What do you think about GemCarbo chemotherapy?

Hi,

Welcome to icliniq.com.

I can understand your anxiety.

• By the EGFR (epidermal growth factor receptor) not been successful, do you mean that the test was not positive for mutations or it could not be performed due to inadequacy of the sample? Please clarify.

• Starting EGFR inhibitors in the absence of mutation is not recommended as there will be no benefit and the patient will lose important time in which she could have received chemotherapy.

• If the sample is inadequate and it is strongly recommended to get a rebiopsy, then continue chemotherapy till then.

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Hi,

Welcome back to icliniq.com.

• GemCarbo is a decent option, since Pemetrexed cannot be given due to pleural effusion.
• If it is stage IV, then there are usually ample number of sites from where an adequate sample can be taken like liver if she has a gross plural effusion, even that can be tapped and send for tissue block formation.
• That tissue block can be used to study genetic analysis. This is much less invasive than deep tissue biopsy and commonly practiced. Patients are more compliant to this.
• If it is possible on your part, then send the PET CT or CT report. We will discuss with our interventional radiologist about the adequacy of the sample site.

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