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TheGermDoctor, Doctor
Category: Oncology
Satisfied Customers: 1753
Experience:  17 years as a physician, Board Certified in both Internal Medicine and Infectious Diseases
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Is aortocaval node same as retrotperitonial lymphadathy?

Customer Question

Is aortocaval node same as retrotperitonial lymphadathy?
Submitted: 3 years ago.
Category: Oncology
Expert:  TheGermDoctor replied 3 years 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 3 years 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 3 years 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 3 years ago.

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

Expert:  TheGermDoctor replied 3 years 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 3 years 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 3 years 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.