Question: My brother aged 29 years was suffering from husky voices since last 2 months. Doctos at Kolkata tested a little preliminary and when in-spite of taking strong Antibiotics the voice remains same then, gone all through checking to detect the root of problem. As such, X-ray, Endobronchial Ultrasound , CT-Nech, Eco, MRI-Brain and Whole body CT done.
The test results of various important testings are furnished below:
a)      Echo Test- Normal,
b)      Endobronchial Ultrasound Report: Indication:Mediastinal Adenopathy:EBUS Findings:Enlarged subcorinal and left hilar lymph nodes seen
c)     MRI-Brain with contrast done : 1)Miliary metastases 2) Focal dural thickening and enhancement at left orbital apex found
d)     CT-Neck: Mild fullness and medial displacement of the left aryepiglottic fold with anteromedial rotation of the left aryepiglottic cartilage.
e)     Whole body CT: Done: Nothing abnormalities found in all other portion of Body
f)     Cytology Full Reort: In pression: EBUS guided cellular FNA smears and cell block section from lower lobe left lung with an adenocarcinoma
EBUS guided cellular FNA smears and cell block section from subcarinal lymph node with a metastatic Adinocarcinoma.
After all findings, Doctors advised for Radiotherapy in Brain for 10 days with oral Chemotherapy and after completion of Radiotherapy with 15 days gaping Chemotherapy will be started and 6 nos. of Chemos will be administered.
Please suggest whether the treatment and suggested Radiotherapy and Chemotherapy doses are in order and also please confirm whether from this ‘Adinocarcinoma’ disease , my brother will completely be cured and never come back the same in life.
What precautionary suggestions should be adopted for not reverting the disease ?
Awaiting for your valuable reply/suggestion for my brother please.