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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diabetic, Hypertensive And IHD With Stent Done, May Have Gallbladder Cancer. Is It Chronic Inflammation?

My father who is diabetic hypertensive and IHD with stent placement done in MAy 2012. now doctor while taking ultrasound is suspecting Gall bladder cancer , so MRI was taken. Doctor told its stage IV with liver and periportal lymph nodes ivolvement . Doctor suggested palliative open colecystectomy? Father is right now very fine doing his normal duties, no symptoms. I went to take second opinion from another doctor. He ask for CT scan saying MRI is little doubtfu. it might be chronic inflammmation too. Now is a CT scan actually required? Other people are telling not to subject him to surgery as it will only torture him. Please advice????
Wed, 23 Jan 2013
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Oncologist, Radiation,  's  Response
Hi,
Contrast enhanced CT scan can confidently comment regarding liver metastasis and enlarged periportal lymph nodes. If on CT scan these findings are found out then probably stage IV disease can be diagnosed. Then a FNAC can confirm the tissue diagnosis. If the disease has already spread to that extent it will be better to put the patient on chemotherapy, surgery will not be very helpful. take care.
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Diabetic, Hypertensive And IHD With Stent Done, May Have Gallbladder Cancer. Is It Chronic Inflammation?

Hi, Contrast enhanced CT scan can confidently comment regarding liver metastasis and enlarged periportal lymph nodes. If on CT scan these findings are found out then probably stage IV disease can be diagnosed. Then a FNAC can confirm the tissue diagnosis. If the disease has already spread to that extent it will be better to put the patient on chemotherapy, surgery will not be very helpful. take care.