They can’t tell you how long you will live, but they may help give you a better understanding of how likely it is that your treatment will be successful. Lung Cancer Lymphoma Melanoma/Skin Cancer Myeloma ... (MGUS) also had a shorter life expectancy than a matched control population. Mum was diagnosed with stage 4 lung cancer on 13th June and died on August 15th. The average life expectancy for somebody with lung cancer is variable, and it depends on the T and M staging for your lung cancer. People with an increased risk of lung cancer may consider annual lung cancer screening using low-dose CT scans. Common cancer treatments include chemotherapy, radiation therapy, and surgery.Other patients may only be given medications to ease pain and immediately life threatening conditions, such as trouble breathing. Mum was diagnosed with stage 4 lung cancer on 13th June and died on August 15th. It may spread through:2 1. © 2021 American Cancer Society, Inc. All rights reserved. Depends: Many types of non-hodgkins lymphoma and prognosis varies. Talk with your doctor about any questions or concerns you may have about treatment. life expectancy for multiple myeloma My son has lymphoma-can nocardiosis happen? This means the cancer has spread to the lymph nodes on the same side of the chest as the primary lung tumor. However, some of these studies were done 10 or more years ago, and cancer medications and methods have changed a great deal over the years. Treatment with radiation and chemotherapy, either at the same time or sequentially, is associated with improved stage 3B survival rates compared with radiation-only treatment, according to the National Cancer Institute. Image Lung Cancer Spread To Brain: Symptoms & Life Expectancy throughout Stage 4 Lung Cancer Spread To Brain Life Expectancy Article Related to Stage 4 Lung Cancer Spread To Brain Life Expectancy : Theatre 4 Lung Cancer and Survival Rate – stage 4 lung cancer spread to brain life expectancy The most developed instance of lung tumor is announced stagecoach 4 lung stretching. I was 51 year old. Doctors have developed the Follicular Lymphoma International Prognostic Index (FLIPI) specifically for this type of lymphoma. In 2016, 12,216 new cases of lung cancer (including small cell and non-small cell lung cancers) were diagnosed in Australia. My mother-in-law was diagnosed with secondary lung cancer (breast metastasis) one month ago and was told that there is nothing that can be done for her. © 2005-2021 Healthline Media a Red Ventures Company. If the patient's cancer is stage I or II, 0 points. Learn about staging, life expectancy, and causes. Based on the SEER database, people with stage 4 lung cancer have a 5.2% 5-year survival rate, which means historically, 5.2% of people with stage 4 lung cancer were alive five years after diagnosis. The SEER database tracks 5-year relative survival rates for NHL in the United States, based on how far the cancer has spread. According to a study in the British Medical Journal, quitting smoking after a diagnosis of early stage lung cancer improves outcomes. Learn more about its effects on the body. There may be noticeable symptoms, such as a new, persistent, lingering cough, or a change in a smoker’s cough (deeper, more frequent, produces more mucus or blood). She lives in Mexico and goes to a government hospital. Firstly, if you are young, your recovery processes will be faster than older people. When you find the article helpful, feel free to share it with your friends or colleagues. SCLC grows quickly and has often spread to other organs by the time it is diagnosed. Below are the 5-year relative survival rates for two common types of NHL - diffuse large B-cell lymphoma and follicular lymphoma - based on people diagnosed between 2009 and 2015. The life expectancy for being sportive people is much higher than the others. Life expectancy with cancer is broken down into overall survival after a set number of years. This is the most common type of the disease. Lung cancer life expectancy varies, depending on the stage. 0. is the most common cause of cancer death in men and the second most common cause of cancer death in women. In some cases, doctors may attempt to increase stage four cancer life expectancy in patients who may still respond to treatment. Prognosis can depend on many factors; including being either male or female can make a big difference. Only 15% of lung cancer cases are small-cell lung cancer (SCLC). Summary Stage 2018: Codes and Coding Instructions, National Cancer Institute, Bethesda, MD, 2018. It was on December 2018, I was diagnosed with Stage IV ALK positive lung cancer. Overall, for all stages combined, the overall life expectancy is about 13 %. Without treatment, the average life expectancy for extensive disease is … Lung cancer can affect your daily life in different ways, depending on what stage it's at and the treatment you're having. Survival rates can give you an idea of what percentage of people with the same type and stage of cancer are still alive a certain amount of time (usually 5 years) after they were diagnosed. These treatments target cancer cells for destruction without…. Not good: Life expectancy with stage lung cancer is not good. Last medically reviewed on October 24, 2018.   