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Suggest Treatment For Lung Cancer

Posted on Wed, 31 May 2017

Question: My father age about 81 diagnose Sclc
Presence tumor in right lungs and affected lymph node
What shoul wedo

Answered by Dr. Indranil Ghosh (2 hours later)

Brief Answer:
Chemotherapy and radiotherapy

Detailed Answer:
Hi
Thanks for your query.

If it is only in lung and regional lymph glands then it is limited stage. If he is fit enough we have to consider Chemotherapy and radiotherapy. Maybe we can start with chemo in reduced dosages and add radiation later if tolerates well.

These are not curative, but may be controlled for 1-3 years.

Hope this helps. I will be available for follow-up.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indranil Ghosh (13 minutes later)

Had you gone through the attached reports
He is asthmatic and cannot breath without oxygen cylinder
Feeling very week cant walk except daily routine
He is also suffering with BP sugar
Keeping in view above facts Pl advice
If we go for chemotherapy what will be quality of life and how much life span will expected to increase
If we don't take any treatment than life span with him and expected quality of life

Answered by Dr. Indranil Ghosh (11 minutes later)

Brief Answer:
In that case only palliative care

Detailed Answer:
I can't see any attached reports.

As I have said, if he's fit then only all these treatment. But going by your description I feel that we can only offer palliative care, ie medicines to relieve pain, discomfort, breathing difficulty, etc.

Life span with palliative care average about 3 months. If he is unfit then chemo will not improve survival at all.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Indranil Ghosh (9 minutes later)

I am attaching reports
Pl go through the report
And give your suggestion

Answered by Dr. Indranil Ghosh (55 minutes later)

Brief Answer:
Appears to be extensive disease

Detailed Answer:
From the CT reports the disease looks quite advanced to me. if he is unfit, best to provide supportive treatment only.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Indranil Ghosh (11 minutes later)

Thanks
Can you advise me good oncologist in XXXXXXX preferably in south XXXXXXX
Or you can prescribe medicines

Answered by Dr. Indranil Ghosh (58 minutes later)

Brief Answer:
Sure

Detailed Answer:
I won't be able to prescribe medicines here.

You can consult Dr XXXXXXX Singhal at Apollo Indraprastha hospital.

Regards

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Above answer was peer-reviewed by : Dr. Vaishalee Punj