Medica Hospitalia
Vol. 10 No. 2 (2023): Med Hosp

Palliative Care Case Report: A Man with End Stage Lung Cancer with Brain Metastases

Yanuar Ardani (Psychosomatic and Palliative Division, Department of Internal Medicine Faculty of Medicine, University of Indonesia/Cipto Mangunkusumo National General Hospital Jakarta, Indonesia)
Hamzah Shatri (Psychosomatic and Palliative Division, Department of Internal Medicine Faculty of Medicine, University of Indonesia/Cipto Mangunkusumo National General Hospital Jakarta, Indonesia)
Rudi Putranto (Psychosomatic and Palliative Division, Department of Internal Medicine Faculty of Medicine, University of Indonesia/Cipto Mangunkusumo National General Hospital Jakarta, Indonesia)
Rendi Faris Anggono (Department of Internal Medicine Faculty of Medicine, University of Diponegoro/ Doctor Kariadi General Hospital Semarang, Indonesia)



Article Info

Publish Date
31 Jul 2023

Abstract

INTRODUCTION : Lung cancer accounts for 13% of malignancies in the world and the most common type of cancer suffered by men in Indonesia. The 5-year survival rate for patients with lung cancer is only 18.1%. About 25-30% will develop brain metastases. Overall palliative care is needed including biologically targeted therapy, chemotherapy, stereotactic radiosurgery (SRS), surgery in selected cases, and whole brain radiotherapy treatment (WBRT). Rare studies that take into account surgical palliation in advanced NSCLC. It has been demonstrated that metastaticectomy generally improves survival and, in some patients, even long-term survival. CASE REPORT : A 65-year-old male patient with Non-Small Cell Carcinoma favor Lung Adenocarcinoma and cerebellum metastases. The patient underwent surgery to remove a brain tumor. The patient received 8 radiotherapies and Erlotinib chemotherapy for 4 cycles for 6 months. The dose of Erlotinib 150g/24 hours was used in the first month. The dose was reduced in the 2nd to 6th month to 100g/24 hours. Assessment of palliative care was carried out using the Karnopsky Questionnaire, Fatigue Severity Scale (FSS), and Palliative Performance Scale (PPS). CONCLUSION : . Despite major improvements in the way lung cancer patients are treated in recent years, morbidity and death rates are still high. Palliative care (PC) is an approach to treating patients with life-threatening diseases, one of which is lung cancer

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Journal Info

Abbrev

mh

Publisher

Subject

Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

Description

Medica Hospitalia: Journal of Clinical Medicine adalah jurnal ilmiah yang diterbitkan RSUP Dr. Kariadi dan menerima artikel ilmiah dalam bahasa Indonesia dan bahasa Inggris yang diharapkan dapat menjadi media untuk menyampaikan temuan dan inovasi ilmiah dibidang kedokteran atau kesehatan kepada para ...