[ 會員# ] Raymond Wong
Laproscopic converted to open high anterior resection on Jan5, 2017
病患者男 - 68歲
Colonscopy on Nov 30 showed primary malignant tumour in the sigmoid colon which is 27cm from the anus. CT scan on Dec 8 interpretated mid-sigmoid tumour over a length of 10 cm with staging of T3 Nx MO and cholelithiasia. Laparoscopic converted to open high anterior resection for pt4b N1b (2/25) Mucinous adenocarcinoma high grade of the sigmoid colon, R1 multi focal positive margin at the bladder shave. Indeterminate chest and liver lesions on staging CT scan, too small to characterise. On Prednisone and Azathioprine since 2001 until now for Chronic Imflammatory Demyelinating Polyneuropathy, and IgG kappa paraproteinaemia.
what to do next since surgeon here did not know which area to target for radiotherapy, what sort of chemotherapy is best in this case. Please advise the cost as well.
Colonscopy on Nov 30 showed primary malignant tumour in the sigmoid colon which is 27cm from the anus. CT scan on Dec 8 interpretated mid-sigmoid tumour over a length of 10 cm with staging of T3 Nx MO and cholelithiasia. Laparoscopic converted to open high anterior resection for pt4b N1b (2/25) Mucinous adenocarcinoma high grade of the sigmoid colon, R1 multi focal positive margin at the bladder shave. Indeterminate chest and liver lesions on staging CT scan, too small to characterise. On Prednisone and Azathioprine since 2001 until now for Chronic Imflammatory Demyelinating Polyneuropathy, and IgG kappa paraproteinaemia.
what to do next since surgeon here did not know which area to target for radiotherapy, what sort of chemotherapy is best in this case. Please advise the cost as well.
謝耀昌醫生回覆: [ 1/25/2017 ]
This patient may require chemotherapy (in view of lymph node involvement and stage III disease) and radiotherapy. The target of radiotherapy would be the urinary bladder, where residual is left behind.
The choice of chemotherapy depends on the physical fitness of patient, usually involve two chemo drugs. Costs depends on individual Clinical Oncologist.
The choice of chemotherapy depends on the physical fitness of patient, usually involve two chemo drugs. Costs depends on individual Clinical Oncologist.
VINCI : 前列腺癌
本人的父親去年確診患上前列腺癌,打荷爾蒙針後，最近醫生指PSP指數仍是高達10，顯示癌細胞不受控，醫生建議做化.......miss lam : 肺線癌
請問肺線癌晚期，還有甚麼方法醫治?或有甚麼食物可延長生命?.......
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