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Lung Cancer Questions

Health Query

Hello actually my brother in law is suffering from lung cancer treatment is going on in TATA Medical Center kolkata under Dr. on last visit he suggested that (brother in law) for surgery so you know what we lay man are always stay away from any surgery so that's why we want a second opinion.

Dr. Kumar Sambhav92%(1012 ratings)

MBBS

General Physician•Delhi

Lung cancer is very fast spreading cancer, if cancer is limited only to lungs ; then its better to go for surgery as once it involve other body parts it may get very lethal .it is best advisable to go for surgery, maintain a healthy protein diet.

Asked for male, 35 years old from South Goa

My father (age 56 years & weight 70 Kg) has been diagnosed with Non-Small Cell Lung Cancer, Stage 4 with primary tumour in his Left Upper Lobe and metastasis in Liver and Bone. The biopsy report has confirmed it to be adenocarcinoma. The cancer was detected while he was admitted at a hospital in Mumbai and was undergoing treatment for Acute Paraplegia which happened on 02 Nov 16, due to arteries-Venous Fistula at D-10 level resulting in oedema/ ischemia of the spine from D-5 to Conus. After two failed attempts of embolization, towards treatment of the AVF, surgical clipping of the fistula was undertaken on 10 Nov 16. As part of post-operative rehabilitation therapy for his paraplegia, he was given 65 session of Hyper-basic Oxygen Therapy at 2.4 ata pressure for about two and a half month and about two hour of Physiotherapy for the same duration. My father was recovering well and had started walking with the help of support (walker). MRI of the spine taken in mid Jan & Mid June 2017 indicates that the spinal cord oedema had improved significantly, although atrophy of the spine cord is still present. He complained of wheezing and breathing difficulty and towards ascertaining the cause a X-ray was taken on 23 Feb 17 which showed massive pleural effusion in his left lungs. A series of tests followed with the ultimate result as NSCLC Stage 3B. It was categorised as Stage 3B as the pleural effusion was para-malignant and no metastases was noted in any other body parts. He was started with CCRT treatment which concluded on 05 May 17. During the treatment he was given daily dose of radiation therapy to his primary tumour site in his left upper lobe using IGRT (60 Gy/ 30 #/6 weeks) and weekly chemotherapy with paclitaxel (150 mg) & Carboplatin (300 mg) for 6 weeks. Despite the treatment, the cancer is advancing and has now spread to Liver and Bones as brought out in his latest PET CT report. Lung tissue which was obtained during CT guided biopsy conducted in the month of Mar 17, before the CCRT treatment was started, has tested positive for EGFR mutation – “E746_A750del is detected in EXON 19 of EGFR gene”. His doctor has started my father on Erlotinib 150 mg OD since 26 Jun 17. My father has developed Post Obstructive Pneumonia in his left lung and there is consolidation in his entire left lung. This is evident from a recent X-ray. He is having difficulty in breathing, takes short & fast breath, sweats a lot, feels cold, has irritation in his throat and gets tired very fast. He also has issue eating solid food and had greatly cut down his diet. He was started on Oral antibiotic for a week, but did not respond to it. He is admitted in the hospital and is being injected with antibiotics through IVs and injections. His condition remains to be same with no much improvement. His SPO2 level is also low at 90-92%. My father also has severe lower back pain and has also been diagnosed with progressive paraparesis. Because of the back pain he is not able to lie down on his back. A recent screening of the entire spine has confirmed that there is no evident compression of the spinal cord but clearly shows a number of metastasis in the vertebrae (Clivus, Dv2, Lv2, Lv4 & Tail Bone). There are plans to start him on Radiation Therapy for his spine. Is this:- 1.The right therapy for him? 2.What other option do we have for treating his spinal mets? 3.Can Radiation to treat his mets in the vertebra, damage his spine and cause further paraparesis? 4.Could you please suggest anything towards treatment of my father?

