Recently Answered Questions on Gemcitabine

Pt. is 59yr old and have pancreatic cancer detected last year. Underwent whipple surgery and following that chemotherapy ( capecitabine & gemcitabine) and now the cancer got spread to lungs & liver metastasis. Shall we go for liver biopsy or liquid biopsy. Please recommend which will be suitable.

My father has gone through whipple surgery in dec'15 , T2N0Mx , text book surgery, full course of gemcitabine 1000mg , 5 months post chemo, what to expect and what not and how to increase health of whipple patients?

My father was diagnosed with pancreatic cancer in July, 2023 and underwent whipple surgery on 29th July ,2023. Following the surgery, he received six months of chemotherapy, comprising Gemcitabine and Capecitabine, which concluded on February 13. Gemcitabine was administered in six cycles, each comprising three sessions per week, while Capecitabine was taken as one tablet in the morning and two tablets at night for 14 consecutive days, followed by a seven-day break.  Subsequently, a PET scan was performed on February 22,,2024 revealing metastases to the lungs and liver. Pls suggest the further treatment and test

67-year old male with metastatic bladder cancer. Received two cycles of chemotherapy with drugs cisplatin and gemcitabine. Bleeding from the bladder had stopped but started again just before the start of 3rd cycle and hasn't stopped even one day after day 1 of cycle 3. Also, nausea which wasn't evident before, has started to occur. What might be the reason?

My father ,aged 59, was diagnosed with Pancreatic Cancer on July, 2023, following EUS-FNAC & ERCP surgery. He is also a Type-2 Diabetic pt. On July, 2023, he underwent Whipple surgery as part of his treatment. Post-surgery, he received six months of chemo, which consisted of Gemcitabine and Capecitabine. The chemo regimen involved Gem. administered in 6 cycles, each comprising three sessions per week. Cap. was taken once in the morning and twice at night for 14 consecutive days, followed by a seven-day break. The chemo  concluded on February, 2024. A PET scan revealed metastases to the lungs and liver and underwent liver biopsy.The doctor has advised Teyoges 20mg two times for 21 days with 7 days off, and this cycle is to be continued.Additionally, the patient has received the first dose of Oxaliplatin 150mg on 27th March, with another chemo session scheduled after 3 weeks. currently pt. is too week, having body pain and loss of appetite. can we reduce the dose of teyoges