You may have chemotherapy:
- after surgery to reduce the risk of the cancer coming back (adjuvant chemotherapy)
- to treat any cancer that cannot be removed during surgery
- before surgery to shrink the cancer and make the operation easier and more effective (neo-adjuvant chemotherapy)
- as a main treatment if surgery is not possible.
If the cancer comes back after your first treatments, it can often be controlled by having chemotherapy again.
If the cancer comes back and you need chemotherapy again, you may have different drugs from the first time. It depends how long ago you had your first chemotherapy and your risk of side effects.
Other chemotherapy drugs that are used include:
You usually have chemotherapy in the chemotherapy day unit and go home after it. The drugs are usually given into a vein (intravenously).
Chemotherapy is given as one or more sessions of treatment. Each session takes a few hours. After the session, you will have a rest period of a few weeks. The chemotherapy session and the rest period is called a cycle of treatment.
The length of a cycle depends on the chemotherapy drugs you have. But most cycles are 1 to 3 weeks long. Your cancer doctor or nurse will explain what to expect. Most courses of chemotherapy are made up of six cycles.
Chemotherapy before surgery
You usually have 3 cycles of chemotherapy followed by a CT scan to check how effective treatment has been. Your surgeon will then talk to you about whether an operation is possible.
If you have surgery, you will have 3 more cycles of chemotherapy after you have recovered from the operation.
If you do not have surgery, you will have another 3 cycles of chemotherapy.