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This question was answered on Sat 01, Mar 2008 09:32am by Dr Bobby V, MD

stages of cancer - Stage IV cancer in the adrenal gland near top of kidney


    
Asked by terry (Male ) on Sat 01, Mar 2008 08:03am

my father-in-law has stage 4 cancer in the adrenal gland near top of kidney due to cancer from his lung. how many stages of cancer are there?

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Answer by Dr Bobby V, MD  on Sat 01, Mar 2008 09:32am:

Hi, Your father-in-law has cancer of the lung (Stage 4), which has spread to the adrenal gland. Lung cancer has 4 stages, with Stage 1 being the earliest disease, and Stage 4 being the most advanced. To answer your question "How many stages of cancer are there", that depends on which specific cancer we are talking about and which staging system we use. For example, some cancers (like acute leukemias) are not usually assigned stages, and some specific staging systems may assign 3 stages (like Salmon-Durie staging for multiple myeloma), or 5 stages (like the National Wilms Tumor Study Group Staging System for Wilms Tumor). But generally speaking, most cancers are staged according to the TNM system, which assigns 4 stages, with Stage 4 representing advanced disease with spread of the primary cancer to distant organs.

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Follow up:

Clarification by terry on Sat 01, Mar 2008 03:08pm:
as far as we were told by the in-laws the cancer is inoperable so does that mean it's only time for my
father-in-law ?
Does this man it can travel to another organ?

Comments:

Comment by Dr Bobby V, MD on Sun 02, Mar 2008 05:54am: Hi, Surgery is the main mode of therapy for lung cancer. Radiotherapy and chemotherapy play adjunctive roles. Your father-in-law's cancer is now inoperable as it has already spread to the adrenal gland, making it Stage 4 metastatic disease. The aim of therapy is now "palliation", ie to reduce his symptoms and improve his quality of life. Some chemotherapy regimens also result in a modest increase in survival. There are two broad types of lung cancer - Small Cell Lung Cancer (SCLC) and Non-Small Cell Lung Cancer (NSCLC). What is the subtype of cancer that your father-in-law has? Treatment and chemotherapy planning would vary depending on this.

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