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 TheGermDoctor Your Own Question

TheGermDoctor
TheGermDoctor, Doctor
Category: Oncology
Satisfied Customers: 1685
Experience:  17 years as a physician, Board Certified in both Internal Medicine and Infectious Diseases
13956133
Type Your Oncology Question Here...
TheGermDoctor is online now

Is aortocaval node same as retrotperitonial lymphadathy?

Customer Question

Is aortocaval node same as retrotperitonial lymphadathy?
Submitted: 1 year ago.
Category: Oncology
Expert:  TheGermDoctor replied 1 year ago.
Aortocaval lymph node is the lymph nodes around the aorta and vena cava
retroperitoneal lymphadenopathy is a group of lymph nodes including mesenteric, paracolic, pararectal, etc. There are lots of nodes in the abdomen and pelvis. The aortocaval are just one area where they are located
Customer: replied 1 year ago.

I see . im confussed as a radiologist on a ct report states a new nodule on the sub pleural but does not state the size.

he does not state anythin about peritonium, but oncologist says the cancer has spread to peritonium. So confussed .

this is for a metastic colon can pt. so far has following mets:

1 liver met

1 aortocaval node

1 sub pleural node

can am the onco see something the radiologist did not ?

Expert:  TheGermDoctor replied 1 year ago.
I think I have answered this for you in another question
Just because a radiologist doesn't detail a particular thing- such as the size of the lymph node- does not mean he did not see it.
Or that it cannot be looked back later to get the information
The report is just what he transcribed- radiologists are human. Some do better, more complete reports than others.
You have retroperitoneal lymph nodes with cancer- The specific size or number frankly does not change the stage of cancer.
I suspect you are looking for a small detail that is not critical.
And you are focusing on the words of a report, which may not be as useful as the actual review by your physicians
Good luck
Please provide a rating
Customer: replied 1 year ago.

If chemo has not worked so far , would u think ablating a liver met with microwave ablation Is beneficial?

Expert:  TheGermDoctor replied 1 year ago.
If it is a single met or two only- maybe.
But if there is still disease elsewhere, as you imply, then this would not accomplish anything useful without effective chemotherapy to eradicate disease elsewhere
Good luck
Customer: replied 1 year ago.

Yes 3 mets so far if which 1 is a node .

but irinotecan as xeloda have not helped so far , does this mean chemo resistant ?

Expert:  TheGermDoctor replied 1 year ago.
You will need more systemic chemotherapy as ablation of the liver will not be curative.
If one chemo is not working I am sure there are alternatives- but specific details are best discussed with your oncologist who has all the informtaion about your specific pathology.
Good luck and please provide a rating.

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:

 
 
 
  • Dr. David

    Dr. David

    Doctor (MD)

    Satisfied Customers:

    4327
    Board Certified Oncologist
< Last | Next >
  • http://ww2.justanswer.com/uploads/CO/commissure/2015-5-14_122816_r.aniel.64x64.jpg Dr. David's Avatar

    Dr. David

    Doctor (MD)

    Satisfied Customers:

    4327
    Board Certified Oncologist
  • /img/opt/shirt.png J's Avatar

    J

    Doctor (MD)

    Satisfied Customers:

    13
    Board Certified in Medical Oncology
  • 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/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    274
    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
 
 
 

Related Oncology Questions