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Cancer of the Penis the Staging, Grading and Treatment
Author: Holly Franklin | Posted: 18-11-2007 | Comments: 0 | Views: 18 | Ads by Google
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The staging of a cancer is a term used to describe its size and whether or not it has spread beyond its original site. Knowing the particular type and the stage of the cancer helps the doctors to decide on the best treatment for you.
* Stage 1 The cancer only affects the skin covering the penis, the head of the penis (glans) or the foreskin.
* Stage 2 The cancer has begun to spread into the shaft of the penis or into one of the lymph nodes in the groin.
* Stage 3 The cancer has spread deep into the shaft of the penis or to many lymph nodes in the groin.
* Stage 4 The cancer has spread to lymph nodes deep in the pelvis, or to other parts of the body.
If your cancer comes back after initial treatment, this is known as recurrent cancer.
Grading
Grading refers to the appearance of the cancer cells under the microscope and gives an idea of how quickly the cancer may develop. Low-grade means that the cancer cells look very like normal cells; they are usually slow-growing and are less likely to spread. In high-grade tumors, the cells look very abnormal, are likely to grow more quickly, and are more likely to spread.
Treatment
There are many types of treatment for penile cancer including surgery, radiotherapy and chemotherapy. Surgery of the penis has now advanced to a stage now where it doesn't mean the loss of the penis. It is also possible to now reconstruct a penis that has been operated on.
The type of treatment that you are given will depend on a number of things, including the position and size of the cancer, whether or not it has spread, the grade of the cancer, and your general health.
Men with cancer of the penis should be treated in a specialist cancer center.
Surgery
Small, surface cancers that have not spread are treated by removing only the affected area. The cancer can be removed with conventional surgery, using laser or by freezing (cryotherapy). Cryotherapy is carried out with a cold probe, which freezes and kills the cancer cells.
If the cancer is affecting only the foreskin, it may be possible to treat it with circumcision alone.
All the above treatments can usually be given to you as an outpatient. They may be done under local or general anesthetic, depending on individual circumstances.
Wide local excision If the cancer has spread over a wider area, you will need to have an operation known as a wide local excision. This means removing the cancer with a border of healthy tissue around it. This border of healthy tissue is important as it reduces the risk of the cancer coming back in the future. The operation is done under general anesthetic and will involve a short stay in hospital.
Removing the penis (penectomy) This may be advised if the cancer is large and is covering a large area of the penis. Amputation may be partial (where part of the penis is removed) or total (removal of the whole penis). The operation most suitable for you depends on the position of the tumor. If the tumor is near the base of the penis, total amputation may be the only option.
The surgeon may also remove lymph nodes from the groin if there is evidence that cancer cells have spread to these nodes, or a possibility that they may have.
Re constructive surgery It is often possible to have a penis reconstructed after amputation. This requires another operation. The techniques that may be used include taking skin and muscle from your arm, and using this to make a new penis. Sometimes it is also possible for surgeons to reconnect some of the nerves, to provide sensation and the necessary blood flow to allow the reconstructed penis to become erect. This type of surgery is carried out by surgeons who have specialist experience, and you may need to travel to a specialist hospital to have the surgery done.
Radiotherapy
Radiotherapy treats cancer using high-energy rays to destroy cancer cells, while doing as little harm as possible to healthy cells. It can be used before or after surgery. Radiotherapy may also be given to treat symptoms, such as pain, if the cancer has spread to other parts of the body, like the bones.
External radiotherapy is normally given as a series of short daily treatments in the hospital's radiotherapy department. High-energy x-rays are directed from a machine at the area of the cancer. The treatments are usually given from Monday to Friday, with a rest at the weekend. Each treatment takes 10-15 minutes. The number of treatments will depend on the type and size of the cancer, but the whole course of treatment for early cancer will usually last for up to six weeks. Your doctor will discuss the treatment and possible side effects with you.
Before each session of radiotherapy, the radiographer will position you carefully on the couch and make sure that you are comfortable. During your treatment you will be left alone in the room, but you will be able to talk to the radiographer who will be watching you carefully from the next room.
Radiotherapy is not painful, but you do have to lie still for a few minutes while your treatment is being given. The treatment will not make you radioactive and it is perfectly safe for you to be with other people, including children, after your treatment.
Radioactive implants Radiotherapy can be given using a radioactive implant. This is also known as brachytherapy. Under a general anesthetic, small radioactive wires are very carefully positioned in the affected area of the penis. The wires stay in place for about 4-5 days and are then removed. This method of treatment is usually used for smaller cancers on the end of the penis (the glans). While the implant is in place, you need to stay in an isolated room in the hospital so that other people are not exposed unnecessarily to the radiation.
Side effects of radiotherapy
There are sometimes side effects from radiotherapy treatment to the penis. Towards the end of your treatment, the skin on your penis can become sore and may break down. Long-term, radiotherapy can cause thickening and stiffening of healthy tissues (fibrosis). In some men, this can result in narrowing of the tube that carries urine through the penis (the urethra) and so can cause difficulty in passing urine. If narrowing of the urethra does develop, it can usually be relieved by an operation to stretch (dilate) the area. This is done by passing a tube into the urethra and is performed under a general anesthetic.
Chemotherapy
Chemotherapy is the use of anti-cancer (cytotoxic) drugs to destroy cancer cells. It can be one drug or several drugs used together. It is not commonly used to treat cancer of the penis. Chemotherapy cream may sometimes be used to treat very small, early cancers that are confined to the foreskin and end of the penis (glans).
Chemotherapy may also be given as tablets, or by injection, into a vein for more advanced cancer. It may be given along with surgery or radiotherapy (or both).
Mesothelioma and Its Links to Asbestos
It has been in use since the mythological era of Ancient Greece, but asbestos is a modern-day killer. Widely used for fireproof insulation purposes in the nineteenth and twentieth centuries, asbestos has since been found to cause the deadly cancer mesothelioma along with other lung conditions.
Occupational Exposure and Dangers To Workers
After noticing that chronic diseases, especially cancers of the lung such as mesothelioma, were extremely common in construction workers who were exposed to asbestos, doctors began making a connection between asbestos and mesothelioma. Unfortunately, construction and other workers who were exposed to asbestos from the 1950s through the 1970s, when the dangers of asbestos were more fully recognized, are still suffering from the ill effects of asbestos exposure at work. There are now laws and regulations in place that are designed to prevent workers from exposure to toxic asbestos; however, these laws cannot undo years upon years of exposure to this deadly mineral in the workplace.
