Doctor insights on:
Terminal Brain Cancer Stages
Yes?: As a rule, stage 4 cancer of the pancreas is incurable. As to being terminal, it depends on the definition. If you mean it will kill the patient at some point, the vast majority of the times the answer is yes. If you mean it will kill the patient right away, it depends on the situation. Never say never, though, some patients have surprised me in the past. Sorry if it is about you or a loved one. ...Read more
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
Low but not zero: Stage ii colon cancer means no lymph node involvement by definition, but inadequate lymph node sampling (surgical resection) may "understage" the cancer, so make sure enough ln were taken -minimum of 12! even with appropriate surgery, mets may still occur, although very unusual, so discuss with your treating docs. A pet/ct may give some reassurance so ask if this can be done. ...Read moreSee 1 more doctor answer
Unfortunately: Metastatic disease (also known as stage 4) is usually not curable by todays treatments. Although use of chemotherapy may improve survival and may rarely put someone into a temporary remission the disease usually returns or more often does not go away and eventually progresses and the patient will eventually succumb to it. ...Read more
Brain cancer: In general, Stage 4 means distant spread to other organs other than the organ where the tumor started (lung cancer that spreads to brain, would be Stage 4 Lung Cancer). There are 4 stages, so Stage 4 is the most extensive degree of spread, unfortunately. Primary brain tumors are not staged, because they rarely spread. Prognosis is based on age, location, histology, functional status, extent, etc ...Read more
It could be commuted: Until recently, colon cancer metastases in the liver were invariably fatal within a few years. However, there are some new biotechnology findings that suggest this may no longer always be the case. Your oncologist would be the person to ask. ...Read moreSee 3 more doctor answers
It varies: Cancer at stage IV varies...Some can be cured (hodgkins, germ cell of the testis) others are very difficult to cure even at earlier stages. Chemotherapy and radiation can extend life significantly in some cases and if used well, can keep people in a state of high quality life. So, it is not hopeless always. ...Read more
Location: In stage iii, the cancer still hasn't spread far beyond the breast and nearby lymph nodes. However, in this stage there typically are many lymph nodes involved or the tumor is so large it extends to the chest wall or involves the skin of the breast. stage IV breast cancer has spread to distant sites of the body. ...Read moreSee 1 more doctor answer
Yes/No: For early detection of Cancer, there are well defined screening guidelines which your primary care physician can share with you and guide you. For Colon cancer CT scan is not a good screening test. Instead Colonoscopy is the best test,but it is to be done> 40 years of age unless you have any symptoms like rectal bleeding or abdominal pain. Best thing you can do is to have an annual Physical exam. ...Read moreSee 1 more doctor answer
Not necessarily: Liver cancer is a pretty bad diagnosis, depends whether it is primary or metastatic. There is treatment though including transplant if you are young and in good shape, and there are many other novel treatments as well. You need close follow up with your doctors at this point and to evaluate all the options. Good luck! ...Read moreSee 3 more doctor answers
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
Not many: Hepatocellular cancer usually arises in the setting of cirrhosis, so these folks are (hopefully) watched by their md, otherwise rarely symptomatic until late. Cancer of the bike ducts may cause jaundice early on, but not always before it is also quite advanced. Metastatic cancer in the liver is not typically symptomatic. Pain may indicate a tumor, but again not usually, and often late. ...Read moreSee 1 more doctor answer
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