How To Solve Issues Related To Mesothelioma Asbestos: Difference between revisions

Created page with "Mesothelioma<br><br>Mesothelioma is a cancer that grows in the lining of organs including the lungs (pleura) and abdomen. It's typically caused by exposure to asbestos, which is a group of minerals that are made of microscopic fibres.<br><br>It can take between 20 to 60 years after exposure for mesothelioma to begin to show signs. X-rays and blood tests can aid in diagnosing mesothelioma, well as reveal how far it has spread.<br><br>Pleural Mesothelioma<br><br>Pleural Me..."
 
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Mesothelioma<br><br>Mesothelioma is a cancer that grows in the lining of organs including the lungs (pleura) and abdomen. It's typically caused by exposure to asbestos, which is a group of minerals that are made of microscopic fibres.<br><br>It can take between 20 to 60 years after exposure for mesothelioma to begin to show signs. X-rays and blood tests can aid in diagnosing mesothelioma, well as reveal how far it has spread.<br><br>Pleural Mesothelioma<br><br>Pleural Mesothelioma is caused by malignant cells which develop in the lining of the lungs. The pleura is a two-layered tissue that surrounds many organs. The cancerous pleural msothelioma of the pleura commonly located in the lungs, or the chest wall. It can trigger symptoms like a shortness of breathe chest pain, shortness of breath, and breathing difficulties.<br><br>Asbestos is the primary cause of pleural msothelioma. When asbestos fibers in the air are inhaled, they may travel through the throat and into the lungs, which could cause damage to the lining. This could cause scarring and inflammation, which could cause changes that result in out-of-control cell growth.<br><br>Some people exposed to asbestos may not notice symptoms until years after their initial exposure. This is due to the fact that mesothelioma can take several years or more to develop. People diagnosed with the disease usually are men. Those who are assigned male at birth or older adults who worked for a long time in industries that used large amounts of asbestos before it was regulated or served in the military, particularly in the Navy.<br><br>The symptoms vary depending on the location of the tumor and are usually caused by an increase in pressure or swelling around the affected lung. The symptoms may include coughing, back or chest pains, unexplained weight loss, and fatigue. X-rays or CT or MRIs can be used to diagnose to rule out any other conditions that could be causing similar symptoms. When pleural asbestosis is discovered, doctors will assess the stage of the cancer to determine the best treatment options.<br><br>The staging system is established by the International Mesothelioma Interest Group. The first step to determine the stage is to perform an in-person biopsy and looking over the medical history of the patient. X-rays or a chest MRI are also used to determine if there are tumors, or other abnormalities that could be indicative of mesothelioma.<br><br>There are three types of mesothelioma. They can be classified according to the type of cells they form: Epithelioid Mesothelioma is the most common malignant mesothelioma (60 to 80 percent of cases). It is less difficult to treat when compared to other kinds. Sarcomatoid [http://q.044300.net/home.php?mod=space&uid=504970 mesothelioma lawsuits] It is the second most frequent type of mesothelioma (10 15% to 15% of cases). It is more difficult to treat than epithelioid mesothelioma.<br><br>Peritoneal Mesothelioma<br><br>Peritoneal mesothelioma develops in the abdominal cavity's lining (peritoneum). It is less common than mesothelioma of the pleural region. Like all mesotheliomas the cause of peritoneal cancer is asbestos exposure. This type of mesothelioma is more likely to be caused by ingesting than inhalation, unlike the pleural. This kind of mesothelioma is more common in women than men and can be found in older people.<br><br>Mesothelioma can take a long time to manifest symptoms and the non-specific nature of its earliest stages makes it difficult to diagnose. However, mesothelioma experts are able to recognize the illness. Detailed patient histories, as well as imaging and blood tests can aid doctors in making a mesothelioma diagnosis.<br><br>A doctor will employ the TNM system to determine the stage of cancer following a mesothelioma diagnosis. This system of staging outlines how the tumors are spreading and affects the treatment options. The lower the stage, the greater treatment options available.<br><br>It can be difficult to recognize peritoneal Msothelioma because it is so uncommon. The symptoms of this condition are similar to those of other diseases that affect the digestive tract and abdomen, including abdominal discomfort, fever and weight loss. For this reason, patients who have unexplained symptoms should consult a doctor.<br><br>Doctors will begin by conducting a physical exam and performing basic blood tests. If these tests show the possibility of having a cancer, an oncologist will conduct more thorough diagnostic tests, like biopsies. This will provide an accurate image of a person's health and reveal any mesothelioma-related symptoms.