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Mesothelioma Mesothelioma Lung Cancer<br><br>Asbestos is one of the groups of mineral fibers that are fibrous. Exposure to asbestos is a significant risk factor for mesothelioma development.<br><br>Construction, shipbuilding and the automotive industry are among the sectors that are exposed to asbestos at work. The military is another risky sector.<br><br>Mesothelioma is a cancer of the mesothelium, which is a lining for certain organs, including the lungs. The most prevalent type is pleural mesothelioma which develops on the lining of the lungs.<br><br>Signs and symptoms<br><br>Mesothelioma symptoms can be seen slowly and usually don't manifest until the cancer is well advanced. That's why it's important to know the symptoms and see your doctor when you suspect any of them.<br><br>Mesothelioma is a rare but deadly disease is caused by exposure to [https://newstoe51.werite.net/its-a-asbestos-success-story-youll-never-be-able-to asbestos]. Asbestos was a grouping of microscopic fibers that were extensively used in construction. It takes years for asbestos to cause damage, and the symptoms usually are not evident until the cancer has become sufficiently large to press against organs nearby or spread to other parts of the body.<br><br>The symptoms of mesothelioma-related lung cancer are similar to other conditions and diseases and therefore, patients should consult their physician when they notice any abnormal changes in their health. This includes chest pains, difficulty breathing and a persistent cough. Patients with mesothelioma may also experience a fever and fatigue, as well as abdominal pain, weight loss due to a lack appetite and abdominal pain.<br><br>The most prevalent mesothelioma type is found in the tissues surrounding the lungs. In addition, it may begin in the membrane that covers the reproductive organs or the heart, known as mesothelioma of the peritoneal region. It can also be found in other locations that include the membrane around the lining of the stomach (abdomen), or the layers that surround the abdominal cavity.<br><br>Pleural mesothelioma is usually accompanied by other symptoms, including shortness of breathing, chest wall pain and a pleural effusion which is fluid build-up around the lung. Pleural plaques are another complication, which is when thickened tissues appear on the surface of the lungs.<br><br>The highest risk is for [https://fangspoon55.werite.net/five-essential-tools-everyone-within-the-mesothelioma-non-asbestos-exposure asbestos attorney]-related workers and those living with someone who worked with asbestos. Anyone who has been exposed should consult with their doctor to discuss a screening test that will detect signs of [https://voss-overgaard-2.technetbloggers.de/whats-the-reason-3f-mesothelioma-not-caused-by-asbestos-is-everywhere-this-year/ asbestos lawyer]-related disease or mesothelioma. The tests could involve a chest X-ray, the CT scan or a positron emission tomography (PET) scan.<br><br>The first symptoms of mesothelioma are comparable to the symptoms of other illnesses. People who have an asbestos-related history should consult their physician when they experience any of these symptoms, especially in the event of a history of industrial work or military service and a family history of asbestos-related cancers or other diseases.<br><br>Diagnosis<br><br>Mesothelioma is an aggressive cancer that grows in the linings of certain organs. It most commonly affects the lung (pleural mesothelioma) or the lining of the stomach (peritoneal mesothelioma) however it can also be found in the heart (pericardial mesothelioma) and testicles (testicular mesothelioma). It can take several decades for mesothelioma's growth to manifest after exposure to asbestos. Therefore, symptoms may not be apparent until several years after exposure. It is often difficult for doctors to recognize since symptoms can be similar to those of other conditions. Mesothelioma can be difficult identify because it is characterized by symptoms that are similar to other conditions.<br><br>Lung cancer and mesothelioma have similar symptoms, including difficulty breathing. Mesothelioma, on the other side, is often seen as small nodules which develop into a sheath-like tumor around the organ affected. Lung cancer develops in nodules that are larger and have more defined boundaries. Mesothelioma is also not able to spread as quickly as lung cancer, which could make it more difficult to diagnose.<br><br>Doctors may use various tests to help diagnose mesothelioma. They may take an X-ray of the chest, which can show calcium deposits and thickening in the lungs. They can also perform a CT scan that has contrast, which gives cross-sectional pictures of the body to help them see more details. They may also perform the procedure of thoracoscopic biopsy. In this procedure, they insert a tube into lung and take a sample of tissue for laboratory testing.