Doctor insights on:
Pancoast tumor: Occurs at the top of the lung and invades out and up to involve muscles, nerves, and thereby causing pain and horner's syndrome. Metastasis usually means going to another organ. If confined to chest and outward extension (?Metastasis), outlook is more optimistic. If it metastasized to brain, lung, liver or distant bones, the outlook is bleak, seek symptom management, there is no cure. ...Read moreSee 1 more doctor answer
Depends: Some cancers are curable with today's chemotherapy even if they have spread extensively. Others (for example, the common lung cancers) may someday be curable when they have reached stage iv, but not today. I've just seen reports of possible cures of stage IV colon and stomach cancers; i'm hopeful. ...Read more
My friend diagnosed stage 4 inoperablel lung cancer.6 rounds of chemo shrunk tumor but tumors in adrenals grew.She was diagnosed in march.Prognosis?
Cosider localtherapy: I think the lung cancer can metastasize to the adrenal gland either by the lymphatic or the hematogenous route. In case of metastasis by the lymphatic route, it can be a solitary metastasis, and the prognosis can be relatively better. If the patient is young and in good performance status, aggressive treatment(stereotactic radiotherapy or even removal) can be considered in very selected case. ...Read moreSee 1 more doctor answer
32 yo, breast cancer stage 1b, double mastectomy, micrometastasis in one lymph node. TCH treatment, followed by radiation. Prognosis thoughts????
Prognosis is good!: I would need more information to be definitive but with a small primary tumor (stage 1) and only micrometastasis in one node, your prognosis should be relatively good. Since you received TCH, it is obvious that you had her2 positive breast cancer so your prognosis is less favorable than had her2 not been positive. However, 5 year survival in excess of 85% is shown in recent studies with TCH. ...Read more
Many rt. Paratracheal/mediastinal, bilateral hilar nodes consistent w/metastasis. Right subcarinal metastatic node mass 3cm. Max suv 9.1. Lung cancer?
Needs Biopsy: Is there a known primary cancer? If not, you will need a biopsy of one of the nodes. Your doctor may suggest a mediastinoscopy and biopsy to get a tissue specimen. There are other causes of mediastinal node enlargement such as infection and sarcoidosis so it is important to make a definite diagnosis. Good luck. ...Read moreSee 3 more doctor answers
My mum 67 was diagnosed with metastatic caecal adenocarcinoma, aggressive stage 4 cancer.She's on folfox. Life expectancy??
Varies from months/y: The overall survival of stage 4 colon cancer varies from 1 to 3 years. Most patients have at least 2 years if their tumor responds to chemo. If you tumors regresses after chemo, it may even be surgically removable in which case long term survival(even a cure) can be possible. Ask more questions to your treating oncologist. ...Read more
Are carcinoid tumors carcinoma? Is malignant metastatic stomach carcinoma that's hereditary a carcinoid cancer? carcinoid Neuroendocrine tumors?
In general, not good: Non small cell is usually not as aggressive as small cell, but chemotherapy is not as effective. A lot depends on the functional status of your dad, and where the cancer has spread. Stage 4 implies it has spread somewhere. 5 year survival rates are usually less than 5%. Sorry. ...Read more
Husband stage 4 lung adeno. Rcvd rad. To brain and foot for mets 6 rnds of avastin (bevacizumab) /chemo. Brain mets gone other tumors showed mild response what now?
Continue therapy: Response is positive thus far. Will have to wait and watch. ...Read more
Friend diagnosed stage 4 inoperable lung cancer and adrenals in march.Did 6 rounds aggresive chemo.Lung mass shrank but in 3 months back.Lymph, prognosis?
Stage IV lung CA: We really have no treatment that will get rid of lung ca that has spread beyond the lung..Stage iv. Treatment can sometimes slow things down but often doesn't even do that. Ca that has become visible on x-rays after only 3 months is very fast growing...You should spend as much time with your friend as you can, now. ...Read moreSee 2 more doctor answers
Genetic component?: There could be genetic component to a squamous cell cancer, although the exact implications on treatment aren't known. Obviously if there is a strong family history of cancers, or if it strikes someone who is young and/or a non smoker/drinker i would suspect a strong genetic contribution. Without more details, it is hard to say with any certainty. ...Read moreSee 1 more doctor answer
Is the primary tumor in sclc hard to find and does this mean it isn't diagnosed until spread to lymphs even if symptomatic before lymphs enlarge?
Small cell lung CA: It's not so much that it's small; it's that it's extremely aggressive. At autopsy, I've found folks with ten or twenty pounds of metastases around the body, and the lung primary (easy to spot as it's got a typical apperance) is the size of my fingernail. Rarely, a paraneoplsatic syndrome like Ehlers-Danlos can prompt imaging that spots a tiny tumor early. So I think you're right. Best wishes. ...Read more
My mom has gone thru her first 3 days of infusion for sclc and feels great...Will she continue feeling good?
We all hope so: People tolerate chemo individually. Good luck.Get a more detailed answer ›
Is the primary tumor in sclc hard to visualize on imaging? If so does this mean it is cancer of unknown primary if you can find it only in lymph node
Yes: PET /CT is more sensitive than CT ,and can detect early and spread malignancy. ...Read more
Diagnosed sclc, brain MRI clear but eyesight has deteriorated. Is reduced eyesight caused by small cell. Thanks.
