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Query about oncology - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Cancer
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   I am a stage 4 TCC patient who has had my bladder removed and rebuilt from small intestine. I have had whole brain radiation for a metastatic brain tumor and a lumpectomy on my left thigh - also meastatic from the badder. I also had chemotheray. Next month I will be cancer free for 5 years. What is my life expectancy now
Doctor :   Hi,
Doctor :   Let me go through your query.
User :   I am 72 years old
User :   male
Doctor :   Life expectancy is a measure calculated taking into consideration various factors.
Doctor :   Ok
User :   what other factors do you need?
Doctor :   These factors include Stage of cancer,Areas of metastasis,Age,Nutritional factors,Other co-morbid conditions.
User :   I was told I was stage 4 in 2005 or 2006
Doctor :   Ok,
User :   brain and lft thigh
User :   both removed
Doctor :   Ok
Doctor :   When was that done
User :   I also had 2 opccurances of PEs.
Doctor :   When was chemotherapy started?
User :   firts in Jan 2005 and then in Jan 2006
User :   dec 2005
Doctor :   PE?
User :   pulmonary embolisms
Doctor :   Do you have any respiratory problems now?
User :   no
Doctor :   Hoe about other chronic problems like hypertension,diabetes?
User :   I have regular care from several drs
User :   no
Doctor :   Ok
User :   Just give me a ballpark estimate
User :   I know this is probably unfair to ask you..
Doctor :   Ok
Doctor :   Let me brief you.
User :   good
Doctor :   Life expectancy is one suffering with stage 4 TCC with metastatic lesions all around is 3%.
User :   wow
Doctor :   This percentage improves if the metastatic conditions are treated,
User :   ok
Doctor :   nutritional factors are improved
User :   no problems ther
Doctor :   no other co morbid factors are treated.
Doctor :   expectancy at 5 years when these factors are taken care of is about
Doctor :   25 to 35%.
Doctor :   This is an average calculation offcourse.,
User :   what does 3% mean
User :   mentioned earleir
Doctor :   3% again is the chance of survival for 5 years with allround metastasis.
Doctor :   As i had mentioned to you in the beginning of the chat,
User :   so I have beat the odss so far right?
User :   odds
Doctor :   that this figure starts to improving or reducing depend on the factors.
Doctor :   Yes,
Doctor :   you are doing fine,
Doctor :   Follow up regularly with your oncologist,
User :   whats the probability for 5 or 10 more years?
Doctor :   The figures/statistics are based on 5 year survival rate.
User :   I am under the care fo several doctors... oncologist, nerosurgeon, etec
User :   etc
User :   thanks..
User :   bye
Doctor :   Please dont take me wrong but for your case in particular it would be very difficult to judge without the reports.
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