NatashaKazan
01.09.2004, 19:30
Hello!
To my father of 60 years (1944 of a birth). There is by nature enough
Healthy, about the latest days before opreatsiej continued to work
(Now - on the sick-list).
All has begun in the extremity or end of September, when within several days at the father
Without the visible reasons the small raised or increased temperature was observed
(Somewhere 37.1 in the evenings). Were, as I have understood, also insignificant pains
In a stomach. But it was observed and earlier.
Having disturbed, have addressed in the diagnostic center. There have made
eteroskopiju (FGS) also have found out a tumour in a stomach. Have there and then taken the analysis on a biopsy and have directed to an oncology.
The further inspection and treatment was spent on the basis of city
Oncologic hospital of Nizhni Novgorod. There in addition spent
enetroskopiju. According to the doctor, a clinical picture completely
Corresponds or Meets to a carcinoma of the stomach (preliminary wrote 1-2- degrees).
The size of a tumour - nearby 6 see Besides have found out a ulcer
Duodenum.
In a week send or have come results of a biopsy from the diagnostic center.
Negative! That is a cancer have not found out. As clinical
The picture spoke about the return, in onkobolnitse have taken a repeated biopsy,
For now have appointed or nominated treatment of a ulcer of the duodenum, spent
Approximately within a week.
Week results of a biopsy waited. Results of a repeated biopsy too have appeared ambiguous. The doctor has named them *quot; ????ON?y?U??*quot;, not having specified, that
Means. But operation taki have appointed or nominated - the doctor has been assured or confident, that
Clinical picture unequivocally cancer, despite of results
Biopsies.
Operation have spent on October, 11th. She last about 6 hours. According to
The operated doctor, operation was the hardest - *quot; on the verge of
o????u*quot;. During operation, as he said, have completely proved to be true
The inferior assumptions: the greater or big, branched out tumour progrown even in
Pancreas. As I have understood from its or his words, have been amazed or struck, except for
Stomach and omentums, a lien, a pancreas, bryzzhejka. Also
It was spoken about lymphatic vessels - but here I can be inexact. On
My question on metastasises it has been told or said, that here it is complex or difficult to speak about
Metastasises as all it was one continuous ravetvlyonnoe
Education, without separateness.
Nevertheless, attempt of radical treatment has been undertaken.
There were rezetsirovany all amazed or struck organs (everything, that was possible to doctors
To see unaided) with the some *quot; ?aa??*quot;. Are removed a stomach,
Omentums, the lien amazed or struck bryzzhejka, part of the bottom department
Esophagus, the most part of a pancreas (it is left only
Head), probably (here it is not assured or confident) a part of an intestine. As I
Has understood, the part of the blood vessels supplied a stomach also is removed.
About lymphonoduses I besides have not so understood. From conversation with vrachyom after
I have understood operations, that series of lymph nodes are removed. Then the doctor to speak about the forecast has refused, having told or said, that
Now the main thing - an aftertreatment after operation.
The aftertreatment after operation while went successfully. Since the second day
The raised or increased temperature - the order 38-38.5 was observed. Doctors speak,
What is it normal reaction to an operational trauma. Analyses - all in
Repartitions of norm or rate. Secretory activity of a pancreas of steel
Presses even during operation - in avoidance of allocation of an amylase in empty
The intestine and through ranevuju a surface in a cavity of a body is, according to
Doctors, development of a pancreatitis prevents. On
The third day did or made a roentgenoscopy of lungs - for congestive or stagnant
The phenomena and development of a pneumonia - all more or less by way of, byle
Some developments of stagnation in pulmonary veins, but anything dangerous.
But the biggest surprise waited for us for the fifth day when became known
Results of the histological analysis of the removed tissues. Result
The analysis - limfoma! Became clear
The reasons *quot; ????ON?y?UO*quot; results of a biopsy. That was possible to me
To read through about limfomy, spoke that the majority a kind limfom
Today recover, five years' survival rate of percent or interests of 85 %
(It is non-comparable to a carcinoma at the third stage), and at application most
Modern courses of a chemotherapy even above.
At the same time, much depends on the concrete diagnosis. And here at
I was not present full clearness (probably because with vrachyom I communicated
Last week not directly, and through the sister or mum). Originally
The sister has passed me words to someone from doctors, that the diagnosis - illness or disease
Hodzhkina.
