My Dad, who is 62, was diagnosed with Renal Cell Carcinoma in September, 2005. His presenting symptoms of left-sided weakness and reduction in spatial awareness led to a CT of the lower back due to a history of lumbar nerve impingement. The CT showed some abnormality in the kidneys, and a sonogram followed, as well as an MRI, both of which showed massess in both kidneys, left being larger. A left nephrectomy followed. Post-op, his left-sided weakness increased, instead of improving, leading to a neurology consult. MRI of the head and neck followed, with the Diagnosis of GBM, with two tumors to the right parietal lobe of the brain. This diagnosis did not take place until the last week of November. His symptoms first presented in July. So, for 5 months, the tumors were growing in his brain, undiagnosed. A craniotomy followed, where the surgeon found the necrosis and hypervascularity common to GBM, and essentially took biopsies and closed him up. Resection was not possible.
Following the removal of stitches in his scalp, he was scheduled to undergo radiation (IMRT) therapy and chemo using Temodar. If he chose not to treat, 3 months was the optimistic prognosis. If he chose to treat, he might gain a year. That's a pretty big MIGHT, and at considerable cost. He was unable to tolerate even the simulation of the radiation therapy, due to severe PTSD acquired by serving 3 tours in Viet Nam, courtesy of the USMC, and Uncle Sam. A proud veteran, my father never showed these symptoms of fear, paranoia, and extreme claustrophobia until now, and just lying on the radiation table made him sweat with a fear so acute, he would burst into tears...
He decided not to treat. We are living one day at a time. We are looking at about 6 weeks.
I am sure we are not the only family with circumstances leading to a "no treatment" decision. God bless all of you who are living with this terrible diagnosis.