investigation like Scintigraph or MRI or Bone Scan
to evaluate extent of Metastasis was done although Follecular
Carcinoma of Thyroid is known to metastatise ... residual thyroid tissue in the
neck only but missed presence of distant metastasis. Radio Iodine
Ablation was done on 27.5.2000 under hospitalization for residual
thyroid
patient had aggravated. The patient was diagnosed with " Left Cerebellar SOL metastasis". The cancer in such cases metastasis to the brain from another ... patient of the deceased spread to the brain. The patient with brain metastasis have a poor prognosis for cure. This can cause a wide variety
diagnosis is given
as under:
"Diagnosis: Case of renal cell carcinoma metastasis with
cerebral metastasis & cerebellar metastasis with HCV positive."
Furthermore ... were made:
"History: Patient was diagnosed case of renal cell carcinoma
metastasis with cerebral metastasis & cerebellar metastasis
with HCV positive. He was operated
Hodgkins
Lymphoma (NHL) of RT Tibia. CT Scan
of the lungs shown metastasis spread of cancer to the lungs. Therefore complainant ... good response to the Chemotherapy in that his pulmonary
metastasis disappeared after the four cycles of Chemotherapy. The same is seen on the revaluation
Records
disclosed that he was diagnosed with a neuroendocrine tumour with
liver metastasis and underwent multiple major surgical procedures. He
also received extensive treatment such ... noted that the Life
Assured was suffering from ileal carcinoid with liver metastasis
since 2004 and was on chemotherapy treatment for the same.
Further
Pelvis was done before treatment and same did not report bone metastasis in lumbar region. No oncology doctor would recommend PET Scan when not needed ... examined the patient on the complaint of backache and incidence of bone metastasis in a case of carcinoma cervix is less than
specific mention by Dr.Rajesh Sachdev "disseminated
malignancy/skeletal metastasis" which means that the patient was
suffering from cancer. The OPs had advised ... Spine, USG Abdomen with bone scan to
confirm provisional diagnosis of Metastasis of Lumbar Spine leading
to pathological fracture of L2 Vertebrae. He was advised
conduct any test to rule out the
suspicion of metastasis. In view of the
fact that there was no relief, the patient consulted Dr.Shankaralingam ... done with accuracy.
Similarly, preoperative chemotherapy is given when there is obvious metastasis
as in Stage IV. When the patient was
discharged form the hospital
classify the stage of the
disease through TNM (Tumour, node and metastasis) staging. As
per the medical literature on record - "Text book ... regional lymph node, so
he was not having regional lymph node metastasis. Therefore, his
disease was in the stage of 'No'( the letter
reproduced as under:
"IMPRESSION : Scan features suggestive of :
Multiple Skeletal Metastasis" )
Again on 12.06.2013, the complainant (patient) was referred ... Jain for Mammography and CECT Chest with a
clinical diagnosis of bone metastasis "unknown primary". OP No.3
gave its finding as Multiple
