I had potentially curative surgery that didn't work; doctor missed some lymph nodes and one had cancer cells in it. One year out, cancer in all lymph nodes remaining (left and right) mediastinal; no distal metastasis yet. I read that alectinib for many people works only 1 year or less (4 months, 5 months eg), while for some 2-3+. No crystal ball, but if I use up my alectinib before I REALLY need it (major organs, multiple tumors/organs there) was that a wise choice.. Is it considered best to potentially use up whatever time alectinib would give you when only mediastinal lymph nodes or to wait, as I would have done if he'd removed all lymph nodes on that side, until distal organ metastasis. Of course risk of liver tumor carries with it unable to process med due to hepatotoxicity and less organ fit to process it. Because all LNs, and because radiation such risks iwth it and unpleasantness (to put it mildly) and fact can't really use it much later in body if use so much now, I don't feel inclined to use. Thoughts???
Mon, 02/26/2018 - 22:51#1
Start alectinib when only Lymph Node metastisis?? - 1294018