Question about spread of cancer to chest wall.

Home Forums Cancer Treatments / Symptom Management (old) General Treatments / Symptom Mgmt. Questions Question about spread of cancer to chest wall.

This topic contains 7 replies, has 4 voices, and was last updated by  catdander forum moderator 2 years, 3 months ago.

Viewing 8 posts - 1 through 8 (of 8 total)
Author Posts   
Author Posts
April 26, 2012 at 10:10 pm  #2127    

cycleluv

Are there options for treating when cancer has spread to the chest wall? My husband has not been able to keep food or liquid down, his small intestine is not working.

April 27, 2012 at 5:55 am  #2128    

catdander forum moderator

Hi cycleluv, I’m not a doctor but I can speak to lung cancer spreading to the chest wall. If your husband is physicallly able to withstand treatment there are usually options. Although it could be that his intestinal problems are of more pressing importance to treat.

The doctors will probably not be able to say as much as they could without more iinformation about your husband’s treatment and issues so far. If you look at some of the other posts you will find at the bottom of most forum posts a list of treatment and scans. That is the “signature”. The link below will explain how that is done or you can just reply again with more history.

You can get more info here than anyother place on the web so you’re in the right place.
Janine


My husband, 53 @ dx of stage 3 squam nsclc R. pancoast tumor 8/09 caused destruction of 3 ribs, touching brachial plexus. 2 core and 1 VATS undx biopsies. Open thoracotomy for 1 positive biopsy (unresectable). Chemorads, 9/09. MRI by pancoast specialty surgeon 11/09 spine met found, stage IV, Rad to spine, Chemo changed from cis/etop to navelbine/carbo. 6 cycles total. Tarceva 2/10-11/10. 3cm tumor L lung, biopsy undx w/collapsed lung. Gemzar, 12/10 through 7/12. NED 3/12, stop tx 7/12. Remains NED as of 2/14.

April 27, 2012 at 6:01 am  #2129    

catdander forum moderator

oops I missed the link promised above. Also note that when Mark instructs you to click on your avatar yours is a grace avator but it’s the one on the post you’ve written. but like I said above it’s fine to just send another post here to add a brief history and deal with the sig later.

http://cancergrace.org/topic/grace-site-tips-profile-bio-forum-signature

Also I’m not sure how much you understand what’s happening cancer wise so here are a couple of links that will help with your understanding if your new to cancer in the 21st century.

http://cancergrace.org/lung/2010/04/05/an-introduction-to-lung-cancer/ , an intro to lung cancer. After that, you may benefit from reading about 1st line treatment options at http://cancergrace.org/lung/2010/04/16/introduction-to-first-line-therapy-for-advanced-nsclc/


My husband, 53 @ dx of stage 3 squam nsclc R. pancoast tumor 8/09 caused destruction of 3 ribs, touching brachial plexus. 2 core and 1 VATS undx biopsies. Open thoracotomy for 1 positive biopsy (unresectable). Chemorads, 9/09. MRI by pancoast specialty surgeon 11/09 spine met found, stage IV, Rad to spine, Chemo changed from cis/etop to navelbine/carbo. 6 cycles total. Tarceva 2/10-11/10. 3cm tumor L lung, biopsy undx w/collapsed lung. Gemzar, 12/10 through 7/12. NED 3/12, stop tx 7/12. Remains NED as of 2/14.

April 27, 2012 at 7:31 pm  #2133    

Dr West

As Janine suggested, a lot depends on individual circumstances we don’t know about, but a cancer confined to the chest and without spread to other parts of the chest or rest of body can potentially be surgically removed even if it involves the chest wall. If it is considered unresectable, or if it is a metastatic spread to the chest, surgery wouldn’t usually be done, but radiation often can be.

However, this problem of chest wall involvement usually doesn’t cause a patient to be unable to keep food down or keep the bowels from working, so I suspect there are other significant issues going on here.

Good luck.

