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Diagnosis for following ct scan report.? Patient have both prostrate and duodenal cancer . Severity of cancer.is it spreaded ?

Category: Family Physician-GP

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Dr. Deepu Sebin Sebastian is online now

Expert:  Dr. Deepu Sebin Sebastian replied 4 Days.

Hello. Thanks for posting your query at Doctorspring.com
I have gone through your reports and understand your concern.
Based on the prostate findings, it is evident that the patient has prostatic carcinoma, which has probably spread on to the seminal vesicles, but has not infiltrated the fat planes. Hence there is no metastasis.
The finding for duodenum is not consistent with carcinoma, it mostly points towards an ulcer, discontinuity in the lining of the duodenum.
There is a hemangioma in the liver. This will need an consult with Gastroenterologist, regarding its management.
For the prostate, it is better that prostatectomy is done and orchidectomy ( removal of testes ) might be required. Kindly consult a general surgeon regarding the further management. The good thing is that the cancer has not spread, and it can still be managed without any further damage.
Hope this is helpful,

Patient replied :

It spread to seminal vesicles . Hw severe is that for the patient. And wht are the furthur complications in this case

Expert:  Dr. Deepu Sebin Sebastian replied 3 Days.

Hello. Thank you for writing to us again.
It can't be confirmed that it has spread to the vesicles, however it seems like that from his CT SCAN reports. The good part is that his gleason score is 5, and statistics show that with a gleason score of 5, around 70 % of the men will have survival for the next 10 years. I will advise you to consult your general surgeon and discuss the possibilities of Radical Prostatectomy. With Radical Prostatectomy, there is 90 % survival rate after 10 years of being diagnosed with Prostate CA.
Hope this is helpful.

Patient replied :

Hw can we confirm that it spread to seminal vesicle or not? Wht abt haemangioma of liver? Is this case is severe. Patient may have any problrms?

Expert:  Dr. Deepu Sebin Sebastian replied 2 Days.

Hello. Thank you for writing to us again.
A seminal vesicle biosy can be taken and it will reveal if the cancer has actually spread to the vesicles. Hemangioma of the liver is a non cancerous tumor and it does not need any treatment if it asymptomatic. Mostly it is an incidental finding, hence you should not be worried about the hemangioma.
Hope this is helpful,

Dr. Deepu Sebin Sebastian
Category: Select Speciality
MD, Internal Medicine - Stanley Medical School
Medical School - MBBS - Govt. Medical College, Kottyaam

Diagnostic Prediction - Stanford School of Medicine
Received Specialty training in Critical Care, Cardiology, Neurology, Gastroenterology, Nephrology from Stanley Medical College and in Endocrinology, Rheumatology.

Hematology and Geriatrics from Madras Medical College.
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