Talk to Cancer Specialist / Oncologist on Moderately Differentiated Adenocarcinoma G2

Thank you for the information. It's not curable. If she is in good physical condition,  she could be treated with chemotherapy and it helps some patients .

Member

---

At what stage her cancer is? How much time she has medically?

Reply

1 month ago

Dr. Amjad Sk Durrani - Cancer Specialist / Oncologist

MBBS, AFSA (Medical Oncology), DMRT | Lahore

352 Positive Reviews

View Doctor Profile

Thank you for your mail.As a matter of fact decision is not straight  forward.Since a couple active lymph nodes are localised on PET then lymphadenetomy( removal of lymph nodes and sending for histopathology to prove it is a metastatic disease ) if not then no need for chemotherapy.If positive yes.But it is quite difficult surgery at times.The other approach is to give chemotherapy and Radiotherapy (for local area of gall bladder surgery). After completing chemotherapy perform PET again to see results.if ok means no active nodes then follow  with PET or CT over the period of 5 years.  

Member

---

At what stage her cancer is? how much time she has medically?

Reply

1 month ago

Dr. Mariam Gul - Cancer Specialist / Oncologist

MBBS, DMRT, Mbeth | Karachi

137 Positive Reviews

View Doctor Profile

Very complex situation. Disease is metastasised, but if patients general condition is good , she can be given chemotherapy,,, unfortunately chances are not very high.

Member

---

Thanks doc. For your valuable input. At what stage her cancer is?

Reply

1 month ago

Asst. Prof. Dr. Abbas Khokhar - Cancer Specialist / Oncologist

MBBS, FCPS, MD (USA), DHHM | Lahore

15 Positive Reviews

View Doctor Profile

Its stage 4. I agree with the opinion of all the other learned oncologist

The guideline for gallbladder cancer surgery is wide local excision with removal of all related lymph nodes. In this case laparoscopic surgery was done and lymph nodes were not recovered in pathological specimen. PET Scan revealed metastatic thoracic lymph nodes. These lymph nodes should be confirmed for mets. (but it is v difficult). Otherwise chemotherapy can be given, which will be some helpful.

Dr. Rana Qamar Javed - Cancer Specialist / Oncologist

MBBS, MD, MCPS (Medicine), FCPS (Medical Oncology), Member of European Society of Medical Oncology | Faisalabad

68 Positive Reviews

View Doctor Profile

It's very interesting. Usually disease go nearby Lymph nodes but in this case metabolic activity is found intra thoracic. if we consider it as metastasis, cure is not possible unfortunately but there are new drugs available which can shrink this cancer and let patient live some longer