<br><br>Mesothelioma most often is linked to exposure to asbestos in the workplace. This is due to the fact that people who are exposed to asbestos in their work - for example, people working in the construction, shipbuilding and power generation industries - have a higher likelihood of developing it later in life. However, mesothelioma can be found in those who did not work directly with asbestos but lived with someone who was exposed to asbestos.<br><br>It is essential to inform your doctor of any symptoms you are experiencing if you have had an exposure to asbestos in the past. The early detection of asbestos-related diseases and mesothelioma are crucial to their treatment. This is especially true for pleural asbestosis, which occurs mostly in the lining of the lungs.<br><br>Treatment<br><br>Mesothelioma is a rare form of cancer that is found in the linings of certain organs. Typically, this type of cancer develops in the lungs (pleura), but it can also be found in the lining of the abdominal cavity or chest wall. Mesothelioma can be caused by exposure to asbestos, a group of minerals with thin microscopic fibers that create dust or powder when disturbed. [https://castro-ali.thoughtlanes.net/what-not-to-do-when-it-comes-to-the-mesothelioma-and-asbestos-lawyer-industry/ asbestos litigation] is usually a result of exposure to occupational hazards like in the construction industry. The symptoms of mesothelioma can appear similar to other conditions or diseases, and a prompt diagnosis is crucial.<br><br>Shortness of breath chest discomfort, dry coughing are the most common signs of mesothelioma. These symptoms may be similar to those of lung disease and other types of cancer. This is why mesothelioma is frequently mistakenly diagnosed.<br><br>A biopsy can be carried out by any medical professional or doctor. This procedure involves taking a small portion of tissue from the affected area and examining it under a microscope for mesothelioma-related cells. A biopsy is usually the only way to confirm the diagnosis of mesothelioma.<br><br>Treatment options can be determined by the type of mesothelioma cells. For instance, pleural mesothelioma typically is comprised of epithelioid cell types, whereas the peritoneal mesothelioma is composed of sarcomato. Biphasic mesothelioma is possible and contains both kinds of cells.<br><br>The treatment for mesothelioma is improving as doctors are better in recognizing the signs and risks associated with this type of cancer. It is still an extremely dangerous disease.<br><br>Mesothelioma patients should discuss their risk factors with their physician and learn about the frequency they should be tested for asbestos-related diseases.<br><br>Doctors can test for mesothelioma by using chest X-rays and CT scans using intravenous contrast, which can reveal calcium deposits in the lung's lining. A doctor may also perform a procedure called a thoracentesis wherein fluid is eliminated from the lung space and the chest wall. A thoracotomy can be suggested by a physician if a patient has persistent lung problems. This is when a doctor cuts through the thoracic ribs, to examine the lung and other organs.<br><br>Prognosis<br><br>Mesothelioma is a cancer that begins in the tissues that line the lung (pleura) and abdomen (peritoneum) or the heart (pericardium). [https://taxiraven72.werite.net/15-gifts-for-the-asbestos-disease-mesothelioma-lover-in-your-life Asbestos] fibers are a collection of mineral fibers, which are resistant to heat and are strong. It was used to make numerous different products like insulation, brakes and shingles. Asbestos is often used in the workplace.<br><br>The early signs of mesothelioma may be similar to those of lung cancer, making it difficult to diagnose. It can take decades between exposure to asbestos and diagnosis. To diagnose mesothelioma, you must first visit your GP and discuss any [https://waitervoice36.bravejournal.net/why-asbestos-settlement-will-be-your-next-big-obsession asbestos law] exposure that has occurred in the past. Doctors may then request imaging scans and blood tests to determine if there are any issues in the lungs.<br><br>A chest Xray can help identify signs of mesothelioma, such as calcium deposits on the lungs as well as thickening of the pleura. Doctors can also use a CT scan with contrast to view the lungs and other internal organs. This kind of X ray uses dyes injected into the vein to highlight lungs and other tissue. Doctors can also carry out a procedure called thoracentesis, in which they drain fluid from the region between the chest and lungs. wall. A biopsy is the last step in diagnosing mesothelioma. This involves taking a small piece of the affected pleura, which is then examined in the laboratory.<br><br>Doctors can determine the stage of mesothelioma you are in based on your symptoms as well as the results of your tests and how the tumor develops. The mesothelioma stage 1 and 2 are usually easier to treat than later stages. The symptoms may not be apparent until the later stages, and cancers are more likely be spread to other parts of the body.<br><br>The type of mesothelioma you have and your history of exposure to asbestos will determine if you are diagnosed with mesothelioma. Epithelioid is by far the most prevalent type that accounts for 60% to 70%. Other types include sarcomatoid, which is responsible for between 10% and 15% of cases, and mixed, where both epithelioid-like and sarcomatoid-like cells are present.
