Why Is The Radioisotope Investigations Advised When Diagnosed With Pancreatic Cancer?
PANCREATIC CANCER
Detailed Answer:
DEAR XXXX,
I AM SORRY TO SAY THAT YOUR MOTHER IS SUFFERING FRO ADVANCED CANCER OF PANCREAS. SHE HAS ALREADY RECEIVED 20 CYCLES OF CHEMOTHERAPY AND CA 19.9 IS ALSO ON HIGHER SIDE WHICH INDICATES THAT SHE IS NO MORE RESPONSIVE TO CHEMOTHERAPY. RADIOISOTOPE WILL ONLY LET US KNOW HOW ADVANCED IS THE DISEASE AND WHAT IS THE EXTENT OF SPREAD. IF YOU ARE INTERESTED TO KNOW THE EXTENT OF DISEASE IT IS BETTER TO GET PET SCANNING DONE WHICH IS MORE ACCURATE THAN THE ISOTOPE SCANNING.
TO GIVE SOME PALLIATION IF SHE IS SUFFERING FROM PAIN IT IS BETTER TO CONSIDER HER IGRT TO THE PANCREATIC BED WHICH IS HIGH ENERGY RADIOTHERAPY AND IS IMAGE GUIDED. REST IT IS BETTER TO GIVE SYMPTOMATIC TREATMENT. TARGETED CHEMOTHERAPY IS ALSO CONSIDERED IN SUCH CASES BUT RESULTS ARE EQUIVOCAL.
TRULY,
DR. J.TICKU