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Doctor insights on: Taxol And Metastatic Tnbc

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Dr. Craig Lum Dr. Lum
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What can prognosis b like for metastic colon cancer that chemotherapy oxyplatin and raltitrexed ?

Dr. Craig Lum Dr. Lum
1 doctor agreed:
What can prognosis b like for metastic colon cancer that chemotherapy oxyplatin and raltitrexed ?

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

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What is the normal dose for Xeloda (capecitabine) for stage IV metastatic colon cancer?

What is the normal dose for Xeloda (capecitabine) for stage IV metastatic colon cancer?

Individualize dose: Xeloda (capecitabine) can be used as a single agent to treat stage IV metastatic colorectal cancer. The usual dose is 1250 mg/m2 twice daily orally for 14 days, followed by a 7-day rest period for a total cycle time of 21 days. Adjuvant treatment is recommended for a total of 6 months (8 cycles). Doses may be altered for individual situations with reduced doses for patients with kidney problems. ...Read more

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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?

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

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Liver and peritoneal mets for mcrc patient . What is approx survival With chemo , oxyplatin and raltitrexed ?

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

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Chemotherpay failed , irinotecan and oxyplatin in metastic colon cancer . Liver and peritoneal mets . Is there anything else ?

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

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Hepatocellular carcinoma.All spleen and partial liver resection.Later,secondary systemic cancer metastasis.any targeted therapy or immunotherapy?

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

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Compare and contrast chemotherapy for aml with chemo for prostate cancer?

Compare and contrast chemotherapy for aml with chemo for prostate cancer?

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 more

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How effective is Xeloda (capecitabine) for metastatic breast cancer?

How effective is  Xeloda (capecitabine) for metastatic breast cancer?

It depends: As the first treatment for metastatic breast cancer, Xeloda (capecitabine) works in 40-60% of people treated. If it is the second, third or later treatment after failure of other agents, the effectiveness is much less. ...Read more

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Which chemo therapy is most effective for KRAS mutant metastic colon cancer ?

Which chemo therapy is most effective for KRAS mutant metastic colon cancer ?

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

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What is prognosis With chemotherapy for metastic colon Cancer ?

So many variables: Too many variables to give you a pertinent answer. Consult your oncologist to help you with clinical decisions ...Read more

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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?

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 more

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How effectice is Xeloda (capecitabine) for metastatic breast cancer?

How effectice is Xeloda (capecitabine) for metastatic breast cancer?

Quite effective: Xeloda (capecitabine) is quite an effective drug and has been used in metastatic breast cancer. The response will be higher when it is combined with other chemotherapy agent- with additional possible side effects. Discuss further with you oncologist in detail. ...Read more

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Ov cancer spread to lymph nodes. Paclitaxel, avastin, (bevacizumab) doxil, gemzar, topotecan have failed. Is it all down hill from here? Is this the end?

Ov cancer spread to lymph nodes. Paclitaxel, avastin, (bevacizumab) doxil, gemzar, topotecan have failed. Is it all down hill from here? Is this the end?

Not yet: Ovarian cancer can best be managed by minimal tumor burden an then intraperitoneal chemotherapy. If there is a well defined chain of nodes such as the iliac nodes, I do a pelvic node dissection. L if the tumor burden represents additional multiple nodules along the surface of the bowel, they must be reduced to smaller than 1cm. In diameter. In addition it is essential that the omentum is out.Ea. ...Read more

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What can approx prognosis b for metastic colon cancer with chemotherapy ?

What kind of mets: it depends what kind of metastases we are talking about. if the spread to the lymph nodes, surgery and chemotherapy, and possible radiation therapy could be very helpful. if the spread to the liver the prognosis is less optimistic, unless the metastases are able to be resected. other metastases are less promising in spite of chemotherapy and radiation therapy .like bone and brain. ...Read more

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What are metastatic melanoma patients chance sof survival through chemotherapy?

What are metastatic melanoma patients chance sof survival through chemotherapy?

Variable: Depends on how much spread, were e it spread to, and if you are a candidate for chemotherapy. Can be either monthscor multiple years! ...Read more

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Treatments for prostate cancer with bone metastasis?

Treatments for prostate cancer with bone metastasis?

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 more

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Are uft chemo pills used for metastatic colon cancer with a met to liver and 1 aortocaval node?

Are uft chemo pills used for metastatic colon cancer with a met to liver and 1 aortocaval node?

Yes, it can be an op: This pill is often used in Japan. So it is not popular in the US. Moreover, it is better to be treated with a combination of 2 or 3 medicines that are proven useful in the treatment of metastatic colon Cancer. I would advise you to seek a second opinion so that you can make sure that your treatment is not substandard. ...Read more

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What are psa and tumor markers for prostate bone metastasis?

What are psa and tumor markers for prostate bone metastasis?

PSA means: Prostate specific antigen. Men all have a level of psa if they have a prostate. Arbitrary normal levels are age & race dependent. If you have prostate cancer, and bones are involved, your psa will likely be greater than 10 ng/ml. Psa levels that double in short intervals are more likely to do this. However, very undifferentiated prostate cancers may not generate psa, and one can have bony mets. ...Read more