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Химиотерапевт

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# липосаркома-первый диагноз,НЭО тонкой кишки-второйАлла Денисюк 11.05.2017 08:20
В апреле 2017 года - была проведена операция по скорой помощи острая кишечная спаечная непроходимость, в ходе которой рецидива липосаркомы не обнаружено(перв ый диагноз-6 операцийG1), но обнаружена опухоль тонкой кишки диаметром около 1,5 см, которая была удалена.Хирург сказал-случайная находка. При проведение гистологии результат - карциноид тонкой кишки с ростом из структур стенки тонкой кишки в бок слизистой оболочки с ее изъязвлением и в сторону мезотелиального покрытия. Результаты иммунногистохим ического исследования: Хромогранин A(DAK- A3) позитивная реакция Синаптофизин (SP-11) - позитивная реакция Ki-67 протеин (Mib-1) - 3% Заключение: нейроендокринна я карцинома, G 2, тонкой кишки, инвазия опухоли на всю толщу мышечного слоя (Т2) Подскажите, пожалуйста,како е лечение эффективно дальше ,применяется ли химиотерапия или применение других препаратов по таким результатам данного диагноза? Заранее благодарна за ответ
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# нейроэндокринна я карцинома тонкого кишечника-второй диагнозАлла Денисюк 11.05.2017 08:14
В апреле 2017 года - была проведена операция по скорой помощи острая кишечная спаечная непроходимость, в ходе которой рецидива липосаркомы не обнаружено, но обнаружена опухоль тонкой кишки диаметром около 1,5 см, которая была удалена.Хирург сказал-случайная находка. При проведение гистологии результат - карциноид тонкой кишки с ростом из структур стенки тонкой кишки в бок слизистой оболочки с ее изъязвлением и в сторону мезотелиального покрытия. Результаты иммунногистохим ического исследования: Хромогранин A(DAK- A3) позитивная реакция Синаптофизин (SP-11) - позитивная реакция Ki-67 протеин (Mib-1) - 3% Заключение: нейроендокринна я карцинома, G 2, тонкой кишки, инвазия опухоли на всю толщу мышечного слоя (Т2) Подскажите, пожалуйста,како е лечение эффективно дальше ,применяется ли химиотерапия или применение других препаратов по таким результатам данного диагноза? Заранее благодарна за ответ
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# как определиться с производителем оксалиплатинаГришина Наталия Влад 03.05.2017 17:39
Для проведения постоперационно й химиотерапии назначен оксалиплатин. Подскажите, пожалуйста, влияет ли на качество препарата производитель. Если да, то какой надёжнее.
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# ХимиотерапевтPrince 24.04.2017 03:02
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# МеланомаНаталья А 02.04.2017 18:34
Добрый день! После удаления меланомы мне назначили реаферон 5 млн МЕ 2 раза в неделю год. После первого укола внутримышечно температура была 37,5, после второго вообще ничего. Возможно ли отсутствие побочных эффектов?
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# можно лиАнжелика 18.02.2017 15:36
Здраствуйте у моего отца опухоль головного мозга и он принемает химию . можно ли ему довать бактерии при такой болезни и что можно от давления???
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# рак кишечникаТатьяна 26.12.2016 15:51
Здравствуйте!У моего отца обнаружили рак кишечника.Метостазов,сказ али нет.Сделали операцию.После операции приписали химиютерапию и табл.Кселода.Первая химия была с последствием плохого самочуствия.Сказали больше химию принимать не будем и увеличили прием Кселоды от 2 до 3 табл.2 раза в день.Скажите пожалуйста,этог о хватает для лечения или все таки надо принимать в комплексе с химией.Буду очень благодарна за ответ.
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# лимфома ходжкинаКамила Ахмедхановна 28.11.2016 15:50
Здравствуйте, мой муж болеет лимфомой ходжкина, он прошел 4 курса химиотерапии, после 4 химии он начал пить водку и пиво. Как это отразится на лечении?
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# химиотерапияТамара 24.11.2016 15:44
У мужа инфильтративный рак желудка с множественными MTS в печени. Назначили химию фторафур(таблет ки). Но там притивопоказани я - болезнь печени. Не навредим ли еще больше? Мужу 66 лет. Спасибо.
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# ХимияБогдана 22.11.2016 19:05
Здравствуйте, у моей мамы рак поджелудочной железы! Назначили курс химии! Пришла она и говорит что в ей сделали всего одну капельницу и не промывали , скажите это нормально! Всем делают 2-4 , а её покапали 1.5 часа одной капельницой и отправили домой? ?????
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# лейкоцитыАлексей 13.11.2016 07:24
подскажите, можно ли делать химиотерапию если лейкоциты после 4 процедуры равно 2. В период между процедурами (2 недели), лейкоциты так и не поднялись, В прошлый раз врач отказал в приеме, пока лей-ты не подымутся до нормы 4.
В этот раз принимали все теже препараты что и прошлый раз, но показатель лейк-ов не изменился.
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# ХимиотерапияBahar 07.11.2016 14:42
Здравствуйте! У меня трихомонадный кольпит и мне сделали химиятерапию эндоксан и визтопоз. Оно как то не повлияет на организм? И при месячных Я получила последнюю систему. мне 24. Они связаны или нет? Противопоказани е? Хочу просто узнать на мое будущее оно повлияет?
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# химиотерапияЛюбовь Егоровна Под 20.10.2016 00:59
Здравствуйте у меня рак молочной железы,была операция,лучи ,химиотерапия .сейчас только герцептин,но случился инфаркт,можно ли продолжать химиотерапию.
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# доцетакселЛюдмила 06.09.2016 12:14
Здравствуте.Мужу назначена химиотерапия доцетакселом20м г/0,5мл в сумме 120мг будет ли равнозначной замена на дозы 20мг/4мл в сумме 120 мг.если нет то как быть,?
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# рак молочной железыайгуль 06.09.2016 00:47
ЗДравствуйте.у меня рак молосной железы мне 26лет я получаю 2курса химиотерапию хочу спросить у вас мне сделали укол стобы остановить месячнве на 3месяца.а сегодня пошла кровь но не похожа на месячные что мне теперь делать.возможно ли забеременеть.и спина болит и тошнота есть.кровь от чего идет вот об этом хотела спросить.во время инт.отношений не предохранялись.спасибо
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# БлеоцинКарина 31.08.2016 14:39
Добрый день!
Подскажите, пожалуйста, какие могут быть последствия того, что провели курс химиотерапии (Ходжкина) без введения Блеоцина?
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# после химиотерапии температура, нет возможности срочно попасть к врачуАня 26.08.2016 00:38
здравствуйте! маме 46 лет, два года назад прошла через частичное удаление груди( карцинома) и лимфоузла
сейчас обнаружили метастазы, отечная форма, пошли первый курс химиотерапии ( таксотер-доксорубицин), после чего два дня откапки( детоксикации) , и вот, неделю не было явных побочных эффектов, волосы на месте, органы не болели особо, а сегодня поднялась температура до 38,5 , опасались , что может быть воспаление лёгких, но покашливала она и до химиотерапии.
лейкоциты 1,5, так что выпили медрол. сначала полегче стало, но температура снова 38,4
знаю, логично ответить- нужно обратиться к лечащему, но она в отпуске,Котовск ий прочему, мы уже из Киева , где лечились , приехали домой в Севастополь , тут не так просто быстро попасть к врачу. подскажите, пожалуйста , что может помочь? какие антибиотики не противопоказаны в данном случае ? может, аугментин? и поможет ли укол дексаметазона?
благодарю.
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# меланомаИрина 30.07.2016 12:47
Здравствуйте, подскажите пожалуйста! У моего мужа меланома, всё началось в 2012 году, её вырезали, потом она дала метастазы в паховые лимфоузлы, их вырезали, спустя несколько лет рецидив, опять вырезали меланому, она дала опять метастазы в другие паховые лимфоузлы и в лимфоузлы брюшной полости. Паховые вырезали, а брюшные нет ( так как их очень сложно вырезать) и поэтому назначено лечение -3 курса химио терапии. И вот мы не давно узнали о препарате зелбораф. И вот собственно вопрос - делать ли химию,? Или может помочь зелбораф? Или лучше сделать химию, а потом зелбораф? Подскажите пожалуйста своё мнение?
