Palliative Treatment Of Cancer Questions

Yes. This may happen in some cases. Typically after 6 cycles of double agent chemotherapy we keep patient on maintainance therapy with pemetrexed till disease progression. Else pt will need to be put on 2 nd line chemotherapy or immunotherapy. Other options include oral targeted therapy if she is positive for either of mutations like egfr, alk, ros 1, met, braf which can be checked on biopsy tissue.

Most people think that chemotherapy drugs always cause hair loss. But some don't cause any hair loss at all or only slight thinning.But we have to look into the details of the problem. Let's have a detailed discussion for better advice and healthy lifestyle.

chemotherapy can help in well being a little bit... but v cant guarantee...

stage 4... very poor results.... even with treatment..

may be 6months to 1 year...

where all is the spread... do u have PET AND CT SCAN

You have not mentioned about your previous pet ct report. If the current pet ct suggests progression of disease then we have to change medication and if its static or improved than last pet ct then we have to continue same treatment.

So the final diagnosis is pre b cell all with ph positive.
I believe autologous transplant was done since you had a very good response to chemo and mrd was negative.
So I think prognosis appears good.
Please continue imatinib.

Hi lybrate-user. Lung cancer does not carry a good prognosis. Your father in lawhas stage 4 disease which has been treated with chemotherapy and targeted therapy. If your father in law has developed respiratory problems even after osimertinib, it means that the disease is in progression. He should undergo imaging with ct scan of chest to assess the disease extent.

While these may be the side effects of chemotherapy, they may also be a subtle pointer towards drop in white blood cell counts specially if the patient is taking the chemotherapy on a weekly basis. The patient also needs good pain management.

As I don't know the full history and the nature and origin of pain, its difficult to suggest accurate treatment. Two suggestions, 1. See the dr, who is treating lung cancer or he may refer her to pain clinic, 2. If the cancer has spread to the bone then zolendronic acid once a month, and if its due to local disease, then pregabalin or prothiadine.

Firstly sir ,would like to know, how long have you been diagnosed with lung cancer, and are you on any supportive chemo/ radiotherapy or any domiciliary oxygen support. Depending jpon the grading, of how breathless you are with bouts of exacerbations you have, few medicines can be titrated. If not suffering from any other co- morbities ,can start with doxobid 200 mg twice a day, montair fx once at night, and nebulization with ipravent & budecort [if you feel more breathless]. Alternatively use s...more

Hello Vagesh.
You can consult me at lybrate online from home.
After proper details only will be able to prescribe right medicine.