Delayed Diagnosis Due To Long Dormancy Period
Workers may have been exposed to asbestos in the 1970s, but may only just now be developing the tell-tale symptoms of mesothelioma. This is because the disease is slow to manifest, which challenges doctors struggling to diagnose and treat mesothelioma patients in time. Because its symptoms take so long to manifest and often align themselves with those of other diseases, mesothelioma in workers may be misdiagnosed as pneumonia or other diseases during its early stages.
Mesothelioma Symptoms
Symptoms of mesothelioma include:
* shortness of breath;
* abdominal swelling;
* pain of the abdomen;
* blood clotting problems;
* chest pain;
* chronic cough;
* heart palpitations;
* fever;
* labored breath; and
* weight loss.
Pleural, peritoneal and pericardial mesothelioma are all possible variations of the deadly cancer, with pleural (lung) mesothelioma the most commonly manifested version of the disease.
High-Risk Professions
Though the use of asbestos is now regulated by laws and regulations, the disease's long dormancy period means that it still has a high number of potential victims. Professions at a high risk for asbestos exposure and mesothelioma are those which involved repeated exposure to asbestos in its industrial forms. These professions include:
* electricians;
* painters;
* insulators;
* carpenters;
* bricklayers;
* construction workers;
* mechanics; and
* other tradespeople, especially those who were involved with commercial or home construction before the 1970s.
The families of these workers were also at risk, since they may have inhaled or ingested asbestos through the employee's clothing or hair.
Legal Options
Because of the huge number of potentially affected workers, there has been a significant amount of litigation against companies who irresponsibly used asbestos, exposing their workers to the threat of mesothelioma and other life-threatening asbestos-related illnesses. If you are suffering the ill effects of asbestos exposure, talk to your doctor and determine a reasonable treatment plan. Then contact an asbestos attorney who is experienced in mesothelioma litigation. A competent asbestos lawyer may be able to help you recover damages for the pain and suffering incurred through asbestos exposure and mesothelioma, defray the costs of treatment, and provide for your children if you die of the disease.
How to Find an Attorney in My County via the Internet
Simply typing in the phrase "find an attorney in my county" in your favorite search engine won't give you your desired results for the most part. "Find an attorney in my county" is a very broad term because there are millions of counties world wide. The search engine won't know where it is exactly that you need a lawyer. You would be better off typing in a phrase such as "orange county attorney", or "sacramento county attorney", or whatever county you need a lawyer in. And always include the quotation marks in your search phrase. That will give you results for the exact phrase that you are searching and nothing else. If you don't include the quotation marks, the search engine will give you results for each word in the phrase, which is usually in the thousands or even millions of results and may not be what you really need.
Let's get back to "how to find an attorney in my county" subject. You will get much better results when you search for the exact attorney of your need. For an example, if you need a divorce attorney and you live in macomb county, you simply search for "macomb county divorce attorney". Also, don't forget to check for the other expression "macomb county divorce lawyer". Attorney and lawyer is a same thing, but when the search engines are concerned, attorney and lawyer are two different words. You don't know if the webmaster of the lawyer's website has optimized the site for both words. For that reason you need to search for both. This search will produce only a few results that contain this specific phrase. This way you may get a website of an actual divorce attorney in macomb county or you may get garbage results, or even no results at all. It depends on what the search engines have in their database for that search phrase. Whether they have websites from actual attorneys, or from advertisers targeting that search phrase, or from some scammers who are also targeting that search phrase by tricking the search engines.
To narrow down your search even further, if you type in "orange county attorney", you may get results from orange county in Florida and orange county in California, or elsewhere in the world. So, it would be better to try "orange county ca attorney" or "orange county fl attorney". Or better yet "orange county ca divorce attorney". These are very narrow search methods that will produce very few results and straight to the point. But, since you cannot depend on the optimization of the websites, whether they have been done correctly or mischievously (that's how search engines know which website is for what), you would get a lot more relevant results by splitting your search phrase. By all means, try your search first with the above search phrases because you would have only a few results to evaluate. The next search method will give you hundreds or even thousands of results that would still be relevant, but you need to spend some time weeding out the bad ones or the ones that you don't need.
What splitting the search phrase means is to include the lesser populated search in quotation marks and the more populated phrase without quotation marks. For an example, if you live in ramsey county and you need a DUI attorney, you can search for: "dui attorney" ramsey county. Also don't forget: "dui lawyer" ramsey county. So, you only put the type of attorney that you need in quotation marks and the county without quotations. The reason you get thousands of results with this type of search is that every dui attorney website will contain the term dui lawyer or whatever lawyer you are searching for. But it may not contain the county term because either the webmaster forgot about it or didn't know that he or she needs to include it. So, when you do this type of split phrase search, you will first get all of the results that contain the term dui lawyer (of whatever type of lawyer you're seeking) from the websites that also contain the term that describes your county, and then the rest of the other websites within that county. You get more choices to choose from.
If the above methods don't produce the attorney of your need (based on the optimization of the websites and the available sites in the search engine database), instead of wasting hours of endless search with no results, there are still easy ways to "find an attorney in my county" online.
Besides the above methods of typing in the county and the type of attorney in quotations, you can also use some free services to actually find the attorney for you. By the way, have you forgotten your yellow pages or whatever phone book you have in your county? That's your best bet. But that's the offline world. However, these types of services are also available online.
Any type of website that deals with locating businesses, such as anywho.com, truelocal.com, yellowpages.com, can find you an attorney in not only your county, but in your city. Just key in the type of attorney that you need under business category (i.e. immigration attorney) and choose your city and state. Also, you can try the lawyer directories such as martindale.com, findlaw.com, lawyers.com, that contain attorneys and law firms from the whole world. Lawyer referral services such as legalmatch.com, globallawyerreferral.com, your local and state bar association, can also find you a lawyer in your county.
Regardless of how you find your lawyer, remember that same principals apply while choosing your attorney. You need to make a list of qualifications you want in your lawyer and interview your prospect lawyers before you decide on who will represent you.
