Suggest Tests To Diagnose Peritoneal Disease
Confussed? Please see attached letter and report .
Two opinions don't vary in terms of staging/management
Thanks for writing to us and I'll be happy if I can resolve your concerns/confusion...!
Well, after going through your father's reports enclosed herewith, I might revise the statement of radiation-oncologist that ''he is suffering from inoperable chemoresistant colorectal carcinoma with POSSIBLE PERITONEAL, RETROPERITONEAL, LIVER AND LUNG METASTASIS (27/01/15)!'
Whereas contrast CT study on 14/01/15 reveals evidence of possible mets in aortocaval nodes, liver, left adrenal and both lungs... concluding disease progression!
Therefore, it was the radiation -oncologist's clinical impression/opinion that POSSIBLE PERITONEAL, RETROPERITONEAL, LIVER AND LUNG METASTASIS because left adrenal and lymph nodes were involved!
I don't think the two opinions differ in terms of staging/management or conclusion.
Hope I could explain the thing; however, PET-CT Scan sometimes is helpful to resolve such contradictions.
wishing your father a better life; thanks and regards,
No; aortocaval node doesn't mean peritoneal
Thanks for your response!
No, aortocaval node doesn't mean peritoneal but if the patient present with ascites or peritoneal effusion that is positive for tumor cells or a peritoneal biopsy shows tumor deposits then one can say that peritoneum is involved!
Hope you got the answer....