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Doctor insights on: Stage 4 Liver Fibrosis

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Stage 4 lung cancer with bloody stool?

Stage 4 lung  cancer with bloody  stool?

See your doctor.: Usually for stage IV lung ca, you will get chemotherapy. This can lower resistance to infection, including in the colon which could result in rectal bleeding. Rarely, lung cancer can spread to the bowel causing bleeding. See you m doctor/medical oncologist right away! ...Read more

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Dr. Creighton Wright
2 doctors shared insights

Liver (Definition)

This organ plays a major role in metabolism and has a number of functions in the body, including glycogen storage, decomposition of red blood cells, plasma protein synthesis, hormone production, and detoxification. It lies below the diaphragm in the abdominal-pelvic region of the abdomen. It produces bile, an alkaline compound which aids in digestion via the emulsification of ...Read more


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End stage liver disease, what is the prognosis?

End stage liver disease, what is the prognosis?

Not good.: When a liver with cirrhosis is having trouble doing it's job, it's called end-stage liver disease. This means that the liver is beginning to fail. Generally, patient in this setting will die or need transplant within a few years. Having cirrhosis, however, is not the same as end stage liver disease. Only when the liver starts to fail do we call it end stage. ...Read more

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Can stage 1a endometrial cancer (removed) spread to mediastinal, bilateral hilar and virchow's node w/o infiltrating another organ?

Can stage 1a endometrial cancer (removed) spread to mediastinal, bilateral hilar and virchow's node w/o infiltrating another organ?

Yes but: It could possibly spread to local lymph node but the chances are very low. The lymph nodes that are in thoracic cavity are even less likely to contain metastatic tumor from a stage 1a endometrial cancer, especially if it's a garden variety low grade lesion. In fact, long term survival is very good, like 95%. The other 5% may represent very high grade tumors. ...Read more

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What does stage 3 breast cancer mean?

What does stage 3 breast cancer mean?

Advanced: Breast cancer survival is correlated with it's stage, which is predominantly based on the cancer size, it's growth, and lymph node involvement. Stage 3 means that the cancer has grown into the chest wall or skin and/or multiple lymph nodes (including areas outside the armpit) are involved. These are all signs that chemotherapy is needed for potential cure. ...Read more

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What are the symptoms of stage 4 cirrhosis of the liver?

What are the symptoms of stage 4 cirrhosis of the liver?

Depends: Stage 4 is a histological (microscopic) term that denotes the presence of established cirrhosis in the liver. Cirrhosis itself may be asymptomatic or may develop symptoms of liver failure, such as jaundice, ascites, bleeding or encephalopathy, among others. ...Read more

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Prognosis for 3 pancreatic ampullary cancer tumors. 1 removed with whipple. Chemo 7months helped 1 shrink & 1 disappear. Liver lesions shrank. ?

Prognosis for 3 pancreatic ampullary cancer tumors. 1 removed with whipple. Chemo 7months helped 1 shrink & 1 disappear. Liver lesions shrank. ?

It depends: Prognosis for Pancreatic Cancer is typically quite poor. But in some patients(5-10%) the tumor can be completely controlled but 90+ percent do tend to get into trouble in one to two years after Surgery. Are you currently free of any visible Cancer in your abdomen? Tell us the details of your recent test results...do they show any tumors or have these been completely controlled??? ...Read more

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Last yr CT scan n yesterday abd ultrasound shows diffuse hepatocellular disease in liver. Prognosis, treatment, further testing? Crohns patient

Last yr CT scan n yesterday abd ultrasound shows diffuse hepatocellular disease in liver. Prognosis, treatment, further testing? Crohns patient

Crohn's complication: Many Crohn's complications. Granulomatous hepatitis (non infectious) And Amyloidosis of liver two rare but known problems. Please see your gastroenterology specialist soon. This could be due to some drug as well, such as sulfasalazine. Check Alkaline Phosphatase levels. ...Read more

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Alt elevated (76, 63) after 2 blood tests and increased parenchymal echogenicity on us. Nafld or nash?

Alt elevated (76, 63) after 2 blood tests and increased parenchymal echogenicity on us. Nafld or nash?

Continue workup: Now would be a great time to get really into aerobic fitness -- this is likely to reverse nash / nafld. You'll get checked for hepatitis c, wilson's, hemochromatosis, autoimmune hepatitis and a few others. Trust you're not taking meds or that they have been ruled out as causing the problems. ...Read more

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Advance liver cancer,liver size 21cm no obstructed bile ducts,bilirubin 10.81,mild ascites.what treatment would work now?Is chemo still an option?

Advance liver cancer,liver size 21cm no obstructed bile ducts,bilirubin 10.81,mild ascites.what treatment would work now?Is chemo still an option?

