blwood Posted July 19, 2006 Share Posted July 19, 2006 My husband was diagnosed with stage IIA nsclc, with neuroendocrine features, after a left pneumonectomy in June. He is nearly 82 years old and has both heart disease (with two stents placed last Fall) and diabetes. He takes nearly 25 medications a day for the heart condition, hypertension, diabetes, asthma. At the same time, he is highly functional and very active. (We were hiking in the Andes in April! Not the hardest hikes, but hikes just the same.) The cancer was an incidental finding on an x-ray he had after tripping against the car and injuring his ribs. He had no symptoms related to the lung cancer and had stopped smoking over 35 years ago. He is recovering very well from the surgery, surprising the doctors, and was released from rehab after only 4 days. We have met with the oncologist twice. He says that cisplatin and etoposide are his choice for "mopping up" chemo...there is currently no visible evidence of disease. Two of 19 lymph nodes near the primary tumor were cancerous (adenocarcinoma, again, with neuroendocrine features.) He said however, that the idea of treating my husband with these aggressive medicines makes the hair on his neck stand up, and that he can also make a case for doing nothing further. He said that he would expect him to die of a cardiac event before dying of lung cancer and that perhaps quality of life should be the bigger concern. He also said that we could try a less aggressive treatment, gem/carbo or navelbine, but of course the cisplatin combos are the only treatments with a track record against this type of cell. Also, there are very few studies with any patients older than 75, and only a few, as far as I can tell about stage II patients. I would appreciate greatly any thoughts that people have about this situation, as we are really struggling with the decision. Thanks so much for taking the time to think about this. Barbara Quote Link to comment Share on other sites More sharing options...
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