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Q: Adenocarcinoma
asked by: DoctorQuestion on December 21st, 2008
My boyfriend Blackie was just diagnosed with Stage 3 Adenocarcinoma. He was taken into the hospital for a subdural hematoma initially but in doing further tests an xray revealed a 3cm left lung density which turned out to be adenocarcinoma. Surgery we were told was not an option at this time but the chemo/radiation would be his recommended treatment. We are still waiting to hear from the radialogy oncologist to schedule his first treatment which will most likely be right after the holidays. He is in good spirits and is ready to fight this deadly disease. My questions to you are what are we in for? How much time does he possibly have left? Is it going to get worse before it gets better? Can I get some insight as to the progression starting at Stage 3? Thank you so much, Janette Hultgren


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Dr. Goce Aleksovski , MD
replied on December 23rd, 2008
Lung Cancer Answer A5132



Diagnosis that has been suggested: pet scan showed a 2.7 cm left lung mass which was intensely hypermetabolic. There were multiple intensely hypermetabolic mediastinal lymph nodes in the bilateral paratracheal region, aorticopulmonary window, left subcarina & extensive involvement of the left hilum, with a large hypermetabolic hilar mass. The percutaneous lung biopsy revealed a large cell carcinoma of the lung, adenocarcinoma, likely the lung primary



Stage 3 lung adenocarcinoma is a malignant tumor that has already spread to the surrounding tissue and the mediastinal lymph nodes. The only complete treatment is surgical removal. This treatment is effective in smaller cancers, in earlier stages. If no operation can be performed, than chemotherapy and radiotherapy is recommended. Sometimes its use is only palliative, to delay the worsening of the symptoms. When the organism will definitely lose the fight with the cancer, the body will start rapidly loosing weight. The breathing will be difficult, due to damaged functional lung tissue and pressure of the tumor to the surrounding air ways. In the end, as in every other cancer, a strong pain will be present. Strong medications to relieve the pain would be recommended.


Generally, the lung adenocarcinoma has a poor prognosis. Usually it ends with death. According to various sources, only about 17% of the people with adenocarcinoma survive more than 5 years after diagnosis.




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jlrock
replied on March 19th, 2009
New User
A5132
I had the same thing, but had the lower right lobe removed 4 weeks ago at Indianapolis Hospital, path during surgery showed no other hot spots other than my 3.5 cent. tumor but path from Calafornia said tissue in the wall had some presence. I now go to talk about chemo. What is the best chemo for this. John in Illinois
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kram1965
replied on July 13th, 2009
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With all due respect, I disagree with you doctor. My mother was diagnosed with the same cancer in stage 4. My mother has always been allergic to mold. The cancer was completely gone after 15 radiation treatments and 24 tarceva pills. Due to radiation making her spine brittle, plastic cement was inserted in 3 of 6 fractures on her spine. She also had to wear a back brace for 7 weeks.

She was treated for many yeast infections, urinary track infections, shingles, and you name it afterwards for several weeks. She took many anti-biotics, which is known to spread yeast colonies throughout her body. After only five weeks since any CT Scan or MRI, doctors are saying the cancer has spread to her lower spine and hip areas.

I am extremely skeptical about this diagnosis since doctors have not run a biopsy to see if the areas are cancer. Personally, I think there is truth to cancer masses being truthfully a candida (yeast) infection. The multi-billion dollar pharmaceutical industry be exaggerating this disease?
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