Liver cancer: Advance liver cancer,liver size 21cm no obstructed bile ducts,bilirubin 10.81,mild ascites.what treatment would work now?Is chemo still an option? ANS: Please discuss with your Dr. We cannot give good advice without seeing you. ...Read more

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Can a person live two year that has stage 4 kidney cancer without treatment?

Can a person live two year that has stage 4 kidney cancer without treatment?

Maybe: This is longer than one would expect, however essentially nothing is truly "impossible." but this would be an outlier, longer than expected. ...Read more

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Any advice? What stage of liver disease is indicated by yellow sclera?

Any advice? What stage of liver disease is indicated by yellow sclera?

Advanced: When the liver cannot deal with the bilirubin breakdown product of red cell metabolism, it circulates in the blood stream and stains all the tissues. It is more obvious in the eyes which are normally white and exposed. This requires a more advanced dysfunction of the liver such as later stage cirrhosis, some genetic disorders and advanced cancer. ...Read more

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Colon resection for ca showed 2 lymph nodes involved. What are chances of ca spreading to cirrhortic liver?

Colon resection for ca showed 2 lymph nodes involved.  What are chances of ca spreading to cirrhortic  liver?

Can occur..: But hopefully your colon cancer was found before it could spread to the liver. Colon cancer can spread to the liver in any person, irregardless if you gave cirrhosis or not. See your oncologist to evaluate what the best treatments may be for your specific condition. Blood testing and x-ray tests such as ct, mri, or pet scans are indicated for some people. ...Read more

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Does chronic pancreatitis lead to pancreatic cancer?

Does chronic pancreatitis lead to pancreatic cancer?

Usually not: Chronic pancreatitis by itself is a serious illness with a 50% mortality rate over 20-25 years. People with garden variety chronic pancreatitis do not have an appreciable increase in incidence of pancreatic cancer; however, the small number of people with hereditary pancreatitis have a 40% life time risk of cancer of pancreas. ...Read more

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Survival rate for triple neg receptors for early stage breast cancer after chemo treatment? No lymph nodes involve, stage 1b, grade 2, mastec done

Survival rate for triple neg receptors for early stage breast cancer after chemo treatment?  No lymph nodes involve, stage 1b, grade 2, mastec done

Excellent: According to adjuvant online (www.Adjuvantonline.Com), you have about an 82% 10 yr survival rate based on your specific information provided. This is only an estimate since there are details I do not have such as type of chemotherapy being used. For triple negative breast cancer, these survival rates are quite excellent. ...Read more

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Can a patient stage 1 papillary thyroid cancer with BRAF mutation positive live more than 20 years ( she is 51 years old) ? Thank you very much!

Can a patient stage 1 papillary thyroid cancer with BRAF mutation positive live more than 20 years ( she is 51 years old) ? Thank you very much!

Yes: Papillary thyroid cancer is very common and some people do not even know they have it as small tumors may be found on autopsy when they die of something else. Generally tumors are graded by how ugly they look to the pathologist and how far they've spread. Your tumor has also been molecularly characterized. There are new treatment options available. Please discuss with your oncologist. ...Read more

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How bad is acute fatty liver of pregnancy?

How bad is acute fatty liver of pregnancy?

Fatty liver/pregnanc: Is a real life threatening condition which occurs in third trimester or immediately following delivery it is caused by fatty acid metabolism disturbed by mitpchondria in the mother due to deficiency in lchad, (long chain 3hydroxy-co enzymea dehydrogenase) enzyme. Condition used to be thought fatal in the past but aggressive treatment by stabilising mother with support with IV fluids and blood prod. ...Read more

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What number of years can someone live with primary biliary cirrhosis ?

What number of years can someone live with primary biliary cirrhosis ?

Many years: Primary biliary cirrhosis (PBC) is usually diagnosed with lab tests and liver biopsy. People can live many years with PBC. Without knowing more information, I can't give you exact numbers, but hopefully you are on ursodiol medication and this helps PBC a lot. You should be following with a liver doctor who will help manage your disease. ...Read more

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Is pulmonary fibrosis the same as cystic fibrosis?

Is pulmonary fibrosis the same as cystic fibrosis?

No: Cystic fibrosis is a genetic disease causing abnormal functioning of the mucus glands in the lung and leading to recurrent infections. Pulmonary fibrosis is a disease of progressive scarring causing loss of alveolar units that can have a variety of causes. ...Read more

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Dr. ASHRAF MALEK
24 doctors shared insights

Liver Scarring (Definition)

Liver scarring = Fibrosis of liver cells. Cirrhosis occurs when the is scar tissue built- ...Read more