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Gastroenterology (Expert Forum)
Propper treatment for my 74 years old mother???
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D.
Boston - MA
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
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Propper treatment for my 74 years old mother???
by kuili, Jan 07, 2006 12:00AM
Dear Sir/Madam, I¡¯m in urgent need of your kind help.
My grandma, who is 74 years old is in serious pains of Liver Cancer now. She got pain with middle and right part of her epiqastrium one and half months ago. She was taken to hospital when the pain got serious one day. And we got the following test results and Diagnoses:
Diagnoses£º
1.Gallbladder cancer with Liver branches (transfer) ;
2. Chronic Cholesystitis, Gall-stone;
3. SLE
Lab Testing Data:
1) Blood Routine Examination (12.31): BC 3.87 X 1012/L, Hb 114g/L WBC4.9X 100L N79.9% BPC 107X 109L
2) Rutine Uine,Feces Examination(1.1):(-)
3) Liver, Kidney Function Test(12.31): TB/CB 17.3/9.0umol/L A/G 39/30g/L ALT/AST 110/108u/L ALP/Y-GT 426/430u/L BUN4.4mmol/L Ser 46umol/L UA289umol/L
4) Electrolyte¡¢Clotting of Blood£¨12.21£©£ºStandard
5) Hepatitis virus Indication£¨A¡¢B¡¢C¡¢E£©£º £¨-£©
6) Tumor Indication£¨1.3£©£ºCEA 1.29ng/ml AFP21.94ng/ml CA 199>10000u/ml
7) CT(12.31):Considering Cholecyst MT, Cholecyst Liver with multiple inner-liver transfer focus; Multiple lymph node transfer in pertoneal cavity and retroperitoneum.
8) Color Ultrasonic£¨1.3£©£ºUltrasonic Photograph£¬Cholecyst actual position, considering MT, Gall Stone, inner-Liver diffuse position lesion, considering transitivity of MT, enlargement of lymph nodes with hepatic portal.
Question:
1) Is there any treatment suggestion that might help my grandma survive from the desease, for we have been told there is no much hope for it???
2) Considering her age, is there medical treatment that can be taken at home and try to postpone her life and reduce her pain at the same time.
3) Please kindly tell whom shall we turn to should we need more specific instruction and treatment with payment surely. We can send the CT and Ultra photograph. We are looking for the best doctor in USA who can offer help and hope. Please kindly help us!!!
Your kind comments and reply at the earliest would be highly appreciated!!! Last but not the least, wish you all a happy, healthy and successful 2006!!!
Sharon
My grandma, who is 74 years old is in serious pains of Liver Cancer now. She got pain with middle and right part of her epiqastrium one and half months ago. She was taken to hospital when the pain got serious one day. And we got the following test results and Diagnoses:
Diagnoses£º
1.Gallbladder cancer with Liver branches (transfer) ;
2. Chronic Cholesystitis, Gall-stone;
3. SLE
Lab Testing Data:
1) Blood Routine Examination (12.31): BC 3.87 X 1012/L, Hb 114g/L WBC4.9X 100L N79.9% BPC 107X 109L
2) Rutine Uine,Feces Examination(1.1):(-)
3) Liver, Kidney Function Test(12.31): TB/CB 17.3/9.0umol/L A/G 39/30g/L ALT/AST 110/108u/L ALP/Y-GT 426/430u/L BUN4.4mmol/L Ser 46umol/L UA289umol/L
4) Electrolyte¡¢Clotting of Blood£¨12.21£©£ºStandard
5) Hepatitis virus Indication£¨A¡¢B¡¢C¡¢E£©£º £¨-£©
6) Tumor Indication£¨1.3£©£ºCEA 1.29ng/ml AFP21.94ng/ml CA 199>10000u/ml
7) CT(12.31):Considering Cholecyst MT, Cholecyst Liver with multiple inner-liver transfer focus; Multiple lymph node transfer in pertoneal cavity and retroperitoneum.
8) Color Ultrasonic£¨1.3£©£ºUltrasonic Photograph£¬Cholecyst actual position, considering MT, Gall Stone, inner-Liver diffuse position lesion, considering transitivity of MT, enlargement of lymph nodes with hepatic portal.
Question:
1) Is there any treatment suggestion that might help my grandma survive from the desease, for we have been told there is no much hope for it???
2) Considering her age, is there medical treatment that can be taken at home and try to postpone her life and reduce her pain at the same time.
3) Please kindly tell whom shall we turn to should we need more specific instruction and treatment with payment surely. We can send the CT and Ultra photograph. We are looking for the best doctor in USA who can offer help and hope. Please kindly help us!!!
Your kind comments and reply at the earliest would be highly appreciated!!! Last but not the least, wish you all a happy, healthy and successful 2006!!!
Sharon
Doctor's Answer
by Kevin Pho, MD, Jan 09, 2006 12:00AM
, Jan 09, 2006 12:00AM
To answer your questions:
Treatment for gallbladder cancer would depend on the extent it has spread. The combination of surgery, radiation therapy and chemotherapy is normally used - based on the characteristics of the cancer.
However, if the cancer has spread too much, treatment only to relieve jaundice, pain and symptoms can be considered. Again, this would involve the combination of radiation therapy and chemotherapy.
An experimental option is photodynamic therapy, which involves the application of a specific wavelength of light to the tumor bed.
Discussion of these options should be done with an oncologist. I would suggest one at a major academic medical center.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_b
Treatment for gallbladder cancer would depend on the extent it has spread. The combination of surgery, radiation therapy and chemotherapy is normally used - based on the characteristics of the cancer.
However, if the cancer has spread too much, treatment only to relieve jaundice, pain and symptoms can be considered. Again, this would involve the combination of radiation therapy and chemotherapy.
An experimental option is photodynamic therapy, which involves the application of a specific wavelength of light to the tumor bed.
Discussion of these options should be done with an oncologist. I would suggest one at a major academic medical center.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_b
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