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treatment options
Comments
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Your question is a hard one to answer. I live just south of Boston, Massachusetts, USA, the acknowledged (by most) medical center of the world. I was treated by Boston doctors, in Boston facilities, for NSCLC, 3b, T4, and I am now 4 years out from surgery and cancer free. Every case is different, but my guess is that treatment in the U.S. is more advanced. There is more money available for cancer research here than anywhere. Try contacting the Dana Farber Institute in Boston. www.dfci.harvard.edu
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I'm a NSCLC 3B survivor 2.5 years post op. I had radiation and taxotere with carboplatin pre op then gemzar with carboplatin post op. I think the post op chemo is the latest method of attack when surgery is an option. There may be newer drugs out there. Keep searching. The US seems to be on the edge in research and clinical trials, but the drugs for the masses seem to get released sooner in Europe.
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I would encourage you to look no further. This is indeed a reasonably effective therapy. What you should spend great time and effort on, however, is ensuring your Dad's quality of life in every way he wishes. I am sure you know this is a palliative chemotherapy. If the side effects i.e neuropathy, constipation become a problem, don't even let it bother him. Thalidomide needs to go.
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I was treated with several drugs which I don't remember, except Keytruda. I can look up the drugs if interested. I was so fixated at removing the cancer I did not think about the consequences. I always though surgery was the gold standard. However, my cancer was killed with a combination of immuno and chemo therapy. I was not told this until my lung was removed and tested. My surgeon gleefully told me I was now cancer free. This was after saying he could do all he could do to save my lung. I would never suggest surgery as an option. Contact me if you want more details.
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I’m sorry your family is going through this. For advanced NSCLC, gemcitabine + carboplatin is a well‑established, internationally accepted treatment, and UK care is fully in line with US standards. Being on a clinical trial often means access to newer approaches and closer monitoring, not “second‑best” care. In most cases, there aren’t better routine options available overseas—just different trial variations.
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