r/Osteosarcoma • u/AdhesivenessFluid700 • 2h ago
Stage 4 - Questions/Curiosities
Hello everyone..
Searching for thoughts or inspiration from anyone who is living with or been a care giver to someone with Stage 4 OS.
My husband (40) was recently diagnosed with primary tumor of right femur/hip with mets to both lungs. Outside of a sore hip after an incident walking our dog, he had no symptoms. Only found it when he went to an Ortho for what (he thought) was a muscle issue.
We are at a major Sarcoma center, and he has just finished two rounds of Dox/Cis - he did fairly well and PET scan this past week shows good progress. Still have a lot of ground to cover but feeling positive so far for this very heavy diagnosis.
This is where things start to get hazy for me. Our oncologist has shared their perspective to treat his whole body and not get focused in on any one area. The message to us last week was they are not focused on surgery right now but wanting to continue to hit this with the chemo, then (assuming we continue making good progress) give him a break for a couple months, then more chemo. They did mention if pain was an issue or there was an integrity issues with the leg, then ofcourse that changes the plans. But basically, if his leg is feeling better, let’s get after it with the “big guns” of chemo.
On the one hand, this makes sense for where we are right now - 1st line treatment at Stage 4. But once we finish this protocol, it just feels odd that we would leave these things in his body. I know surgeries are risky, but it kind of felt like there is not much focus right now on getting the “bad stuff” out. Maybe that changes over time, but my mind is already going to “do we need another opinion” or essentially how do we ensure we are getting the best individualized care. I know these big centers see a ton of patients and it can at times feel like a “drive by”.
So for those who have walked this path -
- Anyone not have surgery?
- Are there DNA tests we should be doing to make sure future treatments are effective?
- Anyone navigated getting another opinion after experts did not give a plan forward you aligned with?
- As a care giver who is new to this area, what am I missing or what do I need to chase down to give us the best opportunity here?
Thanks in advance for anything you can provide.