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Mesothelioma From Asbestos<br><br>Mesothelioma occurs when the linings that surround organs in the body, like stomach, lungs reproductive organs, and the heart grow out of control. Most cases are linked to working with asbestos, a group of minerals with thin microscopic fibers that resist heat and chemicals.<br><br>Symptoms can take decades to show up after exposure. It is often difficult to diagnose because the early symptoms are similar to symptoms of other diseases.<br><br>Exposure<br><br>Many people in the US are exposed to [https://duus-fitzpatrick-2.hubstack.net/whats-the-reason-3f-mesothelioma-not-caused-by-asbestos-is-everywhere-this-year-1718277465/ asbestos settlement] while at work or at home. The most frequent type of exposure occurs through handling or installing asbestos-containing materials at a job site. [https://telegra.ph/12-Stats-About-Lung-Cancer-Asbestos-Mesothelioma-To-Make-You-Think-About-The-Other-People-06-16 Asbestos] is a naturally occurring fibrous material. In the United States it has been utilized for a long time to provide insulation in construction and other fields like shipbuilding.<br><br>Asbestos was a well-known product due to its durability and low price. However, it is very dangerous if inhaled or swallowed. If it breaks up or is disturbed, tiny fibers may appear suspended in the air and can be easily inhaled by unsuspecting individuals. Inhaling these fibers can lead a person to develop mesothelioma. The symptoms of mesothelioma might not manifest for 30 to 50 years after first exposure to asbestos.<br><br>When asbestos is inhaled it is absorbed into the lining of the chest cavity (pleura) or abdominal cavity (peritoneum). As time passes asbestos fibers can lead to the development of tumors, called mesothelioma. Mesothelioma is a rare cancer caused by exposure to asbestos.<br><br>Exposure to asbestos is also linked to a non-cancerous condition known as asbestosis. People who are at risk for developing mesothelioma include miners, asbestos workers, electricians, insulation workers, construction workers and veterans of the military. Smoking is another risk factor, however it doesn't cause mesothelioma.<br><br>The first known mesothelioma diagnosis was made public in 1931, however the disease was not well-known until evidence from medical experts linked it to asbestos exposure. By the 1940s, a link was confirmed and laws began to regulate worker safety and ban most uses of asbestos. Unfortunately, by this time, many had already suffered asbestos-related illnesses and died.<br><br>The risk of malignant mesothelioma is increased with the amount and duration of asbestos exposure. This is why it is important for those who have had occupational or residential exposure to asbestos to know their level of exposure and any possible symptoms. Those who are experiencing symptoms should seek out a physician immediately. A doctor can help them determine if they are suffering from mesothelioma or another asbestos-related illness.<br><br>Signs and symptoms<br><br>[https://articlescad.com/5-tools-that-everyone-within-the-asbestosis-asbestos-mesothelioma-attorney-industry-should-be-using-415577.html asbestos lawyer] is a highly hazardous substance and exposure can cause a number of symptoms. The asbestos - [https://handberg-kokholm-3.technetbloggers.de/10-facts-about-mesothelioma-and-asbestos-that-will-instantly-set-you-in-a-positive-mood/ Check Out handberg-kokholm-3.technetbloggers.de], fibers can enter the lungs and cause scar tissue that is known as plaques in the pleural region. These plaques can stiffen the lung and make it difficult to breathe. These plaques could transform into malignant pleural msothelioma over time. Mesothelioma is a cancerous enlargement of the mesothelium covering the exterior of a variety of organs is the most frequent mesothelioma type. Mesothelioma can be found in the membrane that surrounds the heart (pericardium) and, less frequently in the membrane surrounding the testicles (peritoneum). It usually develops 30 to 50 years after exposure to asbestos. It is rarely diagnosed due to the fact that it is so rare.<br><br>It is crucial to see an expert as soon as possible if you are experiencing any unusual or persistent signs and symptoms, especially if you have been exposed to asbestos. The symptoms of mesothelioma are comparable to those of other diseases and are often difficult to recognize. Breathing problems or chest pain as well as bloody coughing and weight loss, difficulties in breathing, fatigue, and fever are some of the early signs. Mesothelioma is common in people over 65.<br><br>The most common place to find mesothelioma in the body is in the lung. It can be located in the abdomen and, less often, in the testicles. The majority of cases of mesothelioma are caused by exposure to asbestos fibres or dust but certain cases have been linked to other minerals, such as silica and erionite.