[ 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: [ 25/01/2017 ]
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.
Yumi chan : 喉嚨
醫生你好,我媽媽先前去左廣州醫院做左全身檢查,發現喉嚨近呼吸道既位置有個腫瘤2.7cm,要佢做手術。但我想知道.......Michaelhui : 胃腸間質瘤
醫生您好！有位同學在內地被診斷為＂胃腸間質瘤＂，想到香港接受資深名醫治療，請問應該怎麼做？據說這種病很少有，請.......bob : 手部患有先天血管瘤應該睇邊一專科
先天血管瘤應該睇邊一專科 先天血管瘤應該睇邊一專科想轉私家 但唔知咩科 .......wong tsz lung : EB病毒抗體陽性鼻咽癌
你好醫生, 我今年27,在血液EB lgA positive 23 EU/ml ,家族沒有人患上鼻咽癌 ,沒有.......Jobylww : 轉移性腹腔癌問題
家父七月中係公立醫院做左升結腸腫瘤切除手術，之後化驗為二期不用化療，但到十月尾第一次覆診，cea上升左幾度，於.......小文 : 子宮內膜癌
我有子宮內膜癌,在醫院已切除 醫生建議繼續做電療. 電療作用是甚麼? 想問電療有甚麼副作用? 電療以外.......Yuen Man Chiu Steven : 肺線癌晚期
醫生們: 你們好 ! 我有個在廣州住的堂細佬只得26歲, 今年6月時咳嗽一直未好,之後發燒入院, 有肺積水現象.......Kenneth Liu : 癌症問題
醫生你好,本人的媽媽在大約兩個月前做了手術割除子宮的癌細胞當時醫生說只係第一期,但因媽媽年紀大,所以她不做化療.......Mrs chow : 冇胃的癌症病人
冇胃的癌症病人，餐後常常有腸氣頂住，影響飲食，請問可找哪一科醫生跟進?.......MRS CHOW : 請問癌症可否吃膳存?
請問癌症可否吃膳存?.......
發出提問使用細則
致謝耀昌醫生 提問
即時提問 ?
