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What Is The Following FNAC Report Indicative Of?
Question: Hi, I am XXXX from XXXXXXX XXXXXXX I am seeking your advice for my mom. I have got her USG guided FNAC report (Liver SOL) and it says that the decease called "Metastatic Adenocarcinoma". Suggestive primary is Gall Bladder. Could you please advise me what is would be the proper treatment for that?
Doctor has applied two Injections (Gemcitatbine D1 & Carboplatin D2) last week and advised to come after 21 days for second round of Injections. My request to you is please advise me whether we are on the right line of treatment or not. Could you please assure me that at the earliest?
Waiting for your kind reply.
Doctor has applied two Injections (Gemcitatbine D1 & Carboplatin D2) last week and advised to come after 21 days for second round of Injections. My request to you is please advise me whether we are on the right line of treatment or not. Could you please assure me that at the earliest?
Waiting for your kind reply.
Brief Answer:
The work up is not complete.
Detailed Answer:
Hello dear.
Welcome to HCM.
i have seen the reports. The work up in your mother's case is not complete. Iam not convinced that this is the metastasis from gall bladder as gall bladder appears normal in the ct abdomen report. In a case of metastatic malignancy of liver , possible source of primary lesion can be
Ca breast
Gastrointestinal tract
Hepatobiliary tract.
Just on the basis of FNA it is extremely difficult to say that it is from gall bladder.
She requires following investigations
PETCT whole body, mammogram/MRI breast both
Upper GI endoscopy and colonoscopy
Tumor markers : CA 19.9, CEA , CA 125
A biopsy is required from liver lesions followed by IHC test on it.
It may turn our to be primary of gall bladder but at present there is insufficient evidence from your reports that it is of gall bladder.
Hence without proving it from gall bladder i do not support this treatment also.
Please get these investigations done and revert back.
Thanks and regards
The work up is not complete.
Detailed Answer:
Hello dear.
Welcome to HCM.
i have seen the reports. The work up in your mother's case is not complete. Iam not convinced that this is the metastasis from gall bladder as gall bladder appears normal in the ct abdomen report. In a case of metastatic malignancy of liver , possible source of primary lesion can be
Ca breast
Gastrointestinal tract
Hepatobiliary tract.
Just on the basis of FNA it is extremely difficult to say that it is from gall bladder.
She requires following investigations
PETCT whole body, mammogram/MRI breast both
Upper GI endoscopy and colonoscopy
Tumor markers : CA 19.9, CEA , CA 125
A biopsy is required from liver lesions followed by IHC test on it.
It may turn our to be primary of gall bladder but at present there is insufficient evidence from your reports that it is of gall bladder.
Hence without proving it from gall bladder i do not support this treatment also.
Please get these investigations done and revert back.
Thanks and regards
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thank you Doctor. I will get back to you at the earliest.
Brief Answer:
Hello dear. Iam waiting for the results
Detailed Answer:
Hello dear. Please revert back with the reports
Hello dear. Iam waiting for the results
Detailed Answer:
Hello dear. Please revert back with the reports
Above answer was peer-reviewed by :
Dr. Prasad
I will get back to tou
Brief Answer:
Hello. ok
Detailed Answer:
Ok...
Hello. ok
Detailed Answer:
Ok...
Note: For further queries related to kidney problems Click here.
Above answer was peer-reviewed by :
Dr. Prasad
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