<br><br>Asbestos is the primary cause of mesothelioma. The exposure to asbestos is usually at work, but it can also occur in the home or at schools. Asbestos can be dangerous if it is exposed for a long period of time. Mesothelioma can develop when asbestos dust or asbestos particles get into the body and cause irritation or inflammation. As time passes, the irritation and inflammation can cause cells to change into cancerous cells and form tumors. The cancerous tissue that results can then infiltrate and attack other tissues within the body which can cause symptoms such as abdominal pain, fever, weight loss and swelling.<br><br>Cardiovascular Mesothelioma<br><br>Pericardial mesothelioma is a rare type of cancer that affects the heart's lining, or the pericardium. This type of mesothelioma accounts for less than 1% of [https://www.longisland.com/profile/bottomfood59 mesothelioma lawyers]. It is also difficult to diagnose because of the similar symptoms that heart disease sufferers experience. This is why many people receive a diagnosis of heart disease before doctors can confirm that they have mesothelioma of the pericardium.<br><br>As with other types of mesothelioma, pericardial mesothelioma can be caused by exposure to asbestos. It is thought that asbestos fibers get into the pericardium through the bloodstream. These fibers can then travel to other organs such as the heart. Pericardial Mesothelioma typically occurs in the outer layer, however, it can also be found in its inner layer. Pericardial mesothelioma has a poorer prognosis than other types of [https://dokuwiki.stream/wiki/Searching_For_Inspiration_Check_Out_Mesothelioma_Compensation_For_Family_Members mesothelioma lawyers].<br><br>Symptoms of pericardial mesothelioma include chest pain, breathing difficulties and fatigue. It is crucial that patients undergo a thorough medical examination because this rare form of mesothelioma can be found in very few. If they have any previous history of exposure to asbestos, it is crucial to tell their doctor.<br><br>The first step in the diagnosis of mesothelioma is usually the CT scan or echocardiogram. These tests can reveal the accumulation of fluid around the heart as well as visible pericardial tumours. If these tests indicate mesothelioma in the body, doctors can carry out additional procedures to confirm the diagnosis. This could include a biopsy or radiation.<br><br>A mesothelioma biopsies is an procedure in which a small piece of tissue is removed from the affected area and then examined under microscope. This will aid doctors in determining the type of mesothelioma and the stage of the disease.<br><br>Patients suffering from mesothelioma are treated in cancer centers and special hospitals across the country. Treatment options for mesothelioma include chemo, surgery, and radiation. In some cases, victims are eligible for free or reduced-cost health care through the Department of Veterans Affairs. For victims of mesothelioma, this financial assistance is vital to make treatment more accessible. Contact a VA-approved mesothelioma lawyer; [https://wuyuebanzou.com/home.php?mod=space&uid=1279240 go to the website], to learn more about the benefits you can avail.<br><br>Reproductive Mesothelioma<br><br>Mesothelioma may develop in organ linings in the abdomen or chest. It can also grow in the tissue of the heart (pericardium) and testicles. The risk for men is higher than women for reasons that are not known. Asbestos exposure is the main risk factor. Symptoms usually do not appear until decades after exposure.<br><br>Mesothelioma is more common for those exposed to asbestos while at work. In the majority of instances chest pains or persistent cough are the primary symptoms. Mesothelioma can be misdiagnosed because these symptoms are similar to other lung disorders. Once diagnosed, the patient may undergo a series of tests to determine how far the cancer spreads and its stage.<br><br>These tests can include blood and imaging scans which include X-rays as well as CT scans. A biopsy can be taken by a mesothelioma specialist to confirm the diagnosis. The biopsy may be carried out by using a core needle or laparoscopically. The biopsy should be carried out by a specialist in peritoneal mesothelioma. General medical oncologists aren't qualified to recognize peritoneal msothelioma and may misdiagnose it.<br><br>The results of a mesothelioma test will help doctors determine the best treatment plan. The treatment you receive will depend on the extent to which the cancer has spread and your general health. It is typically possible to treat symptoms and treatments include draining fluid from the lungs, chemotherapy, radiation, and surgery.<br><br>The majority of mesothelioma types can be treated with chemotherapy. These medications can also cause harm to healthy cells. They can cause damage to the ovarian tissue, which can impact fertility. This is especially true for peritoneal [http://istartw.lineageinc.com/home.php?mod=space&uid=3248677 mesothelioma lawsuit] that occurs in the region surrounding reproductive organs.<br><br>The type and severity of mesothelioma you have, aswell as your general health and age will affect how quickly the cancer is treated and the prognosis. In the UK approximately 2700 people are diagnosed mesothelioma every year. It is common for the disease to occur in the lining of the lungs (pleura) but it can also develop in the linings of the tummy (peritoneum) and, less commonly, around the heart or testicles.
