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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is Your Opinion About Second Course Of Gemzar Chemo For Metastasized Pancreatic Cancer?

I went through 6 months of Gemzar chemo and 5.5 weeks of radiation. My pancreatic cancer has now metastasized in several spots in my liver and one spot in my left hip. My Oncologist wants me to start Gemzar again. Do you know much about 2nd coursed=s of the chemo?
Tue, 2 Dec 2014
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Oncologist, Surgical,  's  Response
It would have helped if you had mentioned the time passed since the first course of chemotherapy. If more than 6 months have passed then your disease did respond to chemotherapy and it would be worthwhile to take another course if your general condition is good enough to tolerate the chemotherapy. If less time has passed then your disease is probably not responsive to these drugs in which case you should either take a different line of chemotherapy or consider taking targeted therapy. Targeted therapy is a form of tablet therapy which has fewer side effects but with lesser effect on the tumor than chemotherapy. This you need to discuss with your oncologist.
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What Is Your Opinion About Second Course Of Gemzar Chemo For Metastasized Pancreatic Cancer?

It would have helped if you had mentioned the time passed since the first course of chemotherapy. If more than 6 months have passed then your disease did respond to chemotherapy and it would be worthwhile to take another course if your general condition is good enough to tolerate the chemotherapy. If less time has passed then your disease is probably not responsive to these drugs in which case you should either take a different line of chemotherapy or consider taking targeted therapy. Targeted therapy is a form of tablet therapy which has fewer side effects but with lesser effect on the tumor than chemotherapy. This you need to discuss with your oncologist.