My dad was recently diagnosed with stage 4 SS with about 10 lung mets ranging in size, biggest is about 1 cm (at last xray a month ago). We were told surgery is not an option even though they are not in any critical areas. He is in otherwise excellent health and is not feeling the effects of the cancer at all, except a bit of fatigue from radiation which he just started last week for the main tumor in his leg / groin. As soon as tests showed lung mets, he was whisked into a palliative care regime and no longer a curative one.
From the reading I've done, it seems that surgery, targeted radiation, lung perfusion are potential treatments for the lung mets. We will have a discussion later this week but I'd like feedback going into our meeting from others' experiences. Is surgery really not an option when it has metastasized to the lungs with about 10 lesions? Are there really no other options other than palliative care until he feels symptoms and then chemo?
We have had great difficulty even having a discussion with any oncologist overseeing my dad's care, so any feedback would be greatly appreciated.