Chemotherapy

Tanmay

I'm getting the fourth chemotherapy.

On 1st chemotherapy I got 5FU+Epirubicin+cyclo phosphamide(FEC)

On 2nd chemotherapy I got 5FU+Doxorubicin+cyclophosphamide(FAC)

On third I got 5FU+Epirubicin+cyclo phosphamide(FEC)

And on 4th chemotherapy I got 5FU+Doxorubicin+cyclophosphamide(FAC)

IS IT IN ANY REGIMEN?? AND HOW MUCH IT EFFECTIVE

Please Suggest Me

BarredOwl

Hi Tanmay:

I do not know the answer to your questions. I am replying in the hope someone else with experience may comment about this regimen.

Please do not hesitate to request a copy of a scientific publication from a clinical trial that may have evaluated this particular regimen from your medical oncologist or hospital. They should be able to advise you regarding potential benefit, based on your clinical situation (early stage, recurrent or metastatic).

Two distinct regimens are included in our local guidelines for recurrent or metastatic breast cancer, for example:

These appear as totally separate regimens, either all cycles are FAC or all cycles are FEC. But the guidelines may not include all possible regimens for (a) adjuvant treatment of early stage disease, or (b) for recurrent or metastatic disease. Also, there may be differences in practice between countries.

Johns Hopkins has an on-line question portal here for general questions. There are significant limitations with the portal as a source of medical advice, because the advice is not from an expert professional medical oncologist familiar with the specifics of your diagnosis. If you choose to submit a question to the portal, be sure to include information regarding your diagnosis (e.g., ER, PR, and HER2 status; lymph node status; early stage (include stage information); recurrent or metastatic), and you must still seek confirmation of any information with a medical professional familiar with your case.

http://www.hopkinsbreastcenter.org/services/ask_expert/

When concerned about the quality of advice received, the best thing to do is to seek an independent second opinion, in this case with a professional medical oncologist about whether alternating the "anthracycline" (epirubicin alternating with doxorubicin) is used in clinical practice in your situation. If you can do this now (before more time passes), if there was some concern, it might perhaps still be possible to extend/modify treatment in some way.

Best,

BarredOwl