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Colon Cancer/Drug useage in maintenance

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Question
Metastatic colo-rectal cancer (to liver) in 2012 recurred last fall 2014 in the musculature outside the small bowel. Following 3 months of agressive IV therapy (Avastin, 5FU, Leucovorin, Irinotecan and Oxaliplatin) this recent bout of a tumor has appeared to resolve as results of PET/CT revealed.  The plan now is for Maintenance therapy on IV 5fu versus oral Xeloda.  What is your experience in the use of either of these drugs?  Does one do better that the other in maintenance?  How does the general patient respond to the use of either of these drugs?  Also once I am placed on a Maintenance schedule, do you see any advantage in the occasional use of any drug (Avastin, Oxaliplatin or Erbitux) to help keep the recurrence of a tumor as a minimal?  Thank you in advance for your insight and response.

Answer
I usually do not comment on drug schemes here for several reasons. I will only say this. If I was the patient I would probably prefer repeated full treatment schemes like the schedule you have had. But this is a matter you should discuss with your doctor!








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Colon Cancer

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Claes-Gustaf Nordquist, M.D.

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I`m a doctor of medicine and a specialist in radiation therapy and medical oncology. I have long experience with regards to this cancer.

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I'm a Doctor of Medicine and specialist in Medical Oncology and Radiation Therapy educated & trained in Sweden. Now retired. Background in Radiation Therapy, Medical Oncology, Radiation Protection, Nuclear Medicine, Diagnostic Radiology, Gynecological Oncology, Clinical Pathology, Clinical Cytology,Hematology and Internal Medicine. M.D. from the faculty of medicine, Royal Karolinska Institute, Stockholm, Sweden. Have also been an exchange student at the Hebrew University, Hadassah Medical School, Jerusalem Israel. Former medical consultant, Swedish National Board of Radiation Protection. Former Police Surgeon and Medical Examiner, Stockholm Police Department. Former Chief Medical Officer, The Royal Guards, The Royal Horse Guards and the Royal Household Brigade, Royal Swedish Army Medical Corps. You can also reach me on: http://www.lifestylerescue.com/expert/health-fitness-advice/dr-claes-gustaf/128 I have no restrictions on the number of questions there.

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I'm a medical doctor and a specialist in medical oncology & radiation therapy.

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