<br><br>The most frequently reported symptoms of mesothelioma include fatigue, shortness of breath, and a cough that is dry. The accumulation of fluid in the lungs (pleural effusion) is a frequent manifestation. The fluid can also build up in the abdomen, causing stomach bloating, abdominal pain, weight loss and nausea.<br><br>Asbestos is a cause of other serious health problems that include lung cancer and asbestosis, a non-cancerous scabbing of the lungs. If you have been exposed to asbestos, it's important to let a doctor know about your past exposure. This will allow them to determine the best treatment for any new symptoms.<br><br>Diagnosis<br><br>When doctors diagnose mesothelioma, they must also determine the stage. The stage is a measurement of the extent of the cancer and helps doctors determine how the cancer will react to treatment.<br><br>A patient's symptoms and past work history are the first step in diagnosing mesothelioma. A physical exam may detect any lumps or lesions in the chest or abdomen. The doctor will also take notes on the patient's health and family medical history. This information will help determine the possible reason for the symptoms, such as asbestos exposure.<br><br>Once doctors have the information, they can perform tests to confirm a mesothelioma diagnose. A chest X-ray and CT scan can be used to determine the presence of mesothelioma. These include the presence of pleural plaques or thickened the pleura, or fluid that is between the lung wall and the chest, also known as an Pleural effusion. Other imaging tests that could help include an MRI or FDG-positron emission tomography (PET), mediastinoscopy (used to look at and sample lymph nodes in the heart's center) and endobronchial ultrasound.<br><br>A thoracoscopy is a method to determine if mesothelioma is present. This is done by making a small cut between two ribs. A doctor then inserts a flexible tube that has an end camera. The tube can be inserted into the throat or mouth while under anesthesia. It is connected to a screen that lets the doctor see images of the area being studied. The doctor can then use the tube to take tissue samples (biopsies) from the pleura.<br><br>Doctors can analyze the biopsies and determine whether they are epithelioid mesothelioma sarcomatoid mesothelioma or mixed. Epithelioid is the most frequent type of mesothelioma, accounting for 60-70 percent of all cases. It has a better prognosis compared to sarcomatoid and mixed mesothelioma. The type of mesothelioma also relates to the length of time that the patient was exposed to asbestos. Patients who were exposed to asbestos for a longer amount of time are more likely to be diagnosed with sarcomatoid or mixed mesothelioma. This is because mesothelioma cells are more aggressive than those of epithelioid mesothelioma.<br><br>Treatment<br><br>Some mesothelioma cancer cells can grow into tumors that infiltrate the surrounding organs or tissues. The cancer can also expand through the bloodstream and lymphatic system to different parts of the body. Cancerous tumors can cause serious symptoms that can affect the quality of life of a person.<br><br>Mesothelioma usually occurs in the lining of the chest cavity (pleura) or abdomen. It can also be found in the heart. It can also develop around the testicles. Other parts of the body are less likely to develop mesothelioma.<br><br>Exposure to [https://flatfile72.werite.net/what-asbestos-claim-experts-want-you-to-learn asbestos lawyer] increases the risk of developing mesothelioma. The cancer may be diagnosed when tiny [https://articlescad.com/how-to-build-a-successful-mesothelioma-asbestos-claim-entrepreneur-even-if-youre-not-business-savvy-413991.html asbestos settlement] fibers enter the body and are inhaled, swallowed or absorbed through the skin. The resultant irritation can cause genetic changes in the body which can cause cancer.<br><br>Mesothelioma signs aren't always obvious and can take up to 50 years to appear. Because of this, patients with mesothelioma are typically diagnosed after other health problems have been discovered. The buildup of fluid and chest discomfort, as well as breathing issues are just a few possible signs. Pleural mesothelioma is by far the most frequent mesothelioma type and accounts for 85 percent of all cases. It is sometimes difficult to diagnose mesothelioma of the pleural region because the first symptoms, like chest pain and shortness of breath, are similar to many other ailments.<br><br>Patients with mesothelioma are at a higher risk of developing other forms of cancer. They are also more likely to have an ancestor with mesothelioma or other asbestos-related diseases. People who live with workers exposed to asbestos are at higher risk because they can carry asbestos fibers home on clothing. Radiation therapy can also increase the risk of mesothelioma developing in patients who have received it. This is due to the fact that radiation therapy can cause DNA mutations of cells.<br><br>Mesothelioma can be fatal for those who are diagnosed. There is no cure for mesothelioma, however, there are a variety of ways for patients to improve their health and life quality. The right treatment is crucial. Depending on their health, fitness and medical history, doctors can help patients choose the most appropriate treatment options.
