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My mother is suffering for recurrent ovarian cancer, below are her treatment details.Now doctors suggest platinum resistence chemotherapy.please confirm if she is getting treatment
An_252967 posted:
Summary Report of Mrs. Lovely Sharma ( Female — 49 Yrs R/O Faridabad NCR —Delhi)
Mrs. Lovely Sharma complaint of stomach pain for last one week.
Anx 1
23/9/11- Dr. Sandhya Nanda — Guided for Blood Test ,Ultrasound ,CECT
Hb 11.30, TLC 10.10, CA-125 — 157, CECT Findings — Large Right Overian Cyst —likely Mitotic
26/9/11 - Went to Apollo Delhi - TAH with BSO +Omentectomy on 3/10/11 by Dr. Ranjana Sharma OBS & Gynaecologist.
Surgical Pathology Report conclusion:-Uterus cervix , right ovarian cyst. Serous Papillary Adeno carcinoma, Right Ovary. Both Fallopian tubes are unremarkable, Chronic Cervicitis. Adenomyosis, Leiomyoma, (Dr. Veena Mallhotra — Cons. Histopathologist)
Dr .Ranjana Advised and referred to Mr. P. K . Das - Sr. Consultant — Medical Oncologist
After Surgery :-CBC report on 27/10/11 (attached ), Hb 10.10, TLC 6.10, CA Marker 15. 90
18/10/2011-Second Opinion from Rajiv Gandhi Cancer Institute:- BIOPSY Report
Overall feature are of Papillary serous adenocarcinoma,Grade-2
Dr. P K Das Advised for , 3 Weekly 6 Chemo cycle , with medicine Inj . Altaxel 260 Mg.on DayI & InjCarboplatin 450 Mg.on Day 2. Chemo Started on 5th Nov. 2011.
Anx 2
Progress Report of 6 Chemo Cycle -Period from 5/11/11 to 19/2/12, F/up with Doctor o every three month with Necessary Reports
CA Marker after 3rd Chemo was 9.80. (CBC Reprt Attached), on 14/7/12 — 5.90,
After the the last chemo the CA Marker Test 8.20
17/3/12 — Ultrasound done — No evidence of ascites/nodes
Ca Marker 22.70 on 15/2/13.
CECT Report on 03/3/13 -Normal

Anx 3
However in the month of May 13 beginning she started having again pain in the stomach,
19/5/13 :-CBC Report - TLC -11.10, CA Marker 7121
19/5/13 :-USG whole abdomen — Gross Ascites, Hepatomegaly with moderate diffuse fatty infiltration.
21/5/13 Non- Gyn Cytopathology Report :- Consistent with Metastatic Papillary Adenocarcinoma.
22/5/13 — Relapsed CA Ovary - 1st cycle of Chemo using Inj Altaxel 280 mg on day 1. Inj Cisplatin 60 mg on Day 1&2 with premedication.
13/6/13- CBC Report — Hb 11.90, TLC 10.00 , CA Marker 2272,Creatinine, serum 0.63
18/6/13 - Pt. recd a 2nd cycle chemo using inj. Altaxel 280 mg on D1, Inj Cisplatin 60 mg on D1&D2 with premedication .
6/7/2013- USG whole abdomen — Mild Ascites, Omental deposits, Moderate hepatomegaly with moderate diffuse fatty infiltration.
6/7/2013- CBC Report — Hb 11.00, TLC 8 .60 , platelet Count 394, CA Marker 5118,Creatinine, serum 0.63
14/7/2013 - The Chemo medicine changed due to the disease progression, chemo with inj Lipodox OD on Day1 (50 mg/25 ml) Soxplat inj (100 mg/20 ml)
26/7/13 :- CBC Report —TLC — 17200, CA Marker 6225
She was admitted with tense ascites. Therapeutic Drainage done under cover of albumin 20%.
megha25 responded:
her ca125 now is 8402. doctors have put her on topotecan.. is this drug good

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