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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Management Of Gallbladder Cancer With Liver And Multiple Hepatic Metastasis

what to do when a patient report is like this----- - MULTIPLE ROUNDED VARIABLY SIZED TYPICAL TARGET LESIONS,SHOWING CENTRAL NECROSIS AND PERIPHERAL RING ENHANCEMENT ARE SEEN SCATTERED IN THE LIVER. - A CLUSTER OF NECROTIC LYMPH NODES IS SEEN IN THE PORTA HEPATIS AND THE PRE -CAVAL SPACE,COMPRESSING AND DISPLACING THE MAIN PORTAL VEIN. - IMPRE SSION-IN THE K/C/O CA GB,THERE ARE MULTIPLE HEPATIC METASTASIS AND NECROTIC METASTATIC APENOPATHY.
Mon, 27 Jul 2015
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Radiologist,  's  Response
Hi,
Thanks for writing in.

The features detailed above indicate gall bladder cancer which is infiltrating in to the right lobe of liver. In this situation, the cancer cells have destroyed the gall bladder and have spread in to the liver parenchyma. There are also a cluster of lymph nodes in the porta hepatis, the region where the gall bladder is attached to the bile duct. The cancer is in stage 4 and is showing features of advanced disease.

Surgery is not possible in this situation. The available treatment for this patient is chemotherapy to reduce the progression of disease and pain relief to give comfort. Please keep the patient on healthy diet and adequate water and fluids to avoid dehydration. The survival of such patients is about 6 months to 2 years with good treatment and care. Please do not worry.
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Suggest Management Of Gallbladder Cancer With Liver And Multiple Hepatic Metastasis

Hi, Thanks for writing in. The features detailed above indicate gall bladder cancer which is infiltrating in to the right lobe of liver. In this situation, the cancer cells have destroyed the gall bladder and have spread in to the liver parenchyma. There are also a cluster of lymph nodes in the porta hepatis, the region where the gall bladder is attached to the bile duct. The cancer is in stage 4 and is showing features of advanced disease. Surgery is not possible in this situation. The available treatment for this patient is chemotherapy to reduce the progression of disease and pain relief to give comfort. Please keep the patient on healthy diet and adequate water and fluids to avoid dehydration. The survival of such patients is about 6 months to 2 years with good treatment and care. Please do not worry.