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The pleura are two fibrous sheets of tissue that cover the lungs and help to protect them. Doctors may call these the lining of the lungs. The term may be a bit confusing for non-medical people as they are on the outside of the lungs. The pleura are also sometimes called the pleural membranes. They are about the thickness of plastic food wrap. The inner (visceral)  layer is attached to the lungs and the outer (parietal) layer lines the chest wall and diaphragm.

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The gap between the two pleura is called the pleural The pleura space or cavity. The pleura produces a fluid that fills the gap. As we breathe, the fluid helps the lungs to move smoothly in the chest when they are inflating and deflating.

Pleural mesothelioma causes the pleura to thicken and many tiny lumps are formed. This thickening can press on the lung or attach itself to the inside of the chest wall making it harder for the lung to expand. Fluid collects between the two layers of the pleura and presses against the lung. This is called a pleural effusion.

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How common is mesothelioma?

In New Zealand in 2008, almost 100 new cases were recorded. Numbers are likely to increase, due to past workplace practices which exposed people to airborne asbestos fibres. Australian information states that it may take over twenty years after exposure for any disease caused by asbestos to show up (it can take up to and over 50 years). However, most workers exposed to asbestos won’t develop mesothelioma. 

Peritoneal mesothelioma

Peritoneal mesothelioma starts in the peritoneum. This is the sheet of tissue covering the internal organs in the abdomen. This sheet helps to protect the organs and allows them to move around in the abdomen. The peritoneum makes a fluid that helps to keep the abdominal organs moving freely and smoothly as we move around.  Mesothelioma causes thickening of the linings surrounding the abdominal organs. It also causes a collection of fluid in the abdomen, this is called ascites.

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Causes of mesothelioma

Most mesothelioma is caused by exposure to asbestos. Asbestos is a mineral rock made up of masses of tiny fibres. Asbestos was widely used in building materials, insulation, fire proofing, and sound absorption. When asbestos is disturbed, it sends  up fibres into the air that can be easily breathed in. Once the fibres are in the lung or abdomen, the body tries to break the fibres down and remove them, leading to inflammation. Mesothelioma Law Firm Early Detection, Diagnosis, and Staging

Other causes of mesothelioma are not fully understood, but on rare occasions mesothelioma has been linked to exposure to radiation.