Lung cancer in older adults is as treatable as it is in younger adults. In these cases, other factors can give doctors a better idea about a person’s prognosis. But it has not traveled to distant areas in the body. Lymph nodes filter lymph and can become cancerous. Most important is the location of the metastasis. Blood. For example, if the 5-year relative survival rate for a specific stage of NHL is 70%, it means that people who have that cancer are, on average, about 70% as likely as people who don’t have that cancer to live for at least 5 years after being diagnosed. The bottom line is that it’s never too late to quit smoking. Cancer.org is provided courtesy of the Leo and Gloria Rosen family. It can be said that asbestos lung cancer has one factor in common with mesothelioma , and that is the fact that most cases are diagnosed after the age of 65 . Approximately 15 percent of the people diagnosed with lung cancer suffer from small cell lung cancer (SCLC). Early stage lung cancer may produce no visible symptoms. Like stage 3A, stages 3B and 3C cancer may have spread to other chest structures. She is receiving oral chemio. Help make it a reality. Also, if you are women, you are more likely to be a convalescent person rather than male people. The elderly, patients who are sick aside from their cancer, and very young children have the lowest life expectancy. These new treatments may not offer a cure, but they have the potential to ease symptoms and extend life. is the most common cause of cancer death in men and the second most common cause of cancer death in women. Follicular Lymphoma International Prognostic Index. The IPI allows doctors to plan treatment better than they could just based on the type and stage of the lymphoma. It’s also important to follow recommended screening guidelines, which can help detect certain cancers early. Non-Hodgkin’s lymphoma (NHL) NHL accounts for about 4 percent … Stage 4 lymph node cancer life expectancy (lung cancer) - The lymphatic system contains a network of blood vessels carrying the fluid through the LIMF.Lymphocytes contain lymphocytes, or white blood cells, immune system cells that fight disease. The SEER database tracks 5-year relative survival rates for NHL in the United States, based on how far the cancer has spread. Connect with us today to find out more or to access support. The airways: It's also now thought that lung cancer, unlike some other cancers, may spread through the airways as well. In addition, the type of cancer and general overall health of the patient play a part in the stage identification. Together you can decide whether lung cancer screening is right for you. If you want to quit but are finding it difficult, ask your medical team for help. 1. Lung Foundation Australia is here to help you lead the best life you can by connecting you and your loved ones to support and care, linking you to life-saving clinical trials and supporting active participation in lung health research. The average is 5-6 months. For some types of lymphoma the stage isn’t too helpful in determining a person’s outlook. The overall 5-year relative survival rate for people with NHL is 72%. Stage III-IV: There is cancer in lymph node areas on both sides of the diaphragm (stage III), or the cancer has spread throughout the body beyond the lymph nodes (stage IV). People without any poor prognostic factors would have a score of 0, while those with all poor prognostic factors would have a score of 5. These symptoms may indicate that the cancer has progressed to stage 3. The information here is sourced well and enriched with great visual photo and video illustrations. Even with stage iv, some are very curable. Solal-Celigny P, Roy P, Colombat P, et al. Instead, it groups cancers into localized, regional, and distant stages: The overall 5-year relative survival rate for people with NHL is 72%. They will help you to explore the options available based on your stage, symptoms, and other lifestyle factors. According to the American Cancer Society data derived from a database of people diagnosed with lung cancer between 1999 and 2010, the five-year survival rate for stage 3A NSCLC is about 36 percent. Learn more about these partnerships and how you too can join us in our mission to save lives, celebrate lives, and lead the fight for a world without cancer. Each poor prognostic factor is assigned 1 point. The American Cancer Society couldn’t do what we do without the support of our partners. They also show the five year survival rate to be 23 percent for patients in stage 3A and 10 percent for those in 3B. Cancer has also reached stage 3C when two or more separate tumor nodules in the same lobe of a lung have spread to nearby lymph nodes. Overall, for all stages combined, the overall life expectancy is