#MedicalCase

Should we start any other preventive treatment? (Internal Medicine)

Dr. Albana Greca., MBBS, MMEDSC

 

Medical Case Details:

Hello

My patient 81 years old had appendix and sigmoid resection due to moderately differentiated adenocarcinoma pT2N1Mx with a few metastasis in nearby lymph nodes, no other metastasis.

Should we start any preventive treatment like chemotherapy or radiation?

Thank you

 


    Discussions


    Dr. Mohamed Omar

    According to the general condition the cardiac condition is the most important as all chemo therapy is cardio-toxic

    16.Aug, 01:50pm

    Dr. Albana Greca

    Thank you Dr.Mohamed

    Previous cardio stent 5 years ago, general condition is ok.
    Should we proceed or just regular follow up?

    Thank you again for your input.


    16.Aug, 01:53pm

    Dr. Mohamed Omar

    What about the liver condition and chronic disease?! DM HTN ?!

    16.Aug, 01:55pm

    Dr. Albana Greca

    Hello

    No diabetes, liver fine, on medication for HTN only: diuretic and ARB.

    Thanks

    16.Aug, 01:58pm

    Dr. Mohamed Omar

    You can start treatment with very close follow up to the cardiac and liver function. If any indication of liver or cardiac affection you will stop and do a close follow.

    16.Aug, 02:00pm

    Dr. Albana Greca

    Thank you very much.

    Have a nice day.

    Dr.Albana

    ▲ 1
    16.Aug, 02:01pm

    Dr. Vinod Kumar Goyal
    Ayurveda Specialist

    Hello
    I am expert in cancers and provide medicine for that. it will be better if u take my cancer course for 4-6 months, then u may not need any other therapy.
    u should take my help

    25.Aug, 09:25pm

    Dr. Mohammed Osman

    Thanks
    Yes, basically, your patient requires adjuvant chemotherapy for stage III Sigmoid colon cancer based on a clinical trial results. Chemotherapy arm patients did better in terms of OS, RFS.
    But, you need to weigh the benefits and drawbacks of chemotherapy to fit with your patient's performance state, energy level, cognitive level and nutritional state.

    10.Sep, 08:59pm



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