The cancer will be fully diagnosed before chemotherapy begins. This includes determining the cancer type, that is, the cell type from which the cancer originated. For example, some liver cancers are hepatocellular carcinomas. Also, the cancer...

cells will be studied to find out how abnormal they are. Very aggressive cancers that are prone to metastasis (spread) look very unlike they would in their natural state. Less developed cancers will look more like the native cell. Also, the pathologist and surgeon will look for signs of metastasis. Once the cancer has been fully characterized (a cell type is determined, the stage and or grade is determined, and the extent of spread) then chemotherapy and other cancer treatments can begin. Also various X-rays/CT scans/MRI exams will be done to determine the extent of the cancer and used to compare with scans done after chemotherapy.

 

Chemotherapy, and cancer itself, can cause problems with appetite and nutrition. It is very important to get adequate nutrition before, during, and after chemotherapy. There are medications that can be given to stimulate appetite so that a reasonable and ample number of calories can be eaten and tolerated. Also, a proper amount of vitamins and minerals need to be consumed as well. Ask your doctor about speaking to a nutritionist or clinical dietician if you are concerned about chemotherapy and appetite or if you are not eating well.

 

The best way to prepare for chemotherapy is to ask your oncologist about chemotherapy side effects and to inform her when a side effect occurs. There are certain chemotherapy side effects that are unavoidable, but many can be reduced or eliminated. However, they should be brought to the attention of the oncologist or nurse.

 

While this may not occur to many patients with cancer, it is important to go to the dentist before chemotherapy begins. A tooth infection during chemotherapy can have serious consequences. It is also prudent to manage child care, meals, and work responsibilities in advance and delegate copiously. If friends and family are unable or unwilling to help or cannot provide enough support, home care assistants and nurses are available to assist you. Also temporary housekeepers can be hired to help out until the chemotherapy cycles are done and health is restored.