Hello Dr. My Mom is doing topotecan for her 2nd recurrence (first time other drug beside taxotere/carbo). This week will complete her 3rd treatment (3 weeks on 1 off) is each treatment. Her ca-125 has never been brought down by this drug/. Before treatment 140s and now 224. Her ct scan as of friday showed very very small increase in the lymph node and the new spots that were seen on the capsul of the liver in May has shruck a tiny bit. She will complete this treatment this week and meet with her main oncologist next week to see what he wants to do. So my question is, what would you recommend at this point? Do you think that topotecan is not working for her or is it too early to tell?
Overall she is feeling better right now since May before she began this treatment but we also dont want to waist time on a drug that is not doing anything and may allow the cancer to progress.
Thank You so much
Fiana