Disclaimer: The author and publisher of this article have done their best to give you useful, informative and accurate information. This article does not represent nor replace the legal advice you need to get from a lawyer, or other professional if the content of the article involves an issue you are facing. Laws vary from state-to-state and change from time-to-time. Always consult with a qualified professional before making any decisions about the issues described in this article. Thank you.
Choosing and Working with a Mesothelioma Attorney
Mesothelioma is a rare but fatal form of cancer that almost always develops as a result of asbestos exposure. This disease typically affects the lining that encases the lungs, but can also occur in the chest or abdominal cavity. Most people with mesothelioma will die within one to five years of diagnosis, depending on how far advanced their disease is. Being diagnosed with mesothelioma is a distressing time for the sufferer and their family, and it can be difficult to cope with the strain and expense of dealing with the disease.
The stress of coping with the expense of treatment and lifestyle changes associated with mesothelioma can be alleviated considerably by employing an attorney who can help you fight for compensation from the company that was responsible for your asbestos exposure. A mesothelioma attorney who is experienced at dealing with these types of cases can work with you to secure not only compensation, but also justice for the pain and suffering you experience.
Choosing your Attorney
Choosing a mesothelioma attorney may seem like a daunting task-there are many attorneys who are specialized in dealing with such cases. Ideally you'll want to choose an attorney who has plenty of experience, with a proven track record of winning or settling lawsuits successfully. Of course, no attorney will be able to tell you any personal details about the clients they have worked with, but a good attorney should still be able to provide you with general details such as how many cases they have dealt with, how quickly these cases were resolved, and the amount of compensation their clients received.
There are several other questions you should ask when selecting an attorney. One of the most important is how the fees for your case will be handled. Most people with mesothelioma will find that money is tight, and because of this, many attorneys work on a contingency basis. This means your attorney is paid only when you receive compensation-if you do not receive any money, the attorney does not charge a fee.
It's also a good idea to ask a prospective attorney what your role will be in the case, and how the case will be handled. Try to get an overview of what the process will be like, both before and during the court case. You may also want to ask the attorney what percentage of their mesothelioma cases were settled out of court. Many cases of this type are settled before the court date, and this not only means the process is completed more quickly, but it also puts much less strain on you.
Selecting your attorney as quickly as possible once you have been diagnosed with mesothelioma is important. All states have a statute of limitations on this type of case, which means that if you do not file a lawsuit within a certain period of time, you lose your right to make a claim. In most states, this period is one to three years after diagnosis-your attorney will know all the details, but your job is finding that attorney quickly to prevent any unnecessary delays in getting your case resolved. However, do not feel pressured to select the first attorney you talk with-in most cases there will be time to talk to several different people and choose the one that you feel most comfortable with.
Working with your Attorney
Once you have chosen an attorney, the next step is working with them to put together the facts of your case. This can be a somewhat difficult task, simply because there can be a gap of up to 40 years between asbestos exposure and mesothelioma diagnosis. That means it may be hard to remember exactly when, where and how you were exposed to asbestos. Your attorney will be able to help you with this-most attorneys will have considerable research tools at their disposal, and you won't need to do any of this work alone.
Most mesothelioma attorneys will make every effort to build a case with as little inconvenience to you as possible. In most cases, you'll be required to sign documents that give your attorney the legal right to gather medical and other relevant information. You may need to give depositions to your attorney and perhaps to the defendant's attorney as well. An experienced mesothelioma attorney will understand that you may not be up to repeated visits to their office and will do their best to make sure the process does not put too much strain on you.
Cancer - One in Two Men and One in Three Women Will Get It. What to Do?
There is nothing that puts more fear in people than a diagnosis of Cancer. Statistically speaking, we now have one in two chances (male) or one in three chances (female) of getting cancer before the end of our life (American Cancer Society statistics for the year 2003). At the beginning of the 20th century, statistics gave us one in 500 chances of getting cancer.
All cancers considered, if you have a primary cancer (in one location only) the most optimistic statistics only give you 28% chances of recovery. If you have metastatic cancer (in more than one location) then your chances of recovery are 0.1% or in other words, one chance in one thousand to recover - (statistics from Dr Philip Binzel book "Alive and Well" published by American Media).
The news is bleak to say the least. However, as we will see later on, this need not be the case.
Ever since I can remember, I have read newspaper articles, heard claims on TV or radio, reporting new "wonder" cures on the war against cancer. Victory against this terrible disease was, according to these reports, just around the corner. Why is it then that so many people are still dying from this disease? Are the 600 UK cancer charities (The largest UK charities being Imperial Cancer Research Fund, Cancer Research Campaign and Institute of Cancer Research) lying to us?
The "American Cancer Society" is the richest charity in the world. All debts paid, it would still have half a billion dollars in the bank!
Linus Pauling, the winner of two Nobel prizes, seemed to think so when he said: "Everyone should know that most cancer research is largely a fraud and that the major cancer research organisations are derelict in their duties to the people who support them."
What is Cancer?
Modern researchers have for many years been exploring the virus connection at a cost of billions of dollars and pounds. The pitiful result is that "no cancer that was incurable 25 years ago is curable today and that, for the most common cancers that kills 90% of patients today chemotherapy is no better than snake oil" (The Cancer Handbook. What Doctors don't tell you publication. By Lynne Taggart).
When you are diagnosed with cancer, what the doctor is really saying is that you have one or several tumours in your body and that at least one of the tumours contains some cancer cells. They see the tumours as the enemy that has to be fought and destroyed and all their efforts are directed against eradicating the tumours.
What is a tumour though? A tumour is only a symptom; it shows that something has gone wrong in your body and that your immune system is no longer available to fight it. Many researchers claim that we all have tumours in our body and that several times in our life we get cancer. However, we do not all die from cancer. The reason is that our body's defence mechanism spring into action when a tumour is formed and gets rid of it or at least neutralises it. If cancer cells are beginning to form, these are killed off by our immune system and all is back to normal.
However if for some reason our immune system is severely deficient and we are unable to fight off the formation of the cancerous cells, then disease spreads.
