November 25, 2013 at 4:00 pm #77403pcl1029Member
First find out why your father cannot have further treatment.(very important)
Second, get a current CT scan to compare to the last one to check out the current tumor situation to determine the next best treatment plan.
Third if there are no contradiction to continue treatment based on the above information, if your father ‘s bilirubin level is acceptable by the doctor, and the liver enzymes is normal, especially the ALK phosphate ;and your father’s lab work of platelets etc.are ok, and if the CT scan done or will be done after the 6th dose GEM/Cis and show tumor shrinkage or no further growth of the tumor(stable); and your father is relatively heathly with no other disease like kidney problems; then ask your doctor to continue the GEM/CIS till your father cannot tolerate the GEM/CIS.
or ask your oncologist to consider whether targeted agents such as Tarceva® (erlotinib) is proper for your dad.
Systemic treatment in your father’s case is one of the beast opinionat this point.
Get a second opinion by an other oncologist or GI oncologist to confirm treatment is highly advised.
God bless.November 25, 2013 at 5:57 am #77402faisalMember
Hello!My father age 53yrs old having cholangiocarcinoma(Klatskin Tumor),with hepatic artery involvement.Doctors say it is Type IV.He has been undergone treatment at medanta hospital gurgaon haryana(India), during May this year.That time the MRCP shows the hilar block.The gaestroenterologist that inserted him mettalic stents was Dr. randhir sud.Then they were decided to have surgery to him, but after opening they found that the cancer is unresectable.Then we came back to our home srinagar j&k and then at SKIMS Soura Here,he has undergone chemotherapy 6 cycles of Gemcitabin and cisplatin..during june to september this year…He is now feeling comfortable but here the doctors told us that they can’t give any treatment further..!I wan`t to get your suggestion that what is the further treatment for him…so, that the cancer can`t metastatize his liver or other organs…because fortunately the cancer has not yet invaded his liver or any organs. according to recent ultrasonography! ..I wan`t to save him at any cost!!!!
God Bless us ALL!November 23, 2013 at 3:32 pm #77401pcl1029Member
According to guide lines.by uptodate.com(a medical web sited for MD )
For advanced Unrespectable CCA,we suggest chemo radiotherapy followed by chemotherapy such as 5FU or gemcitabline. For extra hepatic cholangiocarcinoma .
For intrahepatic CCA ,RFA,chemoembolization ,radioembrolization etc.
For palliation of jaundice patients,who have Unrespectable CCA, STENT placement is recommendation..
Below link may help to guide you what to do on different stages.
God bless.November 23, 2013 at 2:14 pm #77400lainySpectator
Dear Faisal, welcome to our family from across the world but sorry you had to find us. We need to know more so that we can try to help. Can you tell us what the diagnosis was? Where is the CC and is your father receiving any treatment other than the stents. Have they given him a stage? What is his age. The more you can tell us the better we can help. Is he comfortable? You can begin by reading up as much as you can as knowledge is our most powerful tool. Also make sure his Oncologist has been treating CC patients not someone who has no experience with CC. Looking forward to finding out more. Be Strong!November 23, 2013 at 12:21 pm #9163faisalMember
my father recently diagonosed having cc.now he has mettalic stents.what should i do now to save him!!!!!!!
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