Stage 4 Cancer: Understanding Ogogo’s Diagnosis and Treatment Options

Veteran Yoruba actor Taiwo Hassan, popularly known as Ogogo

Stage 4 Cancer: Understanding Ogogo’s Diagnosis and Treatment Options

The recent emotional appeals by the daughters of veteran Yoruba actor Taiwo Hassan, popularly known as Ogogo, have drawn national attention to the realities of stage-four cancer. The 66-year-old film icon’s family revealed he was diagnosed with the advanced disease about three weeks ago and that hospitals have indicated they can no longer continue chemotherapy. This has sparked confusion and concern, prompting a medical expert to clarify what a stage-four diagnosis truly means, how it is treated, and why palliative care is not the same as being abandoned.

Stage-four cancer is the most advanced stage in the commonly used TNM staging system. It generally means the cancer has spread from where it first developed to distant parts of the body—a process known as metastasis. Dr. Olusina Ajidahun, a medical doctor and health communicator known as The Bearded Dr Sina on X, explained it simply: “Stage 4 cancer means the cancer has left the primary organ and gone to other sites.” Cancer staging uses the TNM system to assess the size and extent of the main tumor, whether nearby lymph nodes are affected, and whether the cancer has spread to distant parts of the body. The stage given at diagnosis remains the same, even if the cancer worsens or spreads further.

Symptoms of cancer vary depending on the type and location of the disease. According to medical experts, possible symptoms include unexplained weight loss, persistent tiredness, unusual bleeding, persistent pain, a lump or swelling anywhere on the body, changes in bowel or bladder habits, persistent cough or hoarseness, difficulty swallowing, and changes to the skin. For metastatic cancer, symptoms depend on where the cancer has spread. Spread to the bones can cause pain or fractures, spread to the brain can cause headaches, seizures, or dizziness, spread to the lungs can cause shortness of breath, and spread to the liver can cause jaundice or abdominal swelling. It is important to note that many of these symptoms can be caused by other illnesses, and a persistent or unusual symptom should always be assessed by a healthcare professional rather than self-diagnosed. Some cancers may cause few or no noticeable symptoms in their early stages, which is why regular screenings are recommended for certain cancers and groups of people. Early diagnosis can significantly improve the chances that cancer will respond to treatment.

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Yes, stage-four cancer can be treated. Treatment depends on several factors, including the type of cancer, where it has spread, the characteristics of the cancer, the patient’s general health, and how the cancer responds to treatment. Depending on the circumstances, doctors may use chemotherapy, immunotherapy, targeted therapy, hormone therapy, radiation therapy, or surgery. In October 2025, Nigeria launched its first immunotherapy program for metastatic colorectal cancer at National Hospital Abuja, marking a significant step forward in advanced cancer care in Sub-Saharan Africa. For many patients with metastatic cancer, the goals of treatment shift to shrinking or controlling the cancer, slowing its growth, relieving symptoms, helping the patient live longer, and maintaining quality of life. Research shows advancements in treatment options are helping people with metastatic cancer live longer and have a better quality of life overall.

Dr. Ajidahun clarified that when patients reach stage four and chemotherapy and other available therapies have been explored, doctors may recommend palliative care. “When patients have stage 4 cancer and chemo and/or other therapies have been explored, there is a form of care called PALLIATIVE CARE… which is end-of-life care and care for terminal diseases because at the point of the disease you cannot treat it, but you can manage associated symptoms and give the person a good quality of life before death,” he explained. He stressed that moving a patient to palliative care does not mean medical treatment has been withdrawn. Rather, it may reflect a change in the goal of care, particularly when doctors believe further aggressive treatment could cause more harm than benefit. Palliative care focuses on improving quality of life, managing symptoms such as pain, difficulty breathing, and other problems associated with cancer or its treatment. It does not necessarily mean that cancer treatment has stopped or that doctors have given up on the patient.

Dr. Ajidahun cautioned that describing the situation as hospitals refusing to treat the actor could create a misleading impression and potentially expose medical personnel to hostility. “Saying they don’t want to treat my father makes it look like they are intentionally rejecting him, and in the context of recent happenings in the health sector, it can trigger an insurrection and put a bad label on health care workers,” he said. In response to one of Ogogo’s daughters mentioning herbs as a possible option, Dr. Ajidahun issued a strong warning: “There are no herbs that will treat a stage 4 cancer.” He cautioned that unverified concoctions could damage more organs and cause further complications, ultimately wasting money and creating more problems. “These concoctions will end up damaging more organs and causing more complications. You’d end up wasting money and causing more problems,” he said.

Public information about Ogogo’s health remains limited. His daughters have publicly said that he is battling stage-four cancer and have appealed for medical assistance. According to reports, several hospitals have turned their father away because of his condition, and the family is seeking medical direction rather than financial donations. The public reports do not establish the specific type of cancer Ogogo has, the extent to which it may have spread, or his detailed medical prognosis. Those questions can only be properly assessed by his medical team after reviewing his diagnosis, scans, pathology results, treatment history, and overall health. Key takeaways from this explanation are that stage-four cancer means the cancer has spread to distant parts of the body, treatment is still possible and may aim to control the cancer, relieve symptoms, and prolong life, palliative care focuses on managing symptoms and improving quality of life and is not abandonment, herbal remedies for stage-four cancer are dangerous and unproven, and Ogogo’s specific prognosis cannot be determined from public information alone.