Doctor insights on:
Chemo Port Complications
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
IDC BC-HER2,PR,ER&LN positive,local skin met-LVI found AFTER CHEMO completed.
Recur risk?Prognosis?Avg time 2 reoccur? [email protected]
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
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
Depends on chemo: The side effects of chemotherapy depend on the chemos involved. In general bone marrow suppression (bms) causing lower red blood cells (rbcs) with anemia, lowered wbcs with increased risk of infection, and lowerd platelets with increased risk of bleeding. Oxalipaltin ("o" in folfox) can cause numbness or cold induced nerve pain. Irinotecan ("i" in folfiri) causes diarrhea. Etc... ...Read moreSee 1 more doctor answer
Renal Cell Carcinoma - had radical nephrectomy left kidney, cancer has spread to the lungs - surgery not an option. Life expectancy w/o treatment?
I had BCG chemo for bladder cancer & developed serious infection requiring hospitalization. What other chemo drug can be used?
It depends: Bcg sepsis is a known, yet uncommon complication of BCG treatment for bladder cancer. The next option really depends on your specific bladder cancer - your urologist will be bettre ablet o discuss this with you. The next option may be for intravesical mitomycing, intravesical valrubicin, or possibly cystectomy. ...Read moreSee 3 more doctor answers
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
Diagonised with rectal cancer, after ileostomy reversal, frequent bm's, abcess withleakage at the surgery site. alternatives tocolostomy ?bowel trnspl
Insert drain: Ileostomy after rectal cancer is used to protect the rectal resuturing to establish continuity in the bowel. II there is some kind of abscess and leakage it can occur where the ileostomy has been reversed or at the site of the rectal suture line which may not have been ready for closure. Interventional radiology can place a suction drain to the site and left there until everything has healed. ...Read more
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
AFTER taxol/A/C for breast cancer stage2,path result-Lympho vascular invasion-shouldn't chemo resolved this? What now?
Ask your oncologist!: You need to givel us more information...Did the tumor shrink on chemotherapy? How much. shrinkage? If the tumor did not shrink much, that is a bad sign. But if it reduced in size substantially then you are on the right track. But your oncologist can address your questions and guide you better. ...Read more
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
Stage 3 nsclc right lung and lymph nodes. Chemo did not work, surgery impossible. Having 13 sessions palliative radiotherapy. What is life expectancy?
Wife complete debulking for stge 4 ovarian cancer. No l-nodes involved.
All cancer removed. Ca125 44 at diagnosis. Ca125 is 3 after 6 rds of chemo. What questions should I ask onc re: prognosis?
High Risk: It sounds like she has had a good respons but she is high risk. You need to continue to have her monitored no matter what the numbers show. Her risk of recurrence is high just based on the staging. Her oncologist is the expert in this field. Support gourps may help as well. Good luck. ...Read moreSee 1 more doctor answer
Advanced pan can. No more chemo, 3 months. Bile duct blocked. drainage tube. Home care nurse. High fever. IV antibiotics. Life expectancy?
Hard to say: Each patient and each cancer has its own characteristics and it is not possible to predict the life expectancy with accuracy. You may consult this site for general information on the topic. http://www.pancreatic.org/site/c.htJYJ8MPIwE/b.5050503/k.40C9/Pancreatic_Cancer_Facts.htm ...Read more
It is possible: Several factors regarding colon cancer liver metastasis predict long term survival. Where the mets present when the original tumor was discovered? How many mets are present? Is the CEA level over 200? How large are the liver mets? How many lymph nodes were positive from the colon specimen? Can all of the liver lesions be removed or ablated? Are there metastasis present elsewhere ie: the lungs. ...Read more
Radiofrequency ablat: For small tumors < 1.5 inches it can be effective 85% of the time https://www.radiologyinfo.org/en/info.cfm?pg=rfaliver ...Read more