Lung & Ovary cancer

bhargava_nvn · New User Joined: 13 Jun 2005 Posts: 1

Hello all...

I have just been browsing through for information on lung cancer and reached here. My mother has been suffering from lung cancer. She has been treated with chemotherapy (6 rounds). Doctors said that she is in the third stage.

After 6 rounds of chemo, she was feeling better. But on fine day, she started vomiting blood. We realised that she has some breathing problem and took her to the oncologist who treated her with Chemo. After a series of tests, Doctor confirmed that She has a clot in her left lung.

The oncosolist suggested to go for Radiation or Laser treatment. Since laser is not available in my city, she was getting treated for radiation for the last two weeks. Since then she started feeling better. But unfortunately, last week she had the same repeated problem when she started vomiting glasses of blood.

She has then been diagnoised and Bronchoscopy was performed. The clot was removed. She is feeling better now. The radiation is still going on.

But sadly doctors say that they have done all they can do and her life span is not more than 12 months. I have been going through various sites and learnt that there are people who lived for years even though they were in the fourht stage of cancer.

If any of you have any suggestions on how to go ahead with securing her health further, please help me.

I am also attaching a breif of her medical history for the last 1 year.

Name: **** Age: 47, Blood Group: B +ve, Height: 5?3?
W/o NVRK Sarma Weight: 56kgs, Complexion: Medium, Children: 3(One male)

30th Aug 2004 :
? USG of left Pleural Space
o Left basal pneumonites and pleural effusion
? CT Scan Chest
o Fibro Calcific lesions of kochs ? Right upper lobe
o Fibrotilesions ? left upper lobe
o Thickened pleura ? left lower chest
o Mass lesion ? left medial basal segment

3rd Sept 2004 :
? Screening of chest
o Minimal pleural collection seen in the left pleural space which is inaccessible for aspiration
? Bronchoscope
o Narrowed lumen of LCC bronchias, localized hyperaemia
o No growth.
o Impression : Inflamatory
? Bronchial wash for AFB Stain and gram stain
o No AFB in the smear, no bacterial forms
? Bronchial washings
o Reactive bronchial epithelial changes
? Bronchial biopsy
o Mild chronic inflammation, squamous cells exist, no malignant ephithelial cells
o Impression : Accute suppurative inflammation
Conclusion: No malignancy. Kochs reactivated
Prescribed: AKT 3, Rabefast, Pyricontin
Follow-up: Used antikochs accordingly up to the end of November 2004. Also used coscopin Linctus, FicoP, Elliwel, odep, strenup, gievo

1st October 2004:
? Chest X-Ray : Left basal pleural thickening and pleural effusion 20-30ml

8th Nov 2004:
? Chest X-Ray : Pneumonities left lower zone with effusion on left
From 11th Nov 2004, ATB dose was aggrevated. Refompein 450mg, Isokin 300mg, Mymbutol 800mg, piraldina 750 mg, gelvo 750 mg were administered up to end of November 2004.

4th Dec 2004
? CA 125 (OCM) - 1462.4, CAE - 124.7, ADA 18.0 UL
? CT Chest Cat II (T)
o Fibro Calcific lesion in right upper lobe
o Patchy emoslidations in left lower lobe with contracted left hemithorax
o Osteoporotic bony caze
o Plural effusion on left increased as compared to report of August 2004
o Multiple hypodense non enhancing sols in liver
? Cytology- Pleural Fluid
o Pleural fluid is involved by carcinoma (adenocarcenoma)
? U.S. guided FNAC slides
o Carcinoma metastatic
? US cat II (whole AB)
o Liver sols, secondaries, left pleural effusion
? Bone Scan (Whole body/spect)
o Multiple skeletal metastatis
o Hot spots: Right F/P region of skull, Left lead of humerus, T12 vertebra right side, Right SI region, Right pubic crest, Right Femur shaft at junction of upper and middle thirods
? Mammography
o Infero medial quadrant of right breast are most probably benign

