Treatment is generally more intense than that for favorable disease. It typically starts with chemotherapy (usually with the ABVD regimen for 4 to 6 cycles or other regimens such as 3 cycles of Stanford V). PET/CT scans are often done after several cycles of chemo to see if (and how much) more treatment is needed.
Full Answer
What is the Stanford v regimen for lung cancer?
Sep 18, 2009 · Drugs in the STANFORD V combination: Chemotherapy is often given as a combination of drugs. Combinations usually work better than single drugs because different drugs kill cancer cells in different ways. Each of the drugs in this combination is approved by the Food and Drug Administration (FDA) to treat cancer or conditions related to cancer.
What is Stanford V used to treat?
This type of doctor specializes in the diagnosis and treatment of cancer. Oncologists in Stanford’s Cancer Program have years of training and experience in cancer care. The treatments we offer include: Surgery to remove all or part of cancer tumors, or all or …
What is the 10-year survival rate for the Stanford V arm?
This type of doctor specializes in the diagnosis and treatment of cancer. Oncologists in Stanford’s Head and Neck Cancer Program have years of training and experience in cancer care. The treatments we offer include: Surgery; Radiation therapy
Why do cancer patients with the same diagnosis have different results?
In Stanford’s team-based approach to cancer care, your oncologist works with other doctors throughout your course of treatment. Every doctor on your team focuses solely on cancer, with subspecialty training in cancer diagnosis and treatment. Subspecialty training is additional, highly specific training in cancer care, within cancer education.
How do you feel after first chemo treatment?
How do you feel after chemotherapy for lymphoma?
What can I expect with Hodgkin's lymphoma?
What is chemo like for Hodgkin's lymphoma?
Can you live a normal life after lymphoma?
Can lymphoma spread during chemo?
What are the warning signs of Hodgkin's lymphoma?
- Painless swelling of lymph nodes in your neck, armpits or groin.
- Persistent fatigue.
- Fever.
- Night sweats.
- Losing weight without trying.
- Severe itching.
- Pain in your lymph nodes after drinking alcohol.
Is Hodgkins or non-Hodgkin's worse?
Do you get sick easier with lymphoma?
Do you lose your hair with ABVD chemo?
What is the life expectancy of someone with Hodgkin's lymphoma?
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5-year relative survival rates for Hodgkin lymphoma.
How likely is Hodgkin's lymphoma returning?
Does Stanford support prostate cancer?
At Stanford, our support doesn’t end when you complete active treatment (treatment that directly fights cancer). Our Cancer Survivorship Program offers health care and other services to help prostate cancer survivors transition to life after cancer and the activities you enjoy.
What is an APP in oncology?
An APP can be a nurse practitioner (NP), physician’s assistant (PA), or clinical nurse specialist (CNS).
What is the best treatment for prostate cancer?
An oncologist is a doctor that specializes in the diagnosis and treatment of cancer. Oncologists in Stanford’s Prostate Cancer Program have years of training and experience in prostate cancer care. The treatments we offer include: 1 Surgery 2 Radiation therapy 3 Medical therapy such as chemotherapy, targeted therapy, and other systemic therapies (medications that travel through the bloodstream to treat cancer anywhere in the body)
What is an oncologist?
An oncologist is a doctor that specializes in the diagnosis and treatment of cancer. Oncologists in Stanford’s Prostate Cancer Program have years of training and experience in prostate cancer care. The treatments we offer include:
What is the role of an anesthesiologist?
An anesthesiologist is a doctor who specializes in using medications to block pain, help you relax, or make you unconscious for surgery. Anesthesiologists also maintain your vital functions such as breathing, blood pressure, and heart rate during surgery. Depending on the type of surgery you have, you may need local (small area), regional (larger area), or general (overall) anesthesia.
What kind of doctor treats cancer?
This type of doctor specializes in the diagnosis and treatment of cancer. Oncologists in Stanford’s Head and Neck Cancer Program have years of training and experience in cancer care. The treatments we offer include: 1 Surgery 2 Radiation therapy 3 Medical therapy, such as chemotherapy, (medications that travel through the bloodstream to treat cancer anywhere in the body)
How does cancer affect your body?
Cancer treatment can affect your strength and mobility, especially in the shoulder and arm. Physical therapists work with you and your family to recover your physical function after treatment, such as improving your: Strength, especially in the upper body. Sensation, to relieve numbness in treated areas.
What is adjuvant therapy?
