Doctor insights on:
Patients with advanced breast cancer,Has received chemotherapy,Is there any need for radiotherapy?
Stage 3 nsclc right lung and lymph nodes. Chemo did not work, surgery impossible. Having 13 sessions palliative radiotherapy. What is life expectancy?
Besides IRE, cyberknife, chemotherapy, diet, radiotherapy and clinical trials, what else may be an upcoming procedure for pancreatic cancer patients?
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
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
What option is there if chemo fails for met colon cancer ?xeloda (capecitabine) n irinotecan failed
Oxaliplatin is good: Another good chemo drug is Oxaliplatin. This is often used in combination with 5-FU and Avastin (bevacizumab). If your tumor is KRAS wild type, then EGFR inhibitors(like Cetuximab and Panitumumab) also become relevant choices to use alone or in combination with other drugs. ...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
Yes: Breast cancer is treated by stage but consideration is made to performance status not just age. So if the disease requires radiation even the elderly can usually tolerate the treatment. Stage 1 patients who have positive receptors may be able to omit the radiation if they are over 70 if they take hormone pills. ...Read moreSee 1 more doctor answer
Some response: meds like Xeloda have some tempoary benefit suppressing DNA function as an oral 5FU (fluorouracil). Long term responses are not seen requiring combination therapy to give an optimjum response. Eventually if cancer does show a good response, malignant stem cells will repopulate the site of the original metastasis. ...Read more
No, not all of them: Most chemotherapy programs are used for 4-6 cycles but in some cancers , continuing a milder form of chemotherapy in the form of maintenance has been shown to be useful and is a good option of treatment which your oncologist can explain to you, if necessary or indicated in your case.. ...Read moreSee 1 more doctor answer
You bet!: Our tax dollars support the rtog which is a goup devoted to studying radiotherapy questions. Other us "cooperative groups" also have components and sometimes specific radiotherapy questions. Punch in 1800-4cancer on the phone to see what's out there. They may even have a website now for the general public! ...Read moreSee 6 more doctor answers