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How To Manage Stage 4 Lung Malignancy?

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Posted on Thu, 8 May 2014
Question: 80 year old w inoperable cancer in lungs. History 2 years ago tumor on rite kidney and rite kidney removed. At time saw small modules 5 of them on both lungs. 3 on 1 lung and 2 on the other. Biggest nodule is 2. 4 cms. Cleveland indicated they would not operate do chemo or radiation. Recommended he take medicine Medical history diabetes acid reflux thyroid hi blood pressure. Taking 1 met form 500 mg. 1 levothyroxine sodium 50mg nexus 40 mg. best late 5 mg. atorvastatin 10 mg Looking for a doctor who uses diet and supplements Exercise. Daily 15 mins calenthenics. And Walsh 3 miles daily
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Answered by Dr. Gyanshankar Mishra (36 hours later)
Brief Answer: He is diagnosed with stage 4 lung malignancy. Detailed Answer: Hi, Thanks for posting the query on HCM. Since the query has been directed to a Pulmonologist, after going through the query, I would like to comment the following: 1. Your husband seems to have been diagnosed with stage 4 lung malignancy with diabetes with systemic hypertension with GERD with hypothyroidism. 2. The management of stage 4 lung malignancy is palliative chemoradiotherapy which has been appropriately advised in the said case. 3. The role of dietary supplements in stage 4 lung malignancy is very limited. The aim here is to give patient an acceptable quality of life since curative treatment is not the option here as the malignancy has already spread. 4. It is recommended that you go ahead with palliative chemoradiotherapy option if the patient is fit for the same. 5. Also what is the histological type of malignancy? In cases of non small cell lung cancer positive for EGFR receptors, Geftitinib may be given in advanced cases which may be an option in our patient's case. What is the chemotherapy that is being planned? I hope I have answered your query. I will be glad to answer follow up queries if any. Please accept my answer if you have no follow up queries. Regards Dr. Gyanshankar Mishra MBBS MD DNB Consultant Pulmonologist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Gyanshankar Mishra

Pulmonologist

Practicing since :2003

Answered : 600 Questions

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How To Manage Stage 4 Lung Malignancy?

Brief Answer: He is diagnosed with stage 4 lung malignancy. Detailed Answer: Hi, Thanks for posting the query on HCM. Since the query has been directed to a Pulmonologist, after going through the query, I would like to comment the following: 1. Your husband seems to have been diagnosed with stage 4 lung malignancy with diabetes with systemic hypertension with GERD with hypothyroidism. 2. The management of stage 4 lung malignancy is palliative chemoradiotherapy which has been appropriately advised in the said case. 3. The role of dietary supplements in stage 4 lung malignancy is very limited. The aim here is to give patient an acceptable quality of life since curative treatment is not the option here as the malignancy has already spread. 4. It is recommended that you go ahead with palliative chemoradiotherapy option if the patient is fit for the same. 5. Also what is the histological type of malignancy? In cases of non small cell lung cancer positive for EGFR receptors, Geftitinib may be given in advanced cases which may be an option in our patient's case. What is the chemotherapy that is being planned? I hope I have answered your query. I will be glad to answer follow up queries if any. Please accept my answer if you have no follow up queries. Regards Dr. Gyanshankar Mishra MBBS MD DNB Consultant Pulmonologist