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Suggest Treatment For Abdominal Pain And Itching
Posted on
Thu, 23 Jul 2015
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Thu, 23 Jul 2015
Answered on
Thu, 13 Aug 2015
Last reviewed on
Question : Hi
My mother had been complaining about abdominal pain , along with itching . She has been suspected with HILAR cholangiocarcinoma . I am attaching all the reports . Can you please provide your views on her disease and necessary treatment .
My mother had been complaining about abdominal pain , along with itching . She has been suspected with HILAR cholangiocarcinoma . I am attaching all the reports . Can you please provide your views on her disease and necessary treatment .
Brief Answer:
Chemotherapy followed by surgery
Detailed Answer:
Hi
I have gone through the reports
Since her biirubin is high i would first advise to bring her bilirubin down to less than 3 by PTBD
Once that is done her HILAR cholangiocarcinoma needs to be treated with chemotherapy with combination drug of cisplatin and gemcitabine
Once her tumour shrinks in size i would advise her to go for surgical resection
Average survival time with proper treatment is around 4 years
Regards
DR DE
Chemotherapy followed by surgery
Detailed Answer:
Hi
I have gone through the reports
Since her biirubin is high i would first advise to bring her bilirubin down to less than 3 by PTBD
Once that is done her HILAR cholangiocarcinoma needs to be treated with chemotherapy with combination drug of cisplatin and gemcitabine
Once her tumour shrinks in size i would advise her to go for surgical resection
Average survival time with proper treatment is around 4 years
Regards
DR DE
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
Thanks Dr. De .. so based on the reports can u tell me how aggressive the cancer is . I mean what is the stage of the cancer .
2. is PTBD procedure is a complex operation ?? Any high risk ?
3. On an average how many sessions of chemo will be required for shrinking the tumor .
4. As I can c you are from XXXXXXX . Any idea on how much the total treatment cost around ? Just a rough figure .
5. I was told by the doc that after putting stent ( to control jaundice ) . They also will do some operation related to blood vessel in liver ( not sure about the technical term ) which is a required before chemo .
2. is PTBD procedure is a complex operation ?? Any high risk ?
3. On an average how many sessions of chemo will be required for shrinking the tumor .
4. As I can c you are from XXXXXXX . Any idea on how much the total treatment cost around ? Just a rough figure .
5. I was told by the doc that after putting stent ( to control jaundice ) . They also will do some operation related to blood vessel in liver ( not sure about the technical term ) which is a required before chemo .
Brief Answer:
65% patients can be cured if treated properly
Detailed Answer:
Hi
She is in stage 2 of her cancer
PTBD is not a complex operation
It can be done in out patient department basis and there are no risks involved
Tota cost will be around rupees 3 lakhs
The tumour first needs to be reduced in size by 3 cycles of chemotherapy so that it is suitable for surgery
Response rate with chemotherapy and surgery is very good and 65% patients can be cured if treated properly
If you have no more clarifications then please rate the answer and close the thread
Regards
DR DE
65% patients can be cured if treated properly
Detailed Answer:
Hi
She is in stage 2 of her cancer
PTBD is not a complex operation
It can be done in out patient department basis and there are no risks involved
Tota cost will be around rupees 3 lakhs
The tumour first needs to be reduced in size by 3 cycles of chemotherapy so that it is suitable for surgery
Response rate with chemotherapy and surgery is very good and 65% patients can be cured if treated properly
If you have no more clarifications then please rate the answer and close the thread
Regards
DR DE
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
Hi Dr. De
Can you tell me more about 5th point that I asked ? The doc at XXXXXXX XXXXXXX XXXXXXX hospital is mentioning that they need to do liver operation as well before chemo .
Also We are trying to get admission to XXXXXXX as well however we will come to know about that in a week . Do you think waiting for a week is good for her health if the jaundice is under control ??? I mean does cancer is spreading too fast ??
As you know about cost of treatment in private and XXXXXXX hospital . Adding to it every one is suggesting us to go for XXXXXXX . Hence wanted to know if we can wait for another week ?
Can you tell me more about 5th point that I asked ? The doc at XXXXXXX XXXXXXX XXXXXXX hospital is mentioning that they need to do liver operation as well before chemo .
Also We are trying to get admission to XXXXXXX as well however we will come to know about that in a week . Do you think waiting for a week is good for her health if the jaundice is under control ??? I mean does cancer is spreading too fast ??
As you know about cost of treatment in private and XXXXXXX hospital . Adding to it every one is suggesting us to go for XXXXXXX . Hence wanted to know if we can wait for another week ?
Brief Answer:
Wait for a week and then go to XXXXXXX hospital
Detailed Answer:
Hi
I do not think liver operation is necessary.
You can wait for a week and then go to XXXXXXX hospital.
Her jaundice is not that high that cancer will spread fast in 1 week of time.
Regards
DR DE
Wait for a week and then go to XXXXXXX hospital
Detailed Answer:
Hi
I do not think liver operation is necessary.
You can wait for a week and then go to XXXXXXX hospital.
Her jaundice is not that high that cancer will spread fast in 1 week of time.
Regards
DR DE
Note: For further queries related to kidney problems Click here.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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