Survival depends on many factors. No one can tell you exactly how long you will live. Below are general statistics based on large groups of people. Remember, they can’t tell you what will happen in your individual case. Your doctor can give you more information about your own outlook (prognosis). You can also talk about this with the Cancer Research UK nurses on freephone 0808 800 4040, from 9am to 5pm, Monday to Friday. No UK-wide statistics are available for different stages of lung cancer or individual treatments. These figures are for survival by stage in England for people diagnosed between 2013 and 2017. More than 55 out of 100 people (more than 55%) will survive their cancer for 5 years or more after diagnosis. Around 35 out of 100 people (around 35%) will survive their cancer for 5 years or more after diagnosis. Almost 15 out of 100 people (almost 15%) will survive their cancer for 5 years or more after diagnosis. Almost 5 out of 100 people (almost 5%) will survive their cancer for 5 years or more after they are diagnosed. Cancer survival by stage at diagnosis for England, 2019 These figures are for people diagnosed in England between 2013 and 2017. These statistics are for net survival. Net survival estimates the number of people who survive their cancer rather than calculating the number of people diagnosed with cancer who are still alive. In other words, it is the survival of cancer patients after taking into account that some people would have died from other causes if they had not had cancer. Survival for all stages of lung cancerGenerally for people with lung cancer in England:
Cancer survival by stage at diagnosis for England, 2019 These statistics are for net survival. Net survival estimates the number of people who survive their cancer rather than calculating the number of people diagnosed with cancer who are still alive. In other words, it is the survival of cancer patients after taking into account that some people would have died from other causes if they had not had cancer. What affects survivalYour outcome depends on the type of lung cancer that you have and also the stage of the cancer when it was diagnosed. This means how big it is and whether it has spread. Your general health and fitness might also affect survival. Doctors call this your performance status. A score of 0 means you are completely able to look after yourself. A score of 1 means you can do most things for yourself but need some help. The scores continue to go up, depending on how much help you need. People with a higher score may have a poorer outlook. About these statisticsThe terms 1 year survival and 5 year survival don't mean that you will only live for 1 or 5 years. The Office for National Statistics (ONS) and researchers collect information. They watch what happens to people with cancer in the years after their diagnosis. 5 years is a common time point to measure survival. But some people live much longer than this. 5 year survival is the number of people who have not died from their cancer within 5 years after diagnosis. For more in-depth information about survival and lung cancerWhen a cancer spreads to the bones, it’s called bone metastasis. It’s also called metastatic bone disease or secondary bone cancer, because the cancer didn’t start in the bones. Bone metastasis usually occurs in people who have been previously diagnosed with cancer or who have advanced cancer. But sometimes the pain of bone metastasis may be the first sign of cancer. Bone metastasis often means cancer has progressed to an advanced stage that isn’t curable. But not all bone metastasis progresses rapidly. In some cases, it progresses more slowly and can be treated as a chronic condition that needs careful management. Bone metastasis may not be curable, but treatment may help people live longer and feel better. The exact mechanism of how cancer cells metastasize to the bones isn’t fully known. It’s a very active area of scientific research. New understanding of how metastasis works is continuing to lead to new methods of treatment. The most common cancers that spread to bone are breast, prostate, and lung. But many other cancers can metastasize to bone, including:
Bone is the third most common place for cancer to spread. The lungs and liver are the first two. Cancer cells may metastasize to only one of your bones or to many at the same time. The most usual sites for bone metastases are your:
Types of bone metastasesNormally your bones are constantly changing. New bone tissue is being formed and old bone tissue is breaking down into minerals that circulate in your blood. This process is called remodeling. Cancer cells upset the normal process of bone remodeling, causing bones to become weak or too dense, depending on the type of bone cells affected. Your bone metastases may be:
In some cases, your bones may have both types of metastases. The research on cancer metastasis is rapidly growing. As researchers better understand the mechanisms of bone metastasis, new drugs and other treatments are being developed. These target particular processes in cells involved in how the cancer cells invade and grow in bones. The use of nanoparticles (billionths of a meter in size) to deliver drugs is very encouraging. These tiny particles are able to deliver drugs to the bone with minimal toxicity to the person with cancer. Rapidly treating bone metastasis can lead to a better outcome, by reducing pain and bone fractures. This improves quality of life of the person with bone metastasis. Survival rates for people with bone metastases vary greatly by cancer type and stage. Your general health condition and the type of treatment you received for the primary cancer are additional factors. Discuss your particular situation with your doctor. Remember that survival rates are averages gathered from large numbers of people. Also, survival data may reflect statistics from a period before the most recent treatment advances. A large-scale 2017 study of the 10 most common cancers with bone metastasis found:
Here are some typical figures from a 2018 study of common cancers and bone metastasis: Each person’s treatment for bone metastases is individualized and requires a multidisciplinary approach. Your treatment plan will depend on:
You’re likely to have a combination of therapies that may include:
Bone-targeting treatmentSpecific drugs that target bones are an important part of therapy and a developing research area. It’s important to begin bone-targeting treatment as soon as possible, and not wait until you have a fracture or other bone injury. A breast cancer study reported a lower risk of bone complications for people who started treatment within 6 months of a bone metastasis diagnosis. Bone-targeting drugs currently used include:
As we learn more about the mechanisms of how cancer cells invade and disrupt bones, scientists develop new ways of targeting and slowing these cancer cells. Note that most cancer treatments have side effects. Discuss these with your doctors and evaluate the benefits versus risks for your treatment. New developmentsAsk your doctors about new developments in the field that may help you. Drug development for cancer is a fast-moving research area. The medical literature has articles on new possibilities under development and testing. For example, the use of nanoparticles has the promise of enhancing both current drugs and new drugs under development. Nanoparticles can be used to deliver drugs to the metastasis site with fewer side effects. Clinical trialsYou may be eligible for a clinical trial. Clinical trials test out new drugs, experiment with new treatments, and compare the outcome of existing treatment combinations. There’s no guarantee that a new treatment will help you. But participation in trials helps compile a knowledge-base for future treatments. The National Cancer Institute has a site where you and your doctor can search for clinical trials. You can also check on bone metastases clinical trials at CenterWatch, a free listing service. You can sign up to be notified when a clinical trial matches what you’re looking for. Support groupsAn estimated 330,000 people are living with bone metastases in the United States. The American Cancer Society (ACS) can help you connect with others in your area who have bone metastases or with caregivers of people with metastases. You can also connect up with a support group online. The ACS also offers help in finding services you may need. Talking with other people who are going through the same treatment (or pain) that you are can help. You may learn new ideas for coping, and you may be able to help others. Caretakers of people with bone metastases may also benefit from a support group. How long can you live with Stage 4 lung and bone cancer?Stage 4 lung cancer is the most advanced stage of lung cancer. In stage 4, the cancer has spread, or metastasized, to both lungs, the area around the lungs, or distant organs.
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What are the survival rates for stage 4 lung cancer?. What is the prognosis for stage 4 metastatic lung cancer?Patients with metastatic (stage 4) non-small cell lung cancer that's spread to distant organs or regions of the body have a five-year relative survival rate of 8 percent, according to ACS. Stage 4 non-small cell lung cancer that has spread regionally has a five-year relative survival rate of 37 percent.
What happens when lung cancer spreads to the bones?Among all lung cancer patients with bone metastasis, most of them are osteolytic metastasis. Some serious clinical consequences like bone pain, pathological fractures, spinal instability, spinal cord compression and hypercalcemia occur as well.
How long can you live with bone metastases?Most patients with metastatic bone disease survive for 6-48 months. In general, patients with breast and prostate carcinoma live longer than those with lung carcinoma. Patients with renal cell or thyroid carcinoma have a variable life expectancy.
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