What Will You Do After Adjuvant Chemotherapy Is Done.

Hi, everyone,

“http://www.cholangiocarcinoma.org/punbb/viewtopic.php?pid=65176#p65176“

Now, I can give you an answer about the message I wrote earlier, check link above.

After 6 months of Xeloda adjuvant therapy after the second resection, I switched to the maintaince dose for 6 -8months ; CCA recurred for the 3rd time . Therefore ,at least for me , the reduced dose of Xeloda as maintaince therapy did not prevent my 3rd recurrence. Another lesson learnt .

I think the best way is to have PET or CT scan and lab work every 3-6 month to catch the recurrence early enough to allow more options in future treatment in case the CCA comes back;eat well; build up the strength and continue to keep up to date with the knowledge about this Chronic disease. This may be the best solution after the adjuvant therapy is completed .

God bless.

Hi,
Thanks Gavin.
BTW, the following link may be of interest to some along with the same line of thinking about inflammation and cancer and provide additional info of the parameters that may be of value for prognostic monitoring of treatment response.

http://www.asco.org/ASCOv2/Meetings/Abstracts?&vmview=abst_detail_view&confID=114&abstractID=101367

God bless.

Hi,Lisa,
In your case, I will finish the radiation treatment first, rest enough till the energy level comes back and get your oncologist on board. Then if s/he choose adjuvant chemotherapy for you after the radiation, you can ask whether You can take Xeloda at home alone for connivence. after the 6 month or so of the standard treatment period, ,then You may like Eli, print out the article of low dose maintenance of using Xeloda to show to the oncologist to see whether s/he agrees with you. However, I do not think the oncologist will agree with you for taking the Yunzhi supplement, because I do not think they have done any research reading on it. But ,print the article out from the Sloan Kettering web site to help you in discussion with s/he. Then it will be up to you to decide whether to take the supplement.
Get well soon and
God bless,

Hi, everyone,
the link below is in line with this topic discussion of “what will you do after adjuvant chemotherapy is done.”

http://www.rttnews.com/2032349/cancer-eating-stems-cells-could-yield-new-treatment-option.aspx?type=can

For myself: Besides I am continuing on the “low dose maintenance ” of using Xelodafor a year now; I am also taking an oral form of supplement to increase my immune systems’ ability to fight against the inflammation .The capsule I am taking is “Yunzhi extract” capsule which displays the following pharmacological actions(PA).(The PA of “Yunzhi” is not proven by the western medical standard as a drug;therefore it is classified as a supplement by FDA)
1.to activate the T-lymphocytes and other cells in the WBC group to fight again cancer cells.
2.to increase the production of antibodies,such as cytokines IL-2 and IL-6 etc.to protect or increase our body defense against cancer and other inflammation condition in our body.( I view cancer as an inflammation condition of our own normal cells)
Finally ,CAUTION: be aware of sub standard Yunzhi extract capsules manufactured by different companies. Choose wisely and carefully ,read some articles about the “Yunzhi” before you put down your money.
the following link may be helpful for knowing more about Chinese Herbal medicine.

http://www.mskcc.org/cancer-care/integrative-medicine/disclaimer?msk_disclaimer_herb=1&destination=%2Fcancer-care%2Fherb%2Fcoriolus-versicolor

God bless.

Hi, Marion,
As I told Eli, I may be on Xeloda forever, I am currently on the Xyloda for the past 10 month at 75% of the full dose and 2 weeks on and one week off.
In the research That I did about”the maintenance dose” topic disscussion,I found some at half the dose, or just 1000mg twice daily for ALL patients without regard to the body surfaces area (m2) at 2weeks on and one week off. Or one report indicated same dose at 5 days on and 2 days off ; or another report indicated dose per M2 ,but at a 7 days on and 7 days off schedule. All of the above dose schedule and frequency are done for solid cancers OTHER THAN that of CCA. But as you know, often ,if successful, they will try on us too.
This is a subject that requires the cooperation of the oncologist as well as the patient who understand why he will want such a prolong or even a lifetime chemotherapy until the CURE will be here in 3-5years.
My answer is that I do not want to be a sitting duck , I want to be proactive.
And Xeloda is relative easy to tolerate and is proven to be effective in other solid cancer. But even so, the main purpose is to prolong ,if possible, the disease control state,or theTTF( time to be free of the disease) as long as possible before it comes back again. It is still not a cure, that is why,in addition to that ,I continue to take the oncozac twice a day on my Xeloda days off.
God bless.