Peritoneal Mesothelioma

Peritoneal mesothelioma is a rare cancer that forms in the lining of the abdomen after asbestos exposure. Patients live for 4 and a half years on average with aggressive treatment. Lung Cancer Group can help you explore treatments and compensation for peritoneal mesothelioma.

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What Is Peritoneal Mesothelioma?

Peritoneal MesotheliomaPeritoneal mesothelioma is the second-most common type of mesothelioma. It affects the peritoneum, the thin lining of the abdomen.

It has a better prognosis (health outlook) than most other types of this cancer if patients get treatment from peritoneal mesothelioma specialists.

Peritoneal Mesothelioma Quick Facts

  • Between 250 to 300 new cases of peritoneal mesothelioma are diagnosed each year in the United States.
  • Common symptoms include bloating, weight loss, and abdominal pain.
  • Cytoreuction with HIPEC for peritoneal mesothelioma is the benchmark treatment, with patients living for 53 months on average.
  • Only asbestos exposure causes peritoneal mesothelioma.
  • The 5-year survival rate for peritoneal mesothelioma is up to 80% with surgery and chemotherapy.
  • Some peritoneal mesothelioma patients have lived for 15 years or more, becoming long-term survivors.

If you have peritoneal mesothelioma, lung cancer, or another asbestos-related illness, connect with our team today.

Lung Cancer Group’s on-staff mesothelioma nurses can help you find peritoneal mesothelioma doctors and treatments and explore compensation for medical expenses.

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Causes of Peritoneal Mesothelioma Cancer

Peritoneal mesothelioma is only caused by exposure to asbestos.If you were exposed to asbestos-containing products like insulation or cement, you could have breathed in or swallowed microscopic asbestos fibers.

These fibers can get trapped in your abdominal lining, causing long-term irritation that makes healthy cells become cancerous.

Did You Know?

The biggest risk factor of peritoneal mesothelioma is working in high-risk occupations — construction, firefighting, auto repair, and U.S. military service — as asbestos was used so heavily in these jobs.

Others might develop peritoneal mesothelioma if they were exposed to asbestos secondhand, such as when a family member brought home fibers on their hair or clothing.

Peritoneal Mesothelioma Cancer Symptoms

It can take 10-50 years before peritoneal mesothelioma symptoms develop. The most common symptom is abdominal distention (bloating), which is found in up to 80% of new patients.

Other symptoms of peritoneal mesothelioma include:

  • Abdominal pain
  • Ascites or peritoneal effusion (fluid buildup in abdomen)
  • Bowel obstruction or constipation
  • Fatigue
  • Fever
  • Loss of appetite
  • Nausea
  • Night sweats
  • Unexpected weight loss

Promptly talk with your health care team if you have these symptoms and were ever exposed to asbestos. By doing so, you may be able to catch this cancer early and avoid being misdiagnosed with a more common and less serious issue.

Call (877) 446-5767 if you’re experiencing peritoneal mesothelioma symptoms. We can help you find top doctors to confirm your diagnosis.

How to Diagnose Peritoneal Mesothelioma

Oncologists (cancer doctors) use a series of tests to help confirm a diagnosis of peritoneal mesothelioma.

Doctors can diagnose mesothelioma by performing:

  1. Basic health assessments: A doctor will take note of your symptoms and any potential risk factors for peritoneal mesothelioma (such as asbestos exposure).
  2. Imaging scans: X-rays, CT scans (computed tomography scans), and MRIs (magnetic resonance imaging scans) can detect signs of cancer.
  3. Biopsy and peritoneal fluid analysis: If abnormal growths are found during imaging scans, doctors will need to perform a biopsy (review of tissue sample under a microscope) to confirm your diagnosis.

“To diagnose peritoneal mesothelioma, you need a tissue biopsy. There’s no question about it, and that tissue biopsy should be read by someone with some specific expertise in this disease.”