What needs to be done to fight the tumour is not so much to remove it (surgery), burn it (radiation) or poison it (chemotherapy) as all these will weaken our immune system (damaging both our liver and kidneys to a point where it is difficult for our body to fight off any health problem). But to find out why the tumour formed in the first place and remove the cause.
Fighting it according to Dr Binzel is no good, our body now has in its memory the recipe to form tumours and uses the negative ingredients we feed it with to form new tumours and it will rarely stop doing so unless we remove the cause. The lack of positive ingredients (Vitamins, minerals and essential enzymes) to fight off the tumour is just as important.
Let me compare this reasoning with the simple example of a tooth infection. There is no point in taking painkillers to fix the tooth. I grant you that they will probably relieve the pain but I profess that they will not cure the tooth. What needs to be done is to get rid of the infection with antibiotics or have the tooth removed.
What do cancer cells feed on?
Several factors such as diet, negative emotions/ stress and environmental toxins are usually responsible for the development of cancer. Dietary speaking, cancer cells need food to survive. Dr Otto Warburg received the Nobel Prize for scientifically proving that cancer feed from the fermentation of sugar:
"in cancer cells [the feeding] is replaced by an energy-yielding reaction of the lowest living forms; namely, a fermentation of glucose" (quoted in prevention - May 1968).
According to Macrobiotic medicine theory, cancer cells also feed on animal protein (all types of meat, especially chicken but also very much on dairy, eggs etc..)
Detecting cancer
Currently, surgeons often perform a biopsy when cancer is suspected. A biopsy is a way of extracting a quantity of matter from a tumour and test it to see if it is cancerous. The problem with this method is that if the tumour is cancerous and the tumour is punctured, there is a definite risk that the cancerous liquid will spread to surrounding cells and spread the cancer around the body (Roger Delin - medical analyst - Philippines.
Breast cancer is often diagnosed using a mammogram. The main manufacturer of mammographic equipment is a company called "Smarlight Mammographics". They state: "We expected error rates to be around 30%, but the wide range of results (10%-90%) was an eye-opener." Amazing admission from the largest manufacturer of what is considered as the ultimate test to detect breast cancer. Unbelievable !
It is interesting to learn that autopsies have shown that many undetected cancers were present in the body of people who died from other causes. This makes a mockery of medical statistics and confirms that in fact a substantial number of cancers are never detected and do not obligatorily cause death.
Asbestos Health Risks And Litigation
Asbestos is a naturally-occuring fibrous mineral of metamorpic hydrous magnesium silicate. The term "metamorphic" is used to describe a process of extreme heat and pressure which creates specific secondary patterns of minerals with new chemical and/or physical properties. As the primary rock is heated and recooled, silicate crystals align in long rows of mineral fibers, which easily separate into tiny shards thinner than a human hair. Asbestos fibers are not a health risk as long as they are undisturbed. However, when asbestos is undergoes natural weathering, or is mined and processed, the microscopic particles waft into the air and cause disease if they are inhaled.
Asbestosis occurs when an inhaled asbestos particle irritates the body's natural defence mechanisms, causing inflammation and scarring which eventually restricts lung function. Mesothelioma is a malignant tumor of the membranes surrounding the heart, lungs and abdominal cavity. Asbestos can also cause cancer of the mouth, throat, esophagus, larynx, stomach, lung and lymphoid tissue.
Asbestos exposure can also cause non-fatal illnesses such as asbestos warts, caused when asbestos fibers are lodged in the skin, causing lumps of scar tissue to form around the irritant in the same manner as they do in the lungs to cause asbestosis; pleural plaques, discrete, sometimes calcified fibrous lesions which can be seen on X-rays but are too small to cause breathing impairment; and diffuse pleural thickening, which can cause breathing impairment if it is extensive.
Due to its fire resistant properties, asbestos has been used historically for household and industrial purposes. It has been found woven into burial cloths in ancient Egypt, and Charlemagne reportedly had a tablecloth made of asbestos which he would throw into a fire to clean.
In World War II asbestos was considered so important by the War Department that it was considered a strategic material, and many American workers were exposed in the World War II boom in shipbuilding. After the war, it was widely used in the construction industry.
In modern Western society, it was used for such diverse purposes as lamp wicks, brake shoes, oven insulation, electrical hotplate wiring and home insulation, roofing and flooring. For instance, some kinds of vermiculite used in home insulation into the 1970s contained asbestos. The EPA banned this product in 1977.
When a home owner discovers asbestos in an old home, it should not be a cause for immediate panic. If the asbestos looks intact and is not pulverized, it is best to leave it alone. However, because of legal liability, schools and businesses containing asbestos usually must undergo a costly removal process, hazardous in itself because disturbing the stable asbestos product causes fibers to fill the air. Special equipment must be used to insure that the removal process does not cause health problems where non existed before.
Most industrialized nations have reduced or banned the use of asbestos for at least 30 years and now use fiberglass or woven ceramic fiber as a substitute, but since asbestos-caused disease has a latency period of up to 50 years, patients are still presenting with these illness today. Every year in America, approximately 3000 new cases of mesothelioma are diagnosed, and 550 deaths occurs due to asbestosis. According to the March 1991 Report of the Judicial Conference Ad Hoc Committee on Asbestos Litigation, asbestos exposure has caused the deaths of approximately 200,000 to 265,000 Americans.
Asbestos use peaked in the United States in 1973, when 1 million tons of the material were used. The EPA attempted to institute a complete legal ban on the use of asbestos products in 1989; however, this ban was largely eviscerated by the US 5th Circuit Court of Appeals in 1991, and some restricted use of asbestos, albeit in fewer products than than before, resumed. Therefor, even today some workers are being exposed to this toxic material.
Asbestos is a serious continuing concern to the Environmental Protection Agency, and their website has detailed information on asbestos and its removal.
Concerns about the health risks of asbestos exposure date back to 1898, when the Chief Inspector of Factories of the United Kingdom reported to Parliament in his Annual Report about the "evil effects of asbestos dust". He noted that the "sharp, glass like nature of the particles" when allowed to remain suspended in the air, "have been found to be injurious, as might have been expected". In 1906 a British Parliamentary Commission confirmed the first cases of asbestos-related deaths in Bristish factories and called for improved ventilation and other safety measures. In 1918 an American insurance company produced a study showing premature deaths in the asbestos industry in the United States and in 1926 the Massachusetts Industrial Accidents Board processed the first successful compensation claim by a sick asbestos worker.
