Hello sir, my mom (age 60) diagnosed with vaginal malignant melanoma six month ago, as per the doctor suggestion we have done frozen surgery with negative margins in last November and after that 28 fraction of radio therapy. Now last 2 day ago we have done pet ct scan and the report said that the cancer has spread in both lung. Please let me know sir still is there any treatment available? And as it's spread in lung so what's the survival rate how much time my mom has. And what kind of pain she will get. Please provide your valuable suggestion to cure it.

Dr. Nikhilesh BorkarOncologist14yrs exp

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If metastatectomy of the lung met is feasible then go ahead with it. It should be followed by Immunotherapy or targeted therapy if driver mutations are present. If Patient is not a candidate for metastatectomy, then directly consider for immunotherapy with pembrolizumab or nivolumab with or without ipilimumab, or targeted therapy if driver mutation is present. If progression on first line, then second line therapy may be considered. But the cost of immunotherapy is around 2 lakh rupees per month. Without any treatment we are looking at few months. With treatment we are looking at months to a couple of years.  

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