Pleural mesothelioma is a neoplasm that affects the mesothelium lining the pleura and is caused by exposure to asbestos fibers. It can also manifest itself with a temporal latency of 20, 30 or 45 years and is almost always fatal.The only form of prevention is to avoid asbestos exposure. For more than 20 years, the lawyer Ezio Bonanni has assisted the victims of pleural mesothelioma and their families for the protection of rights, compensation for damages and, thanks to the free medical assistance provided by the National Asbestos Observatory , for prevention, diagnosis and treatment .
Free assistance for pleural mesothelioma victims
The law firm of the lawyer Ezio Bonanni assists you for:
- Complaint of occupational disease: essential certification to start the procedure for the recognition of mesothelioma occupational origin, Inail mesothelioma compensation, direct / reversible annuity for the spouse and children;
- Assessment of permanent biological damage : essential for obtaining the recognition of professional origin and quantifying the disabling degree, useful in the eventual judgment of compensation for damages against the employer and other responsible persons;
- Permanent damage review: both INAIL and the victim may ask to review the quantification of biological damage in the event of aggravation;
- Administrative and judicial appeal: in case of non-recognition of the annuity / recognition of a lower invalidating degree, the victim has the right to appeal in an administrative way to arrange the INAIL collegial visit and, subsequently, the labor judge;
- INAIL benefits / INAIL mesothelioma compensation: the victim has the right to compensation for biological damage and compensation for damage from decreased work capacity with a monthly income. The amount of the monthly annuity / INAIL compensation takes into account the salary and the disabling degree (equal to at least 16%). In the event of a disabling degree between 6% and 15%, only compensation for biological damage is due.
Victims of pleural mesothelioma are entitled to INAIL indemnity, INAIL annuity and other contributory rights and benefits with re-evaluation of the period of asbestos exposure with the coefficient 1.5. The coefficient 1.5 is useful both for early retirement and for the reassessment of the amount of benefits in use. Early retirement is a measure to retire the worker exposed to asbestos and thus avoid other exposures. In the event of death, the INAIL mesothelioma compensation or INAIL annuity is paid to the surviving spouse in the amount of 50% of the benefit due to the victim and children in the amount of 20% for each, provided that it does not exceed the initial 100%. To know more:
Compensation for damages
Mesothelioma of the pleura always has an occupational origin and arises only after high exposure to dust and fibers of asbestos, eternity as the extra professional exposures are of too low intensity to cause their onset.
This pleural neoplasm proves that the exposure was intense and therefore proves the causal link between exposure and onset. The proof of the causal link between exposure to asbestos and pleural neoplasia allows obtaining compensation for damages.
The victim has the right to compensation for damage , pecuniary damage and non-pecuniary damage . In the event of death, the right can be asserted by the heirs of the deceased victim, for contractual and extra-contractual liability. The modalities for the compensation of damages are consequent to the entity of the recognized invalidating degree:
- less than 6%: compensation for damages is borne by the employer (Cass. section lav., n. 2491/2008)
- from 6% to 15%: the employer compensates for differential, moral , existential and property damages
- starting from 16%: INAIL compensates biological damage and pecuniary damage from decreased working capacity and the employer compensates for differential biological and patrimonial damages and complementary ones
Victims of Duty
The members of the Armed Forces and the Security Section who for service reasons have contracted pleural mesothelioma due to asbestos have the right to be recognized as Victims of Duty with the related rights and benefits.
In the event of the death of the victim, it is possible to obtain recognition as a widower and orphan of a Victim of Duty with the related rights and benefits and social security and welfare benefits :
- special donation (€ 200,000.00)
- life allowance (€ 500 per month)
- life allowance (€ 1,033.00 per month)
- further performance
To know more:
Free legal assistance
Asbestos is a dangerous carcinogen still present in many public buildings, as evidenced by ” The White Book of Asbestos Deaths in Italy – Ed.2022 “. The ONA has set up the Asbestos APP to report contaminated sites and facilitate mapping and remediation .
To obtain legal protection, you can contact the law firm of the lawyer Ezio Bonanni through the toll-free number or through the form below to receive a first free legal opinion .
