vividsailor7 said:I haven't forgotten about you all; I will get back to you when I am able.
We definitely require more data, such as laboratory results, radiological findings—ultrasound, CT scans,
current therapy, age, additional comorbidities, diagnosis, and so on.
I am requesting assistance; we are from Cleveland, and they are only suggesting palliative chemotherapy for my father-in-law...
My father-in-law is 74 years old. Following an extensive series of tests, an adenocarcinoma of the stomach was identified. A pleural puncture and an ascites puncture were performed, which confirmed the presence of malignant cells. ECOG score is 2. There are pleural effusions. Primary neoplasm is gastric, with a large left-sided pleural effusion (1500ML).
Histopathology of the gastric mucosa biopsy shows high-grade atypia and areas of invasive adenocarcinoma.
Pleural fluid analysis: glucose 4.1, LDH 794, amylase 64, protein 42.
Cytology report from the ascites puncture:
The sediment contains numerous malignant glandular epithelial cells (BER EP4 positive), ruling out a pulmonary origin for the tumor; the findings are consistent with gastric cancer.
EKG shows an axis deviation of over 30 degrees, heart rate 78 bpm, several individual ectopic beats, lack of R-wave progression from V2-V3, and bradycardia.
In 1965, he underwent surgery for a stomach ulcer.
Now, there is no possibility for surgical intervention or anything else; they are only recommending palliative chemo. Is it even worth administering this to the patient? I would appreciate your medical opinion, thank you in advance.