媽咪發現膀胱癌有腫瘤,但今日醫生話係轉移癌

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1128 Like 23 Dislike
2022-10-22 13:25:45
駁唔到就捉字蝨
2022-10-22 13:37:08
我可以俾私家醫院照pet Ct既轉介信你睇,化療單既日期都可以,你無知唔緊要,但唔好show俾人睇,如果組織化驗冇任何結果又去搵其他科抽組織去驗?

可能你冇經驗唔知,下次自己試吓好快明
2022-10-22 15:26:02
你好,這是《自殺.自療.互助舍》。

自小和媽媽相處,你都十分擔心媽媽的情況,
想起媽媽你都好想幫佢。

邀請你進入我們的『Chat窿』www.chatpoint.org.hk
(星期一至五:下午4時至凌晨1時;星期六、日及公眾假期:晚上8時至凌晨1時)讓我們的義工同你傾下計。

我們願意聆聽你的心聲,伴你一起走過這段艱難的時候!
2022-10-22 15:31:47
其實依家PET scan基本上嚮oncology係標準配置咁滯...

咁當然,你都可以等左biopsy結果先做PET,亦都係正路。
其實個問題純粹係,PET scan呢味野,唔係specific to cancer cells,你發炎呀,甚至乎平時一d正常的腸PET scan都可以著燈。

你見到有野著左燈,咁果d究竟係咪cancer定其他野就好睇個radiologist點去判斷。你有份biopsy嚮手,都會影嚮到個radiologist點諗。
咁當然,你未抽組織就去照,見到有可疑的地方,份report咪可能話"有機會係cancer",叫你去抽組織。其實就殊途同歸一Q樣的姐。

即係PET scan呢味野,start treatment之前,大部分人都會做。
2022-10-22 15:43:45
佢今日又問我 - 個袐尿科醫生切左個腫瘤,咁咪即係冇事囉,如果响子宮搵唔到其他瘤,咁咪即係完全冇事囉?

我好似你咁講再解釋俾佢聽,同埋話就算其他地方有,就去醫囉,而家仲食得瞓得痾得,咪正常過日子,開開心心啦咁。
2022-10-22 15:44:15
都有啲唔使pet/ct就直接 plan initial treatment嘅。例如H CC,prostate adenoCA. Bone scan 搞掂。Lung adeno pet/ct 又係冇乜用。
2022-10-22 15:44:50
其實全身擴散都要systemic treatment,如果唔係可以點.....一個個位電咩﹐我理解就九成都要化療/target架啦..?

至於樓上全身increase uptake果個問題....你估個radiologist白痴架咩...
例如你腸mural thickening, hypermetabolic with multiple hypermetabolic lung nodules,你要educated guess都係腸met去肺,點會肺met.去腸....

呢d野有pattern嘛
2022-10-22 15:48:18
可以......
不過老實講,書就會話lung adeno Ca / carcinoid low uptake,但間唔中都會有呢d referral,照出來都會有d野睇。

Ca prostate可以玩PSMA
HCC 可以玩acetate。
都可以照ge。不過個醫生有信心都可以靠其他modalities,亦冇話唔可以。最緊要醫生confidence。的確冇絕對。
2022-10-22 15:48:33
多謝你,希望你同你屋企人都平安。
係呀,我而家都仲响私家醫院睇緊,啱啱再book左出面另一私家醫生再聽下意見…
2022-10-22 15:56:41
Po主你老母有冇打武廢苗?
2022-10-22 15:57:19
係呀,膀胱嗰舊腫瘤已經拎左出來,而家媽咪都出左院,行得走得。

不過,因為個病理報告話個癌細胞唔係响個膀胱原發,可能係婦科,咁我理解到就係個癌已經擴散左佢先會去到膀胱。

咁其實之前做既膀胱瘤移除手術係咪會加速左再擴散架呢?擴散左係咪唔適合做手術…
2022-10-22 15:57:53
樓主加油
2022-10-22 15:59:07
過左去的野唔好再諗了....雖然好困難。
依家最緊要快d搵返個primary嚮邊,睇下點做treatment。
2022-10-22 15:59:07
外國有大麻油, 迷幻蘑菇
2022-10-22 16:03:10
好似有掃瞄係可以掃全身
建議你去私家同你呀媽拿拿林照一照
2022-10-22 16:04:35
佢咁寫:

The urinary bladder tumour fragments feature clear cell carcinoma, diffusely infiltrating stroma and for muscularis propria. There are tubulocystic glands and short papillae, comprising polygonal and hobna with vesicular large nucleus and clear to eosinophilic cytoplasm. Mitotic figures are seen. Hyalinized
is noted in area.
Immunohis tochemistry shows that the tumour cells are diffusely positive for PAX8 and napsin A. GAT highlights some cells.
2022-10-22 16:06:01
醫生話CT睇唔到個腎有野,咁係咪都算準?
2022-10-22 16:07:58
唔知香港點啦,通常美國HCC solitary or oligo 都係 MR dx / LI-RADS然後resection or IR Y90 / tace vs systemic therapy for mutltifocal observations. Axumin / pylarify 通常都係 tx response or re staging for Prostate CA.

講開又講,met of gyn origin 而 occult primary 都唔少…
2022-10-22 16:09:05
你都頂住呀,你屋企人咩癌呀?
2022-10-22 16:10:44
多謝你地响呢度俾我放負
2022-10-22 16:12:29
呢度好多高手!份病理報告咁寫:
佢咁寫:

The urinary bladder tumour fragments feature clear cell carcinoma, diffusely infiltrating stroma and for muscularis propria. There are tubulocystic glands and short papillae, comprising polygonal and hobna with vesicular large nucleus and clear to eosinophilic cytoplasm. Mitotic figures are seen. Hyalinized
is noted in area.
Immunohis tochemistry shows that the tumour cells are diffusely positive for PAX8 and napsin A. GAT highlights some cells.
2022-10-22 16:13:34
我諗都係睇個別醫生。有信心咪得。
你CT都可以掃曬全身,anatomically 見到冇野,有信心個結論係冇met.到就可以去treatment。查實都問題唔大。

PET純粹做個N同M staging咁解的姐....


occult primary 唔出奇架,做到幾多得幾多,儘量investigate 的姐
2022-10-22 16:13:57
後事應該咩時候問先好….
2022-10-22 16:16:50
多謝你,希望你地而家都平安。
佢唔鍾意榨汁呢d,又話寒涼,所以我而家係煲湯俾佢,椰菜洋蔥紅蘿蔔蕃茄呢d蔬菜湯加d薑
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