Mesothelioma From Asbestos<br><br>Mesothelioma happens when the linings of organs of the body, such as stomach and lungs, or the reproductive organs, get out of control. Most cases are linked to working with asbestos, a class of minerals with thin microscopic fibers that can withstand heat and chemicals.<br><br>After exposure, symptoms may take years to manifest. It can be difficult to recognize because the initial signs are similar to symptoms of other conditions.<br><br>Exposure<br><br>Many people in the US are exposed to asbestos at work or at home. The most common type of exposure is from handling or installing asbestos-containing materials at a work site. Asbestos is a naturally occurring fibrous mineral. In the United States, it was used to create insulation for a long time in construction and other industries like shipbuilding.<br><br>Asbestos was a sought-after product due to its durability and low price. It is a risk to inhale or swallow. When it breaks apart or is disturbed, tiny fibers may be floating in the air and be easily inhaled by unwary people. Inhaling these fibers could cause mesothelioma in a person. The signs of mesothelioma could not appear for 30 to 50 years following initial exposure to [https://olderworkers.com.au/author/chsdu55ad0-gemmasmith-co-uk/ asbestos law].<br><br>When asbestos is inhaled it gets absorbed into the lining of the chest cavity (pleura) or abdominal cavity (peritoneum). In time asbestos fibers can lead to the formation of tumors, called mesothelioma. Mesothelioma is a rare form of cancer caused by exposure to asbestos.<br><br>Exposure to asbestos is also associated with a non-cancerous disease known as asbestosis. The people who are at the highest risk of developing mesothelioma are miners, asbestos workers, electricians, construction workers, insulation workers, and veterans of the military. Smoking is another risk factor, however it doesn't cause mesothelioma.<br><br>The first known mesothelioma diagnosis was made public in 1931, but the disease was not widely known until significant medical evidence linked it to asbestos exposure. In the 1940s, the link was confirmed and laws were introduced to regulate worker safety and prohibit the use of asbestos. Unfortunately, by the time this was done, many individuals had already developed asbestos-related illnesses and passed away.<br><br>The risk of malignant mesothelioma increases with the amount and duration of asbestos exposure. This is why it is important for those who have experienced exposure to either residential or occupational asbestos to be aware of their levels of exposure and any possible symptoms. If you have noticed any symptoms, you should contact their doctor immediately. A doctor can help them determine if they suffer from mesothelioma or another asbestos-related illness.<br><br>Signs and symptoms<br><br>[https://sahin-rohde-2.technetbloggers.de/10-things-everyone-hates-about-asbestosis-asbestos-mesothelioma-attorney/ asbestos compensation] is an extremely dangerous substance and exposure can cause a variety of symptoms. The asbestos fibers can enter the lung and cause scar tissue that is known as pleural plaques. These plaques can stiffen the lung tissue, making it more difficult to breathe. These plaques could transform into malignant pleural msothelioma over time. Mesothelioma, a cancerous growth of the mesothelium that covers the outer surface of many organs is the most well-known type of mesothelioma. Mesothelioma can also be found in the membrane around the heart (pericardium) and, less commonly the membrane surrounding the testicles. It typically develops 30 to 50 years after exposure to asbestos, and is usually not identified because it is so uncommon.<br><br>It is essential to consult a doctor as quickly as you can if you're experiencing any unusual or persistent symptoms, particularly if you have been exposed to asbestos. The symptoms of mesothelioma can be similar to those of other illnesses and can be difficult to identify. Shortness of breath and chest pain and bloody coughing and weight loss, trouble in breathing, fatigue and fever are some of the earliest symptoms. Mesothelioma is most common among those over 65.<br><br>Mesothelioma occurs most often in the lung (pleura) however it can also be found in the abdomen (peritoneum) and, more rarely, in the testicles (peritoneal mesothelioma). The majority of mesothelioma cases are caused by exposure to asbestos fibres or dust but certain cases have been linked to other minerals, such as silica and Erionite.<br><br>The most frequent mesothelioma-related symptoms are fatigue and breathlessness and a dry cough. A buildup of fluid inside the lungs (pleural effusion) is another common symptom. The fluid can also build up in the abdomen, causing stomach bloating, abdominal pain, weight loss and nausea.<br><br>Asbestos is a cause of other serious health problems that include lung cancer and asbestosis, a non-cancerous scarring of the lung. If you've been exposed to asbestos, it is important to inform your doctor know about the history of exposure. This will enable them to determine the best treatment option for any new symptoms.