Your aunt has already undergone nephrectomy
and has metastasis to sternum
and ribs. It is not possible to have routine life as a normal person will have.
Again it needs other parameters to predict prognosis of patient with metastatic renal carcinoma like LDH enzyme levels, Hb levels, Ca levels. SO I will elaborate few criteria which will help to get clear picture regarding your aunty.
Patients in the favorable-risk group (zero risk factors) had a median survival of 20 months.
Patients with intermediate risk (1 or 2 risk factors) had a median survival of 10 months.
Patients in the poor-risk group (3 or more risk factors) had a median survival of only 4 months. The prognostic factors are as follows:
Low Karnofsky performance status (
High serum lactate dehydrogenase (LDH) level (>1.5 times upper limit of normal ULN])
(below lower limit of normal [LLN])
High "corrected" serum calcium (>10 mg/dL)
No previous nephrectomy.
The following are factors associated with increased survival in patients with metastatic disease:
A long disease-free interval between initial nephrectomy and the appearance of metastases
The presence of only pulmonary metastases
Good performance status
Removal of the primary tumor
I hope this information is been useful to you.
So continue giving palliative care
and let her have comfortable life as far as possible.