How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask DrRussMD Your Own Question

DrRussMD
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 64047
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
24257177
Type Your Medical Question Here...
DrRussMD is online now

Is irinotecan alone affective for colon cancer when there is

Customer Question

Is irinotecan alone affective for colon cancer when there is a single liver met and 1 node
Submitted: 2 years ago.
Category: Medical
Expert:  DrRussMD replied 2 years ago.

Hello

No it is used in combination.

With, 5FU or leucovarin. Mono therapy would not be as effective.

It might be used as mono therapy in certain instances as well.

For example, following initial 5FU therapy and other situations.

It will still have effect.

OK, so that is an initial answer…. Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.

Customer: replied 2 years ago.

folfiri was given but after 1 session they took 5fu out as my dad was getting chest tightness . So now irinotecan alone .

I was just worried

whether it will

work?

also he had colon surgery in march and was a dukes c1. But a recent pet scan showed a 16 mm liver and 1 aortocaval node. Can this b cured/ treated ?

Expert:  DrRussMD replied 2 years ago.
Yes, it will work.
It will not be as effective as the combination therapy.
Metastatic colon cancer is not curable in regular medicine, it is treatable.
He can stay on his current regimen, the idea being to induce a remission.
Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.
Customer: replied 2 years ago.

Is a liver met this size and the node a big worry ? What is prognosis like ?

Expert:  DrRussMD replied 2 years ago.
Any liver med is a big worry.
The prognosis is remission is possible, a year or two.
However, that depends on many individual factors, the cell type of the cancer, etc.
You need to get together with his doctors to get a more exact prognosis.
ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.
Customer: replied 2 years ago.

They have not really said anything.can it not be resected ? It's on the edge of liver they said and it's small right?

Is the aortocaval node more a worry?

Expert:  DrRussMD replied 2 years ago.
The node is more of a worry.
Resecting it can slow down the cancer but not cure it at this point.
Please see my offer.
Please click a positive rating.
Find me anytime in medical.
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 64047
Experience: Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
DrRussMD and 2 other Medical Specialists are ready to help you
Customer: replied 2 years ago.

Is it not better having a single liver met than several ?

can yhe chemo get rid of both?

Expert:  DrRussMD replied 2 years ago.
It is better to have minimal mets, but there are likely others not seen on scan.
Chemo can slow this disease down extensively.
Complete remission is possible.
It would be rare.
Customer: replied 2 years ago.

So can the person live for say five years ?

Expert:  DrRussMD replied 2 years ago.
YES.
Treatment of this situation should be integrative.
Please see my offer, or find me in Medical [for Dr. Thomas only], on an extensive /complex question format, and we can go into this extensively.
Customer: replied 2 years ago.

Can

more mets appear on irinotecan ?

Expert:  DrRussMD replied 2 years ago.
Yes that is a possibility.
Customer: replied 2 years ago.

So are chances of further mets ?

Expert:  DrRussMD replied 2 years ago.
There are eventually chances of further mets unless he goes into complete long term remission.
I will be glad to describe programs that try and assure this outcome, but you will need to find me on a new thread set up for a complex and extensive answer.
In medical.
For Dr. Thomas only.

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions