Chemo-agents for Cancer
Soft tissue
- methotrexate + Adriamycin.
Desmoid
oral ca
in + lymph => 5-FU, cisplatin
Breast
1.CAF/CMF - not used
C= Cyclophosphamide.
A = adrinamycin
F = 5-FU
M = methotraxate
T= Taxanes (Paclitaxel/Docetaxel).
E = epirubicin.
2.Her2Neu -ve
4 cycles of AC/EC then ->4cylces T
3.Her2nue +
6cycles of TCH+P
T: Taxanes.
C: Carboplatin.
### Anti-Her2nu
H: Herceptin.
P: Pertuzumab
Thyroid
- Chemotherapy:Doxirubicin
- anaplstic mets = Dabrafenib[tyrosine kinases inhib]
Adrenal Neuroblastoma
Carcinoid Maligancy / Mets
malignant pheochromo
- dacarbazine & vincristine
GI
Esophagus
- Gemcitabine, Cisplatin, 5-FU.
STomach
appendicular high grade mucinous ca
- mitomycin-C, Paclitaxel via hyperthermic locally
- then Pacli + carboplatin via iv
liver
Vasucalr Agrassive HCC
- Sorafenib - Tyrosine kinase inhibitor
Advamced HCC mets
Colo-rectal can metsto liver
- Bevacizumab (monoclonal antibody against VEGP).
GB cancer
Pancreatic ca
- Gemcitabine + capecitabine
- mFolfirinox
- Nabpaclitaxel - unresectable ca
- streptozocin = Insulinoma mets
- 5-FU ,Streptozosin = Gastrinoma in D1
- Streptozosin = non functional pancretic tumors with Mets
Endometrial Ca
- carboplatin and Paclitaxel for 6cycles
Colon ca
- FOLFOX : 5-Fu ,Folinic acid ,oxiplatinum
- FOLFIRI : 5-Fu ,Folinic acid, irinotican
- CAPFOX : capecitabine. oxiplatinum
Colon ca Immunitherpay
- Bevacizumab : VEGF inhibitor
- etuximab : EGFR inhibitor
- antimumab : EGFR inhibitor
- evozumab , Pembrolizumab : PDL1 inhibition @ Micro-statellite instability