Split: my 1b seems not very accurate? Especially visceral pleura is involved

Portal Forums Cancer Treatments / Symptom Management Treatment-Related Side Effects Split: my 1b seems not very accurate? Especially visceral pleura is involved

This topic contains 7 replies, has 3 voices, and was last updated by  huiyuan49 1 year, 1 month ago.

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March 4, 2013 at 4:17 am  #1254450    


Hi, Dr.West,

As you mentioned from above

“Tarceva might be a more effective option. The data are stronger supporting a survival benefit in patients who receive Tarceva if they don’t have an EGFR mutation.”

I am Chinese woman non smoker having no EFFR mutation but with Kras mutation, do you think Tarceva could be my option after 4 cycle chemo?

My worst part is “visceral pleura is involved by carcinoma.” Tumor 3.5 cm. all 11 lymphs negative. I hope the chemo Alimta and cisplatin will work on me.

Thank you very much for your reply in advance. :)


March 4, 2013 at 5:01 am  #1254452    


Hi, Dr. West,

Sorry to bother you again.

I just received an email from my doctor sister from China. Her colleague, an oncologist there said stage 1b (that is my stage) could go without chemo or maximum 2 cycle. He said that as he did not read my surgery report.

So my 1b seems not very accurate? Especially visceral pleura is involved by the cells.

I visit cancergrace every day. It is my home. You and your colleagues have done a great thing for us. Thank you.


March 4, 2013 at 2:03 pm  #1254460    

catdander forum moderator

Hi huiyuan, I hope you received my email and look forward to hearing back from you.
Let us know more about your situation.
All best,
forum moderator

March 4, 2013 at 3:21 pm  #1254464    


Hi,Dr. West,

I have understood what my problem is now.

I will be ok. Thank you very much for the wonderful community you and your colleague set up for us. :)



I have not received the email from catdander. Please resend it. Thank you.

March 4, 2013 at 4:19 pm  #1254465    


huiyuan49@hotmail.com is my email

March 4, 2013 at 4:51 pm  #1254467    

catdander forum moderator

I sent it again though I think it’s the same address. Let me know if you got it. Check your spam folder.

All best,

March 4, 2013 at 7:49 pm  #1254476    

Dr West

I’m not sure if you still have a question, but I’d say that the current stage isn’t the only factor. Even if there is pleural involvement, a smaller cancer with no nodes involved is widely considered to not necessarily be high enough risk to favor post-operative chemotherapy.

Good luck.

-Dr. West

Howard (Jack) West, MD
Medical Oncologist

Views expressed here represent my opinion, not those of GRACE or Swedish Cancer Institute. This information does not constitute medical advice and is intended to supplement and not replace medical information provided by your doctor.

March 4, 2013 at 9:49 pm  #1254481    


Thank you so much ! Dr. West. I think your reply is very valuable! I will see my surgeon tomorrow. I will ask him if I can slow down a little bit. I mean to delay my chemotherapy,which was his idea. As my white cell account was low.

Dr.West, as a cancer patient , I really appreciate your opinion .:)

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