Topic: Gem/Cis Cycles
I am asking for comments/opinions. Is there a defined standard number of cycles of Gem/Cis ?
In meeting with our oncologist, she recommended 8 cycles of Gem/Cis and then switching to only gemcitibene because of the effects of cisplatin (and other platinum based drugs) on the kidneys.
We are currently in the 5th cycle and my wife (ICC) is managing the chemo well. As of Monday, July 30, all blood work looks good (even a significant reduction in the CA19-9 marker). And, as mentioned in earlier posts, the CT scan on July 1, after cycle 3, confirmed the chemo is having a positive impact on the liver tumors and lymph nodes.
I thought I've read posts from others who have gone through many more than 8 Gem/Cis cycles. I am not sure if her suggestion of stopping cisplatin is based on other studies, personal experience, etc.
As an aside, it has also been suggested by another doctor to switch to radioembolization after the 8 rounds of Gem/Cis. We are going to explore that option as well. The next scheduled CT scan will be after cycle 6 so we have some time to research our next course of action.