A 59-year-old female asked:
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what should i expect for small cell lung cancer metastasized to the brain twice. i have been treated with gamma knife as well as whole brain radiation?

3 doctor answers
Dr. Steven Ginsberg
36 years experience Hematology and Oncology
Serious illness: Small cell lung cancer is a serious and fatal illness. The 2 brain metastasis episodes are also serious. You, your family and your oncologist need to discuss your prognosis.
Answered on Jun 9, 2018
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Dr. Andrew Turrisi
46 years experience Radiation Oncology
And explain that cure is not possible, symptom relief and comfort are paramount focus. Best wishes to you and your family.
Dec 30, 2013
Dr. Andrew Turrisi
46 years experience Radiation Oncology
You did not tell us : The brain mets appered at diagnosis or developed after treatment. Presenting with brain metastasis is not favorable. You didn't tell us the interval between wbrt, gamma one or two. Doing things from this point forward should be aimed at producing comfort. No facts suggest that any further treatment will extend your life. Choose comfort. Ask about palliative care focus.
Answered on Dec 30, 2013
Dr. Joshua Garren
23 years experience Radiation Oncology
Watch out: The chance of further brain metastases is very high. You should have an MRI of the brain at least every other month, if not every month. Better to catch these tumors small when they can be treated with radiosurgery instead of more whole brain. Good luck, .
Answered on Mar 28, 2017
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Dr. Andrew Turrisi
46 years experience Radiation Oncology
I would not look for more metastases with MR...wait for symptoms. Knowing about lesions that do not hurt you result in treatment that will not help you, and take up your time and costs a mint. I hope you can have good holidays ;-)
Dec 30, 2013

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