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55 years old man suffering from lung cancer, what are the all treatment that should be done ?

a)my father diagnosed first In March, 2009 it has been diagnosed that he has attacked by Lung Cancer under diagnose by study Pleural Fluid/Pleural Tissue as “Metastatic Adenocarcinoma” in his right lung. After then b) As per decision of doctor he start to take ‘Chemo Therapy’ consisted by ‘Gemcetabine 1400mg (three times in each 28 days cycle) + Cisplatin 60mg (two times in each 28 days cycle)’ from 30th May, 2009 and completed 6 cycles and stayed under continuous follow-up of his Oncologist near about 01 year. But during the period of follow-up he had suffering from many complexities like Dry Cough , pain in Right chest , fever and weakness. Then after his doctor decided to give ‘Radio Therapy’ in Feb, 2011 and he completed 10 days radio therapy. c) Now, he has feeling pain in his Right Chest, Respiration problem and suffering from Dry Cough and weakness. At last his doctor prescribed on 10th April for taking 60 (Sixty) ‘Tablet ERLOTINIB’ 150mg’ 01 per day. he is taking 01 Tablet everyday from 11th April, 2011 to till and could not find any significant response. On the other hand his RBS has been raised suddenly in May & June’11 by 12.32(after meal ) yet too he is a non diabetic patient. d) In June 2011 it was diagnosed that his right lung fully what type of treatment he needs for remaining other organ or left lung not affected?
Asked On : Wed, 29 Jun 2011
Answers:  2 Views:  147
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General Surgeon 's  Response
Hello and welcome to healthcare forum.
Your father was directly started chemo and radio therapy which means that his lung cancer was found in late stage and he was not a candidate for surgery. Whatever treatment given to him was to prevent spread of cancer to other organ and left lung.
The reason for raised blood sugar was paraneoplastic syndrome, seen in cancer conditions.
Best wishes for your father's health.
Answered: Thu, 30 Jun 2011
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General Surgeon Dr. Avinash A's  Response
welcome to healthcare
basically sugery would have been the best treatment for adenocarcinoma..but since it was metastaic on presentation the only option treatment that could have been given is chemo..and remember chemo is not very good for adeno..stage 1 and 2 will have a good prognosis but at this point of time nothing much can be done..your doctor have done everthing to relieve him..he has even started on erlotinib , a monoclonal antibody..thats the last resort when it comes to medications..the only option u have got now is take one more opinion from a surgical oncologist regarding surgery..all the best
Answered: Thu, 30 Jun 2011
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