<br><br>Diagnosis<br><br>When diagnosing mesothelioma doctors must also determine the stage. The stage is a gauge of the cancer's extent and aids doctors in predicting how the cancer will respond to treatment.<br><br>The first step in identifying mesothelioma is to speak with their doctor about their symptoms and work history. A physical exam may reveal any lumps in the abdomen or chest. The doctor will also take notes on the patient's health and family medical history. This information will aid in determining the probable cause of the symptoms, which could be asbestos exposure.<br><br>Once doctors have this information, they are able to conduct tests to confirm the diagnosis of mesothelioma. These include chest X-rays or CT scan to detect signs of mesothelioma in the lungs, like plaques of the pleura (thickened pleura with calcium deposits) or the accumulation of fluid between the lung and the chest wall, referred to as an effusion of the pleura. Other imaging tests can be beneficial, such as an MRI scan, FDG-positron emissions tomography (PET) mediastinoscopy (used for examining and sampling lymph nodes in the middle of the chest), and endobronchial ultrasonography.<br><br>A thoracoscopy test is another that can be used to detect mesothelioma within the lungs of someone. This involves making a small cut inside the chest between 2 ribs. A flexible tube that has a built-in camera is introduced by the doctor. It can be inserted into the mouth or throat with an injection of sedation. It's connected to a large LCD so that the doctor is able to see images of the area they are examining. The doctor can then use the tube to take tissue samples (biopsies) from the pleura.<br><br>Doctors can then examine the biopsies and determine if they are epithelioid, sarcomatoid or mixed mesothelioma. Epithelioid is by far the most prevalent mesothelioma that accounts for 60-70 percent of all cases. It has a better prognosis compared to mixed mesothelioma and sarcomatoid. The type of mesothelioma also relates to the length of time the patient was exposed to asbestos. Those who were exposed to asbestos for a longer amount of time are more likely to develop mixed or sarcomatoid mesothelioma. This is because mesothelioma cells are more aggressive than those of epithelioid mesothelioma.<br><br>Treatment<br><br>Some mesothelioma cancer cells can develop into tumors that invade nearby tissues or organs. Cancer can also spread to other areas of your body through the bloodstream or lymphatic system. Cancerous tumors can cause severe symptoms that can affect a person's quality of life.<br><br>Mesothelioma typically develops in the lining of the chest cavity (pleura) or abdomen. It can also be found in the heart. It can also develop in the lining of the testicles. Other parts of the body are less likely to develop mesothelioma.<br><br>Exposure to asbestos - [https://ghostcomb79.bravejournal.net/how-to-explain-asbestos-case-to-your-grandparents https://Ghostcomb79.bravejournal.Net] - increases a person's risk of developing mesothelioma. The cancer may develop when minuscule [https://clarke-steffensen-2.blogbright.net/are-you-responsible-for-the-asbestos-compensation-budget-10-terrible-ways-to-spend-your-money/ asbestos compensation] fibers enter the body and are breathed in, swallowed or absorbed through the skin. The irritation that follows can cause genetic changes within the body, and could cause cancer.<br><br>Symptoms of mesothelioma are often not evident and can take between 20 and 50 years or more before they begin to show in. Because of this, patients suffering from mesothelioma typically are diagnosed after other health problems have been diagnosed. A buildup of fluids, chest discomfort or breathing problems are all possible symptoms. Pleural mesothelioma, the most frequent mesothelioma type and is responsible for 85 percent of all cases. It can be difficult to diagnose pleural cancer because the early symptoms like chest pain and shortness in breath are similar to those of other conditions.<br><br>Mesothelioma patients have an increased risk than the average of developing cancer in general. They also are more likely to have mesothelioma-related family history or other asbestos-related illnesses. People who live with workers exposed to [https://vind-ivey.blogbright.net/a-look-in-the-secrets-of-asbestos-litigation/ asbestos compensation] may be at greater risk since they can carry asbestos fibers on their clothing. In addition, mesothelioma patients who undergo radiation therapy are at higher risk because this can cause mutations in the DNA of their cells.<br><br>Mesothelioma is a serious disease that can be fatal for those diagnosed. There is no cure however, patients can choose different strategies to improve their health and quality of life. The most important thing is to determine the right treatment for the individual situation. Depending on their fitness, health and medical history, doctors can help patients decide on the best treatment options.

