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Doctor insights on: Adjuvant Chemotherapy

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Dr. Ronald Krauser
18 Doctors shared insights

Adjuvant Chemotherapy (Overview)

This is chemotherapy that is given to improve the chance of cure after surgery.


Dr. Myron Arlen Dr. Arlen
Surgery - Oncology
60 years in practice
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What exactly is adjuvant chemotherapy?

What exactly is adjuvant chemotherapy?

Preventative: Adjuvant therapy, is treatment given following the primary, main or initial treatment. It is usually given after surgery where all detectable disease has been removed, but where there remains a statistical risk of relapse due to occult disease In contrast neoadjuvant therapy, is given before the main treatment to reduce the size of the tumor so as to facilitate more effective surgery.

Dr. Ronald Krauser
18 Doctors shared insights

Adjuvant Chemotherapy (Overview)

This is chemotherapy that is given to improve the chance of cure after surgery.


Dr. Steven Ginsberg Dr. Ginsberg
Internal Medicine - Hematology & Oncology
33 years in practice
State University of New York Downstate Medical Center College of Medicine
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When is it important to start adjuvant chemotherapy?

Within about 8 weeks: Most adjuvant chemotherapy trials stipulate that treatment begin within 8 weeks of surgery, thus this is generally the advice given.

Dr. William A Biermann Dr. Biermann
Internal Medicine - Oncology
42 years in practice
Jefferson Medical College of Thomas Jefferson University
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What is the definition or description of: adjuvant chemotherapy?

What is the definition or description of: adjuvant chemotherapy?

Given for prevention: This is chemotherapy that is given to improve the chance of cure after surgery.

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Dr. Barry Rosen Dr. Rosen
Surgery
30 years in practice
Northwestern University Feinberg School of Medicine
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If a breast cancer patient undergoes neo-adjuvant chemotherapy, how will she ever know her true nodal status?

Sentinel LN Biopsy: It is somewhat controversial when to perform sentinel lymph node (ln) biopsy in this setting: some advocate performing this prior to chemo, so as to determine an accurate stage; others believe that the status of the ln after chemo is most pertinent. In my practice, I will perform a needle-biopsy of any abnormal ln prior to chemo. If none are evident, I wait until after chemo.

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Dr. Raja Mudad Dr. Mudad
Internal Medicine - Oncology
28 years in practice
American University of Beirut Faculty of Medicine
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Adjuvant tamoxifen or other chemotherapy for ER pr negative cancer?

Chemotherapy: Tamoxifen is only used for patients whose tumors are positive for er and/or pr.

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Dr. Ajay Acharya Dr. Acharya
Internal Medicine
33 years in practice
A P Singh University, S. S. Medical College
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What is a cycle of chemotherapy?

One to next: Chemo medicine cause lot of damage normal and malignant tissues. During development of the drug its duration effect on the tissue is studied and a fixed time is determine after which the medicine to be repeated....Risk and benefit issues. The.

Dr. Robert Warner Dr. Warner
Internal Medicine - Hematology & Oncology
36 years in practice
Creighton University School of Medicine
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Does chemotherapy affect eyesight?

Some: Transiently many patients will have some trouble focusing; somewhat like when ones eyes are tired. Steroids which are commonly used with chemotherapy drugs can increase cataract formation, which used to be a leading cause of poor vision, but now can almost always be fixed quite easily.

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Dr. Carlos Encarnacion Dr. Encarnacion
Internal Medicine - Oncology
31 years in practice
University of Puerto Rico School of Medicine
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Is it legal to force chemotherapy?

Is it legal to force chemotherapy?

Probably no: That is more a legal than a medical question but if a patient is an adult and fully able to make decisions, the answer is likely no, both legally and ethically.

Dr. Sewa Legha Dr. Legha
Internal Medicine - Oncology
46 years in practice
Punjab University, Christian Medical College
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How severely does chemotherapy hurt?

That is a myth: Chemotherapy should not and it does not hurt! Chemotherapy is simply use of medicines to treat cancer. Why should these hurt? Yes, these medicines do have some side effects (like nausea and hair loss) but it is not any kind of pain.

Dr. Sewa Legha Dr. Legha
Internal Medicine - Oncology
46 years in practice
Punjab University, Christian Medical College
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What is chemotherapy? How does it work?

Name for drugs used: Drugs used for Cancer treatment are often called chemotherapy. These are basically chemicals, many of them synthetic, others derived from natural sources like plans and herbs.

Dr. Michael Thompson Dr. Thompson
Internal Medicine - Hematology & Oncology
16 years in practice
Mayo Clinic College of Medicine
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Is the chemotherapy a risky thing to do?