If you have drug therapy in addition to surgery or radiation therapy, the treatments are called adjuvant therapy. Learn more about lung cancer treatment options, including their uses and side effects ». Clinical trials: At Stanford, our doctors are always working to improve care for people with Lung cancer.
What is radiation therapy?
Radiation therapy. Medical therapy, such as chemotherapy, (medications that travel through the bloodstream to treat cancer anywhere in the body) You will have a care team for each type of treatment you receive. The type of oncologist on your care team will depend on the type of cancer and treatment you have.
What is an APP in oncology?
An APP can be a nurse practitioner (NP), physician’s assistant (PA), or clinical nurse specialist (CNS).
What is the role of a medical oncologist?
Medical oncologists often serve as your main health care provider, coordinating your treatment among several specialists.
What is advance directive in California?
In California, an advance health care directive allows you to designate an agent, or someone you trust to make health care decisions on your behalf. You can also list your health care instructions. You can ask your doctor, nurse, social worker, or other health care provider for more information.
Ovarian Cancer Care at Stanford Health Care
Receiving a diagnosis of ovarian cancer can be a stressful time for you and your family. It’s not easy to manage treatment along with your job, relationships, and other life priorities. At Stanford Health Care, we’re here to help.
What to Expect of Ovarian Cancer
Ovarian cancer has multiple stages. Depending on the stage, drug therapy may be necessary to treat it.
Your Ovarian Cancer Care Team
At the Stanford Cancer Center, we offer multidisciplinary care for ovarian cancer. That means your doctors, nurses and other members of your care team work together to support you before, during and after treatment.
Your First Appointment in Gynecologic Oncology
At your first appointment, you will meet the team who will take care of you throughout your treatment. During this visit, your doctor will discuss your medical history with you in detail, perform a physical examination, and discuss possible treatment options.
What is Stanford V?
The Stanford V regimen is a 12-week, seven-drug regimen that is administered on a weekly basis (eTable 76-2 ). 140 It contains lower cumulative doses of mechlorethamine, Adriamycin, and bleomycin than MOPP and ABVD, respectively, to limit leukemogenesis, sterility, cardiac, and pulmonary toxicity. Patients with initial disease of 5 cm or larger or macroscopic splenic disease, which account for about 90% of the patients, receive 36 Gy of involved-field radiation therapy 2 weeks after the chemotherapy. In a report on 142 patients with stage III or IV or locally extensive mediastinal stage I or II HL, a 5-year FFP and overall survival of 89% and 96%, respectively, were achieved. 140 No secondary leukemia was observed at a median follow-up of 5.4 years, although one case of acute leukemia was reported in an earlier Eastern Cooperative Oncology Group (ECOG) pilot study using the same regimen on 45 patients. 82
What is the current standard of chemotherapy for Hodgkin's disease?
The current standard of chemotherapy for advanced-stage Hodgkin's disease is the ABVD regimen. However, there have been recent promising data on more dose-dense and dose-intense regimens, including the dose-escalated BEACOPP and Stanford V regimens.47,48 Dose-escalated BEACOPP, while yielding superior treatment outcome compared with conventional-dose chemotherapy, 48 is associated with the risk of acute myelogenous leukemia/myelodysplasia and infertility. The GHSG and others have explored modifications of the dose-escalated BEACOPP regimen, including dose-escalated BEACOPP followed by standard-dose BEACOPP 49 and the BEACOPP-14 regimen, 50,51 a time-intensified variant of standard-dose BEACOPP. Comparisons of modified dose-escalated BEACOPP against ABVD have shown higher progression-free survival but at the expense of increased toxicity and a lack of OS. 52,53 The EORTC protocol 20012 is comparing four cycles of escalated-dose BEACOPP followed by four cycles of standard-dose BEACOPP to eight cycles of ABVD in patients with stage III to IV disease with an International Prognostic Score (IPS) greater than or equal to 3, and results pending. Phase II studies have shown promising results with the Stanford V regimen in patients with advanced-stage or locally extensive Hodgkin's lymphoma. 47,54 The Stanford V regimen, when given with RT as specified by the original protocol (IFRT to initial sites 5 cm or larger and/or macroscopic splenic disease), appears to yield results comparable to the ABVD regimen 55 but has poorer than expected treatment outcome when RT is not performed according to the guidelines. 56 Results are pending from the Eastern Cooperative Oncology Group (ECOG) E2496 Intergroup phase II trial comparing six to eight cycles of ABVD therapy with the Stanford V regimen.
What is the goal of Hodgkin's disease?
