Doctor insights on:
Stage 2B IDC breast cancer, her2+/ER/PR+Neoadjuvant taxol, (paclitaxel)A/C,lumpectomy,rads, lymphovascular invasion. What does this mean for prognosis & follow up?
Prognosis fair: Stage IIb breast cancer is usually palpable at 2-5 cm. and at time of procedure to remove lesion, sentinel nodes are + suggesting axillary dissection and reason for neoadjuvant therapy. Lymphovascular invasion increases chance for recurrence. With Her2+ Herceptin (trastuzumab) with chemo should be used and PET/CAT needed to assure met foci not missed in distal organs. Carful follow up needed. ...Read more
IDC BC-HER2,PR,ER&LN positive,local skin met-LVI found AFTER CHEMO completed.
Recur risk?Prognosis?Avg time 2 reoccur? [email protected]
Different drugs. : Chemotherapy for a hematologic cancer such as AML differs in the drugs & regimens from an epithelial cancer like prostatic carcinoma. AML typically uses Cytarabine and an anthracycline on a specific schedule. In prostate cancer, docetaxel and cabazitaxel are frequently used drugs. Of note, chemotherapy is not as common a treatment for prostate cancer, where hormonal therapy is often used. ...Read moreSee 1 more doctor answer
B breast ca, bilaterally multifocally recurrent, s/p salvage mastectomy, with no distant mets except back lesion which resolved on neoadj chemo. ?Rt?
My view...protons...: In a similar case, i chose to use proton therapy. Why it is useful is that it can treat the axilla and chest wall, as well as the internal mammary nodes while sparing lung and heart. That spine/back lesion is a concern, but I have seen (it has been published) that bone met only patients if controlled can have very, very long survivals, so in my mind it is worth the work/travel. ...Read moreSee 1 more doctor answer
Stage 2B idc breast cancer-neoadjuvant ... Had taxol/herceptin (trastuzumab) for 16wks. Now a/c chemo.. Is it risky to be without herceptin (trastuzumab) until surgery in jan?
Should be okay: You are receiving ac now and i think (and i hope) it should take care you cancer well --to shrink it down further- so you can have surgery in january. It is not safe to combine adriamyicn and Herceptin (trastuzumab) as it could give you significant problem with your heart. Once you are done with surgery- you will need Herceptin (trastuzumab) to be continued for 1 year. ...Read moreSee 3 more doctor answers
Ciii ovarian cancer in 06, 1212, surgery and chemo paxitaxtel/carboplatin. In remission. Recurrence treated with tamoxifen, carboplatin alone, abraxan, then topotacan to no avail. Which chemo next?
Many options: Choosing chemo depends on many factors, so only your doctor can decide what might work for you. Drugs you haven't mentioned include altretamine, capecitabine, cytoxan, (cyclophosphamide) vinorelbine, ifosfamide, etoposide, and irinotecan. There are also several hormonal agents. And a clinical trial might be an option. Check out www.Cancer.Gov for more info. And good luck. ...Read moreSee 1 more doctor answer
Chemo for --- ibc marginally successful. Then mastectomy, 7 lymph nodes positive. Now the surgeon wants rad, onc wants different chemo. Help!
Yes for rad: Definitely you should get an adjuvant radiation therapy following mastectomy. As per- chemo- if you get chemo first before surgery and unfortunately the response is only marginal- that indicates that your cancer is likely is resistant to chemo.So, adding more chemo post mastetcomy doubtfully will give you any benefit. Is this er+ or er-? If this is er+- then you should get aromatase inhibitor. ...Read more
Liver and peritoneal mets for mcrc patient . What is approx survival
With chemo , oxyplatin and raltitrexed ?
We can not guess: We can not tell you what the approx. survival as we do not have all the information to make a comment on the approx. survival You should discuss with your treating Oncologist There are second and third line treatments as well which may change the course ...Read more
Perhaps: Chemotherapy following bladder cancer removed by radical cystectomy may be advised depending on the stage of the cancer. A deeply invasive cancer, or a cancer with lymph nodes involved may be treated post-operatively with chemotherapy if chemotherapy was not used preoperatively. ...Read more
Stage 3 nsclc right lung and lymph nodes. Chemo did not work, surgery impossible. Having 13 sessions palliative radiotherapy. What is life expectancy?
