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Tag: metastases germany

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Multiple adenocarcinoma

Diagnosis and treatment in Munich

Diagnosis and treatment of oncological diseases in Munich

Question:

Please consider the possibility of treatment / extending the life of comfort for my brother.

Oncology Clinic in Belarus diagnoses (by a consultation) Generalized form of cancer (adenocarcinoma) with no established primary focus with the defeat of the skeleton and bone marrow, the development of DIC.

Diagnosis: Secondary malignant neoplasm of bone and bone marrow (S79.5).

Multiple mts adenocarcinoma in bones of the skeleton of an unknown primary tumor. State after trephine biopsy of the tumor left iliac region (22.03.2013g.). Chronic DIC. Progressive liver-kidney failure.

TNM: Tx Nx M1 stage IV

These morphological studies:

Adenocarcinoma NOS [8140/3]

cell tumor (most likely adenocarcinoma)

Metastases: regional – not found

remote – in the bones

19/03/2013 Analyses:

Blood for tumor markers: CEA> 1000 ng / ml, CA19-9> 1000 kg / ml ACE 2,08 ME / ml PSA total. 0.55 ng / ml

Coagulation:

APTT: 32.3 sec

Fibrinogen 1.6 g / l

Thrombin time: 21.2 seconds

Large bruises all over his body.

In its current state: morphine analgesia 4 p / day. In the mind.

Please advise whether it is possible hospitalization and emergency treatment options for the patient.

P.S. There is a history of the disease in the pdf in Russian.

 

Answare:

We are ready at any time convenient for you to organize a consultation with our professors and if necessary treatment at the clinic.
To concretize the treatment of adenocarcinoma of the proposals, please provide us with the following information:
- A copy of the first page of your passport (for authorization).
- Case history and all the results of this research, etc.
- The date of the desired arrival.

Payment for medical care you will make doctors and hospitals directly.

 

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  Diagnostic, Оncology

Of the abdomen

Diagnosis and treatment in Munich

Diagnosis and treatment of cancer in Munich

LIVER: Location – in the right upper quadrant.
Form-variant of the norm.
The contours are smooth, clear.
The capsule is not changed.
Dimensions are not changed: the right lobe of the thickness of 129 mm (normal, 120-125 mm), left lobe – the thickness of 76 mm (normal 50-60 mm)
The structure of the parenchyma diffuse-not homogeneous.
Echogenicity, increased vascular drawing is saved.
Gate Vienna anehogennoe visualized as a tubular structure is not expanded, with a diameter of 10 mm (normal up to 13 mm). The hepatic veins are dilated. Lower hollow Vienna diameter of 19 mm. Choledoch – 5 mm (normal up to 6 mm) at the gate of the liver. Intrahepatic bile ducts are not dilated Volumetric structures have been identified.

Recommendation: run diagnostics in Germany.

GALLBLADDER: Location – the usual.
The form has not changed. The contours are smooth, clear.
Dimensions are not changed: dlinnik-78 mm (normal range 60-100 mm) diameter, 22 mm (standard 30 mm), cavity – free, anehogennoe content.
Stones, structures have been identified.
Not thickened walls (norm to 3 mm).
Echogenicity of the wall – the average.
The structure of the wall – homogeneous.
Choledoch not extended, pass all over.

Recommendation: spend a treatment in Germany.

Pancreas: Location typical. The contours are smooth, clear.
Form-variant of the norm.
Dimensions are not changed: a head-23mm (normal up to 11-30 mm), the body is 18 mm (normal 4-21 mm), tail 22 mm (normal, 7-28 mm).
The structure of the parenchyma – diffuse uniform, medium-grained.
Increased echogenicity
Virsungov duct is not extended straightforward.
Space-occupying lesions were found.
In the omental bursa hypoechoic structure 53 * 46 mm round shape, with a clear smooth contour.

Recommendation: the treatment of cancer in Munich.

Spleen Location typical.
Form-variant of the norm.
The contours are smooth, clear. The capsule is not changed.
Dimensions: length 115 mm (normal up to 120 mm), width of 46 mm (normal up to 80 mm), homogeneous parenchyma. Mixed echogenicity
The splenic Vienna is not extended. At the gate of the spleen two hypoechoic rounded education with an irregular outline, poor blood flow in the DRC 30 and 49 mm.
The upper pole hypoechoic structure 14 and 8 mm in the middle third 46 mm on the lower pole 41 mm. Space-occupying lesions were found.
Free fluid in the abdominal cavity were found.

Recommendation: treatment in Munich.

CONCLUSION: diffuse changes of the liver and pancreas moderate severity. Education in the gate spleen , education packing bags . metastatic lesion spleen .

Recommendation: go through the diagnostics in Munich.

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