Revision as of 10:14, 29 October 2024

Mesothelioma From Asbestos

Mesothelioma happens when the linings of organs of the body, such as stomach and lungs, or the reproductive organs, get out of control. Most cases are linked to working with asbestos, a class of minerals with thin microscopic fibers that can withstand heat and chemicals.

After exposure, symptoms may take years to manifest. It can be difficult to recognize because the initial signs are similar to symptoms of other conditions.

Exposure

Many people in the US are exposed to asbestos at work or at home. The most common type of exposure is from handling or installing asbestos-containing materials at a work site. Asbestos is a naturally occurring fibrous mineral. In the United States, it was used to create insulation for a long time in construction and other industries like shipbuilding.

Asbestos was a sought-after product due to its durability and low price. It is a risk to inhale or swallow. When it breaks apart or is disturbed, tiny fibers may be floating in the air and be easily inhaled by unwary people. Inhaling these fibers could cause mesothelioma in a person. The signs of mesothelioma could not appear for 30 to 50 years following initial exposure to asbestos law.

When asbestos is inhaled it gets absorbed into the lining of the chest cavity (pleura) or abdominal cavity (peritoneum). In time asbestos fibers can lead to the formation of tumors, called mesothelioma. Mesothelioma is a rare form of cancer caused by exposure to asbestos.

Exposure to asbestos is also associated with a non-cancerous disease known as asbestosis. The people who are at the highest risk of developing mesothelioma are miners, asbestos workers, electricians, construction workers, insulation workers, and veterans of the military. Smoking is another risk factor, however it doesn't cause mesothelioma.

The first known mesothelioma diagnosis was made public in 1931, but the disease was not widely known until significant medical evidence linked it to asbestos exposure. In the 1940s, the link was confirmed and laws were introduced to regulate worker safety and prohibit the use of asbestos. Unfortunately, by the time this was done, many individuals had already developed asbestos-related illnesses and passed away.

The risk of malignant mesothelioma increases with the amount and duration of asbestos exposure. This is why it is important for those who have experienced exposure to either residential or occupational asbestos to be aware of their levels of exposure and any possible symptoms. If you have noticed any symptoms, you should contact their doctor immediately. A doctor can help them determine if they suffer from mesothelioma or another asbestos-related illness.

Signs and symptoms

asbestos compensation is an extremely dangerous substance and exposure can cause a variety of symptoms. The asbestos fibers can enter the lung and cause scar tissue that is known as pleural plaques. These plaques can stiffen the lung tissue, making it more difficult to breathe. These plaques could transform into malignant pleural msothelioma over time. Mesothelioma, a cancerous growth of the mesothelium that covers the outer surface of many organs is the most well-known type of mesothelioma. Mesothelioma can also be found in the membrane around the heart (pericardium) and, less commonly the membrane surrounding the testicles. It typically develops 30 to 50 years after exposure to asbestos, and is usually not identified because it is so uncommon.

It is essential to consult a doctor as quickly as you can if you're experiencing any unusual or persistent symptoms, particularly if you have been exposed to asbestos. The symptoms of mesothelioma can be similar to those of other illnesses and can be difficult to identify. Shortness of breath and chest pain and bloody coughing and weight loss, trouble in breathing, fatigue and fever are some of the earliest symptoms. Mesothelioma is most common among those over 65.

Mesothelioma occurs most often in the lung (pleura) however it can also be found in the abdomen (peritoneum) and, more rarely, in the testicles (peritoneal mesothelioma). The majority of mesothelioma cases are caused by exposure to asbestos fibres or dust but certain cases have been linked to other minerals, such as silica and Erionite.

