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Question: My uncle is 64 years old with no history of smoking, drinking, eating non-veg. He had been suffering from mild back pain since last 6 months. He had consulted orthopedic surgeon, who advised x-ray and gave pain killers. X-ray was s/o mild scoliosis and gap in vertebrae. Since mid-August back pain increased gradually. He consulted another orthopedic surgeon for second opinion, who changed pain killers. Post medication, he reported with severe acidity, anorexia, stomach pain, loss of appetite, which gradually worsened to dysphagia on solids. He had been put on anti-acidic medicines, which didn,t relieve symptoms. Then, family physician advised sonography of abdomen, which showed a growth in left side of abdomen advancing to lower esophagus. It was followed by gastroscopy, CT and biopsy. Reports are attached. Biopsy indicated, metastatic adenocarcinoma. PET CT and HER-2 test reports awaited. Doctors have advised palliative chemotherapy which will be starting today. My questions are,
Is it the right choice of treatment?
What should be the protocol for chemotherapy?
What prognosis can be expected?
Thanks in advance for your precious time and valuable inputs.
Is it the right choice of treatment?
What should be the protocol for chemotherapy?
What prognosis can be expected?
Thanks in advance for your precious time and valuable inputs.
Brief Answer:
Palliative chemotherapy is the right choice
Detailed Answer:
hi dear.
I have seen all the reports of your uncle. it's really sad to know that he is suffering from metastatic stomach cancer.
see dear, in such cases there is not much role of surgery or radiotherapy.
palliative chemotherapy is the treatment of choice.
palliative Surgery to be done for specific indications like intestinal obstruction e.t.c.
chemotherapy may improve quality of life. chemotherapy may be given in 21 days or 15 days or weekly schedules depending upon the patient's condition and the drugs we r using. the treatment is to be decided by treating physician after counseling. such chemotherapy can't cure the cancer, but may improve quality of life.
the prognosis is poor.
now we can't cure disease. the best we can do is to give him a pain free remaining life. so instead of increasing the longevity of life, we should aim to improve the quality of life.
I will pray for his better health.
feel free to ask further.
Palliative chemotherapy is the right choice
Detailed Answer:
hi dear.
I have seen all the reports of your uncle. it's really sad to know that he is suffering from metastatic stomach cancer.
see dear, in such cases there is not much role of surgery or radiotherapy.
palliative chemotherapy is the treatment of choice.
palliative Surgery to be done for specific indications like intestinal obstruction e.t.c.
chemotherapy may improve quality of life. chemotherapy may be given in 21 days or 15 days or weekly schedules depending upon the patient's condition and the drugs we r using. the treatment is to be decided by treating physician after counseling. such chemotherapy can't cure the cancer, but may improve quality of life.
the prognosis is poor.
now we can't cure disease. the best we can do is to give him a pain free remaining life. so instead of increasing the longevity of life, we should aim to improve the quality of life.
I will pray for his better health.
feel free to ask further.
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Above answer was peer-reviewed by :
Dr. Veerisetty Shyamkumar
Answered by
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