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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Lung Cancer That Has Metastasized Brain. History Of Quadruple Bypass Surgery. Will This Surgery Affect Chemo?

I had quadruple bypass surgery 10 years ago and now have lung cancer that has metastasized to the brain. They are starting treatment with chemotherapy and radiation therapy . Can my cardiac history affect the chemotherapy am I at a higher risk for heart problems? What oncologic emergencies could arise? Am I a candidate for surgery?
Mon, 18 Mar 2013
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Oncologist, Radiation 's  Response
Hi,
I want to answer your specific queries.-

1) "Can my cardiac history affect the chemotherapy"
You should ask for echocardiography, if no major abnormality is there chemo can be given.

2) "am I at a higher risk for heart problems?"
In this case generally paclitaxel, carboplatin are used, they do not cause major cardiac problem.

3)" What oncologic emergencies could arise?"
oncological emergency can be febrile neutropenia or hyponatremia in your case.

4)" Am I a candidate for surgery?"
Brain metastasis can be operated, but no curative surgery can be done.
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Suffering From Lung Cancer That Has Metastasized Brain. History Of Quadruple Bypass Surgery. Will This Surgery Affect Chemo?

Hi, I want to answer your specific queries.- 1) Can my cardiac history affect the chemotherapy You should ask for echocardiography, if no major abnormality is there chemo can be given. 2) am I at a higher risk for heart problems? In this case generally paclitaxel, carboplatin are used, they do not cause major cardiac problem. 3) What oncologic emergencies could arise? oncological emergency can be febrile neutropenia or hyponatremia in your case. 4) Am I a candidate for surgery? Brain metastasis can be operated, but no curative surgery can be done.