Not generally: Small cell lung cancer (SCLC), while generally a serious diagnosis, wasn't thought to affect the eyes. (The bones & brain are still the most common sites of metastasis (spread)). Eye metastasis is STILL VERY RARE in SCLC, but cases have been described in medical literature. Normally it causes VISION LOSS NOT BLURRING as it affects the choroid, the part of the eye w/ most blood vessels. TTY Oncolog ...Read more
Any radiologist know why PET scans are not approved by medicare for evaluation of SCLC but is for NSCLC. Does it mean they don't visualize sclc well?
No effect on treatme: PET scan has no role in diagnosis of SCLC (or NSCLC, for that matter). Any lung cancer has to be diagnosed by biopsy. SCLC is of 2 types: limited (in 1 lung) or diffuse. The prognosis & treatment for these two types are different. The reason why Medicare does not approve PET scan is that treatment does NOT depend on what a PET scan shows. Since it PET doesn't change anything, they won't pay for it ...Read more
3 years of non specific symptoms then diagnosis of small cell lung cancer. What is likelihood of 3 year of symptoms relating to sclc? Thank you.
Zero: I'm sorry about your cancer. Small-cell grows very fast, usually from nothing, and folks typically remember symptoms beginning days or a few weeks before diagnosis. The cough, weight loss, and malaise that may herald this illness are also those of emphysema from the smoking that usually causes small-cell. I hope you get effective treatment and with today's Rx perhaps great luck. ...Read more
What is the chance I may have SCLC with a left lower lobe pulm nodule 5mm with a clear tracheobronchial tree. Positive anti-VGKC paraneoplastic test.
Very unlikely: I'm uncertain of the significance of the positive anti-VGKC test but I suspect it can be positive in the absence of a neoplasm. The likelihood of a nodule being malignant can be stratified by your age and the size of the nodule. LIKELIHOOD OF CA BY AGE: 35-39=3%, 40-49=15% ,50-59=43%, >60= 50%. LIKELIHOOD OF CA BY SIZE: <5mm =-<1%, 5-9mm =2-6%, 8-20mm =18%, >20mm =>50% chance of CA ...Read more
Friend has stage 4 sclc n nsclc currently under radiation suddenly his arm feels foreign, radiation doc blew it off, concern?
Ask his doctor: Lung cancer frequently spreads to the brain. This patient might already have it in the brain(the fact he is getting radiation being given now...? Which part of the body). Brain involvemnt by lung cancer can cause loss of limb function. Which should not be a surprise. ...Read moreSee 1 more doctor answer
What are some cancers that would present with a normal complete blood count? Would sclc and/or testicular cancer present with normal cbc?
What would be a mean time between experiencing paraneoplastic symptoms of sclc LEMS until a tumor would be visible on CT.Is it weeks, months, years?
SCLC - small cell: Lambert-Eaton Myasthenic Syndrome (LEMS) is an illness associated with proximal muscle weakness, depressed tendon reflexes, posttetanic potentiation, and autonomic changes. In 40% of patients with LEMS, cancer is present when the weakness begins or is found later. Clinical manifestations frequently precede cancer identification. In most cases, the cancer is discovered within the first 2 years ...Read more
Is it possible to have endocrine paraneoplastic symptoms from SCLC with no evidence of LC on CT scan 1 year after symptoms started. ?
Unlikely: Very unlijely. Hormonal tests can confirm praneoplastic syndrome ...Read more
Should a Dr take action to have a driver's license removed for a 65m with sclc with 3 tumours in Brain including brain stem and frontal lobe?
It depends: Patients with brain tumors are at risk for having Seizures but not all of them develop seizures..about one in 4 patients does. In such patients it is dangerous to drive an automobile. In others it is optional. The doctor can only educate the patient about the risks but the family and the paient has to use their judgement and be responsible for self and public safety. ...Read more
Already found a nsclc squamous low grade tumor in one lung.. Is it possible to have a higher grade tumor or cancer type like sclc in the other lung ?
How long will my 74 year old father live with sclc metastic to brain with immobility set in before he called for help? Doing 15 radiations
Less then 6 months: The prognosis for small cell lung cancer metastatic to the brain is typically poor. Most patients live less then 2 months, though it can significantly vary depending on performance status, extent of disease (is it metastatic to the liver or bones), tolerance to therapy including brain radiation, then response to chemotherapy. ...Read more
My mother has been recently diagnosed with SCLC that has spread to the lymphatic system and her bones. What is the general life expectancy?
Life Expectancy: Let me first express my sorrow at the diagnosis that your Mother has received. It is so stressful to see your mother ill and to face the possibility of her death. There are so many factors that have to be considered when you try to come up with a prognosis. These include her general health otherwise, her strength, her mental health, her nutritional state, etc. Her physicians would know best. ...Read more
My 95 yr old mother diagnosed with SCLC..she does not want any treatment..path report said Grade 3..what does that mean? Life expectancy?
Poor prognosis: Small cell lung cancer is an aggressive malignancy. Grade III refers to how abnormal-looking the cancer cells are. Grade III is quite abnormal. Broadly speaking, there are two stages of the disease: limited to the chest, and extensive (beyond the chest). AVERAGE life expectancy without treatment is a matter of months. I recommend she consult an oncologist. Some oral therapy might help. ...Read more
Radiology - in sclc is the primary tumor normally difficult to see on a CT scan? Heard that often only spread to nodes can be seen. Pet scan better?
Small Cell Lung Ca: SCLC does metastasize early, often to nodes, which are often the presenting finding. Usu. the primary tumor is small even though symptoms have occurred. CT has very high resolution so it has the best chance to find it, esp. if pt. has been followed with serial screening CTs based on risk factors like smoking history. PET is useful to find mets, but not a small primary. ...Read more