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How Effective Is Folfiri For Colon Cancer?

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Posted on Tue, 30 Dec 2014
Question: How effective is folfiri for colon cancer ?
doctor
Answered by Dr. Shoaib Khan (1 hour later)
Brief Answer:
About 60% effective when used as second-line

Detailed Answer:
Hello once again ma'am and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. Folfiri (with the active ingredients folinic acid, fluorouracil and irinotecan) was actively studied in patients who experienced a failure of first-line of therapy and showed the following results:

+31% of the patients showed good response and tumour-regression
+31% of the patients had a well-controlled tumour with no signs of progression or risk
+38% experienced disease progression

Although it is important to note that when folfiri was given in combination with other agents (E.g. etoposide platinum) there was a good response of about 60% approximately. I would also like to add that response cannot be predicted but this particular regimen has been proven to be quite beneficial in many patients.

I hope you find my response helpful ma'am. Please feel free to write back to me for any further clarifications, I would be more than happy to help you.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan (6 minutes later)
What is survival approx for a liver met ( single ) and 1 aortocaval node met?also since last week he only been getting irinotecan as was getting chest pain . Will this be less effective ?
doctor
Answered by Dr. Shoaib Khan (9 minutes later)
Brief Answer:
Few months till 5 years (maximum)

Detailed Answer:
Hi ma'am.

Survival rates are quite poor and average expected suevival rate is about 8-10 months and life up to 5 years is extremely rare.

As for the efficay, with the use of only irinotecan effectivety surely reduces ma'am. I hope this information helps you ma'am, please feel free to write back to me anytime. I am always here to help.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan (18 minutes later)
So 8-10 months even with 1 liver met n node? Ppl have several liver mets and lungs and are still alive after even few years
doctor
Answered by Dr. Shoaib Khan (8 hours later)
Brief Answer:
Average is 5-10 months ma'am, not expected LE

Detailed Answer:
Hello ma'am.

The average life span of an individual with liver metastases and a history of colon cancer, and all the other details added in is about 5-10 months. This is the average duration and not the expected duration of life expectancy (LE).

The expected life expectancy is from a few months up until 5 years. Depending on the extent of invasion, response to therapy, etc. So you are quite right when you said that some do live for a few years, and the expected duration is about 5 years maximum.

I hope this answers your question ma'am. Please feel free to write back to me anytime, and you father is in my prayers all the time.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan (1 hour later)
Is it a good sign his
Blood work including liver funtions are all normal ?can this chemo get rid of both the liver met and node? His cea is 9
doctor
Answered by Dr. Shoaib Khan (1 hour later)
Brief Answer:
Great news, but may not completely disappear

Detailed Answer:
Hi ma'am.

Yes this is indeed a good sign. Although I believe the chemo can help to reduce the size of the tumor and even possibly make it asymptomatic, but I am not sure about it completely disappearing.

I hope this helps answer your query ma'am. Looking forward to hearing from you.

Best wishes.
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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How Effective Is Folfiri For Colon Cancer?

Brief Answer: About 60% effective when used as second-line Detailed Answer: Hello once again ma'am and welcome. Thank you for writing to us. I have gone through your query with diligence and would like you to know that I am here to help. Folfiri (with the active ingredients folinic acid, fluorouracil and irinotecan) was actively studied in patients who experienced a failure of first-line of therapy and showed the following results: +31% of the patients showed good response and tumour-regression +31% of the patients had a well-controlled tumour with no signs of progression or risk +38% experienced disease progression Although it is important to note that when folfiri was given in combination with other agents (E.g. etoposide platinum) there was a good response of about 60% approximately. I would also like to add that response cannot be predicted but this particular regimen has been proven to be quite beneficial in many patients. I hope you find my response helpful ma'am. Please feel free to write back to me for any further clarifications, I would be more than happy to help you. Best wishes.