Calendar

Important Dates 

Feb. 4th, 2013 ~ Support Group ~ Dr. Daniel Rayson

Mar. 4th, 2014 ~ Support Group ~ Health Basket ~ Health Foods that fight cancer.

April 1st, 2014~ Support Group 

May 6th, 2014 ~ Support Group

June 7th, 2014 ~ Support Group 

Sept. 2nd, 2014 ~ Support Group

Sept. 27th, 2014 ~ Pancreatic Cancer Awareness Walk/Run/Bike

Oct. 7th, 2014 ~ Support Group

Nov. 4th, 2014 ~ Support Group

November 2014 ~ Pancreatic Cancer Awareness

Dec. 2nd, 2014 ~ Support Group

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Recent Video

Support Group Guest Speakers:

Dr. Scott Hurton on Pancreatic Cancer care research in Nova Scotia:

Debbie Matheson on being a caregiver:

Dr. Mark Walsh on Pancreatic Cancer "How are we doing and where are we going?"

Celine Burlock on how to find peace:

Roy Ellis talks about grief and loss:

Rob Rutledge talks about the mind-body-spirit connection:

Timothy Walker talks about Mindfulness Based Stress Reduction:

Dr. Colin MacLeod talks about naturopathic medicine and cancer:

Dr. Daniel Rayson talks about pancreatic cancer:

Reverend David McGinley talks about spirituality and cancer:

Chemotherapy Combinations

Gemcitabine

As mentioned early, Gemcitabine (Gemzar) is the chemotherapy of choice, for treating Pancreatic Cancer and is often used in combination with other chemotherapy drugs (depending of the diagnosis of the patient). "GEMZAR has been approved by the Food and Drug Administration (FDA) as first-line treatment for patients with locally advanced or metastatic cancer of the pancreas. Clinical studies show that GEMZAR has helped improve the survival for some patients with cancer of the pancreas; locally advanced (stage II or III) or metastatic (stage IV). To learn more about Gemcitabine click on the following link.

www.gemzar.com/

Tarceva

In Canada, Oncologists have also used Gemcitabine in combination with another chemotherapy drug called Tarceva, for advanced Pancreatic Cancer. To learn more about Tarceva click on the following link.

www.tarceva.com

5-Fluorouracil

Lastly the combination of Gemcitabine and 5-fluorouracil (5-FU) has promising activity for advanced pancreatic cancer and biliary tract cancer, according to the results of a phase II trial published in the April 2003 issue of the American Journal of Clinical Oncology. You can click on the following link to read more about 5-Fluorouracil.

www.cancer.org


OTHER TREATMENT OPTIONS AVAILABLE IN THE UNITED STATES

Here is a general list of chemotherapy combinations. This list was taken from the John Hopkins Wesite, Discussion Board. (pathology.jhu.edu) Although many of these combinations are used by American oncologists, it is important to be informed about the various treatment options. Understanding that a variety of combinations exist for patients receiving treatment is important; if the present chemotherapy regime is not working or you feel is not aggressive enough, TALK TO YOUR ONCOLOGOST and do not hesitate to get a second opinion! OR a third opinion! OR a fourth opinion!

Typically, conservative oncologists will use gemcitabine or gemcitabine/tarceva as first-line treatments because these protocols have been approved for PC by the FDA.

More aggressive oncologists will use platinum drugs (cisplatin or oxaliplatin) in combination with gemcitabine or gemcitabine/tarceva as first-line treatments.

Some will use GTX (gemcitabine/taxotere/xeloda) as either a first-line or second-line treatment.

Other drug combinations include PEFG (cisplatin/epirubicin/5-fluorouracil/gemcitabine),

GFLIP (gemcitabine, fluorouracil leucovorin, irinotecan and cisplatin) or

FOLFOX (5-fluorouracil, oxaliplatin, leucovorin).

Progressive/aggressive oncologists will treat PC with the following chemotherapeutic drug combinations: First-line treatment: Platinum drugs (cisplatin or oxaliplatin) in combination with gemcitabine or gemcitabine/tarceva.

First or second-line treatment: GTX: gemcitabine, taxotere, xeloda

Second or third-line treatments: PEFG: cisplatin, epirubicin, 5-fluorouracil, gemcitabine

FOLFOX: 5-fluorouracil, oxaliplatin, leucovorin

GFLIP: gemcitabine, 5-FU, lLeucovorin, irinotecan, cisplatin

The list is not inclusive, since many aggressive US oncologists will use variations of the above combinations to find something that works.

Platinum drugs (cisplatin or oxaliplatin) in combination with gemcitabine or gemcitabine/tarceva. GTX: gemcitabine, taxotere, xeloda

PEFG: cisplatin, epirubicin, 5-fluorouracil, gemcitabine

FOLFOX: 5-fluorouracil, oxaliplatin, leucovorin GFLIP: gemcitabine, 5-FU, lLeucovorin, irinotecan, cisplatin ??