Abdominal pain
A 69 yo male presented with abdominal pain and hematochezia with anemia. GI endoscopies shows gastric & duodenal tumors. Endoscopic biopsy shows high-grade adenoma of abdomen and duodenum. respectively. No evidence of adenoma in any other area.
HIGH-GRADE ADENOMA .. OF .. ABDOMEN & DUODENUM .. NEED'S .. ONCOLOGISTS OPINION FOR FURTHER MANAGEMENT..
As endoscopy is suggesting high grade adenomas on biopsy in itself indicates malignancy hence take opinion 9f oncologist for further confirmation and mx
As endoscopic biopsy shows high-grade abdominal and duodenal adenoma... should be referred to gastro- oncologist...
Treatment depend on size of adenoma If adenoma is small in size and amenable to endoscopic excision then complete excision with histopathology can be good choice of treatment
Mostly it may be GIST NEED TO EVALUATE in detail . Presently give him symptomatically tab.drotin m 2 times a day Tab ethamsylate 250 mg daily 2 times a day Tab.sompraz40 mg daily 2 times a day bbf and BD Tab.evion 400 mg daily one night
Adenoma vasant kusumakar ras . trailokya chintmani ras taking precautions of pitta dosha .
NEEDS GASTROENTEROLOGIST '. OPINION
Please consult to Gestroentrologist.. Oncologist openion SOS ..
As there is no distant Mets,go through EUS and than plan accordingly
Cases that would interest you
- Login to View the image
patient 20 female unmarried,amnerrhoea 5 months.thyroid level is normal
Dr. Urooj Fatima4 Likes16 Answers - Login to View the image
16 yr female presented wd 8 days h/o sudden enlargement of left breast. clinically two lumps palpable 5*5 and 6*5 cm. fnac revealed fibroadenoma with more cellular sheats of cells.what to do next?
Dr. Rajeev Dabla7 Likes25 Answers - Login to View the image
50 yrs female is having a firm swelling in left Parotid region since 1 year with no h/o pain, fever, loss of appetite or weight. Possible diagnosis & tmt ?
Dr. S.s. Bedi0 Like27 Answers - Login to View the image
57 YO female with a 5 year history of a slow growing mass in her central hard palate. Asymptomatic, but she reported an increase in size the past several months. She denied any associated dysphagia, odynohagia, otalgia, altered sensation to palatal soft tissues or unintentional weight loss or change in appetite. What is diagnosis? and mx?
Dr. Sandhya Negi3 Likes28 Answers - Login to View the image
female age 73 is a case of benign tumour at right thyroid lobe nodule measuring 15×9 mm in size since 2 yrs. please suggest allopathic treatment & ayurvedic t/t with experts
Dr. Sanjay Mali2 Likes43 Answers
2 Likes