Dr. Akhil Jain

DM - Oncology, MD - Internal Medicine

Oncologist•Noida

If there is localized backache than radiation treatment may be the right choice for the time being. Though it won't cure lung cancer. It may help in resolving the local pain. Patient is on erlotinib since 26-6-17. The medicine should have shown some benefit by now. Continue it for another one month. It may be stopped for the time /days spinal radiation is given by your treating doctor. Add bisphosphonates taking care of creatinine and calcium levels. Ask for appropriate amount of analgesics. Giv...more

Asked for male, 57 years old from Mumbai

My father has been diagnosed with Non-Small Cell Lung Cancer, Stage 4 with primary tumour in his Left Upper Lung and metastasis in Liver and Bone. The biopsy report has confirmed it to be adenocarcinoma. The cancer was detected while he was admitted at a hospital in Mumbai and was undergoing treatment for Acute Paraplegia which happened on 02 Nov 16, due to arteries-Venous Fistula at D-10 level resulting in oedema/ ischemia of the spine from D-5 to Conus. After two failed attempts of embolization, towards treatment of the AVF, surgical clipping of the fistula was undertaken on 10 Nov 16. As part of post-operative rehabilitation therapy for his paraplegia, he was given 65 session of Hyper-basic Oxygen Therapy at 2.4 ata pressure for about two and a half month and about two hour of Physiotherapy for the same duration. My father was recovering well and had started walking with the help of support (walker). MRI of the spine taken in mid Jan & Mid June 2017 indicates that the spinal cord oedema had improved significantly, although atrophy of the spine cord is still present. He complained of wheezing and breathing difficulty and towards ascertaining the cause a X-ray was taken on 23 Feb 17 which showed massive pleural effusion in his left lungs. A series of tests followed with the ultimate result as NSCLC Stage 3B. He was started with CCRT treatment which concluded on 05 May 17. During the treatment he was given daily dose of radiation therapy using IGRT (60 Gy/ 30 #/6 weeks) and weekly chemotherapy with paclitaxel (150 mg) & Carboplatin (300 mg) for 6 weeks. Despite the treatment, the cancer is advancing and has now spread to Liver and Bones as brought out in his latest PET CT report. Lung tissue which was obtained during CT guided biopsy conducted in the month of Mar 17, before the CCRT treatment was started, has tested positive for EGFR mutation – “E746_A750del is detected in EXON 19 of EGFR gene”. The medicine oncologist has however said that the gene profiling of the primary tumour tissue is not sufficient for starting Targeted Therapy and gene profiling of a tissue obtained from any of the metastatic site is necessary for the same. Three procedures have been undertaken to obtain tissue sample from the metastases site, twice from the liver and once from the pleural deposits, and all the three times the cancerous tissue could not be obtained. Due to non-availability of conformed cancerous tissue from the metastases site, a firm treatment plan has yet not been made for my father. In the meantime, the doctor has recently started my father on Erlotinib 150 mg OD as there has been considerable delay in his next phase of treatment due to non availability of metastases cancerous tissue. Could you please help me by answering the following:- 1.Can you suggest anything towards treatment of my father? 2.Is gene profiling of tissue from a metastases site absolutely necessary for starting targeted therapy for my father? 3.I read online that Erlotinib or Afatinib can be used as Targeted Therapy for patient with EGFR Lung cancer mutation. Is this true? If yes, will a daily tablet of these drugs be sufficient for his next phase of treatment, or a concurrent conventional chemotherapy is also required? 4.Can 65 session of Hyper-basic Oxygen Therapy at 2.4 ata given at a stretch of about 80 days, with a daily dose of 02 hour be a cause of his cancer? I have read it online that the oxygen free radical produced during HBOT treatment can cause cancer.

Dr. Dharma Ram Poonia87%(38 ratings)

MS, DNB (Surgical Oncology)

Oncologist•Jodhpur

Hi lybrate-user, You summarize the case very well. I understanding of your case says, he has Ca lung adenoca, treated with dCTRT, that progressed and now disseminated disease, which is not curable by any means. The goal of the treatment in such cases would be palliative only, which means to increase longevity without causing much side effects of the drugs and reduce his problem. Now going towards your questions, 1&2. At this juncture, Gene profiling is not necessary for me but to start the EGFR ...more

Health Query

Dear Doctor, My elder sister has been suffering from Lung Cancer. Her age is 40 years old. We are from Bangladesh. Now doctor has advised for chemotherapy treatment of six month. Doctor's advice is given bellow. Tissue Biopsy: Specimen labelled as tissue from collapsed lung (core biopsy: Malignant lesion, histological consistent with adenocarcinoma. Advice: Immunihistochemistry for TTF-1, CK-7, CEA, CK-20 and synaptophysin for further confirmation. Plan of Treatment: Palliative systemic chemotherapy with affordable schedule (pemetrexed+Platinum or Taxene+ platinum) depending on her financial issues. Now sir will you please tell me about my sister is now in which stage/level of cancer and is she can be cured by giving chemotherapy and live a healthy lives.

