Need info on liver ca 
Author Message
 Need info on liver ca

I have a friend in Calif. whose mother was diagnosed with {*filter*} cancer 2
years ago. She had a radical mastectomy and then went through chemo. Now
it's back--with a vengeance. She discovered a small "lump" in her abdomen
Oct 20th, by halloween it was obvious with visualization only. She had a
MRI and a biopsy--it's a stage 4. I do not have the name of the cancer
(Dr. says its the same as the {*filter*} ca) but it is awful fast growing. My
friend is scared and unsure of what to do. So she calls me. I am not an
oncology nurse. I don't want to offer false hope , but don't want to give
incorrect information either. The doctor says it's inoperable (sp). They
recommend chemo, say that it will slow it down, prolong her time. Mom had
a hard time with the 1st round 2 years ago and is questioning if she
wants it. She is now at the point that she is having pain in her back and
becomes short of breath easily. I do not have any reference books that
address this subject. I would like to have some input from the people who
know this material. My questions are, 1) Is this false hope for the chemo
? 2) Will it help, does any one know of similar situations that it's
worked?  From my understanding , once cancer is in the liver it's a short
time until death--3)Is this true ?
4) Pain control--what is the latest on that ?
I suggested a Hospice consult should her mother decide against the chemo.
She called the ACS and was given a phone number to one in her area and
when she spoke to them it was made to sound that they would have to be
low income to get it. I know in Michigan that is not the case but what
about Calif ? I would appreciate any advice/direction you could give me
to share with my non-online friend. Thanks in advance for sharing your
expertise.
Pam McKenna RN
Traverse City, Mi


Tue, 12 May 1998 03:00:00 GMT
 Need info on liver ca

Quote:

>I have a friend in Calif. whose mother was diagnosed with {*filter*} cancer 2
>years ago. She had a radical mastectomy and then went through chemo. Now
>it's back--with a vengeance. She discovered a small "lump" in her abdomen
>Oct 20th, by halloween it was obvious with visualization only. She had a
>MRI and a biopsy--it's a stage 4. I do not have the name of the cancer
>(Dr. says its the same as the {*filter*} ca) but it is awful fast growing. My
>friend is scared and unsure of what to do. So she calls me. I am not an
>oncology nurse. I don't want to offer false hope , but don't want to give
>incorrect information either. The doctor says it's inoperable (sp). They
>recommend chemo, say that it will slow it down, prolong her time. Mom had
>a hard time with the 1st round 2 years ago and is questioning if she
>wants it. She is now at the point that she is having pain in her back and
>becomes short of breath easily. I do not have any reference books that
>address this subject. I would like to have some input from the people who
>know this material. My questions are, 1) Is this false hope for the chemo
>? 2) Will it help, does any one know of similar situations that it's
>worked?  From my understanding , once cancer is in the liver it's a short
>time until death--3)Is this true ?
>4) Pain control--what is the latest on that ?
>I suggested a Hospice consult should her mother decide against the chemo.
>She called the ACS and was given a phone number to one in her area and
>when she spoke to them it was made to sound that they would have to be
>low income to get it. I know in Michigan that is not the case but what
>about Calif ? I would appreciate any advice/direction you could give me
>to share with my non-online friend. Thanks in advance for sharing your
>expertise.
>Pam McKenna RN
>Traverse City, Mi

Pam,  Once {*filter*} cancer metastasizes like you describe, the prognosis
is very poor. Nonetheless, significant palliation can be acheived by
chemo, and pain in her back controlled with radiotherapy (to involved
vertebrae).  In California, hospice is available to all cancer
patients and even non--cancer patients with terminal illnesses, as
long as they have chosen to forgo "curative therapy". Your friend may
have been too upset to understand the info... It is certainly up to
her--there are ways to be sure she gets adequate pain control if she
just wants to do that; but she might want to try just a few cycles of
chemo to see if there is a dramatic response and better tolerance than
last time.  Hope that helps....  H2
General Internal Medicine
Sacramento, California


Tue, 12 May 1998 03:00:00 GMT
 
 [ 2 post ] 

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