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Have the PROSTATE AND DUODENAL CANCERS spread?

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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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Category: HIV- AIDS Specialist
 22 Doctors Online

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,
Regards


Patient replied :

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


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.
Regards


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?


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,
Regards


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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