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Treatment plan depends on tumor staging, which is very very important. Chemotherapy is NOT always needed or beneficial. In China quite a lot people even receive unnecessary chemotherapy for early stage cancer, which DOES harm to patient, as chemo treats cancer and also causes serious side effects. I disrespect this kind of unprofessional behaviour. Therefore we really must balance between pros and cons. As a doctor, we really should consider patient as a whole person physically, psychologically and socially.
Actually radiotherapy plays a much more important role than chemo in cervical cancer treatment.
Chemotherapy is not a first choice treatment because:
cervical carcinoma is relatively radiosensitive
large, bulky tumours may have necrotic centres which are never reached by chemo agents
tissue vascularity is reduced following radiotherapy so drug uptake is sub-optimal
Stage 1a simple hysterectomy 5-yr survival rate 85-90% if tumor<3cm,
Stage 1b radical hysterectomy 66%
stage 2 radical hysterectomy + radiotherapy +/- chemotherapy 62%
Stage 3 radiotherapy +/- chemotherapy 40%
Stage 4 radiotherapy +/- chemotherapy 15%
I personally dont believe traditional Chinese medicine can be used as anti-cancer therapy. Of course we can use it to boost immune system but not as a treatment for cancer itself. At this stage, only chemo and radio kill cancer cells.
All the best to your mum! Be positive and supportive. There is not much you can do, so emotional support is what you can offer. Hopefully your mum is being treated by a professional and responsible doctor.
[ 本帖最后由 Sharlene 于 2009-3-26 22:44 编辑 ] |
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