Bladder cancer metastatized to liver Posted: 01-17-08 17:46pm
My father in India, age 72, is
postoperative case of CA Urinary bladder
and prostate and now presented with liver
metastasis.
Overall, he is in good condition, he was
recovering well, have a good appetite,
have not lost any weight and is quite
mobile.
Below are details and my questions are:
Given his condition, my questions are :
What are the treatment options
What do you think of chemo regime they
have prescribed, they are going to start
this regime from tomorrow i.e. 01/18/08
Would you suggest different chemo regime
or medicines
Any opinions you have about overall
approach, additional tests, test results,
etc
Thanks so much for your time and input
DETAILS
------------------------------------------
-------------------
Date %u2013 01/12/08
CT Whole Abdomen %u2013 01/12/08
CT examination after oral, I/V and rectal
contrast administration.
( Follow-up case of Ca bladder with Ca
prostate. Underwent TURBT on 07/10/07 and
radical cystoprostatectomy with ileal
neobladder on 07/13/07. USG done outside
on 01/09/08 shows hypechoic lesion in
right lobe and cystic lesion in right
iliac fossa)
Liver reveals a well defined hypodense
lesion in right lobe. IHBR are not
dilated.
Gall bladder, spleen, pancreas, bilateral
adrenals and kidneys are normal.
Right iliac fossa reveals a well defined
cystic lesion measuring 3.8 x 3.4 cm
anterior to iliac vessels and an other
cystic lesion measuring 3.9 x 2.7cm
posterior to iliac vessels possibly
lymphoceole.
Urinary bladder and prostate are not seen
( history of surgery)
Neobladeer appears normal.
Measurement Right hepatic lesion 6.4 x 5.3
cm
Suggest : FNAC correlation
------------------------------------------
------------------------------------------
-----
Date: 01/15/08
HISTO PATHIL & CYTOLOGY
INTERVENTIONAL FNAC
Site of Aspiration : CT guided FNAC from
hepatic Lesion
Material : Received 6 Slides
Microscopic Examination : Cellular smears
show malignant epithelial cells arranged
in discohesive cluster and placed singly
cytoplasm is indistrict.
OPINION : Positive for malignant cells.
Metastatic carcinoma in K/C/O CA Bladder
and prostate
------------------------------------------
------------------------------
Date 01/16/08
Heamtology
Peripherial Smear
RBC Series : Predominant cells are
normocytic normochromic. No nucleated RBC
seen. No M.P seen
WBC Series: Leucocytosis with
neutrophilia(89%). No toxic granules seen.
No immature cells seen.
Platelets: Slightly reduced in number. Few
giant platelets seen.
OPINION: Leucocytosis with neutrophilia
and mild thrombocytopenia.
------------------------------------------
------------------------------------------
----------------------------
Date 01/16/08
NM Report
Whole Body Bone Scinitigraphy
Impression : No definitive scan evidence
of bone metastatis
------------------------------------------
------------------------------------------
---Chemotherapy regimen 3 weekly
palliative chemotherapy
Inj Gemcite 1gm IV on D1 & D8
Inj Cisplatin 40mg on D1 & D8
Q3 weekly x 3 cycles
|
MandMs
Extremely EHEALTHy
Joined: 26 Jan 2007 Posts: 1873 Location: Strumica, Macedonia
Thanks: 21
Thanked:10
Posted: 02-05-08 02:46am
When the cancer metastasis are limited to
the liver only, systemic chemotherapy can
be used, although other treatment methods
may be effective, too.
If the tumor is localized to only one or a
few areas of the liver, the cancer may be
removed surgically.
There are chances to kill the tumor by
using radiofrequency waves and injection
of toxic substances.
How's your father feeling now?
Did he experience some side effects of
chemotherapy regime?
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