Treatment FAQ

lung cancer patient refusing treatment how long

by Dudley Satterfield Published 2 years ago Updated 2 years ago
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The overall median survival for all patients with SCLC included in the analysis was 9.4 months. Among patients with LS-SCLC who were recommended chemoradiotherapy, the median survival of patients who refused and received the treatment was 3 months and 18 months, respectively (P <. 001) (Figure 3).Mar 16, 2021

Full Answer

What is the prognosis of refusal of treatment for lung cancer?

One-third of patients who refused treatment had lung cancer and most had unstaged disease. Treatment refusal was associated with a difference in median survival of approximately nine months. Site-specific analyses showed a range of effects. Case fatality among the treated patients fell by approximately 10 percent during the 14-year study period.

How long can you live with lung cancer without treatment?

More than half of lung cancer patients will die within one year of diagnosis even with treatment. Without treatment, patients may die even sooner. For any hope of survival, medical or surgical treatment is necessary.

Is lung cancer curable if caught early?

If caught early enough, lung cancer may even be fully curable. And, if diagnosed in a more advanced stage, you can be treatable and your survival rate of living up to a year may increase up to 40 percent.

How is lung cancer treated?

As with any potentially life-threatening disease, lung cancer is treated with care and compassion regardless of its possible causes. If you have problems coping with your diagnosis, ask your healthcare provider for a referral to a psychiatrist or psychologist who can help.

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How long can you have lung cancer without treatment?

Without treatment, the outlook for lung cancer is poor. A 2013 review of studies found that the average survival time for people with NSCLC who do not receive treatment is just over 7 months . A 2012 review found that the survival time for untreated SCLC is in the range of 2–4 months.

What happens if no treatment for lung cancer?

Doctor's Response. More than half of lung cancer patients will die within one year of diagnosis even with treatment. Without treatment, patients may die even sooner. For any hope of survival, medical or surgical treatment is necessary.

What happens when cancer treatment is delayed?

People whose treatment for cancer is delayed by even one month have 6 to 13% higher risk of dying – a risk that keeps rising the longer their treatment does not begin – suggests research published in The BMJ.

How fast does lung cancer spread without treatment?

Small cell lung cancer is notorious for growing extremely fast with death often occurring within 6 months when no treatment is received. This rapid growth, however, makes this type of cancer susceptible to chemotherapy agents. Lung cancers sometimes grow extremely slowly.

How long can you live with Stage 4 cancer without treatment?

Patients diagnosed in stage 4 who decide against treatment live an average of 6 months. In contrast, those diagnosed with stage 1A disease who elect no treatment live an average of two years.

How do you know death is near with lung cancer?

The dying person often sweats and, even though the skin is cool, it may feel wet and clammy. They usually stop eating and drinking, and this is normal. They will not feel thirsty or hungry. As death gets closer, the person's breathing may change.

What are the last stage symptoms of cancer?

Signs of approaching deathWorsening weakness and exhaustion.A need to sleep much of the time, often spending most of the day in bed or resting.Weight loss and muscle thinning or loss.Minimal or no appetite and difficulty eating or swallowing fluids.Decreased ability to talk and concentrate.More items...

How long can chemo be delayed?

Short, planned delays in chemotherapy for good-risk GCT patients (less than or equal to 7 days per cycle) appear to be acceptable since they may prevent serious toxicity in this curable patient population. Delays of longer than 7 days are strongly discouraged except in extraordinary life-threatening circumstances.

What is the most common cause of death in cancer patients?

The single major cause of death was infection (36%), which was also a contributory factor in an additional 68% of the cases. Other important causes of death were hemorrhagic and thromboembolic phenomena (18%), which also were contributory factors in an additional 43%.

What are the last stages of lung cancer before death?

What are the signs of end-of-life lung cancer?Persistent cough and shortness of breath.Fluid build-up around lungs.Severe fatigue.Loss of appetite and nausea.

