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Carcinoma Gall Bladder Stage IV - 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 : 37 Questions
User :   My mother aged 58 years detected with Carcinoma Gall Bladder Stage IV (With Cholelihiasis)with obstructive jaundice her Liver reports
are: Bilirubin(total) 14.74,Bilirubin(Direct) 10.62,Alkaline Phosphatease 800,Gamma Glutamyl Transferase 1065,SGPT 180,SGOT 163 etc . now the doctors says operation is not possibel pls suggest how she improve?          
Doctor :   Hi
Doctor :   Iam.dR.XXXXX
Doctor :   May i read your query
User :   hi
Doctor :   did she have stone in the past?
User :   ya
Doctor :   when was she detected to have this
User :   last month
Doctor :   was ercp/mri done
User :   nops doctors says surgery is not possible in this stage
Doctor :   in stage four
User :   ya
Doctor :   the spread to other organs might have occured
User :   ok
Doctor :   No established treatment protocol exists. Radical surgery with negative tumor margins is an accepted treatment
User :   now whats our next step
Doctor :   for advanced disease
Doctor :   If there are negative tumor margins, 5-year survival rates are
Doctor :   Stage IV: 2%
User :   okya
User :   now how much time we have?
Doctor :   it depends mostly
User :   okye
Doctor :   on her clinical condition too
User :   what u suggest
Doctor :   is she taking oral foods
User :   ya
Doctor :   Patients with GB carcinoma have an overall mean survival rate of 6 months, and the 5-year survival rate is 5%
User :   okye
Doctor :   since she is taking oral foods
User :   now in this stage what u suggest ? can we go for surgery
Doctor :   she might have better chances
Doctor :   usually surgery wont give nay more benefits
User :   but my doctor says its not possible
Doctor :   as it might have already spread
Doctor :   what you can do is palliative care
User :   okye
Doctor :   The prognosis (chance of recovery) and treatment options depend on t
Doctor :   The stage of the cancer (
User :   its IV
Doctor :   The type of gallbladder cancer
Doctor :   Whether the cancer has just been diagnosed or has recurred
Doctor :   Treatment may also depend on the age and general health of the patient and whether the cancer is causing symptoms
Doctor :   Gallbladder cancer can be cured only if it is found before it has spread, when it can be removed by surgery.
Doctor :   If the cancer has spread, palliative treatment can improve the patient's quality of life by controlling the symptoms and complications of this disease.
User :   okye
User :   can we cure jaundice?
Doctor :   In stage IV, cancer has spread to nearby lymph nodes and/or to organs far away from the gallbladder.
Doctor :   yes
Doctor :   by palliative surgery
User :   okye
Doctor :   If the cancer has spread and cannot be removed, the following types of palliative surgery may relieve symptoms: Doctor :   Surgical biliary bypass
Doctor :   Endoscopic stent placement
Doctor :   Percutaneous transhepatic biliary drainage: User :   okye
User :   thx Dr.
Doctor :   Thanks for consulting...
User :   in india were we can
Doctor :   Treatment of unresectable gallbladder cancer may include the following: * Radiation therapy as palliative treatment, with or without surgery or the placement
User :   can u give me some name of hospitals for this surgery
Doctor :   ok
Doctor :   were r u from
User :   india
Doctor :   it will be available in xxxx
Doctor :   hospiatls
User :   XXXXXX
Doctor :   hospitals
User :   oky
Doctor :   Chemotherapy as palliative treatment is also given
User :   ok
Doctor :   hope she will recover soon
Doctor :   Thanks for consulting..
Doctor :   login for any help any time
Doctor :   Bye for now
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