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Talk to Cancer Specialist / Oncologist on HCC Vasoinvasive

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Asking for Father, Male, 57 years old, Gujrat

My father has HCC diagnosed a year ago. We had 3 doses of Tecenriq and Avastin but couldn't continue because of raised ALT. Moreover it made him very weak. Then switched to Lenvima 12mg daily for almost 6 months. ALP kept rising. Tried Sorafenib for a month to see if AFP drops but it resulted in extreme fever(the doctor described it because of circulating cytokines). Switched back to Lenvima and today he's on Lenvima. Very weak compared to 1 year ago. ALP has reached 20000. Is there any other treatment option available?

Cancer Specialist / Oncologist in Lahore - Asst. Prof. Dr. Zeeshan Ahmed Khan Niazi

Asst. Prof. Dr. Zeeshan Ahmed Khan Niazi - Cancer Specialist / Oncologist

MBBS, FCPS (Medical Oncology), CMT, MD (USA) | Lahore

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101 Positive Reviews

You can try other TKI tablets either Cabozantinib or Regorafenib


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Post Owner


are they available in Pakistan? Cabometyx?

1 year ago

Cancer Specialist / Oncologist in Lahore - Asst. Prof. Dr. Zeeshan Ahmed Khan Niazi

Asst. Prof. Dr. Zeeshan Ahmed Khan Niazi - Cancer Specialist / Oncologist

MBBS, FCPS (Medical Oncology), CMT, MD (USA) | Lahore

review-stars

101 Positive Reviews

Yes available in Pakistan


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Post Owner


at what dose?

1 year ago

Cancer Specialist / Oncologist in Lahore - Asst. Prof. Dr. Zeeshan Ahmed Khan Niazi

Asst. Prof. Dr. Zeeshan Ahmed Khan Niazi - Cancer Specialist / Oncologist

MBBS, FCPS (Medical Oncology), CMT, MD (USA) | Lahore

review-stars

101 Positive Reviews

40 mg per day


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Post Owner


He has impaired LFTs. Never good. Alkaline Phosphate and Gamma GT always very high. Currently Bilirubin also above 2.

Is it safe in impaired hepatic functions?

1 year ago

Cancer Specialist / Oncologist in Lahore - Asst. Prof. Dr. Zeeshan Ahmed Khan Niazi

Asst. Prof. Dr. Zeeshan Ahmed Khan Niazi - Cancer Specialist / Oncologist

MBBS, FCPS (Medical Oncology), CMT, MD (USA) | Lahore

review-stars

101 Positive Reviews

Yes with raised LFTs it will be difficult to tolerate


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