Oncologist Questions Oncologist

My cancer treatment plan?

I am a cancer patient and am on chemo. I need surgery for an unknown mass. Should I finish all my chemo treatments, then have the surgery?

Female | 71 years old
Complaint duration: 072021
Medications: chemo
Conditions: cancer

4 Answers

I'm not an oncologist doctor, but I can offer some general information that might help guide your decision. Your specific treatment plan should be discussed and decided upon with your oncologist and surgical team, as they can provide you with the most tailored advice based on your individual medical history and the details of your cancer diagnosis. Here are some general considerations:

1. **Timing of Surgery**: The timing of surgery in relation to chemotherapy can depend on several factors, including the type and stage of cancer, the response to chemotherapy, and the goals of treatment. In some cases, surgery is performed before chemotherapy (neoadjuvant therapy), while in others, it's done after chemotherapy (adjuvant therapy).

2. **Response to Chemotherapy**: If you've been receiving chemotherapy, your oncologist will assess how you've responded to treatment. If the chemotherapy has been effective in shrinking or stabilizing the cancer, it may be continued before or after surgery to further control the disease.

3. **Tumor Size and Location**: The size and location of the unknown mass may influence the surgical approach and timing. For example, if the mass is causing significant symptoms or is in a critical location, surgery might be necessary sooner.

4. **Overall Health and Tolerance**: Your overall health and your ability to tolerate surgery and chemotherapy are crucial factors. Your medical team will consider your age, general health, and any potential risks or complications associated with both treatments.

5. **Multidisciplinary Approach**: Many cancer treatment plans involve a multidisciplinary team of specialists, including medical oncologists, surgeons, radiation oncologists, and pathologists. These specialists work together to determine the best sequence of treatments for your specific case.

6. **Treatment Goals**: It's important to discuss your treatment goals and preferences with your healthcare team. This includes understanding the potential benefits and risks of each treatment option, as well as any possible impact on your quality of life.

In summary, the timing of surgery in relation to chemotherapy can vary depending on individual circumstances and the specifics of your cancer diagnosis. It's essential to have a thorough discussion with your oncologist and surgical team to determine the most appropriate treatment plan for your situation. They can provide you with personalized guidance and help you make an informed decision based on your unique medical needs and goals.
Yes
Hello,

You are asking a very important question which cannot be answered based on the information that you have provided. I am suspecting that you have had a biopsy of the mass to determine the most effective treatment regimen. Each type of cancer is treated in a unique fashion based on the histology of the tumor. Some cancers do better with pre-operative chemotherapy, but others receive chemotherapy following surgery. Some cancers are treated primarily with chemotherapy.

So in order to provide good information to you, more information is needed.

If you are unable to ask these questions of your doctor it would be a good idea to obtain a second opinion from an excellent source. These can be obtained from any academic cancer centers. Another place to obtain good second opinions is large medical centers such as the Mayo Clinic.

Good luck in your quest.
Often a good idea to finish chemo, then do surgery.