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Asked by : BKPATHAK31011967 on Sat, 10 Mar 2012
Asked in :Lung Cancer
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My father is 73 years old and recently diagnose
DIAGNOS At ILBS Delhi ,Metastatic Liver disease,Carcinoma Lung - right upper lobe (Primary),Type 2 diabetes mellitus
SYSTEMIC REVIEW:
CECT abdomen showed multiple metastases in liver.USG guided liver SOL FNAC showed features of poorly differentiated carcinoma. CEA was elevated. UGIE showed mild antral hypopigmentation which on biopsy showed active gastitis.Colonoscopy was normal. CECT chest showed right upper lobe mass lesion with mediastinal metastases and right pleural effusion. He then underwent CT guided trucut biopsy of the lung mass. Report awaited. After looking at EGFR status on biopsy, plan to chnage to combination chemotherpy but Tab ernotinib not started. As it was peripherally located lesion, likely possibility was non small cell carcinoma lung. Subsequently patient was discharged with following advise. To review in medical Oncology OPD on Monday ie 12-03-2012 with biopsy report.
I had tested Sugar level (PP) & Fasting of my father and found that sugar level is very very high (410 - 608). Admitted in the hospital and examination of ILBS lab showed uncontrolled sugars with RBS of 300, leucocytosis with count 16,000 and raised SAP and GGT. There were no feature of DKA. Urine Ketones were negative and ABG showed no acidosis. He has started insulin infusion and sugars controlled. Soon chnaged to OHAs. Advise Tab Glycomet SR 500 mg (with Lunch), Tab Amaryl 1 mg ( Before Break Fast )


Answered by : simipaknikar on Sun, 11 Mar 2012

Sorry to hear of your father's condition. Do you have any specific question?


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Answered By :

Dr. Simi Paknikar

Pharmacology

 

Total Answered : ( 149 )


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