Wednesday, November 18, 2009

Metastatic TCC bladder to bone

Tadi aku ada jumpa patient ni kat dlm clinic. Kesian kat pakcik ni. Dia skang ni in patient dlm ward. Masuk ward sbb sakit pinggang. Ada history of TCC bladder.

Dr buat bone scan dan inilah gambarnya:

Metastatic TCC bladder to bone


Kalau korang tgk titik2 hitam tu - tu la kami panggil "hot spots", cancer yg telah pergi ke tulang. sakit pinggang dia sbb ni la. Dia ada buat MRI spine juga - result shows metastatic disease dlm semua tulang belakang, paling teruk dekat C3 & L4/5.

Aku plan nak bagi dia palliative radiotherapy 20Gy/5# ke semua c-spine & l-spine dia. Aku rasa life expectency dia measured in months, but hopefully radiotherapy will help with his pain

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