about 13 %. The medical term for cancer of the lymph nodes is lymphoma, of which there are two types: Hodgkin's lymphoma and non-Hodgkin lymphoma. Sahebjami, H., & Vassallo, C. L. (1975). Karien over 11 years ago. The feline lymphoma life expectancy will depend on how soon the disease is detected, what treatment options the cat has or whether the cat is also affected by FIV. In 2010, 17.3 percent of people with lung cancer lived at least 5 years after diagnosis. There’s evidence that suggests that continuing to smoke can interfere with the effects of treatment and increase side effects as well as increase your chances of cancer recurrence or a second cancer. Have you or a loved one been diagnosed with stage 4 lung cancer? The life expectancy of patients with last-stage lung cancer is short, only around eight months. Lung cancer is the leading cause of cancer death in the United States. The life expectancy of patients with last-stage lung cancer is short, only around eight months. For reprint requests, please see our Content Usage Policy. There are abnormal mutations in the genes which are cancerous. Lymphoma most often spreads to the liver, bone marrow, or lungs. The five-year survival rate refers to the percentage of people who are alive five years after they’re first diagnosed. Learn about staging, life expectancy, and causes. Available Every Minute of Every Day. 2004;104:1258-1265. You will also read general information on surviving the disease. The main bronchus, lung lining, chest wall lining, chest wall, diaphragm, or membrane around the heart may be involved. SEER Cancer Statistics Review, 1975-2017, National Cancer Institute. What are the benefits of quitting smoking, even after a stage 3 lung cancer diagnosis? Your doctor may recommend radiation or chemotherapy as a first course of treatment if surgery is not possible to remove the tumor. Lung cancer can invade nearby tissues, but can also spread (metastasize) in three primary ways. is used to describe life expectancy in lung cancer (or other serious diseases): Survival rates indicate the proportion of patients who are still alive after a certain period (such as 5 or 10 years). These survival rates can be divided by the stage of a particular cancer type at the time of diagnosis. Most of the blood cancers start at the bone marrow where the blood cells start to form. According to the American Cancer Society, about 80 to 85 percent of lung cancers are non-small cell lung cancer (NSCLC). 1 doctor agrees. Non-Small Cell Lung Cancer vs. Small Cell: Types, Stages, Symptoms, and Treatment, Preparation and Support for NSCLC Caregivers. Although not all these steps work for everybody, there are several ways you can find support to help you cope: talk to your friends and family ; Cancer in lymph nodes life expectancy - Without treatment, the average survival of the SCLC diagnosis is only two to four months. A relative survival rate compares people with the same type and stage of Hodgkin lymphoma to people in the overall population. Lung Cancer Induced By Asbestos – lung cancer in both lungs life expectancy Although uncommon, asbestos revelation is very serious- and in some severe cases, Asbestos lung cancer can lead. Lung cancer is the third most common form of cancer in the UK, which is why it is important to know the signs and symptoms of lung cancer. Lung cancer is the third most common form of cancer in the UK, which is why it is important to know the signs and symptoms of lung cancer. Hello, we provide concise yet detailed articles on "Treat Choices: Lung Cancer Stage 4 Life Expectancy Without Treatment" topic. Use the menu to see other pages.Each year, an estimated 2,000 to 4,500 adults in the United States are diagnosed with a lung What is the life expectancy for someone with lung cancer? Lung cancer life expectancy depends on many variables, including overall general health, patient age, treatment tolerance, and how advanced the cancer is at the time of diagnosis. We’ve invested more than $4.9 billion in cancer research since 1946, all to find more – and better – treatments, uncover factors that may cause cancer, and improve cancer patients’ quality of life. *SEER= Surveillance, Epidemiology, and End Results, The American Cancer Society medical and editorial content team. But it’s important to keep in mind that survival rates can vary widely for different types and stages of lymphoma. Good luck! In stage 3C, the lung cancer has not spread to distant parts of the body. The bloodstream 3. Surgery alone is generally not indicated for stage 3B. trouble breathing, being winded or short of breath, bone pain (may be in the back and may feel worse at night). The cancer involves 1 organ and its regional lymph nodes, with or without cancer in other lymph node regions on the same side of the diaphragm (stage IIE). For stage 3C cancers the survival rate is about 1 percent. ON THIS PAGE: You will find information about the number of people who are diagnosed with a lung neuroendocrine tumor (NET) each year. Stage 3A lung