CSN Login
Members Online: 14

Question about chemo "rounds" "cycles," *added* recurrence question...

frodolass
Posts: 29
Joined: Sep 2013

What, exactly, is a "round" of chemo? What is a "cycle?" I'm not sure how to describe the treatment I'm receiving so people understand me.

During September-November, I received 6 treatments with Cisplatin. Would that be a round. Would each of the 6 treatments with Cisplatin be a round?

Next week I start a new...round?...cycle?...of 4 chemo treatments.

I just want to know what I'm talking about when I'm talking about it :-)

Thanks guys!

Ro10's picture
Ro10
Posts: 1474
Joined: Jan 2009

When I refer to my three " rounds" of chemo, I mean I had 3 cycles of chemo, followed by radiation, and then 3 more cycles of chemo in the first round, 7 cycles of chemo in the second round, and 6 cycles of chemo in my third round.  I don't know if that is correct or not, but that's how I refer to my " rounds".   you must of had a break between the cycles of chemo.  Are the 4 additional chemo treatments  to complete your session of chemo?   Or did you have the 6 treatments pre- op?   I don't think you would have had a recurrence yet.  I hope not anyway.

like I said I don't know if my terminology is correct, but I think I have had 19 cycles of chemo in my three rounds of chemo.  Hope you are doing well.  In peace and caring.

frodolass
Posts: 29
Joined: Sep 2013

Dang, that is A LOT of treatment. I hope you're doing well!

 

The 6 doses/treatments (whatever!) of Cisplatin were given along with radiation therapy. I had 6 or so weeks off. The next four times I'll have chemo is with a new combination of drugs. They planned it way from the beginning. I'm looking forward to being finished...it seems like I've been doing this forever!

Thanks!!

Donna

frodolass
Posts: 29
Joined: Sep 2013

I've been wondering about this and figured this is a good place to ask. How does the doctor discover a recurrence? Do they catch it on a scan? With blood work? What can I expect during those follow-up appointments?

Thanks!

Donna in FL

Ro10's picture
Ro10
Posts: 1474
Joined: Jan 2009

Usually the doctors watch for trends in the CA 125.  Doubling of the number is one of the things they look for.  If there is an elevation of the CA 125 a scan is usually done.  My doctor has always said the ca125 is just a number.  He does not worry about how high it goes.

my number rises every time I go off chemo.  It was 1570 when I started me second round of chemo.  Iy was 3200 when I started my third round of chemo.  It has been as high as 700 recently.

my medical onocologist in IL also does a complete blood count and complete metabolic profile With each lab.  He said changes in these could indicate a recurrence.  A drop in blood count, or changes in liver enzymes could indicate recurrence.  My gyn/Ono only does the CA125.

i start chemo when the scan shows changes and increase in the size of my lymph nodes.  I always have several different areas where the lymph nodes are enlarged.  I have had 19 scans since my diagnosis.  I expressed concern over the number of scans, but both doctors said the risk of the cancer is higher than the risk of all the radiation from the scans.  They both prefer CAT scans, so I have never had a PET scan.

some people have various symptoms with their recurrence.  I have never had any symptoms before my diagnosis or with each recurrence.

originally i I was told I would have lab every three months and a scan as needed.  But since my CA125 rose as soon as I went off chemo.  The labs have been every 6-8 weeks.  My last scan was in July.  My doctor in IL thought I should be rescanned in Jan, but my doctor here in FL did not think it was necessary since my CA125 dropped to 500 on my last test.

hope this answers your questions.  Try not to worry about recurrence, and enjoy every day.   Live your life to the fullest.  In peace and caring.

frodolass
Posts: 29
Joined: Sep 2013

Thanks for always being here to answer questions!

Finished the first treatment with Carbo/Taxol and got the Neulasta shot today. Somehow they worked it out where I didn't have to pay anything. Very happy. Feeling tired, but no nausea yet. The steroids pushed my blood glucose way up and I'm really tired, but doing well.

Thanks again!

Donna

Ro10's picture
Ro10
Posts: 1474
Joined: Jan 2009

Glad you made it through your first chemo.  Hope you are still doing  okay.  I an glad you did  not have to pay for the Nuelasta  shot.  That alleviated a lot of stress for you.  Take it one day at a time, and rest as you need to.    In peace and caring.

frodolass
Posts: 29
Joined: Sep 2013

You've been so helpful. Thanks so much! Still doing well.

 

Donna

Subscribe with RSS
About Cancer Society

The content on this site is for informational purposes only. It is not a substitute for professional medical advice. Do not use this information to diagnose or treat a health problem or disease without consulting with a qualified healthcare provider. Please consult your healthcare provider with any questions or concerns you may have regarding your condition. Use of this online service is subject to the disclaimer and the terms and conditions.

Copyright 2000-2014 © Cancer Survivors Network