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jro7123
Posted: Mon Dec 11, 2006 2:25 am
Guest
Hello, I was hoping someone could help me with some info.

My 77-year old grandmother went in to the hospital a few weeks ago because of
severe pain in her stomach. It turned out that her gall bladder was, as the
doctor at the time said "severly infected" and she had immediate surgery to
remove the entire gall bladder. She was sent home a few days later, recovered
quite nicely at home from the surgery, and went in for a check up Friday of
this week, when the doctor who performed the surgery informed her that the
gall bladder had been cancerous and that they had found "cells" on the lining
of the liver.

I was not there at the time and the information that came back was a little
sketchy but he didn't really seem to be that informed and said she needed to
see a specialist and needed to have surgery again. She still has a lot of
pain on that side of her body, even two+ weeks after the surgery.

Has anyone ever heard of a situation where the cancer didn't spread
completely to the liver but that cells were in the lining?

I have to admit that, given the fact that I have read on other sites that
this is a very aggressive form of cancer, and given her age I am very, very
nervous. Does this type of cancer almost always spread to the liver?

Sorry if these questions seem woefully uninformed, I just wanted to get a
basic idea of what my family will be looking at in the near future.
Steph
Posted: Mon Dec 11, 2006 4:40 am
Guest
"jro7123" <u30129@uwe> wrote in message news:6a9675d2972fa@uwe...
Quote:
Hello, I was hoping someone could help me with some info.

My 77-year old grandmother went in to the hospital a few weeks ago because
of
severe pain in her stomach. It turned out that her gall bladder was, as
the
doctor at the time said "severly infected" and she had immediate surgery
to
remove the entire gall bladder. She was sent home a few days later,
recovered
quite nicely at home from the surgery, and went in for a check up Friday
of
this week, when the doctor who performed the surgery informed her that the
gall bladder had been cancerous and that they had found "cells" on the
lining
of the liver.

I was not there at the time and the information that came back was a
little
sketchy but he didn't really seem to be that informed and said she needed
to
see a specialist and needed to have surgery again. She still has a lot of
pain on that side of her body, even two+ weeks after the surgery.

Has anyone ever heard of a situation where the cancer didn't spread
completely to the liver but that cells were in the lining?

I have to admit that, given the fact that I have read on other sites that
this is a very aggressive form of cancer, and given her age I am very,
very
nervous. Does this type of cancer almost always spread to the liver?

Sorry if these questions seem woefully uninformed, I just wanted to get a
basic idea of what my family will be looking at in the near future.


Well there is no 'lining" to the liver..............
But the story sounds like a locally advanced gb cancer involving the liver.
If so it is incurable, but often gb cancer is quite slowly progressing in
the elderly.
madiba
Posted: Mon Dec 11, 2006 6:45 am
Guest
Steph <steph@vancouvers.island> wrote:

Quote:
"jro7123" <u30129@uwe> wrote in message news:6a9675d2972fa@uwe...
Hello, I was hoping someone could help me with some info.

My 77-year old grandmother went in to the hospital a few weeks ago
because of severe pain in her stomach. It turned out that her gall
bladder was, as the doctor at the time said "severly infected" and she
had immediate surgery to remove the entire gall bladder. She was sent
home a few days later, recovered quite nicely at home from the surgery,
and went in for a check up Friday of this week, when the doctor who
performed the surgery informed her that the gall bladder had been
cancerous and that they had found "cells" on the lining of the liver.

I was not there at the time and the information that came back was a
little sketchy but he didn't really seem to be that informed and said
she needed to see a specialist and needed to have surgery again. She
still has a lot of pain on that side of her body, even two+ weeks after
the surgery.

Has anyone ever heard of a situation where the cancer didn't spread
completely to the liver but that cells were in the lining?

I have to admit that, given the fact that I have read on other sites
that this is a very aggressive form of cancer, and given her age I am
very, very nervous. Does this type of cancer almost always spread to the
liver?

Sorry if these questions seem woefully uninformed, I just wanted to get
a basic idea of what my family will be looking at in the near future.


Well there is no 'lining" to the liver..............
But the story sounds like a locally advanced gb cancer involving the liver.
If so it is incurable, but often gb cancer is quite slowly progressing in
the elderly.
You're up late Steph...

The liver does have a sort of lining, its called the capsule. I wouldnt
worry too much about the liver capsule being infiltrated by tumor cells
as long as those cells didn't infiltrate the liver tissue itself.
Depending on grandma's general condition a reoperation should be
carefully considered.
Sounds like another case of inadequate preoperative diagnostics. Unless
the woman was very obese this sort of thing should be picked up by
ultrasound nowdays..

