Hello, Welcome to icliniq.com. I read your query and can understand your concern. If you can share the biopsy report and the type of lung cancer (for example, adenocarcinoma (a cancer that begins in glandular cells lining organs), squamous cell carcinoma (a cancer caused by excessive growth of squamous cells), or another subtype), I can guide you more accurately. Yes, even if a patient has brain metastases (cancerous tumors that have spread to the brain from another primary cancer), it is still possible to survive for more than a year. Survival varies from person to person and depends on several factors, such as: Performance status (general health and activity level).
Hello, Welcome to icliniq.com. I understand your concern. In stage 4 non-small cell lung cancer (NSCLC), the most important first steps are confirming the diagnosis with a biopsy and sending the tumor for molecular testing. Tests such as epidermal growth factor receptor (EGFR), anaplastic lymphoma kinase (ALK), ROS proto-oncogene 1 (ROS1), Kirsten rat sarcoma viral oncogene homolog (KRAS), and programmed death ligand 1 (PD-L1) are very important because they help determine whether targeted therapy or immunotherapy can be used. In many patients, these treatments can work better than traditional chemotherapy, so doctors usually wait for these results before starting treatment unless the patient is very unstable.
Hello,Welcome to icliniq.com.I understand your concern.Based on your description, your mother has high-grade bladder cancer that has invaded the muscle wall.Once the cancer reaches the muscle, it behaves more aggressively and carries a higher risk of spreading. In this situation, Bacillus Calmette Guérin (BCG) therapy is not considered an effective treatment option.
Hello,Welcome to icliniq.com.I read your query and can understand your concern.I understand this diagnosis is frightening, and it is completely natural to have many questions at this stage. The difference between muscle-invasive bladder cancer (MIBC) and non-muscle invasive bladder cancer (NMIBC) is based on the classification of how deeply the tumor has grown into your bladder wall. In your case, MIBC has grown into the bladder muscle.
Hello, Welcome to icliniq.com. I read your query and can understand your concern. Thank you for sharing your symptoms and test results in detail (attachments have been removed to protect the privacy). The symptoms you describe are, Weak urinary stream. Straining to start urination.
Hello, Welcome to icliniq.com. I understand your concern. You are a 36-year-old man who was treated for testicular cancer 13 years ago and has remained disease-free since then. Reaching more than a decade without recurrence is an excellent sign, and medically speaking, most patients in your situation are considered cured. Late relapse after this length of time is very rare.
Hi, Welcome to icliniq.com. I understand your concern. These are essential questions to ask at this point. As per your description, there is a suspicion of bladder cancer. Treatment options for bladder cancer mainly depend on how deeply the tumor has invaded the bladder wall and whether it has spread elsewhere.
Hello, Welcome to icliniq.com. I understand your concern. After hysterectomy with radiation, the chance of endometrial cancer recurrence is generally low, especially if the cancer was detected at an early stage. If you share your biopsy report and post-surgery report, I will be able to tell you the risk of recurrence. Many women remain cancer-free for the rest of their lives after these treatments.
Hello,Welcome to icliniq.com.I have gone through your query and understand your concern.I understand that a new diagnosis of high-grade bladder cancer can be worrying, and it is good that you are asking these questions early.After TURBT (transurethral resection of bladder tumor, a minimally invasive surgical procedure), starting BCG (Bacillus Calmette-Guerin, a highly effective immunotherapy) therapy is the standard and most effective treatment for high-grade non-muscle-invasive bladder cancer.The main goals of BCG therapy are to reduce the risk of recurrence and to prevent progression to muscle-invasive disease.
Hello, Welcome to icliniq.com. Thank you for reaching out and sharing your concerns so clearly. After completing three cycles of Pembrolizumab, it is still too early to say for sure that the treatment is not working, especially since the PET-CT (positron emission tomography-computed tomography) scan shows only mild liver involvement (meaning a small or limited spread to the liver). If you have the detailed scan report, please feel free to share it, as I would like to review whether this could represent pseudoprogression. Pseudoprogression is a situation sometimes seen with immunotherapy, where scans may temporarily look worse because immune cells are attacking the cancer, causing inflammation.
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