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Suggest Treatment For Class 4 Oesophageal Cancer
Posted on
Sat, 27 Dec 2014
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Sat, 27 Dec 2014
Answered on
Fri, 23 Jan 2015
Last reviewed on
Question : my son is 54 yrs old and tues night he went to the hospital vomiting blood. he received blood and further testing shows class 4 cancer of the esophigas. they say tumor is inoperable. the dr. commented that each dr he sees will have a varied approach to treatment. my prayer is he considers all before proceeding with his deision.
Brief Answer:
There are many ways to stop bleeding in oesophageal cancer
Detailed Answer:
Hi XXXXXXX,
Thanks for writing in to us.
I have read through your query in detail.
Having worked in a cancer institute , I can understand the difficult situation you and your son are going through.
Since it is a class 4 oesophageal cancer that is bleeding, the main concern at the moment is to stop the vomiting of blood. Managing his oesophageal growth is also important as he needs to be provided good nutrition. Bleeding can be stopped by many techniques and each doctor might have a different approach.
For the bleeding, local modalities, such as hemostatic agents, radiotherapy, endoscopic ligation and coagulation, are used in the context of advanced cancer, as are systemic treatments such as vitamin K, vasopressin/desmopressin, octreotide/somatostatin, antifibrinolytic agents (tranexamic acid and aminocaproic acid), and blood products. Therefore your doctor should be treating his bleeding with one or more of the above mentioned techniques.
Pain control is also a very important part of his treatment and I am sure the oncologist with give consideration to his pains during treatment.
Keeping the oesophageal lumen open can be done by stent placement.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
There are many ways to stop bleeding in oesophageal cancer
Detailed Answer:
Hi XXXXXXX,
Thanks for writing in to us.
I have read through your query in detail.
Having worked in a cancer institute , I can understand the difficult situation you and your son are going through.
Since it is a class 4 oesophageal cancer that is bleeding, the main concern at the moment is to stop the vomiting of blood. Managing his oesophageal growth is also important as he needs to be provided good nutrition. Bleeding can be stopped by many techniques and each doctor might have a different approach.
For the bleeding, local modalities, such as hemostatic agents, radiotherapy, endoscopic ligation and coagulation, are used in the context of advanced cancer, as are systemic treatments such as vitamin K, vasopressin/desmopressin, octreotide/somatostatin, antifibrinolytic agents (tranexamic acid and aminocaproic acid), and blood products. Therefore your doctor should be treating his bleeding with one or more of the above mentioned techniques.
Pain control is also a very important part of his treatment and I am sure the oncologist with give consideration to his pains during treatment.
Keeping the oesophageal lumen open can be done by stent placement.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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