Based on the type of malignant cell, three types of mesothelium cancer are distinguished:
- Epithelioid: the most common (60-70% of cases), tends to have a better prognosis (survival epithelioid mesothelioma)
- Sarcomatoid (or fibrous): 10 to 20% of mesotheliomas
- Mixed (or biphasic): with epithelioid areas and sarcomatoid areas, it represents 30 to 40% of mesotheliomas
Read more on: Mechanisms of carcinogenesis
Pleural Mesothelioma Symptoms
Pleural mesothelioma is usually preceded by pleural thickening. Symptoms of pleural tumor are:
- difficulty breathing, caused by pleural effusion and thickened pleura
- pleural effusion, with the need for pleural fluid aspiration for pleural fluid cytology
- chest pain in the back or side with a feeling of weight and swelling of the neck and face
- weight loss
- easy fatigue
Pleural Mesothelioma Diagnosis
Mesothelioma Symptoms : Often mesothelioma symptoms are similar to those of other diseases, making diagnosis difficult. For this reason, the work history is fundamental, as occupational exposure to asbestos can be an important clue for the correct diagnosis and exclusion of other pathologies. For the diagnosis of pleural mesothelioma, instrumental tests are required:
- thoracentesis (sampling of fluid present in the thoracic cavity, which is subjected to cytological examination to determine the presence of neoplastic cells)
- histological examination (sampling of tissue through video-assisted thoracoscopy or guided CT biopsy to ascertain its extension and aggression)
In case of mesothelioma diagnosis, it is recommended to go to specialized centers. The Department of therapy and care of the ONA, led by Prof. Marcello Migliore and Prof. Mauro Roberto Benvenuti, assists the victims free of charge.
Pleural Mesothelioma Therapy
The type of therapy depends on the staging, age and state of health of the patient. Pleural cancer therapy has several options:
- combination of different approaches to increase their effectiveness
To learn more about Pleural Mesothelioma Therapy: Multimodal Treatment
Pleural Mesothelioma Life Expectations
Pleural mesothelioma life expectancy is around 9/8 months in most cases. Pleural mesothelioma survival is 5 years in 5% of cases.
The in-depth diagnostic tests of pleural mesothelioma
The lawyer Ezio Bonanni is the author of the publication ” How to cure and defeat mesothelioma and obtain social security protection and compensation for damages “ , dedicated to all victims of asbestos-induced mesothelium cancer and their families, to provide a practical guide to legal protection and medical.
Thoracentesis has diagnostic and therapeutic purposes . It consists of taking fluid in the intercostal space with a fine needle. The liquid is then subjected to cytological examination in order to formulate the mesothelioma diagnosis. Thoracentesis can also involve the total removal of excess fluid in the pleura in order to improve breathing and relieve pain.
The surgical approach to mesothelium cancer or monthsothelioma can be done through:
- total pleurectomy
- extrapleural pneumectomy: removal of the pleura en bloc with the lung, pericardium and diaphragm;
Radiation therapy consists of external beams and intensity-modulated volumetric technique (IMRT) and is practiced following surgery and chemotherapy. In some cases, it is for palliative purposes only, particularly in advanced forms of the disease and in areas where the patient feels pain.
Chemotherapy involves intravenous infusion of drugs and is used to reduce or stop the progression of cancer . In cases of tumor reduction, chemotherapy helps to favor the surgical approach and in any case to improve the symptomatological picture.
Pleural effusion means an accumulation of fluid inside the pleural cavity which may be due to pulmonary, pleural or extrapulmonary pathology and which originates, in most cases, from mesothelioma of the pleura except for rare cases of benign tumors.
Mesothelioma of the pleura arises from the cells of the mesothelium that surrounds the lungs, ie the serous membrane that “lines” the inner wall of the chest, with the production of a particular lubricating liquid that facilitates breathing.
The pleural effusion, depending on its origin, can be composed of relatively clear fluid or blood or purulent .
Pleural effusion symptoms
Pleural effusion causes difficulty in breathing, chest pain, with particular intensity during breathing and in case of cough.