Mesothelioma Mesothelioma Lung Cancer<br><br>Asbestos is one of the groups of mineral fibers with fibrous structure. Exposure is a major risk factor for developing mesothelioma.<br><br>Construction, shipbuilding and the automotive industry are among those who are exposed to asbestos at work. The military is a different high-risk sector.<br><br>Mesothelioma, also known as mesothelium cancer that lines certain organs including the lungs, is a cancerous condition. The most common form is pleural mesothelioma which develops on the lining of the lung.<br><br>Signs and symptoms<br><br>The symptoms of mesothelioma usually develop slowly and are not visible until the cancer has progressed. It is crucial to be aware of the symptoms and speak with your doctor when any of them are suspected.<br><br>Mesothelioma is an uncommon and deadly condition caused by exposure to [https://beergarage88.bravejournal.net/10-mobile-apps-that-are-the-best-for-asbestos-mesothelioma asbestos case], a type of microscopic fibers that were extensively employed in a variety of construction. It takes a long time for asbestos to cause damage, and the symptoms usually do not appear until the tumour has grown large enough to press on nearby organs or spread to other parts of the body.<br><br>The symptoms of mesothelioma-related lung cancer are like those of other conditions and diseases, so people should always consult their doctor when they notice any abnormal changes in their health. This includes a constant cough, difficulty breathing or chest pains. Mesothelioma patients can also suffer from fatigue, swelling, fever, hunger and abdominal pain.<br><br>The most commonly encountered mesothelioma type is called pleural mesothelioma, which develops within the tissues that surround the lung. It can also start in the membrane covering the organs of reproduction, such as the heart or reproductive ones. This is known as peritoneal Mesothelioma. It may also begin in less common places, such as the membrane that covers the stomach's lining (abdomen) or the layers that surround the abdominal cavity.<br><br>Other symptoms of pleural mysothelioma include shortness in breath coughing, chest wall pain. A pleural effusion is a fluid buildup around the lungs. Pleural plaques are another complication, which is when thickened tissues appear on the surface of the lung.<br><br>Asbestos workers and those who live with people who have worked with asbestos are most at risk of developing mesothelioma. anyone who has been exposed to it should consult their physician about an examination to check for mesothelioma or other signs of asbestos-related illnesses. These tests could include a chest X-ray, CT scan, or Postron emission Tomography (PET).<br><br>Mesothelioma is a difficult disease to diagnose because the first symptoms are like other illnesses. If you've had a history of asbestos exposure, it's essential to consult your doctor in case you experience any symptoms. This is especially the case when there is any history of military or industrial work, or in the case of a family history or cancer or [https://armyeurope63.werite.net/this-weeks-most-popular-stories-about-causes-of-mesothelioma-other-than asbestos case]-related disease.<br><br>Diagnosis<br><br>Mesothelioma is an aggressive cancer that is found in the linings of certain organs. It typically affects the lungs (pleural mesothelioma) or the lining of the stomach (peritoneal mesothelioma) however it can also be found in the heart (pericardial mesothelioma) and testicles (testicular mesothelioma). Asbest exposure can take a few years to cause mesothelioma therefore, symptoms may not manifest for several years. It is often difficult to identify because symptoms mimic other conditions. Mesothelioma can be difficult determine because it displays symptoms similar to other conditions.<br><br>Lung cancer and mesothelioma have similar symptoms, like breathing difficulties. Mesothelioma on the other side, is often seen as tiny nodules that grow together to form a sheath-like tumor around the affected organ. Lung cancer develops in nodules that are larger and have clearer boundaries. Mesothelioma does not grow as quickly as lung cancer, which could make it more difficult to diagnose.<br><br>Doctors can perform various tests to determine if mesothelioma is present. They can perform a chest X-ray, which can show calcium deposits and thickening of the lungs. They can also perform an CT scan with contrast which provides cross-sectional images of the body to help understand more information. They can also carry out the thoracoscopic biopsy. In this procedure, they insert a tube into the lungs to remove tissues to be tested in a laboratory.<br><br>Mesothelioma is most often linked to [http://www.annunciogratis.net/author/atomcredit8 asbestos] exposure in the workplace. This is because those who are exposed to asbestos in their jobs - like those working in shipbuilding, construction, and power generation industries - have a greater chance of developing it later in the course of their lives. However, mesothelioma can be found in those who did not work directly with asbestos but lived with someone who did.