Topic: Gemzar/Xeloda combination
We went to an oncologist (specialist in hepatobiliary cancers) earlier this week for a second opinion. Of course we just wanted confirmation that we were doing what was appropriate, cause we're pretty happy with our present doctor and his response to chemo at this point (appears that the disease is stable and he feels pretty good). She questioned the decision of using xeloda with gemzar when gem/cis is the standard of care. My understanding is that cisplatin is more toxic and therefore a more difficult treatment. After some research, I'm not sure that it's all that much more effective. My husband has struggled with this ever since we saw her because he wants to do the right thing, but is afraid to change anything at this point.
What are your opinions? BTW, he is 50 with no comorbidities and in the 2nd oncologists opinion, he should be able to handle the cisplatin.