesothelioma incidence $55.26 malignant mesothelioma $54.54 benign mesothelioma $53.94 pleural mesothelioma $53.37 pericardial mesothelioma $53.17 personal injury lawyers los angeles $52.31 free online auto insurance quote $52.27 malignant pleural mesothelioma $52.02 free online car insurance quote $51.87 mesothelioma stage $51.86 mesothelioma smoking $51.82 mesothelioma treatment option $51.73 free car insurance quotes $51.47 austin dwi $50.82 mesothelioma survival $50.78 mesothelioma attorney $50.76 mesothelioma lawyer $50.73 mesothelioma prognosis $50.4 accident attorney michigan $50.4 mesothelioma chemotherapy $50.39 mesothelioma treatments $50.35 michigan auto accident attorney $49.29 losangeles personal injury attorney $49.25 accident helpline $48.78 mesothelioma diagnosis $48.64 abdominal mesothelioma $48.55 mesothelioma lawsuits $48.51 mesothelioma treatment $48.42 treatment for mesothelioma $47.88 mesothelioma statistics $47.74 automobile accident lawyers $47.49 dui defense attorneys $47.42 mesothelioma cause $46.91 philadelphia personal injury lawyers $46.83 mesothelioma radiation $46.77 las vegas car accident attorney $46.6 mesothelioma types $46.52 pennsylvania personal injury lawyers $46.44 asbestos cancer $46.36 mesothelioma information $46.34 arizona dui $46.34 arizona dui $46.31 mesothelioma lawyers $45.81 peritoneal mesothelioma $45.8 mesothelioma cure $45.8 business liability insurance quote $45.42 insurance quotes com $45.01 mesothelioma cancer $44.95 mesothelioma surgery $44.9 mesothelioma lung cancer $44.84 accident attorney los angeles $44.83 personal injury lawyers nyc $44.83 mesothelioma symptom $44.52 truck accident lawyers $44.03 online auto insurance quotes $44.02 mesothelioma disease $44.01 mesothelioma causes $43.89 mesothelioma doctors $43.86 loan consilidation $43.84 select quote insurance $43.73 personal injury attorney portland $43.49 accident attorney san diego $43.49 quotes on car insurance $43.43 auto accident attorney ohio $43.4 free auto insurance quotes $43.23 insurance comparison quotes $43.18 asbestos cancer mesothelioma $43.18 mesothelioma and asbestos $42.98 student loan consolidation $42.88 accident attorney chicago $42.86 accident compensation claim $42.65 car insurance rate quotes $42.51 california personal injury attorney $42.49 accident injury lawyers $42.49 oregon personal injury attorney $42.49 accident at work $42.34 sacramento personal injury attorney $42.23 mesothelioma asbestos $42.2 atlanta auto accident attorney $42.15 car insurance quotes $42.15 car insurance quotes $42.15 car insurance quotes $41.95 baltimore car accident attorney $41.89 seattle personal injury attorney $41.82 instant car insurance quote $41.77 symptoms of mesothelioma $41.59 mesothelioma lawsuit $41.39 mesothelioma cancer treatment $41.39 auto insurance quotes fast $41.34 san diego auto accident attorney $41.09 what is mesothelioma $40.9 treatments for mesothelioma $40.7 dui defense lawyers $40.66 san diego dui $40.63 dwi attorney $40.63 dwi attorney $40.62 quote for car insurance $40.56 motorcycle accident lawyers $40.1 home equity line of credit $40.1 home equity line of credit $40.08 insurance price quotes $39.98 mesothelioma exposure $39.81 life insurance quotes $39.81 life insurance quotes $39.81 life insurance quotes $39.78 criminal lawyers new york $39.72 accident lawyers los angeles $39.54 atlanta car accident attorney $39.52 mesothelioma symptoms $39.48 asbestos lawyer mesothelioma $39.37 personal injury claims $39.34 accident attorney atlanta $39.32 loan federal consolidation $39.29 life insurance quotes online 39.23 refinancing $39.06 dui attorneys $39.06 dui attorneys $38.99 minnesota personal injury attorney $38.99 mesothelioma asbestosis $38.87 century insurance $38.75 injury claims $38.72 equity line of credit $38.72 equity line of credit $38.52 mesothelioma settlements $38.51 on line car insurance quote $38.47 select quote life insurance $38.41 desmoplastic mesothelioma $38.38 auto insurance quote $38.38 auto insurance quote $38.38 auto insurance quote $38.24 instant auto insurance quote $37.99 chicago personal injury attorney $37.96 lasik eye surgery new york city $37.95 personal injury los angeles $37.76 virginia personal injury lawyers 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$37.03 work accident $37 2nd mortgage $37 2nd mortgage $36.95 online insurance quotes $36.95 insurance quotes online $36.91 greensboro personal injury lawyers $36.89 south florida personal injury lawers $36.76 colorado personal injury attorney $36.7 florida personal injury attorney $36.7 online homeowners insurance quotes $36.63 dui defense lawyer $36.34 new york car accident attorney $36.34 term life insurance quotes $36.33 compare auto insurance quotes $36.29 dwi lawyer $36.2 mesothelioma clinical trials $36.19 houston personal injury attorney $36.19 personal injury attorney new york city $36.17 personal injury lawyer minnesota $36.05 auto insurance
