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What Do These CT Scan And Biopsy Reports Indicate?
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:
Chemotherapy seems appropriate
Detailed Answer:
Hi
Thanks for your query.
This appears to be incurable cancer. PET-CT will throw more light on the extent of disease but CT suggests liver spread. Chemotherapy is the only option here.
There are various chemo regimens, exact choice depends upon patient's fitness and doctor's preferences. Common regimes are cisplatin or oxaliplatin with capecitabine or docetaxel/paclitaxel based.
Prognosis is unfortunately, poor. Average duration of survival is around 9-10 months. It ca certainly be more, but unlikely to be more than 2 years.
Good supportive/palliative care to lessen his symptoms and improve quality of life. He may need nutritional procedures like nasojejunal tube placement or feeding jejunostomy if he can't take food orally.
Hope this helps.
Regards
Chemotherapy seems appropriate
Detailed Answer:
Hi
Thanks for your query.
This appears to be incurable cancer. PET-CT will throw more light on the extent of disease but CT suggests liver spread. Chemotherapy is the only option here.
There are various chemo regimens, exact choice depends upon patient's fitness and doctor's preferences. Common regimes are cisplatin or oxaliplatin with capecitabine or docetaxel/paclitaxel based.
Prognosis is unfortunately, poor. Average duration of survival is around 9-10 months. It ca certainly be more, but unlikely to be more than 2 years.
Good supportive/palliative care to lessen his symptoms and improve quality of life. He may need nutritional procedures like nasojejunal tube placement or feeding jejunostomy if he can't take food orally.
Hope this helps.
Regards
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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