HomeAnswersSurgical Oncologyhepatocellular carcinomaMy father's CT scan reports suggests a hepatic mass in the left lobe. Is it cancer?

What is the treatment for the reduced food intake and vomiting in my 79-year-old father?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Arvind Guru

Medically reviewed by

iCliniq medical review team

Published At June 29, 2022
Reviewed AtOctober 27, 2022

Patient's Query

Hello doctor,

I am writing this query for my father, who is 79 years old. He was healthy and had no major health issues other than grade II prostatomegaly, and he has been using the medicine Veltam 0.4 daily once. From seven months, he was suffering from frequent constipation and thus reduced his food intake. A few days later, we insisted him to consult with our family doctor. After consulting, our doctor suggested going with an ultrasound scan. The report impression is a bilateral renal cortical cyst, grade II prostatomegaly. PVR was nil. No dilated or thickened bowels mass was seen, and no free fluid in the peritoneal cavity. After studying this report, the doctor advised going with CT scan. CT scan report impression; bilateral renal cysts seen, cystitis changes, prostatomegaly, dilated ascending colon, and transverse colon seen. No obvious significant wall thickening was seen. After studying the CT report, he suggested consulting with a gastroenterologist. Despite our repeated request to meet a gastroenterologist, he refused to do so. Recently he felt abdomen pain and vomiting; then, we forced him to take it to the gastroenterologist. The doctor advised going with ultrasound, CT, and certain blood tests. The impression of hepatic mass is 11 x 6 cm seen in the left lobe, abutting the pancreas. grade II prostatomegaly, thin ascitis. CT scan reports and blood test results are attached for your perusal. Gastroenterologist suggested the finding seems to be serious; and thus consult with an oncologist.

Sir, now what should we do? What is your opinion after studying the attached reports? Is this serious? Gastroenterologist indicated my father might have to undergo surgery. Is this necessary? If so, what would be the cost?

Answered by Dr. Arvind Guru

Hi,

Welcome to icliniq.com.

I have gone through your attached documents, and it seems your respected father is suffering from hepatocellular carcinoma (or liver cancer). I am afraid that it might be a serious situation. The tumor involves nearby structures or has partly ruptured (attachment removed to protect the patient's identity). I will have to see the scans to comment on whether surgery is feasible or not. Even if it is feasible straightaway, in this age group and this situation, it might be more reasonable to opt for some tumor size-reducing therapy before surgery is planned. This can be done as a targeted therapy with or without an embolization procedure like transarterial chemoembolization (TACE). The best choice for him can be decided only after an in-person evaluation and detailed analysis of scans.

This opinion is not definitive and is only a generalized plan, greatly limited by the absence of a personal evaluation of your patient. So, visit an oncosurgeon, hepatobiliary surgeon, or a medical oncologist in person.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Arvind Guru
Dr. Arvind Guru

General Surgery

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