The symptoms of mesothelioma are initially very nonspecific and are often ignored or interpreted as signs of other more common and less serious diseases. The severity of symptoms is determined by the extent of the pleural effusion , the rate at which it forms, and the underlying lung disease.
A large pleural effusion usually causes dyspnoea, which may be absent or minimal if the effusion is modest.
Early signs of pleural mesothelioma may include pain in the lower back or one side of the chest, shortness of breath, cough, fever, fatigue, weight loss, difficulty swallowing, muscle weakness, as well as pleural effusion.
When a pathological process (for example pneumonia with pleurisy , or a tumor) affects the pleura, it reacts by producing abundant pleural fluid, more than it is able to reabsorb.
The fluid will then accumulate in the pleural cavity forming the pleural effusion which, in turn, will compress the lung reducing its breathing capacity .
Thoracentesis is a medical practice used for the diagnosis and treatment of pleural diseases . In particular, thoracentesis is reserved for pathologies such as hypertensive pneumothorax and pleural effusion, in which there is, respectively, the accumulation of air and fluid inside the pleural cavity.
Thoracentesis is an invasive procedure, practiced under local anesthesia : the specialist, after introducing a needle or a cannula directly into the patient’s chest, sucks in excess fluid or air accumulated there.
The sample thus collected is subsequently sent to the analysis laboratory, where the nature of the etiopathological agent involved in the pleural disease will be identified .
The choice of the most suitable type of treatment is linked to the origin of the pleural effusion, and in case of neoplasm, its stage. Thoracentesis is also therapeutic in nature, because the excess fluid between the two serous sheets of the pleura causes difficulty in breathing and pain and its removal relieves breathing difficulties and chest pain.
In the case of pleural mesothelioma, the therapeutic decision is made even more difficult by the fact that it is a rare tumor and therefore it is not easy for doctors to compare the effectiveness of different treatments or have the necessary experience to make the right choice. .
Several therapeutic trials with biological drugs have been underway for some years, although none of these approaches has yet shown a real significant impact on the survival of treated patients.
The progressive improvement of scientific knowledge on this disease is however opening up new interesting therapeutic perspectives .
Pleural talc or pulmonary talc is indicated in the treatment of relapsing pleural effusion for benign and / or malignant diseases.
Talcage consists in injecting , through a catheter, sterile talc into the pleural cavity, in order to irritate both the visceral pleura (which covers the lung) and the parietal pleura (which covers the chest wall).
The consequence of the irritation is that the two pleura stick together, forming adhesions that prevent the formation of pleural fluid collection.
The essential condition, in order to be able to perform this technical talc procedure, is that after having aspirated the pleural fluid, by means of thoracentesis, the lung re-expands completely, that is, it returns to the wall.
II report mesothelioma ONA
The lawyer Ezio Bonanni is the author of ONA’s II Mesothelioma Report , in which, starting from p. 36, all the data and statistics relating to mesothelioma in Italy have already been reported and specified . The epidemiological data are confirmed by the VII ReNaM Report .
Asbestos Related Diseases Register (REPAC)
The National Asbestos Observatory has established the Register of Asbestos-Related Pathologies (REPAC) with the aim of detecting the survival and incidence rates and the relative life expectancy of mesothelioma.
This reporting tool also allows reporting the presence of asbestos, materials containing asbestos or places of life and work (as well as public buildings, schools, hospitals, etc.) with the presence of asbestos, even suspected.
The aim is to favor a more effective and timely asbestos remediation, in collaboration with the institutions, and thus avoid the persistence of the risk condition for all workers and citizens exposed to killer fiber dusts .
Manual for legal care and protection
The Thematic Book of the ONA n.123 “How to cure and defeat mesothelioma and obtain social security protection and compensation for damages” is an easy-to-consult explanatory manual with the function of a guide for those who have been exposed to asbestos and are sick or they are afraid of getting sick.
The lawyer Ezio Bonanni has developed this manual to protect the rights of asbestos victims and made it freely available to be more accessible to all victims and their families .