Doctor insights on:
Chemotherapy Treatment Ovarian Cancer
First question: Is whether treatment is necessary, depends on gleason score and psa. Treatment may not add value to you. Watchful waiting follows your psa #, rate of rise. If your gl >/= 7, psa > 10ng/ml, best option is radiotherapy, +/- anti-hormone. Get a few opinions. Do not act in haste. ...Read moreSee 2 more doctor answers
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
Sometimes: The two main types of esophageal cancer are adenocarcinoma and squamous cell carcinoma. Cure with chemotherapy and radiation alone is much more likely with squamous cell carcinoma. The exact cure rate is dependent on the stage of the cancer, but cure with just chemotherapy and radiation is rare. ...Read moreSee 1 more doctor answer
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
Related to spread: Metastatic refers to a cancer that has spread from the original site that it originated from to a more distant site in the body. For example, if a woman had ovarian cancer and it spread to the lungs then this would be consider metastatic disease. ...Read moreSee 1 more doctor answer
So many variables: Too many variables to give you a pertinent answer. Consult your oncologist to help you with clinical decisions ...Read more
Many: The first line of treatment for this is androgen deprivation. In addition, there are medicines which reduce the risk of fractures with Denosumab showing the most efficacy compared to zoledronic acid, however with some risk of significant side effects. For more extensive disease, a newer IV radium therapy has shown improved survival. Localized radiation can be effective for painful foci. ...Read moreSee 1 more doctor answer
Energy beams: For certain types of colorectal cancer, energy beams are focused in the cancerous area. These beams are designed to kill cancer cells and decrease the chance of the tumor growing back. Depending on the situation, radiation can be used either before an operation or after an operation. ...Read moreSee 1 more doctor answer
Disease continuum: There is a disease continuum from localized disease through advanced metastatic castration resistant disease. Generally localized disease is treated with local therapies such as surgery or radiation and disease that either recurs or is more advanced is treated initially with hormonal therapy. Immune therapy and chemotherapy may be used after. ...Read moreSee 3 more doctor answers
Surgery: Surgery is needed, followed by thyroid hormone replacement. Depending on how big, what type and whether or not it had spread (lymph nodes involvement), you might also need 1 dose of radioactive iodine. Good luck. Make sure you have a good surgeon and an endocrinologist on your team. ...Read moreSee 4 more doctor answers
Heck yea!: Otherwise i'd be out of a job... Many cancers are curable if detected early (thus the importance of screening). Others, like testicular cancer or lymphoma can be cured even in advanced stages. Of course, it is best to reduce the risk of ever getting it by living a healthy lifestyle. Look at the american cancer society and see their statistics of survival, you will be surprised. ...Read more
Same drugs as other: Same chemotherapy drugs are used for treating both types of colon cancer. The only difference is lack of benefit from EGFR inhibitors(Cetuximab and Panitumumab). Avastin (bevacizumab) also works in both types. I trust that you know there are 3 chemo drugs that are widely used(5FU or Capecitabine, Irinotecan and Oxaliplatin) ...Read more
Prostate cancer: This is an advanced stage of prostate cancer; the good news is there are many new drugs and treatments for men in this stage that have been shown to extend life; in this stage survival is extremely variable from months to years isn't impossible. ...Read moreSee 1 more doctor answer
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
It depends ... : Dysphagia is a common side effect with many chemo therapeutic regimens. Some treatments can decrease a patient's ability to fight off fungal and bacterial overgrowth in the mouth and digestive systems. The diagnosis of this isn't usually difficult and can in many cases be treated with medications. ...Read moreSee 1 more doctor answer
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
Doctor's. Like to know with ovarian cancer stage 3. If doctor tells you after treatment you are good will they give you chemotherapy for precaution ?
