Q. What does it mean to have a growing mass in the iliac region?

Hi,

Welcome to icliniq.com.

I understand your concern. I have reviewed these two reports (attachment removed to protect the patient’s identity). It looks like stage-4 cancer, possibly advanced lung cancer. But more workup is needed to confirm the final diagnosis. The biopsy report lacks details of immunohistochemical markers and molecular studies, which can ensure the origin of the primary tumor. At this stage, it looks like an incurable tumor radiologically, and the aim of treatment will be palliative. After the biopsy review and confirmation of IHC (immunohistochemical staining), I can tell you exactly how much benefit will be anticancer treatment. He needs physical, social, and psychological support. He needs someone close to look after him, whom he loves and trusts.

Kindly revert for more queries.

Thank you.

Hi,

Welcome back to icliniq.com.

It depends on the patient's general condition, whether he can look after himself, can walk and do some physical work, his nutrition status, mental health (whether he is suffering from depression, etc.), also whether he is suffering from any chronic diseases like diabetes, hypertension, cardiac diseases, etc.

It looks a stage-4 lung cancer (final confirmation still pending). Only 20 percent survive more than one year. After full details of the histopathology report, including IHC and molecular study, the picture will be clearer, showing responsiveness to treatment and aggressiveness of the tumor.

I hope this helps.

Thank you.

Hi,

Welcome back to icliniq.com.

I understand your concern. Because he is immobile, that means his performance status is 3. For the pain, I suggest narcotic drugs (Morphine, Pregabalin, and Diclofenac patch) and palliative radiotherapy to the pelvis (iliac area). The medication may relieve his pain and possibly improve his mobility. Then he will be able to fight this aggressive cancer; otherwise, with poor performance status, he will not be able to tolerate aggressive anticancer medications.

Thank you.

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Arshad Hussain Shah

Experience: 12 + Yrs

Medical Oncology

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