Thanks for your query at DoctorSpring.com
The liver biopsy is reported as lymphoma. However, bone marrow was normal. Also, the PETct report is not corroborative with the diagnosis of lymphoma, as there is no obvious lymph nodal involvement and uptake in PET scan.
The work up is in lines of lymphoma, though I cannot understand this as isolated liver involvement.
Could you ask for an independent pathology review as the investigations are not correlating?
Are you meaning to benign prostate swelling causing urine obstruction and secondary infection? I do not clearly make out what you mean by laser treatment for prostate. Kindly clarify this aspect.
In addition, if feasible, can u fly to Chennai so that I can arrange for necessary investigations and appropriate therapy as needed?
Patient replied :
As per doctor there is swelling in prostrate which is causing urine infection. They advised for TURP, however it could not be done due to his health condition. Now he has been diagnosed with liver cancer. As this is not correlating to pet ct pls advise what else I need to do to start the correct treatment. I am attaching his latest blood and urine reports
As I suggested earlier, it is a benign prostatic hyperplasia, probably if surgery is not feasible, consult an Urologist to consider tab. Finasteride for reducing the symptoms.
Regarding the liver, ask for a pathology review for confirmation of the diagnosis.