Hello doctor, Is there any treatment plan for stage 4 endometrium cancer with lung metastasis. The uterus is removed but it recured in the lungs (but no recurence at the surgical site). Please suggest.
Hello. As per the information provided it seems stage 4b of endometrial cancer. Which is clinically the last stage. In allopathy, treatment choices depend on many factors including age, associated medical conditions, the general condition of the patient and other diseases patient may be suffering from. One thing is common that surgery is not an option. The available option is chemotherapy. Many drugs are recommended for this stage including Cisplastin, Paclitaxel. Multiple drugs can be combined. Since uterus has been removed already so hormonal therapy will not help. But whether chemotherapy should be given or not, if yes then which drug to use, depending on the other factors mentioned above. If the patient's general condition is good and age is less and there are no other associated and co-existing diseases then we should consider chemotherapy. But if the age is above 60 and/or there are other co-existing diseases like diabetes or renal diseases then we should not consider chemotherapy. In Ayurveda, there are some medicines but they are not clinically proven. But in such patients basic treatment as per Doshas (Vata, Pitta, and kapha) help is giving relief and can help in decreasing clinical symptoms. Technically, I will need many details regarding his body composition and clinical symptoms before I can advise any treatment plan. Grossly, Since it is a disease originated from Vata sthana and spreaded to Kapha sthana and due to time effect usually all three doshas are disturbed. Sadabahar has been used in such cases with considerable success. Guduchi is also used. Cow urine has been proved to help in such cases. Final treatment depends on a detailed assessment of the body composition and doshas.