— Dr. Edward Levine, peritoneal mesothelioma specialist

Doctors also determine which mesothelioma cell type you have (epithelioid, sarcomatoid, or biphasic) after confirming a diagnosis through a biopsy. Malignant epithelioid peritoneal mesothelioma is the least aggressive and easiest type to treat.

In addition, peritoneal mesothelioma specialists may diagnose you with a specific subtype of this cancer. For example, some patients have benign multicystic peritoneal mesothelioma, in which tumors are not made up of cancer cells and can be more easily treated.

Peritoneal Mesothelioma Misdiagnosis

Peritoneal mesothelioma may sometimes be misdiagnosed as more common health problems that share similar symptoms.

Common peritoneal mesothelioma misdiagnoses include:

  • Gallstones
  • Hernias
  • Irritable bowel syndrome (IBS)
  • Ovarian cancer

If you have a history of asbestos exposure, it may help to get a second opinion from a peritoneal mesothelioma specialist to rule out a misdiagnosis.

Peritoneal Mesothelioma Stages

Peritoneal mesothelioma does not follow a typical staging system like other cancers do.

Doctors instead use two informal informal peritoneal mesothelioma stages

  • Localized peritoneal mesothelioma means the cancer has not spread and tumors are small. This stage is closely equivalent to stages 1 and 2 of pleural mesothelioma (the most common type).
  • Advanced peritoneal mesothelioma indicates that mesothelioma tumors have spread to other parts of the body like the liver, spleen, or ovaries. This is similar to stage 3 and stage 4.

Doctors can recommend a treatment plan based on cancer spread to help peritoneal mesothelioma patients live as long as possible.

Peritoneal Mesothelioma Prognosis

The prognosis (expected health outcome) for peritoneal mesothelioma varies from person to person.

Peritoneal mesothelioma prognosis depends on several factors, like:

  • Age: Younger people usually can withstand more aggressive treatments compared to older patients.
  • Cancer stage: Localized peritoneal mesothelioma is easier to treat.
  • Overall health: People who don’t have other health problems besides cancer have a better chance of recovery with fewer complications.

These factors contribute to two estimates that make up a patient’s prognosis: life expectancy and survival rate.

Peritoneal Mesothelioma Life Expectancy

Life expectancy refers to how many months a person may live after their diagnosis. The average life expectancy for peritoneal mesothelioma is 53 months (roughly 4 and a half years) if patients receive aggressive treatment.

It is also important to remember that this number is only an estimate, and many people may outlive their projected life expectancy.

Talk with a nurse now to find peritoneal mesothelioma specialists and treatments that may help improve your survival time.

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Amy Fair
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Peritoneal Mesothelioma Survival Rate

Survival rate is an estimate of how many patients will still be living after a certain amount of time (typically years).

The 5-year survival rate for peritoneal mesothelioma is 65%, according to the Moffitt Cancer Center. The best way for patients to potentially surpass this average survival rate is to seek top mesothelioma treatments.

Top Treatments for Peritoneal Mesothelioma

The most common treatment options for peritoneal mesothelioma include surgery, chemotherapy, and immunotherapy.

Learn about these mesothelioma treatments and how to get help accessing them below.

Cytoreductive Surgery With HIPEC for Peritoneal Mesothelioma

The main treatment for peritoneal mesothelioma is cytoreductive surgery combined with hyperthermic intraperitoneal chemotherapy (HIPEC).

Cytoreduction with HIPEC is a two-part process:

  1. Surgically removing all visible tumors in the peritoneum
  2. Bathing the abdomen with heated chemotherapy to kill leftover cancer cells

This procedure is the benchmark for peritoneal mesothelioma treatment, with patients living for over 4 years on average.

“Cytoreduction with HIPEC is a big operation, but if it is an option, it is good news as it means surgery is a choice and can impact the outcome.”

— Dr. Daniel Labow, peritoneal mesothelioma specialist

If patients receive cytoreduction with HIPEC and additional chemotherapy, the 5-year survival rate reaches 80%, according to a report from peritoneal mesothelioma specialist Dr. Paul Sugarbaker.

