Split: my 1b seems not very accurate? Especially visceral pleura is involved - 1254450

huiyuan49
Posts:36

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. :)

Huiyuan49

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Reply # - March 4, 2013, 05:01 AM

huiyuan49
Posts: 36

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.

Huiyuan49

Reply # - March 4, 2013, 03:21 PM

huiyuan49
Posts: 36

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. :)

Huiyuan49

P.s.

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

Reply # - March 4, 2013, 07:49 PM

Dr West
Posts: 4735

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

Reply # - March 4, 2013, 09:49 PM

huiyuan49
Posts: 36

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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