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Ovarian Cancer Community

This patient support community is for discussions relating to ovarian cancer, biopsy, chemotherapy, clinical trials, genetics, hysterectomy, immunotherapy, radiation therapy, screening, and staging.
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The best strategy forward

by tato4ka, Jun 27, 2008 07:51AM
Tags: ovarian
I have an ovarian cancer (carcinoma, cerous), operated in November 2004, had 4 courses before and 3  after an operation of topotekan/oxaliplatin, in 7 month recurrence, treated by 11 courses carboplatin/taxol, 1 course of CAP, in 8 month recurrence - now undergo 7th course of doxil. CT shows reduction of the main tumor by about half, metastasis in liver (reduced a little), lungs, limfoid node in groin enlarged. What is the best way forward for me? Would be grateful for advise.
Member Comments (3)

by msjazz, Jun 27, 2008 11:56AM
I am not really qualified to answer this really. Has the doxil quit working? There are some chemos you have not had yet if so. I have had gemzar for 7 months, and if you click on health pages on the top right of page, who is on chemo, some ladies have what they are on. Do you know if your cancer is estrogen receptive? ( Feeds on estrogen?) If it is, some docs add tamoxifen, arimidex, or femars. What does the dr. say?  Best wishes.

by crecco, Jun 28, 2008 10:19PM
It is really hard to say. What has your Dr said/suggested? As msjazz said there are many different kinds of chemos out there. I have been on most that you have named, carbo/taxol, doxil, gemzar, topotecan, and now avastin/abraxane. I was dx with mets to the liver and all of these drugs have helped at least a little bit. They just don't work long enough, and when one stops working, it is time to move on to something else.
I think that the best thing for you to do is to ask your Dr what he thinks would be a good course of action for you. I have found that most normally, a Dr would rather change your chemo than do surgery because surgery takes so much out of you, this way you will have your strength for the chemo.
Please let us know what you find out.
   Chris

by tato4ka, Jun 30, 2008 04:26AM
To: crecco
Thank you very much, and to msjazz too. The doctor thinks about changing to gemzar, but I'm afraid of not being able to continue working as I am aware of all the side effects it gives to others. And in my case it will be quite difficult to go on ....
I did not know that the ovarian carcinoma can be estrogen receptive. How can it be recognized.
I shall post news when I speak with the doctor. Thank you all again
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