Treatment FAQ

why does my pulmocologist keep saying chemo for treatment of nsclc that has spread?

by Akeem Hodkiewicz Published 2 years ago Updated 2 years ago

Can chemo be used to treat NSCLC?

For metastatic (stage IV) NSCLC: Chemo may be given for lung cancer that has spread to areas outside the lung such as the bones, liver, or adrenal gland. Chemo is often not recommended for patients in poor health, but advanced age by itself is not a barrier to getting chemo. Chemotherapy drugs used to treat NSCLC

Can non-small cell lung cancer (NSCLC) spread to the liver?

Non-small-cell lung cancer (NSCLC) can spread to other parts of your body, including your liver. When this happens, it's called metastatic or stage IV NSCLC. You may not be able to cure it, but many treatments can ease your symptoms and make you more comfortable.

When is Chemo needed for lung cancer?

For metastatic (stage IV) NSCLC: Chemo may be given for lung cancer that has spread to areas outside the lung such as the bones, liver, or adrenal gland. Chemo is often not recommended for patients in poor health, but advanced age by itself is not a barrier to getting chemo.

Which chemo drugs are used to treat non-small cell lung cancer?

The chemo drugs most often used for NSCLC include: Combinations of 2 chemo drugs are often used to treat early-stage lung cancer. If a combination is used, it often includes cisplatin or carboplatin plus one other drug. Sometimes other combinations that do not include these drugs, such as gemcitabine with vinorelbine or paclitaxel, may be used.

Can chemotherapy cure metastatic lung cancer?

The standard management of stage IV lung cancer is palliative chemotherapy with platinum-based combination chemotherapy. However, there are some reports of patients with lung cancer with only a malignant pleural effusion and no other metastatic sites that have long-term cures with chemotherapy and surgery.

At what stage of lung cancer is chemotherapy used?

If you have stage III cancer that your doctor can't treat with surgery, you may have it along with radiation. If your NSCLC is stage IV, chemo is the main treatment, although you may have radiation too to help ease your symptoms.

Is chemo worth it for small cell lung cancer?

Although small cell lung cancer is an aggressive disease, it responds well to initial chemotherapy and radiation. The goal of treatment for people with limited-stage small cell lung cancer is cure, which is achieved in 20 to 25 percent of patients.

Can lung cancer be treated if it has spread?

Most of the time, surgery won't work for advanced lung cancer because it has spread. Most people with the disease can have treatment with a mix of radiation, chemotherapy, and targeted therapies -- drugs that attack specific parts of the cancer cells.

Can lung cancer spread while on chemo?

Advanced cancers of all kinds are the most likely to continue to spread during chemotherapy treatments. Nearly every cancer can metastasize. Common types of metastatic cancer include breast cancer, lung cancer, brain cancer, and bone cancer.

How long does chemo prolong life in lung cancer?

First-line chemotherapy for patients with non–small cell lung cancer improves survival by 2 to 3 months, relieves symptoms, and improves quality of life compared with best supportive care.

How do you know if chemo is working lung cancer?

The best way to tell if chemotherapy is working for your cancer is through follow-up testing with your doctor. Throughout your treatment, an oncologist will conduct regular visits, and blood and imaging tests to detect cancer cells and whether they've grown or shrunk.

What is the success rate of chemotherapy for lung cancer?

Most people with this type receive chemotherapy. Approximately 83% of lung cancers are N-SC....Lung cancer.N-SC lung cancer stageTreatment choiceEarly stage (1 & 2)Late stage (3 & 4)Surgery plus chemo and/or radiotherapy16%7%Chemo alone1%18%2 more rows

Can you go into remission with small cell lung cancer?

Chemotherapy is the keystone in the treatment of small cell lung cancer (SCLC). Objective remission and good palliation is achieved in ∼80% of the patients, but the remissions are in general short (mean <1 yr), and few are cured.

How long can you live with lung metastasis?

A patient with metastasis to the liver and lung has a median life expectancy of less than six months. A patient with widespread metastasis or with metastasis to the lymph nodes has a life expectancy of less than six weeks.

What is the life expectancy of someone with metastatic lung cancer?

Lung cancer that spreads to the bones The location of metastasis may also affect a person's survival rate. For example, in one 2018 study , researchers looked at the survival rates for lung cancer that had spread to the bones. They found that the median survival time following diagnosis was about 148 days.

How long does it take lung cancer to metastasize?

It takes around 8 years for a squamous cell carcinoma, for example, to reach a size of 30 mm when it is most commonly diagnosed so, by the time symptoms arise, the risk of metastasis is considerable. Once symptoms appear they are often ignored by patients, delaying the diagnosis and treatment even further.

What is the second line of chemo for lung cancer?

