What Does The Following Test Report Indicate?

Posted on Mon, 30 Jan 2017

Question: Please analyse the attached reports and advice on it.

Answered by Dr. Deepak Sundriyal (19 minutes later)

Brief Answer:
Hello dear. It looks like recurrent disease

Detailed Answer:
Hello dear. I have gone through the details. So it looks like a recurrent disease as evident from rising ca 125 report and ultrasound report.
I advise you to get a cect abdomen done.
It looks like a platinum resistant disease. So a change of chemotherapy is advisable.
Thanks and regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Deepak Sundriyal (25 minutes later)

Thank you for the reply.

She was given Cisplatin and Mitotax during the chemo therapies. The disease had got significantly reduced with 4 sessions and then we got the debulking operation done, followed by 3 more chemo sessions. Do you think we should change the chemo medicine.

The treating oncologist had recommended against further chemo therapy so soon after the last one. She had her last therapy in August 2016. He said we should wait atleast 6 months from the last one and preferably 1 year if possible, for better results.

Answered by Dr. Deepak Sundriyal (4 minutes later)

Brief Answer:
No, chemo should start if there is disease on CT scan

Detailed Answer:
Hello dear.

Ultrasound gives some evidence of disease in the miscellaneous section. That needs to be confirmed by CT scan. If there is disease, then chemo should be given, otherwise disease will spread more.

Since disease reappeared in less than 6 month time, a change of chemo drug is necessary. The next drug which has to be given is Lipodox and Bevacizumab.

Thanks and Regards

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Above answer was peer-reviewed by : Dr. Arnab Banerjee