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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

 
   

You are here:  Experts > Health/Fitness > Medical Specialists > Oncology (General Cancer) > Stage IV Lung Cancer with Mets to Liver

Oncology (General Cancer) - Stage IV Lung Cancer with Mets to Liver


Expert: Claes-Gustaf Nordquist, M.D. - 6/11/2009

Question
A family member has Stage IV Lung Cancer, which is present on both lungs and has metastasized to lymph notes, adrenal glands, bones, skull, spine, ovaries, and liver.  After the first round of chemo - about 7 weeks - new lymph node mets are present, and the mets in the liver have doubled in size, and there is one new met in the liver.  At the initial diagnosis before chemo, etc., the oncologist originally said we had about a year, but we weren't able to ask if this new information changes the prognosis at all?  Does the doubling in size of the mets in the liver inform overall prognosis?  Is there an average prognosis for this kind of situation?  Most statistics seem to be older - 2005, 2006.  Any sense you might be able to give us of where we're at would be very helpful - thank you.

Answer
Yes that may be the unfortunate conclusion of this. It seems that the present chemotherapy is not working very well - at least so far. However it may be possible to get better results with another chemotherapy scheme, but that has to be discussed with the drs. that are involved here. Unfortunately the prognosis of a stage 4 (IV) lung cancer remains very bad.


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