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Suggest Treatment For Tumor On Head Of Pancreas
Question: Dear Sir,
Age =51 Years.
Male.
On 25th January 2014,had jaundice.Did Ultrasound Of Abdomen.Advised Ct Scan.
Ct Scan showed Tumor in Head Of Pancreas.Tumor appeared resectable.
Underwent Whipple's Procedure On 30th Of January,2014.
Biopsy Report=Moderately Differentiated Andenocaricoma Of Pancreas with involvement of surrounding fat and reactive hyperplasia of nodes(0/15).
Stage T1N0M0.
Tumor was 1.5 cm.
Resection was R0.
Discharged On 15th February,2014.(There were no complications).Tolerated Surgery Well.
On 1st March Started Adjunct Chemotherapy.Drug was Gemzar. Total of 18 sessions,(6 cycles).
Chemotherapy has just finished one week ago.
Ca 19.9 levels=Before Surgery 117.4.(Range 0-37) on 28th January,2014.
Post Surgery =12.56.(Range 0-37) on 1st March,2014.
I am fine now.I am eating a normal diet.No Diabetes Till now.(HbA1c =5.5%).
Taking Creon 25000 iu twice a day.
Taking Tonact Forte(Atorvastatin +Niacin), For High lipids.
Taking Zyloric 300(Allopurinol), For High Uric Acid.
Taking Tozaar 50(Losartan potassium),for high blood pressure.
I was wearing a abdominal binder which i have stopped wearing know as the wound is completely healed.
What are the chances of recurrence in this case.
Chances of cure.
Any special precautions/advice.
Age =51 Years.
Male.
On 25th January 2014,had jaundice.Did Ultrasound Of Abdomen.Advised Ct Scan.
Ct Scan showed Tumor in Head Of Pancreas.Tumor appeared resectable.
Underwent Whipple's Procedure On 30th Of January,2014.
Biopsy Report=Moderately Differentiated Andenocaricoma Of Pancreas with involvement of surrounding fat and reactive hyperplasia of nodes(0/15).
Stage T1N0M0.
Tumor was 1.5 cm.
Resection was R0.
Discharged On 15th February,2014.(There were no complications).Tolerated Surgery Well.
On 1st March Started Adjunct Chemotherapy.Drug was Gemzar. Total of 18 sessions,(6 cycles).
Chemotherapy has just finished one week ago.
Ca 19.9 levels=Before Surgery 117.4.(Range 0-37) on 28th January,2014.
Post Surgery =12.56.(Range 0-37) on 1st March,2014.
I am fine now.I am eating a normal diet.No Diabetes Till now.(HbA1c =5.5%).
Taking Creon 25000 iu twice a day.
Taking Tonact Forte(Atorvastatin +Niacin), For High lipids.
Taking Zyloric 300(Allopurinol), For High Uric Acid.
Taking Tozaar 50(Losartan potassium),for high blood pressure.
I was wearing a abdominal binder which i have stopped wearing know as the wound is completely healed.
What are the chances of recurrence in this case.
Chances of cure.
Any special precautions/advice.
Brief Answer:
You have done well
Detailed Answer:
Hi
Thanks for your query.
Though pancreatic cancer is a dreaded disease, in your case fortunately it was detected at a very early stage. Surgery and chemotherapy have been done as per international standards. Hence I feel you will continue to do very well in the future also.
However, even in earliest stage pancreatic cancer, recurrence is common. It can be reduced by adjuvant chemotherapy but cannot be eliminated totally. In your case I feel there is at least 20-30% chance of recurrence, usually within the first two years.
You should be under regular followup of your surgeon/medical oncologist, maintain healthy diet and lifestyle and hopefully everything will be fine.
Hope I have answered your query. I will be available to answer further followup queries, if any.
You have done well
Detailed Answer:
Hi
Thanks for your query.
Though pancreatic cancer is a dreaded disease, in your case fortunately it was detected at a very early stage. Surgery and chemotherapy have been done as per international standards. Hence I feel you will continue to do very well in the future also.
However, even in earliest stage pancreatic cancer, recurrence is common. It can be reduced by adjuvant chemotherapy but cannot be eliminated totally. In your case I feel there is at least 20-30% chance of recurrence, usually within the first two years.
You should be under regular followup of your surgeon/medical oncologist, maintain healthy diet and lifestyle and hopefully everything will be fine.
Hope I have answered your query. I will be available to answer further followup queries, if any.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
If there is no recurrence in the first two years does that meen i am cured.
Brief Answer:
chances of recurring reduces
Detailed Answer:
If there is no recurrence in 2 years then chance of recurrence reduces but still persists. After 5 years it is quite rare.
Hope this helps.
Regards
chances of recurring reduces
Detailed Answer:
If there is no recurrence in 2 years then chance of recurrence reduces but still persists. After 5 years it is quite rare.
Hope this helps.
Regards
Note: For further queries related to kidney problems Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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