$36.05 auto insurance $36 accident attorney albuquerque $35.9 free car insurance quote $35.86 medical malpractice ohio $35.86 pennsylvania medical malpractice attorney $35.79 mesothelioma staging $35.71 automobile insurance quote $35.7 accident attorney new york $35.4 loan consolidating $35.36 texas dwi $35.35 georgia personal injury attorney $35.34 dui defense attorney $35.34 commercial insurance quote $35.33 tax attorney $35.22 houston accident lawyers $35.18 injury at work $35.15 home equity loans $35.15 home equity loans $35.15 home equity loans $34.9 automobile accident attorney $34.86 auto accident attorneys $34.82 mesothelioma cancers
$34.81 instant auto insurance quotes $34.8 home equity loan rates $34.79 home owners insurance quotes $34.71 home equity line $34.65 accident attorneys $34.53 personal injury attorneys $34.53 compensation solicitors $34.52 car accident los angeles $34.49 motorcycle accident attorney $34.43 baltimore auto accident attorney $34.4 houston personal injury lawyers $34.39 florida accident lawyers $34.38 automobile insurance quotes $34.37 term insurance quotes $34.35 car accident attorney $34.35 car accident attorney $34.35 car accident attorney $34.28 injury claim $34.26 instant car insurance quotes $34.23 dui attorney $34.23 dui attorney
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For a typical blogger or website owner, we make money when someone clicks on one of the Google Ads on our site, or per 1000 impressions of the AdSense links. For most of us, we already know how hard it is to get people to click on these links and even if they do, sometimes the chosen ads are low paying ones because of the keywords used on our page.
So to help maximize profits, here is a list of 101 high paying Google AdSense words you can try and use to target the keywords in your content to. It is assuming that as the website owner, you will receive roughly 50% of the total cost per click (CPC) that Google charges its advertisers, but you should check this with Google to find out the actual value (if they'll tell you). N Keyword CPC 1 AdWords $9.41 2 available domain name $12.97 3 addwords $10.92 4 AdWords campaign $14.63 5 AdSense $12.43 6 buy domains $8.84 7 buy domain name $17.10 8 bachelor degree on line $14.36 9 best webhost $8.68 10 bulk email marketing $11.77 11 bankruptcy $5.72 12 cheap domain name $9.16 13 car insurance $22.89 14 credit cards $10.93 15 crm software $15.96 16 car loans $11.79 17 construction estimating software $5.80 18 domain names $17.57 19 debt $13.18 20 degree education on line $12.44 21 dell computer $5.79 22 degree $6.37 23 debt management $7.15 24 database software $3.13 25 email marketing $13.24 26 ecommerce hosting $11.81 27 education degree online $14.69 28 earn money online $3.04 29 free domain name registration $5.81 30 free credit report $9.57 31 flowers $4.83 32 financing $4.50 33 gas prices compare $6.19 34 google news $2.07 35 graphic design degree $12.58 36 graduate degree program $7.93 37 hosting providers $14.25 38 how to get a web site $5.83 39 hp computer $7.52 40 interest credit $15.53 41 insurances $17.67 42 interior design degree $14.17 43 java software $1.69 44 keyword tracking $4.37 45 knee support $1.57 46 life experience degree $8.36 47 lung cancer treatment $6.10 48 loans $9.86 49 merchant account $10.55 50 microsoft certification $4.88 51 mba degree online $15.78 52 master degree on line $11.51 53 marketing software $8.28 54 network monitoring software $11.45 55 nursing degree $8.81 56 norton anti virus software $4.01 57 Norton virus protection $3.85 58 online accounting degree $27.50 59 online paralegal degree $19.45 60 online degree $13.74 61 online psychology degree $20.78 62 online college degree $14.10 63 payroll software $7.95 64 pay per click $8.18 65 personal domain name $10.26 66 project management software $10.80 67 quicken $3.46 68 quick money $3.32 69 register domain $9.03 70 register domain name $8.31 71 register a website $10.47 72 register url $8.69 73 student credit card $10.54 74 survey software $9.51 75 scheduling software $7.60 76 shopping cart software $5.23 77 travel insurance $6.76 78 tax software $6.89 79 teaching degree $12.72 80 turbo tax $5.47 81 University Degrees Online $10.98 82 unlimited web hosting $8.31 83 university degrees $5.68 84 undergraduate degree $4.71 85 voip phone system $9.57 86 visa credit card $11.83 87 voip billing software $8.21 88 virus protection $5.58 89 website domain names $12.65 90 web domain name $10.62 91 web host rating $9.75 92 web site register $13.04 93 web hosting $13.03 94 web design software $2.57 95 web space provider $6.62 96 yahoo domain $7.70 97 yellow page advertising $6.56 98 yahoo domain name $9.00 99 your site $2.57 100 zire pda $2.16 101 zenith television $1.55
