1887
Volume 2026, Issue 1
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

Malignant mesothelioma (MM) is a potentially fatal cancer that originates from the mesothelial surfaces, predominantly the pleura. Asbestos is the principal risk factor with a long latency period between exposure and disease development. The objective of this study was to investigate the clinical and epidemiological characteristics of MM in the State of Qatar.

This was a retrospective cohort study of all MM cases diagnosed in the State of Qatar during the period from January 1, 2015, to December 31, 2023. MM cases were identified from the Qatari National Cancer Registry Database and the Hamad Medical Corporation (HMC) Histopathology Database. Demographic, clinical, laboratory, radiologic, and survival data were collected from these two databases.

Among the total 22 MM cases diagnosed during the study period, migrant Egyptians constituted 15/22 (68.2%). The mean age for the study population was 57.9 ± 9.2 years with an age-standardized incidence rate of 24.1 cases per 1,000,000 individuals per year. The epithelioid histologic type was the predominant type (16/19; 84.2%), and most patients (13/14; 92.9%) were diagnosed at an advanced disease stage. The median overall survival (OS) was 16 months. The 1-year OS rate was 60.67%, dropping to 20.22% over 3 years. Though the differences were not statistically significant, patients with epithelioid histology and those with left-sided tumors experienced better OS outcomes.

MM is predominantly a cancer of Egyptian migrants in the State of Qatar, with a comparable incidence to the international rates. Epithelioid histologic type is the most common type in the State of Qatar, and the majority of patients are diagnosed at an advanced disease stage. Despite a better OS rate compared to other countries, the prognosis of MM remains grave.

Loading

Article metrics loading...

/content/journals/10.5339/qmj.2026.7
2026-03-05
2026-03-05

Metrics

Loading full text...

Full text loading...

/deliver/fulltext/qmj/2026/1/qmj.2026.7.html?itemId=/content/journals/10.5339/qmj.2026.7&mimeType=html&fmt=ahah

