Doctor insights on:
Elderly Refuse Treatment Lung Cancer
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
Possibly.: Radiation can injure the lung tissue. Therefore since COPD is already an injury they can be additive. The radiation doctor needs to know values for fvc and fev1 (tell you how good the lung is) and consider these in his planning for the radiation. The majority of lung cancer is in smokers and most have copd. So its just how bad it is and how much lung is going to be radiated. ...Read moreSee 6 more doctor answers
Yes: Breast cancer is treated by stage but consideration is made to performance status not just age. So if the disease requires radiation even the elderly can usually tolerate the treatment. Stage 1 patients who have positive receptors may be able to omit the radiation if they are over 70 if they take hormone pills. ...Read moreSee 1 more doctor answer
Depends on chemo: The side effects of chemotherapy depend on the chemos involved. In general bone marrow suppression (bms) causing lower red blood cells (rbcs) with anemia, lowered wbcs with increased risk of infection, and lowerd platelets with increased risk of bleeding. Oxalipaltin ("o" in folfox) can cause numbness or cold induced nerve pain. Irinotecan ("i" in folfiri) causes diarrhea. Etc... ...Read moreSee 1 more doctor answer
GB cancer is: Uncommon, so few studies done prospectively. Looking at results in people treated empirically, perhaps one person in 10 will respond. That needs to be balanced against side effects that tend to occur in most. Frank discussion about symptom rrelief focus rather than "shrink tumor" at all cost. ...Read moreSee 1 more doctor answer
To relieve symptoms: Stage IV means that the cancer has spread to distant organ beyond the lung. Unfortunately, it is incurable disease, although it is treatable.The role of radiation in a stage IV disease is limited to relieve symptoms eg- to treat painful metastatic disease to the bone, or to shrink the tumor when the cancer encasing vital organ- like major blood vessels/main airway. Chemo is the mainstay therapy. ...Read moreSee 1 more doctor answer
Pancreatic cancer, ampullary tumor. Whipple procedure. Spread to liver, not respectable. Chemo for 6 months and continuing. Prognosis?
Poor: While Whipple is the best approach for a primary pancreatic or ampullary lesion, the recurrence rate at 1-2 yrs is 90%. Chemo either of the FOLFIERI or Genciabine /Abraxane combo have limited effects on liver mets which in pancreas are not considered amenable to resection. There is an FDA protocol using specific monoclonals targeting pancreas that might be available but only after chemo failure ...Read more
The time to: Shift from exclusive focus on cure, to acceptance that cure is not possible, time to focus on quality, comfort and care is difficult for many. Today, evidence is pointing toward integrating comfort measures for pain, nausea, fatigue and sleep early during "cure care". Amazingly, people treated this way live longer, and more comfortably. It's what i would want! ...Read moreSee 2 more doctor answers
Yes: It improves survival significantly in stage 1-3 lung cancers. Cyberknife provides survival similar to surgery in stage 1 patients. For stage 2-3 patients, both chemo and radiation may be used to improve survival. In certain patients with stage 4 cancer (such as with spread to the brain) radiation may help improve survival. ...Read moreSee 2 more doctor answers
In general, what can be some treatment options, besides palliative hospice care, for stage 4 pancreas cancer and extensive liver mets?
Experts, might someone recommend nexavar (sorafenib) for a stage 4 inactive neuroendocrine pancreatic cancer patient?
Possibly: Stage 4 indicates that you have net at a site distant from the pancreas or regional lymph node, likely the liver. Not clear what you mean by"inactive", whether you mean it is stable or not secreting any substance. In any case, sorafenib (nexavar) is being tested in metastatic net in clinical trials (http://clinicaltrials.Gov/ct2/show/nct00131911) & (http://www.Ncbi.Nlm.Nih.Gov/pubmed/23475104). ...Read moreSee 1 more doctor answer
I may have cystic fibrosis, COPD or lung cancer (my maternal grandfather had stage IV lung cancer), how to know?
Diagnosis....: There are diagnostic tests your doctor can order to be sure you don't have these conditions. For example, pulmonary function testing will show chronic obstruction if you have COPD and a chest CT can help rule out lung cancer and there is specific testing for cystic fibrosis. If you are smoking, you need to quit ASAP to lower the risk of COPD and lung CA. See a lung doctor for the testing you need ...Read moreSee 3 more doctor answers
It depends: Breast cancers come in many "flavors", and this will determine the treatment. Usually it's a form of chemotherapy given by mouth or by vein. Xeloda is given by mouth, and there are many intravenous chemotherapies. Sometimes hormone blocking medications are very effective if the cancer has the estrogen or Progesterone receptor on its surface. Herceptin (trastuzumab) is useful if it has her2 on its surface. ...Read moreSee 2 more doctor answers
Friend with stage 4 nsc inoperable lung cancer with mets and lymph node spread, diagnosis march 2013, needed blood transfusions today.Hr140.Ideas?
Depends on stage: In general, the most common forms of lung cancer when caught early are highly curable with surgery or stereotactic body radiation therapy. Unfortuantely, most lung cancers are found at later stages when cure rates are very low. Patients who are at high risk for lung cancer (i.e. tobacco smokers) should get screening chest CT scans to help find the cancer at early stages. ...Read moreSee 2 more doctor answers
Many: It depends on the type of esophageal cancer and the stage. Cisplatin plus 5-fu is a common regimen, and it is sometimes given with radiation. Other types of chemo being studied include taxol, gemciteabine, irinotecan, and xeloda (capecitabine). A good website for cancer information is www.Cancer.Gov, the national cancer institute website. Good luck! ...Read moreSee 2 more doctor answers
Is it safe for organ transplant patients to be around lung cancer chemotherapy patients who are also periodically receiving radiation?
Yes, with caution: Both patient's described are immune compromised. Extra care needs to be taken around the immune compromised patient. Washing has periodically, wearing a mask, if there is anybody sneezing, or in a big public place is a good start. Consult, your physician to have periodic blood draw to check if patients are immune compromised. ...Read moreSee 2 more doctor answers
So many variables: Too many variables to give you a pertinent answer. Consult your oncologist to help you with clinical decisions ...Read more
Deoxygenated blood enters the lungs from the right side of the heart and travels to the lungs. When you inspire, oxygen flows into the lungs, transverses the capilliares and attaches to hemoglobin down a gradient. At the same time, co2 diffuses into the capilaries and is expelled with exhalation. Oxygen rich blood then flows to the left side of the heart and into the ...Read more
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