Call (877) 446-5767 now for help finding top peritoneal mesothelioma treatments that could allow you or someone you love to live longer.

Chemotherapy

Systemic chemotherapy is typically used if a peritoneal mesothelioma patient can’t receive surgery or needs follow-up care. The patient will receive chemotherapy drugs through an IV that travel through the body to kill the cancer.

Peritoneal mesothelioma patients live for over 13 months when treated with the chemotherapy drugs pemetrexed and cisplatin, according to a 2024 Annals of Surgical Oncology report.

Immunotherapy

Immunotherapy boosts the immune system to help the body fight infection, cancer, and other conditions. Peritoneal mesothelioma patients can only get immunotherapy through clinical trials at this time.

An immunotherapy called zimberelimab combined with chemotherapy showed success for one peritoneal mesothelioma patient. His tumors decreased and he had no signs of cancer spread for 7 months.

Palliative Care

Palliative care is treatment designed specifically to ease the pain of peritoneal mesothelioma patients and improve quality of life.

Common palliative treatments for peritoneal mesothelioma include:

  • Chemotherapy: Low doses of chemotherapy could help shrink tumors and relieve symptoms
  • Medication: Doctors may provide painkillers to ease symptoms and side effects of treatment
  • Paracentesis: This procedure drains peritoneal effusions and eases pain
  • Support groups and counseling: These can provide psychological support to help manage the stress of a diagnosis

Palliative care can be provided along with life-extending treatments for peritoneal mesothelioma. They may also be the main type of treatment used for cases of advanced peritoneal mesothelioma.

Top Peritoneal Mesothelioma Doctors

Peritoneal mesothelioma is very rare, so you’ll want to see top doctors who specifically treat it.

Some of these mesothelioma doctors include:

  • Dr. Hedy Lee Kindler leads the University of Chicago Comprehensive Cancer Center’s mesothelioma program. She specializes in chemotherapy and conducts clinical trials testing new treatments.
  • Dr. James Pingpank leads the mesothelioma program at the University of Pittsburgh Hillman Cancer Center in Pennsylvania. He has extensive experience treating peritoneal mesothelioma with cytoreductive surgery and HIPEC.
  • Dr. Richard Alexander is the Chief Surgical Officer at Rutgers Cancer Institute in New Jersey. He has over 40 years of experience and is internationally known for his research on peritoneal mesothelioma.
  • Dr. Deepa Magge has more than 10 years of experience treating peritoneal mesothelioma patients. She currently practices at Vanderbilt University Medical Center in Tennessee.
  • Dr. Mecker Möller is a surgical oncologist leading the peritoneal mesothelioma HIPEC program at the University of Miami Miller School of Medicine. She has more than 15 years of experience treating peritoneal mesothelioma.

“I think my approach for any peritoneal surface malignancy in general is to be honest, but also offer hope. I want patients to prepare and to be able to do things that they want to do in their life, and make sure that they get to meet their goals.”

— Dr. Deepa Magge, peritoneal mesothelioma specialist

Speak with a mesothelioma nurse now to get connected with experienced peritoneal cancer specialists near you.

Speak With a Mesothelioma Nurse
  • Find Top Doctors and Treatments
  • Connect You With Clinical Trials
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Talk with Amy

Amy Fair
20+ Years Helping
Mesothelioma Patients

Peritoneal Mesothelioma Survivor Stories

Although peritoneal mesothelioma is very aggressive, some patients have outlived the average prognosis and become long-term survivors.

Here are some inspiring peritoneal mesothelioma survivor stories:

  • Alexis Kidd learned she had peritoneal mesothelioma in 2007 after undergoing gallbladder surgery. She endured multiple aggressive treatments and is approaching two decades of survivorship.
  • Julie Gundlach was diagnosed with peritoneal mesothelioma in 2006 at the age of 35. She was told she would likely not survive for more than a year, but thanks to aggressive treatments she is still alive today — almost 20 years later. Julie continues to thrive with her family as her cancer is now stable.
  • Mary Jane Williams lived for 15 years following her peritoneal mesothelioma diagnosis. Doctors declared her cancer-free thanks to chemotherapy and surgery.
  • Paul Kraus has survived peritoneal mesothelioma for over 25 years despite being diagnosed with advanced cancer. He is considered one of the longest-living mesothelioma survivors.