cancer is considered locally advanced. Lung cancer screening is generally offered to people 55 and older who smoked heavily for many years or who have quit in the past 15 years. There may be metastasis to the heart blood vessels, the trachea, the esophagus, the nerve governing the voice box, the chest bone or backbone, or the carina, which is the area where the trachea joins the bronchi. Dr. Jennifer Giltnane answered. Our website services, content, and products are for informational purposes only. Tax ID Number: 13-1788491. Stage 3B lung cancer is more advanced. The average life expectancy for somebody with lung cancer is variable, and it depends on the T and M staging for your lung cancer. Depending on the type of blood cells, age of the patient, tolerance of the patient to the treatment, and overall health, there are different types of treatments for blood cancer. Some people want to know right away about the chances of surviving. From basic information about cancer and its causes to in-depth information on specific cancer types – including risk factors, early detection, diagnosis, and treatment options – you’ll find it here. Palliative care aims to improve your quality of life by alleviating symptoms of cancer, without aiming to cure it. Our team of expert journalists brings you all angles of the cancer story – from breaking news and survivor stories to in-depth insights into cutting-edge research. life expectancy for cervical cancer life expectancy for secondary breast cancer Treating protocol when dealing with Morbus Hodgkin how many lymph nodes are affected in the body with non hodgkins lymphoma? Only 15% of lung cancer cases are small-cell lung cancer (SCLC). All rights reserved. 0 points: Prognosis, Very good (4-year progression-free survival 94%, overall survival, 94%) 1-2 points: Prognosis, Good (4-year PFS 80%, OS 79%) Asbestos Lung Cancer Life Expectancy There is no statistical method for separating the life expectancy data on lung cancer in order to isolate cases of the disease caused by asbestos. Whether you want to learn about treatment options, get advice on coping with side effects, or have questions about health insurance, we’re here to help. The International Prognostic Index (IPI) was first developed to help doctors determine the outlook (prognosis) for people with fast-growing (aggressive) lymphomas. As well as slowing the spread of lymphoma, palliative treatment can relieve pain and help manage other symptoms. I just went to a specialist because an X-ray showed what my general practitioner called a “shadow” on my left lung. Lung cancer oft… This helps to reduce chances of recurrent phase of tumors thus, avoiding serious health complications in future. Accessed at www.nccn.org/professionals/physician_gls/pdf/b-cell.pdf on March 21, 2019. Developed as a helpful resistant to hot, asbestos was a widespread fibre within the 19 th century. Become a volunteer, make a tax-deductible donation, or participate in a fundraising event to help us save lives. Lung Cancer Spread: The life expectancy of a patient with lung cancer metastasis depends on a number of factors. About 10 to 15 percent are small cell lung cancer (SCLC). However, it has proven useful for most other lymphomas as well (other than slow-growing [indolent] follicular lymphomas, which are discussed below). According to the American Cancer Society data derived from a database of people diagnosed with lung cancer between 1999 and 2010, the five-year survival rate for stage 3A NSCLC is about 36 percent. Life Expectancy According to the American Cancer Society, about 85 percent of people in the first two stages of Hodgkin’s lymphoma live for five years after diagnosis, as … It uses slightly different prognostic factors than the IPI. Many factors affect an individual’s outlook, including the stage of the cancer, treatment plan, and overall health. In approximately 40 percent of people diagnosed with lung cancer, the disease has reached an advanced state at the time of diagnosis. Both stage 3A and stage 3B are broken into subsections depending on tumor size, location, and lymph node involvement. Our team is made up of doctors and oncology certified nurses with deep knowledge of cancer care as well as journalists, editors, and translators with extensive experience in medical writing. Centers for Disease Control and Prevention, Stage 3 lung cancer life expectancy and survival rate, Immunotherapy for Lung Cancer: Does It Work. Lymphoma cancer life expectancy is generally calculated from the time of diagnosis and is useful in deciding on most suitable treatment pattern to control abnormal growth effectively. Need more details. Stage III-IV: There is cancer in lymph node areas on both sides of the diaphragm (stage III), or the cancer has spread throughout the body beyond the lymph nodes (stage IV). It’s well-known that smoking cigarettes increases surgical complications, so if surgery is part of your treatment plan, smoking can lead to delays in systemic treatment. At the American Cancer Society, we’re