Stage 4 no treatment

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  1. Hi, my friend has been diagnosed with stage 4 lung cancer spread to ribs and thighs already and isn’t having any treatment as it was recommended not too by his doctor, they seem to have it in their head that it will only be a matter of weeks that they have left but said they haven’t been told as of yet how long and are awaiting an appointment to see the consultant this week.

I am concerned about their mental health and that of their family as we are all struggling with this prognosis and the unknown, I think what I am asking is could it be as little as weeks that they have left or how long does somebody up until a couple of weeks ago had no idea they had cancer usually survive, is this something anybody would even know apologies for rambling just trying to get what’s in my head answered if this makes my sense.

  • Hi Sarah2023,

    Thanks for getting in touch and welcome to our online community.

    It’s not easy when someone you care about is diagnosed with an advanced cancer. Coming to terms with something like this isn’t easy and many people struggle with the uncertainty it brings. Wanting to know more about what might happen is natural.

    If your friend isn’t having active treatment to control their cancer, then things will gradually progress. Many people find things change more slowly at first. This might mean they develop different symptoms or find the general effects of an advanced cancer become more noticeable. This often means people become frailer and need more help to do things or look after themselves.

    As we near the end of our life changes may happen more rapidly or symptoms that were managed easily before may need more or different medicines to control them.

    Sometimes when things are changing from month to month, that can mean the person has months to live. If things start to change more quickly, then the time remaining can be shorter.

    It’s difficult, even for the most experienced cancer specialist, to predict how long a person is likely to live for (prognosis). Factors such as a person’s age, how the cancer is affecting them, and their general health can all influence how long a person may live for.  Even two people, with the same type and stage of cancer, can have a different prognosis.

    Your friend’s consultant may be able to guide them or offer 'average' figures on how long people in this situation usually live for.  But importantly, these are only averages.  Some people may live longer, while others may live for a shorter time.

    Many people find the help of a community palliative care nurse invaluable. They can provide emotional support; help coordinate your friend’s care and find ways to control any symptoms they have now or in the future. Another part of their role is to explain what any changes in their condition might mean. They can also put your friend and their family in touch with other help that’s available. Their GP or consultant can arrange this support if they ask.

    I hope this information helps to guide you. Don’t hesitate to get back in touch.

    Best wishes,

    Karla, Cancer Information Nurse Specialist 

    You can also speak with the Macmillan Support Line team of experts. Phone free on 0808 808 0000 (7 days a week, 8am-8pm) or send us an email. 

    Ref: KS/LJ

  • Thank you for your information you have answered my questions I appreciate the time, we will definitely seek further support from other areas to assist with our friend.

    thank you again