Mesothelioma is a rare and aggressive cancer arising from the mesothelium, the protective membrane lining the lungs (pleural mesothelioma), abdomen (peritoneal mesothelioma), or heart (pericardial mesothelioma). The vast majority of mesothelioma cases are linked to prior asbestos exposure, which may have occurred decades before diagnosis. In India, asbestos was widely used in construction and industry until relatively recently, and cases are expected to rise.
Mesothelioma is a rare and aggressive cancer arising from the mesothelium, the protective membrane lining the lungs (pleural mesothelioma), abdomen (peritoneal mesothelioma), or heart (pericardial mesothelioma). The vast majority of mesothelioma cases are linked to prior asbestos exposure, which may have occurred decades before diagnosis. In India, asbestos was widely used in construction and industry until relatively recently, and cases are expected to rise.
Dr. Rahul Wagh is a surgical oncologist in Pune who manages peritoneal mesothelioma with cytoreductive surgery and HIPEC, and coordinates pleural mesothelioma management with thoracic surgeons and radiation oncologists. He also provides palliative surgical options including pleurodesis for recurrent pleural effusion and drainage procedures to improve quality of life for patients with advanced disease.
Mesothelioma requires a highly specialised multidisciplinary approach. At his Baner clinics, Dr. Wagh ensures that all patients with suspected mesothelioma undergo thorough tissue biopsy and immunohistochemical confirmation before treatment planning, as the diagnosis must be confirmed histologically given the rare nature of the disease.
Warning Signs to Watch For
Mesothelioma in its early stages may not cause obvious symptoms, which is why recognising these warning signs and seeking prompt evaluation in Pune is critical:
1. Persistent chest pain or tightness (pleural)
2. Shortness of breath due to pleural effusion
3. Progressive abdominal swelling and pain (peritoneal)
4. Unexplained weight loss
5. Fatigue and general malaise
6. Recurrent pleural effusion (fluid around the lung)
7. Night sweats
8. A history of occupational asbestos exposure
Why Choose Dr. Rahul Wagh for Mesothelioma in Pune?
MCH Surgical Oncology
Highest qualification in surgical oncology with specialised fellowship training in robotic-assisted and laparoscopic cancer surgery, rare expertise available in Pune.
Oncoplastic Techniques
Breast-conserving surgeries that combine tumour removal with immediate aesthetic reconstruction, prioritising both oncological safety and quality of life.
Robotic Precision
Robotic-assisted surgery provides greater accuracy, smaller incisions, reduced blood loss and a significantly faster recovery compared to open surgery.
5000+ Proven Surgeries
A track record of successful outcomes across 5000+ cancer surgeries. Trusted by patients from Baner, Aundh, Wakad, Hinjewadi and across Pune.
Mesothelioma Surgical Treatment Options in Pune
Dr. Rahul Wagh offers the following surgical treatment options at his clinics in Baner, Pune:
Cytoreductive Surgery + HIPEC (Peritoneal)
Complete removal of peritoneal mesothelioma combined with heated intraperitoneal chemotherapy
Pleurectomy / Decortication (P/D)
Removal of the diseased pleural lining while preserving the lung, performed in collaboration with thoracic surgeons
Extrapleural Pneumonectomy (EPP)
Radical removal of the lung, pleura, diaphragm, and pericardium for carefully selected early-stage pleural mesothelioma
Pleurodesis
Chemical or surgical sealing of the pleural space to control recurrent pleural effusion in advanced disease
Thoracentesis / Paracentesis
Drainage of pleural or peritoneal fluid to relieve breathlessness or abdominal pressure
Multimodal Therapy (Surgery + Chemo + RT)
Combined treatment approach for eligible patients with pleural mesothelioma
Your Mesothelioma Treatment Journey in Pune
1
Biopsy & Histological Confirmation
Video-assisted thoracoscopic (VATS) biopsy or image-guided biopsy for tissue diagnosis at Baner clinic.
2
Staging & Eligibility Assessment
CT chest/abdomen, PET scan, pulmonary function tests, and MDT review.
3
Surgical Intervention
CRS+HIPEC for peritoneal mesothelioma or P/D for selected pleural cases at Manipal Hospital, Baner.
4
Chemotherapy & Systemic Management
Platinum-based chemotherapy and immunotherapy coordination for advanced disease.
Other Cancer Types Treated by Dr. Rahul Wagh in Pune
In addition to breast cancer, Dr. Wagh provides expert surgical oncology care for the following cancer types in Pune:
Mesothelioma is almost always caused by prior exposure to asbestos. Asbestos fibres inhaled or ingested can lodge in the mesothelium, causing cancer after a latency period of 20–50 years.
Yes. Dr. Rahul Wagh at Baner, Pune offers cytoreductive surgery with HIPEC for peritoneal mesothelioma and coordinates thoracic surgical care for pleural mesothelioma.
Mesothelioma has a challenging prognosis. However, selected patients with peritoneal mesothelioma treated with CRS+HIPEC can achieve median survival of 5+ years. Pleural mesothelioma outcomes have also improved with multimodal therapy.
Pleural mesothelioma arises in the lining around the lungs; peritoneal mesothelioma arises in the abdominal lining. They have different clinical presentations, staging, and surgical approaches.
Dr. Wagh consults at Manipal Hospital, Baner and High Street Square, Baner Gaon. OPD Mon–Sat, 10 AM–8 PM.
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