How to manage metastatic urothelial carcinoma in the elderly?

Question

Hello doctor,

My grandfather, who is 74 years old, was recently diagnosed with metastatic urothelial carcinoma after experiencing blood in his urine and back pain. The doctors said it has spread beyond the bladder, which has made us all really scared.

He is starting immunotherapy soon, but we are not sure what to expect. Is this type of cancer treatable once it is metastatic?
What are the chances that treatment will shrink the tumors or improve his symptoms?
Also, he is already very tired and does not eat much. How can we keep his strength up during treatment?

We are trying to stay hopeful, but want to be realistic too.

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understood your concern.

Metastatic urothelial carcinoma is an advanced form of cancer that has spread beyond the bladder. It is a serious condition, but it is important to know that current treatments, particularly immunotherapy, have made significant progress in recent years.

Treatability and Effectiveness of Treatments: Immunotherapy can help slow disease progression, reduce tumor size, and improve symptoms in some cases. However, the response varies from patient to patient, and treatment often focuses on controlling the disease and improving quality of life, rather than achieving a complete cure.
Managing Fatigue and Nutrition: Fatigue and loss of appetite are common, especially in advanced stages. To maintain strength, it is essential to encourage a balanced, calorie-rich diet, even in small amounts. Consulting a dietitian can be very helpful in adapting nutrition to his needs and preventing malnutrition. Staying well-hydrated is also crucial.
Comprehensive Support: Besides medical treatment, supportive care, including palliative care, pain management, and psychological support, is essential to help your grandfather through this period with the best possible comfort.

Please do not hesitate to ask any questions of his healthcare team, and know that I remain available for any further advice or support.

I hope this helps.

Please let us know if you have any further queries. We would be happy to answer.

Thank you.