This is a male patient having Ca lung with multiple metastasis in brain. I told his relalatives that there is no point in doing any surgery with these multiple metastasis and it is better to take him home and just give pain killers and some other symptomatic treatment. Would you like to do something like aspiration of fluid from cystic lesions , X-knifeor cyberknife tretment to this patient?

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Comment by Professor Jafri Malin Abdullah on June 26, 2010 at 7:35am
latest studies and our experience no matter waht we do life cannot be extended more than six months even with the best genetic good markers.
Comment by Karam Chand Sharma on June 21, 2010 at 8:12am
I think disease is too advanced and all the pros and cons were explained to relatives of patient. Basically he came to see me and opine whether lesions could be excised. He is seeing an oncologist and I do not know whether he was offered chemotherpy or not, since he never came back to see me.
Comment by Kuok Cheong U on June 21, 2010 at 7:06am
Dear Karam,
Would it be small cell carioma? If it is, may be chemotheray may helps.

best regards
Kuok

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