Doctor insights on:
Best Duodenal Cancer Program
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
What Works: Lots of various foods choices long promoted but little scientific evidence any really work. The larger issues are internal controls of micro-erosions, presence/resistance to heliobacter pylori bacteria (can be hard to eradicate ; can recur), ingestion of nsaids ; other irritants, internal controls of local blood flow, emotions, etc. ...Read more
Best institution for experimental protocol to add to nexavar (sorafenib) for metastatic HCC - 34 yo Asian male, s/p omental resection?
Fair: Chemo therapy with RT used shrink large tumors pre op. 3 cycles of chemotherapy are given before surgery and again post surgery.. Commonly used drug combinations are ECF and ECX. ECF contains epirubicin, cisplatin and fluorouracil. ECX contains epirubicin, cisplatin and capecitabine (Xeloda). Side effects include drop in WBC, diarrhea and hair loss. Stage Ia survival is 70%. Stage IV is 5 ...Read more
Experts, might someone recommend nexavar (sorafenib) for a stage 4 inactive neuroendocrine pancreatic cancer patient?
Possibly: Stage 4 indicates that you have net at a site distant from the pancreas or regional lymph node, likely the liver. Not clear what you mean by"inactive", whether you mean it is stable or not secreting any substance. In any case, sorafenib (nexavar) is being tested in metastatic net in clinical trials (http://clinicaltrials.Gov/ct2/show/nct00131911) & (http://www.Ncbi.Nlm.Nih.Gov/pubmed/23475104). ...Read moreSee 1 more doctor answer
Varies: There are many options - mostly chemo but also surgical ( if isolated liver or lung met) and interventional radiology. Chemo has many tiers as well. This is best discussed with ur oncologist. It's not a bad idea to get a second opioion. ...Read more
Is the chemotherapy protocol at a major medical university cancer center usually the same for liver cancer as it is for pancreatic (no mets) cancer?
Yes and no: The choice of treatment for liver Cancer is Sorafenib which is not a chemotherapy but it is called a Targeted agent. Chemo is often used for Cholangiocarcinoma, a type of Cancer arising from bile ducts of the liver. This latter type of Cancer is treated with chemo drugs which are more or less similar but not exactly same as those used forpancreas cancer(Gemcitabine +Cisplatin or oxaliplatin) ...Read more
Kras braf tests are: Molecular testing of colon mets tissue for gene mutations of those two loci predict patients who will or will not respond to precision anti tumor (epidermal growth factor receptor protein) antibodies. These were FDA okd and clinically proven in hundreds of tested and treated patients to be beneficial in survival. Oncologists versed with and pathologists who process these tumor tissues shld help U. ...Read more
Only in lab cells: Alpha lipoic acid is a potent antioxidant that has typically been used for diabetic neuropathy. Current "in vitro" studies suggest that colon cancer cells grown in the lab, self-destruct (apoptosis) in the presence of alpha-lipoic acid. At least one patient claimed to be cancer-free after using ALA. ALA is non-toxic but difficult to find in a pure form.Choose foods instead-spinach, broccoli ! ...Read moreSee 1 more doctor answer
70 years male with stomach cancer metastasized to liver and bone, is this a good chemo drug combination (capecitabine+oxaliplatin+zoledronic acid)?
Chemo : If you can tolerate capecitabine, the regiment will be good for the type of cancer. Also, consider to check her2-neu receptor status of the cancer - as if her2-neu receptor is positive, Herceptin (trastuzumab) which is an inhibitor to the her2-neu receptor should be considered as one of treatment options. ...Read moreSee 1 more doctor answer
Radiation Esophagtis: You can use antacids to control the acid washing up from the stomach as well as meds such as nexium (esomeprazole).I also have a liquid mix that will topically numb the surface temporarily. Taking pain medicine on a regular basis say every 4 to 6 hours will help a lot. And last but not least a break from treatment is sometimes the best of all options. ...Read moreSee 2 more doctor answers
Surgery, chemo: Depending on the stage, an operation is usually necessary to remove the diseased portion of the colon along with its nearby lymph nodes. Then, depending on if the cancer has spread to those lymph nodes impacts whether you will also need chemotherapy. If the cancer has already spread beyond the colon, sometimes you start with chemo. ...Read moreSee 2 more doctor answers
An uncommon lesion arising in the mucosa of the 1st to 4th portion of duodenum presenting with obstruction or bleeding. In many cases lesion involves medial ampulla of Vater and obstructs pancreatic duct system requiring Whipple. Prognosis here however better with resection than lesion ...Read more
- Talk to a doctor live online for free
- Best duodenal cancer treatment
- Best vulvar cancer program
- Best colon cancer program
- Ask a doctor a question free online
- Duodenal cancer
- Duodenal ulcer and cancer
- Duodenal cancer survival rates
- Symptoms of duodenal cancer
- Talk to a oncologist online for free