Dear all,
The attached are the reports of my sister’s current situation about her
lung-cancer. We are in Hong Kong.
Could anyone offer me some ideas about the following questions:
1. Any chance for prolong survival in the future?
2. What kind of treatment is probably suitable for her at this stage?
3. Any possibility of being cured?
Thanks a lot.
Tsui YF
——- Attached ——
All of the three reports dated at 13 06 95
_Report 1_
Clinical history:
Chronic cough. CXR showed multiple nodular shadows.
Diagnosis: Carcinomatosis. Bronchoscopy showed RUL bronchus
narrowed.
Surgical procedure:
Bronchoscopy
Nature of specimen:
Bronchial biopsy.
Macroscopic examination:
Four partly haemorrhagic soft tissue nodules 0.2cm. in diameter
each. All embedded.
Microscopic examination:
Sections show fragments of a poorly-differentiated adenocarcinoma
among blood clots. There is invasion into bronchial mucosa.
Diagnosis:
Bronchial biopsy – poorly-differentiated adenocarcinoma.
_Report 2_
Clinical history:
Previous no. 95-2020. Chronic cough. Bronchial biopsy
(B95/04637). CRX: Multiple nodular shadows. DX- ? Ca. RUL
bronchus narrowed. Aspirate – Colourless, clear, 5ml.
Bronchial aspirate.
Cytological Examination:
The bronchial aspirate consists of small numbers of inflammatory
cells, desquamated bronchial epithelial cells and malignant cells
arranged in clusters consistent with adenocarcinoma.
Diagnoisis:
Bronchial aspirate – poorly differentiated adenocarcinoma cells
present.
_Report 3_
Clinical history:
Cough for 1/12. CXR showed multiple nodular shadows for 1/12.
Right supraclavicular lymph node+. Aspirate yielded necrotic
tissue. DX: Carcinomatoisis.
Surgical procedure:
Needle aspiration of cervical lymph node.
Macroscopic examination:
Haemorrhagic soft tissue fragments in total about 1/2 ml. by
volume. All embedded.
Microscopic examination:
Sections show mostly necrotic tissue. Scanty clusters of
poorly-differentiated carcinoma cells are present.
Diagnosis:
Aspiration biopsy (cervical lymph node) – Poorly-differentiated
adenocarcinoma.
_Report 4_
Clincial history:
Cough 1/12. CXR – multiple nodular shadows. Right
supraclavicular lymph node+. Aspirate yielded necrotic tissue.
Diagnosis: Carcinomatosis. FNA – 4 smears.
Nature of specimen:
FNA of cervical lymph node.
Cytological examination:
Smears of the cervical lymph node aspirate show the presence of
occasional clusters of large polymorphic carcinoma cells. Some of
these cells have abundant foamy cytoplasm, most consistent with
metastatic poorly-differentiated adenocarinoma.
Diagnosis:
FNA (cervical lymph node – Metastatic carcinoma.
Dear Tsui, With positive cervical lymph nodes, surgery is no
longer an option. Adenocarcinomas are unfortunately fast growing
tumors, with survival usually measured in weeks to months.
Depending on many factors–ie symptoms, relative health, age and
desires, a patient may choose chemotherapy to cause a temporary
remission, and thus some period of comfortable time. Radiation
therapy could also be utilized along with or alone to control the
blockage of the bronchus by tumor. This is useful if the blockage
is causing additional problems like coughing up blood or
pneumonia. I have not heard of cases of cure… but you never
know! H2
–
H2
just would like to add that radiotherapy is often used if a patient
starts having any bony or rib pains. Like H2, there’s no curative
therapy currently available, but one never kows. until then, she should
be as comfortable as possible.
sheri cohen, md
sf, ca
Howard Homler (76212…@CompuServe.COM) wrote:
: Dear Tsui, With positive cervical lymph nodes, surgery is no
: longer an option. Adenocarcinomas are unfortunately fast growing
: tumors, with survival usually measured in weeks to months.
: Depending on many factors–ie symptoms, relative health, age and
: desires, a patient may choose chemotherapy to cause a temporary
: remission, and thus some period of comfortable time. Radiation
: therapy could also be utilized along with or alone to control the
: blockage of the bronchus by tumor. This is useful if the blockage
: is causing additional problems like coughing up blood or
: pneumonia. I have not heard of cases of cure… but you never
: know! H2
: —
: H2
- Hide quoted text — Show quoted text -
drsh…@netcom.com (Sheri Cohen) wrote:
>just would like to add that radiotherapy is often used if a patient
>starts having any bony or rib pains. Like H2, there’s no curative
>therapy currently available, but one never kows. until then, she should
>be as comfortable as possible.
>sheri cohen, md
>sf, ca
>Howard Homler (76212…@CompuServe.COM) wrote:
>: Dear Tsui, With positive cervical lymph nodes, surgery is no
>: longer an option. Adenocarcinomas are unfortunately fast growing
>: tumors, with survival usually measured in weeks to months.
>: Depending on many factors–ie symptoms, relative health, age and
>: desires, a patient may choose chemotherapy to cause a temporary
>: remission, and thus some period of comfortable time. Radiation
>: therapy could also be utilized along with or alone to control the
>: blockage of the bronchus by tumor. This is useful if the blockage
>: is causing additional problems like coughing up blood or
>: pneumonia. I have not heard of cases of cure… but you never
>: know! H2
>: —
>: H2
I am interested and concerned to see that surgery is no longer
considered an option. with lung Cancer. My father survived having had
both lungs operated to remove tumours. The second was close to the
Bronchus and he was sent home to die. His lung haemorraged that night
and he was rushed back to Papworth hospital in England and operated
on.
Could you let us know why lung tumours are now inoperable, whereas
twenty years ago they were carried out with success. My father lived
for fourteen year after the first op and five years after the second.
It must be admitted, however, that his quality of life after the
second op was not good. Principally, I believe because he was left
with both lungs short of capacity. Despite that, I know he wanted to
live as long as he could. He finally died in 1991, his strength
having been finally overcome.
Many thanks,
Nick
Snail:
Internet Events,
64-66 Gardiner Street Lower,
Dublin 1
Voice : 01 836 5866
Fax : 01 836 5216
e.mail n…@internet-eireann.ie
http://www.internet-eireann.ie/i-events