Is Surgery Advisable Based On The Following CT Scan Report?

Posted on Tue, 29 Sep 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 29 Sep 2015 Answered on

Thu, 15 Oct 2015 Last reviewed on

Question : My CT scan showed possible partial encasement of mid sigmoid colon and probable serosal implant near the terminal ileum. Moderate ascites, omental caking, uterus and ovaries with ill-defined margins, pathologically enlarged upper aortocaval and celiac artery lymph nodes. Bladder, liver, pancreas, spleen normal. Lungs: A trace left pleural effusion with possible lobulated pleural nodularity. Moderate right pleural effusion with overlying atelectasis. Lung bases otherwise clear. Heart normal size.
Is surgery/debulking possible? I am 75 years old and in otherwise good health.

Answered by Dr. Dr. Klerida Shehu (2 hours later)

Brief Answer:
Following answer to your query...

Detailed Answer:
Hi and thank you for asking!
I read your query and understood your concerns.

Surgery is an important option for the diagnosis and treatment of your problems. However, the decision should be made after a complete gynecological evaluation.

If you were my patient I would recommend to do a trans vaginal ultrasound for a better evaluation of your pelvic organs. This will help to determine what type of surgery should be done.

Hope this will be of help!
Wish you health!
Dr. Klerida

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar