. In spite of such modern techniques a definitive diagnosis of mesothelioma still remains possible through fluid diagnosis and tissue biopsy. This system divides mesothelioma into four stages. The butchart system is based on the extent of the primary tumor mass available in a patient. If the cancer spreads beyond the pleura and to other parts of the body such as the lungs abdominal cavity lymph nodes and the chest wall mesothelioma is considered to be in an advanced stage. However the latest system is known as the brigham system where staging is done as per the respectability and lymph node involvement.
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