What are options of treating adenocarcinoma apart from carboplatin and taxol chemotherapy?
Patient: I had a bartholin adenocarcinoma removed in March 2008. I had a radical vulvectomy. No cancer in the lymph nodes. This year four nodules were found in my lungs that indicate the same cancer. I have had chemo consisting of carboplatin and taxol. The first series decreased the nodules. The second did not. Have you heard on any other treatment? Doctor: Thank you for posting your queries. You had a vulval carcinoma which is now spread to lung. Paclitaxel (Taxol) and Carboplatin are commonly used used chemotherapy regimen in this scenario.Ideally response should be assessed after 3-4 cycles which guides continuation or change of regimen. According to you probably your disease is not responding well with the above regimen.Actually there is no other treatment option except chemotherapy in metastatic vulval cancer.You oncologist may change the chemotherapy regimen with some other drugs which may help.But there is no role of surgery,radiotherapy or any other medication except supportive drugs.