Today, lawsuits claiming compensation for asbestos-related illnesses are a growth industry in the legal profession. An internet search of "mesothelioma lawyer" yields 1,910,000 results. The original manufacturers of asbestos products have long since been driven into Chapter 11 bankruptcy; plaintiffs have now turned to suing corporations with peripheral connections to asbestos products. More than 70 American corporations have filed Chapter 11 bankruptcy in due to asbestos liability claims.
Since the 1970's, approximateley 6% of all lawsuits filed in American courts have been asbestos-related. The lawsuits now facing the courts have been described as "an elephantine mass" by the US Supreme Court, and are expected to cost between 200 to 275 billion dollars to settle. Asbestos liability is one of the largest issues facing the global insurance industry today.
Most epidemiological studies expected the number of lawsuits to peak in the 1990s, but this has not occurred, either because of the long latency period of asbestos-related diseases, or because legal action is becoming more popular among asbestos-exposed members of the public due to high-profile legal cases and widespread advertising by attorneys who specialize in such cases.
Many complaints have been made by representatives of industries facing lawsuits and the insurance companies who will be expected to pay them that the asbestos-lawsuit industry is rife with fraud, with less that half of all payouts reaching the plaintiffs. Aggressive, ambulance-chasing lawyers are said to exaggerate medical disability and coach clients on their testimony.
The group of plaintiffs includes not only ill people, but also those who have merely have a history of asbestos exposure and want compensation for potential future health risks. According to the American Academy of Acturaries Mass Tort Work Group, more than 100 million Americans have been exposed to asbestos in their workplace during the past century.
California Asbestos Removal Companies
Asbestos removal is the process of ridding a building or material of the asbestos that it may have been originally built with. Abatement companies all over California are busy with asbestos removal, in part due to the influx of asbestos litigation and mesothelioma lawsuits. Asbestos removal by a professional abatement company is only a fraction of the cost of a mesothelioma lawsuit.
Asbestos litigation can cost a company millions while asbestos removal only costs a few thousand dollars by comparison. Granted, large companies may have to spend more than a drop in the bucket to an abatement company for adequate asbestos removal, but it is still only a drop in the bucket when compared to the cost of a mesothelioma lawsuit, not to mention the human cost.
Companies of the seventies and earlier were permitted to build their buildings with large amounts of asbestos in order to protect them from the potential of fire damage. Companies and buildings created post 1980 were subject to different laws and were permitted what was then considered minimal amounts of asbestos in their production. Unfortunately, asbestos was still used in the automotive industry, construction companies, and a few other companies during this time.
Even older homes and office buildings were built using asbestos. Asbestos removal has become increasingly important as it is not so difficult to trace back one case of mesothelioma to a company, which means there is likely to be more asbestos litigation on the way. An abatement company can have the toxic material removed from the building in a very short period of time and workers can return to their employment with a renewed sense of safety.
Ironically, companies have become less devoted to their employee safety over the past 20 years. Abatement companies were much busier with jobs concerning asbestos removal with companies voicing concern for workforce safety ten years ago than they are today.
High turnover and the potential to leave a job and create a cheaper workforce are all reasons cited for this, but asbestos removal is appropriate regardless of the turnover rate or employee dissention. Asbestos litigation can occur regardless of whether the employee worked for the company all their life or only worked there just long enough to get sick.
Asbestos removal is a company's best chance at avoiding costly asbestos litigation and defending themselves in a mesothelioma lawsuit. A mesothelioma lawsuit can cost a company upwards of ten million dollars by the time damages are awarded and court and attorney fees are factored in. Asbestos removal by a certified abatement company is really much cheaper.
While mesothelioma may take decades to surface after an employee has gone off to other employment or retired, many companies are finding that the damages awarded in a mesothelioma lawsuit are considerable less if they have gone through an abatement company and requested asbestos removal.
By following through with asbestos removal, juries do notice that there is obvious concern for employee health at a later time and do take that into consideration. Most companies who are involved in asbestos litigation are under new management or ownership by the time asbestos litigation is filed, and the public appreciates a minimal effort of asbestos removal.
Of course, this changes nothing for a mesothelioma victim, and asbestos litigation is still necessary in order to attain the financial means needed to fight for their lives. Doing something is still better than doing nothing.
Mesothelioma lawsuits and asbestos litigation are in effect helping to prevent asbestos related diseases as companies who follow through with asbestos removal are effectively removing the danger for future and present employees. This means that there is a chance that mesothelioma victims are helping to save lives by filing a mesothelioma lawsuit.
At least, it is considered hopeful that their fight will save a few lives down the road. Nobody can be certain of this, but asbestos removal, even if prompted by a legal case, is always the best preventative measure against mesothelioma.
Mesothelioma is a terrible disease that attacks thousands of victims every year and is only caused by exposure to asbestos, a toxic chemical that can be removed from a building by an abatement company. It is unfortunate that it has cost so many lives and so much time tied up in asbestos litigation to encourage asbestos removal by companies who knowingly are exposing their workforce to this deadly and dangerous toxin. The effects of asbestos have been understood since the 1920's. With that knowledge, abatement companies should no longer have asbestos removal jobs to take on.
California Asbestos Lawyers in High Swing
Few people give much consideration to California asbestos lawyers, and often it is something that catches a person by surprise when they are suddenly realizing they need to consider filing a mesothelioma lawsuit. After all, that sort of stuff happens to other people, right? Unfortunately nearly 3000 people every year find themselves considering whether a mesothelioma lawsuit would be in their best interest.
Asbestos litigation is increasing and California asbestos lawyers are more active in the fight for mesothelioma victims' rights than ever before. While there was an expectation of declining asbestos litigation in the late 1990's, asbestos litigation has reemerged as cases of mesothelioma are still being diagnosed at an alarming rate.
Asbestos laws are keeping lawyers on their toes, as the changes implemented in recent asbestos laws have not been very mesothelioma victim friendly. Conversely, the changes to asbestos laws are more likely to protect the businesses that affected the 3000 lives annually.
Lawyers are working diligently to continually keep the victims of big business from taking a serious financial hit, as there isn't much a California asbestos lawyer can do to prevent the health implications that are associated with mesothelioma.