The goal in the treatment of patients with Hodgkin's disease is to produce a cure and to minimize the side effects of the treatment. Chemotherapy and radiation are the mainstays of therapy. The primary determinant of the type, dose, and duration of treatment is the stage of the disease and, in early-stage disease, whether prognostic factors are favorable or unfavorable.
What are clinical trial groups?
Clinical trial groups generally define three distinct groups of patients with Hodgkin's disease: a favorable group that is usually restricted to those who have stage I or IIA disease, without any bulky adenopathy; an unfavorable group who have stage III or IV disease; and an intermediate group with a various mix of factors, always including those who have stage I or II disease with large mediastinal adenopathy. The Stanford results for patients categorized in this fashion are displayed in Table 60-7.
What is systemic chemo?
Systemic chemotherapy is the mainstay of treatment for patients with advanced-stage Hodgkin's disease. Although early clinical trials of systemic therapy for Hodgkin's disease often excluded patients with stage IIIA, these patients are now included as patients with “advanced Hodgkin's disease” in most clinical trials. An important clinical trial of the Cancer and Leukemia Group B compared the efficacy of MOPP, ABVD, and MOPP-ABVD in a prospective randomized study of patients with advanced-stage Hodgkin's disease. 52 The complete response rates and actuarial failure-free survival rates were statistically superior for the two doxorubicin-containing arms of the trial (ABVD or MOPP-ABVD). Among the patients treated with ABVD chemotherapy, the complete response rate was 82%, the 5-year failure-free-survival rate was 61%, and the 5-year survival rate was 73%.
Is HL a malignancy?
The incidence of HL is approximately 10-fold higher among HIV-positive individuals compared with those who are HIV-negative, and HL remains the most common non-AIDS defining malignancy. The vast majority of cases are associated with concurrent EBV infection, implicating a causative role for EBV in the pathogenesis HL in HIV-positive patients.
Can a lymph node biopsy be performed during pregnancy?
The diagnosis of HL during pregnancy matches that of the background population; lymph node biopsy can be performed safely either under local or general anesthetic. Clearly, however, traditional staging methods for patients with newly diagnosed HL who are pregnant need to be adapted. To avoid the risks associated with radiation exposure to the fetus, radiologic evaluation via chest x-ray with abdominal shielding, abdominal ultrasound, or magnetic resonance imaging, is recommended rather than CT or PET. Routine blood work and bone marrow biopsy are also indicated, as per standard practice. This modified approach to staging during pregnancy is considered sufficient to allow appropriate ongoing management decisions, at least until more comprehensive imaging can be completed following delivery.
Lung Cancer: Diagnosis
This overview explains our diagnostic process to help you understand what to expect as you go through the early steps of your care.
Lung Cancer Diagnostic Process
For everyone who comes to us, we start your care by establishing or confirming a diagnosis.
Diagnostic tests for Lung Cancer
At Stanford, we tailor the diagnostic phase of lung cancer care to each individual patient. If you need further testing to complete your diagnosis, your doctor and care team will work with you to determine which tests you need. Tests may include:
Is cancer a deterrent?
Determination or dogged persistence is needed to accomplish the difficult task of fighting for your health. The experience of cancer not only is destructive in a physical way, but can be a major deterrent to your fighting attitude and will to live.
Is cancer a death sentence?
In modern medical practice, a similar phenomenon may occur when, out of ignorance or superstition, a patient believes the diagnosis of cancer to be a death sentence. However, the phenomenon of self-willed death is only effective if the person believes in the power of the curse .
What is the power of the will to live?
Like all creatures in the animal world, human beings have a fierce instinct for survival. The will to live is a force within all of us to fight for survival when our lives are threatened by a disease such as cancer.
What is the will to live?
The will to live is a force within all of us to fight for survival when our lives are threatened by a disease such as cancer. Yet this force is stronger in some people ...
Can the mind cure cancer?
But no studies have proven in a scientifically valid way that a person can control the course of his or her cancer with the mind, although patients often believe otherwise.
What does it mean to have a will to live?
Their “will to live” means that they really want to live, whether or not they’re afraid to die. They want to enjoy life, they want to get more out of life, they believe that their life is not over, and they’re willing to do whatever they can to squeeze more out of it.
What is the meaning of "living in the present"?
living in the present, not the past, setting realistic goals and being willing to compromise, regaining control of their lives and maintaining a sense of independence and self-esteem, trying to resolve negative emotions and depression by actively doing things to help themselves and others, and.