Radiation for 70 yr old (glioblastomas grade 4)

Posted by antoines @antoines, Jan 20 12:03pm

Good afternoon,
A friend of mine learned that her dad was diagnosed with glioblastomas (grade 4.) He is 70 years old. He did the surgery and the surgeon asked the family whether to proceed with the chemo and radiation.
At this moment, he can barely walk.
The radiation will be around 8 weeks and we were wondering what would be the benefit of it. Reading articles, it seems that for his age, the gain would be marginal and if it is to gain 3 months more but 2 of them (at the start) are lost in daily radiation at the hospital, is it worth it?
Also, we were wondering as one of the potential benefit would be an health improvement (after some potential difficult moment during the chemo) but we could not find whether or not it would be the case?
Finally, is there any benefit in doing only chemo (which consist in daily pills but can be done at home hence less demanding)?
Did anyone had this dilemma and what was their choice/guidance? Any (recent) article/research paper?
For me it seems the most important question instead of increasing the life expectancy, is the state he will be in during/after the treatment.

Thanks for reading and any help would be more than welcome in this difficult moment

Interested in more discussions like this? Go to the Brain Tumor Support Group.

My partner Bill a 70 year old healthy man had a craniotomy October 3 to remove the glioblastoma stage 4 tumor and it was a success. Had some vision loss as the tumor had wrapped around the vision area. He was great after surgery. Walking, taking and seeing. Cognitively he has experienced some challenges and was told not to drive as his peripheral vision is bad. His incision healed well so was able to start 15 treatments of radiation and oral chemotherapy. Took a month off from treatment in December. Then started oral chemotherapy in January 5 days per month and every month since. He tolerated it well so dosage was increased in April . He is still tolerating it well. MRI’s so far have shown no progression. We have our 3rd MRI since the craniotomy next week. We have been traveling and he visits his grandkids in Denver every 8 weeks. Best wishes for your dad’s surgery. Keep me posted how he does.

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My dad was diagnosed with glioma today states aggressive form, he’s 71 fit and healthy just retired goes to the gym 3 x week, he’s like a 50yr old..
3 options given to us 1- symptom control - giving him months !
2/ biop with chemo/radio giving him 6/9 months
3/ Crainiotomy with treatment giving him 12 months ..
Shocked is not the words for it, he said but I feel ok how can this be!
Then watching my mum unravel how can she live without him after over 50 years of Marriage, now that was hard to watch.
He’s opted for the 3rd option and wants to live to se his grandchildren grow up..
Being a nurse myself I’m scared to loose my dad to surgery and treatments and having no quality of life . As he’s so active and full of it.
It’s totally his decision, of which I have to respect and that’s hard.
And the operation is booked for 1 weeks time..
What’s the outcome ?? Will he get more time ?? Will
He be able to live semi normal life ?
I’m scared, frightened for what’s to come.. my dad is a legend my hero xx

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@kaygee77

She completed radiation and is on maintenance chemo once a month. Her follow up imaging wasn't ideal and they started her on Avastin infusions last month. She seems to be declining rather rapidly in our eyes, though the oncologist indicates the decline is slow. She is mostly incontinent and her short term memory is nearly non existent. I wish someone could just give us a road map to this awfulness... a way to mark our progress instead of staying in this weird place of half-grief.

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@kaygee77, I remember that state of half-grief and travelling without a road map. It is an awkward limbo. I found a couple of articles that may help to prepare, although they will not be specific to your mom of course:
- What can be expected as brain cancer progresses? https://www.virtualhospice.ca/en_US/Main+Site+Navigation/Home/Support/Support/Asked+and+Answered/What+to+Expect+with+Various+Illnesses/Cancer/What+can+be+expected+as+brain+cancer+progresses_.aspx
- Final weeks and days: What to expect https://www.virtualhospice.ca/en_US/Main+Site+Navigation/Home/Topics/Topics/Final+Days/Final+weeks+and+days_+What+to+expect.aspx

Do you and your family have support from a palliative care team?

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@colleenyoung

Hi @kaygee77, welcome. How is your mom doing? Has she completed radiation and chemo treatments?

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She completed radiation and is on maintenance chemo once a month. Her follow up imaging wasn't ideal and they started her on Avastin infusions last month. She seems to be declining rather rapidly in our eyes, though the oncologist indicates the decline is slow. She is mostly incontinent and her short term memory is nearly non existent. I wish someone could just give us a road map to this awfulness... a way to mark our progress instead of staying in this weird place of half-grief.

