Doctor insights on:
Need For Blood Transfusion For Stage Four 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
Life expectancy for stage four colorectal cancer spread to liver, on hospice with no treatment for past five months?
Colorectal Cancer: That is a difficult question to answer. Since we do not have all the facts especially concerning the overall health otherwise of the patient or their current health it is impossible to say. The best person to talk to about this is the physician who is following the patient now. ...Read more
For what reasons won't a doctor attempt a liver transplant in a stage IV pancreatic cancer patient?
Problematic: Generally if pancreas cancer has traveled to the liver, then there is too much disease to expect benefit of a liver transplant. If the original cancer in the pancreas is still present, then the liver transplant will not help. Medications to lower the immune system to allow for an organ transplant will also cause cancer in other sites (such as in the pancreas) to rapidly grow further. ...Read more
Mom going for chemotherapy(gemcitabine) for gallbladder cancer 4th stage with severe lung mets, she is with home oxygen, does chemo worthful?
Palliative care.: Treatment for stage 4 cancer is mainly palliative, menaing to improve symptoms and hopefully to prolong life. Based on your age, your mom is probably in her late 70s or 80's. With her on home oxygen because of diffuse lung metsand at her advanced age, we should be careful and realistic about her treatment. You and mom should have a thorough discussion with her oncologist about his goal for her. ...Read moreSee 2 more doctor answers
Etoposide IV was given to my partner with carboplatin as a curative treatment for non-small cell lung cancer. Was this a standard treatment for this?
Setting?: When you say "curative", you mean after surgery or concurrently with radiation? The choice of chemo depends on the situation, the doctor, and institutional or national standards. To answer your question, i normally would use carbo (or cisplatin)/etoposide in small cell lung cancer patients but can't say is a bad choice for nslc patients, especially with radiation. I've used it in that setting. ...Read moreSee 1 more doctor answer
Also...: Adding to dr. Noga's comments. If surgery is not an option, radiation therapy is standard treatment for (thoroughly staged) stage ii lung cancer. Chemo after surgery (if done) is also standard, but we know nothing of whether adding chemo to radiation if it is only the primary treatment. This question should be addressed by a team of lung cancer experts who know your situation well. ...Read moreSee 2 more doctor answers
How long should a stage four lung cancer patient with metastasis to brain and liver expect to live?
Less than 1 year: There are a number of variables here, including what kind of lung cancer, gender, whether there is a single or small number of metastasis in the brain that can be treated by surgery or stereotactic radiosurgery, general health status and age. The average survival overall is about 8 months for stage 4 disease. ...Read moreSee 1 more doctor answer
Not good: Overall, the probability of 5 year survival is in the single digits. There are exceptions. Single metastases to the brain or adrenal gland, if the lymph nodes are uninvolved, can be treated sequentially and followed with chemotherapy. The survival is 35-30 or so percent. If the adrenal gland metastasis shows up later, rather than at initial diagnosis, surgery and chemo can yield 45% 5 yr. Survival. ...Read moreSee 1 more doctor answer
If chemotherapy treatment fails for metastic colon cancer pt, what else can be done for a liver met, 1 node and a tiny lung nodule ?
Remove lung lesion: At age 34 attempt at cure should be made. If liver met small and primary already out, liver met to be resected or microwave ablated. Usually chemo is only of temporary value and if all fails, the FDA protocol for monoclonal antibody Neo102 is available for treatment of metastatic colon cancer having failed chemo. the small node and lung lesion can be removed by laparoscopy/thoracoscopy. ...Read more
Urine tested positive for blood said its normal for patients that had radiation therapy for prostate cancer also are ther any cancer cells in urine bl?
Possibly: Radiation therapy can cause inflammatory changes in the bladder which can result in microscopic blood in the urine. However a urine cytology should be performed to rule out possibly bladder abnormalities. Additionally, if the history of radiation therapy is in the past, then a cystoscopy (camera to look in your urethra and bladder) may be warranted. Please discuss further with your doctors. ...Read moreSee 1 more doctor answer
Friend with stage 4 nsc inoperable lung cancer with mets and lymph node spread, diagnosis march 2013, needed blood transfusions today.Hr140.Ideas?
Post Whipple Oncology Operation: Is the lgG4 blood test of any monitoring value for diagnosed pancreatic cancer?
After nephrectomy for clear cell renal cancer , pathology lab gave me slides of cancer.How can they be helpful for me in screening/prognosis?
Screening/prognosis: Having your slides with you are always helpful. You are young, and rcc is rare in young people except those with familial predispositions, such as von hippel lindau, polycystic kidney disease or tuberous sclerosis. In terms of screening, your slides can be used by pathologists to compare your prior tumor to anything new that arises or assess the grade of your tumor to prognosticate behavior. ...Read moreSee 2 more doctor answers
What's survival like for colon cancer pt with a liver metastases and a aortocaval node? Years approximation plz
1-2 yrs: If liver mets present then the aortocaval node should be considered to be part of overall treatment. First use of FOLFIERI chemo and then evaluation for resection should be contemplated. A single aortocarval node easily resected before chemo. If liver lesions treatable by resection or microwave ablation this should be tried. followed by chemoembolization if needed. ...Read more
Are there any genetic tests required (other than kras) for a 30 year old female with stage iii-b colon cancer after surgery and before adjuvant chemo?
How accurately will a fecal test find early stage colon cancer? The one that looks for cancer blood markers. Please help!! Approximate percentage.
Pretty low: Conventional assessment of colorectal cancer (CRC) risk largely involves detection of non-dysplastic adenomatous polyps. Standardized sensitivity was 48.2%, for CRC stages I-IV, values were 35.0%, 63.0%, 46.0% and 77.4%, respectively. Specificity was 91.5%. Sensitivity for advanced adenomas was low (11.2%). Ref: Mol Diagn Ther. 2014 Apr;18(2):127 & Gut. 2014 Feb;63(2):317 ...Read moreSee 1 more doctor answer
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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