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Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 49197
Experience:  Board Certified Physician
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My sister has been diagnosed with small cell lung cancer with

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My sister has been diagnosed with small cell lung cancer with two tumours in the brain. What is the prognosis please.
Peter Fowler

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

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