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Does Stage 4 Lung Cancer Fall Under Fast Growing Cancer?

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Posted on Tue, 28 Oct 2014
Question: Hi Sir,
My mom was diagnosed stage 4 lung cancer last month, please check the attached report and please answer my below questions.
1.Does this cancer fall under fast growing cancer?.
2.I know this question would be difficult to answer,whats the avaerage survival rate for these type of cancer.
3.She is undergoing chemotherapy,please let me know to what extend chemotherapy would help/.
thanks,
XXXXXXX XXXXXX
doctor
Answered by Dr. Indranil Ghosh (3 hours later)
Brief Answer:
Yes this appears to be stage 4 lung cancer

Detailed Answer:
Hi
Thanks for your query.
I have gone through all the reports. My responses to your queries...

1. Yes, all lung cancers are considered aggressive and this sarcomatoid variety is considered having highly aggressive behavior.

2. Lung cancer with brain metastasis has got an average survival of six months to 1 year but it can certainly be more if the disease responds to RT and chemo. However survival beyond 3 years is unusual

3. Chemotherapy on an average extends survival by 3-6 months as compared to no chemo. Again, this varies and some patients benefit more than others. Some patients may have no benefit at all. This is difficult to predict.

Hope I have answered your queries. I will be available to answer further followup queries, if any.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indranil Ghosh (6 hours later)
thanks for the informations. Could you please answer below given questions as well/.
1. What should be expect last few months?, radiation was done for head and does metastasis grow rapidly in brain again?.
2.My mother is very weak after first chemo and she lost hair,appetite etc.Is there any chance to grow hair once chemo is completed?.(doctor had recommended 6 chemo).
3.Coughing up blood is the main issue now, can we expect some relief after chemo treatment?
4.Any other better treatment available for this?.

thanks a lot for your response.

regards, XXXXXXX XXXXXX
doctor
Answered by Dr. Indranil Ghosh (1 hour later)
Brief Answer:
Please refer below

Detailed Answer:
my answers..

in the last few months there may be pain, headache, vomiting, increasing bleeding, loss of apetite, weight loss and so forth. yes, brain mets may increase again after a few months

yes, hair may come back after chemo completed

coughing may decrease, along with reduced bleeding

you can get EGFR mutation testing done on biopsy. if it is positive then we can give oral drugs to control the cancer.

regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indranil Ghosh (2 days later)
Nowadays, she is suffering from severe join pain and headache. Her body seems to be weak nowadays. We are not sure chemo is helping or not,however there is no relief on coughing up blood.
Is there any better treatment available in India?.

thanks, XXXXXXX XXXXXX
doctor
Answered by Dr. Indranil Ghosh (8 hours later)
Brief Answer:
yes maybe she is not tolerating chemotherapy

Detailed Answer:
In that case chemo needs to be stopped. Unfortunately there is no better treatment for this. Some radiotherapy may be considered for stopping the bleeding and EGFR targeted therapy if EGFR mutation is positive.
Supportive treatment is paramount now to improve her general condition.
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Indranil Ghosh

Oncologist

Practicing since :2004

Answered : 1712 Questions

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Does Stage 4 Lung Cancer Fall Under Fast Growing Cancer?

Brief Answer: Yes this appears to be stage 4 lung cancer Detailed Answer: Hi Thanks for your query. I have gone through all the reports. My responses to your queries... 1. Yes, all lung cancers are considered aggressive and this sarcomatoid variety is considered having highly aggressive behavior. 2. Lung cancer with brain metastasis has got an average survival of six months to 1 year but it can certainly be more if the disease responds to RT and chemo. However survival beyond 3 years is unusual 3. Chemotherapy on an average extends survival by 3-6 months as compared to no chemo. Again, this varies and some patients benefit more than others. Some patients may have no benefit at all. This is difficult to predict. Hope I have answered your queries. I will be available to answer further followup queries, if any.