If the initial chemo treatment for advanced lung cancer is no longer working, the doctor may recommend second-line treatment with a single chemo drug such as docetaxel or pemetrexed, or with a targeted therapy or immunotherapy drug.

What is the best treatment for NSCLC?

Chemotherapy drugs used to treat NSCLC. The chemo drugs most often used for NSCLC include: Combinations of 2 chemo drugs are often used to treat early-stage lung cancer. If a combination is used, it often includes cisplatin or carboplatin plus one other drug.

When is chemotherapy used?

Not all people with non-small cell lung cancer (NSCLC) will need chemo, but depending on the cancer's stage and other factors, chemo may be recommended in different situations:

How long does chemo last for lung cancer?

Then, at the end of the cycle, the chemo schedule repeats to start the next cycle. Adjuvant and neoadjuvant chemo is often given for 3 to 4 months, depending on the drugs used. The length of treatment for advanced lung cancer is based on how well it is working and what side effects you have. For advanced cancers, the initial chemo combination is ...

How many cycles of chemo for cancer?

For advanced cancers, the initial chemo combination is often given for 4 to 6 cycles. Some doctors now recommend giving treatment beyond this with a single chemo or targeted drug, in people who have had a good response to their initial chemotherapy or have had no worsening of their cancer.

How is chemo given?

How is chemotherapy given? Chemo drugs for lung cancer are typically given into a vein (IV), either as an injection over a few minutes or as an infusion over a longer period of time. This can be done in a doctor’s office, chemotherapy clinic, or in a hospital setting.

What is chemo for lung cancer?

Chemotherapy for Non-Small Cell Lung Cancer. Chemotherapy (chemo) is treatment with anti-cancer drugs that may be injected into a vein or taken by mouth. These drugs travel through the bloodstream and reach most parts of the body.

Does chemo affect COPD?

Previous studies suggested that mild-to-moderate COPD had no evident adverse impact on the prognosis of patients with NSCLC receiving first-line che motherapy. However, there was concern about patients with severe to very severe COPD who present with serious cough, dyspnea, sputum, and other respiratory symptoms. Studies suggest that these patients also often have cardiovascular or cerebrovascular complications, raising questions about whether the benefits of chemotherapy outweigh the potential serious adverse effects.

Is grade 3/4 chemotherapy tolerated?

Receipt of chemotherapy was generally well tolerated; however, grade 3/4 adverse reactions occurred in 13 of 45 patients in the chemotherapy group (29%). Gastrointestinal (GI) reactions were the most frequently reported adverse responses, affecting 17 of 45 patients (38%); however, only one patient (2%) experienced a serious grade 3 GI reaction. While myelosuppression was a commonly reported adverse drug reaction, the researchers concluded that COPD severity or lung function status may not be important factors with regard to chemotherapy in this patient population. However, they noted, further studies are warranted.

What is the primary focus of a doctor for non-small cell lung cancer?

Once you’ve been diagnosed with non-small cell lung cancer (NSCLC), your primary focus will be treating your condition. But first, your doctor needs to know a few things about your cancer.

How long do you spend in the hospital after a NSCLC surgery?

Here are six things to know as you get ready to start treatment. 1. You’ll spend about a week in the hospital after surgery. A few different surgical procedures treat NSCLC.

What is the best treatment for NSCLC?

Radiation uses high-energy waves to kill cancer cells. It’s sometimes the main treatment for people with NSCLC who can’t have surgery. Radiation is also given before surgery to shrink the tumor, or after surgery to remove any cancer cells that were left behind.

How many stages of cancer are there?

Staging takes into account the size of your cancer and how far your cancer has spread. Your doctor will assign your cancer a stage number from 1 to 4. The higher the number, the more the cancer has spread. Stage four NSCLC has spread outside of the lung where it started, and possibly to other organs. Your doctor will recommend a treatment based on ...

What are the different types of NSCLC?

NSCLC is grouped into three main types based on the cell where the cancer started: 1 Adenocarcinoma is the most common type of NSCLC. It makes up 40 percent of all lung cancers. This cancer starts in mucus-releasing cells in the lungs. 2 Squamous cell carcinoma accounts for 25 to 30 percent of lung cancers. It grows from thin, flat cells that line the airways. 3 Large cell carcinoma makes up 10 to 15 percent of lung cancers. It gets its name from the large size of the cancer cells when viewed under a microscope. This type of NSCLC tends to grow quickly.

How often do you get immunotherapy?

You get immunotherapy every two to three weeks. Immunotherapy stimulates your body’s immune system to track down and destroy cancer cells. Drugs called checkpoint inhibitors — which include nivolumab (Opdivo) and pembrolizumab (Keytruda) —prevent the cancer from hiding from your immune system.

How long does it take to get a NSCLC removed?

