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Medical Forum / Diseases and Disorders / Cancer / September 2004

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4CM Liver Mass+spot on lung

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RT - 28 Sep 2004 20:06 GMT
My 72 yr old mother in law has been diagnosed with a 4cm liver cancer and a
cancer "spot" on her lung.  She is not too  forthcoming in details and I
don't wish to ask her.  Currently she is undergoing a battery of tests at a
local cancer center here in Canada.

a.  Can I assume a liver cancer spread to a lung?  Or could it be the
otherway?
b.  What is the prognosis with a 4cm mass in one lobe? I am hoping it is
localized and she is eligible for a resection.

Wish I could provide more info....

RRT
J - 28 Sep 2004 21:27 GMT
> My 72 yr old mother in law has been diagnosed with a 4cm liver cancer and a
> cancer "spot" on her lung.  She is not too  forthcoming in details and I
[quoted text clipped - 5 lines]
> b.  What is the prognosis with a 4cm mass in one lobe? I am hoping it is
> localized and she is eligible for a resection.

Hello RT,
I'm sorry about the circumstance that brings you to this newsgroup.

I would suspect that they look for (battery of tests) what is called a
"primary" in case it's not the liver (but I'm not sure).
They look to a certain extent and if nothing further found or find enough to
cinch their idea of what the best treatment would be, then they would stop.
Some invasive tests may be counterproductive to your mother.

How's your mother's health - heart, diabetes, circulatory problems,
osteoporosis etc?
Has she been active and been taking care of most of her needs herself, until
now?
And has she had other surgeries in her lifetime?  If so, which?
Is she in hospital at this time or at home?

I would think that given her age, when I read this
http://www.livertumor.org/about.asp (which might answer your questions) and
your mother's details (so far), that surgery in Canada, is going to be a "tough
row to hoe".  (I'm in Canada also)
I could be wrong, of course.  There may be exceptions.

Is the mass in her liver causing any symptoms (like pain?)  If so, perhaps some
radiation therapy?
A mild chemo can be palliative also.

Let us know how it's going and what options they suggest.
We can be here for you.
J
Top Secret - 29 Sep 2004 04:12 GMT
>> My 72 yr old mother in law has been diagnosed with a 4cm liver cancer and
>> a
[quoted text clipped - 26 lines]
> And has she had other surgeries in her lifetime?  If so, which?
> Is she in hospital at this time or at home?

Her health has been quite good until now. She has had a pacemaker installed
due to rapid heartbeat.  Most people say she looks quite young for her age.
That seems to be a family trait.  Otherwise no problems.  She did have a
"shadow" on her lung before several years ago but that was not determined to
be a problem.

> I would think that given her age, when I read this
> http://www.livertumor.org/about.asp (which might answer your questions)
[quoted text clipped - 3 lines]
> row to hoe".  (I'm in Canada also)
> I could be wrong, of course.  There may be exceptions.

My guess is surgery on the liver and chemotherapy will extend her life a
year or two.
I suspect it has spread.

My father died from a cancer that had spread to his liver. He turned yellow
long before
he went to the hospital and fortunately died quickly. (A matter of weeks).
It was
the most unpleasant part of my life as I had to buy diapers for my father in
his last
weeks.  This is bringing back many unpleasant memories but it is my wife I
feel for.

> Is the mass in her liver causing any symptoms (like pain?)  If so, perhaps
> some
> radiation therapy?

She was originally admitted feeling week and very pale.  As we speak she is
undergoing
testing.  A blood transfusion has helped restore energy.

A biopsy was performed today but we don't know how long until the results.
The net
seems to indicate a week or two.

> A mild chemo can be palliative also.
>
> Let us know how it's going and what options they suggest.
> We can be here for you.
> J
J - 29 Sep 2004 11:46 GMT
> >> My 72 yr old mother in law has been diagnosed with a 4cm liver cancer and a
>
[quoted text clipped - 25 lines]
> A biopsy was performed today but we don't know how long until the results.
> The net seems to indicate a week or two.

Hi RT,
I'm sorry to hear about the loss of your father.
Yes, it must be very hard on your wife given that her mother's health seemed so
good until now.
Cancer (cells) can "brew" for years before anything detectable or symptoms show
up.
It sounds (to me), from what you've posted, that she's been anemic which would
make me wonder "where's the leak?" (of blood).
That's anyone's guess, but I suppose the first places to look are the gastro
system (stomach, colon, small bowel etc).
Unless the cancer has invaded blood vessels right inside her liver. I think that
dark blood would show up in her stool samples.
(no idea which imaging would show that, if any - the liver is bloodrich anyway).

The blood transfusion will certainly give her a boost, but unless they find and
correct the cause of the blood loss, it'll be chronic.
I'm sure they'll do as many investigations as prudent and hopefully get the full
picture for you all as soon as possible.
Keep in touch as you are able.
Sending hugs to your wife.
J
Steph - 29 Sep 2004 17:15 GMT
>> >> My 72 yr old mother in law has been diagnosed with a 4cm liver cancer
>> >> and a
[quoted text clipped - 5 lines]
>>
>> >> local cancer center here in Canada.

Common things are common.
Lung cancer with a liver met would be top of the list
 
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