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What Do My Lab Test Reports Indicate?

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Posted on Thu, 21 Dec 2017
Question: I have locally advanced pancreatic cancer, I have a feeding tube because I have no appetite and take pain pills. 8 weeks ago I had a pet scan that showed a complete metabolic response which indicated no cancer. I understand imaging test can sometimes not see small cancer cells. I am on chemo and I now I get belly pain at times that seem like trapped gas because it floats to my back. My pancreas shows no tumor from any scan and CT and MRI only shows cancer in tissue around the arteries. Very mysterious. I am wondering if my belly pain is caused from the cancer and how is belly pain caused by pancreatic cancer.
doctor
Answered by Dr. Deepak Sundriyal (1 hour later)
Brief Answer:
Hello. The causes can be many

Detailed Answer:
Hello dear. I understand your concern. So the causes of your pain can be many. Small cancerous tissues around blood vessels can cause traction on surrounding tissues causing pain. Chemotherapy induced bowel.dysfunction is another cause of pain. Reduced immunity may lead to occult viral.and bacterial gut infection and also can lead to abdominal pain
Visit your physician for a clinical examination to narrow down the cause.
Feel free to ask further
Best regards
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Deepak Sundriyal (14 hours later)
Dr XXXXXXX how significant is a complete metabolic response regarding cancer tissue around arteries from a PET scan?
doctor
Answered by Dr. Deepak Sundriyal (6 hours later)
Brief Answer:
Hello. It portends a good response to treatment

Detailed Answer:
Hello dear. It is an indicator of good response to treatment. However, the tumor cells are only metabolically inactice for sometime , hence not seen on pet, but they remain dormant and later proliferate.
Thanks.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Deepak Sundriyal (27 minutes later)
Dr XXXXXXX I intend to have surgery. Can the cancer be cured?I hope you can find some encouragement
doctor
Answered by Dr. Deepak Sundriyal (45 minutes later)
Brief Answer:
Hello.it depends upon your initial stage

Detailed Answer:
Hello again. So if the tumor was locoregional and it has shown good response to treatment, surgery can be taken upon.
Thanks and regards
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
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Dr. Deepak Sundriyal

Oncologist

Practicing since :2005

Answered : 1617 Questions

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What Do My Lab Test Reports Indicate?

Brief Answer: Hello. The causes can be many Detailed Answer: Hello dear. I understand your concern. So the causes of your pain can be many. Small cancerous tissues around blood vessels can cause traction on surrounding tissues causing pain. Chemotherapy induced bowel.dysfunction is another cause of pain. Reduced immunity may lead to occult viral.and bacterial gut infection and also can lead to abdominal pain Visit your physician for a clinical examination to narrow down the cause. Feel free to ask further Best regards