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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Chemotherapy Required If Lymph Nodes Are Clean?

My husband had surgery for stage 1b lung cancer removed right upper lobe right lung. also had a spot on his brain gamma knifed. Oncologist want to do chemo once every three weeks. Why if all the cancer was removed and lymph nodes were clean. What drugs should be used IV or oral.
Tue, 7 Apr 2015
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Pulmonologist,  's  Response
Hello dear, thanks for your question on HCM.
I can understand your situation and problem.
Surgical removal is the treatment of choice for stage 1b lung cancer.
Post operative chemotherapy should be given in all patients.
During surgery, handling of tumour mass cause spillage of tumour cells in the operative site.
So there is risk of tumour recurrence.
To avoid this complication, post operative chemotherapy is advised.
So my suggestion is to give him chemotherapy cycles.
Usually chemotherapy is given intravenously and most commonly used agents are cisplatin and etoposide.
So no harm in post operative chemotherapy.
This will reduce the chances of recurrence.
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Is Chemotherapy Required If Lymph Nodes Are Clean?

Hello dear, thanks for your question on HCM. I can understand your situation and problem. Surgical removal is the treatment of choice for stage 1b lung cancer. Post operative chemotherapy should be given in all patients. During surgery, handling of tumour mass cause spillage of tumour cells in the operative site. So there is risk of tumour recurrence. To avoid this complication, post operative chemotherapy is advised. So my suggestion is to give him chemotherapy cycles. Usually chemotherapy is given intravenously and most commonly used agents are cisplatin and etoposide. So no harm in post operative chemotherapy. This will reduce the chances of recurrence.