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Suffering from Esophegal Cancer. Have had baloon dilation, surgery of gastroejunostomy. Best treatment available?

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Practicing since : 2004
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Hi,

This is in regards to my Dad. Please find attached the medical documents.

Please refer below for a snapshot of recent diagnosis underwent(take a copy of the this mail) :

July 2012 – Baloon Dilation (have not attached the report for now)

16th October 2012 – Surgery of Gastrojejunostomy (Reports attached)

20th April 2013 – Baloon Dilation (Reports attached)

Apart from these, I am attaching the recent CT Scan reports and Pet Scan reports. (dates mentioned)
Posted Sun, 19 May 2013 in Cancer
 
 
Answered by Dr. Indranil Ghosh 1 hour later
Dear Mr XXXXXXX

I am unable to see any CT or Pet reports.
Can you upload them in the system please? Also please provide details regarding the current problems.

Regards,
Above answer was peer-reviewed by
 
Follow-up: Suffering from Esophegal Cancer. Have had baloon dilation, surgery of gastroejunostomy. Best treatment available? 35 minutes later
Hi Sir,

I am re attaching the files, with a new query as this doesnot gives me an option to reattach. They are in pdf format, in a single file.

He is suffering from Esophegal Cancer, and I would like to know the best treatment availablke and at which hospital.
Hello Sir,
I have uploaded the documents in my profile. Please let me know, if you still cannot view them. And if ypu couald answer my previous questions
 
 
Answered by Dr. Indranil Ghosh 6 hours later
Dear Mr XXXXXXX

I have gone through all the reports. Your dad is having esophageal cancer with regional lymph gland spread. The optimum treatent is radiotherapy with concurrent chemotherapy if he is fit enough.

This treatment can be done at Indo-American hospital. It is a good center with modern facilities. Dr XXXXXXX is a competent and knowledgeable doctor.

However, the result is not good. For all practical purpose, it is not curable and will start growing again after some time. Average survival duration is around 15 months.

Hope I have answered your query. I will be available to answer any further follow-up queries.
Above answer was peer-reviewed by
 
Follow-up: Suffering from Esophegal Cancer. Have had baloon dilation, surgery of gastroejunostomy. Best treatment available? 8 minutes later
Sir, Is surgery not an option?
Just adding upto my question, what can be the surgery risks, and what stage he is in. Can you also refer a doctor, If I opt to show the same in Tata Memorial Hospital, Mumbai
 
 
Answered by Dr. Indranil Ghosh 2 hours later
Dear Mr XXXXXXX

Apparently this is stage III (locally advanced) disease and surgery is not indicated. This is not about risks but because surgery does not help in the long run.

If you want to consult at TMH Mumbai, then you can see Dr XXXXXXX Prabhash (Dept of Medical Oncology).

Regards
Above answer was peer-reviewed by
 
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