Hello doctror, My aunt is suffering from renal carcinoma and one of her kidney has been removed 4 years back. Before 8 months, again another attack has been detected in the sternum and ribs. We consulted a doctor and he adviced for chemo treatment for 1 month in alternate days. After he told for paliative care and prescribe a tablet called evertor in daily basis. Sir I want to know whether she will come back to her normal life? What is your opinion about this case?
Hi Neethugopinath, Your aunt has already undergone neurectomy and has metastasis to sternum and ribs. It is not possible to have routine life as a normal person will have. Again it needs other parameters to predict prognosis of patient with metastatic renal carcinoma like LDH enzyme levels, He levels, Ca levels. SO I will elaborate few criteria which will help to get clear picture regarding your aunty. Patients in the favorable-risk group (zero risk factors) had a median survival of 20 months. Patients with intermediate risk (1 or 2 risk factors) had a median survival of 10 months. Patients in the poor-risk group (3 or more risk factors) had a median survival of only 4 months. The prognostic factors are as follows