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Medical Forum / Diseases and Disorders / Cancer / March 2008

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My Relative Has Lung Cancer!!   I Need Info Quickly!!

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midwest_46@yahoo.com - 26 Feb 2008 05:17 GMT
Hello, everyone. I have a relative who has lung cancer, and I need
some advice fast.

----------

First, I will give some background information. This relative is a
male and is 78 years old. In 1995, at age 65, he had a heart valve
replaced. A few years later, he developed oseteoporosis.

In January 2007, he had kidney cancer, and one kidney was removed via
laproscopic surgery. He was told that he was cancer-free. A month or
two later, he had swollen legs, and he had a pacemaker installed. The
swelling went down. A little after that, he developed Parkinson's
disease.

About 10 days ago, he went into the hospital because the sac
containing his lungs was filling up with fluid. The doctors put some
tube into his body to drain the fluid. When the fluid buildup seemed
over, the tube was removed. Unfortunately, the buildup resumed.

Well, now he has been diagnosed with lung cancer. This relative has
never smoked, and no member of his household has ever smoked
(therefore, no exposure to second-hand smoke). One lung has cancer,
and the cancer has spread to the sac that contains the lungs.

----------

Here is what the relative's primary-care physician has said:

One possibility is to perform a major operation to remove the sac
containing the lungs. The doctor said that, for a man of my
relative's
age and of his medical history, this operation could be fatal. This
operation involves opening up the body, similar to open-heart
surgery.

Even if the operation is not fatal, the recovery will be long and
painful, and the relative could die in the recovery process. We are
waiting for a pulmonary specialist to give the exact chances of
surviving the procedure.

Even if the procedure is completely successful, the procedure would
only go so far as to improve the patient's breathing. The cancerous
lung would still be there, and chemotherapy would be needed to deal
with the cancer.

----------

By the way, I should mention that the relative's brother died of a
brain tumor in February 2007 at age 69.

----------

So, here are my questions:

1) Does anyone on this forum know my relative's odds of surviving the
sac-removal operation, given my relative's age and medical history?

----

2) Instead of the major operation, is it possible to have the
following alternative procedure instead? :

The draining tube would be reinserted to drain the fluid, thus making
the relative's breathing easier (even though the tube's presence
itself may be painful). While the tube was inside the relative, the
relative would undergo chemotherapy.

Is this procedure feasible?

----

Please answer my questions, and please feel free to add any comments.
Thank you very much, and God bless you.
Steph - 26 Feb 2008 06:57 GMT
> Hello, everyone. I have a relative who has lung cancer, and I need
> some advice fast.
[quoted text clipped - 53 lines]
> 1) Does anyone on this forum know my relative's odds of surviving the
> sac-removal operation, given my relative's age and medical history?

It would not be curative.

> ----
>
[quoted text clipped - 7 lines]
>
> Is this procedure feasible?

Feasible, yes. Sensible? That's another issue. It would not cure the cancer.

By the way, is everyone sure this isn't metastatic disease from the kidney
cancer? Not that it makes a big difference to the outcome.
By the way, it's best to get advice on surgery from a surgeon, and on cancer
management from an oncologist, not a primary care physician.

> ----
>
> Please answer my questions, and please feel free to add any comments.
> Thank you very much, and God bless you.
midwest_46@yahoo.com - 26 Feb 2008 07:15 GMT
Hi, Steph, and thanks for responding.

> > Is this procedure feasible?
>
> Feasible, yes. Sensible? That's another issue. It would not cure the cancer.

Chemotherapy would not cure the cancer? Wouldn't the chemo shrink or
destroy the cancer?

> By the way, is everyone sure this isn't metastatic disease from the kidney
> cancer? Not that it makes a big difference to the outcome.

The primary-care physician said that this is a new cancer.

> By the way, it's best to get advice on surgery from a surgeon, and on cancer
> management from an oncologist, not a primary care physician.

The primary-care physician said that he consulted with the pulmonary
specialist before speaking to us.

By the way, I just saw the following website:

http://cancer.about.com/od/lungcancer/tp/preventcancer.htm

This website states that exposure to certain workplace chemicals can
cause lung cancer (see item #4). A few months ago, a bathroom in my
relative's home was remodeled and painted. The remodeling job lasted a
few weeks, and the painting was done in one day. Could certain
chemicals and fumes produced by the remodeling and painting have
caused the lung cancer?
Steph - 26 Feb 2008 16:12 GMT
On Feb 26, 12:57?am, "Steph" <st...@vancouvers.island> wrote:

Hi, Steph, and thanks for responding.

> > Is this procedure feasible?
>
> Feasible, yes. Sensible? That's another issue. It would not cure the
> cancer.

Chemotherapy would not cure the cancer? Wouldn't the chemo shrink or
destroy the cancer?

> By the way, is everyone sure this isn't metastatic disease from the kidney
> cancer? Not that it makes a big difference to the outcome.

The primary-care physician said that this is a new cancer.

> By the way, it's best to get advice on surgery from a surgeon, and on
> cancer
> management from an oncologist, not a primary care physician.

The primary-care physician said that he consulted with the pulmonary
specialist before speaking to us.

By the way, I just saw the following website:

http://cancer.about.com/od/lungcancer/tp/preventcancer.htm

This website states that exposure to certain workplace chemicals can
cause lung cancer (see item #4). A few months ago, a bathroom in my
relative's home was remodeled and painted. The remodeling job lasted a
few weeks, and the painting was done in one day. Could certain
chemicals and fumes produced by the remodeling and painting have
caused the lung cancer?

