I mention before that my wife is young and node negative. CEF (120mg Epirubicin = 60mg on day 1 and day 8 for 1 cycle) is what the oncologist suggested. She is almost finished with the first cycle.
I will meet the oncologist before the next cycle to clarify why he is not using FEC (100mg or 75mg Epirubicin) rather than the high toxicity CEF.
I red about FEC-D (FEC follow by docetaxel) which is 3r generation regimen that could be even more beneficial for her according to Adjuvant Online!. Also...less Toxicity. Our oncologist said that Taxanes may be not that beneficial for HER- negative like her. I am confused.
Any opinion on this one?
Also...si it be a problem to change regimen after 1 cycle knowing that we keep the same drug (ex.: CEF->FEC or CEF->FEC-D)?
Using taxanes may indeed provide an additional benefit in terms of percentage of survival, but I think that this added benefit will just be small (less than 5% increment), and this should be weighed against the potential side effects of adding docetaxel. If ever you and the oncologist will decide in using docetaxel, then the FEC is given first for 3 cycles, then followed by 3 cycles of docetaxel. Taxanes can work well with both her2 positive or her2 negative patients, it is just that the her2 positives can derive more benefit from more aggressive therapy.
Copyright 1994-2016MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.