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Dr. SH
Dr. SH, Board Certified Physician
Category: Medical
Satisfied Customers: 8753
Experience:  Doctor of Medicine
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Can I spk to some one re blood test

Customer Question

Can I spk to some one re blood test
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. SH replied 2 years ago.
Dr. Shahzad MD :

Hi there. Thank you for your question. I will be helping you out with your queries

Dr. Shahzad MD :

Yes, what do you want to talk about?

Dr. Shahzad MD :

Please let me know.

Dr. Shahzad MD :

Please send details of blood test.

Dr. Shahzad MD :

Thank you.

Customer :

Wel father had surgery bowel cancer in march . Was dukes c1. No distant spread .scan in april

Customer :

Scan in april

Customer :

Was clear. Recent pet showed a liver met 16 mm with SUV of 5.2 and I met In aortocaval node .

Customer :

Cea blood was -

Customer :

Sept 9.8, oct 8, dec 9. He started folfiri 4 weeks ago

Customer :

Has had 2 cycles

Customer :

So far

Dr. Shahzad MD :

ok

Customer :

But cea has not dropped ?

Dr. Shahzad MD :

But it has not risen as well.

Dr. Shahzad MD :

Its pretty stable

Dr. Shahzad MD :

So as long as the other tests like a CT scan or PET scan are okay I would not worry

Dr. Shahzad MD :

Has he had a PET scan?

Customer :

ok. But if chemo working would it not decease?

Customer :

Had 2 cycles

Dr. Shahzad MD :

ok

Dr. Shahzad MD :

but only CEA should not be the factor determining everything.

Dr. Shahzad MD :

it is only one consideration.

Dr. Shahzad MD :

Other tests, particularly a PET/CT would give us a lot of information on the spread of cancer to other parts of the body.

Customer :

Pet was only done on October which showed the 2 things . They said will scan in jan. But from ur knowledge cea should

Customer :

Decease right ?

Dr. Shahzad MD :

Yes it usually does decrease with therapy.

Dr. Shahzad MD :

You are right.

Dr. Shahzad MD :

But, since it is not increasing, that is also not too bad.

Customer :

Ahouls

Customer :

Should it start to decease after 2 cycles?

Customer :

Im concerend chemomnot

Customer :

I'm concerned chwmo

Dr. Shahzad MD :

Yes it could decrease after the two cycles.

Customer :

I'm concerned chemo not working

Dr. Shahzad MD :

well, we cannot be sure at the moment.

Dr. Shahzad MD :

It may not be working as we expect it to work.

Customer :

The one he having is folfiri . How effective is that. ?

Dr. Shahzad MD :

It is very effective

Customer :

He did not have too much wide spread . Was I liver met and 1 node so jm

Customer :

So im surprised

Dr. Shahzad MD :

I understand

Dr. Shahzad MD :

CEA should be continuously monitored as it is being done already.

Customer :

So does this indicate more mets ?

Dr. Shahzad MD :

no

Dr. Shahzad MD :

does not indicate more mets

Dr. Shahzad MD :

if there were more mets the CEA would rise further

Customer :

But why has it not dropped? What does folfiri actually do ?

Dr. Shahzad MD :

So respond really well whereas others may not respond as well.

Dr. Shahzad MD :

Folfiri is a combination of various chemotherapy medications that have various mechanisms.

Dr. Shahzad MD :

Some** respond really well whereas others may not respond as well.

Customer :

wat prognosis like for a single liver met and 1 met in the aortocaval node ?

Dr. Shahzad MD :

There is a liver mets and mets to the aortocaval node.

Dr. Shahzad MD :

So the prognosis is not excellent

Dr. Shahzad MD :

Because any metastasis means stage 4 cancer.

Dr. Shahzad MD :

Anymore questions/

Dr. Shahzad MD :

?

Customer :

I met in the node and 1 liver yes.

Customer :

Approx are we talking years ? But can chemo kill

Customer :

Them both ?

Dr. Shahzad MD :

We cannot say for sure.

Dr. Shahzad MD :

But the chances of long-term survival are not great

Dr. Shahzad MD :

Yes years

Dr. Shahzad MD :

15-20% chances of 5 year survival

Dr. Shahzad MD :

anymore questions?

Customer :

More than 3,5?

Customer :

I'm am confussed that the April scan was clear but the sept dvam

Dr. Shahzad MD :

I understand your frustration

Dr. Shahzad MD :

But there is a metastasis to the liver

Dr. Shahzad MD :

which does not make the outlook really great

Customer :

Pn

Customer :

On folfiri can more mets appear or unlikely ?

Dr. Shahzad MD :

Mets can appear but this medication will reduce the mets that are already present and reduce the chances of new ones.

Customer :

as it's 1 small one only can it not just be gotten rid of?

Customer :

And both where picked up

Customer :

And both were picked early does that make a difference ?

Dr. Shahzad MD :

Yes it does make a difference which is why I mentioned the survival up to 20%

Dr. Shahzad MD :

I mean for 5 years

Dr. Shahzad MD :

If it were multiple mets the survival in 5 years is less than 10%

Dr. Shahzad MD :

Anymore questions?

Customer :

so

Customer :

So do you say def above 3 years ?

Dr. Shahzad MD :

There is no saying that for sure

Dr. Shahzad MD :

we cannot be sure

Dr. Shahzad MD :

Let me know if you have any further questions.
I would appreciate it if you rate me for my services when you are done asking.
Kindest regards

Customer :

what does it depend on ?

Expert:  Dr. SH replied 2 years ago.

Our chat has ended, but you can still continue to ask me questions here until you are satisfied with your answer. Come back to this page to view our conversation and any other new information.

What happens now?

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Customer: replied 2 years ago.

What does prognosis depend on?

Expert:  Dr. SH replied 2 years ago.
Can you please rate one of my answers before I proceed in answering your further queries.
I would appreciate that.
Dr. SH, Board Certified Physician
Category: Medical
Satisfied Customers: 8753
Experience: Doctor of Medicine
Dr. SH and 3 other Medical Specialists are ready to help you
Customer: replied 2 years ago.

What does prognosis depend on ?

Expert:  Dr. SH replied 2 years ago.
Prognosis depends on the stage.
With metastasis this is stage IV.
Even if there is a single small metastasis in the liver even then it is stage IV.
I have mentioned the chances of survival for his stage.

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