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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Pancreatic Liver Cancer?

My sister she has pancreatic liver cancer what can I do. It's bad she's moved in to the morphine bills plus something call narco. What stage would you think she's in. She's lost a kidney, portion of pancreas, liver. Now she is at 115lb and dropping. Again what stage do you feel she might be in?
Wed, 19 Nov 2014
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Pulmonologist 's  Response
Thanks for your question on HCM.
In my opinion she is in stage 4 pancreatic cancer.
In pancreatic cancer once patient is having metastases in distal organs like kidneys, lung, bones etc than it is considered as stage 4 cancer, end stage cancer.
Since your sister has kidney metastasis, involvement of distal organ, she is in end stage (4) disease.
And no harm in takin morphine and other narcotics. As in this stage palliative treatment in the form of centrally acting pain killers are drug of choice. So continue morphine.
Transdermal patch of fentanyl can used as it gives pain relief for 72 hours.
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How To Treat Pancreatic Liver Cancer?

Thanks for your question on HCM. In my opinion she is in stage 4 pancreatic cancer. In pancreatic cancer once patient is having metastases in distal organs like kidneys, lung, bones etc than it is considered as stage 4 cancer, end stage cancer. Since your sister has kidney metastasis, involvement of distal organ, she is in end stage (4) disease. And no harm in takin morphine and other narcotics. As in this stage palliative treatment in the form of centrally acting pain killers are drug of choice. So continue morphine. Transdermal patch of fentanyl can used as it gives pain relief for 72 hours.