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Hello, I Need Your Expert Advice For My Grandfather. He

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Posted on Tue, 13 Nov 2018
Question: Hello, I need your expert advice for my grandfather. He is diagnosed with Stomach CA. His age is 89 years. I want to know following,
1. Chances of recovery.
2. Type & duration of treatment
3. Approx cost
4. In case his condition remains un-treatable due to age or finance factor then what care or medicines can be taken at home
5. How many months he can survive
CT scan reports are attached. Other reports couldn't be attached due to size limitation. Current status is his digestion has collapsed. Black stool, lack of hunger, weakness (not able to walk), Hb had gone down to 3.5 after giving 4 bottles of blood it is 7.9 now. He has been discharged from Govt. Hospital due to non availability of treatment. Govt. Hospital has asked us to go to Cancer specialist.
doctor
Answered by Dr. Deepak Sundriyal (1 hour later)
Brief Answer:
Hello. Prognosis is not good

Detailed Answer:
Hello dear. I have gone through the reports. So it look like advanced stage disease. A biopsy is need to confirm and to subtype cancer. At this stage treatment will depend upon subtype and his physical fitness.
Cost will depend upon the type of cancer. Even with best of treatment, survival will be poor, say less than an year.
If treatment is not possible, then best supportive care in the form of analgesia, nutritional support can be done at home.
Thanks and regards
Feel free to ask further questions
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Deepak Sundriyal (2 days later)
Hello Doctor,

Thanks for your advice. That really helped. The reports are available now. It mentions cancer type as "adenocarcinoma".
I want to know what are typical causes of this decease? My grandfather never smoked, never drunk, never consumed tobacco. Even during tea times he takes milk instead of tea. He has been maintaining this lifestyle throughout his life. He was wrestler in his youth. Till a month before he was walking 2km a day at age of 91. This is first cancer case in our family or even extended family. So we are startled. What would have the cause in general?
Is this type of cancer hereditary? Please advice.
doctor
Answered by Dr. Deepak Sundriyal (52 minutes later)
Brief Answer:
Hello. some cancer are idiopathic

Detailed Answer:
Hello dear. Some cancers are without any cause. Moreover, I don't think it is genetic as genetic and hereditary cancer tend to appear at a younger age. I would advise you to go for a HER2 testing on the tumor. If that comes positive, then a milder form of targeted therapy without any significant side effects can be given to him.
Best Regards
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. Deepak Sundriyal

Oncologist

Practicing since :2005

Answered : 1633 Questions

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Hello, I Need Your Expert Advice For My Grandfather. He

Brief Answer: Hello. Prognosis is not good Detailed Answer: Hello dear. I have gone through the reports. So it look like advanced stage disease. A biopsy is need to confirm and to subtype cancer. At this stage treatment will depend upon subtype and his physical fitness. Cost will depend upon the type of cancer. Even with best of treatment, survival will be poor, say less than an year. If treatment is not possible, then best supportive care in the form of analgesia, nutritional support can be done at home. Thanks and regards Feel free to ask further questions