NB: The dollar values were correct at time of publication; please recheck keywords using Google's Keyword Tool for the most up to date values.
Hey! Isn’t it great that your internet connection can replace your normal phone and even facilitates you for voice and even video messaging along with web browsing and email?
Don’t wonder it is possible and accessible with Voip Phone Service. New service name VoIP stands for ‘Voice over Internet Protocol’ can give you an internet based telephone rather than a regular phone line.
Voice over Internet Protocol, VoIP is the routing of voice conversations over the Internet or through any other IP-based network. Companies providing VoIP phone or internet phone service are commonly referred to as providers, and protocols which are used to carry voice signals over the IP network are commonly referred to as Voice over IP or VoIP protocols. They may be viewed as commercial realizations of the experimental Network Voice Protocol (1973) invented for the ARPANET providers. Some cost savings are due to utilizing a single network, to carry voice and data, especially where users have existing under utilized network capacity that can carry VoIP at no additional cost.
VoIP services convert your voice into a digital signal that travels over the Internet. If you are calling a regular phone number, the signal is converted to a regular telephone signal before it reaches the destination. VoIP can allow you to make a call directly from a computer, a special VoIP phone, or a traditional phone connected to a special adapter. In addition, wireless hot spots in locations such as airports, parks, and cafes allow you to connect to the Internet and may enable you to use VoIP service wirelessly.
VoIP phone service can facilitate tasks that may be more difficult to achieve using traditional phone services:
• Incoming phone calls can be automatically routed to your VoIP phone, regardless of where you are connected to the network. Take your VoIP phone with you on a trip, and wherever you connect to the Internet, you can receive incoming calls. • You talk as long as you want and still you get exactly the same phone bill every month. Unlimited long distance plans paid yearly or monthly with a VOIP phone company can save you 30% or more on your phone bill. • VoIP is location independent, only an internet connection is needed to get a connection to a VoIP provider; for instance call center agents using VoIP phones can work from anywhere with a sufficiently fast and stable Internet connection. • VoIP phones can integrate with other services available over the Internet, including video conversation, message or data file exchange in parallel with the conversation, audio conferencing, managing address books and passing information about whether others are available online to interested parties. • Saving up to 30% on your phone bill and still use the same phone and phone number you already have is another is tempting feature by the VoIP. Most VOIP phone companies let you keep your existing number if you want. So making and receiving calls works the same way it always has. • Another very exciting feature of this VoIP phone service is simultaneous ring, sometimes just considered part of call forwarding. If you set up the VoIP number to ring your mobile phone simultaneously and disable your VoIP voice mail. You give friends only your home phone number. When they call both your home phone(s) and your cell phone will ring. If you pick up the home phone, the cell phone stops ringing. If you're at a friend's house and pick up your cell phone, the home phone stops ringing. If you're out flying a helicopter and have the cell turned off or don't answer it, eventually the call will be answered by the mobile phone company's voice mail system. This characteristic was not available until 2005 but now you have access on it. • VoIP phone service now has the ability to get connect with emergency call 911. This feature is recently installed by the companies.
