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🌱來自: snippets
CRCADJ
Sigmoid colon cancer s/p laparoscopic anterior resection on 2010/00/00, pT3(1.1cm)N0(0/14), M/D adenocarcinoma, LVI present, perineural-, CEA not elevated, MSS
- Initial presentation: OB+ during routine screen
- Treatment plan: adjuvant chemotherapy will be started post op 4~6 weeks
- 2010/00/00: Explain the concept of adjuvant chemotherapy, the goal is to decrease recurrence/metastasis as possible, not guarantee cure!! Thus regular follow up is still needed.
- Stage II MSI-H patients may have a good prognosis and do not benefit from 5-FU adjuvant therapy.
- offered chemotherapy regimen with mFOLFOX6, bi-weekly for 12 cycles, self-paid oxaliplatin
- alternative options included <1> Xeloda(吃2休1) x 8 cycles but self-paid <2> Weekly 5FU/LV, (打3休1) for 8 cycles <3> UFT(UFT 300mg/m2 and LV 30~90mg/m2, D1-D28, 1 wk rest) for 0.5 to 3 year @ Arrange admission for #1 mFOLFOX-6 on ? and check lab. @ Vascular assessment, nutritional assessment, dental check, pharmacist education before chemotherapy.
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