Mesothelioma<br><br>Mesothelioma is a cancerous growth that develops in the linings of organs such as the lungs and abdomen (pleura), is caused by exposure to asbestos. It is usually caused by exposure to asbestos, which is a group of minerals made of microscopic fibres.<br><br>It could take between 20 and 60 years after exposure before mesothelioma starts to show up. X-rays and blood tests can aid in diagnosing mesothelioma, well as reveal how far it has been able to spread.<br><br>Pleural Mesothelioma<br><br>Pleural Mesothelioma is caused by malignant cells which develop in the lung's lining. Pleura is a double layer of tissue that covers the majority of organs. Cancerous pleural [http://www.stes.tyc.edu.tw/xoops/modules/profile/userinfo.php?uid=2204791 mesothelioma attorneys] most often affects the lungs and chest wall, which can cause symptoms such as shortness of breath and chest pain or breathing difficulties.<br><br>Asbestos is the most significant cause of pleural msothelioma. When airborne asbestos fibers are inhaled, they can travel through the throat and into the lungs where they can damage the lining. This could cause scarring and inflammation, which may cause changes that lead to out-of-control cell growth.<br><br>Certain asbestos-exposures might not exhibit symptoms for years after exposure. Mesothelioma could take a few years to develop. Men and people born male are more likely to be diagnosed with mesothelioma. Other common diagnoses include older adults working in industries that employed asbestos in large quantities prior to when it was controlled or served in the Navy.<br><br>The symptoms can vary based on the location of the tumor. They are usually caused by an increase in pressure or swelling near the affected lung. These symptoms include fatigue undiagnosed chest pain, weight loss, and back pain. X-rays, CT or MRI scans can be used to determine the cause of other ailments that could cause similar symptoms. If pleural asbestosis is identified, doctors will assess the stage of cancer to determine the best treatment options.<br><br>The International Mesothelioma Interest Group has developed the staging system. The first step in determining the stage of the disease is to perform an examination of the medical records of the patient. X-rays or chest MRI are also used to determine if there is any tumors, or other abnormalities that could indicate [https://www.dermandar.com/user/selectcrab30/ mesothelioma lawsuit].<br><br>There are three kinds of mesothelioma. They can be classified based on what type of cells form: Epithelioid Mesothelioma is the most commonly malignant mesothelioma (60 to 80 percent of cases). It is usually less difficult to treat than other types. Sarcomatoid Mesothelioma is the second-most frequent type of mesothelioma (between 10 15% and 10% of cases). It is more difficult to treat than epithelioid mesothelioma.<br><br>Peritoneal Mesothelioma<br><br>Peritoneal mesothelioma forms in the lining of the abdominal cavity (peritoneum). It is less prevalent than pleural mesothelioma. Like all mesothelioma forms, peritoneal mesothelioma stems from asbestos exposure. However unlike pleural mesothelioma people are more likely to develop this form of mesothelioma by ingesting asbestos fibers rather than inhaling them. This form of mesothelioma occurs more common in women than men and is more prevalent in older individuals.<br><br>Mesothelioma can take decades to show symptoms, and the nonspecific nature of its earliest stages makes it difficult to determine the cause. Experts in mesothelioma know how to recognize the disease. Doctors can identify mesothelioma using detailed patient histories and blood and imaging tests.<br><br>A doctor will use the TNM system to determine the stage of cancer following an mesothelioma diagnosis. This staging system describes how the tumors are spreading and influences treatment options. The lower the stage, the greater treatment options available.<br><br>Since peritoneal mesothelioma can be so rare, it is hard to recognize. This condition may present symptoms that are similar to other diseases that affect the gastrointestinal tract and abdomen, such as abdominal pain, fever and weight loss. Patients who experience symptoms that are not clear are advised to consult an expert.<br><br>Doctors will start by conducting a physical exam and taking basic blood tests. If these tests indicate a possible disease, an oncologist can conduct more thorough diagnostic tests, like biopsies. This will give an accurate image of a person's health and will identify any possible mesothelioma symptoms.