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Q: x-rays for cancer ?
asked by: Gidget45 on September 21st, 2008
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My Mother had her first chemo treatement 2 weeks ago (it had been 5 wks since her diagnosis at the time). The Dr. has her on Carboplaten & Taxiter once every 3 wks. We have no idea how many total treatments they intend to give her. Does this sound aggressive enough? Once every 3 weeks doesn't seem like very much when I read of other people's treatment schedules. The cancer is in both lungs. Dr's here said 3 nodules, MD Anderson said 4, yet they are all looking at the same PET scan. I don't anything about the 4th nodule, but 3 of them are less than 3cm with the largest being 2.2cm. At least that's what they were at the time of diagnosis. Also at the time of diagnosis the cancer wasn't anywhere else in the body and the lymph nodes looked normal. Last week she started having back pain with some areas tender to the touch. I've read that one of the primary places lung cancer can spread to is the spine, so I am very concerned about this. The Dr. only tested for urinary tract and kidney infection which came back negative. Dr. said she could get an x-ray now if she wanted or she could wait cause I guess they will do one after next appt (next week). An x-ray isn't going to show if the cancer has spread to other parts of the body (bones, brain etc). It seems it would be relevant to to catch anything early. How in the world can they simply monitor her with x-rays?!
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MandMs
replied on September 23rd, 2008
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Bone and brain metastasis can be detect by performing X-ray on those certain areas.
X-ray for bones can provide information about what part of the skeleton the cancer has spread to as well as the general size and shape of the tumor or tumors.
But, bone metastases often do not show up on X-rays unless the cancer has destroyed about half the bone tissue in that area.
That's why doctors usually use bone scan, that can detect bone metastasis earlier than X-rays.
CT and MRI (particularly useful in looking at the spine) can be used, too.
MRI with contrast enhancement currently is the procedure of choice, for detecting brain metastasis.
Ct for checking for brain metastasis, is used more frequently than MRI, because of f its accessibility and low cost.
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Gidget45
replied on September 23rd, 2008
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Do you feel her treatment is aggressive enough based on the treatment schedule and only x-rays being done to monitor?
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MandMs
replied on September 26th, 2008
Extremely eHealthy
Taxotere and carboplatin regimen is usually given once in a three weeks for few cycles in a period of 3 to 4 months.
Clinical experience with these regimen shows that it is active in advanced lung cancer.
However, there is no universally agreed standard drug combination for threating this disease.
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