|
|
Joined: 8/28/2009
Posts: 9
|
What can be done with a portal vein thrombosis when a pancreatic cancer is also present?
|
|
Joined: 10/11/2008
Posts: 928
|
Treat the pancreatic cancer and possible add anti-coagulant therapy for the thrombosis.
Jerome J. Spunberg, M.D., FACR, FACRO
CyberKnife Center of Palm Beach
jspunberg@radiationoncologyinstitute.com
(561) 799-2828 Radiation Oncology Institute
10335 N. Military Trail, Suite C
Palm Beach Gardens, FL 33410
(561) 624-1717
|
|
Joined: 8/28/2009
Posts: 9
|
She has had chemotherapy and then CK in June this year. Doctors don't seem very hopeful of a treatment that will work. Can you help with any advice?
|
|
Joined: 10/10/2008
Posts: 2354
|
What evidence is there that the pancreatic cancer is not controlled?
Clinton A. Medbery, III, M.D.
St. Anthony Hospital Cyberknife Center
(405) 272-7311
buddy@swrads.org
Mail to:
Clinton A. Medbery, III, M.D.
Southwest Radiation Oncology
1011 N. Dewey Ave. #101
Oklahoma City, OK 73102
|
|
Joined: 8/28/2009
Posts: 9
|
Due to the fact that the portal vein has a thrombosis on it now, her stomach is very swollen and bowels not working. The doctors seem to be focusing on that and not the cancer now. They started on the anti-coagulant injections 3 days ago, but no major change noted yet.
|
|
Joined: 10/10/2008
Posts: 2354
|
None of that indicates progression of the cancer necessarily. They need to take care of the current problems and then they can see what else needs to be done.
Clinton A. Medbery, III, M.D.
St. Anthony Hospital Cyberknife Center
(405) 272-7311
buddy@swrads.org
Mail to:
Clinton A. Medbery, III, M.D.
Southwest Radiation Oncology
1011 N. Dewey Ave. #101
Oklahoma City, OK 73102
|
|
Joined: 8/28/2009
Posts: 9
|
They seem to think there is not much that can be done for the thrombosis, can you advise anything?
|
|
Joined: 10/10/2008
Posts: 2354
|
Anticoagulation is the only thing I know of.
Clinton A. Medbery, III, M.D.
St. Anthony Hospital Cyberknife Center
(405) 272-7311
buddy@swrads.org
Mail to:
Clinton A. Medbery, III, M.D.
Southwest Radiation Oncology
1011 N. Dewey Ave. #101
Oklahoma City, OK 73102
|
|
Joined: 8/28/2009
Posts: 9
|
Thanks, has anyone else ever come across this complication?
|
|
Joined: 10/10/2008
Posts: 2354
|
We have not seen it. BUt it is not all that surprising. People with cancer are more susceptible to clots in every area of the body.
Clinton A. Medbery, III, M.D.
St. Anthony Hospital Cyberknife Center
(405) 272-7311
buddy@swrads.org
Mail to:
Clinton A. Medbery, III, M.D.
Southwest Radiation Oncology
1011 N. Dewey Ave. #101
Oklahoma City, OK 73102
|
|
Joined: 10/11/2008
Posts: 928
|
I don't think that it is all that uncommon...
Jerome J. Spunberg, M.D., FACR, FACRO
CyberKnife Center of Palm Beach
jspunberg@radiationoncologyinstitute.com
(561) 799-2828 Radiation Oncology Institute
10335 N. Military Trail, Suite C
Palm Beach Gardens, FL 33410
(561) 624-1717
|
|
Joined: 8/28/2009
Posts: 9
|
anti coalgulation ahs now been given for 4 days with steroids but no improvement, she is otherwise healthy and fit. Can you suggest anything else?
|
|
Joined: 10/10/2008
Posts: 2354
|
Not really. Except waiting.
Clinton A. Medbery, III, M.D.
St. Anthony Hospital Cyberknife Center
(405) 272-7311
buddy@swrads.org
Mail to:
Clinton A. Medbery, III, M.D.
Southwest Radiation Oncology
1011 N. Dewey Ave. #101
Oklahoma City, OK 73102
|
|
Joined: 10/11/2008
Posts: 928
|
"Tincture of time..."
Jerome J. Spunberg, M.D., FACR, FACRO
CyberKnife Center of Palm Beach
jspunberg@radiationoncologyinstitute.com
(561) 799-2828 Radiation Oncology Institute
10335 N. Military Trail, Suite C
Palm Beach Gardens, FL 33410
(561) 624-1717
|
|
Joined: 8/28/2009
Posts: 9
|
What is that?
|
|
Joined: 10/10/2008
Posts: 2354
|
Basically, it means waiting.
Clinton A. Medbery, III, M.D.
St. Anthony Hospital Cyberknife Center
(405) 272-7311
buddy@swrads.org
Mail to:
Clinton A. Medbery, III, M.D.
Southwest Radiation Oncology
1011 N. Dewey Ave. #101
Oklahoma City, OK 73102
|
|
Joined: 8/28/2009
Posts: 9
|
Can this thrombosis 'fix' itself or is the prognosis now poorer for the pancreatic cancer?
|
|
Joined: 10/10/2008
Posts: 2354
|
The vein can re-open or collateral channels can open. But I don't think that necessarily relates very well to prognosis.
Clinton A. Medbery, III, M.D.
St. Anthony Hospital Cyberknife Center
(405) 272-7311
buddy@swrads.org
Mail to:
Clinton A. Medbery, III, M.D.
Southwest Radiation Oncology
1011 N. Dewey Ave. #101
Oklahoma City, OK 73102
|
|
|
|