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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Adenocarcinoma After Whipple's Disease

whiples operation on 1/3/11(findings: The distal stomach, bileduct, head of pancreas and proximal jejunum were removed. No obvious metastatsis in lymph node or liver were noted)

Histopathology: (Periampullary) Adenocarcinoma, Moderately differentiated

what treatement now
Thu, 23 Apr 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
You are having adenocarcinoma.
You are not having lymphatic spread as lymphnodes are negative for malignancy.
The best treatment is surgical removal (Whipple 's operation) and post operative chemotherapy.
Since you already had whipple' s operation, better to undergo post operative chemotherapy.
The main reason for this is to prevent local recurrence and distal metastasis.
During surgery, handling of mass can cause local site spillage of tumour cells. So these can cause local recurrence.
So to prevent this, chemotherapy is needed.
So consult oncologist and discuss all these.
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Suggest Treatment For Adenocarcinoma After Whipple's Disease

Thanks for your question on HCM. You are having adenocarcinoma. You are not having lymphatic spread as lymphnodes are negative for malignancy. The best treatment is surgical removal (Whipple s operation) and post operative chemotherapy. Since you already had whipple s operation, better to undergo post operative chemotherapy. The main reason for this is to prevent local recurrence and distal metastasis. During surgery, handling of mass can cause local site spillage of tumour cells. So these can cause local recurrence. So to prevent this, chemotherapy is needed. So consult oncologist and discuss all these.