Actos Cancer Data
Actos Cancer: This shift in treatment direction is a very important point and it can be confusing. On the one hand, your medical team is still trying very actively to cure the cancer, if possible, and to prolong your life and improve its quality to the maximum extent. However, because the chance of cure is somewhat smaller, you and your medical team must also give thought to the benefits and drawbacks of treatment, to quality-of-life issues, and to making the decisions that make the most sense. You and your doctors will want to weigh the chance that treatment might be successful against the possible side effects, the time spent in treatment, and the possible limitations on your quality of life.
Your doctor may discover the metastasis during a routine checkup, although sometimes a patient will experience symptoms. It might be bone pain, abdominal discomfort, severe headache, or tingling in the legs. (The latter may occur if a metastasis is pressing on nerves in the spine.) Perhaps you have lost weight without changing exercise or diet habits. A patient might develop a cough or abdominal pain, or experience hematuria (blood in the urine) or other symptoms of bladder irritation.
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Any of these symptoms should send you to the phone to make an appointment with your doctors. They, in turn, will try to figure out if something sinister is beginning to occur. As you read this you might be thinking that if the cancer is so advanced-—-if it has spread to the lungs or bones—what’s the point of treating symptoms such as tingling in your legs or vague abdominal pain? Doctors take these symptoms seriously because even though the cancer has advanced and metastasized, you are likely to live for an extensive period of time—months or years-—-and it makes good sense to make sure that you are able to live that time as comfortably and as fully as possible. If symptoms go untreated, your ability to participate in everyday life with your family and friends may be greatly diminished, and the time you have left with them may be cut short.
On the other hand, occasionally a specialist may decide to watch and wait. A doctor might make this choice, for example, when a change is seen on an X-ray but the patient is not experiencing any other symptoms. Or when a patient is unwell from other medical problems or is just keen to avoid treatment at that time. In such situations, sometimes the decision will be made to observe closely and start treatment when symptoms occur.
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What kind of treatment can a patient expect if the cancer metastasizes? Surgery to remove the bladder is occasionally a possibility if the only site of recurrence is the bladder and surrounding tissues. It usually doesn’t make sense to operate if the cancer has spread to distant sites. Sometimes radiotherapy will be used to reduce the symptoms of recurrence in the bladder if the recurrence is too extensive to permit surgery or if distant metastases have also occurred. Chemotherapy is usually used if the cancer has spread widely or to distant sites, and radiotherapy is sometimes used for an isolated metastasis (for example, to the brain or to a bone). A palliative care specialist may be brought in for consultation on how to reduce your pain or make you more comfortable as your disease progresses. And your doctors may talk with you about participating in a clinical trial.
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Actos Cancer