Dr Draczynski has replied to my email as follows:
- Bondronat is ok!
- Right before any chemocycle it is essential to check your tumor markers (CEA, CA15-3, TPA).
Should tumor markers consistently decline please continue with Navelbine at 40 mg every 3 weeks.
- If there's a slowing down or stagnation of tumor markers, please increase Navelbine to 50 mg for the next cycle and then see if the tumormarker would respond to this (e.g. decline)
- If there is or has been (!) a rise in tumor marker, the treatment strategy needs to be changed.
- A total of 6 cycles of Navelbine is alright provided tumormarkers continue to fall.
- Restaging after cycle # 6 is ok - again if tumor markers will continue to decline!
At my next blood count test (19/12/06) I'm going to ask for a check of my tumour markers, CEA and CA15-3. I don't think there is a TPA test carried out in this country. I'm sure I had a tumour marker test carried out a few months ago before I started chemo. so I need to contact my GP and see if she can find out the results. This will give me an idea of the level my tumour markers were at before I started the chemo.