12th Dec 2004 to 5th May 2005 (Chemotherapy)

1st cycle 2nd cycle 3rd cycle 4th cycle 5th cycle 6th cycle
Paclitaxel 250 Paclitaxel 260 Paclitaxel 265 Paclitaxel 265 Paclitaxel 250 Paclitaxel 250
Carboplatin 600 Carboplatin 600 Carboplatin 600 Carboplatin 600 Carboplatin 600 Carboplatin 600
Zoldonat 4mg Zoldonat 4mg Zoldonat 4mg

Other medicines
1. Recormon injection of 400 units each given 5 times during March 2005 to May 2005
2. Eprex 10000 for three weeks during February 2005 and march 2005
3. Blood transfusion on 8 occasions during January 2005 and June 2005
4. fluid aspired on 5 occasions during January 2005 and march 2005

Side effects
As expected

Major Problems
Emergent and sudden onset of hemoptysis and lyspnea, collapse of left lung. Bronchoscope revealed growth in the left main bronchus during may 2005 after one month of completion of 6 cycles of chemo and Vegenal bleeding in May 2005, may be from ex-stump at uterus.

Radiation
Hence opted for radiation from last week of May 2005 to prevent bleeding and to relief obstruction (laser treatment not available in Hyderabad) Radiation gave relief. But in the middle (after 12 days) focal area of sclerosis noted in iliac end of tright S1 joint and also patchy areas of lysis and sclerosis in right pubic bone-metastasis. Hence radiation took up for pubic bone and given for one day only. After this the total radiation was stopped as she developed mouth bleeding.

Bronchoscopy
Bronchoscopy (Olympus BF IT 160) on 10th June 2005 found clot in left main bronchus. It was removed. She is now able to breath without much difficulty. Readiation to lungs and pubic bone are be resumed. X-Ray, subsequent to bronchoscopy, revealedfew fibrocalcific lesion in right upper zone ? healed lesions of kochs, partial collapse of left lung with shift of mediastinum to left side and left pleural effusion. Histopathology on biopsy of bronchoscopy reported bllod clot in bronchus, large cell carcinoma of the lung resembling chronic elements.

Present treatment
GEFTINIB 250mg @ 1per day from 11th May 2005 for 30 days and Augmentin Duo 625 for 5 days.

Present Condition
Hair growth resumed. Physically and mentally week. Light cough followed by affluent vomitings @ 20times a day. Temperature at 104 degrees celcius in a day, constipation, sweating, hoarseness and throat pain.

What doctors said
? During December 2004 and January 2005 doctors declared the survival between 6 to 12 months
? The regular physician now saying that nothing more can be done.

Old history of health
? White discharge painful before marriage, without pain after marriage.
? Bilateral ovaries were removed while removing cysts at an hystectomy operation when she was 22 yrs of age. No menstruation subsequently. Speculam exam and PV in May 2005 revealed an ex stump.
? Detected AFB in 1989 at the age of 30 years. Treated and cured.
? Suffered back pain for 4 years after 40 yrs of age
? Lower back, chest and lower left abdomin pain since February 2004.
? Loss of apetite from april 2004
? Dry Cough from May 2005 and mouth bleeding often during October 2004 and June 2005.

Please help my mother

Thanks in Advance
Bhargava

Max · Regular Joined: 30 May 2005 Posts: 25

Dear Bhargava,

These are difficult times for many of us. It?s impossible not to be touched when reading a post such as yours and hard to find the right words to say to make you feel better. My heart and prayers go out to you and your Mother. Please tell your Mom I?ll pray for her recovery.

-

leo · Site Admin Joined: 23 Sep 2004 Posts: 1574

Dear Bhargava,

It is very difficult to treat cancer, unfortunately. Sometimes we get to a point where giving more treatment will only make the person sicker. But you can always seek a second opinion, sometimes you will find physicians who are willing to give more treatment.

best regards,
Leo
_________________
Leonardo F - Webmaster Cancer Forums
Disclaimer: this information is for informational purposes only. It is not medical advice.

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