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Doctor insights on: Stage 4 Ncslc No Brain Or Liver Mets

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End stage nhl with brain mets, liver mets, what to do?

End stage nhl with brain mets, liver mets, what to do?

See a hematologist: NHL is often treatable by hem/once specialists. Palliative care can help with symptoms. Hospice is available if a Dr. Thinks u have 6 months or less to live. ...Read more

Dr. Herman Hammerstead
2 Doctors shared insights

Liver (Definition)

This organ plays a major role in metabolism and has a number of functions in the body, including glycogen storage, decomposition of red blood cells, plasma protein synthesis, hormone production, and detoxification. It lies below the diaphragm in the abdominal-pelvic region of the abdomen. It produces bile, an alkaline compound which aids in digestion via the emulsification of ...Read more


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Can someone with stage 4 colon cancer with liver mets lives long after sucessful treatments.

Can someone with stage 4 colon cancer with liver mets lives long after sucessful treatments.

It is possible: Several factors regarding colon cancer liver metastasis predict long term survival. Where the mets present when the original tumor was discovered? How many mets are present? Is the CEA level over 200? How large are the liver mets? How many lymph nodes were positive from the colon specimen? Can all of the liver lesions be removed or ablated? Are there metastasis present elsewhere ie: the lungs. ...Read more

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Are the survival rates with stage 4 metastatic melanoma with mets to the brain, liver and skin really poor?

Are the survival rates with stage 4 metastatic melanoma with mets to the brain, liver and skin really poor?

Unfortunately: Metastatic melanoma is a very difficult to treat disease. Luckily this last year there have been 4 new drugs that are active, perhaps you should consider a clinical trial that utilizes these medications. ...Read more

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Stage 4 cancer that has mets to brain, lungs, adrenal gland and now liver, cause bowels to shut down? If so what are the signs that it is happening?

Stage 4 cancer that has mets to brain, lungs, adrenal gland and now liver, cause bowels to shut down? If so what are the signs that it is happening?

It depends on so man: Bowel obstruction can occur in any advanced abdominal cancer. If the bowels are compromised by tumor they can close/obstruct. It is not difficult to tell when that happens because no food will pass through them. As a result patients become constipated/obstipated and have increasing pain in the abdomen and are unable to eat and drink due to persistent nausea and vomiting. The belly swells up also. ...Read more

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How long should a stage four lung cancer patient with metastasis to brain and liver expect to live?

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 more

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Stage 4 cancer that has spread to liver lungs and brain. What is live expectancy.?

Stage 4 cancer that has spread to liver lungs and brain. What is live expectancy.?

Stage IV lung cancer: Straight to the point...There is nothing that will change or delay the inevitalbe. Everyday is a blessing and is precious and you should treat it as such. The text books will say six months or less but it is usually a lot less. Some patients will last a few days and others will take a few weeks depending on their overall strength. They are only traveling the path we all will soon follow. ...Read more

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Life expectancy for stage 4 bowel cancer which has spread to the brain and liver?

Life expectancy for stage 4 bowel cancer which has spread to the brain and liver?

Highly variable: In colon cancer, up to 25% survival at 3 years, if good response to chemo. Every colon cancer responds to meds differently, and new genetic tests can help pick meds that might be best. I recommend to get affairs in order, apologize to those who you have wronged/crossed, express love & gratitude to those for whom you care, and find joy and peace in each day. Best wishes! Dr. T. ...Read more

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My uncle has been diagnosed with stage 4 bowel cancer spread to the liver an d the 2 large lesions in the brain, could you tell me how long?

My uncle has been diagnosed with stage 4 bowel cancer spread to the liver an d the 2 large lesions in the brain, could you tell me how long?

