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Stage four gall bladder cancer, large stones in gallbladder duct. Treatment options?

Hello Doctor........My mother is 72 years old and she is suffering with Stage 4 of gallbladder cancer , we moved her to for the treatment but the doctors of the XXXX OF GASTROENTEROLOGY were XXXX. She is also having Gallbladder stone of 26mm located in her duct. Please suggest what to do now as she doesn t have enough strength to go for some chemo therapy.....
Asked On : Mon, 4 Feb 2013
Answers:  2 Views:  71
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Oncologist, Surgical 's  Response
I am very sorry to hear about your mothers condition. Management of stage 4 gall bladder cancer is mainly palliative. If she does not have the strength to undergo chemotherapy, then the main focus of treatment should be pain relief.
If the stone is present in the cystic duct (gall bladder duct), then nothing can be done about it but if it is in the common bile duct, then it can be removed by endoscopy (ERCP). Does your mother have jaundice as well?
It would be advisable that you meet an oncologist and a palliative care specialist for further treatment.

Answered: Tue, 5 Feb 2013
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General & Family Physician Dr. Haseena Hamdani's  Response
It has been seen in many cases that Gall stones are associated with Cancer. At stage 4, we must treat her according to her symptoms. Our idea is to make her as comfortable as possible. If she has pain due to Stone, that also can be removed by laproscopic surgery. It all depends on her actual extent of disease, and the facilities available in your vicinity. There are some clinical trials also going on in developed countries for treatment of Advanced cases of gall bladder Cancer as a radiotherapeutic modalities. Robotic surgeries also possible in selected cases.
May be if you can provide more details, we would be able to give you precise answers.
Dr Hamdani

Answered: Tue, 5 Feb 2013
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