cancer?

[rosen2]

1, female, 80
2, detection of the abdomen including one month
4, abdomen hurt of two years,
5,size about 4 x 5CM, certain activities degrees, clear boundaries, quality leather.
6, abdominal ultrasound : 9.3 x 4.2 lower left abdomen
7, no obvious signs of digestive disturbances.
8, ca199 than twice the normal value.

[rosen2]

hello everyone,it is my first visit here.

[rosen2]

is this lymphoma?

[CSF]

This could be a Pancreatic Canceras CA19-9 is a tumor marker which is increased in Pancreatic Cancer, colorectal cancer or GI malignancies.

i couldn't appreciate the CTs as it was difficult to make out at what level the sections were taken but some single CT showed that there is a enlarged mass infront of vertebral bodies displacing aorta and IVC. So, I presume it could be pancreatic mass.

So, according to history abdominal distension and the ca19-9 I would go in the line of pacnreatic cancer, its just a 30% guess 70% is still conspicuous, need to have more information. I would go for colorectal cancer but there is no history of bloody stool, bowel habbit changes so I excluded that one.

its just my opinion.

[CSF]

I am still confuse... I went through the CTs once again.. it doesn't look like pancreatic cancer as the mass is showing a hollow cavity filled with fluid just infront of the vertebral bodies. there could be possibilites of enlargement of main pancreatic duct... but now I lost completely.

could you please elaborate the case history of this patient.. then only any comment can be done.

[rosen2]

thank CSF's analysis,althouth i don't agree with your presumption.

[rosen2]

CTs showing a hollow cavity filled with fluid just infront of the vertebral bodies.i think it is colon lymphoma.

[Alpine]

single CT images are from the much lower part of the abdoment as the iliac bodies are seen on the both sides, it could be a lymphoma of the paraaortic region or from intestinal origin if its is so it should give some local effect along with the following generalized symptoms to the patient:

unexplained weight loss
fever
drenching night sweats (enough to soak clothing)
severe itchiness

so, yh, the history is not complete please give a detail description of sign, symptoms etc. CSF point has to be noted as ca19-9 increases in pancreatic cancer and GI malignancies and how do we correlate the ca19-9 if this is of lymphatic origin?????

[rosen2]

i will do my best to elaborate the case history of this patient.
thank CSF's analysis again.

[rosen2]

the patient is 80 years old,female .she found a lump in her abdomen one month ago .