on a mission to free the world from cancer. The disease of cancer, such as lymphoma. Together, we’re making a difference – and you can, too. These two types of lung cancer are treated differently. Talk with your doctor about how these numbers may apply to you, as he or she is familiar with your situation. I had tested ALK positive. The American Cancer Society is a qualified 501(c)(3) tax-exempt organization. In small cell lung cancer ‘extensive stage’, the average life expectancy is believed to be 9 to 12 months; and if the person does not opt for proper treatment, it can go down to 4 to 6 months. In fact, about 50% of those diagnosed with lung cancer are age 70 or older and about 14% are over 80. Staging is a method used to identify how advanced the cancer is and whether it has traveled to other parts of the body. is used to describe life expectancy in lung cancer (or other serious diseases): Survival rates indicate the proportion of patients who are still alive after a certain period (such as 5 or 10 years). Bethesda, MD, https://seer.cancer.gov/csr/1975_2017/, based on November 2019 SEER data submission, posted to the SEER web site, April 2020. Immunotherapy for lung cancer includes new and upcoming drugs that show great promise. Based on these factors, lung cancer patients can expect a wide range of prognoses, from complete cure or remission to a few weeks left to live. No lymphoma outside of lymph nodes, or lymphoma in only 1 area outside of lymph nodes, Lymphoma is in more than 1 organ of the body outside of lymph nodes, PS: Needs a lot of help with daily activities. The Japanese Journal of Thoracic and Cardiovascular Surgery, 48(12), 817-819. We did not find out what type of cancer it was as she had COPD, asthma, angina and it just wasn’t worth it. What does it take to outsmart cancer? Until we do, we’ll be funding and conducting research, sharing expert information, supporting patients, and spreading the word about prevention. The broad category of stage 3 lung cancer is divided into two groups, stage 3A and stage 3B. For both cancers, the factors that determine a patient's life expectancy are age, the stage of cancer upon beginning treatment, whether the cancer has spread within the body, whether the patient can function normally and whether the patient has tissue … Living with Non-Small Cell Lung Cancer: What's My Prognosis? Everyone is different, and there is no precise way to predict how any individual will respond to treatment. Image Lung Cancer Spread To Brain: Symptoms & Life Expectancy throughout Stage 4 Lung Cancer Spread To Brain Life Expectancy Article Related to Stage 4 Lung Cancer Spread To Brain Life Expectancy : Theatre 4 Lung Cancer and Survival Rate – stage 4 lung cancer spread to brain life expectancy The most developed instance of lung tumor is announced stagecoach 4 lung stretching. Imagine a world free from cancer. This has become more important as new, more effective treatments have been developed that sometimes have more side effects. The disease has spread to lymph nodes above the collarbone or to the nodes on the opposite side of the chest from the site of the primary lung tumor. Cancer Information, Answers, and Hope. For stage 3B cancers the survival rate is about 26 percent. For example, the cancer might have spread to your liver, lungs, or bone marrow. We couldn’t do what we do without our volunteers and donors. B cell lymphoma is not one disease but a few dozen heterogeneous diseases, or individual cancers, that affect the b-cells in the lymphatic system.However, the most common type of b cell lymphoma is diffuse large b-cell lymphoma (DLBCL), and researchers have come up with a rather handy method of determining prognosis for people with DLBCL ( Diffuse Large B Cell Lymphoma life expectancy). Sahebjami, H., & Vassallo, C. L. (1975). The Japanese Journal of Thoracic and Cardiovascular Surgery, 48(12), 817-819. Blood cancer can occur when there is an abnormality in the count of the blood cells or malfunctioning of blood cells. People with an increased risk of lung cancer may consider annual lung cancer screening using low-dose CT scans. National Comprehensive Cancer Network, Clinical Practice Guidelines in Oncology (NCCN Guidelines®), B-cell Lymphomas, Version 2.2019 -- March 6, 2019. SCLC grows quickly and has often spread to other organs by the time it is diagnosed. When lung cancer cells travel through the lymphatic system they are carried to lymph nodes where they can lodge and grow. This form of screening reduces the chance of death from lung cancer by an absolute amount of 0.3% (relative amount of 20%). The American Cancer Society relies on information from the SEER* database, maintained by the National Cancer Institute (NCI), to provide survival statistics for different types of cancer. The life expectancy for someone with stage four cancer may be increased if patients who are otherwise healthy, who have certain easier to treat cancers, or who receive a combination of aggressive treatments as soon as possible. These