Asbestos removal is an expense that companies really can no longer afford to neglect. In the eighties, asbestos removal was significantly overlooked by various companies throughout the United States with a high percentage of those companies originating in Texas and California.
Companies that ignored the ease of asbestos removal back then are now facing lawyers in court, answering the question, why wasn't employee health important enough for the nominal cost of asbestos removal, when the human cost of ignoring the need for asbestos removal is so high.
Naturally, these companies have little to say to their victims, and the only place a victim can turn for financial help is a mesothelioma lawsuit. A mesothelioma lawsuit does not help the victim regain his priceless health, and in the wake of the small cost of asbestos removal, mesothelioma is a painful slap in the face to loyal company employees.
A mesothelioma lawsuit in California means finding a top notch lawyer to take on the big companies in the face of the ever changing California asbestos laws. The issue of asbestos removal has never been adequately addressed in the courts, as asbestos laws still allows for a percentage of asbestos to be used in new construction, and health code standards have already proven that in today's society, asbestos removal is vital for the health of worker health.
With the California asbestos laws favoring big business, winning a mesothelioma lawsuit requires a lawyer that has experience, gumption, integrity, and the desire to fight this fight in spite of the less than perfectly fair asbestos laws. A mesothelioma victim can win a mesothelioma lawsuit and provide financially for the expense of treatment as well as provide for their families after death.
However, doing so requires understanding that a California asbestos lawyer is going to have to place a lot of resources into the case and prove the negligence. This is a perfectly attainable goal for a seasoned lawyer, but certainly not something that should be handled by a novice.
Mesothelioma lawsuits are really just the beginning for lawyers. There are numerous lawyers who are fighting for better changes in the asbestos laws. The mesothelioma lawsuits have proven to a small spectrum of judges that the asbestos laws do not do enough to protect mesothelioma victims nor do they require adequate asbestos removal of current construction and workforce protection.
This in no way implies that California asbestos laws prevent the filing of a mesothelioma lawsuits, nor that mesothelioma victims can not bring their legal and legitimate needs to the attention of a jury, it is simply stating that asbestos laws need a certain amount of re-examining.
Asbestos litigation helps to open the doors for future mesothelioma lawsuits and keeps legal attention on the needs for stricter asbestos removal laws as well as better compensation for victims of mesothelioma and other asbestos related illnesses.
Asbestos litigation in the hand of high quality asbestos lawyers means that California asbestos laws have a change at being re-evaluated and perhaps one day will change in favor of mesothelioma victims. Until then, the need for high quality, top notch asbestos lawyers will continue to climb, and mesothelioma lawsuits will still be fought with aggressive representation.
Cancer of the Penis the Staging, Grading and Treatment
Author: Holly Franklin | Posted: 18-11-2007 | Comments: 0 | Views: 18 | Ads by Google
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The staging of a cancer is a term used to describe its size and whether or not it has spread beyond its original site. Knowing the particular type and the stage of the cancer helps the doctors to decide on the best treatment for you.
* Stage 1 The cancer only affects the skin covering the penis, the head of the penis (glans) or the foreskin.
* Stage 2 The cancer has begun to spread into the shaft of the penis or into one of the lymph nodes in the groin.
* Stage 3 The cancer has spread deep into the shaft of the penis or to many lymph nodes in the groin.
* Stage 4 The cancer has spread to lymph nodes deep in the pelvis, or to other parts of the body.
If your cancer comes back after initial treatment, this is known as recurrent cancer.
Grading
Grading refers to the appearance of the cancer cells under the microscope and gives an idea of how quickly the cancer may develop. Low-grade means that the cancer cells look very like normal cells; they are usually slow-growing and are less likely to spread. In high-grade tumors, the cells look very abnormal, are likely to grow more quickly, and are more likely to spread.
Treatment
There are many types of treatment for penile cancer including surgery, radiotherapy and chemotherapy. Surgery of the penis has now advanced to a stage now where it doesn't mean the loss of the penis. It is also possible to now reconstruct a penis that has been operated on.
The type of treatment that you are given will depend on a number of things, including the position and size of the cancer, whether or not it has spread, the grade of the cancer, and your general health.
Men with cancer of the penis should be treated in a specialist cancer center.
Surgery
Small, surface cancers that have not spread are treated by removing only the affected area. The cancer can be removed with conventional surgery, using laser or by freezing (cryotherapy). Cryotherapy is carried out with a cold probe, which freezes and kills the cancer cells.
If the cancer is affecting only the foreskin, it may be possible to treat it with circumcision alone.
All the above treatments can usually be given to you as an outpatient. They may be done under local or general anesthetic, depending on individual circumstances.
Wide local excision If the cancer has spread over a wider area, you will need to have an operation known as a wide local excision. This means removing the cancer with a border of healthy tissue around it. This border of healthy tissue is important as it reduces the risk of the cancer coming back in the future. The operation is done under general anesthetic and will involve a short stay in hospital.
Removing the penis (penectomy) This may be advised if the cancer is large and is covering a large area of the penis. Amputation may be partial (where part of the penis is removed) or total (removal of the whole penis). The operation most suitable for you depends on the position of the tumor. If the tumor is near the base of the penis, total amputation may be the only option.
The surgeon may also remove lymph nodes from the groin if there is evidence that cancer cells have spread to these nodes, or a possibility that they may have.
Re constructive surgery It is often possible to have a penis reconstructed after amputation. This requires another operation. The techniques that may be used include taking skin and muscle from your arm, and using this to make a new penis. Sometimes it is also possible for surgeons to reconnect some of the nerves, to provide sensation and the necessary blood flow to allow the reconstructed penis to become erect. This type of surgery is carried out by surgeons who have specialist experience, and you may need to travel to a specialist hospital to have the surgery done.
Radiotherapy
Radiotherapy treats cancer using high-energy rays to destroy cancer cells, while doing as little harm as possible to healthy cells. It can be used before or after surgery. Radiotherapy may also be given to treat symptoms, such as pain, if the cancer has spread to other parts of the body, like the bones.
