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Is Oxaliplatin Appropriate For Colon Cancer Chemotherapy Treatment?

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Posted on Tue, 21 Apr 2015
Question: Is oxyplatin a
Good chemo to give in a colon cancer patient with mets ?
doctor
Answered by Dr. Prof. Kunal Saha (2 hours later)
Brief Answer:
Oxyplatin is a good chemotherapeutic agent.

Detailed Answer:
Thanks for asking on HealthcareMagic.

Oxyplatin is a good chemotherapeutic agent. But oncologists decide chemotherapeutic combinations after keeping multiple things in consideration. Please rely on the judgement of your doctor in this regard.

Regards
Dr. Kunal Saha
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (23 minutes later)
Does it only work im some ppl? First he had irinitecan and that failed
doctor
Answered by Dr. Prof. Kunal Saha (10 hours later)
Brief Answer:
A number of determinants determine the response to these

Detailed Answer:
Thanks for writing back. Sorry for not being able to write back earlier. I had lost my internet connectivity.

As I mentioned the response to chemotherapeutic agents has a number of determinants. They are patient related factors like degree of extent and spread. If it has spread extensively, the requisite dose might not be a permissible one thus leading to failure of response.

I would add an extra note. In case of a person where metastasis has already occurred, the ultimate fate is not far, irrespective of what you do. In such a scenario, rather than trying to do whatever you can, it might be better to stop trying to prolong life. Rather you should concentrate on the quality of life he can get in the short duration that he has.

Regards
Dr. Kunal Saha
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (1 hour later)
He was initially a stage 3, just recently developed sum mets so he does not have spread all over . Does this make diffetence?
doctor
Answered by Dr. Prof. Kunal Saha (2 hours later)
Brief Answer:
There is a difference between some metastasis and no metastasis

Detailed Answer:
Thanks for writing back.

Iam sorry to say that it does not really make a difference. If metastasis has occurred it is stage 4. Once metastasis has occurred, the cells can be out there anywhere. Even if the chemotherapeutic agents manage to kill 99.99% of the cells, the remaining would again make a comeback. The cells from the original lump or from the metastasis may invade a capillary and enter the blood stream going anywhere it likes.

I do not mean to sound pessimistic. But it is important to concentrate on the quality of life. And you need to be realistic about the expectations.

Hope you understand.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (18 minutes later)
Thx alot i appreciate it.would sirt help on the liver with chemotherapy?

Is it wortnwhile to add avastin?
doctor
Answered by Dr. Prof. Kunal Saha (28 minutes later)
Brief Answer:
I am glad that it helped

Detailed Answer:
I am glad that you found my answer helpful. In that case, I would really appreciate if you mark the answer with a 5 star and close the thread with a positive rating.

Sorry for the dismal situation but still I am sure that you can do enough to brighten up his life.

Regards
Dr. Kunal Saha
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (4 hours later)
With sirt therapy and chemo both can survival b few years?
doctor
Answered by Dr. Prof. Kunal Saha (2 hours later)
Brief Answer:
Further details required

Detailed Answer:
Thanks for writing back.

It is very difficult to predict the life expectancy without knowing the exact details of the type of cancer and the related details which would anyway have been the determinants of deciding the chemotherapeutic agent. Please talk to your doctor about this and I am sure that he would be able to guide you further.

In general the life expectancy is quoted as more than 3 months.

Regards
Dr. Kunal Saha
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

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Is Oxaliplatin Appropriate For Colon Cancer Chemotherapy Treatment?

Brief Answer: Oxyplatin is a good chemotherapeutic agent. Detailed Answer: Thanks for asking on HealthcareMagic. Oxyplatin is a good chemotherapeutic agent. But oncologists decide chemotherapeutic combinations after keeping multiple things in consideration. Please rely on the judgement of your doctor in this regard. Regards Dr. Kunal Saha