Question 1

my aunt is 60 years old. she got descendo-sigmoid non obstructing mural colonic adenocarcinoma 5 cm in length 14 mm in diameter grade 1-2 with more than 4 lns involved and no distant metastasis. whats is the suitable approach ?

Accepted Answer

Colon cancer: She should consult an oncologist and surgeon as soon as safe to do so.  Start with telephone. Whoever diagnosed this for her should be where you start and he/she can refer your aunt for definitive medical and surgical treatments.

Question 2

how does a radiologist ddx a calcified granuloma vs. a rectal adenocarcinoma lung metastasis?

Accepted Answer

Experience: A calcified granuloma is...Calcified! most metastatic nodules are not. Exceptions include mets from osteosarcoma, and mucinous adenocarcinoma of the colon. Granulomas tend not to change over time. Mets tend to grow and are usually multiple.

Question 3

how can you tell if a lung adenocarcinoma is a second primary lung cancer or a metachronous lung metastasis from a previously diagnosed and treated rectal cancer? do treatment and prognosis differ in these two scenarios?

Accepted Answer

: Biopsy of the current lung tumour will help to decide whether it is a primary lung tumour or secondary to rectal cancer. Based on the type of the cancer the treatment may vary.

Question 4

i was diagnosed with breast cancer in 2000 i had radical bilateral mastectomy chemo and radiation i had metastasis to the rib in 2006 and 2010 recent biopsy of lymph nodes on the left upper chest near my clavicle and neck showed adenocarcinoma what treatm

Accepted Answer

Chemo and/or radiati: Your case is too complicated for a simple answer.  You need to be in a cancer center where your treatment can be tailored to what your specific case requires.  Sorry i can't provide more info.

Question 5

what are the areas of infiltrative metastases for oral low-grade adenocarcinoma?

Accepted Answer

Submax region: Oral low grade adenocarcinomas are relatively rare.  Since the major portion of the oral cavity is squamous cells lining the cavity, squamous Ca is most frequently found.  The adenocarcinomas arising from glandular tissue arise from the minor salivary gland lining the cheeks  and areas like sublingual glands which when harboring malignancies, spread is to the upper cerival or submax region.

Question 6

i was wondering what are the most common areas of infiltrative metastases for oral low-grade adenocarcinoma?

Accepted Answer

Unclear: Your question is not clear to me. Please expand and explain it better. Most oral cancers spread to the upper neck lymph nodes.

Question 7

can u live with untreated brain metastasis for 5 years? please let me know?

Accepted Answer

: The median survival with untreated brain mets is estimated at months, in a study published in 2002, only about 2% of patients that received whole brain irradiation were still alive after 5 years with the median survival being 3.4 months, this is for treated patients.

Question 8

solitary brain metastasis is differential if got known primary metastasis. what does above mean? thank you!

Accepted Answer

From a report?: I believe that the wording means the following:

"Solitary brain metastasis is in the differential if got known primary--metastasis." This means: of the possible diagnoses based on what is seen on this scan, spread of cancer to one spot in the brain is a possibility. If there is a known source of cancer (such as breast or prostate) then the lesion in the brain has spread from the original cancer.

Question 9

what is the life expectancy of someone who has brain metastasis?

Accepted Answer

Varies: The short answer has always been, "six months."  obviously you can't mark a calendar with this number.

I have personally seen patients live for way longer than this, up to several years, especially with aggressive treatment (chemo, radiation).  

There is no easy answer to this question.  I would also remind you that after brain metastases, it's more about quality than quantity.  I wish you luck.

Question 10

what to expect in metastasis, lung and brain cancer?

Accepted Answer

Type of cancer?: It will depend on the type of cancer. Generally speaking, the prognosis will be worse/poor when the cancer has spread to  distant organ- compared to if the cancer still localized. However, what to expect-depend on the type of the cancer and how good overall condition of the patient. In testicular ca-it can still be cured eventhough  it is already spreading.In lung ca- median survival is 15 months.

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Doctor answers about:

Adenocarcinoma with metastasis to brain

A member asked:

My aunt is 60 years old. she got descendo-sigmoid non obstructing mural colonic adenocarcinoma 5 cm in length 14 mm in diameter grade 1-2 with more than 4 lns involved and no distant metastasis. whats is the suitable approach ?

A member asked:

How does a radiologist ddx a calcified granuloma vs. a rectal adenocarcinoma lung metastasis?

A member asked:

How can you tell if a lung adenocarcinoma is a second primary lung cancer or a metachronous lung metastasis from a previously diagnosed and treated rectal cancer? do treatment and prognosis differ in these two scenarios?

A member asked:

I was diagnosed with breast cancer in 2000 i had radical bilateral mastectomy chemo and radiation i had metastasis to the rib in 2006 and 2010 recent biopsy of lymph nodes on the left upper chest near my clavicle and neck showed adenocarcinoma what treatm

A member asked:

What are the areas of infiltrative metastases for oral low-grade adenocarcinoma?

A member asked:

I was wondering what are the most common areas of infiltrative metastases for oral low-grade adenocarcinoma?

A member asked:

Can u live with untreated brain metastasis for 5 years? please let me know?

A member asked:

Solitary brain metastasis is differential if got known primary metastasis. what does above mean? thank you!

A member asked:

What is the life expectancy of someone who has brain metastasis?

A member asked:

What to expect in metastasis, lung and brain cancer?

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