A member asked:

Top onco says 5-fu for 6 months is best protocol for 87 yr man.w/adenocarcinoma of stomach. had partial gastrectomy & 9\26 positive lymph nodes. true?

5 doctors weighed in across 2 answers

What patient thinks : 87 yr old could be very healthy and functional, need to be treated just same as young person, but how ever quality of life in elderly equally important , patient should decide , if he can not , too ill to decide not going for extraordinary measures is not considered a neglect .Physicians will encourage for such decisions , make end part of life as comfortable as possible.

Answered 6/20/2020

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Dubious: Unaware data supporting benefit of sole 5fu (fluorouracil) adjuvant therapy of n3 gastric adenocarcinoma after complete resection ( negative margins). If a "young" 87 yo deemed able to tolerate aggressive treatment-then give standard rx(see nccn guidelines-but note 87 yo were not studied). While your onco well intentioned, consider second opinion and quality of life. Survival possible without chemo.

Answered 3/28/2019

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