“I want to live my best life during this absolutely amazing second chance I’ve been given.”

— Alexis Kidd, long-term peritoneal mesothelioma survivor

These survivors show that anything is possible and that you may be able to live for decades with peritoneal mesothelioma.

Compensation Options for Peritoneal Mesothelioma Patients

Peritoneal mesothelioma treatment can be expensive, even with insurance. But, many mesothelioma patients have been able to afford treatment thanks to multiple compensation options.

Ways to seek peritoneal mesothelioma compensation include:

  • Asbestos trust funds, which were set up by bankrupt asbestos companies so victims could get compensation without a lawsuit. There is over $30 billion available in asbestos trusts today.
  • Mesothelioma lawsuits, which can be filed by patients or surviving family members to recover compensation from companies that made and sold asbestos-containing products. These lawsuits award $1 million or more on average.
  • VA benefits that typically award veterans with mesothelioma over $4,000 a month, as well as free or low-cost health care and other resources.

Contact our team now to see if you’re eligible for financial compensation after a peritoneal mesothelioma diagnosis.

Find Help After a Peritoneal Mesothelioma Diagnosis

If you or a loved one is feeling overwhelmed after a peritoneal mesothelioma diagnosis, Lung Cancer Group is here for you.

Our caring and dedicated nurses and Patient Advocates can:

  • Answer questions or concerns you have
  • Connect you with top doctors and cancer centers
  • Help you seek financial compensation to cover any costs
  • Walk with you through your entire cancer journey

Call (877) 446-5767 or speak to our mesothelioma nurses to learn more about how we can help you. The assistance you need is just around the corner.

Peritoneal Mesothelioma FAQs

What is the survival rate for peritoneal mesothelioma?

Peritoneal mesothelioma has a 5-year survival rate of about 65%. This means that 65% of patients diagnosed with this type of cancer live for 5 years or more.

The key to living longer with peritoneal mesothelioma is to get prompt treatment. Otherwise, peritoneal mesothelioma can quickly be fatal.

The average life expectancy for a person with peritoneal mesothelioma is 53 months with treatment. However, some patients can live for years or even a decade or more.

How long you can live with peritoneal mesothelioma depends on the treatments you receive, your health and age, and other factors.

Contact our team now for help accessing treatments and compensation after a peritoneal mesothelioma diagnosis.

Symptoms of peritoneal mesothelioma may include:

  • Abdominal pain
  • Bloating
  • Digestive changes
  • Fatigue
  • Nausea
  • Unexplained weight loss

However, these symptoms are often mistaken for less serious conditions. Talk with your health care team if you are having these symptoms and were ever exposed to asbestos, which is the only known cause of peritoneal mesothelioma.

Yes, other patients have survived peritoneal mesothelioma. Some peritoneal mesothelioma survivors have lived for 15 years or more with this aggressive cancer.

Doctors can recommend top treatments that may help you or a loved one become a long-term peritoneal mesothelioma survivor.

Call (877) 446-5767 now for assistance finding top doctors and treatments that may help you live longer with peritoneal mesothelioma.

Peritoneal mesothelioma is caused by asbestos, a cancer-causing mineral that was used in thousands of products prior to the early 1980s.

When you breathe in or swallow microscopic asbestos fibers, they can settle in your body and cause irritation and scarring. After 10-50 years, this damage can cause normal cells to turn into cancerous peritoneal mesothelioma cells.

Doctors may look for markers — specific substances found in tumors and cells — to determine if you have peritoneal mesothelioma.