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# Рак грудиАнна 15.07.2016 10:43
У моей мамы такой диагноз, злокачественная опухоль молочной железы Т3N0M0. Стадия II b. Опухоль была мультицентрично й, поэтому была сделана мастэктомия. Гистологическое заключение: в участке уплотнения молочной железы множественные очаги внутрипротоково го рака в сочетании с инвазивный слизистым раком , область соска обычного строения, в 10 выявленных лимфоузлах элементов опухоли не обнаружено. Иммуногистохими ческое исследование показало: рецепторы эстрогена 7 баллов, рецепторы прогестерона 7 баллов, Her-2/neu 1+, Ki67 =12%. Химиотерапевт сделал следующее заключение: опухоль имеет люминальный A подтип и назначила применение тамоксифена 20 Мг. Правильно ли лечение? Не нужна ли химиотерапия? И верно ли Назначение именно таких гормонов?
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# химиотерапияАртём 16.06.2016 18:37
Добрый день.моей жене назначили ПХТ ифосфамид 2,5гр/м2 (1-3д.),месна 2,5гр/м2 (1-3д.),доксорубицин 100 мг.Ещё написано 2 блока.Помогите расчитать чего и сколько покупать.Заранее благодарен.
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# рак ротоглоткиВалентина 21.04.2016 19:59
Добрый вечер. У мужа рак ротоглотки 3 степени. Прошел 2 курса лучевой терапии, 3 химиотерапии, удаление опухоли ротоглотки, удаление шишки, удаление лимфоузлов, удаление части нижней челюсти. Сильные боли,потеря веса. Дайте ,пожалуйста,рек омендацию по питанию (может схему питания) и восстановлению.Заранее благодарю.
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# СветланеЛилия 17.03.2016 17:44
Здравствуйте!Св етлана, подскажите пожалуйста как Вас лечили?У меня диагностирован тот же диагноз рак шейки матки 2 стадии T2NoMo.Мне предлогают химия лучевую терапию.И говорят что оперировать нельзя.Может знаете почему?
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# Оксалиплатин+де ксаметазон в одной инфузионной системе?Лариса 21.02.2016 01:01
Очень нужна консультация.Маме назначена химиотерапия по FOLFOX (после операции по пов. Са сигмовидн.кишки Т3N1M0).150 мг оксалиплатин,150 мг лейковорин и 1500 мг фторурацил-1 день;150 мг лейковорин и 1500 мг фторурацил-на 2-й день день. Медсестра всегда в капельницу с оксали платином в 1-й день добавляла ещё ампулы дексаметазона, а во второй день дексаметезон смешивала в капельнице с лейковорином.Дело в том , что в инструкции к этим препаратам сказано,что их НЕЛЬЗЯ смешивать в одной инфузионной системе с другими лекарствами.И теперь мне не дает покоя вопрос,правильн о ли постувает медсестра.Наш лечащий химиотерапевт сказал, что медсестра всё знает лучше него(на счет того-что-с чем можна смешивать), а я уже вся измучилась,у кого спросить не знаю.В этом же отделении как-то неудобно "перепроверять" своего врача.А я уже перерыла весь интернет-нигде не вижу,чтоб эти препараты можна было смешивать.ПОМОГИТЕ СОВЕТОМ-не хочу,чтоб лечение проводили неправильно.
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# метастазы в печенивиктория 17.02.2016 21:45
Год назад была проведена операция по удалению молочной железы и проведены 6 курсов химиотерапии АМК (доксорубицин, Methotrexat, 5-Fluoruracil ( 3 курса до+ 3 курса после операции). Через 7 месяцев после последнего курса химиотерапии обнаружены множественные метастазы в печени. Означает ли это что для лечения надо применять препараты отличные от препаратов применявшихся при прошлых сеансах химиотерапии и препараты какой группы предпочтительны при данной форме рака. Можно ли параллельно с химиотерапией применять иммуномодулятор ы ( ингарон , рефнот). Спасибо.
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# антибиотикивиктория 09.01.2016 17:55
Здрастуйте подскажите пожалуйста! Почему моей маме не колят антибиотики после мастоэктомии?
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# Метастазы в брюшинеНара 25.11.2015 14:16
Здравствуйте, подскажите поможет ли лекарство РЕФНОТ И ИНТЕРФЕРОН ГАММА в лечении метастаз в брюшине? Прошли курс химиотерапии, спустя 2 месяца снова пришлось идти на химию, перенесли 3 сеанса, сейчас не берут на химию из за низкого веса и пониженного белка в крови.
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# Осложнения после химиотерапииNatalia 20.11.2015 17:37
Здравствуйте.У моей мамы рмж 2 стадия с мтс в подмышечные лимфоузлы.Сначала назначили 2 химиотерапии доксорубицин и циклофосфан ,съездили на контроль динамика положительная,н о назначили еще 2 таких же .Сделали 3 химию и за неделю до 4 ухудшилось состояние.Первый день температура повысилась до 39,6 ,учащение пульса,головные боли и боль в желудке,на сл. день такая же температура и те же симптомы,попали к врачу сдали анализ общий ,анализ хороший ,лейкоциты 3,9 эритроциты чуть понижены но в пределах нормы.Воспалительный процесс анализ тоже не показал..Терапевт прописал димедрол и анальгин ,но не знаю адекватное ли это лечение? Советовали так же кагоцел,но вроде имуномодуляторы нельзя при ХТ.Подскажите пожалуйста что делать.
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# Выбор препаратаЛидия 16.11.2015 14:28
Здравствуйте!
Моей сестре назначили препарат на основе доцетаксела. Помогите, пожалуйста, с выбором производителя препарата (если это имеет значение).
Интересует средняя и высокая ценовая категория (снова, если есть смысл в выборе более дорогого варианта) Заранее огромное спасибо!
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# Осложнение после химеотерапии.ВИКА 12.11.2015 11:46
Пройден 1 курс химеотерапии, лейкоциты упали до 1.0. Заложен нос, болит горло, 3 день температура 38,6. Какие противововирусн ые препараты можно применять в таком случае? Через 2 недели предстоит 2 курс.
Врач сказал, что можно лечить антигиппином, но в анатации написано, что при низких лейкоцитах нельзя. Можно ли кагоцел?Подробнее на Medkrug.RU: http://www.medkrug.ru/community/show_thread/124?thread=143013
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# БешенствоNatali223101 25.10.2015 22:44
Очень серьезный вопрос. В Украине нет сыворотки\вакци ны для человека против бешенства. Мне сказали, что есть, только конская с ужасными побочными. Где есть для человека? Вопрос жизни и смерти..
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# Целесообразност ь химиотерапииДмитрий 04.10.2015 21:44
Исправлено :Цитирую Дмитрий:
Здравствуйте! Помогите принять решение. Высокодифференц ированная аденокарцинома сигмовидной кишки. Проведена успешная операция 07.08.15. Стадия ІІІ С. Клиническая группа ІІ. T2N2M0G1, pT2N2M0 Мужчина, 76 лет. Анализы в Инвитро 25.09.15 РЭА 1,8 (норма до 5); СА-19-9 21 (норма до 33). Есть ли необходимость назначения химиотерапии по схеме XELOX или монотерапии Кселодой. Есть ли вообще необходимость сейчас назначения любой химиотерапии. В каких дозах и по какой схеме. Рост 168, вес 62, площат=дь тела 1,7. Как определить необходимость начала химии - по анализам и каким, по УЗИ с допплерографией , по КТ и т.п. Это должна быть поддерживающая терапия или адьювантная. Помогите, пожалуйста, разобраться! Заранее благодарен.
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# Целесообразност ь химиотерапииДмитрий 04.10.2015 21:40
Здравствуйте! Помогите принять решение. Высокодифференц ированная аденокарцинома сигмовидной кишки. Проведена успешная операция 07.08.15. Стадия ІІІ С. Клиническая группа ІІ. T2N2M0G1, pT2N2M0 Мужчина, 76 лет. Анализы в Инвитро 25.09.15 РЭА 1,8 (норма до 5); СА-19-9 21 (норма до 33). Есть ли необходимость назначения химиотерапии по схеме XELODA или монотерапии Кселодой. Есть ли вообще необходимость сейчас назначения любой химиотерапии. В каких дозах и по какой схеме. Рост 168, вес 62, площат=дь тела 1,7. Как определить необходимость начала химии - по анализам и каким, по УЗИ с допплерографией , по КТ и т.п. Это должна быть поддерживающая терапия или адьювантная. Помогите, пожалуйста, разобраться! Заранее благодарен.