<br><br>Asbestos is the primary cause of mesothelioma. Asbestos exposure can occur in the workplace, but also at home or at school. Asbestos is the most hazardous if it is exposed for a prolonged period of time. Mesothelioma can form when asbestos dust or asbestos particles enter the body, causing irritation or inflammation. Over time inflammation and irritation could cause cells to change and turn cancerous. The cancerous tissue that has been created can later infiltrate other tissues and cause symptoms like abdominal discomfort, fever, weight gain and swelling.<br><br>Cardiovascular [https://www.dermandar.com/user/jutedinner54/ mesothelioma lawyer]<br><br>Pericardial mesothelioma, a rare cancer, that affects the heart's lining or the pericardium. This kind of mesothelioma accounts for less than 1% of all mesothelioma cases, and is among the most difficult to identify because the symptoms are similar to those of heart disease. Many patients are diagnosed with heart disease before doctors can confirm they are suffering from pericardial msothelioma.<br><br>Like other types of mesothelioma the pericardial mesothelioma may be caused by exposure to asbestos. Asbestos fibers are believed to enter the pericardium via the bloodstream. The fibers be transported to other organs, such as the heart. Pericardial Mesothelioma usually occurs in the outer layer but it may also occur in its inner layer. Pericardial mesothelioma has a worse prognosis than other forms of mesothelioma.<br><br>The symptoms of fatigue, chest pain and difficulty breathing are the main symptoms of pericardial mesothelioma. Because of the rarity of this type of mesothelioma, it is especially important for victims to have a thorough medical examination. It is essential that patients tell their doctor if they have had an asbestos-related exposure.<br><br>A CT scan or an echocardiogram is typically the first step to diagnose mesothelioma. These tests can reveal an accumulation of fluid around the heart as well as visible pericardial tumours. If these tests show mesothelioma, doctors can perform additional procedures to confirm the diagnosis. These include a biopsy or radiation.<br><br>A mesothelioma biopsies procedure is an procedure in which a small piece of tissue is taken from the area affected and then examined under the microscope. This helps doctors determine the type of mesothelioma and the stage of the disease.<br><br>Patients suffering from mesothelioma are treated in cancer centers and special hospitals across the country. Based on the type of mesothelioma that is being treated, options for treatment could include surgery, chemotherapy and radiation. In some instances, patients can qualify for free or reduced-cost health care through the Department of Veterans Affairs. This financial aid is essential for mesothelioma victims to help make treatment more affordable. Contact a VA-approved [http://ckxken.synology.me/discuz/home.php?mod=space&uid=272948 mesothelioma attorney] to find out more about the benefits you can avail.<br><br>Reproductive Mesothelioma<br><br>Mesothelioma may develop in the linings of organs in the chest or abdomen. It can also develop in the lining surrounding the testicles and the heart (pericardium and tunica vaginalis). It is more prevalent in men than women, although the reason is not known. Asbestos exposure is the main risk factor. Symptoms usually do not appear until several decades after exposure.<br><br>Mesothelioma is more prevalent in people exposed to asbestos during work. In the majority of cases, mesothelioma's first sign is an ongoing cough or chest pains. Mesothelioma is often misdiagnosed since these symptoms are similar to other lung conditions. After being diagnosed, patients will undergo a series of tests to determine how far the cancer has spread and the stage.<br><br>These tests may involve imaging scans such as X-rays or CT scans. The mesothelioma specialist can also take a biopsy of the affected area to confirm the diagnosis. The biopsy may be carried out with a needle core or laparoscopically. The biopsy should be performed by a peritoneal-mesothelioma expert. General medical oncologists don't have the expertise to diagnose peritoneal mesothelioma and could misdiagnose the condition.<br><br>The results of the mesothelioma test will aid doctors in determining the best treatment plan for you. Treatment will depend on the severity of the cancer and your general health. It is often possible to manage symptoms and treatments may include draining the lungs of fluid, chemotherapy, radiation, and surgery.<br><br>The majority of mesothelioma types can be treated with chemotherapy. These medications can also harm healthy cells. They can cause damage to the ovarian tissues, and this could impact fertility. This is particularly the case with peritoneal asbestosis which affects the area around the reproductive organs.<br><br>The type and severity of mesothelioma you have, as well as your age and general health will affect how quickly the cancer is treated and the prognosis. Around 2700 people in the UK are diagnosed with mesothelioma each year. The disease is most commonly found in the linings around the abdomen and lungs (peritoneum) however it can also manifest around the testicles and heart.