How long do Stage 4 lung cancer patients live?

Stage 4 lung cancer usually has a poor prognosis. One study found that depending on the stage of the metastases (spread) the average survival time following diagnosis of stage 4 lung cancer ranged from 6.3 months to 11.4 months.

How fast does lung cancer progress?

Studies have shown that lung cancer doubling time can vary, from 229 days to 647 days in one study, depending upon the type. 7 It's possible that some types of lung cancer progress within weeks to months, while others may take years to grow.

What to do when you have lung cancer?

Doing so can help you make a more informed decision. Coping and Living Well With Lung Cancer.

How is lung cancer treated?

As with any potentially life-threatening disease, lung cancer is treated with care and compassion regardless of its possible causes . If you have problems coping with your diagnosis, ask your doctor for a referral to a psychiatrist or psychologist who can help.

Why do people choose not to treat lung cancer?

Lung Cancer Stigma. Some people decide against treatment because of the stigma of lung cancer. For current or former smokers, "smoker's guilt" can get the best of them and lead one to believe that they somehow "deserve" the disease because they made a conscious choice to light up.

How long do people with lung cancer live?

3 . If left untreated, people with non-small cell lung cancer, the most common form of the disease, might live anywhere five to 12 months, depending on the stage.

How to predict lung cancer survival?

Among the factors that can predict survival times in people with lung cancer: 1 Cancer stage, classified by the characteristics of the tumor, whether lymph nodes are involved, and whether the cancer has spread ( metastasized) 2 Cancer grade, which describes the characteristics of the cancer cell, whether it is likely to spread, and how fast 3 Your age, particularly if you are in your senior years 4 Your current health, including your general health, wellness, and the chronic illnesses you have 5 Your performance status, a term that describes your ability to carry on ordinary daily activities while living with cancer 1 

What are the factors that determine the survival of lung cancer?

Among the factors that can predict survival times in people with lung cancer: Cancer stage, classified by the characteristics of the tumor, whether lymph nodes are involved, and whether the cancer has spread ( metastasized) Cancer grade, which describes the characteristics of the cancer cell, whether it is likely to spread, and how fast.

Why do people pass on cancer treatment?

Some people choose to pass on cancer treatment due to religious beliefs. These include people who are Christian Scientists, Jehovah's Witnesses, Amish, or Scientologists. For them, their faith and belief will often direct what is the "right" thing to do.

When was lung cancer last reviewed?

Last medically reviewed on January 19, 2021.

How long can you live with stage 4 lung cancer?

According to the American Cancer Society, people with stage 4 lung cancer are about 6 percent as likely to live for 5 years as someone who doesn’t have this cancer. However, lung cancer takes a different course in each person. People can live for weeks, months, or sometimes even years after they’re diagnosed.

What does stage 4 lung cancer mean?

Symptoms. Causes of death. Outlook. Untreated lung cancer. Takeaway. Stage 4 lung cancer means that your cancer has spread from your lung to other parts of your body. Once the cancer spreads it’s hard to cure. Chemotherapy and other treatments can slow your disease and help you live longer, but they probably won’t cure you.

How do you know if you have lung cancer?

These symptoms are common in people who have reached the final stages of lung cancer: shortness of breath. pain. cough. trouble focusing. confusion. extreme weakness and tiredness. little interest in eating or drinking.

What does it mean when you feel like you're close to death?

restlessness. a rattle in the throat and upper part of the chest during breathing. fast breathing or pauses in between breaths. Having one or more of these symptoms doesn’t mean that you or your loved one is close to death, but they can be signs.

Is it normal to be anxious after lung cancer?

Not all symptoms in the final stages of lung cancer are physical. It’s also normal to feel anxious or depressed at this stage. Ask for support from a therapist or other mental health provider. If you’re spiritual, you may also want guidance from a member of your religious organization.

Can you get lung cancer at stage 4?