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# химия терапия при месячныхОксана 29.09.2015 17:07
Добрый день, подскажите пожалуйста можно ли провести курс химия терапии при месячных?спасибо
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# нужен ваш советЕвгений 27.09.2015 02:27
Здраствуйте, хотел спросить! У моей мамы РМЖ опухоль 2 см. ей назначили 4 курса Химии. 1 курс уже прошла, перенесла так: первые 2 дня с кровати не могла поднятся, сильная усталость, и щас воловы начали выпадать, в пенедельник на второй, собирается, больше побочных эфектов не наблюдалось. меня интересует, может ли стать хуже после второй химии..?
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# РМЖ лечение после леченияОльга 13.09.2015 17:14
Добрый день. Мне 41 год. 19/03/2015 прошла операцию – квадрантэктомия левой грудной железы с лимфодиссекцией .
Полн. диагноз: Ca glandula mammae sinistra, pT2N0M0, ст.2А, кл.гр. II (два). Внутрикистозная карцинома (М8504/3) папиллярно-скиррозного строения G-3. Лимфоузлы свободны от метастазов.
Рез-т иммуногистологи и: Эстр.рец. – «+++», Прогест.рец – «+++», C-erbB2(HER2/new) –«-», Ki67
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# .ракИрина 11.09.2015 17:59
Здравствуйте! Помогите пожалуйста, у отца нашли опухаль в кишечнике и печени, взяли функцию в кишечнике, сказали операцию можно не делать, опухоль не мешает. Но при этом отправили к химиотерепевту. Это означает рак? Уже все потеряно?
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# рак молочной железытатьяна 05.07.2015 00:40
уважаемые врачи подскажите как быть .мне сдел перацию удалили левую грудь назначили препараты эндоксан и оксолин ивлили мне вместо вены под кожу кисть руки опухла покраснела .помогите пожалуйста
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# Рак шейки матки N2N0M0 Кл.гр2Светлана 23.05.2015 13:07
у меня деагностиривали рак шейки матки подскажите какое мне лечение или оперативное вмешательство что мне будут делать :??????????????
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# ДозировкаКристина 30.04.2015 07:34
У моей мамы саркома 4 стадии. Назначили химию. Но такой дозировки в интернете не нашли: эндоксан 1200 мг, есть по 500 и по 200; и доксарубицин 60 мг, есть по 20 мг. Как нам быть? Не значит ли это, что нужно покупать по несколько флаконов?
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# Результаты анализовОльга 22.04.2015 17:24
Здравствуйте, я получила результат иммуногистохими ческого исследования
Her 2 new - негативная реакция
Ki67 - 4%
Прогестерон - негативная реакция < 1%
Эстроген - умеренно позитивная реакция 33-66%
Хочу спросить, что мне ждать от этих результатов, есть ли у меня надежда. Спасибо за ответ.
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# гормонозависимы й рак мж.людмила 06.04.2015 15:24
Здравствуйте, мне 57 лет. Диагноз рак молочной железы. Сделали операцию по удалению правой мж в феврале месяце, закл. дианоз- рак не инвазивный, стадия нулевая, метастаз нет, назначили на 5 лет тамоксифен. Я месяц принимала и начался сильный зуд во влагалище, решила сделать перерыв, не принимаю больше 10 дней. Хочу у вас проконсультиров аться, стоит ли мне его пить и не вреден ли такой большой перерыв, если его опять принимать.? Заранее благодарю. .
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# kravzova_elena@ mail.ruЕвгений 03.04.2015 23:01
kravzova_elena@ mail.ru
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# рак яичникаuyumkyukyik, 27.12.2014 22:15
Здравствуйте! Маме 65 л,в мае 2013 г.-операция удален матки с прид-ми, сальника-серозная папиллярн аденокарцинома яичников Т3сNxMo/ Затем -6 курсов пхт- карбоплатин и эндоксан. Последн химия 1.11.13. Полгода было норм узи и маркеры са-125. В мае- июне- Ргоl. morbi/-- узелки 9- 22мм В июле на КТ ОБП и МТ уже конгломерат65х38мм. В окр жир.клетчатке л\узел12мм Кроме того в лев надп-ке объёмн обр-ие 24х17мм. плотн минус11едн, после в\вусиления накапл контраст до+ 20едн. Назначен паклитаксе+карб оплатин.После 3 курса 14.10. 14-- в культе объёмн обр-ие уменьш-48х38х30--по ходу подвзд артерии 3 л\у В надпочечнике обр-ие уменьш- 18х12. Провели 4й курс х\.т 22.10.14. Уже 24.12 14 ( на УЗИ)53х32мм и неск-ко узелк обр-ий до 9мм . в лев.надп-ке объёмн обр-ие 36х26контуры неровн чёткие стр-ра солидная В онкодиспансере написали,, всвязи с изношенностью и старч дряхлостью,, назначили на 50 дней эндоксан табл по 50 мг. В частн.клинике предложили гемцитабин1800мг1- 8 -15 день+цисплатин.Что делать?
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# опухоль мозгаОлеся 19.12.2014 22:08
Цитирую Юрий:
Здравствуйте! Меня зовут Юрий, мне 15лет, 3дня назад моя мама ходила в больницу, и у неё обнаружили опухоль мозга, когда мне мама это сказала то я очень сильно расстроился, и начал искать по всему интернету как можно вылечить опухоль мозга! Вот нашёл этот сайт, если кто знает как её вылечить, прошу пожалуйста откликнетесь, посоветуйте как будет лучьше! Я не хочу терять маму!!!

Юрочка твою маму обязательно вылечат главное верь и береги ее всегда должны быть положительные эмоции,
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# ХимиотерапияАнастасия 02.12.2014 17:26
Свекрови назначили курс Химии на 5 дней, после первого сеанса еле доехала домой, плохо , постоянная рвота с постели не встает. На следующий день на сеанс конечно не поехала. Можно ли пропустить сеанс или прекратить их сделав один? Что может помочь и почему так могло произойти? Спасибо.
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# рак молочной железыЕлена 27.11.2014 17:57
добрый день, после мастэктомии назначили диферелин колю уже 1 год и 4 месяца.мне 51 год, скажите могу ли я сделать 14 дней перерыв между уколами? жду финансирования диспансера очень дорогой препарат, спасибо
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# кселода и фторофурснежана банюк 15.11.2014 12:25
кселода и фторофур чем отличаются?
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# чем отличается кселода от фторафураснежана банюк 15.11.2014 12:21
Цитирую Наташа:
здравствуйте,ка кая разница в препаратах Кселода и Фторафур?

фторофурм и кселода чем отличаются?
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# химиотерапия рмжЗабира 13.11.2014 13:45
Добрый день!Мне 57лет.16апреля меня оперировали-радикальная резекция лев.МЖ с подмышечной лимфодиссекцией ,ИОЛТ,апликатор 5см,время облучения52мин, РОД 20Гр.Гистология-инфильтрир протоков карцинома МЖ с мах размером узла 2,2см,с мтм в 2 л/у, Ki-67 15-18% ER-8баллов,PgR-4балла,Her-2,neu1+ доза рентгеновского облучения:0м3в.Назнчали мне лечение 6 курсов химии (препаратами Синдаксел иКарбоплатин) и лучевую терапию 18сеансов.Принимала 4 курса химии потом лучевую,еще 2 курса химии осталось.Вопрос:правильн о ли назначили мне лечение и сколько дней максимум перерыва должна быть между химиолечениями.У меня есть перерывы и35 дней,и 68 дней будет если пойду на 5ую химию.Спасибо заранее.
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# Как лечить?Юрий 04.11.2014 16:54
Здравствуйте! Меня зовут Юрий, мне 15лет, 3дня назад моя мама ходила в больницу, и у неё обнаружили опухоль мозга, когда мне мама это сказала то я очень сильно расстроился, и начал искать по всему интернету как можно вылечить опухоль мозга! Вот нашёл этот сайт, если кто знает как её вылечить, прошу пожалуйста откликнетесь, посоветуйте как будет лучьше! Я не хочу терять маму!!!