The most frequent mesothelioma-related symptoms are fatigue and breathlessness and a dry cough. A buildup of fluid inside the lungs (pleural effusion) is another common symptom. The fluid can also build up in the abdomen, causing stomach bloating, abdominal pain, weight loss and nausea.

Asbestos is a cause of other serious health problems that include lung cancer and asbestosis, a non-cancerous scarring of the lung. If you've been exposed to asbestos, it is important to inform your doctor know about the history of exposure. This will enable them to determine the best treatment option for any new symptoms.

Diagnosis

When diagnosing mesothelioma doctors must also determine the stage. The stage is a gauge of the cancer's extent and aids doctors in predicting how the cancer will respond to treatment.

The first step in identifying mesothelioma is to speak with their doctor about their symptoms and work history. A physical exam may reveal any lumps in the abdomen or chest. The doctor will also take notes on the patient's health and family medical history. This information will aid in determining the probable cause of the symptoms, which could be asbestos exposure.

Once doctors have this information, they are able to conduct tests to confirm the diagnosis of mesothelioma. These include chest X-rays or CT scan to detect signs of mesothelioma in the lungs, like plaques of the pleura (thickened pleura with calcium deposits) or the accumulation of fluid between the lung and the chest wall, referred to as an effusion of the pleura. Other imaging tests can be beneficial, such as an MRI scan, FDG-positron emissions tomography (PET) mediastinoscopy (used for examining and sampling lymph nodes in the middle of the chest), and endobronchial ultrasonography.

A thoracoscopy test is another that can be used to detect mesothelioma within the lungs of someone. This involves making a small cut inside the chest between 2 ribs. A flexible tube that has a built-in camera is introduced by the doctor. It can be inserted into the mouth or throat with an injection of sedation. It's connected to a large LCD so that the doctor is able to see images of the area they are examining. The doctor can then use the tube to take tissue samples (biopsies) from the pleura.

Doctors can then examine the biopsies and determine if they are epithelioid, sarcomatoid or mixed mesothelioma. Epithelioid is by far the most prevalent mesothelioma that accounts for 60-70 percent of all cases. It has a better prognosis compared to mixed mesothelioma and sarcomatoid. The type of mesothelioma also relates to the length of time the patient was exposed to asbestos. Those who were exposed to asbestos for a longer amount of time are more likely to develop mixed or sarcomatoid mesothelioma. This is because mesothelioma cells are more aggressive than those of epithelioid mesothelioma.

Treatment

Some mesothelioma cancer cells can develop into tumors that invade nearby tissues or organs. Cancer can also spread to other areas of your body through the bloodstream or lymphatic system. Cancerous tumors can cause severe symptoms that can affect a person's quality of life.

Mesothelioma typically develops in the lining of the chest cavity (pleura) or abdomen. It can also be found in the heart. It can also develop in the lining of the testicles. Other parts of the body are less likely to develop mesothelioma.

Exposure to asbestos - https://Ghostcomb79.bravejournal.Net - increases a person's risk of developing mesothelioma. The cancer may develop when minuscule asbestos compensation fibers enter the body and are breathed in, swallowed or absorbed through the skin. The irritation that follows can cause genetic changes within the body, and could cause cancer.

Symptoms of mesothelioma are often not evident and can take between 20 and 50 years or more before they begin to show in. Because of this, patients suffering from mesothelioma typically are diagnosed after other health problems have been diagnosed. A buildup of fluids, chest discomfort or breathing problems are all possible symptoms. Pleural mesothelioma, the most frequent mesothelioma type and is responsible for 85 percent of all cases. It can be difficult to diagnose pleural cancer because the early symptoms like chest pain and shortness in breath are similar to those of other conditions.

Mesothelioma patients have an increased risk than the average of developing cancer in general. They also are more likely to have mesothelioma-related family history or other asbestos-related illnesses. People who live with workers exposed to asbestos compensation may be at greater risk since they can carry asbestos fibers on their clothing. In addition, mesothelioma patients who undergo radiation therapy are at higher risk because this can cause mutations in the DNA of their cells.

Mesothelioma is a serious disease that can be fatal for those diagnosed. There is no cure however, patients can choose different strategies to improve their health and quality of life. The most important thing is to determine the right treatment for the individual situation. Depending on their fitness, health and medical history, doctors can help patients decide on the best treatment options.