Doctor insights on:
Short answer: No: Most often if a malignant mass presses on the ductal system of liver or panc. (see picture), it can cause abn. blood enzymes. If the mass is small and ducts drain, routine enzymes are usually normal. Gilbert Syndrome, a genetic abn. of up to 7% of folks, has the significance like your fingerprints, and is discussed nicely in: http://ghr.nlm.nih.gov/condition/gilbert-syndrome ...Read more
Abdominal organ. It is digestive organ: it secretes enzymes into the small bowel which break down food and help its absorption. It is also an endocrine organ: it produces hormones involved in sugar control and control of digestion. Insulin is one of these hormones. Diabetics either lack Insulin (type 1 diabetes) or have inadequate ...Read more
Pancreatic cancer. Whipple. Chemo 7 months. Tumors in pancreas and liver. Recent blood clot. Pain. New intestinal blockage. Is my body shutting down?
Difficult disease: Some blockages are due to scar tissue inside the abdomen (called adhesions), and other blockages are due to cancer growth. A CT scan may be able to tell the difference between the 2. If the blockage is cancer-related, then it may be time to think about a different chemotherapy regimen. But if it's just adhensions, then sometimes an operation helps. Talk to your doctor to investigate further ...Read moreSee 1 more doctor answer
U.S results extrahepatic bile duct 0.5cm . Echogenic liver consist with fatty changes , an echogenic pancreas consist fatty infiltration ? Help
Are pancreatic enzymes (amylase and lipase) always elevated if pancreatic cancer is present?? What about insulin blood level?
A friend w/ advanced pancreatic cancer. Chemo helped. Tumors in pancreas & liver. Intrathecal pump. Digestion problems. Released to go home. Hospice?
How's liver disease found? Pain under right rib. US, CTscan, HIDA, colonoscopy, endoscopy all normal. Tbili 1.5, Dbili 0.2, rest normal. Is it liver?
No: Indirect bilirubin is a bit up but you probably have Gilbert's or mild hemolysis; your meds don't suggest drug cholestasis and I'd consider liver disease ruled out as the cause of your discomfort as long as the imaging folks can rule out biliary sludge. Some physicians believe that gallbladders can have abnormal movements and produce cramps, or you may never find the cause. ...Read more
Result cect: mass lesion head of pancreas with biliary and pancreatic duct dilatation(malignant mass)
patient age 75
what should we do next?
Your doctors: Your doctors can give you much better advice than you can get on the internet. ...Read more
Cure varies: Beyond the obvious differences in organ and cell type as well as the various treatment approaches, the most important patient difference is really the chance at cure. Early stage prostate and renal cell (kidney) cancers can be very curable. Even really early stage pancreatic cancers can be quite deadly. ...Read moreSee 1 more doctor answer
Help..Us results..Extrahepatic bile duct 0.5cm, echogenic liver consistent with fatty changes, a echogenic pancreas consist with fatty infiltration ?
Liver metatases from gist. Resting after embolisation of bleeding artery to liver tumour. Weak n tired. This morning yellowish loose stool. Verdict ?
Normal: Depending on the amount of liver embolized, you may have varying degrees of pain, fever and fatigue. I assume that your gist was typed for the marker "c-kit". Gleevec (imatinib mesylate) is approved for adult patients after surgery to remove c-kit (cd117)–positive gist. It is worth trying to see if the tumor responds to Gleevec in most cases of gist - see your oncologist. ...Read more
Pancreatic cancer?I had a pancreatic protocol ct/hida/liver, pancreas, CBC blood test/stool test/colonoscopy.All perfect.I still have light/yellow stool
Stop worrying: You have nothing to worry about except that fact that you are still a smoker, which i hope you'll stop. If everybody with light-colored stools consumed health-care dollars searching for pancreatic cancer, it'd be a huge waste. Evidently you're not even jaundiced. Please stop reading internet scare stuff, look for another cause of your abdominal pain ; stop reading internet scare stuff. ...Read more
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Liver metastses from crc. Bilirubin rising . Now at 85. Other LFT"s normal . Will this now damage the liver / fail the liver ?
Liver metastasis: This is really a question for the oncologists and GI doctors, but liver metastasis and system wide cancer like this is a terminal diagnosis. With rising biliruben, the cancer has almost certainly obstructed the drainage architecture. The next step will be rising AST, ALT and GGT and yes ultimately liver failure. There may be ascites (fluid in the peritoneum)as well. I'm very very sorry. ...Read moreSee 1 more doctor answer
Normal abd sono, hida scan with ejection fracture of 46% lots of middle back pain, sick after greasy or fried good, would this qualify for lab chole?
May be: If this has been going on for a long time and all medical treatment failed, it think it is consideration, . I had many patientswith this same senario and i did lap chole, some path reports came normal but the patient was symptom free. Other path reports came with cholosterosis, or tiny stones. ...Read more
Elevated lipase on test for h pylori for duodenal ulcer. Doc ordered CT on concerns of my general mild back pain. Fearful of pancreatic cancer. 34m?
Pancreatic cancer, ampullary tumor. Whipple procedure. Spread to liver, not respectable. Chemo for 6 months and continuing. Prognosis?
Poor: While Whipple is the best approach for a primary pancreatic or ampullary lesion, the recurrence rate at 1-2 yrs is 90%. Chemo either of the FOLFIERI or Genciabine /Abraxane combo have limited effects on liver mets which in pancreas are not considered amenable to resection. There is an FDA protocol using specific monoclonals targeting pancreas that might be available but only after chemo failure ...Read more
Upper abdom pain extends to back. us & ct with contrast normal. Liver and pancreas fine. Really worried about pancreatic cancer. Ct scan reassuring?
Epigastric pain, back and upper right quad pain for 6 weeks. Pancreas ct scan with contrast normal. worried about pancreatic cancer. Ct reassuring ?
Be strong, KanabarT: Again, please forgive my frankness. You have written perhaps a dozen times describing a variety of events that are typical of the last stages of metastatic colorectal cancer. There is no predicting the time of death, which may be weeks away, but with rising kidney function tests, thrombocytopenia, and dehydration, perhaps it is time to have a frank talk with the physician about comfort measures. ...Read moreSee 2 more doctor answers
ALT reading -50
ALP reading -140
Is this suggestive of liver failing
Metastic colon cancer ?
Liver function: The enzymes (ALP & ALT) are indicative of only mild liver dysfunction. The rising bili suggests that some degree of bile obstruction may be occurring. This could be due to the mechanical obstruction of small ducts by metastatic disease. But the liver has a large degree of reserve capacity, so full liver failure is unlikely to be final cause of death even with very bulky mets. ...Read moreSee 1 more doctor answer