However, two days ago the sister under my request spoke with in more detail
The attending physician. On segodnejashny the moment the following is known. The diagnosis-
Lymphosarcoma (instead of a lymphogranulomatosis). Diagonoz it is put on the basis of
Only the histological analysis. The immunohistochemical analysis will be
To be spent within the next few days. The doctor
Estimates or Appreciates a lesion as the third degree. From the amazed or struck organs were
The lien, stomach, pancreas are mentioned. The mediastinum, a liver and an osteal brain are not touched. It has been for some reason told or said,
That lymphonoduses also are not amazed or struck, though after operation I have understood the doctor
So, that have removed a part of lymphonoduses. Can, meant, that those sites,
Which were not rezektirovany, - are not amazed or struck... For the present or true moment
The doctor does not see an opportunity of diffusion on other organs. From
The forecast he while also abstains.
Strategy of treatment prospective further vygljadet as follows.
If the aftertreatment after operation will come to the end successfully (for now all goes
Normally) the father already in the extremity or end of next week will discharge from hospital
Home. About weeks through two will begin the first course of a chemotherapy.
What course and how much them will be, the operated doctor to tell or say could not yet.
He has told or said, that another will be engaged in it or this the doctor in other unit-
Its or His mission on it or this is completed.
-----------------------------------------------
Now questions:
1) the Most important - reliability of the diagnosis. It is how much possible or probable, with yours
The points of view, essential revision of the diagnosis? Me a little
Has guarded, that for some days the diagnosis has exchanged with
Lymphogranulomatosis on a lymphosarcoma. How much or As far as it is normal? By
To that I have read through, the lymphogranulomatosis has precise morphological
Attributes and should not confuse it or him with others limfomami. As can
To be specified the diagnosis (whether there are any subtypes of a lymphosarcoma or
Morphological forms, how at hodzhkinskoj limfome)? The Most important,
Can be how much reliably established or installed limfoma? Whether there Is no probability,
What in general could mix with kartsionomoj? How much unequivocal answer
Will give immunogistohimija? What is it in general still can be?
2) Where it is possible to read through more detailed information on a lymphosarcoma?
After the first viewing the Internet, it seemed to me, that information on
She has less, than on limfome Hodzhkina? That you can tell or say
About a lymphosarcoma - its or her relative danger, methods of treatment and so forth
In particular, I and still had not clear, how much or as far as this disease
Locally - or it is systemic illness or disease limfosistemy? How much easily
She extends on organizamu with a current of a lymph? What it is concrete
Lymphatic cells are amazed? How much or As far as they are mobile? That follows
To be afraid at a lymphosarcoma in general and in our case?
3) What modern to a method of treatment of a lymphosarcoma? That is possible
To recommend in our concrete case? About a lymphogranulomatosis I
Read, that often as a first step it is applied radial terpija, with
The subsequent chemotherapy. That it is possible to tell or say in this occasion about
Lymphosarcoma? Whether It is applied at her in general lichevaja therapy?
4) What modern courses of a chemotherapy apply at treatment
Lymphosarcomas? Their comparative efficiency? What you
Have recommended in our case? How much courses usually spend and with
What interval?
5) What acceptability of a chemotherapy for the man in the age of 60 years,
Rather healthy by nature, but transferred or carried such extensive
Cavitary operation? What are possible or probable by-effects?
6) Despite of trust to the doctor, we had some doubts,
Such extensive operative measure has been how much justified,
If it limfoma, instead of a carcinoma? About a lymphogranulomatosis I read, that
The surgical intervention is applied extremely seldom. Usual it
Treatment - a chemotherapy, or in itself, or in a combination with radial
(Often all over again - an irradiation of the primary center, then - some courses
Chemotherapies). How with it or this business is at a lymphosarcoma? Whether it is possible
In general was diagnostsirovat limfomu before operation? Whether have affected or influenced it
Somehow on the decision on carrying out of operation, its or her character?
7) At last, the forecast. What be real the forecast in our case can?
He can depend on what factors? What probability of relapse? About
Than we should ask attending physicians?
8) Still there are questions on a life with rezetsirovannym a stomach. How much or As far as
Unpleasant sensations during intake of a liquid and nutrition are characteristic,
Which are tested by the father? How much or As far as they pass or take place in due course? What
Diets will be necessary for him now, in posleopreatsionnyj the period, in
Time of a chemotherapy and in the further? Whether it is possible or probable and when homing to
Labour activity? Job for the father - one of the major things in
Lives. Without it or her he does not think of itself(himself) also to him without it or her will be obvious extremely
Hardly morally.
Still time I am sorry for the long text and an abundance of questions.
