Chemo slowing down stage 4 lung cancer

Hello everyone,

My grandad has stage four metastic lung cancer. Originally the prognosis was 3-6 without treatment, and up to two year if he responds well to treatment. 
He has just had his first scan after 2 rounds of chemo, and it has shown that he is responding well and that the biggest tumour (in his lymph) has reduced from 25x31mm to 9x17mm. Obviously this is the news we wanted, but it is still bitter sweet. He has another 2 rounds of chemo left. I am aware that the cancer will never go and the aim is to slow the disease and improve the quality of his life. Will the chemo shrink the tumours more? What happens when these two rounds are over, will that be it? Im not sure if any other treatment will be available to him as the gene mutation showed chemo was the only option to target the cancer. 
He also had fluid around his lungs and his heart, and that has now gone. I wasn't even aware that chemo could do that. 
 

Sorry for rambling, I'm just a little bit confused with what happens next and wondering how long the chemo will slow things down, and if it's possible to live past the 2 year mark. I know these are questions no one can definitely answer, I'm just wondering if anyone has had any similar experiences?

 

Take care everyone,

D

  • Hi there and yes we are now four years on from being diagnosed with stage 4 lung cancer, my husband is now 75 so he's not young either.  The oncologist will keep an eye on him, follow up scans and the chemo goes on working even when the rounds have finished.  Up until last year the tumour had shrunk but then came back plus liver mets but he was put onto immunotherapy and can have this for two years.  So my advice would be to not think too far ahead as it is hard to know how it goes.  But remember that they will keep an eye on him, scan him regularly and will always do the best for your Grandad.  I hope this puts your mind at ease just a little bit.  Take care, Carol x 

  • Hi Carol,

    Thank you so much for taking the time to reply to me.
    Thats amazing that your husband is still here and fighting four years after a stage 4 diagnosis, sorry to hear about the liver mets. That's given me a lot of hope, as I haven't met anyone with a stage 4 lung cancer that has made it passed 1 year. I hope you and your husband are managing ok. Like your husband my grandad is also in his 70s (just turned 72 in November on the day of diagnosis). He's a relatively fit and healthy man and still continues to do all his normal activities (minus heavy lifting). 
    I didn't realise the chemo continued working like that, thank you for the insight.

    Take care and look after eachother x

  • And you also.  I'm on daily if you ever need more help. X

  • Hi there 

    My hubby a bit younger at 58 was diagnosed with Stage 4 with liver and spleen mets in Feb last year.  

    We were told 3-6 months with no treatment.  So he's had 4 x chemo and 16 x immunotherapy every 21 days and the first progression was found last week.  So thats a year gone by. Hes about to start 6 x  Docetaxel chemo and targeted Nintedanib on Friday.  Looking at the trials for this we could possibly get another 12 months (positive mental attitude all around)

    The advances in treatment are amazing. Chemo stops the cancer secreting fluid i believe, so we're hoping he'll get that benefit again. Had 750ml removed today and xray showed a small pocket of air at the top of his lung, so that's progress as its collapsed and xray normally looks like a full snow storm!

    Hoping your grandad continues to do well

     

  • Hi Carol

    How's he finding the Immunotherapy?   Hubby did really well on it. Skin itchy and cold hands/tingling seemed to be the biggest issue. Hes just hoping the new chemo/targeted is similar but I have a feeling he might be in for a rough ride this time

    Keep strong

    Snoops x

  • Hi Snoops, he is doing well as it has shrunk the liver and stomach mets, the lung cancer has gone back to stage 4 but he has never felt breathless or ill from that apart from all the pneumonia and chest infections.  Hope all goes well for you.  Carol x