Chemo May Not be Working. What can be done?
My mother is 86 years old and has esophageal cancer. I have asked questions about her health on this website before on several occasions, and I have received valuable feedback and helpful advice from people here. I wanted to ask if you folks could kindly help me once again.
My motherís cancer has spread outside of her esophagus to her chest area and near her lungs.
She started chemotherapy in March and has been receiving the Folfox 6 treatment. Due to the side effects of her chemo treatments, she was doing chemo once every 3 weeks instead of once every 2 weeks.
Unfortunately, she also took a 2 month break from chemo, so she did not complete her six chemo treatments until August.
At the end of the six chemo cycles, her symptoms had disappeared, and she was not having any pain or any problems swallowing.
A PET Scan was done in August and showed that her cancer had not spread and had shrunk slightly in the chest wall area.
After August, she took a 1 month break from chemo.
Since September, she has undergone 4 chemo cycles. Again, she is having chemo done once every 3 weeks instead of once every 2 weeks. Also, since the chemoís side effects were bothering her, we asked that the dosage of the Folfox drugs be reduced.
About a month ago, she once again started to have symptoms.
Initially, she started to have pain when swallowing and after swallowing at the juncture of her esophagus and stomach. Then she started to experience pain in the back between her shoulders. Now, she is also having pain in her chest area under her breasts.
She used to experience all these problems in the past but they had all disappeared for about 3 months. Now, they have all come back with greater intensity than before. (The pain is quite unbearable).
Iím very worried since I think this means that the cancer is getting worse.
In view of the above, what do you think can be done?
1. Iím thinking she should continue with chemo.
However, even though the dosage of the chemo has been reduced, the side effects my mother experiences are even more difficult than before. Also, even though the dosage has been reduced, it now takes more than 3 weeks for her white cells to return to normal. So the doctor had to withhold one of the drugs for the last three chemo sessions.
2. Should her drugs be changed? It seems to me that may be her Folfox treatment isnít as effective as before.
3. Should she get radiation?
Iím really worried and donít know what can be done.
I know this is a very complex situation and itís hard to come up with any solutions. But if anyone can think of any ideas or suggestions, or provide any advice, I would deeply appreciate that.
Iíd like to thank everyone for their kind attention, time and assistance.