HomeAnswersPulmonology (Asthma Doctors)lung cancerI need further treatment guidance for a patient with lung cancer. Please help.

Why is there no improvement despite taking chemotherapy in a lung cancer patient?

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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. Preetha. J

Published At December 10, 2021
Reviewed AtJuly 18, 2023

Patient's Query

Hi doctor,

I am contacting you on behalf of someone diagnosed with lung cancer. I need further treatment guidance. The treatment is getting too expensive. I need guidance based on the reports attached for further proper treatment. The condition has been for a year. The patient cannot eat and drink for seven days. If tries to eat, throws out, and vomiting persists. Weight loss chemotherapy was given 27-28 times until now. But, no difference. Kindly guide the correct treatment path based on the reports attached. Thanks.

Hi,

Welcome to icliniq.com. Thank you for the query. I can understand your concern. According to your statement, your patient has had lung cancer called metastatic adenocarcinoma, and despite taking chemotherapy, there is no improvement. According to your patient's ultrasound, a small rounded lesion in the left lobe of the liver has a possibility of a metastatic lesion and mild left pleural effusion. The patient is on a medication called Crizalk (Crizotinib) 250 mg, part of the chemotherapy procedure. It is used to treat non-small cell carcinoma and prevent the spread of malignant tumors to different body parts. But, the amount of time needed for this medication to show its effectiveness is uncertain. So, you should not stop taking this medication without consulting your oncologist. A targeted drug should focus on the genetic mutation that is responsible for your lung cancer. Sometimes, chemotherapy can be added. Immunotherapy can be added too. If possible, then surgical intervention can be done as it is the first-line treatment option for lung adenocarcinoma. A radiotherapy is also a treatment option for lung adenocarcinoma. Even in some cases, a combination of chemotherapy, immunotherapy, radiotherapy, and surgery can be applied for lung adenocarcinoma. You can talk with your oncologist for other treatment options besides chemotherapy. A team of oncologists, immunologists, radiotherapy specialists, and surgeons should be made for deciding the appropriate treatment plan for you as your ongoing chemotherapy is not effective. Take care. In case of any other query, ask me.

Patient's Query

Hi doctor,

Thank you for your advice. Financially it is cumbersome for the family. Is the metastasis spreading considering there is no improvement? If the team of doctors comes together, as you mentioned, can it be cured completely?

Hi,

Welcome back to icliniq.com. Thank you for joining again. First of all, in some cases, metastatic adenocarcinoma can be cured, but most commonly, treatment does not cure carcinoma. Oncologists can treat metastatic carcinoma to slow its progress. Even after the development of metastatic carcinoma, it is possible to live for many years with certain types of cancer. If your lung cancer is not curable, then it can be treatable. But, it is important to select the best effective treatment at first. Oncologists usually start chemotherapy to slow the progress of metastatic adenocarcinoma and stop the spread of carcinoma to other parts of the body. As chemotherapy is not adequate for you and cannot prevent the spread of your lung cancer to other parts of your body, so the best effective treatment for your metastatic adenocarcinoma should be selected. As the cost of treatment for cancer is very high, the appropriate cancer treatment should be chosen first by a team of Oncologists, Radiotherapy specialists, immunologists, and surgeons. Then the treatment for carcinoma should be restarted. Radiotherapy, chemotherapy, immunotherapy, surgical intervention, or a combination of these may be effective for your metastatic adenocarcinoma. Suppose a team of doctors come together and decide the best treatment option for your metastatic adenocarcinoma. In that case, the prevention of the spread of carcinoma can be possible, and symptoms of lung cancer can be subsided. Take care. I hope I have answered your question. Let me know if you want me to assist you further.

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

Dr. Muhammad Zubayer Alam
Dr. Muhammad Zubayer Alam

Pulmonology (Asthma Doctors)

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