It can be challenging to learn you have stage 4 lung cancer, but your healthcare team and other medical professionals can help you and your family members cope. Whether it’s you or a loved one who is facing the final stages of lung cancer, knowing what to expect can help you navigate the process and get the support you need.

What is the procedure to get a lung tumor?

After an initial CT scans shows a lung tumor, there is the necessary step of getting a biopsy by bronchoscopy or needle aspiration, then a PET-CT or full body CT followed by bone scan, often pulmonary function testing prior to surgery and perhaps referral to a cardiologist for “clearance” for surgery.

How long does lung cancer grow?

There have been numerous studies that have studied the growth of lung cancers over time, and most indicate that cancers (at least non-small cell lung cancers) tend to grow over a period of months rather than days or weeks.

Is cancer a natural reaction?

Of course this is a completely natural reaction, and is based on a lot of very real concerns. Often the patient perceives that the cancer came on suddenly, with chest pain or coughing up of blood, and worries that it is growing and spreading rapidly. In reality this is at the end of longer period where the cancer grew without causing symptoms ...

Is cancer curable if it is not staged?

In cases where the cancer appears to be at an early, curable stage, there is also an understandable concern that if we wait too long to complete staging that the cancer will have progressed to a point where it is no longer curable. And of course, there is the psychological distress that comes with a cancer diagnosis.

How long do you live with lung cancer?

Research from the American Lung Association (ALA) suggests that for lung cancer, the average five-year survival rate is approximately 18.6 percent.

What happens when you average stage one and stage two lung cancer?

For instance, if you only averaged stage one and stage two together, the survival average will be higher, since lung cancer treatments have more favorable outcomes on earlier stage lung cancer than in later stages.

How does a lung cancer diagnosis work?

When a patient comes to the doctor’s office with concerns of illness or symptoms, the doctor will take some tests and screenings. If the results present a cause for concern but are not definitive, the doctor may perform more tests. Once results come back from a lab, the doctor will then make a diagnosis, followed by a prognosis. A diagnosis involves the assessment of illness the doctor makes from test results. Once the doctor diagnoses lung cancer, they will then make a prognosis, or prediction, on how the disease will develop. This includes the patient’s life expectancy, or the number of years or months they think the patient will live. It also includes a relative survival rate, which is the average rate that a patient lives past the predicted life expectancy. If the patient goes into remission, they have effectively improved their prognosis.

What is the most common type of lung cancer?

Non-Small Cell Lung Cancer (NSCLC) This is the most common type of lung cancer. Approximately 80 percent of people with the disease have NSCLC. The five-year survival rate for this subtype when tumors have metastasized (spread) to other parts of the body is approximately seven percent. If tumors have only reached nearby tissue, ...

What is the diagnosis of lung cancer?

A diagnosis involves the assessment of illness the doctor makes from test results. Once the doctor diagnoses lung cancer, they will then make a prognosis, or prediction, on how the disease will develop. This includes the patient’s life expectancy, or the number of years or months they think the patient will live.

How common is small cell lung cancer?

Much less common, small cell lung cancer encompasses approximately 10 to 15 percent of patients with the disease. This type of lung cancer grows and spreads much more aggressively and is already metastasized to distant regions of the body in 70 percent of related diagnoses. Additionally, it mostly affects smokers.

What is the survival rate of a patient?

The survival rate is the percentage or average of time a patient lives after the diagnosis. More specifically, when a doctor or medical professional makes an assessment on a patient’s life expectancy, this is happening at the beginning of the illness. Additionally, life expectancy is a specific, estimation base on a singular patient’s condition, ...

How many women refused breast cancer surgery?

It compared patients who refused breast cancer with those that those that accepted surgery. Only 1.3% of women (70) refused surgery. Of that group, 37 had no treatment, 25 had hormone-therapy only, and 8 had other types of treatments.

How long does breast cancer last?

(An old study of untreated breast cancer suggest the 5 year survival rates are 18% at 5 years and 3.6% at 10 years.)

What is the willingness to accept tradeoffs?

Willingness to accept these tradeoffs varies dramatically by disease, and are strongly influenced by patient-specific factors. In general, the more serious the illness, the greater the willingness to accept the risks of treatment.

How many people use alternative medicine?

In the population that did not use conventional care, one-quarter (24.8%) used some form of alternative medicine. And 12% (approximately 4.6 million Americans) were estimated to be using alternative medicine, and not conventional medicine, to treat one or more health issues.

Is breast cancer curable?

Breast cancer is well studied, frequently diagnosed, and if detected early, potentially curable. Conventional treatment for early (localized) breast cancer is surgical resection of the tumor, followed by radiation and chemotherapy to reduce the risk of disease recurrence, by killing any residual cancer cells that remain.

Is CAM a substitute for medicine?

Surveys suggest the vast majority of consumers with medical conditions use CAM in addition to, rather than as a substitute for medicine – that is, it is truly “complementary”. But there is a smaller population that uses CAM as a true “alternative” to medicine.

Can you opt out of follow up on cancer?

Most patients who decide to opt-out of cancer treatment, also opt-out of any follow-up evaluation. So tracking down patients, and their outcomes, is essential. The effects of treatment refusals and delay, and the effectiveness of CAM as a substitute, has been evaluated in several groups of patients with breast cancer.

Why do people decline chemotherapy?

Many patients decline chemotherapy for low odds of benefit especially if they have gotten very weak or have other symptoms that make their quality of life very poor. This question originally appeared on Quora - the place to gain and share knowledge, empowering people to learn from others and better understand the world.

What happens when you die from cancer?

The most frequent outcome when cancer patients die is that whatever pain they have is controlled with narcotics and or sedatives. There often comes a point in poorly treatable cancer situations that the treatment is as bad or worse than the disease.

Is pancreatic cancer bad for you?

Some cancers are more associated with pain than others. Pancreatic cancer can be particularly bad when it grows into nerves near the back of the pancreas. But I’ve had many patients with pancreatic cancer where pain wasn’t a problem. Instead, like many other patients with advanced cancers, they became weaker and more frail as their cancer worsened, ...

Can cancer be treated with radiation?

Cancers metastatic to bone are often painful but in some cases the discomfort is mild or more severe pain can be relieved with radiation therapy. There are specialists who assist in managing ...

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Prognosis

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Most studies show that choosing some form of treatment will give you more time. If caught early enough, lung cancer may even be fully curable. And, if diagnosed in a more advanced stage, you can be treatable and your survival rate of living up to a year may increase up to 40 percent. There are many myths about lung cancer, an…
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Treatment

  • There are four goals of any medical treatment: preventative, curative, management and palliative. Perhaps you are past the curative stage, but palliative, meaning relieving pain, might be a consideration for you. A doctor will help you navigate through the different treatment options that fit your needs and that can give you the best quality of life. Unfortunately, many people do not re…
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Quotes

  • \"They told me that the survival rate for my cancer was only 5 percent and I said wonderful! That means that there are five out of 100 people who make it with this disease, and I'm going to be one of those five!\"A 10-year survivor of advanced-stage lung cancer
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Diagnosis

  • Understanding cancer can be difficult. Sometimes there is miscommunication. A doctor may help clear up something about lung cancer, survival rates, or treatment plans.
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Controversies

  • Some people may choose to pass on treatment due to religious beliefs that forbid cancer treatment. This is a very personal issue for those with cancer to weigh based on their convictions.
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Causes

  • Some people pass on treatment because of the stigma of lung cancer. Smoker's guilt may get the best of you and you might think that you deserve it. Nobody deserves cancer. Not only does lung cancer occur in smokers and non-smokers alike, but it does not matter because everyone deserves compassion, care, and the best medical treatments available.
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