In advance thanks!
Dmitry
To my father of 60 years (1944 of a birth). There is by nature enough
Healthy, about the latest days before opreatsiej continued to work
(Now - on the sick-list).
All has begun in the extremity or end of September, when within several days at the father
Without the visible reasons the small raised or increased temperature was observed
(Somewhere 37.1 in the evenings). Were, as I have understood, also insignificant pains
In a stomach. But it was observed and earlier.
Having disturbed, have addressed in the diagnostic center. There have made
eteroskopiju (FGS) also have found out a tumour in a stomach. Have there and then taken the analysis on a biopsy and have directed to an oncology.
The further inspection and treatment was spent on the basis of city
Oncologic hospital of Nizhni Novgorod. There in addition spent
enetroskopiju. According to the doctor, a clinical picture completely
Corresponds or Meets to a carcinoma of the stomach (preliminary wrote 1-2- degrees).
The size of a tumour - nearby 6 see Besides have found out a ulcer
Duodenum.
In a week send or have come results of a biopsy from the diagnostic center.
Negative! That is a cancer have not found out. As clinical
The picture spoke about the return, in onkobolnitse have taken a repeated biopsy,
For now have appointed or nominated treatment of a ulcer of the duodenum, spent
Approximately within a week.
Week results of a biopsy waited. Results of a repeated biopsy too have appeared ambiguous. The doctor has named them *quot; ????ON?y?U??*quot;, not having specified, that
Means. But operation taki have appointed or nominated - the doctor has been assured or confident, that
Clinical picture unequivocally cancer, despite of results
Biopsies.
Operation have spent on October, 11th. She last about 6 hours. According to
The operated doctor, operation was the hardest - *quot; on the verge of
o????u*quot;. During operation, as he said, have completely proved to be true
The inferior assumptions: the greater or big, branched out tumour progrown even in
Pancreas. As I have understood from its or his words, have been amazed or struck, except for
Stomach and omentums, a lien, a pancreas, bryzzhejka. Also
It was spoken about lymphatic vessels - but here I can be inexact. On
My question on metastasises it has been told or said, that here it is complex or difficult to speak about
Metastasises as all it was one continuous ravetvlyonnoe
Education, without separateness.
Nevertheless, attempt of radical treatment has been undertaken.
There were rezetsirovany all amazed or struck organs (everything, that was possible to doctors
To see unaided) with the some *quot; ?aa??*quot;. Are removed a stomach,
Omentums, the lien amazed or struck bryzzhejka, part of the bottom department
Esophagus, the most part of a pancreas (it is left only
Head), probably (here it is not assured or confident) a part of an intestine. As I
Has understood, the part of the blood vessels supplied a stomach also is removed.
About lymphonoduses I besides have not so understood. From conversation with vrachyom after
I have understood operations, that series of lymph nodes are removed. Then the doctor to speak about the forecast has refused, having told or said, that
Now the main thing - an aftertreatment after operation.
The aftertreatment after operation while went successfully. Since the second day
The raised or increased temperature - the order 38-38.5 was observed. Doctors speak,
What is it normal reaction to an operational trauma. Analyses - all in
Repartitions of norm or rate. Secretory activity of a pancreas of steel
Presses even during operation - in avoidance of allocation of an amylase in empty
The intestine and through ranevuju a surface in a cavity of a body is, according to
Doctors, development of a pancreatitis prevents. On
The third day did or made a roentgenoscopy of lungs - for congestive or stagnant
The phenomena and development of a pneumonia - all more or less by way of, byle
Some developments of stagnation in pulmonary veins, but anything dangerous.
But the biggest surprise waited for us for the fifth day when became known
Results of the histological analysis of the removed tissues. Result
The analysis - limfoma! Became clear
The reasons *quot; ????ON?y?UO*quot; results of a biopsy. That was possible to me
To read through about limfomy, spoke that the majority a kind limfom
Today recover, five years' survival rate of percent or interests of 85 %
(It is non-comparable to a carcinoma at the third stage), and at application most
Modern courses of a chemotherapy even above.
At the same time, much depends on the concrete diagnosis. And here at
I was not present full clearness (probably because with vrachyom I communicated
Last week not directly, and through the sister or mum). Originally
The sister has passed me words to someone from doctors, that the diagnosis - illness or disease
Hodzhkina.
