Lung Cancer: After Surgery, Chemo and Radiation, the cancer spread to his healthy lung

CK is a 62-year-old male from Kuala Lumpur. He and his wife came to see us with copies of his medical reports neatly filed in a folder. This is a very pleasant couple who is now helpless and directionless. This is what happened.

1)  20 December 2015: Had food poisoning after taking expired red wine. 

2)  21 December 2015: Consulted a GP who discovered “cracking sound” in his left lung.

3) 22 December 2015: CT scan of chest showed a 3.2 x 5 cm mass in the left lung.

4)  2 January 2016: A CT-guided biopsy confirmed a bronchoalveolar adenocarcinoma.

CK was referred to a cardio-thoracic surgeon in a “heart hospital.”

5)  14 January 2016: PET scan confirmed carcinoma of the left lung with no associated locoregional or distant metastasis.

6)  23 January 2016: Admitted to the “heart hospital” for lower lobe lobectomy, i.e. surgery to remove a quarter of the lung.

The surgery was a “success” and histopathology report showed:

  1. a) Aortic wall adventitia was infiltrated by tumour.
  2. b) One pulmonary lymph node showed tumour metastasis.
  3. c) lower lobe of left lung — invasive adenocarcinoma with predominant bronchoalveolar and papillary pattern.

7)  February to June 2016: Underwent 4 cycles of chemotherapy and 20 sessions of radiotherapy.

Things seemed to be okay after all these treatments but CK had chest pains, coughs and fever. He was prescribed “strong” antibiotics.

8) 30 March 2017 — after slightly more than a year.

Follow up CT scan showed multiple nodules and patchy opacities in the upper and lower lobes of right lung.

Radiologist suggested: Differential diagnosis: lung metastases and pneumonia. Suggest close follow up CT lung after a course of antibiotics.

CK went back to his surgeon about this new development. The surgeon was pretty sure that the spots were not cancer related.

9)  1 June 2016:  CT scan of chest. The radiologists wrote the following:

CT on 23 March and 30 March 2017 were reviewed. The current CT is about 2-3 months after  the previous CTs. The current CT showed the following:

  1. a) The ground glass opacities in the right upper and lower lobes of the lung appears more dense and larger.
  2. b) Newer small nodular lesions are seen in the right upper and lower lobes.

Based on the above observations, the radiologist was of the opinion that this new development was a metastasis or recurrence. However, ground glass opacities may  be due to drug induced lung changes and infection.

The changes in the left upper lobe (note: left lower lobe was removed) are suggestive of non-neoplastic process and fibrosis. If DXT (radiotherapy) was given, these could be due to that treatment.

10) 18 September 2017: Went back to the same GP again (as in 2). “Cracking sound” at the lower part of my good lung.

Cancer marker in December 2016 was 16. In July 2017,it was 173.

CK and his wife decided not to go back to his doctors again. Because it will just be repeating the same procedures all over again — another biopsy and more chemo.

Total cost of treatment = RM130,000 of personal savings.

Comments 

I had my first lesson about lung cancer some 22 years ago. The second patient of CA Care is VJ. He had lung cancer and had one side of his lung removed and underwent treatments at the “cancer hospital.” I was at the hospital and saw him suffer and eventually died.. Surgery did not cure lung cancer. Treatments received in the cancer hospital also did not cure lung cancer.

My second lesson about lung cancer came a few years later when the mother of my student underwent radiotherapy for her lung cancer. Yes, I encouraged her to go for the treatment. After completion of her treatment she died. Lesson number two, radiation does not cure lung cancer. To understand why, just go to the market and buy a piece of lung. Bring home and place the lung over fire and see what happen! The lung hardened — and is this not why the patient cannot breath?

Over the years, I have seen this story being repeated over and over again. In the case of CK, it is another one of those cases I have come across over the years.

Can herbs cure CK’s cancer? No. Can we help him? May be. CK’s problem recurred less than 2 years after treatment. After spending RM 130,000 he got nothing out of it.

Perhaps some people would want  to tell you that if you don’t go for treatment, you would die sooner. Nope — I don’t believe so. Over the years, I have patients who led a much better life if they do nothing.

Perhaps you may want to read some of the articles I have written earlier:

  1. He Died Of Lung Cancer — Treated by the Best Oncologist in One of the Best Hospitals in the World

2. Medically Given Up Lung Cancer: She died after 5 years on CA Care Therapy

3. Lung Cancer: Six to 12 Months to Live. Must do chemo, that’s the only way. With herbs still alive after 2 years!

4. Lung Cancer: Given Honest Answers Patient May Run Away from Chemotherapy

5. Two Billion Rupiah, Chemo And Surgery Failed. Oncologist said, “More chemo, you just have to trust me!”

6. Lung Cancer: Chemo Experiments That Failed and Failed

7. Lung Cancer Success Stories

My advice to CK.

Don’t give up hope yet. We shall do our best. If you can sleep, can eat, can move around and have you no pain, don’t ask for more. To that CK and his wife totally agreed. In fact that was what they hope for when they came to seek our help … “to have quality life.”

 

 

 

May God bless you.

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