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Q: Metastatic stage 4 not in other organs ?
asked by: mail.comTadeh on August 21st, 2008
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Hello, I have a couple of questions. First of all I want to state a few facts about my father's diagnosis. He was diagnosed with a stage 4 metastatic Lung cancer 2 months ago. He was hospitalized for 12 days and went through CCU and ICU. Doctors did the fluid drainage from his lungs while he was in ICU. We did 2 pathologies.

First one said it's an "Undifferentiated carcinoma" which is I suppose the kind which hasn't spread to other organs. His doctor confirmed that two lungs are involved, and it's in stage 4.

Second pathology stated "Cellular evidence of neoplastic epithelial cells with extensive tumour necrosis compatible with malignant epithelial neoplasm."

I searched the net and found out that NSCLC metastatic stage 4 lung cancer has to involve blood,brain,liver blah,blah blah! In dad's case it's just in lungs. He has a heart disease too. We went to 2 oncologists. First one said we have to get in action as soon as possible,without taking into account dad's heart problem. Second one told us to wait for 2 weeks,then do a cardiography of his heart and visit him again and see if we can go through chemotherapy. I asked him if we can start with low doses or even radiotherapy (because of heart disease) he replied with "ONLY CHEMO" answer.

My question is this: If it's just in lungs, why don't the doctors remove the cells by surgery or start the treatment with low doses of radiotherapy or chemo?! I know the size of tumour and the level they're involved with lymph nodes are also an important factor for diagnosing a stage-4 carcinoma,but there must be a way out of this.

My second question: Are diets and cancer treating drugs helpful for preventing the cells to improve? (In case if clinical trial or comfort care are the only solutions!!)
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MandMs
replied on August 22nd, 2008
Extremely eHealthy
You can consult a surgeon specialized in that area, treating lung cancer.
Surgeon is the one who can decided if this stage can be treated surgically.
Surgical resection is rarely beneficial in patients with stage IV NSCLC, but, since he doesn't have distant metastasis, there are some chances for long-term survival rates if the primary and the metastatic tumors in lungs are treated with resection.
However, resection of bilateral lung metastases is exceptional (there are few clinical cases of carefully selected patients who underwent extensive resections for bilateral lung metastasis successfully)
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mail.comTadeh
replied on August 22nd, 2008
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Thanks
Hi, thank you very much for the comment. I will definitely try to ask dad's oncologist about the surgery. Do oncologists operate the lung cancer themselves? I have got another question. Is Tarceva erlotinib a drug which can substitute chemotherapy? or should it be used along with treatment? I am asking this, cause my father may not undergo chemo because of his heart dysfunctionality.
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MandMs
replied on August 26th, 2008
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Tarceva is usually given to patients whose cancer has come back after, or not responded to, at least one course of chemotherapy.
Also, this drug is not the right one for every patient.
It is related with some lung disorders, and, it is always up to the oncologist to decide if the patient can have this treatment.
No, oncologist doesn't operate her/himself, she/he is the one who understands tumors development, diagnosis, treatment, and prevention best.
Oncologist, is one of the main doctors in the team treating cancer sufferers.
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mail.comTadeh
replied on August 27th, 2008
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thanks again!
Hello, my patient doesn't know he's diagnosed with lung cancer. Is it a good thing or not? i researched about Insulin Potentiation therapy (IPT) . A chemo with low doses and with the help of insulin. I wonder if in my patient's case which has heart disorders would it would help or not?
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