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What Regimen Or Therapy ?

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Posted on Mon, 25 Nov 2024
Question: A 69 Yr old, initially started with pain abdomen 60 days back, one episode of hematemesis mixed with mucus and one bout of dark stool. The pain stomach, the first on 7th XXXXXXX 2022, 2 hours after food. The patient who was on BP pills and Aspirin and Statins for 20 years. Stopped Aspirin. THere are no more symptoms The UGI endoscopy was done 20 days back because of pain abdomen again after food. It revealed two large ulcers in stomach in ant wall and lesser curvature with no active bleeding. Biopsy was taken. Hpe revealed lymphoproliferative disorder. IHC revealed Diffuse Large B cell lymphoma. There is a latest episode of hematemesis recently after an ayurveda formulation intake after diagnosis of Lymphoma. He was hospitalized and stabilized with IV fluids. No loss of appetite and weight till now. THere is early satiety and on soft diet for now. Not able to consume hard food because of pain abdomen.
UGE report, HPE Report, IHC report with protein expression and PET CT scan all are done and attached.

1) What is the stage of cancer.
2) What is the right options available. Given the general condition is fine now but the Hb dropped to 10gm because of the recurrent gastritis caused by ayurvedic formulation.
3) What regimen or therapy

Thank you for a detailed answer.
doctor
Answered by Dr. Dr. Esmeralda Sera (44 hours later)
Brief Answer:
Therapy

Detailed Answer:
Hello and thank you for asking

I have been carefully through your questions.The disease it’s seems to be stage 4. Five-year survival rate for stage 4 is about 65 percent
The therapy for this stage is chemotherapy and imunoterapi.
At the moment due too his general condition in my opinion it’s better the actual therapy with fluids and soft food.
Best regards
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Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Dr. Esmeralda Sera

Oncologist

Practicing since :1998

Answered : 1367 Questions

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What Regimen Or Therapy ?

Brief Answer: Therapy Detailed Answer: Hello and thank you for asking I have been carefully through your questions.The disease it’s seems to be stage 4. Five-year survival rate for stage 4 is about 65 percent The therapy for this stage is chemotherapy and imunoterapi. At the moment due too his general condition in my opinion it’s better the actual therapy with fluids and soft food. Best regards