
What Do These CT Angiography And CT Lower Abdomen Reports Indicate?

Both the ureters seen adherents to lower retroperitoneal illiac mass with resultant hydronephrosis hydroureter(proximal) showing delayed contrast excretion
Few discrete mesenteric nodes .
what does it mean ?is it a cancer ? Is there any treatment for it ?
Urgent surgical intervention required
Detailed Answer:
Hello
Thanks for the query
The report is suggestive of cancer which is pressing on the ureter ( pipe connecting kidney and the bladder ). There is also blockage in the major Veins which is important for the legs.
Here is what I suggest
1. MRI of the abdomen with contrast has to be done to know how big the tumour mass is
2. I strongly suggest that surgical oncologist is approached so that this mass can be removed and sent for historpathology to see if it cancerous or benign
3. any further delay can lead to it becoming bigger and inoperable
4. If a surgical oncologist is not available then please approach a general surgeon at least
I hope I was of help, if you have any further queries please get back to me
Regards


If it is not cancer than what is it ?
Doctor is telling that blood cloted on the area
Is it the delayed stage ??
His one leg is also swelling
Unknown mass
Detailed Answer:
Hello
Thanks for getting back. I understand how stressed you might be right now.
1. It could be cancer, only after removing the mass and sending for test we will get to know if it is cancer or not
2. If it is not cancer then it could be just a benign growth which can be removed and rest assured it won't spread
3. The veins are blocked most likely because of the mass, it will require anticoagulants like low molecular weight heparin or acitrom
Could you please let me know what your doctors have planned?
Regards


he is telling that operation may not be possible
please tell me that operation is possible or not if not than what will be the treatment
please give me some idea that how the biopsy can be done ? what will be the procedure.
please tell me that if it is a cancer then what is the treatment for it? is operation possible on that place.
please guide me about the waste case what will happen he will survive or not.
CT guided biopsy
Detailed Answer:
Hello
I am not sure why it is not operable, but defintely one can attempt a CT guided biopsy. Please ask your doctor for a CT guided biopsy.
I must add here that one cannot operate when someone is on Acitrom as it makes the blood thin, he will require to stop taking the drug for a day before the operation
It is hard to tell without a biopsy whether it is cancer or not.
Was any MRI done? Could you please attach the MRI report as well?
Regards


They are telling that CT guided biopcy also may not be possible they ready for operation biopcy
Now you as a doctor please suggest me the best hospital for this treatment operation and biopcy
If any doctor you know who can do the biopcy please give me the contact.
Guide me the best hospital for this kind of rare opearation and biopcy
Follow up
Detailed Answer:
Hello
Thanks for getting back
Dr Somshekar of Manipal Hospital, XXXXXXX is a very good onco surgeon. He is the most famous in our state. If you are ready to come down then probably I can get into contact with him. I dont know him personally but in our doctor community he is supposed to be good.
Regards

Answered by

Get personalised answers from verified doctor in minutes across 80+ specialties
