Doctor insights on:
Chemotherapy And Dialysis
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
Simple answer is that it is a medical technology used primarily to provide an artificial replacement for lost kidney function in people with renal failure. Hemodialysis remove wastes and excess water from the blood by circulating blood outside the body through an external filter, called a dialyzer. Blood and dialysate flow through in opposite directions and the ...Read more
Dialysis methods: Hemodialysis as the name suggests is directly cleansing the blood of waste, there are incenter ie going to a dialysis unit 3 times a week, and home hemodialysis ie doing it yourself at home peritoneal dialysis is home dialysis with a special fluid instilled nto the abdomen cavity which can also clean the blood through the lining of the cavity. ...Read moreSee 1 more doctor answer
Mcrc patient , what can b done if chemo has failed ( both oxyplatin and irinotecan ) and liver and peritoneal mets?
Other approaches: Addition of bevacizumab to oxaliplatin, fluorouracil, and leucovorin improves survival for patients with previously treated metastatic colorectal cancer Even with improved response, if areas of debulking can be performed for large masses, this reduces inhibitory molecules which allows improved immune reactivity. For peritoneal mets, hyperthermic perfusion with platinum drugs helps ...Read moreSee 1 more doctor answer
Not on the internet: Never if not prescribed by a professional that is treating the problem and knows the exact history, physical exam, and current medication list. ...Read more
Colon mets: Not having your chart and you in front of me makes it very hard to give you an accurate idea on prognosis. When chemo is started, that means your CA cells have gone beyond the boundaries which would have made txing it simple. The simpler the tx, the better the prgns. The harder the tx, the worse the prgns. On a positive note, f/u with your docs, stay faithful, and you might get a pleasant surprise ...Read more
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
Here are some...: On average, some 20-22% of the dialyzed will pass away in every each year so to live longer than 5 yrs is hard. But, young age + hope to get kidney transplant + willing to cope and live a healthy lifestyle + follow available good advice are your best possible hope. Nonetheless, do something within our control now and don't waste time & energy to think & worry about what beyond our control. Best... ...Read more
Renal Diet: Patients who have ESRD (end-stage renal disease) and require dialysis need adequate nutrition (daily protein 1.2 gm/kg) but need to watch out for high phosphorus and potassium. Dialysis patients are assigned a dietitian to review their diet and to go over their blood test results to individualize their dietary needs. ...Read more
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
Liver and peritoneal mets from colon cancer . Chemo not working well . We are uk
Based , can Germany be considered for TACE treatment and for peritineal procedure ?
Yes: Germany can offer TACE ( transarterial chemo-emboliation. While relatively effective one may also use radiolabelled microspheres to replace the chemo portion of the treatment. One has to consider hyperthermic chemo perfusion of the peritoneal cavity since TACE will not effect peritoneal mets. If all fail, protocol available in US for Neo-102 mAb to treat recurrent colon failing other procedur ...Read moreSee 1 more doctor answer
When stage 4 breast cancer has mets to lung, brain, adrenal, and now liver with no chemo how long can one live w/o chemo and radiation?
Can there be better and low-cost alternatives to peritoneal dialysis in the treatment of end-stage renal disease?
Chemotherpay failed , irinotecan and oxyplatin in metastic colon cancer . Liver and peritoneal mets . Is there anything else ?
Sorry to: hear that. Discuss with your Oncologist what is the next step. Get family and spiritual support as well. Good luck ...Read more
In general, what can be some treatment options, besides palliative hospice care, for stage 4 pancreas cancer and extensive liver mets?
Modestly well: Your doctor can address this question better as I do not have details of your tumor sites and bulk of metastases. In general, chemo for metastatic Colon cancer is palliative which means it can be treated and kept under check for months/years but often not curable unless the tumor is amenable to surgical excision following a partial tumor regression with chemotherapy. Good luck. ...Read more
Need some basic knlowledge about consolidations chemo treatments for aml npm1 after the first two chemo treaents in the hospital .?
Usually cytarabine: This mutation is associated with responsiveness to chemotherapy. The typical treatment for consolidation is Cytarabine in high dose. There other other types of consolidation programs. Your oncologist should discuss the options in detail. Good luck. ...Read moreSee 1 more doctor answer
After undergoing surgery, chemotherapy, radiation, herceptin (trastuzumab) then hormonal treatment, how much more can my body tolerate?
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