Common markers for peritoneal mesothelioma include proteins like calretinin, WT1, mesothelin, and CK5/6. These markers showed up in over 80% of peritoneal mesothelioma tumors sampled in a report from Archives of Pathology & Laboratory Medicine.

Doctors can determine if you have any peritoneal mesothelioma markers using a test called immunohistochemistry at the time of diagnosis.

There’s no known cure for peritoneal mesothelioma at this time, but doctors can recommend treatments to help patients live longer.

“I never say cure, because it’s peritoneal mesothelioma, and despite all of our aggressive surgeries and things, it likes to come back,” peritoneal mesothelioma specialist Dr. Richard Alexander says. “The best thing we can do is extend life as long as we can.”

Some patients have become long-term survivors thanks to aggressive peritoneal mesothelioma treatment plans.

Lung Cancer Group was established by a team of caring advocates so those with lung cancer and other asbestos-related diseases can get the help they deserve. Our site provides the most accurate and up-to-date information about lung cancer, its link to asbestos, and financial compensation available to patients. Contact us to learn more and get assistance.

  1. Anwar A., Kasi A. (2022). Peritoneal Cancer. StatPearls. Retrieved April 3, 2025, from https://www.ncbi.nlm.nih.gov/books/NBK562138/.
  2. Canadian Cancer Society. (n.d.) Survival statistics for mesothelioma. Retrieved April 3, 2025, from https://cancer.ca/en/cancer-information/cancer-types/mesothelioma/prognosis-and-survival/survival-statistics.
  3. Canadian Cancer Society. (n.d.) Treatment of peritoneal mesothelioma. Retrieved April 3, 2025, from https://cancer.ca/en/cancer-information/cancer-types/mesothelioma/treatment/peritoneal-mesothelioma.
  4. Cleveland Clinic. (2022). Peritoneal Mesothelioma. Retrieved April 3, 2025, from https://my.clevelandclinic.org/health/diseases/23973-peritoneal-mesothelioma.
  5. Enomoto, L. M., Shen, P., Levine, E. A., & Votanopoulos, K. I. (2019). Cytoreductive surgery with hyperthermic intraperitoneal chemotherapy for peritoneal mesothelioma: Patient selection and special considerations. Cancer Management and Research. Retrieved April 3, 2025, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6511620/.
  6. Greenbaum, A., & Alexander, H. R. (2020). Peritoneal mesothelioma. Translational Lung Cancer Research. Retrieved April 3, 2025, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7082256/#.
  7. Kim, J., Bhagwandin, S., & Labow, D. M. (2017). Malignant peritoneal mesothelioma: a review. Annals of Translational Medicine. Retrieved April 3, 2025, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5497105/.
  8. MD Anderson Cancer Center. (2021). 6 things to know about peritoneal mesothelioma. Retrieved April 3, 2025, from https://www.mdanderson.org/cancerwise/what-is-peritoneal-mesothelioma-diagnosis-and-treatment.h00-159464001.html.
  9. Moffitt Cancer Center. (n.d.). Mesothelioma Survival Rate. Retrieved April 3, 2025, from https://www.moffitt.org/cancers/mesothelioma/survival-rate/.
  10. Peng, X. D., You, Z. Y., He, L. X., & Deng, Q. (2023). Zimberelimab plus chemotherapy as the first-line treatment of malignant peritoneal mesothelioma: A case report and review of literature. World Journal of Clinical Cases. Retrieved April 3, 2025, from https://pubmed.ncbi.nlm.nih.gov/37621601/.
  11. Salo, S., Ilonen, I., Laaksonen, S., et al. (2019) Malignant Peritoneal Mesothelioma: Treatment Options and Survival. Anticancer Research. Retrieved April 3, 2025, from https://ar.iiarjournals.org/content/39/2/839.long.
  12. Shavelle, R., Vavra-Musser, K., Lee, J., & Brooks, J. (2017). Life Expectancy in Pleural and Peritoneal Mesothelioma. Lung Cancer International. Retrieved April 3, 2025, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5292397/.
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