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Chemotherapy regimen for breast cancer
Chemotherapy regimen for breast cancer
Mammology - Breast surgery
Before you choose the most appropriate treatment regimen for you, dosage and duration, the physician should carefully consider the results of histological examination of the tumor and a history of the disease.
Ideally, the scheme of chemotherapy must have the following properties:
Destroy all types of cancer cells in a certain area of the breast,
Use drugs, which are mutually reinforcing effect without side effects
Must act so that cancer cells could not adapt to chemotherapy drugs,
To have this level of side effects that you can move.
Chemotherapy may be chosen as a combination of drugs (ATS, TSMF, TSAF, FATS, or AT). The effectiveness will be from 35 to 60%. In addition, chemotherapy may be in the form of only one drug - drug adriamycin or taxanes group (takol or taxotere). The effectiveness will be from 30 to 60%. In addition to these combinations are widely used, and others.
The most common combination chemotherapy in patients with affected lymph nodes is a course consisting of four cycles of AC (adriamycin + cyclophosphamide) and the subsequent four cycles of Taxol or Taxotere.
It was found that Taxotere is more effective in patients with advanced cancer than Taxol, but has more pronounced side effects.
New chemotherapy drugs abraksan contains the same active ingredient as Taxol. But unlike taxol with a basis of Cremophor, abraksan established on the basis of the protein. Cremophor - a derivative of castor oil, which is toxic to the body and can cause allergic reactions. To prevent these complications before using taxol steroid use tools. In contrast to taxol abraksan such properties does not have and it is more secure to use.
Just say that you can safely run your lifestyle, whether that are undergoing chemotherapy.
But before you start treatment, you should pay for some of the details:
We recommend fully examined by a dentist and when necessary to carry out treatment of carious teeth and treatment of other oral problems. This is due to the fact that during chemotherapy increases the risk of infectious complications, especially in various medical procedures.
Chemotherapy can affect the results of the smear from the cervix (called a Pap test).
There is a likelihood of such complications as loss of hair (alopecia). Different chemotherapy drugs differently affect this phenomenon. Some may cause only partial loss of hair, the other - complete.
Make sure that you helped someone in the house at the time of chemotherapy. One of the side effects it may be fatigue, so even simple activities at home can be troublesome for you.
Stages of Chemotherapy
We recommend planning cycles of chemotherapy on Thursday or Friday. This allows you to use the weekend to relax, as well as easier to move the various side effects.
During the first consultation with an oncologist
Before starting treatment, he will explain to you everything in detail: the possible side effects of chemotherapy or other, the advantages of various techniques. Before you opt for one or another scheme of therapy, the doctor will examine your medical history, conduct research, study all the results of your tests and x-ray studies.
Directly on the day of treatment cycle
The nurse will measure your blood pressure, pulse, breathing rate and body temperature. In addition, the measured your height and weight, it is necessary for the selection of appropriate doses of drugs. Then you lie down on the couch and you set an intravenous infusion system - in other words, a dropper. During cycles of chemotherapy each time blood test to count white blood cells.
Preparing for the chemotherapy drugs drip may take some time. Before we introduce the chemotherapy, you will be given "sedation" - medications that help to eliminate or mitigate such adverse effects as nausea, anxiety, and inflammation.
In addition, the use of certain medications you will need to drink plenty of liquids. This applies, for example, Cytoxan in pill form, which in the long delay in the bladder can cause him annoyance. Therefore, Cytoxan pills washed down with a large volume of water.
After the end of intravenous infusion of chemotherapy intravenous catheter is removed from a vein. Then you can go home. In the case of uncontrollable vomiting, nausea, diarrhea or fever should immediately notify your doctor.
