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Suggest Treatment For Isoechoic Lesions In Liver

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Posted on Tue, 21 Oct 2014
Question: Sir, my grandpa's scenography showing two isoechoic lesions in liver with center area 5.1*5.4 cm
Sir what should be do ? Is it curable?
What should we do next step?
doctor
Answered by Dr. Indu Kumar (46 minutes later)
Brief Answer:
He need Contrast CT scan of abdomen.

Detailed Answer:
Hello XXXX

Isoechoic lesions in liver may be due to both reasons benign or malignant.
He need further evaluation.Contrast CT scan of scan of abdomen should be done for further evaluation.Contrast scan can show its enhancement,vacularity etc.It can also show other associated findings like lymph nodes etc.

Since he is an old aged person,it is important to rule out malignancy.
FNAC can be done if needed.It can show its exact nature.

Treatment depend upon findings.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Indu Kumar (14 minutes later)
but sir, I want to confirm that is it cancer? or something curable. I am very upset in that matter. plzz tell me symptoms to confirm cancer or normal lesion. I am attaching scenography report
doctor
Answered by Dr. Indu Kumar (11 hours later)
Brief Answer:
Please find detail answer below.

Detailed Answer:
Hello XXXX

As we discussed earlier,it is too early to conclude about cancer or metastasis.
Many features can't be evaluated by USG.

Contrast CT scan(Abdomen),tumour markers,FNAC ,Clinical correlation confirms malignancy.
If it is due to metastasis,primary source should be searched.

Your grand father need proper clinical evaluation.Chest X-ray(PA),Liver function tests should also be done.

Liver cancer causes weight loss,pain,jaundice etc.

You shouldn't be so worried.Please go for further investigations.
Treatment depend upon findings.
Your grand father also has calculus in right kidney and urinary bladder.You should also consult urologist.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Indu Kumar (14 minutes later)
plz at last tell me..if it is normal lesion so how it will be cure and in other case of cancer how it will be cure? i mean by medicine or operations? though he is very weak..will they wear the operation? they didn't eat food for a long time period (more than 15 days). and do you have any idea of expenses of hospital.
he have also cough problem in chest x-ray
doctor
Answered by Dr. Indu Kumar (21 minutes later)
Brief Answer:
Please find detail answer below.

Detailed Answer:
Hello XXXX

Benign lesions dont require treatment unless it is symptomatic.
Where as treatment of malignant lesions depend upon staging. Its treatment may be surgery, chemotherapy, radiotherapy, tumour embolization or palliative care depending upon stage.
Expenses in hospital depend upon diagnosis and its treatment.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
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Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Indu Kumar

Radiologist

Practicing since :2004

Answered : 6729 Questions

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Suggest Treatment For Isoechoic Lesions In Liver

Brief Answer: He need Contrast CT scan of abdomen. Detailed Answer: Hello XXXX Isoechoic lesions in liver may be due to both reasons benign or malignant. He need further evaluation.Contrast CT scan of scan of abdomen should be done for further evaluation.Contrast scan can show its enhancement,vacularity etc.It can also show other associated findings like lymph nodes etc. Since he is an old aged person,it is important to rule out malignancy. FNAC can be done if needed.It can show its exact nature. Treatment depend upon findings. Get well soon. Hope I have answered your question. Further queries are most welcome. Take Care Dr.Indu XXXXXXX