WASHINGTON (AP) — Sen. John McCain’s tumor is one of the most aggressive forms of brain cancer, and his family and doctors are deliberating next treatment options.
The senator had undergone surgery last week to have a blood clot removed from above his left eye, and that clot turned out to be a sign that a tumor called a glioblastoma had begun growing.
Here are some things to know:
AGGRESSIVE CANCER
McCain’s doctors at the Mayo Clinic said they managed to remove all of the tumor that was visible on brain scans. But this kind of tumor, formally known as a glioblastoma multiforme, is aggressive and sneaky. It puts out microscopic roots that go deeper into brain tissue, explained Dr. Joshua Bederson, chairman of neurosurgery at Mount Sinai Health System in New York, who has no direct knowledge of McCain’s care.
Still, a tumor above the eye is in a location that permits removal with far less risk of damage to language, motor and other brain functions than in many other areas, he noted.
SURGERY IS HARDLY EVER ENOUGH
McCain’s Mayo doctors said the senator’s next treatment options may include a combination of chemotherapy and radiation.
That’s standard, and the care can take weeks to months. Even among those who respond to initial treatment, the cancer can come back, and often within 12 to 24 months. The American Cancer Society puts the five-year survival rate for patients over 55 at about 4 percent.
Mount Sinai’s Bederson tells his own glioblastoma patients that he knows they’ll look up the grim statistics, but he wants them to remember that some people do beat the odds for long periods.
“It’s a small number. But that’s the hope my patients have when they leave my office,” he said.
UNCOMMON TUMORS
Glioblastomas typically occur in adults, and are fairly rare. According to the American Brain Tumor Association, an estimated 12,390 new cases are expected to be diagnosed this year.
McCain is a long-term survivor of melanoma, a deadly skin cancer. But doctors classified this new cancer as a “primary tumor,” meaning it’s not related to his former malignancies.
NEW APPROACHES
Scientists are trying new approaches to treat glioblastomas. Doctors are testing a novel treatment that uses the patient’s immune system to attack the cancer. The treatment, called CAR-T cell therapy, has been used for blood cancers, but its value for solid tumors like brain tumors is unknown. A cap-like device that makes electric fields to fight cancer has been shown to improve survival odds for people with glioblastomas.
There was a lot of stuff that infuriated me about John McCain (at the top of the list is Caribou Barbie), and I disagreed with most of his politics but I am sorry to hear that it is going to end like this.
Hope he gets some good months/years out of it before it’s over. Sad for family and friends.
This is sad. Didn’t agree with him and he infuriated me but he was at least one of sane® ones. Hopefully he won’t suffer. He had enough of that in life.
I wouldn’t wish that fate on anyone.
I hope though, that he has an epiphany, and doesn’t come back to the Senate to vote for taking away the healthcare for millions of others who might face similar trials. Everyone deserves to have healthcare coverage available, not just US Senators.
Not good news and I am saddened as well.
But also infuriated by the insensitivity of Donald Trump’s statement. McCain’s always been a fighter. Get well soon!
Just what planet does he live on? McCain is going to die, and sooner rather than later. Get well soon? That’s the most warmth and care Trump can muster? Does he think he’s talking about someone with a sinus infection?
He disgusts me.
Yes, perhaps out of all of this he might actually stop and think about the people who, if Trumpcare went through, would immediately be condemned to die because they can’t afford any or wildly insufficient health insurance. Or go bankrupt dealing with this unexpected calamity.
“Epiphany” is the right word. Let’s hope.