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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for pancreatic cancer metastasised to liver

Sir,



The patient is a 74 year healthy male based in New Delhi (India) with Type II diabetes suffering from CA Head of Pancreas with metastasis liver segment IV . The patient was diagnosed with Obstructive jaundice based on MRCP and a metallic stent was put in the CBD through endoscopy. Brush Cytology has confirmed malignant cells in Pancreas and an FNAC of liver confirms metastasis carcinoma of liver.



In such a scenario, what is better รข?? cyberknife followed by chemotherapy or low dosage chemotherapy ?



We are receiving different opinions and are confused. I would be grateful for your valuable inputs.



Sincerely,



(Mukesh)

Email : YYYY@YYYY
Mon, 29 Jun 2015
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Question is related to
Treatment/Therapy
Radiologist 's  Response
Hi,
Thanks for writing in.

Cancer of pancreas is a challenging condition to treat. Since the patient is having metastasis to liver therefore the disease is stage 4 cancer. In this case the survival of patient is months to a year with good treatment and care. Surgery is not suggested because it is not possible and might cause disease to spread faster.

Right now let the stent be in place to treat obstructive jaundice. Cyberknife is not possible but maintenance low dose chemotherapy might be provided to slow the disease progression. Pain relief is important and he should be provided medicine to decrease the pain. Please do not worry.
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