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Malignant cell contract with adenocarcinoma of the lungs. - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Lung Cancer
Answered by

General & Family Physician
Practicing since : 2009
Answered : 675 Questions
Doctor :   hi
User :   hi
Doctor :   how can i help you
User :   malignant cells contrast with adenocarcinoma
User :   my father 74 and suffering from severe cough. loss of weight
User :   diagnosed as MALIGNANT CELL CONTRACT WITH ADENOCARCINOMA.. in CT guided Biopsy..
Doctor :   ok
User :   guide me which specilist .. is the right one to consult in advaced stage.. for treatment
Doctor :   it is a multispeciality approach by few specialist but mainly dealt by an Oncologist
Doctor :   Did the doctor say that it cannot be operable?
User :   i did consult one THORACI SURGEON..
Doctor :   Ok
User :   yet to consult again. .meanwhile i do not waste my time..
User :   heared he is in advanced stage..
Doctor :   Ok
User :   it spread to another lung as well
Doctor :   advanced stage is stage 4
Doctor :   and it cannot be resected or operated
User :   as telephonic conversation he asked me something another test for bone or bone marrow..
Doctor :   to remove the cancer
Doctor :   Ok
User :   ok
User :   what are the other ways of treatment to extend his life
User :   he is not sleeping at all bcoz of cough
Doctor :   Chemotherapy is the primary form of treatment because it is better able to stop or slow growth of these metastases.
Doctor :   he wont be able to sleep because of his shortness of breath
User :   What would u suggest .. Doctor..
User :   what about BONE TEST ..
Doctor :   The chemotherpay is instititued based on the bone marrow analyiss
User :   i didn't get you
Doctor :   This is because The most important side effect is a temporary drop in the blood counts due to the effect of chemotherapy on the bone marrow. This typically occurs 7 to 14 days after the chemotherapy is given
User :   could explain me more about it pls.
Doctor :   THe chemotherapy is a treatment modality
Doctor :   given to imprve the life span
Doctor :   of the patient in lung cancer in advanced stage
User :   ok
Doctor :   the chemotherpay can be started if the bone marrow test shows good results
User :   alright
Doctor :   The chemotherapy has many meidicned
Doctor :   givne one or twice a week
User :   alright
Doctor :   Chemotherapy refers to the use of medicines to stop or slow the growth of cancer cells. Chemotherapy works by interfering with the ability of rapidly growing cells (like cancer cells) to divide or reproduce themselves. Because most of an adult's normal cells are not actively growing, they are not affected by chemotherapy,
Doctor :   so the sideeffects are there but the benefits of the chemotherapy are more taken into consideration
User :   good
Doctor :   there are several types though
Doctor :   I believe the doctor
Doctor :   who is treating is better to explain
Doctor :   than online
User :   how about if.. bone marrow test show BAD
User :   whatz the alternative if bone marrow test shows BAD
Doctor :   then the chemotheapy may not be given but more advanced medicines are givne
Doctor :   like bevacizumab
Doctor :   called the immunomodulators
Doctor :   and symptomatic treatment is always given
Doctor :   to comfort the patient
Doctor :   which is more important too
User :   He is really suffering with lot of pain
User :   unbearable pain.. and can't sleep at all all the night.. ( couple of hrs hardly)
Doctor :   He is put on stronger opioid analgesicd
Doctor :   The palliative treatment specialist can help you
Doctor :   in making your father more comfortable
Doctor :   Let me remind you the treatment is not under single specialist
Doctor :   the oncologist, palliative medicine specialist, thoraci
Doctor :   surgeion and the chest physician
Doctor :   are all involved
Doctor :   for the best treatment to be started and the benefit of the patient
Doctor :   Please fill this form I send, and say when done. and say when done.
Doctor :   hello syam are you there?
User :   YES
Doctor :   The number of chemotherapy cycles is usually determined by how the cancer is responding to treatment and how the patient's body is tolerating the treatment.
User :   i did fill that form
Doctor :   Ok
Doctor :   the optimal duration of therapy for patients who are responding well to treatment is unclear
Doctor :   How can I help you further
User :   well..
Doctor :   and if you wish i can find one
Doctor :   oncologist
Doctor :   for you in XXXXX
Doctor :   if you stay in
User :   Now i would like to know.. which hospital is best
Doctor :   sure
User :   i am not rich enough to spend lot in corporate hospitals
Doctor :   I shall find the best one to help you
User :   I am looking for a trust or good hospital.. with all specilist as you said
Doctor :   Which area do you stay
User :   I live around XXXXX
User :   i can treavel anywhere in XXXXX..
Doctor :   Please confirm your details
Doctor :   YYYY@YYYY Mobile : 0000
User :   distance is not a problem.. but experienced and good doc required
User :   yes
User :   i haven't got mobile number
User :   but mail is id right one
Doctor :   atleast give your land line
Doctor :   One of our doctors will get back to yoiu
User :   to be honest i haven't got any phone facility
Doctor :   Ok
Doctor :   we will mail yoiu
User :   we r from XXXXX just came for treatment
User :   already spend quite lot money
Doctor :   and please check your
Doctor :   mails frequently
User :   sure
Doctor :   bye
User :   pls. wait
Doctor :   Which place
Doctor :   in XXXXX
Doctor :   do you belong to
User :   we are from XXXXX
Doctor :   Ok
Doctor :   It would be better for you in XXXXX
User :   XXXXXX
Doctor :   The hospitals and the facilities are researched by another team of doctors in our organisation
Doctor :   so it is difficult for me to say but i shall ask them to mail you about the best one
User :   ok
Doctor :   keep checking the mail
Doctor :   ok
User :   thanks for your help and great advice..
User :   could i ask your name pls.
Doctor :   I am Dr
User :   thanks a lot Dr...
Doctor :   Bye
User :   i would wait for your mail .. with details of above 4 speicilist doc.. thoraci, oncologyst and other two docs..
User :   thanks have a great day bye
Doctor :   hi
Doctor :   bye
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