A member asked:

What can we expect from a stage 4 lung cancer patient with bone metastases- what can be done in case all treatments are ruled out?

4 doctors weighed in across 2 answers
Dr. Michael Thompson answered

Specializes in Hematology and Oncology

Biomarkers in lungCA: For stage 4 non-small cell lung cancer -- specifically adenocarincoma -- i would check the biomarkers alk and egfr. The response rate with oral drugs for those targets is ~80% vs. 20% with chemo. Bone mets can be treated with bisphosphonate (zometa) or Denosumab (xgeva). Palliative care provided early has a survival benefit. Ref: temel et al. Nejm http://www.Nejm.Org/doi/pdf/10.1056/nejmoa1000678.

Answered 12/13/2019

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Hospice: Palliative of pain and comfort care only.

Answered 11/9/2017

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