kedarnathin: my father recently diagnosed cancer(lung). the only symptom is vocal parlsy. it is noticed that there is a significant weight loss. he 'was' a smoker stopped in 2008. the clinician informed about the diagnosis after contrast ct chest, mass in the mediasternam 14mm, lymph node affected,tried to ct guided FNAC no sufficient cells for fnac result. went to chest institute, they found a supra clavicular node and a fnac done. a bronchoscopy was taken place and biopsy+bronchial lavash done. the result came back with non-small cell carcinoma(fnac lavash) , squmas cell carcinoma both poorly differenciated. he had been to the thorascic surgen and adviced that it is no operable. the diagnosis is posterior mediasternal mass with lymph mets and vocal code parlsy( compression of recurrent laryngel nerve left side) . he is heading to chemo. can you advice anything can be done different?i hope somebody will help me.......

Doctor: hi

Doctor: Dr. Paul here. let me read what you have typed

kedarnathin: hi Dr Paul, ok I'll wait....

Doctor: his problem does seem compliacted

Doctor: since it is a posterior mediastinum mass, chemotherapy is best

Doctor: few non-small cell carcinomas do respond to radiotherapy too, discuss about it with an oncologist

Doctor: may I ask your father's age and where he is located?

kedarnathin: 59 yrs south india

Doctor: I would suggest you to visit Apollo Chennai or to CMC vellore and get a second opinion done from an oncologist along with a cardiothoracic surgeon.

kedarnathin: he has been to ct surgeon they said not operable....

Doctor: you can also discuss about his problem with our panel thoracic surgeon

Doctor: Dr. Rajesh Kaushish M.S., M.Ch. (Cardiothoracic surgery) and take second opinion on further treatment

kedarnathin: how can i contact him?

Doctor: I will provide you with the link to take consulation with him

kedarnathin: ok

Doctor: you can take e-mail or a phone consultation

Doctor: WWW.WWWW.WW

kedarnathin: ok

Doctor: visit this link to speak to our panel oncologists

Doctor: WWW.WWWW.WW

Doctor: visit this link to consult with CT surgoen

kedarnathin: well what do you think about prognosis?

Doctor: you can forward all his reports to YYYY@YYYY and we will send them to the specialist for review before he answering the query

Doctor: posterior mediastinal masses are difficult to treat and operate as many vital structures are in that place

Doctor: so going ahead with chemo and radio therapy would be the best

kedarnathin: hope he wil respond to chemo....

Doctor: newer techniques of 'gamma knife' and and other options are best discussed with an oncologist