References

  1. Mott FE. Mesothelioma: a review. Ochsner J. 2012 Spring; 12:(1):70–9.
    [Google Scholar]
  2. Mezei G, Chang ET, Mowat FS, Moolgavkar SH. Epidemiology of mesothelioma of the pericardium and tunica vaginalis testis. Ann Epidemiol. 2017 May; 27:(5):348–59.e11. https://doi.org/10.1016/j.annepidem.2017.04.001
    [Google Scholar]
  3. Britton M. The epidemiology of mesothelioma. Semin Oncol. 2002 Feb; 29:(1):18–25. https://doi.org/10.1053/sonc.2002.30237
    [Google Scholar]
  4. Marinaccio A, Binazzi A, Di Marzio D, Scarselli A, Verardo M, Mirabelli D, et al. Incidence of extrapleural malignant mesothelioma and asbestos exposure, from the Italian national register. Occup Environ Med. 2010 Nov; 67:(11):760–5. https://doi.org/10.1136/oem.2009.051466
    [Google Scholar]
  5. Kanarek MS. Mesothelioma from chrysotile asbestos: update. Ann Epidemiol. 2011 Sep; 21:(9):688–97. https://doi.org/10.1016/j.annepidem.2011.05.010
    [Google Scholar]
  6. Pfau JC, McLaurin B, Buck BJ, Miller FW. Amphibole asbestos as an environmental trigger for systemic autoimmune diseases. Autoimmun Rev. 2024 Jul-Aug; 23:(7-8):103603. https://doi.org/10.1016/j.autrev.2024.103603
    [Google Scholar]
  7. Lanphear BP, Buncher CR. Latent period for malignant mesothelioma of occupational origin. J Occup Med. 1992 Jul; 34:(7):718–21.
    [Google Scholar]
  8. Comar M, Zanotta N, Pesel G, Visconti P, Maestri I, Rinaldi R, et al. Asbestos and SV40 in malignant pleural mesothelioma from a hyperendemic area of north-eastern Italy. Tumori. 2012 Mar-Apr; 98:(2):210–4. https://doi.org/10.1177/030089161209800205
    [Google Scholar]
  9. Lundstig A, Dejmek A, Eklund C, Filinic I, Dillner J. No detection of SV40 DNA in mesothelioma tissues from a high incidence area in Sweden. Anticancer Res. 2007 Nov-Dec; 27:(6B):4159–61.
    [Google Scholar]
  10. Mlika M, Lamzirbi O, Limam M, Mejri N, Ben Saad S, Chaouch N, et al. [Clinical and pathological profile of the pleural malignant mesothelioma: a retrospective study about 30 cases]. Rev Pneumol Clin. 2018 Dec; 74:(6):427–35. https://doi.org/10.1016/j.pneumo.2018.06.004
    [Google Scholar]
  11. Syed HA, Wallen JM. Malignant Mesothelioma. In: StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing; 2025 Jan- [Updated 2025 Jan 22]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK519530/ [cited September 29, 2025].
    [Google Scholar]
  12. United States Environmental Protection Agency . Airborne Asbestos Health Assessment Update. Washington: USEPA; 1986.
    [Google Scholar]
  13. International Agency for Research on Cancer . IARC Monographs on the Evaluation of Carcinogenic Risks to Humans. Vol. 42(7). Lyon: IARC; 1987106–16.
    [Google Scholar]
  14. Kang D, Myung MS, Kim YK, Kim JE. Systematic review of the effects of asbestos exposure on the risk of cancer between children and adults. Ann Occup Environ Med. 2013 Jul 8; 25:(1):10. https://doi.org/10.1186/2052-4374-25-10
    [Google Scholar]
  15. Asbestos and Silica Safety and Eradication Agency. Australian Government . Countries with asbestos bans. Available from: https://www.asbestossafety.gov.au/countries-asbestos-bans [cited September 29, 2025].
    [Google Scholar]
  16. Ahmad O, Boschi-Pinto C, Lopez AD, Murray CJL, Lozano R, Inoue M. Age Standardization of Rates: A New WHO Standard. Geneva: World Health Organization; 2001.
    [Google Scholar]
  17. Shah NM. Labour migration from Asian to GCC countries: Trends, patterns and policies. Middle East Law Govern. 2013 Jan; 5:(1-2):36–70. https://doi.org/10.1163/18763375-00501002
    [Google Scholar]
  18. Akl Y, Kaddah S, Abdelhafeez A, Salah R, Lotayef M. Epidemiology of mesothelioma in Egypt. A ten-year (1998-2007) multicentre study. Arch Med Sci. 2010 Dec; 6:(6):926–31. https://doi.org/10.5114/aoms.2010.19303
    [Google Scholar]