External radiotherapy is normally given as a series of short daily treatments in the hospital's radiotherapy department. High-energy x-rays are directed from a machine at the area of the cancer. The treatments are usually given from Monday to Friday, with a rest at the weekend. Each treatment takes 10-15 minutes. The number of treatments will depend on the type and size of the cancer, but the whole course of treatment for early cancer will usually last for up to six weeks. Your doctor will discuss the treatment and possible side effects with you.
Before each session of radiotherapy, the radiographer will position you carefully on the couch and make sure that you are comfortable. During your treatment you will be left alone in the room, but you will be able to talk to the radiographer who will be watching you carefully from the next room.
Radiotherapy is not painful, but you do have to lie still for a few minutes while your treatment is being given. The treatment will not make you radioactive and it is perfectly safe for you to be with other people, including children, after your treatment.
Radioactive implants Radiotherapy can be given using a radioactive implant. This is also known as brachytherapy. Under a general anesthetic, small radioactive wires are very carefully positioned in the affected area of the penis. The wires stay in place for about 4-5 days and are then removed. This method of treatment is usually used for smaller cancers on the end of the penis (the glans). While the implant is in place, you need to stay in an isolated room in the hospital so that other people are not exposed unnecessarily to the radiation.
Side effects of radiotherapy
There are sometimes side effects from radiotherapy treatment to the penis. Towards the end of your treatment, the skin on your penis can become sore and may break down. Long-term, radiotherapy can cause thickening and stiffening of healthy tissues (fibrosis). In some men, this can result in narrowing of the tube that carries urine through the penis (the urethra) and so can cause difficulty in passing urine. If narrowing of the urethra does develop, it can usually be relieved by an operation to stretch (dilate) the area. This is done by passing a tube into the urethra and is performed under a general anesthetic.
Chemotherapy
Chemotherapy is the use of anti-cancer (cytotoxic) drugs to destroy cancer cells. It can be one drug or several drugs used together. It is not commonly used to treat cancer of the penis. Chemotherapy cream may sometimes be used to treat very small, early cancers that are confined to the foreskin and end of the penis (glans).
Chemotherapy may also be given as tablets, or by injection, into a vein for more advanced cancer. It may be given along with surgery or radiotherapy (or both).
Mesothelioma and Its Links to Asbestos
It has been in use since the mythological era of Ancient Greece, but asbestos is a modern-day killer. Widely used for fireproof insulation purposes in the nineteenth and twentieth centuries, asbestos has since been found to cause the deadly cancer mesothelioma along with other lung conditions.
Occupational Exposure and Dangers To Workers
After noticing that chronic diseases, especially cancers of the lung such as mesothelioma, were extremely common in construction workers who were exposed to asbestos, doctors began making a connection between asbestos and mesothelioma. Unfortunately, construction and other workers who were exposed to asbestos from the 1950s through the 1970s, when the dangers of asbestos were more fully recognized, are still suffering from the ill effects of asbestos exposure at work. There are now laws and regulations in place that are designed to prevent workers from exposure to toxic asbestos; however, these laws cannot undo years upon years of exposure to this deadly mineral in the workplace.
Delayed Diagnosis Due To Long Dormancy Period
Workers may have been exposed to asbestos in the 1970s, but may only just now be developing the tell-tale symptoms of mesothelioma. This is because the disease is slow to manifest, which challenges doctors struggling to diagnose and treat mesothelioma patients in time. Because its symptoms take so long to manifest and often align themselves with those of other diseases, mesothelioma in workers may be misdiagnosed as pneumonia or other diseases during its early stages.
Mesothelioma Symptoms
Symptoms of mesothelioma include:
* shortness of breath;
* abdominal swelling;
* pain of the abdomen;
* blood clotting problems;
* chest pain;
* chronic cough;
* heart palpitations;
* fever;
* labored breath; and
* weight loss.
Pleural, peritoneal and pericardial mesothelioma are all possible variations of the deadly cancer, with pleural (lung) mesothelioma the most commonly manifested version of the disease.
High-Risk Professions
Though the use of asbestos is now regulated by laws and regulations, the disease's long dormancy period means that it still has a high number of potential victims. Professions at a high risk for asbestos exposure and mesothelioma are those which involved repeated exposure to asbestos in its industrial forms. These professions include:
* electricians;
* painters;
* insulators;
* carpenters;
* bricklayers;
* construction workers;
* mechanics; and
* other tradespeople, especially those who were involved with commercial or home construction before the 1970s.
The families of these workers were also at risk, since they may have inhaled or ingested asbestos through the employee's clothing or hair.
Legal Options
Because of the huge number of potentially affected workers, there has been a significant amount of litigation against companies who irresponsibly used asbestos, exposing their workers to the threat of mesothelioma and other life-threatening asbestos-related illnesses. If you are suffering the ill effects of asbestos exposure, talk to your doctor and determine a reasonable treatment plan. Then contact an asbestos attorney who is experienced in mesothelioma litigation. A competent asbestos lawyer may be able to help you recover damages for the pain and suffering incurred through asbestos exposure and mesothelioma, defray the costs of treatment, and provide for your children if you die of the disease.
How to Find an Attorney in My County via the Internet
Simply typing in the phrase "find an attorney in my county" in your favorite search engine won't give you your desired results for the most part. "Find an attorney in my county" is a very broad term because there are millions of counties world wide. The search engine won't know where it is exactly that you need a lawyer. You would be better off typing in a phrase such as "orange county attorney", or "sacramento county attorney", or whatever county you need a lawyer in. And always include the quotation marks in your search phrase. That will give you results for the exact phrase that you are searching and nothing else. If you don't include the quotation marks, the search engine will give you results for each word in the phrase, which is usually in the thousands or even millions of results and may not be what you really need.
Let's get back to "how to find an attorney in my county" subject. You will get much better results when you search for the exact attorney of your need. For an example, if you need a divorce attorney and you live in macomb county, you simply search for "macomb county divorce attorney". Also, don't forget to check for the other expression "macomb county divorce lawyer". Attorney and lawyer is a same thing, but when the search engines are concerned, attorney and lawyer are two different words. You don't know if the webmaster of the lawyer's website has optimized the site for both words. For that reason you need to search for both. This search will produce only a few results that contain this specific phrase. This way you may get a website of an actual divorce attorney in macomb county or you may get garbage results, or even no results at all. It depends on what the search engines have in their database for that search phrase. Whether they have websites from actual attorneys, or from advertisers targeting that search phrase, or from some scammers who are also targeting that search phrase by tricking the search engines.
