Oncologists will stop treatment for the cancer when the benefits no longer outweigh the side effects of the cancer treatment or if the cancer stops responding to the treatment.
Oncologists will also stop cancer treatments if the patient chooses to prioritize their quality of life over the aggressive cancer treatments, and often transition to hospice care or palliative care for comfort, especially if the end of their life is approaching.
Although cancer treatments can be open ended for years in advanced cases, if the cancer treatments are tolerated well.
But decisions on stopping the cancer treatments also involve balancing of cancer control, managing the symptoms, goals of the patient receiving the cancer treatments and potential harm.
Guidelines sometimes recommend stopping chemotherapy treatments near the end of life to prevent suffering.
The main reasons to stop cancer treatments include.
If the cancer is not shrinking, is growing or spreading or treatments offer minimal extension to life expectancy.
Or if the side effects of the cancer treatments outweigh the benefits, like having fatigue, pain, organ damage, which can diminish the persons quality of life more than the treatment helps them.
Or if the patient getting the cancer treatments decides, that they'd rather focus on comfort and time with their family than enduring further cancer treatments.
And if the cancer becomes more advanced and incurable, an oncologist and patient may decide to stop the cancer treatment.
When the cancer treatments might continue include.
In advanced and metastatic cancer, if the treatment controls the cancer and the patient tolerates the cancer treatments well, which can potentially be for years.
Or in planned, limited durations like months, before or after surgery.