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Showing posts with label immunology. Show all posts
Showing posts with label immunology. Show all posts

Wednesday, December 4, 2013

Living in the Land of Cancer Statistics

When you are diagnosed with cancer, you become aware of statistics – painfully. People, even doctors assure you that statistics are just that – statistics, and that they don’t speak to the “individual experience.” Nonetheless, there is still a very explicit desire among those who have cancer to “beat the odds.”

After a recent brain scan, it was suspected that I had Leptomeningeal Carcinamatosis, which is cancer of the covering of the brain and spinal cord. The survival statistics for this cancer are beyond grim – four to six weeks without treatment and two to three months with treatment.
I’m not ashamed to say that I was shaken to my proverbial bones.

Even though it is somewhat rare – 5-10% of NSCLC (Non-Small Cell Lung Cancer) patients get it eventually, I was hoping like a mad woman that I was in the majority statistic this one time, thinking, “Come on, 90%!” And, happily, after having a spinal tap (it’s not just a movie anymore), I found that the results were negative.

Now that that’s over, my onc thinks that I should try to get into a clinical trial where they’re testing a immunology drug. So this Friday, it is back for another VATS surgery to get the hefty tumor sample required for genetic testing. Being part of a study, means dealing with more statistics.

Lung cancer world is full of statistics and, at stage IV, the statistics are pretty freaking bleak. Here are some of the Lung Cancer/NSCLC stats. I’ve placed an ‘X’ next to those where I fall into the minority and “beat the odds” so to speak, and not always in a good way:
1 – In the U.S., 30% of people are diagnosed with some form of cancer.  X (I’m also an oddity because I have no family history, never smoked, and had a very healthy lifestyle.)

2 - In the US, lung cancer comprises 14% of cancer diagnoses but a full 27% of cancer deaths. X (There was a point in the diagnosis period when we were hoping for breast cancer. Can you imagine hoping for breast cancer?)
3 - NSCLC comprises approximately 84% of all lung cancers.

4 - People diagnosed with stage IV lung cancer have a mean (average) survival rate of 10 months. X  (3 years and counting!)
5 - Of the people diagnosed with stage IV lung cancer, 54% will have a treatable genetic mutation that responds to oral therapies (although it does not increase survival times).  X (I have no known mutation, treatable or otherwise.)

6- Of the people diagnosed with stage IV lung cancer, 60% have a cancer that grows because it has turned off their immune system as it relates to lung cancer. (TBD – I’m hoping to follow the crowd on this one.)
7 - Of these 60% who have undergone immunotherapy for the above, 24% have quick, positive, and long-lasting responses (meaning, the immune system starts fighting the cancer and the cancer shrinks).  (TBD)

Crossing my fingers for that 24% of that 60%.
Gotta love statistics!