See below: It is not feasible to predict the course of an individual patient and averages are just that. See this site for information on survival rates for different stages of colon cancer.
http://www. Cancer. Org/cancer/colonandrectumcancer/detailedguide/colorectal-cancer-survival-rates. ...Read more

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Father got diagnosed w/ stage 4 colon cancer. Spread to liver, lungs, and brain. Currently at city of hope. Recommend a good place in LA areas? Help!

Father got diagnosed w/ stage 4 colon cancer. Spread to liver, lungs, and brain. Currently at city of hope. Recommend a good place in LA areas? Help!

Here R some options: City of Hope is a good Cancer Center. Alternative institutions include USC- Cancer Center, UCLA cancer Center and many oncologists in private practice. Search under Medical Oncologists in your area and make a call/s to find out if another medical oncologist would accept your father for treatment of his metastatic Colon cancer. This is a disease for which good treatments are available ...Read more

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Dad, Oscar, was told stage 4 lung cancer 2.5 wks ago. 1/3 sz brain tumor removed. 3 brain lesions. In bones&pos liver. Would u cyperknife brain tomorrow?

It depends: If you are 76, your Dad must be late 80s or early 90s. At such an advanced age it may not be worth being so aggressive with terminal cancer that at such advanced stage means he has only few weeks to few months left. However, if his desire is to be aggressive, Cyberknife is an effective an low risk procedure and I would recommend it highly. Otherwise, hospice care is very appropriate. ...Read more

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If chemo fails can anything be done for peritineal and liver mets?

If chemo fails can anything be done for peritineal and liver mets?

Liver mets: A tough question. I presume you are seeing your doctor on a regular basis. It is time to make another visit, check the status of your liver, and then discuss options. ...Read more

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Liver mets and peritoneal mets, oxyplatin, irinotcan failed so far. Is there any other treatment? Can TACE be Done?

Liver mets and peritoneal mets, oxyplatin, irinotcan failed so far. Is there any other treatment? Can TACE be Done?

Yes, new treatments: Transcatheter Arterial Chemoembolization is an effective way of managing multiple liver mets. One can add microwave ablation and radiolabelled microshpheres for control. The peritoneal mets can be treated by hyperthermic chemo perfusion of the peritoneal cavity and one of several new therapeutic mAb trials can be added along with Erbitux if this agent has not been employed yet. ...Read more

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What is liver mets with necrotic centre?

What is liver mets with necrotic centre?

Loss of viability: When tumors metastasize to the liver, their surface glycoproteins determines that they grow only in a liver ferritin substrate and cant metastasize elsewhere. The lesion will grow since its main blood supply is hepatic artery where liver parenchyma is fed by the portal system. As the lesion enlarges, the hepatic blood supply is unable to reach the center of the tumor and necrosis appears ...Read more

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Do eyes look yellow with liver mets?

Yes but: Liver mets can cause obstruction which woul lead to jaundice, but soemtimes jaundice can be from break down of red blood cells, or medications. ...Read more

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If patient had a lung carcinoid and liver mets, how would you treat the person?

If patient had a lung carcinoid and liver mets, how would you treat the person?

Depends: Size and location of the tumor in the lung and liver, the patients overall health, the rapidity of tumor growth, and other factors will influence treatment. Surgical resection of both primary and metastatic lesion, radiation (external beam or targeted), chemotherapy, hormone suppression, arterial embolization, and other treatments are all options. Your oncologic team should work with you on you. ...Read more

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Metastic colon cancer with liver mets. Bilirubin was 12, then went to 95 and now 85. Is it starting to drop again?

Metastic colon cancer with liver mets. Bilirubin was 12, then went to 95 and now 85. Is it starting to drop again?

Very high: The difference between a bilirubin of 95 and 85 is not clinically meaningful. Be sure to follow up with your oncologist however, as the situation is complex. Hope this helps! ...Read more

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Can high increasing bilirubin in metastic colon cancer with liver mets cause death? What is prognosis? Other LFT "s are normal

Bilirubin: The high bilirubin will not cause death in this situation, it likely is a sign that the bile ducts are blocked up by metastatic cancer in the liver. ...Read more

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Can TACE be done on the liver for liver mets if there are peritoneal mets for metastic colon cancer?