--
madiba
Steph
Posted: Mon Dec 11, 2006 12:10 pm
Guest
"madiba" <down@thekraal.com> wrote in message
news:1hq6i9w.7vlqrvkn2ny7N%down@thekraal.com...
Quote:
Steph <steph@vancouvers.island> wrote:

"jro7123" <u30129@uwe> wrote in message news:6a9675d2972fa@uwe...
Hello, I was hoping someone could help me with some info.

My 77-year old grandmother went in to the hospital a few weeks ago
because of severe pain in her stomach. It turned out that her gall
bladder was, as the doctor at the time said "severly infected" and she
had immediate surgery to remove the entire gall bladder. She was sent
home a few days later, recovered quite nicely at home from the surgery,
and went in for a check up Friday of this week, when the doctor who
performed the surgery informed her that the gall bladder had been
cancerous and that they had found "cells" on the lining of the liver.

I was not there at the time and the information that came back was a
little sketchy but he didn't really seem to be that informed and said
she needed to see a specialist and needed to have surgery again. She
still has a lot of pain on that side of her body, even two+ weeks after
the surgery.

Has anyone ever heard of a situation where the cancer didn't spread
completely to the liver but that cells were in the lining?

I have to admit that, given the fact that I have read on other sites
that this is a very aggressive form of cancer, and given her age I am
very, very nervous. Does this type of cancer almost always spread to
the
liver?

Sorry if these questions seem woefully uninformed, I just wanted to get
a basic idea of what my family will be looking at in the near future.


Well there is no 'lining" to the liver..............
But the story sounds like a locally advanced gb cancer involving the
liver.
If so it is incurable, but often gb cancer is quite slowly progressing in
the elderly.
You're up late Steph...
The liver does have a sort of lining, its called the capsule.


That's a "covering"!

Quote:
I wouldnt
worry too much about the liver capsule being infiltrated by tumor cells
as long as those cells didn't infiltrate the liver tissue itself.
Depending on grandma's general condition a reoperation should be
carefully considered.
Sounds like another case of inadequate preoperative diagnostics. Unless
the woman was very obese this sort of thing should be picked up by
ultrasound nowdays..

--
madiba
jro7123 via MedKB.com
Posted: Mon Dec 11, 2006 1:07 pm
Guest
Steph and madiba,

Thank you for the responses. It seemed very strange that it took almost two
weeks for them to tell us/diagnose the bladder as cancerous, but she is not
extremely obese. She is carrying more weight than maybe many other 77 year
old women, but nothing to the point where I would think it would effect an
ultrasound, which I am almost positive she had.
As for carefully considering surgery, the surgeon stated in no uncertain
terms that they would have to perform surgery.

--
Message posted via MedKB.com
http://www.medkb.com/Uwe/Forums.aspx/cancer-board/200612/1
madiba
Posted: Mon Dec 11, 2006 4:01 pm
Guest
Steph <steph@vancouvers.island> wrote:

Quote:
The liver does have a sort of lining, its called the capsule.


That's a "covering"!

An 'external lining', is a sort of lining, but point taken.
So if the liver is "lined" with blood vessels (venous, portal and
arterial) and the cholangic system this means they're describing an
intrahepatic extension of the tumor.
Some sucker for punishment wants to go back in..
--
madiba
jro7123 via MedKB.com
Posted: Mon Dec 11, 2006 10:31 pm
Guest
the cholangic system this means they're describing an
Quote:
intrahepatic extension of the tumor.
Some sucker for punishment wants to go back in..


sorry madiba, but could you possibly explain what you mean, exactly, here?

--
Message posted via MedKB.com
http://www.medkb.com/Uwe/Forums.aspx/cancer-board/200612/1
madiba
Posted: Tue Dec 12, 2006 12:42 pm
Guest
"jro7123 via MedKB.com" <u30129@uwe> wrote:

Quote:
the cholangic system this means they're describing an
intrahepatic extension of the tumor.
Some sucker for punishment wants to go back in..


sorry madiba, but could you possibly explain what you mean, exactly, here?
Depends what you meant by the 'lining' of the liver.

Did you mean the liver capsule or the biliary ducts? Generally speaking
and without having seen her CT studies, if its the former then the
prognosis is not bad, if its the latter then the prognosis is poor and
the surgeon can only lose by reoperating. But he did the op so obviously
he should be able to assess the risk better than we can here in a NG.
--
madiba
 
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