Pancreatic cancer, ampullary tumor. Whipple procedure. Spread to liver, not respectable. Chemo for 6 months and continuing. Prognosis?
Poor: While Whipple is the best approach for a primary pancreatic or ampullary lesion, the recurrence rate at 1-2 yrs is 90%. Chemo either of the FOLFIERI or Genciabine /Abraxane combo have limited effects on liver mets which in pancreas are not considered amenable to resection. There is an FDA protocol using specific monoclonals targeting pancreas that might be available but only after chemo failure ...Read more
Hepatocellular carcinoma.All spleen and partial liver resection.Later,secondary systemic cancer metastasis.any targeted therapy or immunotherapy?
Yes, for both: Hepatocellular Carcinoma is commonly treated with Sorafenib which is a type of targeted therapy. This is a good choice of treatment in case you have not yet received this drug. Immunotherapy using PD-1 inhibitors has also shown some modest evidence of benefit although it is not yet FDA approved for this indication. Ask your oncologist to guide your treatment further. ...Read more
Depends on stage: Chemotherapy is never used for stage 1 cancers (early). It is sometimes used in stage 2 cancers (early but more advanced than stage 1). Chemotherapy is definitely beneficial in stage 3 cancers (locally advanced) and in stage 4 cancers (distant spread). ...Read moreSee 2 more doctor answers
My father had hodgkins chemo killed original cancer but whilst having chemo non hodgkin's grew chemo didnt work now spread brain lung how much time?
Be prepared: Advancing lymphoma that is not responsive to treatment usually means a relatively short life span remains, so it is best to prepare and enjoy the present with your loved one. Occasionally, clinical trials of newer drugs may be available for people who have failed conventional treatments, but these are "last ditch" attempts and may not increase survival much, but do help us to learn for future pts. ...Read more
Your question?: Hi. From what you've told us, I assume you're wondering if the cancer in the omentum is recurrence of the ovarian cancer 7 years ago. First of all, I'm so sorry for your situation. A pathologist will be able to tell you if the omental cancer is ovarian in origin. The best guess (and guessing doesn't count) would be ovarian, however. When the surgical pathology comes back, chemo will be planned. ...Read more
If chemotherapy fails what options lfd metastic colon cancer? Mets to liver , peritoneal , lymph node ?
Experimental therapy: Some cancer centers do research on patients with aggressive cancers or cancers who do not respond to usual treatment. Although after chemotherapy, there are not very many options and people would like to keep patients as comfortable as possible. Hope it is helpful. ...Read more
Sometimes: While the prognosis for stage 1 breast cancer is excellent, many women may benefit from traditional chemotherapy. This is dependent on the age of the patient, whether the tumor is hormone-sensitive, if the her2/neu receptor is overexpressed, and, in select cases, what the oncotype-dx score is. While "negative" lymph nodes are very encouraging, some breast cancers may travel via the bloodstream. ...Read moreSee 2 more doctor answers
Outpatient: It is a small outpatient procedure, with actual procedure not taking more that 30 minutes. ...Read more
I need some history or where i can find the history of the chemo port. When was one first made.. Implanted who was the person that invented it please?
1968: The first "chemo ports" were the broviac and hickman catheters that were developed in 1968. They were perfected by 1973 and are known as central lines. ...Read more
Tomorrow--Chemo port placement: Can I ask the MD to put in into the upper arm (never knew it is an option til went online today)?
Chemoport location: Sure, ask your doctor about any aspect of your procedure. They should explain their reason for their location selection so you understand why it was selected. You should be comfortable with them and trust them, and they should be able to reassure you without hesitation. ...Read more
I have a blood clot in my right atrium attached to the catheter on my chemo port.Have had multiple TEEs. Is MRI a better way to tell what it really is?