However, two days ago the sister under my request spoke with in more detail
The attending physician. On segodnejashny the moment the following is known. The diagnosis-
Lymphosarcoma (instead of a lymphogranulomatosis). Diagonoz it is put on the basis of
Only the histological analysis. The immunohistochemical analysis will be
To be spent within the next few days. The doctor
Estimates or Appreciates a lesion as the third degree. From the amazed or struck organs were
The lien, stomach, pancreas are mentioned. The mediastinum, a liver and an osteal brain are not touched. It has been for some reason told or said,
That lymphonoduses also are not amazed or struck, though after operation I have understood the doctor
So, that have removed a part of lymphonoduses. Can, meant, that those sites,
Which were not rezektirovany, - are not amazed or struck... For the present or true moment
The doctor does not see an opportunity of diffusion on other organs. From
The forecast he while also abstains.
Strategy of treatment prospective further vygljadet as follows.
If the aftertreatment after operation will come to the end successfully (for now all goes
Normally) the father already in the extremity or end of next week will discharge from hospital
Home. About weeks through two will begin the first course of a chemotherapy.
What course and how much them will be, the operated doctor to tell or say could not yet.
He has told or said, that another will be engaged in it or this the doctor in other unit-
Its or His mission on it or this is completed.
-----------------------------------------------
Now questions:
1) the Most important - reliability of the diagnosis. It is how much possible or probable, with yours
The points of view, essential revision of the diagnosis? Me a little
Has guarded, that for some days the diagnosis has exchanged with
Lymphogranulomatosis on a lymphosarcoma. How much or As far as it is normal? By
To that I have read through, the lymphogranulomatosis has precise morphological
Attributes and should not confuse it or him with others limfomami. As can
To be specified the diagnosis (whether there are any subtypes of a lymphosarcoma or
Morphological forms, how at hodzhkinskoj limfome)? The Most important,
Can be how much reliably established or installed limfoma? Whether there Is no probability,
What in general could mix with kartsionomoj? How much unequivocal answer
Will give immunogistohimija? What is it in general still can be?
2) Where it is possible to read through more detailed information on a lymphosarcoma?
After the first viewing the Internet, it seemed to me, that information on
She has less, than on limfome Hodzhkina? That you can tell or say
About a lymphosarcoma - its or her relative danger, methods of treatment and so forth
In particular, I and still had not clear, how much or as far as this disease
Locally - or it is systemic illness or disease limfosistemy? How much easily
She extends on organizamu with a current of a lymph? What it is concrete
Lymphatic cells are amazed? How much or As far as they are mobile? That follows
To be afraid at a lymphosarcoma in general and in our case?
3) What modern to a method of treatment of a lymphosarcoma? That is possible
To recommend in our concrete case? About a lymphogranulomatosis I
Read, that often as a first step it is applied radial terpija, with
The subsequent chemotherapy. That it is possible to tell or say in this occasion about
Lymphosarcoma? Whether It is applied at her in general lichevaja therapy?
4) What modern courses of a chemotherapy apply at treatment
Lymphosarcomas? Their comparative efficiency? What you
Have recommended in our case? How much courses usually spend and with
What interval?
5) What acceptability of a chemotherapy for the man in the age of 60 years,
Rather healthy by nature, but transferred or carried such extensive
Cavitary operation? What are possible or probable by-effects?
6) Despite of trust to the doctor, we had some doubts,
Such extensive operative measure has been how much justified,
If it limfoma, instead of a carcinoma? About a lymphogranulomatosis I read, that
The surgical intervention is applied extremely seldom. Usual it
Treatment - a chemotherapy, or in itself, or in a combination with radial
(Often all over again - an irradiation of the primary center, then - some courses
Chemotherapies). How with it or this business is at a lymphosarcoma? Whether it is possible
In general was diagnostsirovat limfomu before operation? Whether have affected or influenced it
Somehow on the decision on carrying out of operation, its or her character?
7) At last, the forecast. What be real the forecast in our case can?
He can depend on what factors? What probability of relapse? About
Than we should ask attending physicians?
8) Still there are questions on a life with rezetsirovannym a stomach. How much or As far as
Unpleasant sensations during intake of a liquid and nutrition are characteristic,
Which are tested by the father? How much or As far as they pass or take place in due course? What
Diets will be necessary for him now, in posleopreatsionnyj the period, in
Time of a chemotherapy and in the further? Whether it is possible or probable and when homing to
Labour activity? Job for the father - one of the major things in
Lives. Without it or her he does not think of itself(himself) also to him without it or her will be obvious extremely
Hardly morally.
Still time I am sorry for the long text and an abundance of questions.
In advance thanks!
Dmitry