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In addition, neutropenia may affect your next round of chemotherapy. Particularly if your neutrophil level doesnât return to normal quickly enough. Your doctor may postpone chemotherapy or lower the dose. For neutropenia with a fever, your doctor may prescribe white blood cell growth factors.
I would have asked if it would make sense to have a single course of chemotherapy prior to the surgery. Tomorrow, when my doctor calls to discuss the pathology report, I am planning on insisting we start the chemotherapy this week. And wanted to get your opinion on a few items. 1) How soon after the surgery did you start your chemotherapy? Is it dangerous to be too aggressive? 2) I will be getting a second opinion by the end of the month from another instutition. Would it be possible for me to start the chemotherapy now and switch to another anticancer drug later if that turns out to be the recommendation?