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# рак прямой кишки 4 ст.Ната 27.10.2014 00:16
Скажите, у меня в прошлом году обнаружили рак прямой кишки с метостазами в печень, прошла облучение, курс оксалиплатина и кселоды, в феврале сделали операцию по удалению опухоли и метастаз (убрали желчный и 1 лимфоузел). После операции опять прошла 3 курса химии (не помогло,пошел рецидив в кишке и метастазы в печень и лёгкие). Сейчас заменили химию на стивар. На 2 курсе химии начались сильные кровотечения периодические, до этого после облучения год не было месячных. Скажите это нормально?
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# аденокарциномаНаташа 20.10.2014 16:01
здравствуйте,ка кая разница в препаратах Кселода и Фторафур?
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# рак языка T1N0M0nastya 27.09.2014 18:08
Добрый день! у мамы диагноз рак языка T1N0M0 (поставлен в январе 2014). Проведено 2 курса лучевой терапии, временно помогло, но в августе опухоль начала расти и было принято решение о половинной резекции языка. Операция прошла успешно, сказали больше никогда ничего не будет. И с клинической группой 3, выписали. Не прошло и месяца после операции, на оставшейся части языка появились такие же язвы. Врачи сказали такого в принципе быть не может.....и направили на химию. Сейчас 4 дня химии позади и перерыв 21 день. В ротовой полости появились еще язвы, может уже от химии, не знаю. Основная проблема, невозможно есть, все болит и больно глотать, а от некоторой пищи очень щипет. Посоветуйте, как и что можно есть....есть хочется, а не получается...Спасибо.
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# как лечить?Екатерина 24.09.2014 20:29
Моему отцу 60 лет, диагноз меланома (выявили мутацию гена Браф, еще ждем анализы мутаций других генов) Появились метастазы в головной мозг (12 очагов убрали гамма ножом). Пошли к химиотерапевту: назначают Темодал (темозоломид) в три курса, после чего курс таргетным препаратом Зерболаф. Скажите пожалуйста, мне непонятно, почему сразу не могут назначить зерболаф, ведь бытует мнение, что простая химиотерапия при меланоме бессильна? я не медик, мне тяжело разобраться, подскажите пожалуйста
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# Лечение метастазированн ого рака печени с помощью НЕКСАФАРА. Взможно ли? Ии он эффективен только прит первичном раке печени?Ирина 12.09.2014 16:57
Здравствуйте!Ме ня зовут Ирина.
Читаю сейчас статьи в интернете хочу узнать по поводу
НЕКСАФАРА. Помогает ли он при метастазах в печени
или только при первичной опухоли печени.
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# ПХТ - высокодифференц ированная аденокарциномаРуслан 10.09.2014 23:01
У мамы диагноз - высокодифференц ированная аденокарцинома. Провели лобэктомию. Тепер назначили профилактически й курс ПХТ.
Маме провели первый курс ПХТ - 100 мл цисплатин+эндок сан 1 гр.
Почему изменили ранее назначенную ПХТ - этопозит 600 мл + цисплатина 100 мл - мне не понятно.
После ПХТ маму рвало 4 дня. Сказали на следующий курс заменить цисплатин на карбоплатин.
Дайте совет пожалуйста, может стоит заменить также эндоксан на этопозит?
Благодарю за ответ.
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# химиотераияВладимир 10.08.2014 10:10
Добрый день! Месяц назад мне сделали операцию передняя резекция прямой кишки. Клинический диагноз: Cr ректосигмоидног о отдела прямой кишки ТЗNOMO 2ст. Гистологическое заключение: умереннодиффере нцированная аденокарцинома прямой кишки с ростом в толщу стенки. В границах резекции роста нет. В л/узлах метостаз нет. Хирург химиютерапию не предложил. Что Вы можете мне посоветовать, нужна ли химиотерпия? Заранее благодарю.
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# химиотерапия после экстирпацииЮлия 01.08.2014 17:56
Здравствуйте! С диагнозом: ЗНО эндометрия Iв стадия Т1в N0 M0 G3 после оперативного лечения проведено 25 сеансов лучевой терапии. Затем проведен I курс ПХТ по схеме САР (25.07.2014г). - цисплатин 80мг в/в , доксорубицин 80мг в/в, циклофосфан 800мг в/в - 1 день. После химии мама чувствует себя хуже, чем после операции и лучей. (Операция -Лапароскопия. Экстирпация матки с придатками от 07.04.14г, морфологическое заключение: аденокарцинома умеренной степени дифференцировки , с инвазией 6,5мм). Рекомендуют пройти ещё от 3-х до 6-ти курсов химиотерапии. А зачем? Какие есть чёткие показания? Нужна ли она вообще, учитывая диагноз? Спасибо.
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# Химия для оболочечных мтс!!!Вартануш 06.07.2014 11:08
Добрый день! Мой вопрос для химиотерапевтов . Чем можно приостановить развитие множественных оболочечных мтс головного мозга? Т.е. нужен препарат проникающий сквозь ГЭБ и влияющий на вторичные опухоли. А также он не должен существенно снижать качество жизни. Заранее спасибо!
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# Повторная алопецияЮлия 19.06.2014 09:10
Здравствуйте! Моему мужу более 7 мес. назад был проведен последний курс химиотерапии. Примерно через 2 месяца у него начали отрастать волосы очень густые, кудрявые. И вообще на всем теле стала расти густая растительность. Но вот буквально недавно вся растительность стала покидать его тело, причем волосы на голове выпадают по возрастному типу, лысина уже как у 70-летнего деда (и это при том что в семье нет лысых мужчин, у всех густые волосы). Гормональный фон в норме. Врач-онколог говорит, что это последствия химиотерапии. Но как такое возможно, ведь курс давно закончен? И волосы до этого вырасти густые, а теперь снова выпадают, причем ни как после химиотерапии, а как у дряхлого старика.
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# рак желудкаЕлена 12.06.2014 08:42
Здравствуйте!

В январе 2012 г. маме был впервые поставлен диагноз: язвенная болезнь, язва луковицы 12 п.к. В ноябре 2012 г. поставили диагноз: C-r пилорического отдела желудка с распространение м на верхне-горизонтальный отдел 12 п.к. T4N0M0, субкомпенсирова нный стеноз выходного отдела желудка, хронический гастрит. 19.11.2012 выполнена операция – наложение переднего гастроэнтероана стомоза с анастомозом Брауна.
Было рекомендовано проведение симптоматическо й терапии.
Врачи отказываются от хирургического вмешательства, химиотерапию не назначают.
Можно ли делать химиотерапию или радиотерапию в нашем случае?
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# консультация химиотерапевтаалексеева елена 27.05.2014 18:17
операция сделана 8 апреля[quote name="алексеева елена"]у меня рак молочной железы 1 стадии T1 N0 M0.иммуногистохими я : ki67 - 18%? прогестерон - слабо позитивная реакция больше 1% , эстроген - выраженная позитивная реакция - 67 - 100%, her2 new 3 +++......Скажите показан ли мне в профилактически х целях герцептин ??? В качестве лечения назначен только фарестон ..( мне 50 лет)[/
, операция сделана 8 апреля 2014 года
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# рак молочной железы 1 стадииалексеева елена 27.05.2014 18:12
у меня рак молочной железы 1 стадии T1 N0 M0.иммуногистохими я : ki67 - 18%? прогестерон - слабо позитивная реакция больше 1% , эстроген - выраженная позитивная реакция - 67 - 100%, her2 new 3 +++......Скажите показан ли мне в профилактически х целях герцептин ??? В качестве лечения назначен только фарестон ..( мне 50 лет)
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# препарат ТемодалЛидия 30.04.2014 04:18
Здравствуйте,ув ажаемые доктора. Ответьте, пожалуйста, на такой вопрос: Какую дозу препарата Темодал рекомендуется принимать пациентке с диагнозом "меланома бронха" при весе 90 кг? Чтобы ее состояние не ухудшилось. Она болеет 4й месяц, ослаблена. Благодарю за ответ
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# препарат ТемодалЛидия 28.04.2014 20:59
Здравствуйте. Ответьте, пожалуйста, на такой вопрос: Какую дозу препарата Темодал рекомендуется принимать пациентке с диагнозом "меланома бронха" при весе 90 кг? Чтобы ее состояние не ухудшилось. Она болеет 4й месяц, ослаблена. Благодарю за ответ
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# рак яичниковЕкатерина 22.04.2014 19:59
Добрый день!!, моей маме поставлен диагноз - рак яичников 3 стадия , в Москве была операция по удалению матки , яичников , сальника. Хотим лететь в Израиль для покупки курсов химиотерапии и дальнейшеим лечении в Москве данными препаратами. Будут ли в Москве по нашей схеме , полученной от врача клиники Израиля и с привезёнными препаратами от туда проводить в Москве ?
