Cancer Prognosis questions... 
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 Cancer Prognosis questions...

In my readings about prognosticators in lung cancer patients, weight loss
seems to rate highly (among others). Why is this so? It seems to me
quite valid for something like colon cancer, where there was a blockage.
But why lung cancer, where even if there are metastasis, they are likely
not involved in the digestive system (ie: CNS, bone, etc).

I have another general question about stage as a prognosticator in lung
cancer. Looking over mortality charts, there are separate curves for
stage I, stage II, and so on. How many patients actually die from
stage I? If they died because the cancer, say, had invaded the liver,
statistically would that event be added to the mortality curve of stage I?
Or is that event added to stage IV instead? or both? What I guess I'm
really asking, is the mortality on the curve for stage I the folks
who perished with the desease still in stage I?

Thanks for any insight you could provide here to me... (I'm an interested
layperson)



Fri, 15 Sep 1995 10:20:30 GMT
 Cancer Prognosis questions...


Quote:
>In my readings about prognosticators in lung cancer patients, weight loss
>seems to rate highly (among others). Why is this so? It seems to me
>quite valid for something like colon cancer, where there was a blockage.
>But why lung cancer, where even if there are metastasis, they are likely
>not involved in the digestive system (ie: CNS, bone, etc).

Weight loss is common with advanced cancer and generally not related
to specific problems with the gastrointestinal system.  Causes include
decreased appetite, increased metabolic rate, and inability to
normally utilize nutrients.  These are often related to presumed
"hum{*filter*}factors" some of which have been characterized but others
of which are unknown.

Quote:
>Or is that event added to stage IV instead? or both? What I guess I'm
>really asking, is the mortality on the curve for stage I the folks
>who perished with the desease still in stage I?

Cancer staging for survival ananlysis is based on the stage at
the time of diagnosis.  Obviously this is the only way the
statistics you are talking about could make any sense.
--
David Rind



Mon, 18 Sep 1995 22:39:29 GMT
 Cancer Prognosis questions...

Quote:

>In my readings about prognosticators in lung cancer patients, weight loss
>seems to rate highly (among others). Why is this so? It seems to me
>quite valid for something like colon cancer, where there was a blockage.
>But why lung cancer, where even if there are metastasis, they are likely
>not involved in the digestive system (ie: CNS, bone, etc).
>I have another general question about stage as a prognosticator in lung
>cancer. Looking over mortality charts, there are separate curves for
>stage I, stage II, and so on. How many patients actually die from
>stage I? If they died because the cancer, say, had invaded the liver,
>statistically would that event be added to the mortality curve of stage I?
>Or is that event added to stage IV instead? or both? What I guess I'm
>really asking, is the mortality on the curve for stage I the folks
>who perished with the desease still in stage I?
>Thanks for any insight you could provide here to me... (I'm an interested
>layperson)

Weight loss is correlated to tumor glucose consumption, which in turn
relates to rate of tumor growth and also succeptibility to chemotherapy.  
Certain anticancer {*filter*} have enhanced cytotoxic efficacy under reduced pH,
as is selectively induced in tumors as a result of lactic acid buildup in
response to induced hyperglycemia.  For a study of survival correlated to
rate of weight loss and also hyperglycemic intervention in lung cancer
patients, see Lanzotti et al, Cancer Chemotherapy Rep 59(2), 437-9. 1975.

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Sat, 23 Sep 1995 02:08:43 GMT
 
 [ 3 post ] 

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