NO
J - 26 Feb 2008 22:40 GMT
> Hello, everyone. I have a relative who has lung cancer, and I need
> some advice fast.
[quoted text clipped - 65 lines]
>
> Is this procedure feasible?

I'm sorry about your relative.
Lung cancer has often spread further than can be seen on scans.
I'm not there to assess the situation, but it's clear that he's lived a
long life,
"dodged many bullets", but won't dodge this one. It's not curable.
Will the procedure help him to
- enjoy activities with his friends and family?
- be active, eating, laughing and having a good time?
If he's in hospital and coherent and able to make his own decisions, have
them wheel him to see someone his age, whose got a tube. If he's not
coherent or able to make his own decisions, but in hospital. have his
relatives and the person with power of attorney of care visit someone who
is in the same position (tube, bedridden).  If not allowed, you/they might
be able to view the situation from the hallway.
See if he (or she) has quality of life.

J
midwest_46@yahoo.com - 28 Feb 2008 08:17 GMT
Here is an update on this situation:

Some doctors found a way to remove the sac containing my relative's
lungs without causing significant damage, and the sac was removed.
However, the cancer obviously still remains.

A cancer specialist stated that my relative has stage 4
adenocarcinoma.

The cancer specialist stated that chemotherapy would be very dangerous
for my relative and would only slow the cancer down. So, chemotherapy
is a poor solution.

Radiation therapy would require the irradiation of the entire lung and
might destroy good and bad tissue. However, a recent article in the
Chicago Tribune described something called proton therapy.

Here is the article:

http://www.chicagotribune.com/news/local/northwest/chi-proton-therapyfeb27,0,179
2923.story


Here is a website explaining proton therapy:

http://www.proton-therapy.org/questions.htm

----------

Proton therapy supposedly precisely targets tumors and avoids the good
tissue.

So, will proton therapy help my relative?

----------

Two other possibilities are the following:

1) A lung transplant.

2) Simply removing the lung and allowing my relative to live with only
one lung.

Are either of these two options feasible?

Once again, thanks for any information.
J - 28 Feb 2008 21:52 GMT
> Here is an update on this situation:
>
[quoted text clipped - 38 lines]
>
> Are either of these two options feasible?

What does the cancer specialist say?
J
Steph - 29 Feb 2008 06:02 GMT
> Here is an update on this situation:
>
[quoted text clipped - 40 lines]
>
> Once again, thanks for any information.

No, there is no curative treatment.
With stage 4 adeno, there is no treatment which can extend survival
significantly.
The only indication for treatment is to improve quality of life.
midwest_46@yahoo.com - 03 Mar 2008 08:24 GMT
Well, my relative's doctors have said that 1) proton therapy, 2) a
lung transplant, and 3) removing my relative's cancerous lung and
allowing him to live with only one lung, are not feasible.

However, I have found some information about using medical marijuana
to fight cancer. In particular, a Harvard University study has found
that
delta-tetrahydrocannabinol (THC), an active ingredient in marijuana,
may be able to fight lung cancer.

-----

Here is the story on the study:

http://www.safeaccessnow.org/article.php?id=4541

-----

Let me stress that this study is NOT about using cannabis to fight
nausea or to stimulate an appetite. This is about using cannabis to
fight the cancer itself. Specifically, the study is about using THC to
fight cancer.

-----

My relative lives in Illinois. Currently, there is a bill before the
Illinois legislature that would allow patients to possess marijuana
for medical purposes, but that bill has not yet been passed. However,
I believe that there is a law in Illinois that allow physicians to
possess marijuana for the purposes of research in a treatment
setting.
This law is the Illinois Cannabis Control Act, section 11.

http://www.idealreform.org/facts/ccact.shtml

-----

I spoke to one of my relative's pulmonologists about the marijuana,
and the doctor said that the hospital would not do anything with
marijuana because marijuana is illegal. Also, the doctor seemed to be
unaware of marijuana's potential in fighting cancer. The doctor said
that marijuana would not help my relative because the relative does
not have nausea. I will try to speak to my relative's other doctors.

Meanwhile, how can I get medical marijuana for my relative under the
Illinois Cannabis Control Act, section 11? Also, I am interested only
in one marijuana ingredient, THC. We know that possession of marijuana
is illegal, but is possession of THC, and only THC, also illegal?
And, most importantly, will the THC fight my relative's condition?

Thanks for any information.
J - 04 Mar 2008 01:53 GMT
> Well, my relative's doctors have said that 1) proton therapy, 2) a
> lung transplant, and 3) removing my relative's cancerous lung and
[quoted text clipped - 11 lines]
>
> http://www.safeaccessnow.org/article.php?id=4541

From wikipedia, Reference 10 and/or 11, they're mouse studies
http://en.wikipedia.org/wiki/Tetrahydrocannabinol
http://www.drugpolicycentral.com/bot/pg/cancer/THC_cancer_sep_1975.htm

Here's a quote from Steph, the oncologist, here.
"mouse and rat enthusiasts forget one simple but vital fact. Experimental
mouse
tumours are, by and large, carefully selected monoclonal tumours. Anything

which works for one cell will work for the entire tumour.
Human "wild" tumours, on the other hand, are breathtakingly polyclonal in
the vast majority of cases. Any treatment may work well for some of the
clones present, but less well or not at all, for others. This is one
reason
why promising mouse treatments are so often disappointing in humans."

I'm sorry.

Did we mention hospice?
It may be the kindest thing anyone could ever do for him.
J
 
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