Radiotherapy following Chemo cancelled due to lung scarring?

Hi there,

Just wanting to ask a question relating to my father's ongoing battle with non small cell lung cancer. He has successfully completed his treatment for Chemotherapy and was tracked onto starting Radiotherapy to kill the remaining parts of the cancer. The chemo initially killed over 50% of the cancer which was super and his consultant was very positve with the results.

However, on the pre-treatment scans for radiotherapy, an x-ray showed some signs of scarring and further scans confirmed that he now has lung scarring due to the chemotherapy which I believe is a common side-effect.

Unfortunately, the consulatants have ruled out the planned radio treatment around as it would make his breathing much worse, and now in the meantime he's just been attending various pulminary consulations and meetings with the initial cancer consultant regarding his status.

Fortunately, 4-5 months after the chemo stopped his cancers haven't changed at all, however based on prior experience; would there be any further treatment for the cancer, such as additional chemotherapy or would nothing else be planned just as a general question?

I just ask as I've spoken to individuals who've undergone various chemo treatments for periods measuring into the years, so we feel quite 'cheated' for the treatment to cut off, despite the staff from both NHS and Macmillans being absolutely stellar with my dad. Of course not looking for super detailed replies, but any advice or even possible ideas would be very welcome :)

Thank you,

  • Hello there and thanks for posting

    I am sorry to hear about your father's situation and can understand you wanting to know more about what may or may not be available to him treatment wise in the future.

    I appreciate it must be very disappointing to find out that he can no longer have radiotherapy because of some scarring and how this could worsen his symptoms, but it is good that his cancer seems stable at the moment.

    Decisions about treatments are made by a team of specialists looking at all the information and scans they have about the patient in order to decide the best plan moving forward. The main types of treatment for non small cell lung cancer (nsclc) include surgery, chemotherapy and radiotherapy but more recently immunotherapy and targeted drugs can also be an option for nsclc that has spread beyond the lungs.

    Some treatments are only licensed for use at certain stages of disease and there can be a need for a particular gene mutations to be found and identified on the cancer cells in order to be able to be prescribed.

    You can read more generally about nsclc treatment here and about immunotherapy and targeted treatments here

    From what you have said and reading between the lines it seems the doctors are just monitoring your father for now. So try not to take this as they won't be offering treatment in the future as I am sure they will discuss this if and when this may be needed.

    Do encourage your father to talk to his specialist team now about whether there are possible treatments to gauge what might be available to him and what further tests may need to be carried out, to give them more information about what may work best for him.

    There are times when there are sadly no more options. This may be because all the standard treatments have been exhausted or the patient doesn't meet the treatment criteria or simply is or too unwell to have any more. When this happens a very honest conversation between the doctors, patient and their next of kin would take place to explain this.

    I hope you can find out more from the team involved and wish your father all the best.

    Do get back if you need to or have further questions. Our helpline is also open Monday-Friday 9-5.

    Take care

    Naomi