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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Be The Tumour In Liver?

hi my dad has been diagnosed with a tumor on the liver which has blocked the bile duct... has been in hospital in and out since march 25th.2014. is in again and is on Clindamycin and IV fluids is awaiting opperation and is suffering a lot hes lost a lot of weight and his voice has become weaker. im not happy with the outcome they know what is wrong with my dad and are doing all the tests again and again. to find out what hes got. thanks joanne sorry i didnt know that i had to pay i thought it was a free service thanks bye.
Mon, 29 Jun 2015
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General & Family Physician 's  Response
As far as tumors of the liver are concerned they range in variety from SIMPLE BENIGN tumors to AGRRESSIVE MALIGNANT ones.....Keeping in view your scenario that tumor has involved the bile duct it seems to be an AGGRESSIVE lesion BUT again thorough testing is requred in order to get the right diagnosis. Some differntials are as :
1:If your dad has got underlying CHRONIC LIVER DISEASE < CIRRHOSIS > due to any etiology like AlcohoL , HBV , HCV , AUTOUMMUNE HEPATITIS , METABOLLIC DISEASE LIKE HEMACHROMATOSIS then most probable tumor is HEPATOCELLULAR CARCINOMA which requires SERUM AFP levels liver dynamic scan for its diagnosis...
2: Second is CHOLANGIOCARCINOMA its a tumor of the bile ducts mostly presents with the obstructive jaundice < clay colour stools and dark urine and itching all over the body with wt. loss> CA-9 is used as serum marker for diagnosis along with CT oR MRI.
3: other probability is METASTATIC liver tumors which means primary tumor is somwhere else in body like in COLON and has secondaries in liver..PET scan is used for diagnosis ....
Hope u get ur answer if u have any querries feel free to ask...
regards
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What Could Be The Tumour In Liver?

As far as tumors of the liver are concerned they range in variety from SIMPLE BENIGN tumors to AGRRESSIVE MALIGNANT ones.....Keeping in view your scenario that tumor has involved the bile duct it seems to be an AGGRESSIVE lesion BUT again thorough testing is requred in order to get the right diagnosis. Some differntials are as : 1:If your dad has got underlying CHRONIC LIVER DISEASE CIRRHOSIS due to any etiology like AlcohoL , HBV , HCV , AUTOUMMUNE HEPATITIS , METABOLLIC DISEASE LIKE HEMACHROMATOSIS then most probable tumor is HEPATOCELLULAR CARCINOMA which requires SERUM AFP levels liver dynamic scan for its diagnosis... 2: Second is CHOLANGIOCARCINOMA its a tumor of the bile ducts mostly presents with the obstructive jaundice clay colour stools and dark urine and itching all over the body with wt. loss CA-9 is used as serum marker for diagnosis along with CT oR MRI. 3: other probability is METASTATIC liver tumors which means primary tumor is somwhere else in body like in COLON and has secondaries in liver..PET scan is used for diagnosis .... Hope u get ur answer if u have any querries feel free to ask... regards