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Pain in the abdomen, loss of appetite, intestinal tumor, malignant? - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
Doctor :   Good evening
User :   I want to discuss with you the case of my mother
Doctor :   Ok
User :   some background first - she is around 58 years old. she has hypertension and recently she has started problems with dust (doc says its starting for teh asthma)
User :   but recently - we did her sonography and it was detected that she has "mass lesion" in her intestine
Doctor :   Ok
User :   size was around 61 mm X 45 mm
Doctor :   Ok
User :   doc suggested that we get CT scan and colonoscopy doen as well
Doctor :   Ok
User :   it was done and looks like it is confirmed that she has some "mass" in her large intestine
User :   doc is worried about cancer and has taken samples for biopsy tests
Doctor :   Ok
User :   interestingly - my mother didn't show much symptoms - she was complaining of an occasional pain in lower abdomen and some loss of apetite - but no other symptoms
Doctor :   Ok
User :   I'm worried now - if it is a cancer - what should we do next
User :   also wanted ot get a second opinion on whether any other tests could be performed
User :   please help
Doctor :   Do you the scan reports with you?
User :   not at the moment
User :   another worry that I have is that she had an ultrasound done 2 montsh back - and then no problem was reported
User :   so is it the case that she developed a 6 cm mass within two months - or was it a problem with the sonography
User :   if it is indeed a growth - then is it scary that it is growing at such a rapid pace
Doctor :   Let me brief you.
Doctor :   Did the scan reveal that the mass was in the wall of the intestine?
User :   yes
User :   though - I'm not sure if it is inside teh wall or on the outside
Doctor :   Let me explain to you.
Doctor :   Depending on the location of the mass - whether it is withing the intestine or extraintestines - the differential diagnosis
Doctor :   varies.
Doctor :   I mean differential diagnosis varies.
User :   ok..
Doctor :   It is too early to predict if the mass is a tumour or a cyst
Doctor :   or an infective mass etc
Doctor :   It is also difficult to predict the benign or cancerous nature of the mass
Doctor :   without conclusive evidence from the reports.
User :   woudl biopsy test ascertain that?
Doctor :   Histopathological examination from the biospy plays a crucial role
Doctor :   in establishing the nature of the mass.
Doctor :   In the absence of significant history such as recurrent fever, night sweating, loss of appetite, body pains and so on
Doctor :   it is unlikely to be a cancerous lesion.
Doctor :   More over, a clearly defined masses are more likely to be benign.
Doctor :   Hence keep the hopes high.
Doctor :   go ahead with the biopsy as planned.
User :   ok - to be clear - she had loss of apetite and lower back pain for sometime
Doctor :   The reports will confirm the diagnosis.
User :   ok - thanks for the positive news
User :   I'm really worried -
User :   and if it turns out to be a cancer - will it be life threatening? I heard that colon cancers are 100% curable - is it true?
User :   sorry to keep asking repeated questions - but I'm really worried
User :   (and my mother is even more)
Doctor :   Treatment and cure of cancers depend on the histopathological grading and clinical staging of the tumour.
Doctor :   Low grade tumour which are localised are comletely curable by surgical techniques.
Doctor :   High grade tumours may need additional chemotherapy as well as radiotherapy supports.
Doctor :   malignant tumours carry bad prognosis
User :   I have a related question. Wouldn't CT scan show whether something is stage I/localized? My doc says that he can say for sure only after a surgery
User :   (he says irrespective of whether it is malignant or bening - a surgery would be required to remove the growth)
Doctor :   If it is a localised tumour, then the prognosis is good.
Doctor :   Your doctor is right here.
Doctor :   Surgical treatment is definitely be indicated.
Doctor :   post surgery
Doctor :   Pathological studies of the removed mass
Doctor :   will invariably be done.
Doctor :   Depending on the results of pathological studies the need for future chemotherapy/radiotherapy will be decided.
Doctor :   The good news at this point of time
Doctor :   is that the mass is localized and is surgically resectable.
Doctor :   Her conditions are definitely not worse at this point of time.
Doctor :   So do not worry.
Doctor :   Go ahead as planned by your doctors.
User :   to be clear - will we remove the mass or will we cut the rectum/intesting and join it later?
User :   doc indicated the latter...
Doctor :   If the tumour is intestinal, then surgical removal of the affected intestines with reconstruction that is joining of the two ends will be done.
Doctor :   Do you follow?
User :   yes. This is what my doc also said. He also told that in case it is not possible to join two ends - they'll leave it for sometime and then join it later (in between they'll create some opening for teh excreta to pass out)
Doctor :   I agree with your doctor, this is also a possibility.
Doctor :   I would not be concerned with the type of surgery done as long as the mass is removed.
User :   Right. Thanks doctor. Have a few more questions - kindly take some time to answer them too...
Doctor :   The pathological studies of the mass will be the next important thing to me.
Doctor :   Please proced.
User :   1. I'm based in hyderabad Is there someone in hyderabad you coudl suggest that I take a second opinion from?
User :   2. what would be an approx cost of the surgery to remove the mass?
Doctor :   To answer your first query, I would like to borrow some time, as I am based from Bangalore.
Doctor :   I do not have much reference of doctors at Hyderabad.
Doctor :   A surgical gastroenterologist in collaboration with an oncologist would be the right choice of doctor to treat her.
User :   that should be fine - doc. Please see if you could find someone in hyd. I will also try to see if I could mail you/courier you reports
Doctor :   To answer your second question, the cost of the treatment will depend on the doctor and the institute where the procedure is planned.
Doctor :   It will also depend on the type of surgery planned.
Doctor :   Surgery involving just removal of mass will be more costlier then resection of the colon/intestines with reconstruction.
Doctor :   If the surgery is later then the approximate cost could be between 0000 to 0000 Indian Rupees.
Doctor :   This link here is about Asian Institute of Gastroenterology
Doctor :   An institute defined for treating gastrointestinal disorders.
Doctor :   You could take a second opinion from one of the medical / surgical gastroenterologist.
Doctor :   Have you followed what I have suggested?
User :   yes - thank you very much doctor
Doctor :   Do you have any other query?
User :   really appreciate your help. And the hope that you have given me
Doctor :   My pleasure in helping you.
Doctor :   Wish and prayers for your mothers good recovery.
User :   nothing at this point of time. May I know your name so that probably I can chat with you tomorrow if there are any more questions?
Doctor :   Is there any other query that you would want to discuss with me?
User :   thanks again - doc. We all are looking for divine help.
User :   great - thanks doc. Once again - appreciate your help
Doctor :   Thanks for consulting me.
Doctor :   Have a nice evening!!
Doctor :   Bye for now.
User :   will end the chat now. thanks for your time. you too have a great evening!
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