Why Specialized Care Matters
With only about 3,000 cases diagnosed annually in the U.S., most oncologists see few mesothelioma patients. Centers that specialize in mesothelioma have:
- Surgeons experienced in complex procedures like P/D and EPP
- Access to the latest immunotherapy protocols
- Multidisciplinary tumor boards reviewing each case
- Active clinical trials with emerging treatments
- Support teams familiar with mesothelioma patient needs
NCI-Designated Cancer Centers
The National Cancer Institute designates cancer centers that meet rigorous standards for research and care. These centers often have dedicated mesothelioma programs or thoracic oncology teams.
This is a partial list. The NCI maintains a complete directory of designated cancer centers at cancer.gov.
Types of Specialists
Mesothelioma treatment typically involves a team of specialists:
Thoracic Surgeon
Performs surgery on the chest and lungs, including pleurectomy and extrapleural pneumonectomy.
Medical Oncologist
Manages chemotherapy, immunotherapy, and other systemic treatments.
Radiation Oncologist
Plans and delivers radiation therapy to treat or manage mesothelioma.
Pulmonologist
Specializes in lung conditions; often involved in initial diagnosis.
Pathologist
Analyzes tissue samples to confirm mesothelioma diagnosis and cell type.
Getting a Second Opinion
A second opinion from a mesothelioma specialist is strongly recommended, especially if:
- You were diagnosed at a community hospital or general oncology practice
- You've been told surgery isn't an option
- You want to explore clinical trial options
- Your diagnosis is uncertain or unusual
Most major cancer centers offer second opinion consultations, often including remote review of imaging and pathology.