No. Ultrasound.: In all likelihood, the MRI won't reveal any more information than what ultrasound has already determined (TEE is a type of echocardiogram or ultrasound of the chest). TEE checks for migration (movement) of the clot & it's size. An MRI is an expensive way to do that; TEE is "as-good". If you're being treated w/ blood thinners, stay the course for 6 mo as clots can take long time to shrink. Patience ...Read more
I'd like to get a tatoo. But i form keloids. I have one on my chest from my chemo port insertion and one on my neck from thyroid surgery.
"ports" are: Accessible devices under the skin that allow puncture and direct line to the venous system. It prevents multiple sticks and extravasation of caustic chemo outside veins. When chemo is completed, it should be removed. ...Read more
Can you tell me if throughout chemo someone has a port in their arm, if they take the port out does that mean the cancer hasgone away?
Not exactly: An Oncologist will not generally recommend port removal when someone has final stages of cancer because the assumption is that that person will be on treatment off and on for the rest of his/her life. A port is removed very routinely after early stage cancer because the person may very well be cured. So it depends on the situation but in general it sounds like this person is considered curable. ...Read more
Am having 1st chemo treatment and staying 1 overnight in hospital. Does this mean I'll have chemo entering body (have port) for 24 hours?
Time deliver chemo: Most pts who go into the hospital for chemo are having fluids and medication given prior to the actual chemo. You may getting more than one kind of drug and they all require different times to administer. Your more than likely will be sitting around waiting for things to happen! Bring a book and a blanket and don't forget your power cords. ...Read moreSee 1 more doctor answer
Depends on chemo...: Many types of brain tumors are treated with chemotherapy that needs to be administered by an intravenous route. Depending on the chemotherapy regimen to be given, a port can be the preferred (and safest) route. Even for those chemotherapies that can be given by a peripheral iv, if it is too difficult to start an IV on someone, a port is sometimes needed. Work with your oncologist about this issue. ...Read more
I had an allergic reaction from steri strips after my port for chemo was put in. Strips are removed, but there are still blisters. What should I do?
Steristrip blisters: The blisters on your skin are a protective reaction of your body to the foreign substance encountered and are helping to prevent further injury to irritated tissue beneath them. Please protect the area from further irritation but nothing further is needed for now as the reaction seems localized to just the area affected by the steristrips. ...Read moreSee 1 more doctor answer
I recently had chemo and the adminstratives noticed that it was leaking under my bandage where my port was.
Let doc know: Please let your treating oncologist know. While it may not be serious, knowing that the port is functional is critical in the long run. ...Read more
How often should a power port be flushed once finished with herceptin (trastuzumab) and chemo? Why does it need flushed?
What to do if I have a chest port,and the last 3 times,they were not able to get blood from it,but I take chemo through it,?
Clot at tip: A port is a device to give repeated chemo thru. It has a chamber under the skin and a catheter extending into a major vein. At times a clot forms at the tip of the catheter which acts as a valve. injecting the port pushes the clot away to allow chemo to be delivered but aspiration pulls the clot against the opening preventing blood from being drawn. The port should be flushed with heparin. ...Read more
My son is active in sports and has to have chemo to treat lch (histiocytosis) would a port be necessary?
Factors to consider: The insertion and tedious care needed for maintenance of a port are a consideration based on multiple factors. The frequency of treatments, nature of the meds to be used, the duration of treatments, availability of sites etc. If a patient has good natural access points ( veins) and a central vein is not needed due to the nature of the meds, no port may be needed. Discuss your options with the doc. ...Read moreSee 1 more doctor answer
Do most cancer patients who receive chemotherapy have a port installed into their chest? I know this is a way to deliver chemo drugs into body.
Yes for Venous Acces:
Most chemo is given via the veins of your arms but it can cause quite a bit of burning pain. Moreover the veins tend to close down(thrombosed) ,so you would soon run out of the veins of your arms.
In order to avoid this problem oncologists like to use a long catheter(PICC line) or insert a Port(which is a surgical procedure).So there are 3 ways to access the veins...your oncologist should explain. ...Read more