Yes: But probably not advised since peritoneal mets are more rapidly fatal than liver mets. Has your oncologist suggested intra-abdominal installation of chemotherapy
This article may help
http://jjco. Oxfordjournals. Org/content/31/12/571.full ...Read more

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Hubi had colon cancer 2yrs ago now has 40% liver mets 2 at 4" and 14 smaller ones had 3 months oxi p no improvement now on avastin (bevacizumab) and oxi how long?

Hubi had colon cancer 2yrs ago now has 40% liver mets 2 at 4" and 14 smaller ones had 3 months oxi p no improvement now on avastin (bevacizumab) and oxi how long?

Depends: We don't have expiration date marked on our body. How long one will live will depend on many factors. It will definitely depend on the biology of the cancer, the response to therapy, your husband's overall condition etc. At least from studies we know, on average, stage IV colon cancer's survival is approximately 36 months or so. One may be shorter while other may be longer. D/w your oncologist. ...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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Stg 4 liver mets, breast cancer. On 4/15 got- 650, gpt 350, bilirbn 18. Now got- 390, gpt 190, bilirbn 24. On herceptin, carboplatin, linezolid, cipro (ciprofloxacin). Why bilirbn increasing while gpt/ got improving?

Stg 4 liver mets, breast cancer. On 4/15 got- 650, gpt 350, bilirbn 18. Now got- 390, gpt 190, bilirbn 24. On herceptin, carboplatin, linezolid, cipro (ciprofloxacin). Why bilirbn increasing while gpt/ got improving?

Tumor growth: I'm being very honest here. In my experience, this is a sign of tumor growth causing obstruction of your bile ducts. Your bilirubin is too high for you to safely get most types of chemo. The tumor may be obstructing the main bile duct, and sometimes that can be stented. But this is a time to ask your doc for an honest prognosis. Warm thoughts to you. ...Read more

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10 liver mets and a node in metastic colon cancer. Xeloda (capecitabine) irinitecan failed. Can anything be done?

10 liver mets and a node in metastic colon cancer. Xeloda (capecitabine) irinitecan failed. Can anything be done?

Yes: When colon Ca metastasizes to the liver it remains and progresses there with occasional node to porta. The first approach is to try chemoembolization after having an angiogram of the hepatic artery. This route can also be used for intrahepatic isotope administration. Systemically chemo plus avastin (bevacizumab) or Erbitux can be tried. New studies with Neo 102 are being offered in FDA trials. ...Read more

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If a surgeon removed a lung carcinoid and patient had liver mets, would he continue with op or just sew the person up?

Usually: The work up is done before, not during the surgery. Carcinoids of the lung usually are not symptomatic until metastatic, unless blocking a bronchus. The surgeon may have a biopsy pre operatrively, but carcinoid usually is proven by excision. ...Read more

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Will avastin (bevacizumab) increase survival significantly for metastic colon cancer with liver mets? Is it a risky drug

Will avastin (bevacizumab) increase survival significantly for metastic colon cancer with liver mets? Is it a risky drug

Slight benefit: Bevacizumab (Avastin (bevacizumab)) is one of those drugs that is extremely expensive and often has limited benefit. Patients with metastatic colon cancer who received Avastin (bevacizumab) plus chemotherapy lived 1-2 months longer on average than those receiving chemo only. Because it has marginal benefit but costs ~$30, 000 the U.K. Health Service won't pay for it. It can cause skin rash, bleeding or wound healing problems. ...Read more

Metastasis (Definition)

A cancer begins in an organ (say the breast). If it gets into the blood stream or the lymphatic stream the cells can travel to other parts of the body where, in the right environment, they may settle and grow. This development of tumor growth far away from the original site ...Read more