Stage IV Astrocytoma: Survival Rates and Post-Surgery Care - Oncology

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A family member has been diagnosed with stage IV astrocytoma, and the doctor has given a prognosis of only 1.5 years left?


Hello Dr.
Lai, my family member has been diagnosed with a brain tumor (Grade IV astrocytoma), and the doctor has informed us that there is only about a year and a half left.
The surgery has already been completed, and aside from some decreased sensitivity on the left side, they can stand and walk with support.
I would like to ask, based on your experience with many cases, is there a possibility that this type of tumor may not recur? Additionally, I would like to inquire about dietary restrictions after brain surgery and during radiation therapy—what can be eaten?

Mr. Wu, 30~39 year old female. Ask Date: 2018/01/03

Dr. Lai Yicheng reply Oncology


The first question is unclear, and I cannot provide advice based on it.
For the second question, please avoid consuming irritating foods such as spicy, greasy, fried foods, and stewed dishes with old ginger and Chinese cabbage.
For more detailed information, you may consult a nutritionist at your hospital.
Dr.
Lai Yi-Cheng, Department of Radiation Oncology, Changhua Hospital.

Reply Date: 2018/01/03

More Info


Stage IV astrocytoma, also known as glioblastoma multiforme, is one of the most aggressive forms of brain cancer. The prognosis for patients diagnosed with this condition is generally poor, with survival rates significantly lower than for many other types of cancer. According to various studies, the median survival time for patients with glioblastoma is approximately 15 months, with only about 5% of patients surviving beyond five years. However, these statistics can vary widely based on several factors, including the patient's age, overall health, the extent of tumor resection, and the effectiveness of subsequent treatments such as radiation and chemotherapy.

In your case, it is encouraging to hear that your family member is able to stand and walk with assistance after surgery. This indicates a degree of functional recovery, which can be a positive sign in the context of brain surgery. However, it is essential to understand that astrocytomas, particularly at Stage IV, have a high likelihood of recurrence. While there are rare cases where patients do not experience recurrence after surgery, these instances are not the norm. The aggressive nature of glioblastoma means that even after successful surgical intervention, there is a significant risk of tumor regrowth, often within months.

Post-surgery care is crucial for managing symptoms and improving quality of life. After surgery, patients typically undergo radiation therapy and may also receive chemotherapy, often with a drug called temozolomide. These treatments aim to eliminate any remaining cancer cells and reduce the risk of recurrence. It's important to maintain regular follow-up appointments with the healthcare team to monitor for any signs of recurrence and manage any side effects from treatment.

Regarding dietary considerations after brain surgery and during radiation therapy, there are generally no strict restrictions on what can be eaten. However, it is advisable to focus on a balanced diet rich in fruits, vegetables, whole grains, and lean proteins to support overall health and recovery. Some patients may experience changes in taste or appetite due to treatment, so it may be helpful to experiment with different foods to find what is most palatable. Staying hydrated is also essential, especially if the patient is experiencing nausea or other gastrointestinal side effects.

It is crucial to discuss any specific dietary concerns with the healthcare team, as they can provide tailored advice based on the patient's condition and treatment plan. Additionally, some patients may benefit from consulting with a nutritionist who specializes in oncology to ensure they are meeting their nutritional needs during this challenging time.

In conclusion, while the prognosis for Stage IV astrocytoma is generally poor, individual outcomes can vary significantly. Continuous monitoring and supportive care are vital components of managing this condition. Engaging with the healthcare team for personalized advice on treatment options, dietary considerations, and symptom management will be essential in navigating this journey. Remember, every patient's experience is unique, and maintaining open communication with the medical team can provide the best possible support for your family member.

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