紧急请教各位 sigmoid colon cancer 4期,男,年龄70

s
street0120003
楼主 (文学城)

一位朋友父亲近日诊断sigmoid colon cancer 4期, 能否治疗?

现巨谢各位!

白兔妈
不去问医生,让朋友去论坛问?

啥情况?

白兔妈
不去问医生,让朋友去论坛问?
s
street0120003
我是先了解,当地医生建议去以色列,在做各项准备,美国这边的。。。。。
f
fuz
of course, can be treated

https://www.cancer.org/cancer/colon-rectal-cancer/treating/by-stage-colon.html

 

Most people with stage IV cancer will get chemo and/or targeted therapies to control the cancer. Some of the most commonly used regimens include:

FOLFOX: leucovorin, 5-FU, and oxaliplatin (Eloxatin)
FOLFIRI: leucovorin, 5-FU, and irinotecan (Camptosar)
CAPEOX or CAPOX: capecitabine (Xeloda) and oxaliplatin
FOLFOXIRI: leucovorin, 5-FU, oxaliplatin, and irinotecan
One of the above combinations plus either a drug that targets VEGF, (bevacizumab [Avastin], ziv-aflibercept [Zaltrap], or ramucirumab [Cyramza]), or a drug that targets EGFR (cetuximab [Erbitux] or panitumumab [Vectibix])

Cetuximab alone
Panitumumab alone
Regorafenib (Stivarga) alone
Trifluridine and tipiracil (Lonsurf)

The choice of regimens depends on several factors, including any previous treatments you’ve had and your overall health.

If one of these regimens is no longer working, another may be tried. For people with certain tumor changes in the MMR genes, another option after initial chemotherapy might be treatment with an immunotherapy drug such as pembrolizumab (Keytruda) or nivolumab (Opdivo).

5-FU and leucovorin, with or without a targeted drug
Capecitabine, with or without a targeted drug
Irinotecan, with or without a targeted drug

 

 

s
street0120003
谢谢fuz!
白兔妈
去以色列治疗?

估计医生认为现有的治疗方法对他作用不大,以色列正在进行的什么clinical trial会对他有帮助吧。

白兔妈
感觉楼主的‘治疗’与你的‘treated’不是一回事

楼主问的应该是治愈,你说的是延长寿命若干年(月)。

f
fuz
一旦有转移,

很难完全治愈。在美国,美国四期结肠癌五年存活率大约在14%,比肺癌的2%要高很多。

最好的结果是尽可控制发展,共存。

s
street0120003
她爸在乌克兰,当地医生建议
s
street0120003
理解,因该是这样
w
willows
带癌生存,像其他慢性病,比如高血压,糖尿病一样,做控制,管理,延长有质量的生活