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# осложнения после химиотерапииОльга 04.04.2014 15:24
Здравствуйте.Десять лет назад прошла лечение по поводу В-клеточной лимфомы.(все эти годы ремиссия) Сразу после окончания лечения заметила покраснение мелких сосудов и капилляров. которое сопровождалось болью и повышением температуры по вечерам. В течении года, из за постоянного воспаления мелких сосудов(гемораг ических высыпаний нет) нарушилась работа кишечника. почек , поджелудочной железы и других органов. воспаление сопровождается сильными болями в мышцах., покраснением кожи и всех слизистых. прошла обследование. никаких ревматологическ их и аллергических заболеваний нет. но любая физическая нагрузка ,стресс. кратковременное прибывание на солнце , приём любых лекарственных препаратов провоцирует ещё большее воспаление. помогает только преднизолон в больших дозах. как только начинаю снижать(постепе нно) резкое обострение.существует ли каке то лечение в таких случаях?
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# диарея после химиотерапииЯна 01.04.2014 19:46
Доброго времени суток! Помогите пожалуйста! Моему папе сделали 4 курса химиотерапии.Началась диарея и не проходит в течении длительного времени, перепробовали все что знаем (от имодиума до бактисуптил) ничего не помогает, уже не знаем что делать, врачи ничего не говорят, сказали что так быть не должно, но при этом ничего не назначили. Подскажите нужно принимать и как с этим бороться. Заранее спасибо! С уважением. Яна
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# последствия химиотерапииЮлия 16.02.2014 23:52
]Добрый день!
Диагноз:Bl. антрального отдела желудка ст2 (pT2aN1M0)кл гр3
субтотальая резекция желудка по Ру.
биопсия перстневиднокле точный Cr
Прошла 8 курсов химиотерапии,пр и ХТ онемения конечностей не было,через месяц пальцы на руках и ногах немые,невропато лог приписал нейромультивит и никотиновую кислоту,но не помогает,анализ ы ОАК сдавала сказали все хорошо.Как мне быть и куда обратиться дальше,или перетерпеть но пройдет ли само сабой?
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# химиотерапияИрина 20.01.2014 08:19
Здравствуйте. Маме 59.Поставили диагноз аденокарценома прямой кишки, после операции и химиотерапии произошло метастазировани е в кости и лимфоузлы. Месяц назад провели курс терапии препаратом - замета. Было рекомендовано провести 3 курса лечения препаратом, однако, после первого курса лечения появились боли в костях, ухудшилось общее состояние. Посоветуйте, стоит ли проводить дальнейшее лечение данным препаратом? Почему произошло ухудшение общего состояния, почему появились боли? Возможно ли, что препарат не дал нужного эффекта? Заранее, спасибо.
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# Сочетаемость препаратовДмитрий 19.01.2014 21:57
Добрый день.
Проконсультируй те, пожалуйста, по такому вопросу – моей маме 57 лет. В прошлом году обнаружили рак груди, грудь удалили, назначили гормональное лечение, выписали «Анастрозол». В январе этого года мама легла в больницу с бактериальным воспалением в почках. После курса антибиотиков выписали домой, прописали «Ацикловир». Можно ли принимать оба препарата одновременно?
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# Тамоксифеноля 13.01.2014 08:05
Здравствуйте , доктор! У меня 2,5 года назад диагностировали рак молочной железы ,клин.2 а стадия.T2N0M0/ метастазов и узлов не было. Прооперировали_ радикальная резекция правой м.ж( грудь сохранили).Далее 6 курсов химиотерапии , 2 месяца лучевой терапии.Потом 1 раз в 3 месяца золадекс подкожно.После чего тамоксифен 20 мг.в сут. пью уже больше года.иногда появляются скудныекровянис тые выделения и тянет внизу живота-нормально ли это или надо обследоваться?
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# Анализ крови после химиотерапииГалина 23.12.2013 10:38
Добрый день.
У моего сына PNET проходим курс химиотерапии по протоколу IE+VAC . После 4 курса сильно упали показатели крови. (лейкоциты -1,62, еритроциты -4,39,
гемоглобин -128,тромбоциты -153,гранулоциты- 33%, 0,53 г/л, моноциты -18%) Он принимает между курсами - Теваграсим -48 млн. - 5 ампул. Питанием поднять показатели не можем. Может есть какой-то лекарственный способ?? Спасибо
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# химиятеропияанфиса 30.11.2013 06:38
Добрый день. Рак молоч.железы. Удалили грудь. результаты анализов. Her2 (2++) Ki=50 Er=8. пока ставят стадию 2б. Читала,что при 2++ назначают х.лечение герцептином. Но в нашей больнице врач сказал,что это лекарство назначают только при 3стадии. Проконсультируй те пожалуйста.
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# препарат КСЕЛОДАВалентин 21.11.2013 18:48
Я начал проходить химиотерапию, У меня рак прямой кишки 4 стадии. В сентябре сделали операцию. Удалили часть прямой кишки,вывели стому. Теперь химиотерапия.
В первый же день кроме капельницы мне назначили пить таблетки КСЕЛОДА. По 8 таблеток в день. 4-утром, 4-вечером.
Я решил прочитать об этом препарате в интернете.
Не знаю есть-ли от него польза,а вот побочных явлений столько,что волосы встают дыбом.
Вплоть до ВНЕЗАПНОЙ СМЕРТИ !
Так стоит-ли пить такие таблетки ? По-моему они больше беды принесут,чем пользы. Или я чего-то не понимаю ?
Прошу химиотерапевтов ответить на мой вопрос прямо и честно.
Заранее благодарен всем ответившим.
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# ВектибиксВера 03.11.2013 20:52
Можно ли вводить вектибикс через обычную капельницу?
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# о гормонотерапииИрина 16.10.2013 10:51
Здравствуйте!Уд алена правая мол.железа в 2010.Очень агрессивная, гормонозависима я карцинома.Через месяц удалена матка с придатками, т.к.открылось сильное кровотечение.По женски-без рака.Проведена химия и облучение.Назначена гормонотерапия-пью аромазин 2,5 года.Плохо, очень плохо переношу-боли в суставах, мышцах, костях, сейчас иду на операцию по замене тазобедренного сустава.Коксартроз и неусвоение кальция.Нужно ли мне пить вообще гормоны, раз нет яичников?Чем заменить аромазин?Буду благодарна за ответ!!!Ирина.
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# КАРЦИНОМА МОЛОЧНОЙ ЖЕЛЕЗЫАННА 29.09.2013 12:24
Доброго здоровья!Заболе ла мама-рак молочной железы,диагноз очень серьезный 4 ст T2N1M1, так же по данным КТ метостазы в печень и крыло подвздошной кости справа,контуры печени четкие и ровные,мама прошла 5 курсов химиотерапии циклофосфана,фт оролека и металека,химию перенесла нормально относительно,на чались боли в спине на позвоночнике ,снимок показал остеолическое на 6 позвонке,пропап али памифокс и сделали 10 лучей ,улучшений нет,спина болитв нашем городе медицина на низком уровне сделали в другой области биопсию на гормоны как вы и говорили , опухоль оказалась негормонозавися щая инвазийная карцинома G3.рецепторы эстрагеновнегат ивная реакция -ноль,рецепторы прогестерона негативная реакция ноль HER-2/neu 3+. Ki -25% ,сама опухоль небольшая но по данным КТ дала большой размах-очаги в печени и костях,что посоветуете,как ую химию,она прошла уже 5 курсов,сказали неоперабельна,п ожалуйста напишите свое мнение,врачи с другой области советуют паклитаксел,наш и сказали лучше не трогать
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# Химиотерапия после мастэктомииДемидова Ольга Васил 01.09.2013 13:54
Диагноз TNM:
T2N0M0, стадия 2а, клин. группа: II-подлежащие спец.лечению
Данные гистологии:
16.08.2013 8500\3, Инфильтрующий протоковый рак молочной железы 3ст. злокачественнос ти. В 7 лимфоузлах метостазов нет. ИГХ№3759 Негативный статус HER2\NEU(-) с итоговым баллом по ЭР=0, ПР=0., №18846\2013-18846\2013.