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There is a lot of research and talk going on right now about the issue of loneliness, apart of the type of loneliness that grief brings (which, having gone through that, I understand completely that feeling). In the UK they have even instituted a Ministry of Loneliness! (https://www.gov.uk/government/news/loneliness-minister-its-more-important-than-ever-to-take-action)
So many sites in the US are bemoaning a huge sense of loneliness in society which is contributing to "mental health issues" (https://www.cdc.gov/mentalhealth/learn/index.htm).
My point is, please realize you are not alone. Many people are feeling lonely, are grieving, are suffering. An antidote for that can be to purposefully do something nice for someone else every day or start talking to anyone and ask how they are. Once a conversation is initiated, it is surprising what people will share about their sufferings, and that can lead to you feeling open to share yours.
Finding the right spiritual group can be a huge help - which can be the right church, a gardening group, an art group, etc.
I hope you keep searching for others to share with - you'll find them.

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@kaygee77

@djw Touching base to see how your wife is doing. My 74 year old mother was diagnosed with GBM grade 4 in October and has done much of what you've outlined regarding your wife. How have the past two months gone for you?

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Hi @kaygee77, welcome. How is your mom doing? Has she completed radiation and chemo treatments?

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Alone yes…..can’t believe how much of a need ‘conversation’ is desired!! I find myself just to grab anybody even it means a store clerk! THEN I realize how little of conversation i have…my husband’s Cancer!

What else can I offer?? Maybe I dusted my front-room, perhaps, by the way I heard we might get rain - seems weather is a safe zone?? I catch myself & realize what is happening - its lonely

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@saintdijo

Oh my how our lives somewhat match….I sit here alone my husband inside sleeping and has been all day. I read your post & totally relate….the friends I thought were there weren’t; includes church people as well. Yes, they ask how is Joe? How are you doing? That’s the end of it.

What can I say, no family around even - why don’t ya move closer! Yikes, where are the visits? No phone calls even except for our 2 children but are working & live in distance States. Yes a very lonely experience!! I have ‘surrendered’ to just me & him! I am in a ‘protector’ role and wonder when will this ever end. Is it THEN when I will find ‘that friend’??? Sorry TOO LATE & now I don’t CARE

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I just saw your post. I am sorry you are dealing with the same issue. I guess it makes me feel “better” to know it isn’t just me. One friend told me I was being too needy when I kept asking to hear from him once a week in an email. Now he won’t even talk to me. I also was told that since I am “privileged” I should not be having as much grief. I am still trying to figure that one out. If privilege keeps you from grieving then why do so many famous and rich people have grief. I read that Regis Philbin’s wife still isolates herself from others and he has been gone about three years. I would say she is pretty privileged too. I tell people that until it has happened to you, you have no idea how bad it is and how lonely it is when your spouse dies.

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@djw

My 71 year old wife was diagnosed with GBM grade 4 June 2023. She did surgery, 30 radiations and 42 days chemo. She is not getting ready for cycle 3 chemo. Today we went to the library and she checked out several books, which she reads, not as voraciously as before. We went on a walk of 3/4 mile. We can still carry on a conversation. She had covid last week and made it through it ok, even with an impaired immune system. We have been to ER twice and hospitalization for 3 days in the last several months. There have been a number of daily challenges such as weight loss, and regulating daily bowels. However, MRI's have shown no tumor regrowth the past two cycles .
You asked is it worth it for a 70 year old to undertake this process. In the case of my wife and I, we have to say absolutely yes. You mention your friend has limited mobility. Do doctors say there is a chance of this correcting? Even if that is not the case, can the patient enjoy being with others, and converse? Does he have a willingness to go through the process, because it takes a strong will. I don't think there is a blanket answer to your question as each situation is uniquely different.
Dan

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@djw Touching base to see how your wife is doing. My 74 year old mother was diagnosed with GBM grade 4 in October and has done much of what you've outlined regarding your wife. How have the past two months gone for you?

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Oh my how our lives somewhat match….I sit here alone my husband inside sleeping and has been all day. I read your post & totally relate….the friends I thought were there weren’t; includes church people as well. Yes, they ask how is Joe? How are you doing? That’s the end of it.

What can I say, no family around even - why don’t ya move closer! Yikes, where are the visits? No phone calls even except for our 2 children but are working & live in distance States. Yes a very lonely experience!! I have ‘surrendered’ to just me & him! I am in a ‘protector’ role and wonder when will this ever end. Is it THEN when I will find ‘that friend’??? Sorry TOO LATE & now I don’t CARE

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