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About Claes-Gustaf Nordquist, M.D.
Expertise
Questions concerning Cancer, Oncology, radiation Therapy, Tumours, Chemotherapy, Cytotoxic Drugs, Hormonal Therapy, Radiation Protection.

Experience
I'm a Doctor of Medicine. Licensed/certified physician and surgeon and specialist in Medical Oncology and Radiation therapy in Sweden, Denmark, Finland, Iceland, Norway and the European Union. 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. Now in private practice in Stockholm, Sweden. I also answer questions in these other categories: General History, Military History, Brain Tumors, Breast Cancer, Colon Cancer

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Oncology (General Cancer) - Non small cell lung cancer in non smoking female

Expert: Claes-Gustaf Nordquist, M.D. - 11/9/2009

Question
Greetings.....we have a niece in Alvesta Sweden !
A dear friend was diagnosed 8 months ago with non small cell lung cancer that had metastacized to her adrenal glands, her liver and her lymph nodes in the pelvic region and now her brain. She had chemo treatments all summer long with three different drugs. Last month a painful seizure caused her shoulder to go out of its socket. The tests determined the seizure was caused by tumors now in the brain for which she just finished 11 radiation treatments. She DOES NOT want to know her own prognosis. She begins chemo again this week. Is it possible to survive another 8 months to a year with the above metasteces? They never could find the primary tumor. The oncologist said it was not the lung. She is a non smoker. However, the lung cancer was found when she got pnuemonia last April.....it showed up as a white mass on one lung and nodules on the other lung. Thank you for any input. If time is short, we'd like to talk to her about hospice. Many thanks.

Answer
I see, is she Swedish or American? Am I to understand that her cancer in her brain is different from that in her lungs, adrenal gland, liver etc. or is it the same cancer though probably not starting in her lungs but elsewhere but yet not determined? Please clarify. In both situations her prognosis is VERY bad and all what her treatment can do is just to postpone the final outcome unfortunately. This is in any case a stage 4 cancer situation so at present not curable and with a high degree of certainty eventually fatal. It is possible but far from certain that she may survive around 8 to 12 months more. But it is probable that the process will be faster. Exactly how fast no one can say at present. I'm sorry I have nothing better to tell you!

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