
Suggest Treatment For Stage 4 Cancer

Question: Hi,
My brother who is in XXXXXXX has been diagnosed with Stage 4 cancer. He is currently being given XELOX 150 mg injections and is XELODA 500 mg. I was thinking of calling him to USA for treatment. Is he going to get the same medicines in USA as well or will there be any additional medicines and advantages as such.
Thanks,
My brother who is in XXXXXXX has been diagnosed with Stage 4 cancer. He is currently being given XELOX 150 mg injections and is XELODA 500 mg. I was thinking of calling him to USA for treatment. Is he going to get the same medicines in USA as well or will there be any additional medicines and advantages as such.
Thanks,
Brief Answer:
exact site of primary tumour
Detailed Answer:
Hi
I would like to know the details of stage 4 cancer he is suffering from - that is the exact site of primary tumour and sites of metastasis. I can further comment about the treatment accordingly.
Regards
DR DE
exact site of primary tumour
Detailed Answer:
Hi
I would like to know the details of stage 4 cancer he is suffering from - that is the exact site of primary tumour and sites of metastasis. I can further comment about the treatment accordingly.
Regards
DR DE
Above answer was peer-reviewed by :
Dr. Prasad


Thanks for your reply.
Here are more details and reports.
My elder brother is having Chrons disease and during operation was diagnosed with colon cancer and was treated accordingly. One operation was done 3 years back and then he had same pain few months back and was operated again and he was tested for colon cancer again and was positive, so he is getting treatment for cancer too.
I am attaching the reports and 3 additional reports (Histopathology Report Dt. 22.10.11_Stage 3 Report, Histopathology Report Dt. 13.10.11 (2)_Stage 2 Report and Stage 4 Report). Stage 2 (STAGE II A (PT2, PNo, PMx) )and Stage 3 (AJCC staging - pT3 pN0) reports related to cancer were taken in just a week apart. Stage 2 report was taken on 13.10.2011 and Stage 3 was on 22.10.11
How is it possible that two reports can show two different results? Then Chemotherapy was done and my elder brother started feeling better and doctors were also happy with the treatment. Then after 3 years after Chrons disease related operation he was tested for Colon cancer again and this time the report on 25.02.2015 shows the cancer as Stage 4 (Stage T4 N1 M1). So we are confused with the reports? Is there any treatment available in USA that can cure this cancer once for all?
Thanks,
Here are more details and reports.
My elder brother is having Chrons disease and during operation was diagnosed with colon cancer and was treated accordingly. One operation was done 3 years back and then he had same pain few months back and was operated again and he was tested for colon cancer again and was positive, so he is getting treatment for cancer too.
I am attaching the reports and 3 additional reports (Histopathology Report Dt. 22.10.11_Stage 3 Report, Histopathology Report Dt. 13.10.11 (2)_Stage 2 Report and Stage 4 Report). Stage 2 (STAGE II A (PT2, PNo, PMx) )and Stage 3 (AJCC staging - pT3 pN0) reports related to cancer were taken in just a week apart. Stage 2 report was taken on 13.10.2011 and Stage 3 was on 22.10.11
How is it possible that two reports can show two different results? Then Chemotherapy was done and my elder brother started feeling better and doctors were also happy with the treatment. Then after 3 years after Chrons disease related operation he was tested for Colon cancer again and this time the report on 25.02.2015 shows the cancer as Stage 4 (Stage T4 N1 M1). So we are confused with the reports? Is there any treatment available in USA that can cure this cancer once for all?
Thanks,
Brief Answer:
XELOX pLus avastin
Detailed Answer:
Hi
I have gone through the reports
Your brother is suffering from colon cancer
The CT scan abdomen report shows metastases in peritoneum
To actually confirm whether it is stage 4 i would advise you to do a PET scan
Treatment with xelox is advisabe where combination of 2 drugs are used
One is capecitabine and other is oxaliplatin
Yes you wil get the drug in USA
Capecitabine can be taken orally and oxaliplatin has to be given intravenousy
3 cycles at 21 days interval needs to be taken after which fresh PET scan has to be done to reassess the disease
I would also advise you to add avastin to xelox to increase survival time more
Regards
DR DE
XELOX pLus avastin
Detailed Answer:
Hi
I have gone through the reports
Your brother is suffering from colon cancer
The CT scan abdomen report shows metastases in peritoneum
To actually confirm whether it is stage 4 i would advise you to do a PET scan
Treatment with xelox is advisabe where combination of 2 drugs are used
One is capecitabine and other is oxaliplatin
Yes you wil get the drug in USA
Capecitabine can be taken orally and oxaliplatin has to be given intravenousy
3 cycles at 21 days interval needs to be taken after which fresh PET scan has to be done to reassess the disease
I would also advise you to add avastin to xelox to increase survival time more
Regards
DR DE
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Above answer was peer-reviewed by :
Dr. Vaishalee Punj

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