There are other very exciting features available with this VoIP phone service. Many phone companies have invested a lot in their own system; try to take the pain out of long distance and international calling. Companies providing this voip phone service is big in number but none of the company is good enough to facilitate the customer completely.
Over the past five years it has become increasingly difficult to keep an overview of all the worldwide operating VoIP services or Broadband phone providers. New VoIP / Broadband phone VoIP services are launching almost on a weekly basis and it has become almost impossible to compare PC to Phone and Broadband Phone service providers without weeks and weeks of time consuming research. Each VoIP provider proclaims to have the best service and the cheapest local, long distance or international VoIP phone rates, but the differences are still substantial (up to 1000%), although in most cases the VoIP services are cheaper than most traditional telephone companies (PSTN). Choosing the right Voice over IP service for your specific need and calling pattern, especially if you make regular international calls can save you a small fortune every month.
Mesothelioma is a rare form of cancer in which malignant(cancerous) cells are found in the mesothelium, a protective sac that covers most of the body's internal organs. Most people who develop mesothelioma have worked on jobs where they inhaled asbestos particles.
·What is the mesothelium?
The mesothelium is a membrane that covers and protects most of the internal organs of the body. It is composed of two layers of cells: One layer immediately surrounds the organ; the other forms a sac around it. The mesothelium produces a lubricating fluid that is released between these layers, allowing moving organs (such as the beating heart and the expanding and contracting lungs) to glide easily against adjacent structures.
The mesothelium has different names, depending on its location in the body. The peritoneum is the mesothelial tissue that covers most of the organs in the abdominal cavity. The pleura is the membrane that surrounds the lungs and lines the wall of the chest cavity. The pericardium covers and protects the heart. The mesothelial tissue surrounding the male internal reproductive organs is called the tunica vaginalis testis. The tunica serosa uteri covers the internal reproductive organs in women.
·What is mesothelioma?
Mesothelioma (cancer of the mesothelium) is a disease in which cells of the mesothelium become abnormal and divide without control or order. They can invade and damage nearby tissues and organs. Cancer cells can also metastasize (spread) from their original site to other parts of the body. Most cases of mesothelioma begin in the pleura or peritoneum.
·How common is mesothelioma?
Although reported incidence rates have increased in the past 20 years, mesothelioma is still a relatively rare cancer. About 2,000 new cases of mesothelioma are diagnosed in the United States each year. Mesothelioma occurs more often in men than in women and risk increases with age, but this disease can appear in either men or women at any age.
Working with asbestos is the major risk factor for mesothelioma. A history of asbestos exposure at work is reported in about 70 percent to 80 percent of all cases. However, mesothelioma has been reported in some individuals without any known exposure to asbestos.
Asbestos is the name of a group of minerals that occur naturally as masses of strong, flexible fibers that can be separated into thin threads and woven. Asbestos has been widely used in many industrial products, including cement, brake linings, roof shingles, flooring products, textiles, and insulation. If tiny asbestos particles float in the air, especially during the manufacturing process, they may be inhaled or swallowed, and can cause serious health problems. In addition to mesothelioma, exposure to asbestos increases the risk of lung cancer, asbestosis (a noncancerous, chronic lung ailment), and other cancers, such as those of the larynx and kidney.
Smoking does not appear to increase the risk of mesothelioma. However, the combination of smoking and asbestos exposure significantly increases a person's risk of developing cancer of the air passageways in the lung.
