My father is yet to be diagnosed and staged with what seems to be a GI Cancer (Cholangiocarcinoma). In watching your videos, I wanted to ask if all patients have to go through standard Chemo (I heard the onco nurse say that most insurances want traditional chemo treatments first before showing they are ineffective before moving to other therapies).
So my question is can oncologist start with immunotherapy or other target therapies? or chemo has to be first.
I know the onco ordered a liquid biopsy (results are not in yet)
I paid for a chemo-sensitive test (ex-vivo) from RGCC Labs in Europe and I know he has MDR1 expression, there is chemo sensitivity towards Cisplatin, Oxaliplatin, Docetaxel,Abraxane,Gemcitabine,Fudr.
There is sensitivity towards Tarceva and Nexavar.
I am still not clear what is the best way to start (whether surgery is an option or not) with this information if the onco accepts it at face value from RGCC Labs.
Any advice will greatly be appreciated as I need to learn and then translate all this information to my father so he understand what is going on.
With Much Appreciation.