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Prognosis for stage IV NSCLC

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gman66

New User, Becoming EHEALTHy
Joined: 18 Jan 2008
Posts: 8
Prognosis for stage IV NSCLC
Posted: 05-13-08 23:51pm

Hello All,

Could somebody please ballpark a prognosis/life expectancy for my mother. She is 66 yrs. and has been diognosed with Poorly differentiatd adenocarcrnoma non small cell lung cancer that has spread to her brain. I have been to all her appointments but it is so hard to ask th "How Long" question in front of my mother. I also know that her cancer is not operable and I was hoping to find out her prognosis/ life expectancy. So many things i'd like to do in case her treatment runs her into the ground.

Thanks To All,
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MandMs

Extremely EHEALTHy
Joined: 26 Jan 2007
Posts: 1980
Location: Strumica, Macedonia
Thanks: 30
Thanked:10
Hello, gman66!
Posted: 05-20-08 03:31am

How is your mother treated at the moment?
Does she has single or multiple metastasis in the brain?
Is her primary cancer (lung cancer) symptomatic?
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gman66

New User, Becoming EHEALTHy
Joined: 18 Jan 2008
Posts: 8

Posted: 05-20-08 22:53pm

She is being treated "palliative". She has 15 radiation treatments. She will have 2 Chemo treatments scheduled about 3 weeks apart. She has multiple metastasis in the brain. Also can you tell which one is worse or which one will become her problem brain or lung. thanks so much
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MandMs

Extremely EHEALTHy
Joined: 26 Jan 2007
Posts: 1980
Location: Strumica, Macedonia
Thanks: 30
Thanked:10

Posted: 05-26-08 07:00am

Radiation therapy has become a mainstream therapy for brain metastasis, especially, for patients with multiple lesions. With this treatment, median survival is 3-6 months (some data says 2-3 months) depending on number of lesions (patients with solitary lesions have a better prognosis), their radiosensitivity, and the status of systemic disease.
I found some information about case similar to your mum.
It's about a patient with stage IIIb non-small cell lung cancer and brain metastasis, who has received Gefitinib, a drug used in the treatment of certain types of cancer.
The patient experienced a dramatic clinical improvement within 1 week.
Follow-up magnetic resonance imaging of the brain 1 month later showed decreases in both the size and number of brain metastases and the patient remained well 9 months after initiation of gefitinib.
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