Still in shock. Father recently went for routine Prostate bloods which showed up an anomaly. Then he had scans which showed lesions in all lobes of his liver which they have indicated is metastases (primary currently unknown). Bone scans indicated no spread to the bones. He was not exhibiting any symptoms of sickness at all. We have a biopsy this week then the Oncologist the week after. What I wanted to know was what is the likely journey from here ? Is there any possibility it may not be secondary cancer and they are only using biopsy to confirm or are they using this to try and find the primary. What is average prognosis for him given the above info ? Really stressed and upset TIA
Try not to worry too much. I know that's easier said than done, however, it makes life so much more miserable if you worry all the time.
They will be doing the biopsy primarily to find the cause of the mets. The results will determine the treatment that will be given depending on what the primary is.
Regarding prognosis - everyone is different, and reacts to treatments differently, so really, no-one can give an accurate prognosis. Even if doctors say people don't have long, or have "x" amount of time, take that with a grain of salt. While they may give a ballpark figure, it depends alot on the person & their will to survive.
I don't know anything about liver cancer, or what treatments are available for it, so I can't help in that respect, but I hope I've put your mind at ease somewhat, even just a little bit. Take care.
Thanks for taking the time to respond Budgie. Really appreciate it. Trying to be positive and know it will be important to be positive around him as well. Going into what changes do we make mode....food, mindset, questions etc
don't worry too - I don't know much about his specific case.
what were the PSA #'s by the way
take a look at the scans - they are high contrast i'm sure and
should be easier to detect visually than a broken bone.
this looks large but can still be ok
They can transplant livers you know. The biggest concern is vascular involvement.
sometimes 'bunny ears' can indicate metastases
also something that looks like that
sometimes cirrhosis looks like multiple tumors
usually there will be some pain in poking the cirrhosis or tumor
on the right front or back
with two fingers or even by the sternum.
Lack of pain indicates an early diagnosis. Do get a look at the scan.
dialysis might be indicated as a stopgap between surgery and transplantation
if I recall, positive outcomes in hepatology is around 86%
Ok, I may have said in other threads that I once worked in
an oncology center. I did clinical pathways (SIBEM II) and
regardless of what type and where it started the issue is
to reduce the total tumor mass.
There are so many good surgeons who can remove cancers from
upper GI and the aforemensioned treatments.
Once I had a case where a guy had 17 tumors and they
got them all in a couple or a few surgeries.
Of course our patients would sometime have recurrence in
a 5 or 10 year period, but even then, being especially watchfull
recurrence was not as severe as the initial cancer.
I would list the procedure as mri or ct by CPT code
and enter a diagnosis code of 22.x to a higher 22.9 ICD code
and the computer would find other cases where 22.9 had a treatments
with the greatest effectiveness. But I can sort of tell already that it would
come up with the name of a couple of surgeons and some drugs
both for the attending physician.
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