HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Difficulty Breathing And Pain In A Lung Cancer Patient

default
Posted on Tue, 13 Oct 2015
Question: My mother was diagnosed with lung cancer. She is 82 and the mass was 8cm. It was in her left lung. She choose to have radiation treatment. It shrunk, but the cancer has manifested to her bones. She has several legions on her right hip bone and some on her left bone as well. Because she has decided not to have chemotherapy know one will give her any information about what to expect. She is on pain management. 120mg of oxicodine per day plus suprdual when she needs it. She takes some twice a day between her oxicodine. Her breathing is very laboured and she is in severe pain and sleeps a good part of the day. Can you tell me as her care giver what I should expect to happen in the next few months?
doctor
Answered by Dr. Indranil Ghosh (21 minutes later)
Brief Answer:
She can try erlotinib

Detailed Answer:
Hi
Thanks for your query.

It appears that her general health is not good. In that event chemo is not feasible also. However, we can try targeted therapy like erlotinib or gefitinib which can be given orally and works well in some patients. They don't have too many side effects. We can also give zoledronate injections to reduce the bone symptoms.

Otherwise I am afraid there is not much to do except supportive and palliative care. Her breathing may require oxygen support and she will need more and more support with her self care activities.

Hope this helps.
I will be available for follow-up.
Regards
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
default
Follow up: Dr. Indranil Ghosh (2 hours later)
Is this normally a fast moving cancer once it invades the bones?
doctor
Answered by Dr. Indranil Ghosh (1 hour later)
Brief Answer:
yes this is an aggressive disease

Detailed Answer:
Lung cancer is a fast moving disorder from the diagnosis itself, not necessarily when it has reached the bones.
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

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Difficulty Breathing And Pain In A Lung Cancer Patient

Brief Answer: She can try erlotinib Detailed Answer: Hi Thanks for your query. It appears that her general health is not good. In that event chemo is not feasible also. However, we can try targeted therapy like erlotinib or gefitinib which can be given orally and works well in some patients. They don't have too many side effects. We can also give zoledronate injections to reduce the bone symptoms. Otherwise I am afraid there is not much to do except supportive and palliative care. Her breathing may require oxygen support and she will need more and more support with her self care activities. Hope this helps. I will be available for follow-up. Regards