HomeAnswersMedical oncologylung cancerMy husband has cancer in the lungs three years after the removal of rectal cancer. Kindly help.

What is the treatment for lung cancer caused after three years by metastasis from rectal cancer?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Sushrutha M.

Published At October 8, 2021
Reviewed AtOctober 8, 2021

Patient's Query

Hi doctor,

My husband, three years ago, had rectal cancer removed with no treatment, and now two spots in the lungs are cancer. He is 52-year-old. I was wondering what type of surgery or treatment might be needed? Kindly give your opinion.

Hello,

Welcome to icliniq.com.

I have gone through your query, and I can understand your concern. Based on the history provided, your husband had rectal cancer three years ago. For which he had undergone surgery. He did not receive any additional treatment in the form of radiotherapy or chemotherapy. Now, after three years, follow-up imaging shows two spots in the lungs.

Considering these spots as recurrence from cancer, I would still go for aggressive treatment as this is considered a late recurrence. If possible surgical removal of lung Mets (metastasis) or SBRT (stereotactic body radiation therapy) to lung Mets followed by chemotherapy could give the best chance of cure at this stage.

Everything will depend on location or the possibility of complete surgery. If you can provide me with more details, such as his imaging and other blood tests, I would be in a better position to help you.

If you have any other questions, you can always revert back here.

Patient's Query

Hi doctor,

Thank you.

Spots are in a place where they can be removed, and one is 1 cm in one lung and a smaller one in the other lung. His original rectal cancer was removed with a TEMS procedure. I do not have access to scans or blood tests. Kindly help me.

Hello,

Welcome back to icliniq.com.

So, if possible, resection of those lesions followed by pseudo adjuvant chemotherapy would be a way to go. I think you must have had this discussion with your treating oncologist and team. They would be in a better position to tell you in detail as they have access to his case records.

If you have any other questions, you can revert back here.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Pawar Satyajit Jalinder
Dr. Pawar Satyajit Jalinder

Medical oncology

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