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The following explains how to know when it is time to stop treatment and focus on end-of-life care. You can use this information to talk with your doctor about your options and choose the best care for you.
Cancer responds best to treatment the first time. When you treat a tumor for the first time, there is hope that the treatment will destroy the cancer cells and keep them from returning. But if your tumor keeps growing, even with treatment, there is a lower chance that more treatment will help. This is especially true for solid-tumor cancers, like breast, colon, and lung cancer, and sarcoma. Doctors know a lot about how these cancers grow or shrink over time and how they respond to treatment.
They have found that treatment after treatment offers little or no benefit. When is it time to think about stopping cancer treatment?
If you have had three different treatments and your cancer has grown or spread, more treatment usually will not help you feel better or increase your chance of living longer. Instead, more treatment could cause serious side effects that shorten your life and reduce the quality of the time you have left. Still, almost half of people with advanced cancer keep getting chemotherapy—even when it has almost no chance of helping them.
They end up suffering when they should not have to. How do you know when to stop treatment? It can be hard for both the patient and the doctor to talk about stopping treatment for the cancer and focus on end-of-life care.
You may need to start the discussion. Your doctor should give you clear answers to any questions you ask. You need to understand how advanced your cancer is.
Ask your doctor about the stage of your cancer and how much it has spread. Ask about your prognosis, or how long you have to live. No one can know exactly, but your doctor should be able to tell you a range of months or years.
And you need to know if more treatment for cancer will help you live longer. Ask your doctor to explain the risks and benefits of any treatment.