Question My father was diagnosed with stage IV metastatic melanoma in October 2013, he was given surgery to remove the cancer in his neck lymph nodes, followed by radiation . Cat scan of neck chest and pelvis were clear, but last week he suffered peripheral loss of vision in his left eye. A cat scan revealed 4-5 lesions, one measuring 2.5cm, the other showing slight bleeding. He is on day 2 of radiation treatment . He is 76. What should we as a family expect, I realize that the prognosis is poor, how long will my dad be with us? We are truly devastated. Please help us come to terms with this.
Answer Unfortunately I can not give you any good news. Malignant melanomas usually do not respond well to radiation therapy or chemotherapy. Usually survival times in this situation can be measured in weeks or at most a few months. He will become more and more confused and sleep more and more. When he sleeps all the time the end is near. There will not be much pain - if any. I am sorry I have nothing better to tell you! There may also be stroke like symptoms and even epileptic fits.
I`m a doctor of medicine and specialist in radiation therapy and medical oncology. I have a long time experience of these tumours.
I'm a Doctor of Medicine and specialist in Medical Oncology and Radiation Therapy, educated and trained in Sweden. Now retired. Background in Radiation Therapy, Medical Oncology, Radiation Protection, Nuclear Medicine, Diagnostic Radiology, Gynecological Oncology, Clinical Pathology, Clinical Cytology,Hematology and Internal Medicine. M.D. from the faculty of medicine, Royal Karolinska Institute, Stockholm, Sweden. Have also been an exchange student at the Hebrew University, Hadassah Medical School, Jerusalem Israel. Former medical consultant, Swedish National Board of Radiation Protection. Former Police Surgeon and Medical Examiner, Stockholm Police Department. Former Chief Medical Officer, The Royal Guards, The Royal Horse Guards and the Royal Household Brigade, Royal Swedish Army Medical Corps. You can also reach me on: http://www.lifestylerescue.com/expert/health-fitness-advice/dr-claes-gustaf/128 . I have no restrictions on the number of questions there. I also answer questions about Oncology (General Cancer),
Education/Credentials Doctor of medicine, specialist in medical oncology & radiation therapy.