<br><br>If you have a past history of exposure to asbestos, it is essential to inform your doctor about any symptoms that worry you. The early detection of asbestos-related diseases and mesothelioma is crucial for their treatment. This is particularly true for mesothelioma pleural, which often occurs in the lung's lining.<br><br>Treatment<br><br>Mesothelioma is a rare kind of cancer that occurs in the lining of specific organs. Typically, this type of cancer develops in the lungs (pleura) however, it may also develop in the the chest wall or abdominal cavity. Mesothelioma can be caused by exposure to asbestos, which is a group of minerals with fine microscopic fibers that create dust or powder when disturbed. Asbestos exposure is typically caused by occupational exposure in construction as well as other industries. It is crucial to identify asbestos exposure early because the symptoms of mesothelioma are similar to the symptoms of other diseases or conditions.<br><br>Mesothelioma symptoms include shortness of breath, chest pain, and dry coughing. These symptoms may be similar to the symptoms of lung disease as well as other types of cancer. This is why mesothelioma is often mistakenly diagnosed.<br><br>The diagnosis of mesothelioma is based on a biopsy that can be performed by a physician or medical professional. The procedure involves taking tiny pieces of tissue from the area affected and then examining it under a microscope to look for mesothelioma. A biopsy is usually the only method to confirm a mesothelioma diagnosis.<br><br>The mesothelioma-related cell type can assist in determining the best treatment options. Pleural mesothelioma are typically composed of epithelioid, whereas the peritoneal mesothelioma contains the sarcomatoid. It is also possible to have a biphasic mesothelioma which contains both kinds of cells.<br><br>The treatment for mesothelioma has improved as doctors better recognize the risks and signs of this disease. The cancer is a deadly disease.<br><br>Mesothelioma patients should discuss their risk factors with their doctor and learn how often they should be tested for any asbestos-related illnesses.<br><br>Doctors can test for mesothelioma using chest X rays and CT scans that include intravenous contrast, which can reveal calcium deposits on the lining of the lung. A doctor can also carry out an operation known as a thoracentesis wherein fluid is removed from the lung space and the chest wall. If a patient is suffering from persistent lung issues, their doctor may recommend the procedure of a Thoracotomy. This is when a doctor cuts through the thoracic ribs to examine the lung and other organs.<br><br>Prognosis<br><br>Mesothelioma is cancer that starts in the tissue that lines the lung (pleura), abdomen (peritoneum) or heart (pericardium). Asbestos fibers comprise a set of mineral fibers which are resistant to heat and strong. It was used to create numerous different products like insulation, brakes, and shingles. [https://terrell-wall.technetbloggers.de/5-killer-quora-answers-on-asbestos-mesothelioma-lawsuit/ asbestos settlement] is commonly found in the workplace.<br><br>Mesothelioma symptoms early on can be similar to those of lung cancer, making it difficult to diagnose. It can take a long time between exposure to asbestos and diagnosis. To diagnose mesothelioma, you must first visit your GP and discuss any [https://pike-wallace.blogbright.net/a-provocative-remark-about-mesothelioma-asbestos-lawyers/ asbestos lawsuit] ([https://riber-pate.technetbloggers.de/11-ways-to-completely-revamp-your-asbestos/ great site]) exposure that has occurred in the past. Doctors may request blood tests and imaging to determine if there are any issues within the lung.<br><br>A chest X-ray can detect signs of mesothelioma such as calcium deposits on the lungs or thickening of the pleura. A CT scan that has contrast can be used by doctors to examine the lungs and internal organs. This kind of X ray uses dye injected in the vein to highlight the lungs as well as other tissues. Doctors may also perform a procedure known as thoracentesis in which they remove fluid from the region between the lungs and chest wall. The final step to identifying mesothelioma is the biopsy. It involves taking a small sample of the affected pleura and studying it in a laboratory.<br><br>The doctor will be able to determine the mesothelioma stage according to the symptoms you have as well as the results of the tests you have taken and the growth of the tumor. The initial two mesothelioma stages are generally less difficult to treat than later stages. The symptoms may not be apparent until the later stages and tumors are more likely to develop to other areas of the body.<br><br>The type of mesothelioma that you have and your past history of exposure to asbestos will determine if you're diagnosed with mesothelioma. Epithelioid is the most common type that accounts for 60% to 70%. Other types include sarcomatoid, which makes up between 10% and 15% of cases and mixed, in which both epithelioid-like and sarcomatoid-like cells are present.