To narrow down your search even further, if you type in "orange county attorney", you may get results from orange county in Florida and orange county in California, or elsewhere in the world. So, it would be better to try "orange county ca attorney" or "orange county fl attorney". Or better yet "orange county ca divorce attorney". These are very narrow search methods that will produce very few results and straight to the point. But, since you cannot depend on the optimization of the websites, whether they have been done correctly or mischievously (that's how search engines know which website is for what), you would get a lot more relevant results by splitting your search phrase. By all means, try your search first with the above search phrases because you would have only a few results to evaluate. The next search method will give you hundreds or even thousands of results that would still be relevant, but you need to spend some time weeding out the bad ones or the ones that you don't need.
What splitting the search phrase means is to include the lesser populated search in quotation marks and the more populated phrase without quotation marks. For an example, if you live in ramsey county and you need a DUI attorney, you can search for: "dui attorney" ramsey county. Also don't forget: "dui lawyer" ramsey county. So, you only put the type of attorney that you need in quotation marks and the county without quotations. The reason you get thousands of results with this type of search is that every dui attorney website will contain the term dui lawyer or whatever lawyer you are searching for. But it may not contain the county term because either the webmaster forgot about it or didn't know that he or she needs to include it. So, when you do this type of split phrase search, you will first get all of the results that contain the term dui lawyer (of whatever type of lawyer you're seeking) from the websites that also contain the term that describes your county, and then the rest of the other websites within that county. You get more choices to choose from.
If the above methods don't produce the attorney of your need (based on the optimization of the websites and the available sites in the search engine database), instead of wasting hours of endless search with no results, there are still easy ways to "find an attorney in my county" online.
Besides the above methods of typing in the county and the type of attorney in quotations, you can also use some free services to actually find the attorney for you. By the way, have you forgotten your yellow pages or whatever phone book you have in your county? That's your best bet. But that's the offline world. However, these types of services are also available online.
Any type of website that deals with locating businesses, such as anywho.com, truelocal.com, yellowpages.com, can find you an attorney in not only your county, but in your city. Just key in the type of attorney that you need under business category (i.e. immigration attorney) and choose your city and state. Also, you can try the lawyer directories such as martindale.com, findlaw.com, lawyers.com, that contain attorneys and law firms from the whole world. Lawyer referral services such as legalmatch.com, globallawyerreferral.com, your local and state bar association, can also find you a lawyer in your county.
Regardless of how you find your lawyer, remember that same principals apply while choosing your attorney. You need to make a list of qualifications you want in your lawyer and interview your prospect lawyers before you decide on who will represent you.
Disclaimer: The author and publisher of this article have done their best to give you useful, informative and accurate information. This article does not represent nor replace the legal advice you need to get from a lawyer, or other professional if the content of the article involves an issue you are facing. Laws vary from state-to-state and change from time-to-time. Always consult with a qualified professional before making any decisions about the issues described in this article. Thank you.
Choosing and Working with a Mesothelioma Attorney
Mesothelioma is a rare but fatal form of cancer that almost always develops as a result of asbestos exposure. This disease typically affects the lining that encases the lungs, but can also occur in the chest or abdominal cavity. Most people with mesothelioma will die within one to five years of diagnosis, depending on how far advanced their disease is. Being diagnosed with mesothelioma is a distressing time for the sufferer and their family, and it can be difficult to cope with the strain and expense of dealing with the disease.
The stress of coping with the expense of treatment and lifestyle changes associated with mesothelioma can be alleviated considerably by employing an attorney who can help you fight for compensation from the company that was responsible for your asbestos exposure. A mesothelioma attorney who is experienced at dealing with these types of cases can work with you to secure not only compensation, but also justice for the pain and suffering you experience.
Choosing your Attorney
Choosing a mesothelioma attorney may seem like a daunting task-there are many attorneys who are specialized in dealing with such cases. Ideally you'll want to choose an attorney who has plenty of experience, with a proven track record of winning or settling lawsuits successfully. Of course, no attorney will be able to tell you any personal details about the clients they have worked with, but a good attorney should still be able to provide you with general details such as how many cases they have dealt with, how quickly these cases were resolved, and the amount of compensation their clients received.
There are several other questions you should ask when selecting an attorney. One of the most important is how the fees for your case will be handled. Most people with mesothelioma will find that money is tight, and because of this, many attorneys work on a contingency basis. This means your attorney is paid only when you receive compensation-if you do not receive any money, the attorney does not charge a fee.
It's also a good idea to ask a prospective attorney what your role will be in the case, and how the case will be handled. Try to get an overview of what the process will be like, both before and during the court case. You may also want to ask the attorney what percentage of their mesothelioma cases were settled out of court. Many cases of this type are settled before the court date, and this not only means the process is completed more quickly, but it also puts much less strain on you.
Selecting your attorney as quickly as possible once you have been diagnosed with mesothelioma is important. All states have a statute of limitations on this type of case, which means that if you do not file a lawsuit within a certain period of time, you lose your right to make a claim. In most states, this period is one to three years after diagnosis-your attorney will know all the details, but your job is finding that attorney quickly to prevent any unnecessary delays in getting your case resolved. However, do not feel pressured to select the first attorney you talk with-in most cases there will be time to talk to several different people and choose the one that you feel most comfortable with.
Working with your Attorney
Once you have chosen an attorney, the next step is working with them to put together the facts of your case. This can be a somewhat difficult task, simply because there can be a gap of up to 40 years between asbestos exposure and mesothelioma diagnosis. That means it may be hard to remember exactly when, where and how you were exposed to asbestos. Your attorney will be able to help you with this-most attorneys will have considerable research tools at their disposal, and you won't need to do any of this work alone.
Most mesothelioma attorneys will make every effort to build a case with as little inconvenience to you as possible. In most cases, you'll be required to sign documents that give your attorney the legal right to gather medical and other relevant information. You may need to give depositions to your attorney and perhaps to the defendant's attorney as well. An experienced mesothelioma attorney will understand that you may not be up to repeated visits to their office and will do their best to make sure the process does not put too much strain on you.
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