How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. David Your Own Question

Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 45238
Experience:  Board Certified Physician
41363181
Type Your Medical Question Here...
Dr. David is online now

My sister has been diagnosed with small cell lung cancer with

Customer Question

My sister has been diagnosed with small cell lung cancer with two tumours in the brain. What is the prognosis please.
Peter Fowler
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. David replied 3 years ago.

Dr. David :

This is Dr. David

Dr. David :

I am sorry about your sister.

Dr. David :

the prognosis is very serious and dire for patients who have metastatic small cell cancer spread to the brain.

Dr. David :

her cancer can be treated and slowed down.

Dr. David :

with radiation therapy to the brain

Dr. David :

and with systemic IV chemotherapy to fight the small cell cancer in the rest of her body.

Dr. David :

but when the small cell cancer has spread to the brain, it is no longer a curable cancer.

Dr. David :

has she consulted with a radiation oncology doctor? about radiation therapy to the brain?

Dr. David :

she also needs a course of dexamethasone steroid therapy to help decrease brain swelling from the cancer.

Dr. David :

let me know if you have other questions.

Customer: She has seen a lung specialist. She is only on chemo for the lung tumour .no question about radiotherapy to the brain. Would I be correct in saying she has only a year maximum left, if less?
Customer: She is on the steroid you mensioned
Dr. David :

it is impossible to predict length of time for survival

Dr. David :

patients with brain metastasis in a group have on average a year survival rate.

Dr. David :

but that means 1/2 of the patients live longer than 1 year

Dr. David :

and about 1/2 of them live less than 1 year.

Dr. David :

usually it is 1 year with whole brain radiation therapy.

Dr. David :

chemotherapy does not get into the brain because of the blood brain barrier.

Dr. David :

she should ask her cancer doctor to be referred to radiation oncology to talk about radiation to the brain to shrink the metastasis in the brain.

Customer: That is what I thoughts she goes into trances which can last 15-20 minutes. She has no chest problems
Dr. David :

I see.

Dr. David :

I hope the cancer in the brain is not growing

Dr. David :

try to go with her to her next oncology doctor appointment

Dr. David :

and ask about radiation to the brain.

Dr. David :

best of luck to you and her .

Dr. David :

let me know if you have other questions.

Customer: OK I'll speak to her husband about radiotherapy on the brain
Customer: thank you
Dr. David :

you are welcome

Dr. David :

please leave positive feedback below when done

Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 45238
Experience: Board Certified Physician
Dr. David and 3 other Medical Specialists are ready to help you

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.co.uk/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.co.uk/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.co.uk/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.co.uk/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.co.uk/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.co.uk/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.co.uk/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions