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Brain Tumors/Seconday brain tumors

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QUESTION: My husband was just dianosed with a brain tumor, they don't believe it is primary, but are unable to find a primary cancer. they believe this cancer to be aggressive, and fast growing.  He has had, chest, neck, abd. & pelvic CT'c wich have been negative.  What is the wisdom of doing a PET scan at this point?  There are 3 lesion in his brain & they are unable to bx. 2 of them.  How would you proceed?

ANSWER: I am sorry to read of his and your problems! You mention that it is impossible to get a biopsy from 2 of his 3 lesions. Is it possible from the 3rd? If so I would suggest such a biopsy in order to get more and better information with regards to the problem we are facing. Yes a PET scan may give us information of where his primary tumor is but it is not certain. But there is not really any other way. At the same time however I must, since you ask me what to do, inform you that regardless of where his primary may be his situation is very bad with a very bad prognosis. Since he has 3 lesions it is probable that he has a cancer somewhere else that has spread to his brain. That fact makes such a cancer a stage 4 cancer - the worst - and tells us that his prognosis is bad. Furthermore, if it has spread to the brain it probably also has spread elsewhere as well though not detected yet - maybe not even detectable yet. The only treatment I can suggest in this situation is a combination of radiation therapy to his brain and chemotherapy. I must tell,you however that such a treatment does not offer a cure only a postponement and prolongation of the process. That is unfortunately all I can offer you. I am sorry I have nothing better to tell you!








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---------- FOLLOW-UP ----------

QUESTION: In your honest opinion, would you weigh quality of life over quanity with such a hopeless dx.?  My concern is taking the good days we have left and making them miserable with (esp.) chemo & radiation.  We live in a rural community where radiation daily is a 3 hour trip minimally.
Just seeking honesty, as if this were your family member.

Answer
I will answer this way. If this happened to me I would not bother with any treatment at all and use whatever time I had remaining to do things I just wanted to do! When my situation became too miserable I would probably use my revolver and shoot myself. But this is my probable choice. Everyone must make his or her own choice.








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Brain Tumors

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Claes-Gustaf Nordquist, M.D.

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I`m a doctor of medicine and specialist in radiation therapy and medical oncology. I have a long time experience of these tumours.

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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), General History, Military History, Breast Cancer, Colon Cancer.

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Doctor of medicine, specialist in medical oncology & radiation therapy.

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