Symptoms of mesothelioma may not appear until 30 to 50 years after exposure to asbestos. Shortness of breath and pain in the chest due to an accumulation of fluid in the pleura are often symptoms of pleural mesothelioma. Symptoms of peritoneal mesothelioma include weight loss and abdominal pain and swelling due to a buildup of fluid in the abdomen. Other symptoms of peritoneal mesothelioma may include bowelobstruction, blood clotting abnormalities, anemia, and fever. If the cancer has spread beyond the mesothelium to other parts of the body, symptoms may include pain, trouble swallowing, or swelling of the neck or face.
These symptoms may be caused by mesothelioma or by other, less serious conditions. It is important to see a doctor about any of these symptoms of mesothelioma. Only a doctor can make a diagnosis.
·How is mesothelioma diagnosed?
Diagnosing mesothelioma is often difficult, because the symptoms are similar to those of a number of other conditions. Diagnosis begins with a review of the patient's medical history, including any history of asbestos exposure. A complete physical examination may be performed, including x-rays of the chest or abdomen and lung function tests. A CT (or CAT) scan or an MRI may also be useful. A CT scan is a series of detailed pictures of areas inside the body created by a computer linked to an x-ray machine. In an MRI, a powerful magnet linked to a computer is used to make detailed pictures of areas inside the body. These pictures are viewed on a monitor and can also be printed.
A biopsy is needed to confirm a diagnosis of mesothelioma. In a biopsy, a surgeon or a medical oncologist (a doctor who specializes in diagnosing and treating cancer) removes a sample of tissue for examination under a microscope by a pathologist. A biopsy may be done in different ways, depending on where the abnormal area is located. If the cancer is in the chest, the doctor may perform a thoracoscopy. In this procedure, the doctor makes a small cut through the chest wall and puts a thin, lighted tube called a thoracoscope into the chest between two ribs. Thoracoscopy allows the doctor to look inside the chest and obtain tissue samples. If the cancer is in the abdomen, the doctor may perform a peritoneoscopy. To obtain tissue for examination, the doctor makes a small opening in the abdomen and inserts a special instrument called a peritoneoscope into the abdominal cavity. If these procedures do not yield enough tissue, more extensive diagnostic surgery may be necessary.
If the diagnosis is mesothelioma, the doctor will want to learn the stage (or extent) of the disease. Staging involves more tests in a careful attempt to find out whether the cancer has spread and, if so, to which parts of the body. Knowing the stage of the disease helps the doctor plan treatment.
Mesothelioma is described as localized if the cancer is found only on the membrane surface where it originated. It is classified as advanced if it has spread beyond the original membrane surface to other parts of the body, such as the lymph nodes, lungs, chest wall, or abdominal organs.
·How is mesothelioma treated?
Treatment for mesothelioma depends on the location of the cancer, the stage of the disease, and the patient's age and general health. Standard treatment options include surgery, radiation therapy, and chemotherapy. Sometimes, these treatments are combined for mesothelioma.
Surgery is a common treatment for mesothelioma. The doctor may remove part of the lining of the chest or abdomen and some of the tissue around it. For cancer of the pleura (pleural mesothelioma), a lung may be removed in an operation called a pneumonectomy. Sometimes part of the diaphragm, the muscle below the lungs that helps with breathing, is also removed.
Radiation therapy, also called radiotherapy, involves the use of high-energy rays to kill cancer cells and shrink tumors. Radiation therapy affects the cancer cells only in the treated area. The radiation may come from a machine (external radiation) or from putting materials that produce radiation through thin plastic tubes into the area where the cancer cells are found (internal radiation therapy).
Chemotherapy is the use of anticancer drugs to kill cancer cells throughout the body. Most drugs used to treat mesothelioma are given by injection into a vein (intravenous, or IV). Doctors are also studying the effectiveness of putting chemotherapy directly into the chest or abdomen (intracavitary chemotherapy).
To relieve symptoms and control pain, the doctor may use a needle or a thin tube to drain fluid that has built up in the chest or abdomen. The procedure for removing fluid from the chest is called thoracentesis. Removal of fluid from the abdomen is called paracentesis. Drugs may be given through a tube in the chest to prevent more fluid from accumulating. Radiation therapy and surgery may also be helpful in relieving symptoms.