Top
30
Doctor insights on: Hospice For Terminal Small Cell Lung Cancer

Share
1

1
My mom has small cell lung cancer and she is in severe pain. It's in both lungs and hospice has been called in. Do you think its in other organs?

My mom has small cell lung cancer and she is in severe pain. It's in both lungs and hospice has been called in. Do you think its in other organs?

It is very likely.: Small cell cancer of the lung is very problematic in that it has the ability to spread, metastasize, very quickly to other organs. On a more likely than not basis, per your information, it has spread. Hospice should be of great help and comfort and is appropriate. ...Read more

Dr. Barry Rosen
4,344 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


3

3
When is it appropriate to put my grandmother in hospice if she has stage 3 lung cancer?

When is it appropriate to put my grandmother in hospice if she has stage 3 lung cancer?

When she is ready: Hospice is an individual choice; people with serious illness that is life threatening, with less than 6 months left to live are eligible. If she does not want treatment and/or is ready to be made comfortable, she is ready to talk about hospice. ...Read more

5

5
My grandfather has lung cancer and has it in his heart. He hasn't been making a lot of sense and has been falling alot. The hospice nurse took him off diuretic meds. About how long does he have? I live in a different state and would like to be there?

My grandfather has lung cancer and has it in his heart. He hasn't been making a lot of sense and has been falling alot. The hospice nurse took him off diuretic meds. About how long does he have? I live in a different state and would like to be there?

Not sure.: Doctors not good at predicting end of life except within last 72 hours. If on hospice someone has certified that they thought he had less than 6 months to live, but we sometimes have patients who graduate from hospice! If diuretics were keeping him from being in heart failure, he may not have long. When patients stop eating/ drinking they usually don't last a week. Ask the nurse. ...Read more

6

6
Friend diagnosis last march stage 4 lung cancer, mets to adrenals, lymphs, neck, now liver. Hospice began today. No food 5 days. Sleeping all day. How long? Ideas?

Friend diagnosis last march stage 4 lung cancer, mets to adrenals, lymphs, neck, now liver. Hospice began today. No food 5 days. Sleeping all day. How long? Ideas?

Depends: People respond differently to metastatic cancer. If hospice has been started, the goal is to make them as comfortable as possible. Sleeping may be due to disease or medication. Continue with supportive care. ...Read more

7

7
Aunt- stage 4 lung cancer, no treatment weak heart, swollen neck lymph, coughing up blood, oxygen, hospice, life expectancy?

Aunt- stage 4 lung cancer, no treatment weak heart, swollen neck lymph, coughing up blood, oxygen, hospice, life expectancy?

Preterminal: Unfortunately the patient appears to be preterminal with life expectancy predicted to be in days or weeks. Hospice care will ensure that pain and suffering will be avoided and will not prolong death. I assume that the patient and family understands and agrees with this plan of care. ...Read more

8

8
Weight of 37kg a drop from 7 stone within 4 months 5 foot 5 tall has non small cell lung cancer age 68 is this signs of terminal cachexia?

Likely: Most likely as the body enters a catabolic state in advanced malignancies. Concomitant conditions, related or not to cancer may coexist and contribute further to the weight loss. ...Read more

11

11
What are the tests for small cell lung cancer?

What are the tests for small cell lung cancer?

Diagnostic test: First of all, a biopsy needs to be done to establish a diagnosis. Once is confirmed, then staging work-up needs to be done that include- ct scan; a bone scan and imaging for the head- MRI brain will be preferable than ct scan- if possible. Discuss further with your oncologist. ...Read more

12

12
What are the symptoms of small cell lung cancer?

What are the symptoms of small cell lung cancer?

Shortness of breath: Shortness of breath and hemoptysis are common. Often they are asymptomatic or minimally symptomatic until you have extensive disease. Depending on the spread of disease, pain and neurologic issue can arise. ...Read more

13

13
How are non small and small cell lung cancer different?

How are non small and small cell lung cancer different?

Lung cancer: Small ("oat") cell lung cancer is distinguished by the fact that is has almost always spread beyond the lung when discovered and is therefore not surgically curable, but responds very well to initial chemotherapy. Now that the other common types are coming to be more treatable as well, "non-small cell" is giving way to more elaborate diagnostic schemes. Good luck ; keep up hope. ...Read more

14

14
What is non-small cell lung cancer?

What is non-small cell lung cancer?

See below: Non-small cell lung cancer is a type of lung cancer that grows more slowly and can be operated on if diagnosed at an early stage. It generally has a better prognosis than small-cell lung cancer, but that is depending on the stage and comorbidities. ...Read more

15

15
Is there a cure for small cell lung cancer?

Is there a cure for small cell lung cancer?

Rarely: Small, peripheral, found very early and removed.
Most are not like that however! ...Read more

16

16
Why is it that small-cell lung cancer patients are 99% smokers?

Why is it that small-cell lung cancer patients are 99% smokers?

Small cell Lung ca: Smoking tobacco significantly increases the risk of small cell carcinoma. Some hypothesize the impact of carcinogenic smoke on the central airways may be the primary mechanism of injury. The earlier in life a person starts smoking, the more often a person smokes, and the more years a person smokes, the greater the risk of lung cancer. ...Read more

17

17
In december 2005 I had non-small cell lung cancer. What are the chances of relapse?

In december 2005 I had non-small cell lung cancer. What are the chances of relapse?

