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Doctor insights on: Elderly Refuse Treatment Lung Cancer

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Do people with stage IV metastatic breast cancer often undergo chemo?

Do people with stage IV metastatic breast cancer often undergo chemo?

Yes.: Under certain circumstances hormone therapy might be the initial treatment, but most stage 4 patients eventually undergo chemotherapy treatment. This will depend on age, tolerence for treatment, hormone responsiveness and other tumor characteristics. ...Read more

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Dr. Barry Rosen
4,352 doctors shared insights

Cancer (Definition)

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


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Will radiation therapy for lung cancer make my father's COPD worse?

Will radiation therapy for lung cancer make my father's COPD worse?

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 more

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Can elderly breast cancer patients still get radiation therapy?

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 more

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Side effects to chemo. He's being treated for colon cancer stage 4.?

Side effects to chemo. He's being treated for colon cancer stage 4.?

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 more

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Gallbladder cancer with severe lung metastasis 4th stage, does chemotherapy work?

Gallbladder cancer with severe lung metastasis 4th stage, does chemotherapy work?

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 more

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Lung cancer stage 4 with radiation treatment. Does this work?

Lung cancer stage 4 with radiation treatment.  Does this work?

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 more

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Pancreatic cancer, ampullary tumor. Whipple procedure. Spread to liver, not respectable. Chemo for 6 months and continuing. Prognosis?

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

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Comparing palliative care for adults with cancer in hospice?

Comparing palliative care for adults with cancer in hospice?

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 more

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Chemo drugs for lung cancer ?

Chemo drugs for lung cancer
?

Yes: Depending on the stage, how advanced the disease is and what type of lung cancer it is, chemotherapy can play a major role in treatment of lung cancer. ...Read more

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Does radiation therapy for lung cancer improve survival rates?

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 more

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Treatment for pulmonary stage four lung cancer?

Treatment for pulmonary stage four lung cancer?

Chemo/radiation: Chemotherapy mostly, +/- radiation if the tumor is bulky and causing any local problems or a lot of pain. Prognosis is not good. Depending on the age, comorbidities and overall condition, palliative care is also a good option. ...Read more

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In general, what can be some treatment options, besides palliative hospice care, for stage 4 pancreas cancer and extensive liver mets?

In general, what can be some treatment options, besides palliative hospice care, for stage 4 pancreas cancer and extensive liver mets?

Recommend chemothera: There are more than one chemotherapy options. Seek advice from a medical oncologist. A combination of Gemcitabine and Nab Paclitaxel is one recently approved treatment regimen. Other drug regimens like FOLFERINOX are also commonly used. ...Read more

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Experts, might someone recommend nexavar (sorafenib) for a stage 4 inactive neuroendocrine pancreatic cancer patient?

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 more

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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 more

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Stage IV metastatic breast cancer and pleural effusion. What is treatment?

Stage IV metastatic breast cancer and pleural effusion. What is treatment?

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 more

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Lifespan for a lung cancer patients?

Lifespan for a lung cancer patients?

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 more

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What chemotherapy treatments exists for patients with esophageal cancer?

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 more

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Is it safe for organ transplant patients to be around lung cancer chemotherapy patients who are also periodically receiving radiation?

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 more

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What is prognosis With chemotherapy for metastic colon Cancer ?

What is prognosis With chemotherapy for metastic colon
Cancer ?

So many variables: Too many variables to give you a pertinent answer. Consult your oncologist to help you with clinical decisions ...Read more

Lung (Definition)

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


Dr. David Cooke
865 doctors shared insights

Lung Cancer (Definition)

Cancer that forms in tissues of the lung, usually in the cells ...Read more