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Adenocarcinoma of the stomach - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   hi Doctors, My father is detected with an stomach ulcer. The Pathology report shows Adenocarcinoma. Histological Grade II. Can you please suggest the next course of treatment for this.
Doctor :   hi
Doctor :   depending on the site and the size, your father might need to under go a surgery to remove the affected portion of the stomach
Doctor :   this might be a partial gastrectomy
User :   that is OK... First I need to understand the ... how big is the problem
Doctor :   your father is having stomach cancer
User :   yes...
Doctor :   and any cancer, of the stomach, has a tendency to spread to local or distal organs by blood or direct spread
User :   As we have heard... cancers stages... so can I know what is the stage
Doctor :   and earlier the condition is treated , the much better is the prognosis
User :   OK...
Doctor :   the stage , defines the level of severity of cancer
User :   So... does this means Stage II is a complex situation
Doctor :   lower grades - mean small tumor size and less spread of the cancer
Doctor :   higher stages - mean large tumor size and distant spread of the tumor
Doctor :   usually most tumors can be covered within 5 stages , not more than that
Doctor :   in your fathers case, stage 2 , means a slightly larger tumor, that has spread to adjacent area by direct contact
User :   My father had detected with a ulcer just 1yrs 4 moths and after treatment (medicins) he was fine. Even in the Endoscopy, there was no detection.... so can in this period it can reach to stage II
Doctor :   yes , it can
Doctor :   usually long standing gastric ulcers can become cancerous, due to constant inflammation and lack of proper healing of the site
User :   oh... or it could be a case... that in endoscopy ... it was missed to detect?
Doctor :   no , it is very unlikely to be missed by endoscopy
User :   See... Now I need to know what are the test I had to get before surgery...
Doctor :   most importantly , a CT scan and Skeletal scan will be conducted to know the extent of spread of the tumor
Doctor :   and then depending on the location of the ulcer, a surgery will be done , to remove the caffected part ,and then reconnect the normal adjacent parts
User :   I am asking this... as I have experienced that if I admit my father in a hospital.. they will start charging from the day one for the services... where for few days there will be just investigations... and no actual treatment
Doctor :   you need to understand, that cancer pateints , have low immune status and malnutrition
Doctor :   hence the nutrition has to be improved and the status to undergo surgery has to be assessed before any surgery can be attempted
Doctor :   You have very good hospital , that is AIIMS in delhi
User :   so in your openion, I must admit my father to hospital now...
Doctor :   no , i mean to say, that your fathers fitness has to be determined for surgery before
Doctor :   so just a consultation, and a examination by a onco-gastroenterologist will help initially
Doctor :   once all the tests have been done, your father can be admited 1 day prior to surgery.
User :   great.. this is what I wanted to know... means the tests can be done without admitting my father....
Doctor :   yes
Doctor :   he can get the tests done , before the actual surgery
User :   thanks...
Doctor :   you are most welcome
Doctor :   i hope this information is helpful
User :   My father is not experiencing any problem right now... and the endoscopy was done just because I went to a doctor and insisted... as my father was complaining mouth ulcer for last 10 days.... it was the same thing happened last time... so I decided to go for endoscopy to avoide any doubt
Doctor :   ok, that was good
User :   so that is why I am bit worried that he is having no proble.. and still the problem is very big
Doctor :   stomach cancers , usually do not present unless when become serious
User :   what is the success rate of such surgery??
Doctor :   your father is lucky, that he has been diagnosed at a early stage
Doctor :   at stage 2, with surgery the survival is very good ,
Doctor :   say about 75 - 85%
User :   good.... and what about the re occurence???
Doctor :   less likely , but can occur in about 5-15% cases, depending on the site and extent of spread , as well as the extent of surgery done
User :   ok... will post surgery ... make my father difficult... I mean he has to care a lot... or will be a normal life...
Doctor :   fora few weeks , it might be difficult for him to cope up
User :   like...
Doctor :   but after that , he will be fine and will have no issues
Doctor :   nausea, vomiting, distended stomach, bloating, etc might be some symptoms that he may have post surgery
User :   Now what will be the approx cot of the tratment including the surgery.. just an idea
Doctor :   may be about 0000 to 2 lakhs
Doctor :   it depends on the hospital and the doctor you go to
Doctor :   corporate hospitals do charge more
Doctor :   you can get an estimate by enquiring at specific hospitals
User :   so the corporate hospital will be 300K... or more?
Doctor :   yes
User :   Ok...
Doctor :   it seems that the chat time is up
Doctor :   please log in again if u have any more query
Doctor :   take care and bye for now
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