Lung cancer 8 months ago to re-occur as both lung and frontal lobe and same lung cancer - what should be expect?

	Asked by Unregistered on Tue 08, Apr 2008 06:30pm for $4.00:
	30 female small cancer found in lung 8 months ago = partial removal. No explainable reason for the lung cancer but now a new spot on same lung 2cm - and a spot on frontal lobe found. Brain spot removed today - ratiation for this and chemo expected for the lung -- victim in her early 30's with no reason for attack. What should we expect from Frontal Lobe Surgery and how do we combat invasion?
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	Answer by Dr Dennis S, MD (doctor) on Sat 12, Apr 2008 11:10am: Hi. Just have some points to clarify. What was the initial stage of the lung cancer? What is the histologic type of lung cancer (non-small cell lung cancer versus small cell lung cancer)? After partial removal of the lung cancer diagnosed 8 months ago, did she undergo further treatment? At present, she has stage 4 lung cancer with metastasis to the brain. The goal of treatment in any stage 4 cancer is palliation, with symptom relief and improvement in the quality of life. Since she also has a recurrence in the lung (after partial removal 8 months ago), chemotherapy is given to control the disease. Radiotherapy to the lung can also be given concurrently with chemotherapy or sequentially after chemotherapy. After removal of the frontal lobe metastasis, radiotherapy is instituted to decrease the risk of recurrence in the nearby areas or other areas of the brain, and thus “combat invasion”. The frontal lobe is the area of the brain that coordinates human cognition and comportment. After frontal lobe surgery, there may be changes in the patient’s behavior, emotion, and motivation. However, there are times when even with large frontal lobe lesion, basic cognitive functions remain intact. Regards
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