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Cancer Therapy Regimens
For the type of cancer and stage, list the correct therapy regimen (surgery, drugs, radiation, etc.)
31
Health Care
Professional
02/09/2011

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Cards

Term
Stage I colon cancer
Definition
Surgery
Term
Stage II colon cancer
Definition
Surgery, 5FU + Leucovorin
Term
Stage III colon cancer
Definition
Surgery, FOLFOX (5FU, Leucovorin, Oxaliplatin)
Term
Stage IV colon cancer
Definition
FOLFOX (5FU, Leucovorin, Oxaliplatin) or FOLFIRI (5FU, Leucovorin, Irinotecan) + Bevacizumab, Palliative surgery

NOT CURATIVE
Term
Colon cancer recurrence (Salvage therapy)
Definition
Good performance = Combo tx
Poor performance = single tx

Possible drug regimens inclue: FOLFOX/FOLFIRI + Bevacizumab, Oxaliplatin, Capecitabine, Irinotecan, Cetuximab.

Note: You CAN use 5FU for salvage tx in colon cancer.
Term
Stage I rectal cancer
Definition
Surgery
Term
Stage II rectal cancer
Definition
Surgery, XRT w/ 5FU, Chemo: 5FU + Leucovorin
Term
Stage III rectal cancer
Definition
Neoadjuvant XRT + 5FU, Surgery, FOLFOX
Term
Stage IV rectal cancer
Definition
FOLFOX/FOLFIRI + Bevacizumab

NOT CURATIVE
Term
Stage I breast cancer
Definition
Surgery, radiation (if necessary), chemo

Chemo: Doxurubicin + Cyclophosphamide (AC), trastuzumab (if HER2+), tamoxifen x 5 years if ER/PR+ and premenopausal, aromatase inhibitor if ER/PR+ and postmenopausal
Term
Stage II breast cancer
Definition
Surgery, radiation (if necessary), chemo

Chemo: Doxurubicin + Cyclophosphamide (AC), trastuzumab (if HER2+), tamoxifen x 5 years if ER/PR+ and premenopausal, aromatase inhibitor if ER/PR+ and postmenopausal
Term
Stage III breast cancer
Definition
Neoadjuvant chemo, surgery, radiation (if necessary), chemo

Chemo: Doxurubicin + Cyclophosphamide (AC), trastuzumab (if HER2+), tamoxifen x 5 years if ER/PR+ and premenopausal, aromatase inhibitor if ER/PR+ and postmenopausal
Term
Stage IV breast
Definition
Radiation (if necessary), chemo

Chemo: Doxurubicin + Cyclophosphamide (AC), trastuzumab (if HER2+), tamoxifen indefinitely if ER/PR+ and premenopausal, aromatase inhibitor indefinitely if ER/PR+ and postmenopausal
Term
Breast cancer salvage therapy
Definition
use different chemo than the first regimen (anthracycline or taxane preferred)

Drugs to try: capecitabine, lapatanib (HER2+), paclitaxel, ixabepilone
Term
Stage I NSCLC
Definition
Surgery
Term
Stage II NSCLC
Definition
Surgery, Carboplatin + paclitaxel, radiation
Term
Stage IIIa NSCLC
Definition
Neoadjuvant chemo, neoadjuvant radiation, surgery
Term
Stage IIIb NSCLC
Definition
Carboplatin + paclitaxel, radiation
Term
Stage IV NSCLC
Definition
Good performance = Carboplatin + paclitaxel + bevacizumab

Poor performance = Do not treat or palliative surgery/radiation
Term
NSCLC Salvage therapy
Definition
Poor performance = Do not treat

Good performance:
-1st Relapse = Single agent chemo (different than what was first used) + bevacizumab
-2nd relapse = erlotinib
Term
Stage I ovarian cancer
Definition
Grades 1 & 2: Surgery + observation
Grade 3: Surgery + IV carboplatin + IV paclitaxel
Term
Stage II Ovarian cancer
Definition
Surgery + IV Carboplatin + IV Paclitaxel
Term
Stage III ovarian cancer
Definition
Surgery + Intraperitoneal CISplatin + IP Paclitaxel

Note: Intraperitoneal chemo only studied in stage III
Term
Stage IV ovarian cancer
Definition
Surgery + IV Carboplatin + IV Paclitaxel
Term
Ovarian cancer salvage therapy
Definition
Platinum sensitive (relapse > 6 mo after Pt tx) = Repeat initial chemo

Platinum resistant (Relapse < 6 mo) = Non-Pt chemo (liposomal doxorubicin, topotecan, gemcitabine)
Term
Limited small cell lung cancer
Definition
CISplatin + Etoposide + XRT

Pt's w/ complete remission should have prophylactic cranial XRT
Term
Extensive small cell lung cancer
Definition
CISplatin + etoposide + palliative radiation/surgery
Term
Small cell lung cancer relapse
Definition
Single-agent chemotherapy:
-Topotecan, irinotecan, docetaxel, paclitaxel, vinorelbine, carboplatin
Term
Pancreatic cancer w/ resectable tumors
Definition
Surgery + radiation + 5FU
Term
Non-resectable LOCAL tumor pancreatic cancer
Definition
Radiation + 5FU
Gemcitabine +/- erlotinib
Term
Non-resectable METASTATIC tumor pancreatic cancer
Definition
Gemcitabine +/- erlotinib
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