What Test Should Be Done To Detect Stage 4 Cancer Metastasis?

Question: My father, who lives in Iran, had biopsy staining done last month and now the results are in. An emergency room doctor said the results mean cancer has taken over his body. I'm hoping to have someone look at the results and provide some more information while he goes to visit his oncologist tomorrow (it's currently late at night in Tehran.)


The main reason I'm using this service is to better understand the stained biopsy results and any recommendations for us as supporting family. To that effect, here's some background information on my father's condition and what triggered him to have stained biopsy done.

About three months ago, he was taking antibiotics due to the common cold until he started having severe stomach ache, immobility, and constipation. He went to the emergency room and the doctor took an X-ray. Noticing some white dots on the X-ray, the ER doctor referred him to an oncologist. The oncologist ordered a biopsy and then ordered that to be stained and the the results are here (biopsy.png). While waiting for the staining to be done, he was hospitalized and an ultrasound was done stating that he has a kidney stone (if needed, I can send the report.) Also attached are urine analysis (3/3/18), and blood work results (4/30/18.)

Thank you Dr Monish.

I think it's helpful to have confirmation about these results as I can now better prepare myself and my family to deal with this situation. I've just attached the urine and blood analysis as that's what I have at my disposal right now. I think I'll contact my family and let them know of your advisement to have a PET CT scan. I'm satisfied with the answer.

Thank you.

Thank you for the additional advise. I'll pass along the information to my family and follow up to get blood test for CA 19-9 in addition to the PET CT scan.

Dr. Monish De,
Over the past couple of weeks, my father-in-law has gotten a little better. He is in less pain, has better appetite, and is able to talk a little better.

Yet today, about 12 hours ago, his urine bag started filling with blood. He felt a chill and vomited. The nurse used a syringe to take out the blood from his bladder. Also, the nurse put pressure on his chest so he can regain his breath. Later, a doctor said the bleeding may have been due to an infection in the kidney (see attached labe results from blood work done.)

Just a few minutes ago, his urine bag started filling with blood again and he's feeling cold and has the chills again.

We're looking for any guidance as to what the reason could be.
Thank you.