Вопрос:
Какое лечение при таких анализах назначают больному после мастэктомии?
Какой процент выживаемости при отсутствии послеоперационн ого лечения?
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# делать ли химиотерапиюЮлия 24.08.2013 15:06
Добрый день!
Диагноз:Bl. антрального отдела желудка ст2 (pT2aN1M0)кл гр3
субтотальая резекция желудка по Ру.
биопсия перстневиднокле точный Cr
Наши химиотерапевты не могут определить дальнейшую тактику лечения.Хотела бы узнать вашу точку зрения. Мне 36 лет.
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# Химиотерапия.Сергей 17.08.2013 11:15
Добрый день. Моей жене ставят диагноз рак молочной железы 4 ст. И нам сделали химиотерапию 1 курс синего цвета. Вот уже 7 день моя жена чувствует себя очень плохо. (Слабость, сжение) скажите пожалуйста что это за химиотерапия синего цвета и как долго могут продолжаться эти симптомы. За ранее благодарен за ответ.
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# химиотерапияэльвира 13.08.2013 23:38
Цитирую Ольга:
Здравствуйте, моя мама проходит химиотерапию, после перенесенной операции, на кишечнике, после 2 курса-анализы стали плохие, не могут выпустить на 3 курс химии. нужно понижить биллирубин. скажите можно с этой целью принимать Хофитол артишок( в жидком виде)? спасибо

у моей мам после курса гептрала биллирубин наоборот подскачил с 22 до 225..
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# лечение, если врачи отказалисьКристина 13.08.2013 12:36
Добрый день.
Подскажите, пожалуйста, у моей мамы злокачественная опухоль мозга 4 степени. Мы прошли курсы ХТ и ЛТ, врачи сказали, что больше ничем помочь не могут. мы уже не знаем, что и делать. просто сидеть и смотреть, как человек умирает, нет больше сил.
недавно нашла в интернете статью про лечение больных раком Полиоксидонием (oncologi.narod.ru) - подскажите, пожалуйста, имеет ли смысл попробовать данный вид лечения.
еще раз повторю - врачи сказали, чтобы больше к ним не приходили, что они ничем помочь не могут!!!(((
С уважением и благодарностью за ответ,
Кристина
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# метастазы в печениАлексей 26.07.2013 13:32
Добрый день. Ситуация такова: больной 28 лет, оперирован по поводу колоректального рака прямой кишки в декабре 2012г, в феврале 2013 была проведена резекция квадратной и левой доли печени(единичны й метастаз). проведены курсы химиотерапии с оксалиплатином, затем с кселодой.На сегодняшний день по результатам КТ- множественные гиподенсные очаги в правой доли печени в кол-ве 11.Провели исследование на выявление активирующих мутаций в 12 и 13 кодонах гена KRAS.результат- выявлена активирующая мутация в 12 кодоне гена KRAS типа G 12V (c35G>T)(NM_004985), предполагающая резистентность опухоли к терапии таргетными препаратами, направленными против рецептора эпидермального фактора роста, в 15 экзоне мутаций не обнаружено. В качестве лечения назначили Эрбитукс.Нам попадалась информация что наличие в опухолях этих мутаций является противопоказани ем для применения этого препарата.Правильно ли сделано назначение лечения?
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# РМЖИрина 11.07.2013 14:27
Здавствуйте! Мне 51год. В 2009г. мне сделала операцию-кожесохраняющая мастэктомия слева с расширенной 3х зональной подмышечной, подключичной, подлопаточной лимфодиссекцией с одномоментной пластикой. РМЖ Т2N0M0, на фоне хронического мастита разрастание медуллярного рака. ИКГ:рецепторы эстрогенов 7баллов, рецепторы протестерона 0баллов, HER2/neu 0. Назначена гормонотерапия-тамоксифен. Принимаю 3, 5года. Прогрессировани я болезни нет. Вопрос: можно ли при показатели РП 0баллов перейти на применение
ингибиторов ароматазы.химиотерапевт сказал, что смысла нет в приеме этих лекарств. Если прав, то надо ли продолжать прием тамоксифена и как долго. Спасибо за ответ. Ирина.
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# ХимиотерапияЮлия 02.07.2013 21:54
Здравствуйте! Скажите пожалуйста у моего молодого человека лимфогранулемат оз 2 стадии. Сейчас он проходит 10 инъекцию химиотерапии( ему её вводят 2 раза в месяц, промежуток между инъекциями 2 недели) и ему назначили сделать томографию (шеи и средостения). Как скоро после очередной инъекции химиотерапии можно делать томографию?
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# Совместимость препаратовАлександра 25.05.2013 15:43
Подскажите, пожалуйста, можно ли одновременно принимать сутент и финлепсин? Больному 62 года. В анамнезе рак левой почки. Химиотерапия не проводилась.Удалена в 2005 году. Эпилептолог (в другом городе) назначила финлепсин (400х2раза в день) с профилактическо й целью после операции (30.04.2013) на головной мозг - удаление раковой опухоли в правой височной области.Финлепси принимаем после операции ежедневно. А с 25.05.2013 надо начать прием сутента. Как принимать, если эти два препарата с разными действиями и не рекомендованы для одновременного приема? Наш онколог не знает.Сказала смотреть в интернете
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# Эмбриональный ракМаша 06.05.2013 22:07
У мужа (28 лет) диагноз-эмбриональный рак. Детей нет. Было удалено одно яичко и проведено 2 курса химиотерапии (блеомицин+этоп озид+цисплатин) . Скоро снова сдавать анализы. Подскажите сможем ли мы иметь детей и спустя какое время можно заниматься зачатием? Как может повлиять лечение на будущего ребёнка? Спасибо.
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# Хофитол артишокОльга 19.04.2013 07:36
Здравствуйте, моя мама проходит химиотерапию, после перенесенной операции, на кишечнике, после 2 курса-анализы стали плохие, не могут выпустить на 3 курс химии. нужно понижить биллирубин. скажите можно с этой целью принимать Хофитол артишок( в жидком виде)? спасибо
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# Меланома 2-3 ИнтерферонМарина 12.04.2013 09:05
дравствуйте. Мне 28. Детей нет, но хочется. В 2008 году мне поставили диагноз: рак кожи-меланома стадия 2-3.В октябре 2008г. сделали операцию-убрали родинку и метазированные лимфоузлы на шее. Сделали 4 курса химиотерапии "декарбазин" далее прописали Интерферон альфа -2 бета 3 млн длительно. 4 года через день его колола, побочных эффектов не наблюдала, более того, развивающаяся в области гинекологии дисплазия шейки матки за 3 года исчезла (3 раза сдавала анализы + колькоскопию делала). Медсестра говорит интерферон помог и там. Теперь врач отказывается прописывать дальше интерферон, говорит хватит. А я считаю, что прожив 4 года на искуственном иммунитете, мой организм не способен резко начать работать самостоятельно. Решила реже, но колоть дальше интерферон самостоятельно приобретая его в аптеке. Вопрос онкологам-химиотерапевтам : колоть или не колоть?
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# Количество сеансов химиотерапииАнна 11.04.2013 19:31
Подскажите сколько нужно сеансов химиотерапии? Клинический д-з - C-r левой молочной железы р Т1с N1 M0 G3 Ст. 2а Кл. гр. 2а. Патоморфологиче ское: умеренно - низкодифференци рованный инвазивный дольковый C-r молочной железы 2-3 ст. зл-ти, со скиррозным характером роста и выраженной клеточной анаплазией. Узел 2 см в диаметре.В 1 из 18 л\у mts. Результаты имунногистохими ческого исс-я: Имунофенетипиро вание: ER. clone SP1 +++ (H = 200 в 98 % опухолевых клеток), PR. clone PgR636 +++ (H = 280 в 100 % опухолевых клеток),Her 2 neu. polyclonal - (H=0), Ki67,сlone MIB-1 - 16%.С учётом данных гистологическог о и иммуногистохими ческого исследований фенотип процесса соответствует инфильтративном у дольковому раку 2 степени злокачественнос ти (7 баллов по Элстону) в сочетании с протоковым C-r in situ, с индексом пролиферативной активности 16 %, с позитивным статусом гормонорецептор ов эстрогена, прогестерона и негативным статусом рецепторов Her 2 neu, молекулярный субтип люминальный Б
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# Анапластическая астроцитома-химиотерапияИнна 28.03.2013 16:19
Здравствуйте!У моего мужа(29лет) была опухоль головного мозга.Сделали операцию по удалению(радика льно).Гистология-анапластическая астроцитома.Прошел курс лучевой терапии в 60Гр+радиомодиф икатор Темодал.С 30,04,13 нужно начинать монотерапию Темодалом 250мг.Вопрос:как можно облегчить побочное действие препарата на организм?Что можно ещё сделать для максимально ээфективного лечения?Показан ли прием ещё каких-то препаратов?Спасибо!
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# химиотерапия не показанаЕлена 22.03.2013 15:33
Добрый день! У меня низкодифференци ированный рак маточной трубы с прорастанием серозной оболочки.1 онкологический диспансер.Пангистерэктоми я,удаление большого сальника-нигде метастазов нет по результатам гистологии,лимф оузлы не увеличены, асцита нет, в смыве с брюшины чисто.Мне назначили 5 недель гамма облучения, а зав.химиотерапевтич еским отделением написал в заключении:хими отерапия не показана. Это так?
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# лечение гриппа при химиотерапииелена 28.02.2013 13:10
42года РМЖ - была операция,радиол огия сейчас прошла 2 курса химии(красный шприц) впереди ещё 4 курса. Можно ли лечиться противовирусным и препаратами от гриппа и вообще чем можно лечиться
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# доза химиотерапииТатьяна 26.01.2013 19:47
Напишите, пожалуйста, какие дозы лекарств будут правильными по схеме FAC? Мой возраст- 54, вес-59кг
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# Прием лекарствЕлена 25.01.2013 09:10
можно ли одновременно принимать тамоксифен, амоксиклав и канефрон?
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# ХимиотерапияАнна 23.01.2013 14:57
Доброго времени суток. Хотела узнать, можно ли проходить курс химиотерапии во время месячных? Мне 39 лет. Заранее спасибо.
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# химиотерапияТатьяна 07.01.2013 09:32
Здравствуйте! Скажите пожалуйста, можно ли принимать настойку болиголова, если проходим курс золендроновой кислотой, не снизит ли болиголов ее эффективности? Насколько я знаю это не совсем химиотерапия. Диагноз: спираденокарцин ома (аденокарцинома кожи с удаленными метастазами в позвоночник)
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# Адьювантная химиотерапия при раке ротоглоткиDim 28.09.2012 17:21
Ситуация следующая.
Женщина 45 лет, рак ротоглотки (задняя стенка), T1-2 N0 M0.
по гистологии: умереннодиффере нцированная, очагово ороговевающая, плоскоклеточная карцинома орофарингеально й области, G2. Максимальная глубина инвазии 0,7 мм.
Прошла лучевую терапию 70 Гр (сплит-курс с регионарными л/у) + Фторофур 1200 мг / в день облучения.
Осмотр ЛОР-онколога: Новообразование не визуализируется .

Часть врачей хочет провести адьювантную (профилактическ ую) химиотерапию "тежелой артилерией".Что Вы, уважаемые доктора, скажите насчет этого?!
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# расчет дозы ребенкуирина 27.09.2012 20:25
Здравствуйте доктор! Вы не могли бы рассчитать по протоколу SIOP, дозу карбоплатина если вес ребенка 14 (14,300) кг,а рост 95 см, а то в Москве нам посчитали 550 мл,а в Херсоне 320 мл, хочется узнать Ваше мнение и не хочется делать химию в пустую. Заранее большое спасибо!
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# гормоныЮлия 09.09.2012 23:15
Здравствуйте! мне 36 лет, у меня была в июне операция по удалению груди первая стадия. Анализ иммуногистохими и: реакция к эстрогену (+++) сильная положит), к прогестерону (++) умеренная положительная. Подскажите пожалуйста какие принимать гормон. лекарства можно?
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# химиотерапияЛариса 15.08.2012 11:57
Добрый день, при лечении рака предстательной железы( пациенту 74 года) - принимаем лечение: золадекс 3,6 один раз в 28 дней + калумид 50,0 1 раз в день. Подскажите, пожалуйста, если заменить золадекс на диферелин 11,25- раз в 3 месяца, что будет эффективнее? Есть ли смысл поменять золадекс на диферилин, только из соображений чтобы колоть раз в 3 месяца? Как будет по качеству препарата и по переносимости? Заранее спасибо за ответ.
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# помощь при химиотерапииЮлия 10.08.2012 13:02
Здравствуйте! Моему отцу, 62 года, рак почки с метостазами в легкое, три дня назад удалили почку, будет курс химиотерапии, а через два месяца операция на легком. Посоветуйте, как помочь организму во время химиотерапии? Многие советуют "Флор-эссенс" или Сартар, можно ли всерьез относиться к этим препоратам?
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# метотрексатЕвений 23.07.2012 07:44
У меня рак горла,(по МКБ) код С32,заболевание гортаноглотки с лимфо узлами, а так меня прокапывали уже од один раз в месяц.химию не капают а выписали таблетки-Метотрексат Эбеве с применением 2 таблетки каждый день,мне стало плохо от них,головокруже ние,тошнота...это нормальная доза???почему такая реакция??
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# тамоксифентатьяна 01.07.2012 21:58
Здравствуйте.
Подскажите пожалуйста, правильное ли назначено лечение и какие могут быть осложнения при лечении этого гормона( мама боится его пить).
08.06.2012 - радикальная мастэктомия по Маддену слева
клинический диагноз: c50.4 c-ч верхненаружного квадрата левой молочной железы, pT1 NO MO G2, I st, после хирургического лечения, 2 кл. гр.
Сопутствующие заболевания:ИБС : Склеродегенерат ивные изменения АК, МК, ТК, атеросклероз аорты ХСН 1, ф. кл. 1.
Результат рецепторного исследования: ER сильное окрашивание 100% клеток
PR СИЛЬНОЕ ОКРАШИВАНИЕ 100% клеток
HeR2 пел +1
K07 5%( тут не точно -буквы непонятно написаны)
Подскажите насколько страшны гормоны для организма, как скоро после операции их начинать пить. Маме 64 года, месячных нет.
Спасибо.
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# химиотерапияТатьяна 29.06.2012 12:24
Здравствуйте Уважаемые доктора. Моему мужу 20 апреля сделали операцию: Субтотальная резекция желудка по Бальфуру. Диагноз: аденокарцинома антрального отдела желудка T3N1M0. Сейчас прошел 1-Й курс ХТ по схеме ELF. Сегодня начался 2-й курс. У него каждый день снижается вес. Почему это происходит? Может мужно заменить схему на более эффективную, нестандартную? И надо ли сделать какие-нибудь обследования?
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# последствия химиотерапииMelles 05.05.2012 16:26
Здравствуйте! Прошу Вас помочь рекомендацией, как остановить диарею, возникшую после во время проведения химиотерапии. После второй инъекции диарея началась на вторые сутки и не прекращается в течении 5 дней. Лечащий врач рекомендовал вводить капельно глюкозу и трисоль. Преднизалон внутримышечно 5 дней. плюс принимаю лоперамид, бактисуптил, энрерофурил. улучшений нет. Пожалуйста подскажите, что делать.
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# последствия химиотерапииЕлена 11.04.2012 23:20
Здравствуйте! Уважаемый доктор, обращаюсь к Вам со следующим вопросом: У моей мамы(62г.)в 2006г.была удалена правая грудь. Диагноз: Cr.mammae IIa st.Было проведено РМЭ, ДЛТ, 4 курса ПХТ "FAC" В 2011г. генерализация mts в легкие. R-графия - по всем легочным полям очаговые тени 0т 1,0 до 1,5см. Проведено 3 курса ПХТ по схеме: Доксорубицин 120мг в/в. Циклофосфан 1200мг в/в без осложнений. Затем 4,5 курс ПХТ по схеме:паклитакс ел 260мг в/в, карбоплатин 450мг в/в. Без динамики. 6 курс ПХТ по схеме:паклитакс ел 350мг в/в, карбоплатин 600мг в/в. После 6 курса ПХТ у мамы немеют руки и ногги. Поставили диагноз: нейропатия. Как долгопроходит это состояние? Прошу не оставьте без внимания мой вопрос.
