How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Charogat Your Own Question

Dr. Charogat
Dr. Charogat, Doctor
Category: Medical
Satisfied Customers: 1802
Experience:  Licensed in both NYS and NJ with experience in surgery and medicine.
16403115
Type Your Medical Question Here...
Dr. Charogat is online now

Is a aortocaval node near the peritonium?

Resolved Question:

Is a aortocaval node near the peritonium?
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Charogat replied 1 year ago.
Dr. Charogat :

Hi, and thank you for coming here with your question.

Dr. Charogat :

The aortocaval node is in the chest, while the peritonium is in the abdomen,

Dr. Charogat :

Thus, they are not near each other.

Dr. Charogat :

G-d Bless

Customer:

Im

Customer:

Km

Customer:

Confussed as my dad had stage 3 colon can but recent San shows few mets ,

Customer:

The ct report does note mention peritoneal disease but the oncologist in letter statea possible peritonial disease . Confussed . Would a rafiologist miss such a thing ?

Customer:

Mets are--1 liver met, 1 sub pleural met , 1 aortocaval node met

Dr. Charogat :

I'm sorry to hear about your father. I hope they are able to cure him.

Dr. Charogat :

The size of the mets can be smaller than can be seen on CT.

Dr. Charogat :

The fact that there is a liver met means that it has spread in the abdomen and that would lead to a possibility of peritoneal disease.

Dr. Charogat :

The sub-pleural and aortocaval mets may be near each other.

Dr. Charogat :

Does this help?

Customer:

i see. Is it advisable to have chemo? My father is having nano knife done for thses mets ?

Dr. Charogat :

Chemo is often used for patients with stage three.

Dr. Charogat :

Some of the decisions are made based on the genetic markers of the particular tumor.

Customer:

His I stage 4 as he has mets right. ?

Dr. Charogat :

I'm not sure what you mean?

Dr. Charogat :

What is an "I stage"?

Dr. Charogat :

Are you asking what stage he has? I answered about 3 because that was what you started your question with, but having remote mets does make it stage 4

Dr. Charogat :

For stage 4 there is a debate as to the best treatment, but chemotherapy is used instead of surgery.

Customer:

What is survival like ?

Dr. Charogat :

This is a question that I don't think doctors ever have a right to answer, as it puts extra pressure on the patients and even more so on the family members. It becomes a matter of waiting to die instead of continuing to live.

Dr. Charogat :

Generally the 5 year survival rate is under 25%, BUT, that means that there ARE MANY people who DO live beyond 5 years.

Dr. Charogat :

One other thing that has been studied repeatedly and proved over and over is that attitude is everything, and if a patient expects to live s/he usually lives longer than one who doesn't.

Dr. Charogat :

Hi. I see you've returned to the chat.

Dr. Charogat :

Do you have further questions?

Customer:

U are so right . First dr I've com across that made sense . That's exactly what I'm doing thinking of death ! Thanks so much for the advice.

Dr. Charogat :

Please let me know if there is anything else I can help with.

Dr. Charogat :

I'll have your family in my prayers for sure!

Customer:

So far there are. 3 small mets , he's hsving ablation done. And prob chemo after . Would this give him long survival with ablation ?

Dr. Charogat :

Ablation is done to try and get control of the disease. Get rid of these mets and treat so no more will come.

Dr. Charogat :

Treating them and follow up with chemo certainly can have a positive affect on his outcome.

Customer:

thx

Dr. Charogat, Doctor
Category: Medical
Satisfied Customers: 1802
Experience: Licensed in both NYS and NJ with experience in surgery and medicine.
Dr. Charogat and 2 other Medical Specialists are ready to help you

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions