how can i get doctor to prescribe tarceva for inoperable lung cancer with secondary brain cancer has recieved one chemo session for lung then 5 radiotherapy for brain...help??????
4 rounds of chemo of taxotere and cisplatin seem to have not worked as now he has mets in his liver, bones and adrenal glands. His doctor is aftraid that Tarceva is not recommended to someone with mets to the bone. That is not what I read. Can you please let me know if Tarceva is for him and whether that can hep stop or slow down the disease?
Thanks.
since then the diesies showed improvment and shrinkage in tumor. . HE has been under maintance treatment with Tarceva since 2009 upto now. the previous PET-CT ON JULY 2011 WAS NEGATIVE AND CONCLUSION was that no evidence of residual hypermetabolic disease seen in lung.. but the recent CT showed smal new lesion 1,8 *2 cm. in comparison to previous.and his new PET -CT in TURKEY hospital FN shows new FDG(+)SUV max:5) pulmonary nodule in the lower lobe of the lung.
If the node is positive for cancer metastases, this may imply disease progression in spite of Tarceva intake. Tarceva may have to be replaced with another more effective chemotherapy drug. Radiation therapy to shrink the node and relieve the swelling may also have to be done. Consult with your oncologist as soon as possible so you can be properly assessed.
Thanks for your response. To clarify: his treatment was adjunctive. At the time they saw no sign of cancer outside the lung. Now, however, after 4 rounds of chemotherapy the disease seems to have spread during treatment with taxotere and cisplatin: it's now in the liver, bones and adrenal glands. His original tumor was EGFR positive that is why Tarceva came up as a viable second step.
In lung cancer, there are assays for quantitative testing of epidermal growth factor receptors (EGFR), which confers sensitivity to some drugs used in lung cancer like Iressa or Tarceva. The cost of testing can range from a few hundred dollars (e.g. ER/ PR assays) to around 3800 dollars for the Oncotype DX test.
m doing research as quickly as I can to help she and her husband make an informed decision about what to do...if anything. The local drs are recommending 4 weeks of full brain radiation followed by tarceva. Prior to the finding the mets, they were planning 6 weeks of radiation to the right lung in combination with etoposide and cisplatin.
I'd appreciate any feedback. My thanks in advance to all responses....
She has done very well with chemo and radiation until recently. She was started on Tarceva about 3 weeks ago. Recently, she has been experiencing a lot of confusion. I cannot find anywhere that this is a side effect of Tarceva (it is the only drug she is on at this time). Is it possible that she has a brain metastases? If not, what are the likely causes.
t know what the new meds will cost yet. Any and all information is appreciated! (I have never treated before, geno 1a, stage 2.5 fibrosis).
Also, as a side question, any information on getting treatment in Canada would be helpful. My husband has dual citizenship and I'm wondering if that might be an option for me. Thanks!
umm in the usa without insurance, n im chronic.
Also, any idea how much tela will cost.
still looking for possible IL28B testing and any of the latest in Canada, Has anyone filed in Ontario for transfusion compensat claim, just wondering about questions and procedure of the health long term care Hep C assist program.
My husband was diagnosed with a Pancoast tumor on his lung. He went thru chemo/ radiation and finally had surgery to remove the tumor. It was successful. He had more chemo for precaution. After one year, the cancer came back into his Adrenal Gland. It is also in his Lymph Nodes. They put him on Tarceva( a pill he took everyday) And after 6-7 weeks, he had tests done which showed it didn't do anything.. the tumor has grown. They said there is no other options..
At the time of the procedure it messured 1.3 cm at the time of being placed on Tarceva the measurment 1.9 cm with in three wks after surgery in April.
Placed on Tarceva the first of May and No incress in growth...Doctors say Stable Remission...Now I have been told that I have a Mass on the back side of my thyroid gland on the left side. We have tried ultra sound guided needle biopsy...didn't work.
Now the docs say they want to try a Core Biopsy?
In Canada there is a generic form if you cannot get assistance from Novartis (the makers)
I use http://www.canadapharmacyonline.com for my albuterol my copay in the US is $35 for 1 ,there I pay $60 for four including shipping. A friend of mine gets his Depakote from there it is so much cheaper, Trileptal I think in generic was $43 for 100 (150mg) generics. Check it out, they will tell you who makes it and what country, most are from Canada.
PS.
Also call the hospital/clinic where you'd get it done to get a price quote for the procedure.
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