Why is surgery never offered to Stage 4 lung cancer patients?

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.... when it's often offered to people who have other cancers who are Stage 4/metastatic?

I won't mention any particular cancers, but I have come across a few people on these boards, with varying types of cancer who have said how they're "having surgery"  to treat cancer that has metastasisd either to their lungs, brain or liver.

I've  automatically thought- "they must be Stage 1, 2 or 3 as they NEVER operate on Stage 4"  but upon readingg further, these people are definitely Stage 4! 

They seem to have way more treatment options offered them in general, not just surgery.

Yet if a person has Stage 4 lung cancer, it is chemo, immuno and radiotherapy only. That's it.

Why is this?  Seems unfair to me.

Surely I can't be the only person who's wondered this?

Is it cost? Is it funding? Lack of research?  Are we lung cancer patients seen as less worthy of saving?  Or What?

  • Hi,

    I don’t think it’s a case of being written off at stage 4, stage 4 metastatic cancer is usually incurable, with that in mind a lot of care and treatment is still given to stage 4 cancer patients.

    Metastatic cancer has spread to other parts of the body and got there via the blood stream or lymphatic system, so if the tumours have shrunk/responded even if you removed them the cancer is already loose in the body.

    Palliative treatment isn’t necessarily end of life treatment, if you cannot be cured you will still get treatment (though sadly some can’t) to hopefully extend your life and make it the best quality of life you can have, that treatment is classed as palliative.

    I wish your mum well with her treatment and many more years of rock music events

    Julie
  • Hi julie thanks the reply, we have had 3 different versions from different drs which say its in differemt places, we know for definite its in her lungs but she had 3/4 s of her bowel removed 2 year ago to remove a large tumour, and all tests came back clear that it has not came back in her bowel, they are saying its in the fatty tissue around the bowel and there are nodules in her lungs and one has grew from 11mm to 26mm. I dont understand why she cant have any other treatment other than chemo. I'd love to know if there are any clinical trials or anything else on offer, her oncologist was not a very pleasant man and just dismissed any questions they had. 

  • I had my appointment  and forgot to ask.

    Typical!

    I had so many questions that this one slipped my mind.

  • Maybe others could ask the question?

    Or,  I'll have to try and remember next time to Ask.

  • Have just read yet another report of a person who is stage 4 and has had so far: had Chemotherapy, radiotherapy and you guessed it.  SURGERY. to remove various lumps.

    Once again.  Why aren't Stage 4 lung cancer patients offered surgery?

    I did ask on another forum and was told. "There's no point if it's spread"  But if that's the case, why not say a blanket NO to all types of Stage 4 cancer?

    I'm begining to rhink there's an hierarchy when it comes to cancer treatment. 

    I'm going to bump this thread every so often so as to get some answers.

    You never k ow, someone Medical might happen across this thread and could kindly explain the reasoning.

  • Seems very wrong.   

  • Hi harebellle, out if interest, what cancer type did the person have?

    Also just so you aware, medical people are not on the forum, it is for patients only, and medical people are not allowed to comment x 

    “Try to be a rainbow, in somebody else's cloud” ~ Maya Angelou
    Chelle 

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  • Hi  Chelle,

    You never know, I'm sure even oncologists/consultantsl must also get cancer, so it's possible that there are medical people who walk among us. Or should that be amongst???

    Xx

  • They still cannot offer medical opinions, it is in the guidelines. I asked what cancer type it was, because I had surgery on my lung, even though I am stage 4. They removed the tumour in my bronchial airway by surgery, but could not remove the multiple tumours in both lungs, because there are just too many, and removing one lung would be pointless as the tumours are in both. 

    There have been a few people over the years that I have seen on this group, who have had surgery even though they were stage 4. It does really depend I think, on whether it is in one lung, or both. You can live a very happy life with one lung, but if it’s in both you have no surgery option. 

    The same I would of thought if it was in the kidneys. You can live without one, but not both. Some parts of the body can be cut away and replaced, the bowel for instance, breast or ovaries, or womb cancer as was my first diagnoses.  But when you have major organs like the lungs, you really can’t go cutting them out. 

    I really do not believe that the oncologist will look at a stage 4 cancer patient, and just throw in the towel without fighting for them. Every oncologist I have met, and I have met a few through my own diagnoses, my mums cancer, genetic doctors, and personally through my daughter who works in cancer research, have all been very passionate about their patients. The work they do is tremendous, on the hospital floor, and behind the scenes, to see that their patients get the very best treatment. 

    If you really still believe this is true, then the best person to speak to about this is your oncologist, as he really is the only person who can tell you why you can’t have surgery. X 

    “Try to be a rainbow, in somebody else's cloud” ~ Maya Angelou
    Chelle 

    Community Champion badge
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