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Granulos cell tumor cancer
There is tumor abducting right uretor and proximal to iliac vessels. What are the odds of having multiple tumors growth in patient body in 4th stage of granulos cell tumor ? One surgery was already performed in may 2020 removing ovaries and uterus and large tumor. And another surgery is advised for removals of leftovers and after that reconnecting of uretur tube.
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Please send Histopathology report of operated specimens
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Dr. Balaji R
Surgical Oncologist
21 yrs exp
Chennai
This is likely Recurrent Granulosa Cell Tumor... The Ureter will mostly be on the surface of the mass without infiltration... So surgery will be very useful in removing the same... Only in about 10% of cases, removal and joining of the Ureter will be needed... Other cases the mass can be removed without damaging the Ureter...
Next Steps
Opinion and management by a Surgical Oncologist to plan for surgery along with contrast CT scan of Abdomen to assess the mass and Ureter along the entire length...
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Follow up with chemotherapy will likely be needed after surgery
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Dr. Ram Abhinav
Medical Oncologist
10 yrs exp
Coimbatore
Hello.
It is a recurrent granulosa cell tumor and it is encasing the ureter with indistinct planes with blood vessels. I am not sure whether complete removal of tumor would be possible. Stenting of ureter and palliative chemotherapy and assessing for surgery at a later point would be a good option
Next Steps
a better option would be to try some chemotherapy and if planes with ureter and vessels become clear, then to attempt surgery.
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the treatment is more of palliation in this setting and better not to attempt aggressive surgeries
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.