| Discussion in 'All Categories' started by Dr. Tahssein - Jun 19th, 2011 4:48 am. | |
Dr. Tahssein
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Hello, Doctor I am Dr. Tahssein from Iraq ,i send massage to you before few days about the condition of my mother 57 years old ,she do gamma knife surgry for acoustic neuroma in left ear before 6 months in India,in this hospital go to gynecologist that diagnosed bulky uterus (report 1 involve vaginal u/s exam,in the last months she suffering from vaginal bleeding &discharge with pelvic pain she go to her gynecologist that doing endometrial biopsy which refer to squamous cell carcinoma,then for more investigation doing MRI for pelvis you can see this film that attached her in this massage. Now Dr. please your opinion about this case after see MRI film according to these data answer the following : 1-which therapy is indicated hysterectomy with radiotherapy ? 2- any invasive surgery like tomography or other radiotherapy are fever able than hysterectomy ? 3-what is the complication of each surgery & which one is benefit with less side effects ? 4- what is the cost of treatment & the percentage of healing ? NOTE doctor I am very sorry to tired you..please doctor open the compress file then follow the following notes to open this folder 1-open DICOMDIR then open (PmsDView) then from this program click file-open ,this will open window 2-by this window search about folder (DICOM) 3-click open from this window ,all pictures will be appear ,then select all by ctrl+A ,then click open this will open all pictures in this program MRI PELVIS.zip 100.5 MB Your file(s) will expire in 30 days |
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re: squamous cell carcinoma
by Dr Sadhana -
Jun 19th, 2011
5:04 am
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Dr Sadhana
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Dear Dr. Tahssein Initial phases may be treatable with radical hysterectomy with removal of the lymph nodes or radiotherapy. Radiotherapy is offered as external beam radiotherapy towards the pelvis and brachytherapy (internal radiation). Patients treated with surgery who have high risk features found on pathological examination receive radiation therapy with or without chemotherapy in order to lessen the risk of relapse. Larger early stage tumors might be given radiation therapy and cisplatin-based chemotherapy, hysterectomy (which then usually requires adjuvant radiotherapy), or cisplatin chemotherapy then hysterectomy. Prognosis depends upon the stage of the cancer. With treatment, the 5-year relative survival rate for that earliest stage of invasive cervical cancer is 92 percent, and the overall 5-year survival rate is about 72 percent. These statistics might be improved when applied to women newly diagnosed, bearing in mind these outcomes may be partly in line with the state of treatment five years ago when the women studied were first diagnosed. With treatment, 80 to 90 percent of ladies with stage I cancer and 50 to 65 percent of these with stage II cancer are alive Five years after diagnosis. Only 25 to 35 percent of ladies with stage III cancer and 15 percent or fewer of those with stage IV cancer are alive after 5 years. Based on the International Federation of Gynecology and Obstetrics, survival improves when radiotherapy is combined with cisplatin-based chemotherapy. As the cancer metastasizes to other areas of the body, prognosis drops dramatically because treatment of local lesions is usually more efficient than whole body treatments such as chemotherapy. Interval evaluation from the patient after treatments are imperative. Recurrent cervical cancer detected at its earliest stages may be successfully given surgery, radiation, chemotherapy, or perhaps a combination of the three. Thirty-five percent of patients with invasive cervical cancer have persistent or recurrent disease after treatment. At our hospital the cost of surgery would be 2,50,000 rupees as complete package. With regards Sadhana |
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