  19. Adel AM, Abdel Hafeez ZM, El Sheikh ET, El Sharawy IA, Gobran NS. Malignant pleural mesothelioma: a retrospective analysis of clinicopathological and survival data. Thorac Cancer. 2011 Feb; 2:(1):16–23. https://doi.org/10.1111/j.1759-7714.2010.00033.x
    [Google Scholar]
  20. Awad AH. Airborne asbestos fibres and mesothelioma in the last 20 years in Egypt: a review. Atmos Pollut Res. 2011 Oct; 2:(4):445–51. https://doi.org/10.5094/APR.2011.051
    [Google Scholar]
  21. Gaafar RM, Eldin NH. Epidemic of mesothelioma in Egypt. Lung Cancer. 2005 Jul; 49: Suppl 1:S17–20. https://doi.org/10.1016/j.lungcan.2005.03.025
    [Google Scholar]
  22. Cavone D, Caputi A, De Maria L, Cannone ES, Mansi F, Birtolo F, et al. Epidemiology of mesothelioma. Environments. 2019 Jul; 6:(7):76. https://doi.org/10.3390/environments6070076
    [Google Scholar]
  23. Geltner C, Errhalt P, Baumgartner B, Ambrosch G, Machan B, Eckmayr J, et al. Management of malignant pleural mesothelioma - part 1: Epidemiology, diagnosis, and staging : Consensus of the Austrian Mesothelioma Interest Group (AMIG). Wien Klin Wochenschr. 2016 Sep; 128:(17–18):611–7. https://doi.org/10.1007/s00508-016-1080-z
    [Google Scholar]
  24. Peto J, Decarli A, La Vecchia C, Levi F, Negri E. The European mesothelioma epidemic. Br J Cancer. 1999 Feb; 79:(3-4):666–72. https://doi.org/10.1038/sj.bjc.6690105
    [Google Scholar]
  25. Leigh J, Davidson P, Hendrie L, Berry D. Malignant mesothelioma in Australia, 1945-2000. Am J Ind Med. 2002 Mar; 41:(3):188–201. https://doi.org/10.1002/ajim.10047
    [Google Scholar]
  26. Bianchi C, Bianchi T. Global mesothelioma epidemic: trend and features. Indian J Occup Environ Med. 2014 May-Aug; 18:(2):82–8. https://doi.org/10.4103/0019-5278.146897
    [Google Scholar]
  27. Järvholm B, Burdorf A. Emerging evidence that the ban on asbestos use is reducing the occurrence of pleural mesothelioma in Sweden. Scand J Public Health. 2015 Dec; 43:(8):875–81. https://doi.org/10.1177/1403494815596500
    [Google Scholar]
  28. Bou-Samra P, Chang A, Azari F, Kennedy G, Segil A, Guo E, et al. Epidemiological, therapeutic, and survival trends in malignant pleural mesothelioma: a review of the National Cancer Database. Cancer Med. 2023 Jun; 12:(11):12208–20. https://doi.org/10.1002/cam4.5915
    [Google Scholar]
  29. Adel AM, Abdel Hafeez ZM, El Sheikh ET, El Sharawy IA, Gobran NS. Malignant pleural mesothelioma: a retrospective analysis of clinicopathological and survival data. Thorac Cancer. 2011 Feb; 2:(1):16–23. https://doi.org/10.1111/j.1759-7714.2010.00033.x
    [Google Scholar]
  30. van Kooten JP, Belderbos RA, von der Thüsen JH, Aarts MJ, Verhoef C, Burgers JA, et al. Incidence, treatment and survival of malignant pleural and peritoneal mesothelioma: a population-based study. Thorax. 2022 Dec; 77:(12):1260–7. https://doi.org/10.1136/thoraxjnl-2021-217709
    [Google Scholar]
  31. Marshall AD, Bayes HK, Bardgett J, Wedderburn S, Kerr KM, Currie GP. Survival from malignant mesothelioma: where are we now? J R Coll Physicians Edinb. 2015; 45:(2):123–6. https://doi.org/10.4997/JRCPE.2015.207
    [Google Scholar]
  32. Ibrahim WH, Shariff K, El Mistiri M, Alhomsi U, Alshurafa A, Farooqui K, et al. Featuring trends in the epidemiology of lung cancer following the publication of the national cancer strategy in Qatar. Oman Med J. 2021 May; 36:(3):e276. https://doi.org/10.5001/omj.2021.71
    [Google Scholar]
  33. Curran D, Sahmoud T, Therasse P, van Meerbeeck J, Postmus PE, Giaccone G. Prognostic factors in patients with pleural mesothelioma: the European Organization for Research and Treatment of Cancer experience. J Clin Oncol. 1998 Jan; 16:(1):145–52. https://doi.org/10.1200/JCO.1998.16.1.145
    [Google Scholar]
/content/journals/10.5339/qmj.2026.7
Loading
/content/journals/10.5339/qmj.2026.7
Loading

Data & Media loading...

  • Article Type: Research Article
Keyword(s): asbestosepidemiologyMesotheliomaneoplasms and pleura
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error