-Dr. West


Howard (Jack) West, MD
Medical Oncologist

Views expressed here represent my opinion, not those of GRACE or Swedish Cancer Institute. This information does not constitute medical advice and is intended to supplement and not replace medical information provided by your doctor.

April 27, 2012 at 10:15 pm  #2134    

cycleluv

Thank you Janine and Dr. West. Here is more information: Bill, age 69, never smoker, diagnosed 12/10 adenocarcinoma right lung, stage 3b. Radiation to the bronchia so that he could breathe, carbo/taxol for 3 cycles, progression to the pleural lining and bone mets in ribs and spine. Radiation to the spine. Alimta h went well for several cycles then tried tarceva as his blood test came back positive for tarceva but he quickly progressed and switched to chemo again, with mixed progression through each chemo – taxotere, irinotecan , two others, and most recently etoposide. One month ago began to vomit daily and could not keep food down. Petscan showed slow stomach emptying, spread of cancer to chest wall. Endoscoppy showed longstanding esophogitis, hiatal hernia, no bowel obstruction, lack of function in the duodenum. He has quickly deteriorated with swelling of feet, unable to eat, and was told he has one to two weeks to live. He is mutation negative although not tested for ROS1. Today signed on with hospice after the oncology nurse told us there was no hope. We do not understand why the intestinal problems have happened. IV fluids go to the third space.

April 28, 2012 at 7:41 am  #2135    

certain spring

cycleluv, I am sorry to hear you are coping with such stark and upsetting news. Everyone on GRACE who’s had experience of hospice reports a good experience, and I hope they will be able to make your husband more comfortable. This must be so distressing for you. Sending best wishes to you and your husband.


49-year-old non-smoker, dx stage IV NSCLC May 2010 (squamous tumour of the left lung with multiple brain metastases). Radiotherapy to chest and brain; progressed through two cycles carbo/gemcitabine. Repeated lung collapses; pneumonia in collapsed lung, Nov 2010; bronchial stent placed, Dec 2010. Declined second-line Taxotere. Mutation testing Feb 2011, surprise EGFR exon deletion 19. Started Tarceva (150mg), Feb 2011. Progression in liver and elsewhere, May 2013.

April 28, 2012 at 3:18 pm  #2136    

Dr West

I’m sorry that Bill’s cancer has demonstrated progression through so many treatments. It does sound as if there are not effective anticancer therapies remaining, and I’m afraid that sometimes when the progression continues through so much, we don’t always have great explanations for every new problem that emerges. Many things are often happening at once. But I hope he can be made more comfortable with hospice and that he’ll feel better with you and the other people who care about him nearby.

-Dr. West


Howard (Jack) West, MD
Medical Oncologist

Views expressed here represent my opinion, not those of GRACE or Swedish Cancer Institute. This information does not constitute medical advice and is intended to supplement and not replace medical information provided by your doctor.

April 28, 2012 at 3:25 pm  #2137    

catdander forum moderator

cycleluv, thank you for letting us understand better Bill’s situation. I can imagine how devestating it is for you and Bill to call in hospice but I hope you both find comfort in the help they can offer. You and Bill are in my thoughts.
Janine


My husband, 53 @ dx of stage 3 squam nsclc R. pancoast tumor 8/09 caused destruction of 3 ribs, touching brachial plexus. 2 core and 1 VATS undx biopsies. Open thoracotomy for 1 positive biopsy (unresectable). Chemorads, 9/09. MRI by pancoast specialty surgeon 11/09 spine met found, stage IV, Rad to spine, Chemo changed from cis/etop to navelbine/carbo. 6 cycles total. Tarceva 2/10-11/10. 3cm tumor L lung, biopsy undx w/collapsed lung. Gemzar, 12/10 through 7/12. NED 3/12, stop tx 7/12. Remains NED as of 2/14.

Viewing 8 posts - 1 through 8 (of 8 total)

The forum ‘General Treatments / Symptom Mgmt. Questions’ is closed to new topics and replies.