Revision as of 19:07, 24 December 2024

Mesothelioma

Mesothelioma is a cancerous growth that develops in the linings of organs such as the lungs and abdomen (pleura), is caused by exposure to asbestos. It is usually caused by exposure to asbestos, which is a group of minerals made of microscopic fibres.

It could take between 20 and 60 years after exposure before mesothelioma starts to show up. X-rays and blood tests can aid in diagnosing mesothelioma, well as reveal how far it has been able to spread.

Pleural Mesothelioma

Pleural Mesothelioma is caused by malignant cells which develop in the lung's lining. Pleura is a double layer of tissue that covers the majority of organs. Cancerous pleural mesothelioma attorneys most often affects the lungs and chest wall, which can cause symptoms such as shortness of breath and chest pain or breathing difficulties.

Asbestos is the most significant cause of pleural msothelioma. When airborne asbestos fibers are inhaled, they can travel through the throat and into the lungs where they can damage the lining. This could cause scarring and inflammation, which may cause changes that lead to out-of-control cell growth.

Certain asbestos-exposures might not exhibit symptoms for years after exposure. Mesothelioma could take a few years to develop. Men and people born male are more likely to be diagnosed with mesothelioma. Other common diagnoses include older adults working in industries that employed asbestos in large quantities prior to when it was controlled or served in the Navy.

The symptoms can vary based on the location of the tumor. They are usually caused by an increase in pressure or swelling near the affected lung. These symptoms include fatigue undiagnosed chest pain, weight loss, and back pain. X-rays, CT or MRI scans can be used to determine the cause of other ailments that could cause similar symptoms. If pleural asbestosis is identified, doctors will assess the stage of cancer to determine the best treatment options.

The International Mesothelioma Interest Group has developed the staging system. The first step in determining the stage of the disease is to perform an examination of the medical records of the patient. X-rays or chest MRI are also used to determine if there is any tumors, or other abnormalities that could indicate mesothelioma lawsuit.

There are three kinds of mesothelioma. They can be classified based on what type of cells form: Epithelioid Mesothelioma is the most commonly malignant mesothelioma (60 to 80 percent of cases). It is usually less difficult to treat than other types. Sarcomatoid Mesothelioma is the second-most frequent type of mesothelioma (between 10 15% and 10% of cases). It is more difficult to treat than epithelioid mesothelioma.

Peritoneal Mesothelioma

Peritoneal mesothelioma forms in the lining of the abdominal cavity (peritoneum). It is less prevalent than pleural mesothelioma. Like all mesothelioma forms, peritoneal mesothelioma stems from asbestos exposure. However unlike pleural mesothelioma people are more likely to develop this form of mesothelioma by ingesting asbestos fibers rather than inhaling them. This form of mesothelioma occurs more common in women than men and is more prevalent in older individuals.

Mesothelioma can take decades to show symptoms, and the nonspecific nature of its earliest stages makes it difficult to determine the cause. Experts in mesothelioma know how to recognize the disease. Doctors can identify mesothelioma using detailed patient histories and blood and imaging tests.

A doctor will use the TNM system to determine the stage of cancer following an mesothelioma diagnosis. This staging system describes how the tumors are spreading and influences treatment options. The lower the stage, the greater treatment options available.

Since peritoneal mesothelioma can be so rare, it is hard to recognize. This condition may present symptoms that are similar to other diseases that affect the gastrointestinal tract and abdomen, such as abdominal pain, fever and weight loss. Patients who experience symptoms that are not clear are advised to consult an expert.

Doctors will start by conducting a physical exam and taking basic blood tests. If these tests indicate a possible disease, an oncologist can conduct more thorough diagnostic tests, like biopsies. This will give an accurate image of a person's health and will identify any possible mesothelioma symptoms.

