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Pancreas Cancer

Post Whipple - Adjuvant therap was posted 05/27/2015 02:37 pm by Christina
E-mail Address: Pookiesheart@gmail.com

Message Text
Hi,

My husband found out in January that he had PC. He is 54. He had the whipple in February with an R1 section. The tumor had grown onto his artery and they had to peel it off leaving cancer on some of the margins. Because of that he is having 'adjuvant' chemotherapy and then the plan was chemo/radiation after 6 months of gemzar/abraxane (3 weeks on 1 week off).

He started GAX in March. He has never made 3 weeks on. After 2 weeks he was in the hospital with low white count and fever. They gave him a neulasta shot instead of chemo on week three and then resumed chemo the following week. He went two weeks again and ended up in the hospital for a week with low white count, low hemoglobin, pneumonia and the flu. He took a two week break from chemo and then resumed. Today was supposed to be his 3rd week of chemo on 50% dosage but his hemoglobin and white count was too low.

After my husband refused to switch to folfirinox (because he's afraid to use up all his options on the first go around), the doctor said he was going to start a new plan next week. This week he gave my husband neulasta to get his counts up and then he will start with a close to 100% dose next week for 1 week on and 1 week off. This will be the new normal for the remaining three months. He also said that he might not do the chemo/radiation at the end of the chemo.

So we trust our Doctor and really like him. We are confident in his plan but I was wondering if anyone else had done this protocol? Also any ideas why he would change his mind about the radiation? Is it hard to tolerate as well? They told us he needed the radiation to blast the area that was left behind on his artery.

Any advice or comments are welcome! Thanks

Christina

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*DISCLAIMER: This page is an unmoderated forum, and the opinions expressed herein do not necessarily reflect the viewpoint of The Johns Hopkins Medical Institutions. Patients are advised to consult their personal physicians before making any medical decisions.
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