Revision as of 02:43, 30 October 2024

Mesothelioma Mesothelioma Lung Cancer

Asbestos is one of the groups of mineral fibers with fibrous structure. Exposure is a major risk factor for developing mesothelioma.

Construction, shipbuilding and the automotive industry are among those who are exposed to asbestos at work. The military is a different high-risk sector.

Mesothelioma, also known as mesothelium cancer that lines certain organs including the lungs, is a cancerous condition. The most common form is pleural mesothelioma which develops on the lining of the lung.

Signs and symptoms

The symptoms of mesothelioma usually develop slowly and are not visible until the cancer has progressed. It is crucial to be aware of the symptoms and speak with your doctor when any of them are suspected.

Mesothelioma is an uncommon and deadly condition caused by exposure to asbestos case, a type of microscopic fibers that were extensively employed in a variety of construction. It takes a long time for asbestos to cause damage, and the symptoms usually do not appear until the tumour has grown large enough to press on nearby organs or spread to other parts of the body.

The symptoms of mesothelioma-related lung cancer are like those of other conditions and diseases, so people should always consult their doctor when they notice any abnormal changes in their health. This includes a constant cough, difficulty breathing or chest pains. Mesothelioma patients can also suffer from fatigue, swelling, fever, hunger and abdominal pain.

The most commonly encountered mesothelioma type is called pleural mesothelioma, which develops within the tissues that surround the lung. It can also start in the membrane covering the organs of reproduction, such as the heart or reproductive ones. This is known as peritoneal Mesothelioma. It may also begin in less common places, such as the membrane that covers the stomach's lining (abdomen) or the layers that surround the abdominal cavity.

Other symptoms of pleural mysothelioma include shortness in breath coughing, chest wall pain. A pleural effusion is a fluid buildup around the lungs. Pleural plaques are another complication, which is when thickened tissues appear on the surface of the lung.

Asbestos workers and those who live with people who have worked with asbestos are most at risk of developing mesothelioma. anyone who has been exposed to it should consult their physician about an examination to check for mesothelioma or other signs of asbestos-related illnesses. These tests could include a chest X-ray, CT scan, or Postron emission Tomography (PET).

Mesothelioma is a difficult disease to diagnose because the first symptoms are like other illnesses. If you've had a history of asbestos exposure, it's essential to consult your doctor in case you experience any symptoms. This is especially the case when there is any history of military or industrial work, or in the case of a family history or cancer or asbestos case-related disease.

Diagnosis

Mesothelioma is an aggressive cancer that is found in the linings of certain organs. It typically affects the lungs (pleural mesothelioma) or the lining of the stomach (peritoneal mesothelioma) however it can also be found in the heart (pericardial mesothelioma) and testicles (testicular mesothelioma). Asbest exposure can take a few years to cause mesothelioma therefore, symptoms may not manifest for several years. It is often difficult to identify because symptoms mimic other conditions. Mesothelioma can be difficult determine because it displays symptoms similar to other conditions.

Lung cancer and mesothelioma have similar symptoms, like breathing difficulties. Mesothelioma on the other side, is often seen as tiny nodules that grow together to form a sheath-like tumor around the affected organ. Lung cancer develops in nodules that are larger and have clearer boundaries. Mesothelioma does not grow as quickly as lung cancer, which could make it more difficult to diagnose.

Doctors can perform various tests to determine if mesothelioma is present. They can perform a chest X-ray, which can show calcium deposits and thickening of the lungs. They can also perform an CT scan with contrast which provides cross-sectional images of the body to help understand more information. They can also carry out the thoracoscopic biopsy. In this procedure, they insert a tube into the lungs to remove tissues to be tested in a laboratory.

