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This is Dr. David
where is the stage 4a adenocarcinoma?
of the uterus or colon?
where in the UK are you?
it it at the junction of the oesophagus and the stomach and I live in Sunderland
has the cancer metastasized to the lungs or liver or elsewhere in the body?
how old is the patient?
royal marsden is the best cancer hospital in London.
The patient is 59 years old and the tumor is T4 N2 M0 at present.
are they willing to go to royal marsden cancer center in london?
They are willing to travel anywhere in the uk if there is a chance of surgery as the RVI has ruled out the possibility of surgery and is only offering palliative chemotherapy.
I would ask for a referral to see a surgical oncologist at royal marsden.
thank you for this. any idea how long this would take and whether they would be likely to willing to try operating?
it would depend on the surgeon and the patient and the whole situation.
I have not been able to see your scan results.
you can try to contact them directly as well.
Thank you for the frank and helpful suggestions Dr David I am grateful. I will speak to my GP about a referral.