Not common: Since you have been disease free for nearly 7 years it would be unusual for a recurrence. There might be risk for a second new lung cancer depending on the original type and smoking history. ...Read more

18

18
What is the treatment for small cell lung cancer?

What is the treatment for small cell lung cancer?

Small cell lung ca: In limited disease, tx would be combination chemo and radiation. In a very limited case, surgery can be done if size is very small, absolutely no spreading to any area/adjacent lymp glands etc. Prophylactic radiation to brain is recommended. In extensive disease, chemo will be the tx. Palliative radiation as needed. For chemo responder, prophylactic radiation to brain can increase survival. D/w md. ...Read more

19

19
How is ecog ps2 related to small cell lung cancer?

How is ecog ps2 related to small cell lung cancer?

Not directly: Ecog ps (performance status) refers to the functional status of patients with cancer (any type, not just small cell). Ps 2 describes pts that " are ambulatory and capable of all selfcare but unable to carry out any work activities. Up and about more than 50% of waking hours"
ps scores are used to decide how intense of treatment cancer patients should undergo. ...Read more

20

20
Does Ayurvedic medicine help in Small cell lung cancer.??

Does Ayurvedic medicine help in Small cell lung cancer.??

Adjunct only: Small cell carcinoma is rapidly lethal if untreated by often stays away for a long time with even mild chemotherapy. There are even talks of cures. The ayurvedic medicines or the relationship with the practitioner may be the magic that makes you more comfortable, but it won't touch the cancer itself. ...Read more

21

21
Is their any effective treatment for non small cell lung cancer?

Yes: Usually surgery but can also include chemotherapy and radiation therapy or various combinations of the three depending on stage of disease and various patient factors. ...Read more

22

22
Do you know anyone taking carboplatin for non-small cell lung cancer?

Yes: Carboplatin is a very commonly used medication in this malignancy. Tolerence today is quite good, with the most important side effects being temporarily low blood counts, fatigue, numbness and nausea. A unique point about this agent is that it is dosed based on the patients kidney function, rather than the patients size like most anticancer medications. ...Read more

23

23
Does small cell lung cancer go anywhere in the body or just the brain?

Can go anywhere: Sclc is particularly notorious for spreading quickly and widely. The brain is one common place for sclc to spread, but it can spread almost anywhere in the body. The liver, bone, adrenal glands, and brain are the most common sites. ...Read more

24

24
What do you suggest if my dad has stage 4 non small cell lung cancer.?

What do you suggest if my dad has stage 4 non small cell lung cancer.?

A cancer center.: Stage 4 lung cancer normally requires chemotherapy and radiation treatment. Hopefully, your fathers case would be reviewed by a tumor conference, with recommendations from specialist in both oncology and radiation. Five year survival rates are usually not over 30%. ...Read more

25

25
Can a person with Small cell lung Cancer take calcium channel blockers?

Can a person with Small cell lung Cancer take calcium channel blockers?

Yes: If you have Eaton Lambert as a complication, it might be well to use caution ...Read more

26

26
Can you tell me if there is any treatment for non small cell lung cancer?

Several: Curative tx for nsclc is surgical.
Stage 1-surgical resection 70%5yr survival
stage 2- surgical resection 30-35% 5 yr survival
stage3 chemo/rtx/surgical combo approx.1- 3-% 5 yr surv.
Stage 4 chemo/radiotx 0-.5%5yr surv. ...Read more

27

27
What can I do if my mom has been diagnosed with non small cell lung cancer?

What can I do if my mom has been diagnosed with non small cell lung cancer?

Depends: Small, peripheral in the lung
no lymphadenopathy

Cell type- differentiation? Squamous cell

Depends on these regarding outlook
hopefully can be removed totally with good chance!
Do not smoke!,! ...Read more

28

28
How long can one live with small cell lung cancer with no treatment at all?

How long can one live with small cell lung cancer with no treatment at all?

12 months or less: Small cell lung cancer is an aggressive disease. It is highly sensitive to chemotherapy and/or radiation therapy but it tends to recur. If the disease is limited, cure can be achieved with proper treatment. If the disease is extensive, cure is not feasable but treament can improve or delay symptoms and can help patients live longer. Without treatment, survival is 6 to 12 months. ...Read more

29

29
Has small cell lung cancer in left lung want to give radiation and remove it?

Has small cell lung cancer in left lung want to give radiation and remove it?

Complex: Looks like she has small and non small cell cancer (one on each lung). I would assume they want to radiate the sc first and operate the nsc later. Aggressive but if the patient is in good health and neither cancer has spread, can't see why not. I wonder if the oncologist has considered adding chemo to the radiation for the sc. I would guess he/she did and may have a good reason not to use it. ...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. Debra Rosenblatt
5 doctors shared insights

Hospice (Definition)

All hospices deliver a similar set of services. They include nursing, assistance with caregivers on a limited basis, chaplaincy, bereavement counseling, social worker and physician care (medical director in many cases). You are covered for many services and this includes medications related to your terminal diagnosis. The hospice team is there to help you transition in the ...Read more