Asbestos is the primary cause of mesothelioma. Asbestos exposure can occur in the workplace, but also at home or at school. Asbestos is the most hazardous if it is exposed for a prolonged period of time. Mesothelioma can form when asbestos dust or asbestos particles enter the body, causing irritation or inflammation. Over time inflammation and irritation could cause cells to change and turn cancerous. The cancerous tissue that has been created can later infiltrate other tissues and cause symptoms like abdominal discomfort, fever, weight gain and swelling.

Cardiovascular mesothelioma lawyer

Pericardial mesothelioma, a rare cancer, that affects the heart's lining or the pericardium. This kind of mesothelioma accounts for less than 1% of all mesothelioma cases, and is among the most difficult to identify because the symptoms are similar to those of heart disease. Many patients are diagnosed with heart disease before doctors can confirm they are suffering from pericardial msothelioma.

Like other types of mesothelioma the pericardial mesothelioma may be caused by exposure to asbestos. Asbestos fibers are believed to enter the pericardium via the bloodstream. The fibers be transported to other organs, such as the heart. Pericardial Mesothelioma usually occurs in the outer layer but it may also occur in its inner layer. Pericardial mesothelioma has a worse prognosis than other forms of mesothelioma.

The symptoms of fatigue, chest pain and difficulty breathing are the main symptoms of pericardial mesothelioma. Because of the rarity of this type of mesothelioma, it is especially important for victims to have a thorough medical examination. It is essential that patients tell their doctor if they have had an asbestos-related exposure.

A CT scan or an echocardiogram is typically the first step to diagnose mesothelioma. These tests can reveal an accumulation of fluid around the heart as well as visible pericardial tumours. If these tests show mesothelioma, doctors can perform additional procedures to confirm the diagnosis. These include a biopsy or radiation.

A mesothelioma biopsies procedure is an procedure in which a small piece of tissue is taken from the area affected and then examined under the microscope. This helps doctors determine the type of mesothelioma and the stage of the disease.

Patients suffering from mesothelioma are treated in cancer centers and special hospitals across the country. Based on the type of mesothelioma that is being treated, options for treatment could include surgery, chemotherapy and radiation. In some instances, patients can qualify for free or reduced-cost health care through the Department of Veterans Affairs. This financial aid is essential for mesothelioma victims to help make treatment more affordable. Contact a VA-approved mesothelioma attorney to find out more about the benefits you can avail.

Reproductive Mesothelioma

Mesothelioma may develop in the linings of organs in the chest or abdomen. It can also develop in the lining surrounding the testicles and the heart (pericardium and tunica vaginalis). It is more prevalent in men than women, although the reason is not known. Asbestos exposure is the main risk factor. Symptoms usually do not appear until several decades after exposure.

Mesothelioma is more prevalent in people exposed to asbestos during work. In the majority of cases, mesothelioma's first sign is an ongoing cough or chest pains. Mesothelioma is often misdiagnosed since these symptoms are similar to other lung conditions. After being diagnosed, patients will undergo a series of tests to determine how far the cancer has spread and the stage.

These tests may involve imaging scans such as X-rays or CT scans. The mesothelioma specialist can also take a biopsy of the affected area to confirm the diagnosis. The biopsy may be carried out with a needle core or laparoscopically. The biopsy should be performed by a peritoneal-mesothelioma expert. General medical oncologists don't have the expertise to diagnose peritoneal mesothelioma and could misdiagnose the condition.

The results of the mesothelioma test will aid doctors in determining the best treatment plan for you. Treatment will depend on the severity of the cancer and your general health. It is often possible to manage symptoms and treatments may include draining the lungs of fluid, chemotherapy, radiation, and surgery.

The majority of mesothelioma types can be treated with chemotherapy. These medications can also harm healthy cells. They can cause damage to the ovarian tissues, and this could impact fertility. This is particularly the case with peritoneal asbestosis which affects the area around the reproductive organs.

The type and severity of mesothelioma you have, as well as your age and general health will affect how quickly the cancer is treated and the prognosis. Around 2700 people in the UK are diagnosed with mesothelioma each year. The disease is most commonly found in the linings around the abdomen and lungs (peritoneum) however it can also manifest around the testicles and heart.