A member asked:

87 yr old dad w/ gastric adenocarcinoma stage 2-3 no spread. top surg/onco says resection but my brother says holistic way w/ no surgery/chemo/rad?

2 doctors weighed in across 2 answers

Depends: If the patient is active and healthy adult with an excellent performance status without metastatic disease. Surgery may be curative. It may be palliative if there is obstruction to passage of food. If the disease is very advanced and the patient is very sick it may reasonable to consider hospice care. The ideal choice would "not to prolong the suffering of the patient and family.

Answered 6/10/2013

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How sick is he?: If prior to this diagnosis and disease he was doing well, able to care for himself and be active without serious other medical problems likely to end his life in the next few years, then treating this otherwise deadly cancer is reasonable. The surgery is a bit tough to recover from and the radiation and chemotherapy can cause temporary nausea. But this can be curative. If he is too weak, hospice.

Answered 3/9/2013

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