Lung Biopsy Report

My father has been facing shortness of breath for last 5 months. Initially he was diagnosed with TB. However, his AFB tests were negative. He responded positively to ATT for 3 months after which progress stopped. CT Scan suggested empyema in lungs for which VATS was conducted along with pleural tissue extraction for biopsy. Biopsy report: Sections examined reveal pleural tissue with a poorly differentiated malignant neoplasm characterized by cells focally forming signet ring shaped cells. There is wide spread evidence of vascular and lymphatic premeation. The tumour cells are positive for Cytokeratin 7 and Cytokeratin 20. They are negative for TTF-1. The features are consistent with poorly differentiated metastatic adenocarcinoma. Based on morphology and irnmunohistochemical profile, possibilities include upper gastro­ intestinal tract & pancreato-biliary tract. I want to understand expected time left and way forward with quality of life being primary aim

Dr. Muhammad Rehan Sarwar

Thanks for the mail.

Dear did diagnosis confirmed about the cancer which orgsn it is?
Stomach cancers are less aggressive as compare to pancreas
Its metastatic disease stage 4 the prognosis is poor
Time span varies btwn 6 months to 2 years
There are studies wich say use of antioxidents from fredh friuts vegetables
help out cancreous patient live bit longer and out of depresson u can go
fir that.
May Allah help u all

Dr. Nasir Javed

Dear
Adenocarcinoma is An Aggressive Tumor
According to Report, Data and History , Tumor Stage is Already 4.. Last Stage
So Expected Time with Chemotherapy is less than 1 year
Newer Treatment Options ( Targeted therapy , e.g Crizotonib ) are unfortunately Too Costly and Not Available in Pakistan
So Palliative Care and Chemotherapy Cycles as Advised by Your

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