Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

186 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Want second opinion on colonoscopy report and CT scan report

Answered by
Dr.
Dr. Ajit Naniksingh Kukreja

Gastroenterologist, Surgical

Practicing since :1984

Answered : 922 Questions

default
Posted on Fri, 21 Dec 2012 in Abdominal Pain
Question: I want second opinion on colonoscopy report and CT scan report of my Mother aged 65 yrs.After i get instruction i will send them.
doctor
Answered by Dr. Ajit Naniksingh Kukreja 8 hours later
Hi

Thanks for writing in

Considering the age of the patient it is always better to rule out anything before going for a definitive surgery

I would be in a better position if a biopsy report is also available

Hope this clears
Do write back with reports
Wishing your mother a healthy life ahead
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Ajit Naniksingh Kukreja 14 hours later
Sir,
I have subitted Biopsy report, Colonoscopy report and CEA Blood examination report. Your kind observation of these reports and consequent opinion is solicited. for this I shall grateful to you forever.
With regards,
XXXXXXX
doctor
Answered by Dr. Ajit Naniksingh Kukreja 8 hours later
Hi XXXXXXX

Thanks for writing in again

Having gone through the reports of your mother I feel a surgery would be of help and chemotherapy depends on the final histopathology reports

With adenocarcinoma grade II five year survivals are good so I would suggest you go ahead with surgery and get back to me wtih the final histopathology report from which we would ascertain the need of chemotherapy

Hope this helps
Do write back in case of concern
Wishing your mother a healthy life ahead
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Ajit Naniksingh Kukreja 14 days later
Doc Sir,
I have uploaded post surgical histo-pathological reports of my mother. There are three pages. Report of Sen Lal path lab is in two pages which especially require your attention. Another report (sample was sent to two labs) is also submitted. Please have a kind look at reports and give your advice.
With regards,
XXXXXXX
doctor
Answered by Dr. Ajit Naniksingh Kukreja 9 hours later
Hi

It is surprising that there is a contradiction in the two histopathology reports

Get a fresh CEA report done to see the progress of the disease

Dr Lal's report is comparable to the report after colonoscopic biopsy

Now that a contradiction has occured it would be better if you get the slides reviewed at Tata Memorial Hospital Mumbai from Dr XXXXXXX Borges

Hope this helps
Wishing your mother a healthy life ahead

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Ajit Naniksingh Kukreja 14 hours later
Doc Sir,
The Surgeon has told us that affected portion out of colon portion removed during surgery was sent to to Dr. Lal's lab and rest portion of colon which seemed healthy was sent to another lab. So, please comment on Dr. Lal's report.
With regards,
XXXXXXX
doctor
Answered by Dr. Ajit Naniksingh Kukreja 2 hours later
Hi

Thanks for writing in again

If both the specimen's are different

The specimen sent to Dr Lal's lab is an adenocarcinoma which is well differentitated and has not spread to the surrounding tissue

The margins are free of tumor and the lymphnodes are negative for permeation

This is a relatively good report so go ahead with what your surgeon advises as in these type of cases it tis the surgeon who has operated knows the condition of the other organs and the status of gross pathology, so he should be the final authority for postoperative care

Hope this helps
Wishing your mother a speedy recovery
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Treatment/Therapy
Medical Procedures ,  

Recent questions on  Adenomus carcinoma

doctor1 MD

Dear sir My brother is 39 years old.he was diagnosed to have poorly differenciated adeno carcinoma of stomack and was given 6 chemotherapy after that he had taken for piopsy and the result shows sections show fragments of gastric mucosa with inflammatory cells in lamina propria. lymphocytes, plasma cells, eosinophils and neutrophils noted. sites t:c 169 M:70005

doctor1 MD

Hi DR XXXXX, i would like to brief you shortly about my mother's cancer. She was diagnosed with periampullary adenocarcinoma last january 2012, she had two cycles of chemo, 1st with gemzar and xeloda and the 2nd treatment with gemzar and oxaliplatin. She had her petscan last november and was declared petscan negative. No chemo since then. For routine checks she went through MRCP yesterday and findings on Lung bases is Lingular subsegmental atelectasis vs fibrosis, new findings........ may i ask what these findings mean? thank you Dr Samuel,
Susan

doctor1 MD

Can prostate cancer spread directly to lungs, liver? My husband had 4 prostate biopsies PSA rising and at 18 at last biopsy which found adenocarcinoma Gleason 3+4. After CT scans they found 7 nodules on the lungs, spot on the liver and small spot in pancreas. He is 69 and never been sick except this rising PSA.

doctor1 MD

What is the range of life expectancy for a woman aged 82 recently diagnosed with adenocarcinoma?? affecting head of the pancreas/bile duct area who has 7 or more tumors of moderate size in both lobes of the liver . She has been healthy all her...

doctor1 MD

My mother was diagnosed with poorly differentiated adenocarcinoma of the lung. She was found with 2 dot size spots on her left lung and has started with chemotherapy once every 2 weeks. They had mentioned that she would be retested after 4 treatments and then possibly move to chemo in pill form. Does this sound promising?

doctor1 MD

Hi, Thank you for the opportunity to be able to ask the questions and get the answers. My father was diagnosed with adenocarcinoma after biopsy test. I looked on the net to be able to find an appropriate diet for him and I'm confused now because...

doctor1 MD

I had an EGD in October 2012. It diagnosed LA Grade B esophagitis and gastritis . I was prescribed Dexilant - 60 mg. I took this off and on initially, but have taken it everyday for past 3-4 months. In the past several months, I have had upper...