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Terminal Cancer - Symptoms, Diagnosis, and Treatment

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Terminal cancer is a dreadful term that no one wishes to hear from their doctors. Keep reading this article to know more about this cancer.

Medically reviewed by

Dr. Rajesh Gulati

Published At March 17, 2023
Reviewed AtMarch 17, 2023

Introduction

Cancer diagnosis is a terrible and a drastically transforming experience for a patient and their family. It requires a massive adjustment to a new life, full of dreaded experiences like multiple surgeries, radiation, chemotherapies, screening procedures, painful waiting period for results, and life expectancies. It also calls for new learning experiences. The chances of survival for patients in the advanced stages of cancer are very often low since cancer becomes almost impossible to eradicate or eliminate in these stages.

What Is Terminal Cancer?

Terminal cancer (also called end-stage cancer) is a majorly advanced stage of cancer. This final stage of any cancer occurs before the death of a patient. It is a state in which cancer worsens and the condition becomes incurable.

How Does Terminal Cancer Lead To Death?

The following can be the reasons for death to occur in cancer -

  • At times, the cancerous cells absorb the healthy nutrients essential for the body, hindering the health condition to improve.

  • More likely the complications in the treatments cause death.

  • Disruption in the functioning of any organ for a long time can lead to terminal cancer, which finally ends up in death.

Are All Advanced Cancers Terminal Cancers?

Not all advanced-stage cancers are terminal. Sometimes, the final stages of cancer can be cured depending on the patient's clinical condition. However, there is no treatment as such for terminal cancer except to focus on the palliative management of symptoms.

What Cancers Turn Out to Be Terminal, and How?

The following are a few examples of cancer that can turn out to be terminal -

  • Gastrointestinal Cancer - Gastrointestinal cancer (the cancer of the digestive system) is cancer affecting the tube carrying the food, the pancreas, stomach, and intestines. As a result, the organs in the digestive system will not be able to process and digest the food, which causes malnutrition in patients.

  • Lung Cancer - As the lungs are primarily affected, disruption in breathing and oxygen supply to the lungs occurs because of the cancer, making it difficult for the patient.

  • Bone and Bone Marrow Cancer - Affected bones may be brittle, and the release of excess calcium leads to mild loss of consciousness and even death. There will be a disturbance in the process of making healthy blood vessels causing low red blood cells and little oxygen in the blood. The lower white blood cells will make it difficult to fight the disease. A low blood platelet count will also lead to normal bleeding.

  • Liver Cancer - When the proper functioning of the liver is stopped by the cancerous cells, the chemical balance present in the body gets disturbed. This leads to an inability to remove the toxins making the patient go into a coma.

  • Brain Cancer - Bleeding in the brain can hamper the functioning of other organs. It is also related to memory loss and the balance of the body.

What Are Curable Cancers?

Cancers diagnosed in an early stage can be cured at the earliest. Late diagnosis involves managing the symptoms and trying to increase the patient's life span rather than treating the cancer. In this era of advanced medical technology and cures, no cancer can be left untreated, and at the same time, the statement is true depending on certain factors only. For example, early-stage brain cancer can be cured, while later stages are questionable, and it applies to all cancers.

What Are the Signs and Symptoms of People Who Have Terminal Cancer?

Not every patient show similar symptoms during terminal cancer. The majority noted signs and symptoms of people who have terminal cancer include.

  • Lack of proper response to the treatment.

  • Increased progression of the disease.

  • Exhaustion and worsening weakness.

  • Patients are usually bedridden.

  • They are often extremely tired and weak and thus spend significant amounts of time sleeping.

  • Muscle loss or thinning.

  • Inability to talk and concentrate.

  • Lack of interest in carrying out things.

  • Decreased rate of breathing.

  • Congested or noisy breathing.

  • Change of skin color to bluish tinge.

  • Reduced production of urine.

  • Confusion in identifying people.

What Care Can Be Given During Terminal Cancer?

Few family members try not to reveal the illness to the patient, as it can be distressing to them. In contrast, others tend to explain to patients about the illness so that even the minute changes in the patient's health conditions are identified and addressed.

A few ways in which care can be given are -

Providing Proper Comfort - Caregivers or family members can discuss the necessities for the sufferer and provide them with them. It includes,

  • Providing better-cushioned mattresses or chairs.

  • Helping the patient change comfortable positions.

  • Making the patient aware of surroundings and people to eradicate any confusion.

  • It is advised to say better positive affirmations about the patient's health condition rather than letting the patient think negatively.

Easing Pain - Though provided with good comfort, the patient may need additional management to reduce the pain. Palliative care or proper pain control serves as the best pain relief strategy.

How Can Terminal Cancer Be Managed?

  • Symptoms that worsen the clinical condition of the patient can be managed.

