Patient Care

When the Diagnosis is Cancer

It is natural for anyone facing cancer to be concerned about what the future holds. Understanding the nature of cancer and what to expect can help patients and their loved ones plan treatment, anticipate lifestyle changes, and make financial decisions. Cancer patients frequently ask their doctor or search on their own for statistics to answer the question, “What is my prognosis?”

Prognosis is a prediction of the future course and outcome of a disease, and an indication of the likelihood of recovery from that disease. However, it is only a prediction. When doctors discuss a patient's prognosis, they are attempting to project what is likely to occur for that individual patient. A cancer patient's prognosis can be affected by many factors, particularly the type of cancer, the stage of the disease, and its grade (how closely the cancer resembles normal tissue and how fast the cancer is likely to grow and spread). Other factors that may also affect the prognosis include the patient's age, general health, and response to treatment. As these factors change over time, a patient's prognosis is also likely to change.

Sometimes people use statistics to try to figure out their chances of being cured. However, for individual patients and their families, statistics are seldom helpful because they reflect the experience of a large group of patients. Statistics cannot predict what will happen to a particular patient because no two patients are alike; treatment and responses vary greatly.

If people want prognostic information, they should talk with the doctor. The doctor who is most familiar with a person's situation is in the best position to help interpret statistics and discuss prognosis. But even the doctor may not be able to describe exactly what to expect.

Seeking information about prognosis and statistics can help some people reduce their fears. How much information to seek and how to deal with it are personal matters.

Deciding on Cancer Treatment

Treatment for cancer depends on the type of cancer; the size, location, and stage of the disease; the person's general health; and other factors. The doctor develops a treatment plan to fit each person's situation.

People with cancer are often treated by a team of specialists, which may include a surgeon, radiation oncologist, medical oncologist, and others. Most cancers are treated with surgery, radiation therapy, chemotherapy, hormone therapy, or biological therapy. The doctors may decide to use one treatment method or a combination of methods.

Clinical Trials offer important treatment options for many people with cancer. Research studies evaluate promising new therapies and answer scientific questions. The goal of such trials is to find treatments that are more effective in controlling cancer with fewer side effects.