Talk to Cancer Specialist / Oncologist on Lungs Cancer , Age 70Male , Recently Diagnosed, What To Do??

Asst. Prof. Dr. Syed Ahmad Raza - Cancer Specialist / Oncologist

MBBS, FCPS(Medicine),MRCP(Medicine) | Lahore

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I’m sorry to hear about your father’s diagnosis. I understand how worrying and confusing this situation can be for your family. Based on the CT scan findings, the large mass in the right upper lobe of the lung is highly suspicious for lung cancer. However, a tissue biopsy is generally needed to confirm the diagnosis and determine the exact type of cancer, which is essential for selecting the appropriate treatment. I would recommend the following steps: 1. Stabilise his blood pressure first: Since his BP was unstable, he should be assessed and stabilised by his treating medical team before undergoing bronchoscopy or biopsy. The urgency and safest procedure will depend on his current condition. 2. Consult a pulmonologist and medical oncologist promptly: The pulmonologist can determine the safest way to obtain a tissue sample. Depending on the location of the mass and enlarged mediastinal lymph nodes, bronchoscopy with biopsy, EBUS-guided lymph node sampling, or another image-guided biopsy may be appropriate. 3. Complete staging investigations: Once he is stable, his doctors may recommend PET-CT and brain imaging, depending on the clinical findings and confirmed diagnosis, to determine the extent of the disease. 4. Do not assume that the cancer is incurable: The enlarged mediastinal lymph nodes and mild pleural effusion need further assessment. These findings alone do not establish the final stage. Treatment options depend on the biopsy results, staging, his overall fitness and other medical conditions. Treatment may include surgery, radiotherapy, chemotherapy, targeted therapy or immunotherapy, depending on the circumstances. My advice: Please arrange an urgent hospital-based assessment, particularly if his blood pressure remains unstable. If he develops severe breathlessness, chest pain, confusion, fainting or significant coughing of blood, seek emergency care immediately. If you can share his current BP, oxygen saturation, symptoms, smoking history, other medical conditions and the complete CT report, I can help you understand the likely next steps. Please do not delay medical assessment while waiting for an online response.