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# последствия химиотерапии.Ольга 13.03.2012 17:59
Здравствуйте. Семь лет назад прошла лечение по поводу В-клеточной лимфомы. Сейчас ремиссия. Сразу после лечения появились боли и воспаление сосудов и капилляров, во всём организме. Особенно там где слизистые, кишечник, мочевой пузырь, носоглотка. Годами принимала преднизолон(про тивовоспалитель ные препараты), не помогает, эндотелий сосудов реагирует негативно и воспаление усиливается. Все врачи от меня отказались. Возможно ли лечение такого осложнения?С годами становится хуже.
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# химиотерапия при аденокарциномеАлла 19.02.2012 18:22
Здравствуйте. Моему отцу 73 года. В конце декабря была проведена расширенная комбинированная гастрэктомия с резекцией головки поджелудочной железы, мезоколом. Гистология: умеренно дифференцирован ная аденокарцинома желудка с прорастанием в сальник и МТС в лимфоузле ворот печени. Т4N1MO. В химиотерапии было отказано, хотя при выписке она предполагалась. Что можно делать сейчас? В какую клинику обратиться?
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# Химиотерапия мжЕвгения 06.02.2012 15:10
Мне 45 лет.Про оперирована.Инвазивная карцинома правой молочной железы, рT1cN0M0,G2, R0, ER-
, PR-, Her2/neu-, с интрадуктальным компонентом (low grade DCIS), 3 клин группа.Подскажите, какова дальнейшая схема химиотерапевтич еского лечения и какова стоимость прохождения химиотерапии у Вас.
Заранее благодарна за ответ.
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# ДВОЙНАЯ ОНКОЛОГИЯ "Ca сигмовидной кишки и ХМЛ"эльвира 29.01.2012 19:30
Здраствуйте доктор!!!!
У нас нестандартная ситуация как говорят доктора...
Маме 56 лет , после калоноскопии в декабре 11 года направили на опер. по удалению опухоли на сигмовид.кишке, но анализ крови показал лейкоц 170-180, положили в гематологию, за 9 дней лейкоциты привели в норму но поставили диагнозХМЛ, ВЫДАЛИ ГИДРЕА, маму прооперировали ...и сказали что нужно сделать химиотерапию, но х/терап не взялся потомучто лейкоциты после опер поднлись до 70 и несовместимо принимать гидреа и делать химию...Пошли к гематологу, она поменяла препарат на гливик. и сказала, что если мы сделаем хиию то вся кровь полетит к черту......а что дальше?....что делать? куда звонить? у кого спросить? где взять рекомендации?ПОМОГИТЕ ПОЖАЛУЙСТА!!!!!
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# ХимиотерапияСветлана 19.01.2012 15:07
Здравствуйте,
у моего мужа рак легкого IV стадия. Плоскоклеточная карцинома. Назначили 3 курса карбоплатина и этопозида, при этом сказали, что эти препараты на этот вид рака почти не действуют, что существуют более эффективные, но в стандартной схеме лечения они не применяются, т.к. являются дорогостоящими. Какие существуют химиопрепараты для эффективного лечения плоскоклеточной карциномы? Заранее спасибо за ответ.
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# Рак прямой кишкиВалерия 10.12.2011 00:19
Маме была сделана операция по удалению рака прямой кишки. Но хирурги зашили обратно, только вывели стому, ничего не удалив. После этого мама пропила 5 курсов Кселоды и через три месяца прошла следующая операция. Как сказал хирург - все удалили благополучно. Маркеры тоже были в норме. Через 2 месяца после второй операции, мама начала опять пить Кселоду (раньше было никак - потому, что операция была тяжелая т.к одновременно удаляли и расширенные вены, и потребовалось больше времени для восстановления) . Скажите пожалуйста, сколько нужно пить Кселоду? Не нужно ли к этим курсам, которые мама пьет после операции, прибавить до операции? Или надо пропить все 6-8 курсов? Гистологическое заключение: Первично-множественный синхронный рак: умереннодиффере нцированная аденокарцинома прямой кишки (pT3pN0).Инвазия опухоли в мезоректальную клетчатку. Рост вблизи ЦКР - 0,1 см; высокодифференц ированная аденокарцинома сигмовидной кишки, метастаз в лимфатический узел 1 порядка (pT2pN1).
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# рак толстой кишкисветлана 14.10.2011 19:05
Здравствуйте! Моей маме 52 года в мае 2011 сделали операцию диагноз рак толстой кишки,сейчас проходим химиотерапию назначили легкую 6 курсов. На данный момент прошли 4 курса но очень много побочных действий рвота,понос,вос палена вся слизистая очень болит кишечник практически ничего не ест. Хочет отказаться от 5-ого и 6-ого курса так как уже нет сил,анализы изначально были хорошие.Посоветуйте что делать, Спасибо.
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# рак толстой кишкиКонсультирующий специалист 17.10.2011 12:34
Светлана, к сожалению, здесь не в силах помочь. Здесь можете ей помочь только Вы.
Вы должны объяснить ей, что это надо, и придется какое то время потерпеть.
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# Удаление молочной железыЕвгений 02.10.2011 19:41
Здравствуйте! У меня 2 вопроса, у мачехи удалена левая молочная железа, после химиотерапии у нее беспокоят боли в желудке и в кишечнике, боли гуляющие, подскажите пожалуйста чем можно помочь при таких сильных болях? И можно ли ГЕПТРАЛ заменить ГЕПТОРОМ? С Уважением, Спасибо!
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# Удаление молочной железыКонсультирующий специалист 04.10.2011 10:25
Евгений, с таким вопросом Вам стоит обратиться к лечащему врачу Вашей мачехи. Так как надо определить и за чего боли, и как долго.
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# химиотерапиялюдмила 01.09.2011 12:14
добрый день! у меня такой вопрос-2.5 года назад у мужа была опухоль правого яичка,сделали операцию по удалению.В течении послеоперационн ого времени раз в два месяца сдавали анализы аьфафетопротеин и раз в 6 месяцев делаем контрольную томографию. последний месяц сдали альфафетапротеи н первый результат показал 3,3 через 2 недели сделали повторный5,6 при норме не больше 2,6. вчера сделали томографию все нормально.Да,и еще! альфафетопротеи н был в норме и до и после операции. Лечащий врач направил до химиотерапевта, хотелось у Вас проконсультиров аться-что нам делать?Заранее благодарю!
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# химиотерапияКонсультирующий специалист 02.09.2011 13:55
Людмила, добрый день!
Этот вопрос, очень серьезный. Я советую Вам посетить химиотерапевта, и уже непосредственно на приеме проконсультиров аться.
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# Как лечить?Зиля 04.08.2011 19:07
Здравствуйте! Моей маме 52 года, в ноябре 2010 года удалили аденокарциному в сигмовидной кишке, химиотерапию не делали, через три месяца на контрольном обследование обнаружили "десяток узлов в легких" (по словам врачей), операцию делать отказались сразу, мотивируя это тем, что их очень много для операции, хотя они все меньше 3 см и находятся на периферии, после мама прошла 5 курсов химиотерапии (Фторурацил+пре парат платины), теперь ее отпустили на 6 месяцев, делали снимки до химии и после, по словам врачей "без изменений" ни в сторону уменьшения, ни увеличения. Может можно еще что-то сделать? Может есть еще какие-то методы? Про кибер-нож врачи отрицательно отозвались, может какие нибудь-новые химиопрепараты появились? Пока не теряем надежды. Спасибо заранее за ответ.
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# Как лечить?Консультирующий специалист 10.08.2011 12:28
Добрый день!
Вы знаете ответить на Ваш вопрос не видя результатов, очень сложно. Советуем перезвонить в специализирован ную клинику, и уже проконсультиров аться. тел: (044)331-21-00
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