Yes: Chemotherapy has many potential risks. The potential adverse events and dose limiting toxicities should be discussed the your cancer physician and team. The important concept is understanding the "risk/benefit ratio". That is, what potential benefit is worth the risks? Also, what alternatives are available?

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Dr. Devon Webster Dr. Webster
Internal Medicine - Oncology
18 years in practice
Stanford University School of Medicine
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If you have chemotherapy can you have kids?

If you have chemotherapy can you have kids?

Yes: This is a great question! chemotherapy can damage your eggs or sperm, so it's vital that you talk about your desire to have children before starting chemotherapy! Men can bank sperm before chemotherapy and women can bank eggs/embryos. Many types of chemotherapy can make you infertile depending on your age, but you can safely have children later if you've planned ahead and stored your "stuff"!

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Dr. Sewa Legha Dr. Legha
Internal Medicine - Oncology
46 years in practice
Punjab University, Christian Medical College
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What risks are associated with chemotherapy?

What risks are associated with chemotherapy?

There are a few: Chemotherapy has side effects but they can be controlled with counter drugs. Side effects may come in the form of nausea, vomiting, hair loss, low blood counts which can lead to infections. So a close monitoring is required and antidotes to prevent these side effects are used as needed.

Dr. Michael Thompson Dr. Thompson
Internal Medicine - Hematology & Oncology
16 years in practice
Mayo Clinic College of Medicine
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Is it a sure thing that chemotherapy will work?

Is it a sure thing that chemotherapy will work?

No: The chance of chemotherapy working depends on a number of factors including -- tumor type, stage, prognostic factors as well as host (patient) characteristics such as age, genetics, etc.

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Dr. Sewa Legha Dr. Legha
Internal Medicine - Oncology
46 years in practice
Punjab University, Christian Medical College
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What are common chemicals used in chemotherapy?

Lots of them!: cancer chemotherapy has a very large number of chemicals/drugs that are used...at least over 100 are commonly used drugs at present, many older ones have been discarded as better ones came along. Why do you ask this question?

Dr. Martin Raff Dr. Raff
Internal Medicine - Infectious Disease
52 years in practice
University of Texas Medical Branch School of Medicine
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What is topical chemotherapy? And when is it used?

Topical chemotherapy: Chemotherapy refers to the treatment of conditions with drugs, and often is applied to the use of anti-cancer agents (but may also be applied to others). Topical means that it is applied directly to the lesion in question and is not taken systemically (by mouth or injection) and meant to get the lesion through the blood stream. Hope this is clear. Good luck.

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Dr. Keith Stockerl-Goldstein Dr. Stockerl-Goldstein
Internal Medicine - Hematology & Oncology
26 years in practice
UCLA School of Medicine
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What is the definition or description of: chemotherapy?

Chemotherapy: The term chemotherapy typically is used to describe using chemicals to treat cancers of any type.

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Dr. Liawaty Ho Dr. Ho
Internal Medicine - Hematology & Oncology
19 years in practice
Udayana University Faculty of Medicine
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What is the most effective ingredient in modern chemotherapy?

Depends: It will depend on the type of cancer & the biology of cancer. Different cancer requires different approach and treatment. However I think the answer is a targeted therapy specifically targeted to the mutated receptors in cancer cells. The best story of effective therapy of cancer in modern chemotherapy era is the story of Gleevec (imatinib) for cml.

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Dr. Magdy Shaaban Dr. Shaaban
Internal Medicine - Hematology & Oncology
37 years in practice
University of Alexandria Faculty of Medicine
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What was chemotherapy like in the early 1980s? How has it changed?

Chemotherapy 1980: In my opinion. The most important development was the discovery and the use of antiemetics. The medications that prevent nausea and vomiting. This discovery made chemo. Bearable and many patients were able to tolerate it. ADD to this the discovery and use of growth hormones like neupogen, neulasta (pegfilgrastim) and procrit that helped shortening of the periods on neutropenia and we are able to give r the doses

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Dr. Myron Arlen Dr. Arlen
Surgery - Oncology
60 years in practice
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I'm curious what occurs during a typical treament of chemotherapy?

Kept in positon: Most chemotherapeutic agents are delivered intravenously while a few can be given orally. With IV therapy which is given over several hrs the patient is kept in a lounge chair. Because of toxicity to the veins when given iv, a port is usually placed in the subclavian vein and placed under the skin where the IV line can easily be introduced.

Dr. Devon Webster
970 Doctors shared insights

Chemotherapy (Definition)

The term chemotherapy typically is used to describe using chemicals to treat ...Read more