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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed Gall Bladder Cancer, Had Surgery And Chemotherapy. But CA Antigen Level, Bilirubin High. What Care To Take ?

Hi I would like a medical oncologist to answer my question.
My mother 63 was diagnosed with gall bladder cancer - stage 3 early 2012. She underwent a surgery in Feb 2012 for removal of the gall bladder and a small portion of the adjoining part of the liver which may have been affected. Also a lymph node was involved and so removed. After that she underwent 6 cycles of adjuvent chemotherapy - Gemcitabin and completed the last cycle in November. She went back for a quarterly check up in Feb 2013 and there was no growth or tumor noticed except that her CA -19 antigen levels were high - arund 300. I April she went back for a check up as she had jaundice and it was noticed that there was a tumour growing - Bilar type 2 stricture. To bring down the bilirubin which had reached almost 16, stenting was done both ERCP and then followed by MRCP. Bilirubin level have come down to 2.4 I want to know what the progress of disease is going to be like, if chemo can be given and if not what is the palliative care or anything that can be done for her.
Regards

AAAA
Mon, 1 Jul 2013
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General & Family Physician 's  Response
Hi, it is very critical and to be taken care of, you should be continuously under the supervision of your oncologist.
You should avoid all sorts of oils and fatty foods. Avoid spices, junk foods, and oily foods.
Try to take salads, juices, and fruits, if possible take juices of vegetables as frequently as possible. Thank you.
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Diagnosed Gall Bladder Cancer, Had Surgery And Chemotherapy. But CA Antigen Level, Bilirubin High. What Care To Take ?

Hi, it is very critical and to be taken care of, you should be continuously under the supervision of your oncologist. You should avoid all sorts of oils and fatty foods. Avoid spices, junk foods, and oily foods. Try to take salads, juices, and fruits, if possible take juices of vegetables as frequently as possible. Thank you.