HomeAnswersMedical oncologycolorectal cancerMy mother has been suffering from colorectal cancer grade II A after surgery. Please help.

What are the recommended treatment options for colorectal cancer grade II A after surgery?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At October 25, 2023
Reviewed AtOctober 30, 2023

Patient's Query

Hi doctor,

My mom had surgery to remove colorectal polyps recently. Her pathology results show colorectal cancer grade IIA (T3 N0 Mx). What are the best treatment options after surgery for her?

Thank you.

Answered by Dr. Rajesh Gulati

Hi,

Welcome to icliniq.com.

It is stage II cancer, and it is curable. She should go for eight cycles of Folfox-based chemotherapy. At the age of 67, a full dose can have serious side effects. She should receive a 50 % dose in cycle 1. If she tolerates it well, then a 75 % dose can be given in the remaining seven cycles. Otherwise, continue with a 50 % dose.

Thank you.

Patient's Query

Hi doctor,

What is Folfox-based chemotherapy? Also, what are 50 % and 70 % dosages in terms of milligrams?

Thank you.

Answered by Dr. Rajesh Gulati

Hi,

Welcome back to icliniq.com.

Folfox is a name given to drugs, which include injection of Oxaliplatin, injection of Leucovorin, and injection of Fluorouracil.

These are chemotherapy drugs. These dosages are decided on the basis of body surface area, so if, as per her body surface area, she should get 100 milligrams of injection of Oxaliplatin, then she will give 50 %, which means 50 milligrams. Same for the injection of Leucovorin and injection Fluorouracil.

The standard dose for Oxaliplatin is 85 mg/m2, injection of Leucovorin 400 mg/m2, and injection of Fluorouracil is 2400 mg/m2. So will calculate her body surface area, then she should get a 50 % dose in the first cycle. And if tolerated well, then 75 % dose in the remaining cycles.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Rajesh Gulati
Dr. Rajesh Gulati

Family Physician

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