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Adenocarcinoma of Esophagus - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Cancer
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3397 Questions
User :   Hi, thankyou very much for this ty pe of services you have.My brother is suffering from ADENOCARCINOMA in the Gastro-Esophaegous junction,staint also been implanted accross the lump.Doctors are saying it can be operated but approximate cost is around Rs.2,00,000/-+.Patient is a retired fellow and of 60+ years old.
Could you please Help the patient in your Heavenly Hospita.
Will let you know the detail history of the patient on your response please
Doctor :   Hi
Doctor :   Please give me a few seconds to go through your question.
Doctor :   Hi
User :   Hi, Doc
Doctor :   We would love to help you out in the best possible manner that we can.
Doctor :   But we are a team of doctors who give online consultation and hence we do not run a hospital facility but can surely help you in finding out a possible cheaper and better center for this gentleman.
User :   give some tips regarding this.
Doctor :   They are a semi-charitable set up who are very professional and very much into service activity.
Doctor :   I suggest you to go this hospital for Surgery or further treatment modality
User :   What is the scope of operation? what is the risk?What amount can be involved?
Doctor :   May I know the Stage of the Adenocarcinoma and the metastasis ?
Doctor :   to advise you better .
User :   Last CITI scan (02/02/2011)suggested that the lump has shirnked a little comparing the scan of Sep'2010.
Doctor :   Ok.That is very encouraging.
Doctor :   Did they say or quote anything about metastasis to any other organs or lymph glands?
Doctor :   I would suggest a PET Scan would be more specific in dealing with the metastasis of the adenocarcinoma.
Doctor :   Have you got a FDG-PET (positron emission tomography) scan Report ?
User :   No other gland.But he had the same ADENOCARCINOMA in his colon just abot 6 years back.It was operated..No FDG-PET report.
Doctor :   Ok.
Doctor :   I would suggest you to take the opinion of an Oncosurgeon as in some early cases the epithelium is only removed or just scraped.
Doctor :   if it is very invasive or in stage III or IV, then they advise for stents and esophageal ressection .
User :   Self Expandable metalic Stent has implanted in Nov'10 for taking food like semiliquid.
Doctor :   You have another facility with us where if you can take a specialist opinion of an Oncosurgeon by phone or mail and then you can decide for further action.
Doctor :   Ok.
User :   Can you please tell me whether this type of treatment/Onco surgery can be done at any of the Hospitals.
Doctor :   I think hospitals do a lot of these surgeries , but there is a huge amount of time period which the patient has to wait for.
Doctor :   I can suggest you that I shall ask the Customer care team to get back to you on this with more info about any surgeries as when we were medical students we use to see a lot of Oncosurgeons doing it free of cost
User :   Please give me immediately details like phone no, email of the Onco-Srgeon /Super Hospital.
Doctor :   I will try to do my level best as I can understand the pain both physically and financially a patient faces.
User :   Thanks for your positive feelings for the patient.
Doctor :   I have a personal friend who is an Oncosurgeon and I shall ask him for the details at the Hospital.
User :   you said hospital do lots of these type of surgery,give me the address ,Tel no,email.
Doctor :   As he use to volunteer sometimes
User :   nice of your contacts.can i get his number etc to talk to him taking your ref
Doctor :   Yes as it is real time it becomes difficult to search now and give you, you shall imeediately get a mail from the customer care team who take care of these works as we consultations.
Doctor :   You can be assured that you will get a call in not more than 10 minutes from our team on this.
Doctor :   We have to speak to the concerned doctors and get back to you.
User :   how much time?
Doctor :   And more over it is only medical advise that we give, but I shall do this for you, as we understand teh agony of a cancer patient.
Doctor :   Thank you for consulting me.
Doctor :   Take care, bye for now.
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