Surgery/chemotherapy: The standard of care for stage 3 ovarian cancer is both surgery and chemotherapy. Surgery is often performed first to debulk the cancer. Since it is difficult to remove all cancer by surgery alone, patients often undergo chemotherapy after surgery. ...Read moreSee 1 more doctor answer
No, not really: Alternative medicines, if suggested by someone are not likely to be useful. Chemotherapy is the only choice for controlling advanced ovarian cancer. If there are concerns about side effects, they can be controlled and managed by your oncologist. So do not hesitate taking chemotherapy. It would do some and often much good for the patient. ...Read moreSee 1 more doctor answer
I completed chemotherapy for ovarian cancer. No cancer was detected in followup tests. Am i still at risk for cancer? #nqlu my chemotherapy started last sept. And ended in early jan. Last nov., i had surgery (hysterectomy). I have since had clean reading
Yes, you are.: You are always at a risk of your cancer returning. The higher your stage, the higher the risk. The goal of chemotherapy is to kill any cells that were not removed by surgery. Hopefully that worked and got every last cancer cell, but ovarian cancer has a nasty tendency to come back. Go here for the statistics: http://seer.cancer.gov/statfacts/html/ovary.html ...Read moreSee 1 more doctor answer
Is it possible to develop benign ovarian cysts after the last round of chemotherapy for ovarian cancer?
It depends: For stage 3 or 4 ovarian cancer, 6 "cycles" of chemotherapy with taxol (paclitaxel) and Carboplatin are usually given. One treatment is given every 3 weeks, so the total time of chemotherapy is 18 weeks. For recurrrent ovarian cancer, the same treatment is sometimes used again. Other chemo regimens take different amounts of time. Ask your doctor. ...Read moreSee 1 more doctor answer
It's more than 12 weeks post-surgery for stage 3 ovarian cancer. Is it too late to benefit from chemotherapy?
Unknown: Most oncologists prefer to treat patients with a malignancy like ovarian cancer within 12 weeks from their diagnosis. At 12 weeks post surgery you are right on the edge. However, i think most oncologists would want to treat you because of the nature of ovarian cancer. You should have restaging studies with a ct scan as well. Definitely ask your oncologist, as there are many variable here. ...Read moreSee 2 more doctor answers
Mom was diagnosed with ovarian cancer 2 years ago she did was undergone a total hysterectomy followed by many cessions of chemotherapy. The last report for her MRI shows a newly discovered minimal ascetic fluid. Last ca 125 was 250 ?
What is the treatment for ovarian cancer? What are the best treatment centers for ovarian cancer?
Depend on stage?: In general- if surgery can be done- surgical resection will be the most important therapy plus minus chemotherapy. A meticulous and detail oriented/optimal surgery done by an experienced a gynecologist-oncologist to remove all cancer cells from the pelvic/abdominal cavity as much as possible-( to possible residual implants less than 1 cm) - should be done.Chemotherapy in advanced case is crucial. ...Read more
Prevention.: Most hereditary ovarian cancer is caused by BRCA genes. The key is prevention. US, blood work and a physical exam every six moths. Oral contraceptives can decrease risk of ovarian cancer. If BRCA positive then removal of tubes and ovaries at about 35 or after childbearing. Need to make a cancer prevention plan with doctor. Also need close relatives to be aware of risk. Hope this helps. ...Read moreSee 1 more doctor answer
More dangerous: There are several dozen distinct types of ovarian cancer, and even within the types, there are subgroups that are more or less like to spread rapidly, invade surrounding structures more quickly, and/or spread to remote sites. The types will guide treatment, and some of the more aggressive tumors also respond especially well. Good luck -- i'll be thinking of you. ...Read more
Treatment of Ovarian: Curative surgical resection of the ovaries by proceeding with usually hysterectomy and bilateral salpingo-oophorectomy. For patients who have stage 2 or 3 will receive usually postoperative chemotherapy, often with Carboplatin and paclitaxel. Intraperitoneal chemotherapy with Cisplatin plus Paclitaxel results in longer survival than IV chemotherapy but may have a higher complication rate. ...Read moreSee 1 more doctor answer
Clinical Trial: You should ask your treating physician about any open clinical trials that you could be apart of. ...Read more
Frequently at first: Often, there is very close follow up after ovarian cancer treatment - every 3-4 months generally. Once the cancer is in remission for over a year or so, this may extend to every 6 months. The exact follow-up schedule will depend on the type of ovarian cancer, stage of the cancer, and type of treatment. ...Read moreSee 1 more doctor answer
Hmmmmm: I guess it depends on several factors, like what treatments were used before, your general condition, and how advanced the cancer is. In general, though, it is not a great situation. Please consider going to an academic institution with availability of clinical trials. I wish you the best. ...Read more
Where are the best treatment centres in the world for advanced ovarian cancer? Looking for anything better than HIPEC treatment
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