• PCI scares me, tho I am more scared of not getting it. Moral support? Also, husband's prostate cancer (stage 4) not responding as hoped.

    Asked by Marmalady on Thursday, August 2, 2012

    PCI scares me, tho I am more scared of not getting it. Moral support? Also, husband's prostate cancer (stage 4) not responding as hoped.

    Looking into PCI made me do more research on overall survival rates for limited stage SCLC--& I'm having nightmares about having to tell my loved ones I have no time left. Still coping w/side effects of previous rad/chemo. Worried about my husband, as well. Help?

    4 Answers from the Community

    4 answers
    • Carol-Charlie's Avatar

      I'm probably the only person here not knowing what PCI is. Can you clairify??? The being terrified, I have a total cure. I have a strong faith in God. I hope you do, as I found that all I had to do was tell Him how very scared I was and ask him to take my hand and lead me to where He wanted me to be. He did and immediately my fear was gone. I delt with telling my children (difficult but doable) Why tell them you have no time left? Only God knows the days of our lives, simply tell then you've been diagnosed. I did this. PLUS, believe this or not... The surgeon oncologist had awakened me to tell me that it had been Stage IV cancer, but that after he removed all he could he'd upgraded me to Stage IIIC. I was very groggy and remember saying "okday".... Then as he was leaving the room I asked him how much time I had. My eyes were foggy and I saw him turn around, and as he punched the door he said "Six Months".... I went back to sleep, thinking that at least my family wouldn't have to freeze in the winter (we live in Minnesota) and it was Feb 2006. Now look at the date and know that I have lived 6 and half years... cancer free. He got all the cancer with his surgery and combined with almost two years to really smash any left over cells... May I suggest place all your fear in God's hands, do what the doctors tell you. don't let fear get in your way and start to totally believe that you will survive. My oncologist said my attitude was 90% of doing this well. Oh.... I had Ovarian Cancer. God bless you!

      about 4 years ago
    • Blue's Avatar

      What is PCI?

      about 4 years ago
    • Marmalady's Avatar

      PCI means prophylactic cranial irradiation, radiation to the brain after the small cell lung cancer is in remission. It is done to prevent a brain tumor--bc small cell LC loves to go to the brain. Already had chest radiation for tumors there and 4 rounds of chemo. I am in remission, but radiation was to chest & chemo doesn't cross blood/brain barrier. So, this is strictly a preventative measure, and it can have nasty side effects. However, w/o it my chances are much higher for a brain tumor.
      My faith has sustained me--but research on my cancer, and my husband's cancer--has temporarily thrown me for a loop.

      about 4 years ago
    • CherylS@StF's Avatar

      PCI - Prophylactic Cranial Irradiation involves doing radiation to the brain to the brain as a preventative measure. Lung cancer especially Small Cell Lung Cancer often travels to the brain. After your chemo/radiation treatments have stopped the next step if a persons BR MRI is negative is to do PCI. Any standard treatment offered is the result of clinical trials being performed to see if the patients are better off with or without the treatment. " Prophylactic cranial irradiation after chemotherapy significantly reduces the risk of brain metastasis and doubles one-year survival in small-cell lung cancer (SCLC), according to the results of the multicenter phase III randomized EORTC trial[phone number redacted]3, published in the New England Journal of Medicine August 16, 2007." Once a trial has been proven to be of a benefit to the patient it becomes the standard of care. Most patient tolerate the treatment very well and the treatment does not generally affect the patients quality of life. I have had several patients do PCI with great results. I am not familiar with prostate cancer and am unable to address that part of the question.

      about 4 years ago

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