Two weeks ago, CT scan indicated my mom (mid-80's) has 5cm lesion on liver, w/ 60 lesions on lungs. Per her advanced directives, biopsies to confirm metastatic disease weren't done.To date she's had no pain, but last week, her abdomen was distended (she'd gained 11 lbs in a week) and experienced difficulty breathing. After a trip to the ER, she was transferred to a hospice facility. This week, she's had several episodes of projectile vomiting at mealtimes. Meds now have the vomiting under control.
Mom has mild dementia, my sister, who is her primary caretaker, has major cardiac issues & I live hundreds of miles away. I've tried to educate myself on what to expect as her disease progresses, but neither her internist nor the hospice docs will discuss a timeline. I understand that every patient is different, but having some idea of whether it's days, weeks or months until the end would be of tremendous help in determining whether we can manage her care at home or should consider a nursing home. Is it unreasonable to consider labs for liver function? Would they be helpful? Many thanks.
With lesions in the lung as well as the liver, the primary is likely to be the lung with secondaries liver (Liver secondaries to the lung are not as common). However since the liver lesion is single there are good chances that both the lung and the liver cancers are primaries, and could respond to oncological management (atleast the liver lesion). However since further testing has not been done to confirm the etiology, the management is likely to be symptomatic alone and neither can the lesions be staged nor a prognosis formed. Hence the prognosis becomes highly variable ranging from weeks to years. Still depending on the radiological features one can have a fair idea to the etiology and it may be a good idea to discuss the situation with her treating oncologist.
Hope this is helpful.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.