[問題] 乳癌化療用藥選擇
阿媽(74歲)得到了乳癌
已經接受了改良式根除性乳房切除手術及腋下淋巴結廓清手術
醫生判斷是HER2陽性 乳癌stageIII A
醫生提出的化學治療分兩階段
1 小紅莓(可改自費微脂體小紅莓)
2 紫杉醇(可改自費溫諾平)+ 賀癌平
可能是因為經濟能力因人而異,醫生並沒有特別要我們選用自費藥物
只是告訴我們還有別的選擇,就算用健保給付的藥也可以做得很好
不過只要有選擇,人就難免會迷惑
現在確定的就是賀癌平,因為HER2陽性,健保可以給付,也不用想太多
想請問各位的是
1 傳統小紅莓和微脂體小紅莓在療效上有差別嗎?
查了網路上的資料,傳統小紅莓在掉髮噁心嘔吐的表現很明顯
微脂體小紅莓副作用較輕,但好像多用在轉移性乳癌
手術後的輔助性治療的效果則不確定?
2 同樣,紫杉醇和溫諾平的療效有差別嗎?
紫杉醇+賀癌平和溫諾平+賀癌平這兩種組合是不是只差在副作用的程度呢?
如果上面兩種都改成自費可能要花三、四十萬,以家裡的經濟能力是可以負擔
主要是考慮到阿媽年紀大了,不想讓老人家在治療過程中太辛苦
但又怕選用自費藥物減輕了副作用,卻讓治療效果打了折扣
真不知道該怎麼選擇才是對他最好、幫他最多?
文長
先感謝耐心看完並熱心回答的各位
--
※ 發信站: 批踢踢實業坊(ptt.cc), 來自: 114.33.112.219
※ 文章網址: http://www.ptt.cc/bbs/Anti-Cancer/M.1416557086.A.A05.html
→
11/21 16:08, , 1F
11/21 16:08, 1F
→
11/21 16:09, , 2F
11/21 16:09, 2F
→
11/21 16:09, , 3F
11/21 16:09, 3F
推
11/21 16:11, , 4F
11/21 16:11, 4F
→
11/21 16:12, , 5F
11/21 16:12, 5F
→
11/21 16:12, , 6F
11/21 16:12, 6F
→
11/21 16:13, , 7F
11/21 16:13, 7F
→
11/21 16:13, , 8F
11/21 16:13, 8F
→
11/21 16:13, , 9F
11/21 16:13, 9F
→
11/21 16:14, , 10F
11/21 16:14, 10F
→
11/21 16:15, , 11F
11/21 16:15, 11F
→
11/21 16:16, , 12F
11/21 16:16, 12F
→
11/21 16:16, , 13F
11/21 16:16, 13F
→
11/21 16:16, , 14F
11/21 16:16, 14F
→
11/21 16:16, , 15F
11/21 16:16, 15F
→
11/21 16:19, , 16F
11/21 16:19, 16F
→
11/21 16:19, , 17F
11/21 16:19, 17F
→
11/21 16:20, , 18F
11/21 16:20, 18F
→
11/21 16:20, , 19F
11/21 16:20, 19F
推
11/21 17:35, , 20F
11/21 17:35, 20F
推
11/21 17:42, , 21F
11/21 17:42, 21F
推
11/21 17:45, , 22F
11/21 17:45, 22F
→
11/21 17:46, , 23F
11/21 17:46, 23F
→
11/21 17:47, , 24F
11/21 17:47, 24F
→
11/21 17:48, , 25F
11/21 17:48, 25F
→
11/21 17:53, , 26F
11/21 17:53, 26F
→
11/21 17:54, , 27F
11/21 17:54, 27F
→
11/21 17:56, , 28F
11/21 17:56, 28F
推
11/21 20:43, , 29F
11/21 20:43, 29F
→
11/21 20:43, , 30F
11/21 20:43, 30F
→
11/22 01:26, , 31F
11/22 01:26, 31F
→
11/22 01:27, , 32F
11/22 01:27, 32F
→
11/22 01:28, , 33F
11/22 01:28, 33F
→
11/22 01:28, , 34F
11/22 01:28, 34F
→
11/22 01:29, , 35F
11/22 01:29, 35F
→
11/22 01:30, , 36F
11/22 01:30, 36F
→
11/22 01:31, , 37F
11/22 01:31, 37F
→
11/22 01:32, , 38F
11/22 01:32, 38F
→
11/22 01:32, , 39F
11/22 01:32, 39F
→
11/22 01:33, , 40F
11/22 01:33, 40F
→
11/22 01:33, , 41F
11/22 01:33, 41F
→
11/22 01:34, , 42F
11/22 01:34, 42F
→
11/22 01:35, , 43F
11/22 01:35, 43F
→
11/22 01:35, , 44F
11/22 01:35, 44F
→
11/22 01:36, , 45F
11/22 01:36, 45F
→
11/22 01:36, , 46F
11/22 01:36, 46F
→
11/22 01:38, , 47F
11/22 01:38, 47F
推
11/22 02:46, , 48F
11/22 02:46, 48F
推
11/23 01:59, , 49F
11/23 01:59, 49F
→
11/23 01:59, , 50F
11/23 01:59, 50F
→
11/23 01:59, , 51F
11/23 01:59, 51F
推
11/23 02:14, , 52F
11/23 02:14, 52F
→
11/23 02:14, , 53F
11/23 02:14, 53F
→
11/23 02:14, , 54F
11/23 02:14, 54F
→
11/23 02:14, , 55F
11/23 02:14, 55F
→
11/23 10:25, , 56F
11/23 10:25, 56F
→
11/23 10:27, , 57F
11/23 10:27, 57F
推
11/25 01:53, , 58F
11/25 01:53, 58F
→
11/25 01:54, , 59F
11/25 01:54, 59F
→
11/25 01:55, , 60F
11/25 01:55, 60F
→
11/25 01:56, , 61F
11/25 01:56, 61F
→
11/25 01:57, , 62F
11/25 01:57, 62F
→
11/25 01:57, , 63F
11/25 01:57, 63F
→
11/25 01:58, , 64F
11/25 01:58, 64F
→
11/25 02:00, , 65F
11/25 02:00, 65F
→
11/25 02:00, , 66F
11/25 02:00, 66F
→
11/25 02:01, , 67F
11/25 02:01, 67F
→
11/25 02:01, , 68F
11/25 02:01, 68F
→
11/25 02:02, , 69F
11/25 02:02, 69F
→
11/25 02:02, , 70F
11/25 02:02, 70F
→
11/25 02:04, , 71F
11/25 02:04, 71F
→
11/25 02:04, , 72F
11/25 02:04, 72F
推
11/25 02:07, , 73F
11/25 02:07, 73F
→
11/25 02:07, , 74F
11/25 02:07, 74F