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Malignant pleural mesothelioma which first develops in the linings of the lungs is the only type of mesothelioma that can be more easily defined by specific staging systems.

Control of asbestos regulations 2012. The next most common areas are the kidneys and adrenal glands which sit on the top of the kidneys both occurring in about 30 of cases. According to one of the most used staging systems the tumor node metastasis tnm system metastasis has largely occurred when the disease has advanced to stage 3 or stage 4 though patients may seem some local spreading even by stage 2. The most common site of metastasis for pleural mesothelioma is the liver occurring in 559 of late stage metastatic patients.

Pleural mesothelioma patients often display a sheath like formation of tumors across one lung as it first develops which can then easily spread across the pleural cavity. Patients diagnosed with pleural mesothelioma most commonly have the epithelioid cell type. Epithelial cells are known to quickly divide and grow but are slower to metastasize because the cancer cells tend to stick together.

Metastatic pleural mesothelioma for many years doctors considered pleural mesothelioma a localized disease with limited ability to metastasize to other parts of the body. Pleural metastases are generally associated with metastatic adenocarcinoma and are frequently associated with tumors of the lung breast pancreas and stomach. In this case the conjunctiva was the only extrathoracic site for metastasis.

However a 2012 postmortem study of 318 mesothelioma patients from australia and england revealed that 554 of them had metastases to distant sites.

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