The surgeon can remove only part of a lobe (wedge resection), an entire lobe (lobectomy), or the whole lung (pneumonectomy). Expect to spend five to seven days in the hospital after open lung surgery.

How to manage NSCLC?

Tips for managing NSCLC 1 To prevent nausea and diarrhea, eat smaller meals throughout the day and avoid greasy or fatty foods. 2 Drink extra fluids to prevent constipation and dehydration. 3 Walk or do other exercises every day to keep up your strength and fight fatigue. 4 Take naps or rest breaks whenever you need them. 5 Take a warm bath or listen to soft music before bed to relax you and help you fall asleep easier. 6 If you’re in pain, ask your doctor which pain relievers are safe for you. You might also try alternative pain relieving techniques such as acupuncture or massage.

What is the treatment for NSCLC?

Radiation uses high-energy X-rays to kill cancer cells. Usually, the type of radiation doctors administer to treat NSCLC, called external beam radiation. is delivered from a machine. You may get radiation before surgery to shrink the tumor.

What is the goal of surgery for NSCLC?

The goal of surgery. Surgery for NSCLC aims to remove as much of the cancer as possible. The ultimate goal is to prevent it from returning. Depending on where your tumor is and how large it is, as well as your overall health, the surgeon can decide on the surgical procedure that is best for you. These procedures include:

How to manage NSCLC side effects?

Here are a few other tips to help you manage NSCLC treatment side effects. To prevent nausea and diarrhea, eat smaller meals throughout the day and avoid greasy or fatty foods. Drink extra fluids to prevent constipation and dehydration. Walk or do other exercises every day to keep up your strength and fight fatigue.

How often should I see my doctor after cancer surgery?

Having chemotherapy and radiation after surgery can lower the chance that your cancer will come back. You’ll see your doctor for follow-ups about once every 6 months to check for a recurrence. During these visits, you’ll have exams, blood tests, and imaging tests such as CT scans, PET scans, or MRI.

What is the best treatment for lung cancer?

Surgery is an option for early stage lung cancer that hasn’t spread to other parts of your body. It offers you the best chance for long-term survival. Along with surgery, you may need chemotherapy, radiation, target therapy, immunotherapy, or some combination of these treatments to prevent a recurrence. Your doctor will explain how these treatments ...

What is the purpose of removing a tumor and part of the airway?

removing the tumor and part of the airway to save as much of the lung as possible (sleeve resection)

How to read more about chemo?

If you want to read more about chemo, you could go to the blue banner at the top of this page and click on the search engine. Pop in 'chemo' or 'chemo side-effects' or 'refusing chemo', or something similar, and this will bring up previous posts on this subject. This may help you to reach some conclusion.

Can you die from chemo?

As far as I can see, you either deteriorate and ultimately die suffering from the effects of chemo, or you deteriorate and die (possibly a little sooner), but with a better quality of life to the end. My apologies for being so blunt.

Is it good to hear you stopped having chemo?

I am glad to hear that you are so happy to have stopped having chemo. It is also good to hear that you have the backing of your family and friends .

Is chemo good for everyone?

chemo may be fine for some but definitely not everybody.

How to get rid of cancer after stopping chemo?

Talk to your doctor about medicine or other ways to get relief while you're getting chemo. Radiation. This treatment uses high-energy rays to kill cancer cells and stop new ones from forming.

What is targeted therapy for NSCLC?

Targeted therapy. Some types of cancer contain genes or other substances that help them grow and survive. Therapies for late-stage NSCLC target proteins that promote the growth of new blood vessels to feed cancer and other proteins that make cancer cells grow faster.

Why do checkpoints help cancer?

Some cancer cells are able to hide behind checkpoints to avoid detection, but checkpoint inhibitors disable checkpoints on cancer cells so your immune system can find them.

What tests can reveal liver cancer?

Blood chemistry tests. When cancer spreads to your liver, it can raise levels of liver enzymes such as alanine transaminase (ALT) and aspartate transaminase (AST). A blood test can reveal these changes. CT (computed tomography). This powerful X-ray takes detailed pictures inside your body.

What is the best test to find out if you have cancer?

CT (computed tomography). This powerful X-ray takes detailed pictures inside your body. It can find signs of cancer in your liver and other organs. Continued. PET/CT scan. This test combines CT with a positron emission tomography (PET) scan. It uses a small amount of a radioactive substance called a radiotracer.

How does chemotherapy help with cancer?

Chemotherapy. It uses medicine to kill cancer cells all over your body and stop them from dividing. This treatment can slow your cancer or prevent it from spreading further.

What is oxygen therapy?

Oxygen therapy. It can help you breathe easier and relieve symptoms like shortness of breath.

About this Community

The American Lung Association connects patients, families, friends and caregivers for support and inspiration as they face lung cancer. Here members can share stories, find important information and learn from the experiences of others like themselves.

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