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Is ii possible that cancer can be considered stage four if it has not been biopsy end?

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Is is possible that cancer can be considered stage four if it has not been biopsy end
Posted Sun, 11 Aug 2013 in Cancer
Answered by Dr. Indranil Ghosh 14 minutes later

Thanks for your query. The stage of the cancer depends mostly upon radiological tests like CT/MRI, etc. However, the diagnosis (cancer or no cancer) is based upon biopsy. Sometimes the clinical and CT/MRI pictures are suggestive of a stage IV cancer but final opinion should be based upon biopsy.

In some circumstances radiological picture with blood tests may clinch the diagnosis but this is not universal. If you can specify the clinical scenario you are concerned with and share some of the reports then I may be able to guide you better.

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Follow-up: Is ii possible that cancer can be considered stage four if it has not been biopsy end? 5 hours later
I am not sure how far back you can see the information on this account but the subject has a new diagnosis showing that his lungs and liver are now involved by a later pet scan. He is hospitalized after he fell out with an acute case of pneumonia which was not detected by his pulmonary doctor. He was scheduled to have a liver biopsy which he never had. While in hospital room he suddenly stared breathing very hard and he had to have an emergency trach put in. They claim he has another tumor in his neck. the same place that was biopsies and given the all clear two and a half weeks before. Initially they had gotten some of the so called tumor out by deep suctioning and called it scar tissue and mucus.
Answered by Dr. Indranil Ghosh 4 hours later
Thanks for follow up.

I think he needs a confirmatory biopsy before labelling it as cancer. It certainly appears so but this is not a scenario where we can call it cancer without biopsy.
Many infections may cause similar picture.

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