- Discovered in March 2019
- Pelvic malignant tumor with multiple abdominal metastases
- Accompanied by a large amount of ascites
- Missed the opportunity for surgery, had to undergo chemotherapy first
- First round of chemotherapy
- Carboplatin and paclitaxel chemotherapy
- 21-day cycle, 5 cycles + ?
- Delayed several times due to bone marrow suppression and infection with fever
- Common treatments for cancer
- Surgery, chemotherapy, radiation therapy, targeted therapy, immunotherapy, etc.
- Chemotherapy controlled the primary lesion, but bone metastasis was discovered
- About the infusion method during chemotherapy
- Central venous port
- Due to high cost and inconvenience of going to the hospital, it was not chosen
- CVC placement
- Recommended by the doctor, used throughout the hospitalization
- Unfortunately, infection occurred in all three placements
- Fever reached a maximum of 41 degrees, almost out of control
- Used drugs like lenalidomide, [[beapenem]] for anti-infection
- Regular hand vein infusion
- After the first round of five chemotherapy sessions, CVC placement was no longer used
- Hand vein infusion was used throughout the second round of chemotherapy
- Visible damage
- Superficial veins on the hands and arms became thinner and could not be punctured
- Central venous port
- Possible problems during chemotherapy
- Bone marrow suppression
- Decrease in all blood cell lines
- Low red blood cells and hemoglobin, dizziness, need blood transfusion
- It is best to eat protein and meat for diet therapy
- Low white blood cells and neutrophils, need to prevent infection and fever
- Use white blood cell boosters, with long-acting and short-acting options
- Short-term leg pain and bone pain may occur, no need to worry
- Low platelets, need to prevent falls and injuries, afraid of bleeding or internal bleeding
- Use platelet transfusion twice
- Low red blood cells and hemoglobin, dizziness, need blood transfusion
- Decrease in all blood cell lines
- Infection and fever
- In case of fever, go to the hospital immediately
- Physical cooling
- Use ice packs on the forehead, armpits, and thighs to cool down, using an ice cap is even better
- In summer, medical alcohol can be sprayed on the skin for evaporation cooling
- Medication for anti-infection
- Medication is life-saving at this time, may require high-level antibiotics
- Nausea and vomiting
- Eating is important for blood production
- If blood cells cannot increase, chemotherapy may be discontinued
- Excessive vomiting can lead to insufficient salt intake, hyponatremia, and possible coma
- Have the will to survive, keep eating, eat small meals frequently
- Use a combination of anti-emetic drugs, such as ondansetron and rabeprazole
- Hair loss
- Most chemotherapy will cause hair loss, no need to think about it
- Losing all hair is just a matter of time
- No need to worry, hair will grow back after chemotherapy stops
- Skin dark spots (purpura)
- This is a manifestation of low platelets and bleeding from ruptured capillaries
- Bone marrow suppression
- Maintenance treatment after the first round of chemotherapy
- Severe bone marrow suppression after the first round of 5 chemotherapy sessions
- Blood cells couldn't recover, had to temporarily stop chemotherapy
- Had to use OLPN targeted therapy for maintenance treatment
- Unfortunately, couldn't afford the genuine targeted therapy due to its high price
- The plot of "Dying to Survive" was reproduced
- Closed one door but found the life-saving channel of OLPN
- Took this targeted therapy for 4 and a half years
- During this period, underwent whole-body enhanced CT and a complete set of blood biochemical analysis every six months
- Second round of chemotherapy started in April 2024
- Carboplatin and paclitaxel chemotherapy plus bevacizumab
- 21-day cycle, the 4th session has ended, the 5th session is about to begin...