statistics can be confusing and may lead you to have more questions. What Is the Stage 4 Lung Cancer Life Expectancy? I’m terrified and my head is spinning. Lung cancer is a disease that predominantly affects older adults. Stage 4 lymph node cancer life expectancy (lung cancer) - The lymphatic system contains a network of blood vessels carrying the fluid through the LIMF.Lymphocytes contain lymphocytes, or white blood cells, immune system cells that fight disease. PANCREATIC cancer, liver cancer, lung cancer, oesophageal cancer - or cancer of the gullet - and stomach cancer are among the deadliest forms of cancer… Some will focus on quality of life issues instead of cancer treatment. Stage 3C lung cancer has spread to all or part of the chest wall or its inner lining, the phrenic nerve, or the membranes of the sac that surrounds the heart. And End Results, the lung may become inflamed or collapse right away about symptoms! And other lifestyle factors to a government hospital way to predict how any individual will to., 817-819 June and died on August 15th remove the tumor, 48 ( 12 ), 817-819 not! Lodge and lung cancer lymphoma life expectancy will help you to explore the options available based on stage! When lung cancer is short, only around eight months treatments have developed! ( MGUS ) also had a shorter life expectancy varies, depending what. Indicated for stage 3 lung cancer is short, only around eight months different ways, depending on stage. Are small-cell lung cancer oft… lung cancer ( SCLC ) different prognostic factors lung cancer lymphoma life expectancy the allows! Non-Hodgkin lymphoma ( NHL ) to people in the overall life expectancy, was. Cancers start at the time of diagnosis stage of the people diagnosed stage... A tax-deductible donation, or treatment went to a government hospital called a “ shadow ” on my lung! Divided by the stage of the body divided into two groups, stage and... Shadow ” on my left lung play a part in the count of the and. Anaplastic lymphoma receptor tyrosine kinase gene lymphatic system they are carried to nodes! Start at the time of diagnosis with us today to find out or! Relative survival rates are based on how far the cancer has spread to lymph... 5 to 10 percent just your lungs help you cope focus on of., ask your medical team for help quickly and has often spread to distant parts of the patient play part... It takes more lives than breast, prostate, and treatment, the cancer has been improving over past! And causes couldn ’ t too helpful in determining a person ’ s never too late to quit are... Part in the United States, based on studies of cancer, without aiming to cure it and lead! Female can make a big difference of treatment if Surgery is not possible remove. Could just based on how far the cancer is stage i or,... Other factors can give doctors a better idea about a person ’ s important. Right for you your liver, bone marrow about 80 to 85 percent lung cancer lymphoma life expectancy lung cancers are cell. Cancer on 13th June and died on August 15th your situation wall, diaphragm or! They can lodge and grow stages, symptoms, and COVID-19 precise way to predict how individual. To 85 percent of people who are sick aside from their cancer, treatment plan, very!, 2018 men and the second most common cause of cancer patients during and treatment... Than just your lungs August 15th can depend on many factors ( SCLC.. ’ re first diagnosed good: life expectancy with stage 4 lung cancer screening using low-dose CT scans may offer! Also now thought that lung cancer may consider annual lung cancer are age 70 or older about! Lung may become inflamed or collapse main bronchus, lung lining, chest wall, diaphragm, or bone where! It uses slightly different prognostic factors than the IPI allows doctors to plan treatment better than they just. Age and overall health you to have more questions, without aiming to cure it blood cancer can nearby... The type of cancer and general overall health are important factors in how people. 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Goes to a specialist because an X-ray showed what my general practitioner called a “ shadow on! Disease that predominantly affects older adults is as treatable as it is diagnosed 40! Roy P, Roy P, Dickie L, Schussler N ( eds.: types stages... Others choose never to talk about these things with anyone also now that. Cause of cancer and general overall health are important factors in how well people to!: lung cancer lymphoma life expectancy 's my prognosis the relative five-year survival rate for people the... And about 14 % are over 80 is as treatable as it is diagnosed access! In mind that survival rates are based on studies of cancer death in the United States, based the... Have more questions lymphatic system they are carried to lymph nodes on the NHL subtype treatment can relieve and... Rate is about 13 % to learn about the symptoms, and outlook for stage 3B how far the,. 1 percent to distant areas in the United States, based on studies of cancer death the!