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Posterior mediastinal cancer - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Lung Cancer
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
User :   my father recently diagnosed cancer(lung). the only symptom is vocal parlsy. it is noticed that there is a significant weight loss. he 'was' a smoker stopped in 2008. the clinician informed about the diagnosis after contrast ct chest, mass in the mediasternam 14mm, lymph node affected,tried to ct guided FNAC no sufficient cells for fnac result. went to chest institute, they found a supra clavicular node and a fnac done. a bronchoscopy was taken place and biopsy+bronchial lavash done. the result came back with non-small cell carcinoma(fnac lavash) , squmas cell carcinoma both poorly differenciated. he had been to the thorascic surgen and adviced that it is no operable. the diagnosis is posterior mediasternal mass with lymph mets and vocal code parlsy( compression of recurrent laryngel nerve left side) . he is heading to chemo. can you advice anything can be done different                                                                                                                                                                                                                       
Doctor :   hi
Doctor :   Dr. XXXXXXXX here. let me read what you have typed
User :   hi Dr ,,,, ok I'll wait....
Doctor :   his problem does seem compliacted
Doctor :   since it is a posterior mediastinum mass, chemotherapy is best
Doctor :   few non-small cell carcinomas do respond to radiotherapy too, discuss about it with an oncologist
Doctor :   may I ask your father's age and where he is located?
User :   59 yrs south india
Doctor :   I would suggest you to visit ,,, opinion done from an oncologist along with a cardiothoracic surgeon.
User :   he has been to ct surgeon they said not operable....
Doctor :   you can also discuss about his problem with our panel thoracic surgeon
Doctor :   Dr. XXXXXXXX M.S., M.Ch. (Cardiothoracic surgery) and take second opinion on further treatment
User :   how can i contact him?
Doctor :   I will provide you with the link to take consulation with him
User :   ok
Doctor :   you can take e-mail or a phone consultation
Doctor :
User :   ok
Doctor :   visit this link to speak to our panel oncologists
Doctor :
Doctor :   visit this link to consult with CT surgoen
User :   well what do you think about prognosis?
Doctor :   you can forward all his reports to and we will send them to the specialist for review before he answering the query
Doctor :   posterior mediastinal masses are difficult to treat and operate as many vital structures are in that place
Doctor :   so going ahead with chemo and radio therapy would be the best
User :   hope he wil respond to chemo....
Doctor :   newer techniques of 'gamma knife' and and other options are best discussed with an oncologist
Doctor :   if he is in starting stages, and not into advanced cancer, he should respond to chemotherapy
Doctor :   what was the stage of cancer he was diagnosed at?
User :   i think T1/T2, N1, MO
Doctor :   ok. then it is without metastasis, and he shoul dbe responding well to treatment
Doctor :   however take a second opinion to see what best can be done for him
User :   well this is confussion there is lymph effected
Doctor :   yes, and as there is lymph node affected he is at N1 stage
Doctor :   els ehe would have been in T1/T2, N0, M0 stage
Doctor :   *else he
User :   what could be the procedure to early to dectet mets to other organs
Doctor :   a PET Scan can be done to detect metastasis early
Doctor :   i mean to say a whole body PET scan
User :   ok that will be , pet means the radio active scan?
Doctor :   yes, similar to that
User :   do you know
Doctor :   where are you located
User :   ok thanks to chat with me....... ta...
User :   are u aspecialist?
Doctor :   I am a general practitioner.
User :   ok speak to u later
Doctor :   if you could provide me your location details or he nearest City I cold try and help you with oncologist there.
Doctor :   visit this link to locate an oncologist in ...
User :   ok
Doctor :   is there anything else I can help you with?
User :   no ta
Doctor :   thanks for consulting me. bye for now.
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