Mesothelioma is most often linked to asbestos exposure in the workplace. This is because those who are exposed to asbestos in their jobs - like those working in shipbuilding, construction, and power generation industries - have a greater chance of developing it later in the course of their lives. However, mesothelioma can be found in those who did not work directly with asbestos but lived with someone who did.

If you have a past history of exposure to asbestos, it is essential to inform your doctor about any symptoms that worry you. The early detection of asbestos-related diseases and mesothelioma is crucial for their treatment. This is particularly true for mesothelioma pleural, which often occurs in the lung's lining.

Treatment

Mesothelioma is a rare kind of cancer that occurs in the lining of specific organs. Typically, this type of cancer develops in the lungs (pleura) however, it may also develop in the the chest wall or abdominal cavity. Mesothelioma can be caused by exposure to asbestos, which is a group of minerals with fine microscopic fibers that create dust or powder when disturbed. Asbestos exposure is typically caused by occupational exposure in construction as well as other industries. It is crucial to identify asbestos exposure early because the symptoms of mesothelioma are similar to the symptoms of other diseases or conditions.

Mesothelioma symptoms include shortness of breath, chest pain, and dry coughing. These symptoms may be similar to the symptoms of lung disease as well as other types of cancer. This is why mesothelioma is often mistakenly diagnosed.

The diagnosis of mesothelioma is based on a biopsy that can be performed by a physician or medical professional. The procedure involves taking tiny pieces of tissue from the area affected and then examining it under a microscope to look for mesothelioma. A biopsy is usually the only method to confirm a mesothelioma diagnosis.

The mesothelioma-related cell type can assist in determining the best treatment options. Pleural mesothelioma are typically composed of epithelioid, whereas the peritoneal mesothelioma contains the sarcomatoid. It is also possible to have a biphasic mesothelioma which contains both kinds of cells.

The treatment for mesothelioma has improved as doctors better recognize the risks and signs of this disease. The cancer is a deadly disease.

Mesothelioma patients should discuss their risk factors with their doctor and learn how often they should be tested for any asbestos-related illnesses.

Doctors can test for mesothelioma using chest X rays and CT scans that include intravenous contrast, which can reveal calcium deposits on the lining of the lung. A doctor can also carry out an operation known as a thoracentesis wherein fluid is removed from the lung space and the chest wall. If a patient is suffering from persistent lung issues, their doctor may recommend the procedure of a Thoracotomy. This is when a doctor cuts through the thoracic ribs to examine the lung and other organs.

Prognosis

Mesothelioma is cancer that starts in the tissue that lines the lung (pleura), abdomen (peritoneum) or heart (pericardium). Asbestos fibers comprise a set of mineral fibers which are resistant to heat and strong. It was used to create numerous different products like insulation, brakes, and shingles. asbestos settlement is commonly found in the workplace.

Mesothelioma symptoms early on can be similar to those of lung cancer, making it difficult to diagnose. It can take a long time between exposure to asbestos and diagnosis. To diagnose mesothelioma, you must first visit your GP and discuss any asbestos lawsuit (great site) exposure that has occurred in the past. Doctors may request blood tests and imaging to determine if there are any issues within the lung.

A chest X-ray can detect signs of mesothelioma such as calcium deposits on the lungs or thickening of the pleura. A CT scan that has contrast can be used by doctors to examine the lungs and internal organs. This kind of X ray uses dye injected in the vein to highlight the lungs as well as other tissues. Doctors may also perform a procedure known as thoracentesis in which they remove fluid from the region between the lungs and chest wall. The final step to identifying mesothelioma is the biopsy. It involves taking a small sample of the affected pleura and studying it in a laboratory.

The doctor will be able to determine the mesothelioma stage according to the symptoms you have as well as the results of the tests you have taken and the growth of the tumor. The initial two mesothelioma stages are generally less difficult to treat than later stages. The symptoms may not be apparent until the later stages and tumors are more likely to develop to other areas of the body.

The type of mesothelioma that you have and your past history of exposure to asbestos will determine if you're diagnosed with mesothelioma. Epithelioid is the most common type that accounts for 60% to 70%. Other types include sarcomatoid, which makes up between 10% and 15% of cases and mixed, in which both epithelioid-like and sarcomatoid-like cells are present.