Dr. Mool Chand Gupta95%(37146 ratings)

MD - Pulmonary, DTCD

Pulmonologist•Faridabad

doctor have already written that it is a palliative treatment and staging can not be done with available data

Asked for Male, 26 years old from Delhi

Hello doc. I am having lungs problem. Whenever I go for going medical, I find some spots in my lungs on x-ray film. And they reject me. I have also visited few doctors. But they say this is non curable thing. Please help me what to do now.

Dr. G.R. Agrawal95%(38414 ratings)

DHMS (Hons.)

Homeopath•Patna

Hello, Go for a walk in d morning to restore blood circulation to nourish cells, tissues of the body including lungs.
*Go for meditation, yoga to reduce stress anxiety to clean bronchial tube to lungs to retain Oxygen ,strengthening, lungs to ease breathing disorder.*Plenty, of water ,free from contaminantes b taken to eliminate toxins & to regulate metabolism.*easily digestible ,simple, non-irritant diet b consumed on time to avoid, indigestion as gastric disorder may often cause breathing...more

Health Query

What is the symptoms of Cancer? actually my friend is feeling pain in heart and he takes so much tobacco.

Dr. S.K. Tandon93%(53294 ratings)

M.D. Consultant Pathologist, CCEBDM Diab...read more

Sexologist•Sri Ganganagar

Symptoms vary from site of cancer. Tobacco may cause oral cancer
Oral ulcer or swelling to start is painless. FNAC or Biopsy help in early diagnosis.

Health Query

Hello Sir, My mother has diagnosed with Brain Metastases from small cell lung cancer. We have finished radiation therapy and 1st cycle of chemotherapy. Do we have medicines available for above stacancer in Homeopathy?

Dr. Jayvirsinh Chauhan93%(35817 ratings)

MD - Homeopathy, BHMS

Homeopath•Vadodara

Sujay as you have said cancer cell metastasis has already occured. it means it is secondary and advance. there are some cases in which homoeopathy has slow down the metastases, but it is more effective in primary and early stage. i totally can understand your situation right now. my advise is tobe strong. your mom is already taking radiation, you can start homoeopathy simultaneously. consult a good homoeopath with detailed case. it will help you in busting up your mom's immunity and weakness. as...more

Asked for male, 68 years old from Delhi

My father is peasant of lung cancer he was done three vocal of chemo therapy but not response for Como please tell what to do tnx. please reply.

Dr. Kumar Sambhav92%(1012 ratings)

MBBS

General Physician•Delhi

Hi,
as you mentioned your father is already underwent 3 Cycles of chemotherapy and not responding very well, any type of cancer is itself very dangerous, it get more dangerous when it metastasis, you need to keep hope and l have consultation from medico oncologist doctor. He can advice you better, chemotherapy its self is very dangerous treatment, but its last option for treating cancer.

Health Query

My friend is an occasional smoker and drinker actually three years before he was addicted to it but right he has reduced it much. Yesterday he went to hospital with his friend who was afraid of having lung cancer and finally doctor told that his friend is having cancer symptoms. Right now my friend is afraid Abt he getting affected. He doesn't have any symptoms but I want to prevent it rather than curing it. If there are any home remedies available to get rid of this before getting ill due to disease. Please suggest me those remedies.

Dr. Mool Chand Gupta95%(37146 ratings)

MD - Pulmonary, DTCD

Pulmonologist•Faridabad

Avoid smoking, working in asbestos industries, Polluting occupations. Eat carrot, vit c containing vegitable an dfruits.

Asked for male, 38 years old from Delhi

Hi, Doc, my father aged 75 years diagnosed with lung cancer and the size of mass is 140mmx110mmx116 mm and lab report is small cell carcinoma. Now a days they feel anxiety and pain in left side and the mass has moved out from lung to upper side of chest and we can see in the upper side of chest. We don't want to go for chemo as per age barrier. Is there any other drug or medicine which can reduce the pain and anxiety? And also is it possible to operate and remove the mass? Thank you.

Dr. Pritam Mohapatra92%(1378 ratings)

Post Doctoral Research (Ph.D.) (A.M) (On...read more

Alternative Medicine Specialist•Bhubaneswar

Hi lybrate-user,
I appreciate you seeking help. Well, first and foremost, I would advise you to meet up an oncosurgeon, experienced in thoracic oncology cases, in person. He/ she can do the needful assessment and can advise further on whether a surgery is feasible at this stage and the prognosis thereof. In general, the treatment outlook is influenced by a host of factors including stage and its associated comorbidities, age, vitality, gene expressions, chromosomes affected, histopathologica...more

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