  • Pain is relieved by pain relief therapy.

  • Neurological imbalances can be managed by proper psychotherapy. This treatment includes four or five sessions with a counselor discussing the patient's emotional status and helping them not to lose hope.

How Should Patients Be Notified of Their Terminal Cancer Diagnosis ?

Most physicians tend to be optimistic in revealing the patient's condition by affirming good health even during the terminal stages, which builds inner hope and increases the ability of the patient to fight cancer. This small analysis was well observed in women and older adults. It has also been identified that when a patient is diagnosed with terminal cancer, majority people consider it a wastage to invest in getting admitted to a hospital during the final stage.

Conclusion

When a person is diagnosed with terminal cancer, proper precautions and management strategies can be followed to prolong life to a certain extent or to let a person lead a happy life until a certain time. It is a fact that death cannot be escaped, but premature death can be avoided by providing proper care and emotional strength to the patient, caregiver, and family.

Frequently Asked Questions

1.

What Causes Terminal Cancer?

Terminal cancer is caused by uncontrolled and abnormal cell growth in the body, typically resulting from genetic mutations or damage to DNA. Environmental factors such as tobacco use, exposure to certain chemicals, and infections can also contribute to the development of terminal cancer.

2.

Which Stage of Cancer Is Terminal?

The stage of cancer that is considered terminal is usually the advanced or metastatic stage. This is the stage where cancer has spread to other parts of the body and is no longer responsive to curative treatment options.

3.

Which Cancer Is Most Terminal?

The metastatic stage of cancer is considered to be the terminal stage. This stage is unresponsive to all kinds of treatment. Therefore, it is considered the most terminal.

4.

How Long Can a Patient Live With Terminal Cancer?

There is no specific cancer that can be considered the most terminal, as the prognosis and outcome can vary depending on various factors, such as the type and stage of cancer, individual patient characteristics, and available treatment options. The survival time for patients with terminal cancer depends on the type of cancer, its stage, overall health, and individual response to treatment. In some cases, patients may survive for weeks or months, while others may survive for years with advanced cancer.

5.

Can Terminal Cancer Be Cured?

Terminal cancer, by definition, refers to cancer that is not curable. However, treatments such as chemotherapy may still be used to help manage symptoms, improve quality of life, and potentially extend survival.

6.

Is Terminal Cancer Painful?

Terminal cancer can be associated with pain, but with advancements in palliative care and pain management techniques, efforts are made to alleviate pain and provide comfort to patients. The goal is to ensure that patients are as comfortable as possible during the terminal stage.

7.

Can Patients With Terminal Cancer Experience a Loss of Appetite?

Yes, patients with terminal cancer can experience a loss of appetite, which can be attributed to various factors such as the progression of the disease, side effects of treatment, psychological factors, or physical discomfort.

8.

What Is the Typical Duration of the Terminal Stage?

The typical duration of the terminal stage can vary depending on individual factors and the type of cancer. It can range from a few weeks to several months. It depends on the spread of the cancer and the organs involved.

9.

Do Patients With Terminal Cancer Survive?

Not all patients with terminal cancer survive, as terminal cancer refers to an advanced stage where curative treatment options are no longer effective. However, every patient's situation is unique, and some individuals may have longer survival times or respond differently to treatment.

10.

Which Cancer Kills the Fastest?

Cancer that kills the fastest depends on various factors, such as the type and stage of cancer, the aggressiveness of the disease, and individual patient characteristics. Cancers such as pancreatic cancer and certain types of lung cancer are known to have a poor prognosis.

11.

Is Terminal Cancer Genetic?

Some cancers may have a genetic component, meaning that certain gene mutations or hereditary factors can increase the risk of developing cancer. However, not all terminal cancers are solely caused by genetic factors, and many cases are affected by genetic or environmental factors.

12.

Can a Terminal Cancer Be Treated by Chemotherapy?

Chemotherapy can be used as a treatment option for terminal cancer to help manage symptoms. It helps in dealing with the disease progression and also improves the quality of life. The goal of chemotherapy in this context is palliative rather than curative.

13.

What Are the Possible Locations or Settings That Terminal Cancer Patients May Choose for Their Care?

Terminal cancer patients have various options for where they can receive care and support, including hospice facilities, palliative care units in hospitals or healthcare facilities, or receiving care in their own homes with the support of home healthcare services.

14.

Is It Possible for Patients With Terminal Cancer to Have a Peaceful Death?

While the end-of-life experience can vary, it is possible for patients with terminal cancer to have a peaceful death. Palliative care services focus on providing comfort, pain management, and emotional support to ensure a peaceful and dignified end-of-life experience for patients.
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Dr. Rajesh Gulati
Dr. Rajesh Gulati

Family Physician

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