Adenocarcinoma of the Duodenum

[Guest guest]

Hello All,

 

I have a 27 year old female patient that was recently diagnosed with metastatic

adenocarcinoma of duodenum, it has metastasized to the liver and bilateral lung

within two months. She initially presented to us two-weeks back with

approximately one month history of epigastic pain, vomiting, constipation and

postprandial discomfort. No history of hemoptysis, hematemesis or rectum

bleeding. In addition, a history of significant weight loss of approximately 10

kg (20lbs) over two weeks.

 

 

 

Upon examination the patient exhibited some weight loss, pallor and abdominal

mass in the abdomen. A CT scan of the abdomen revealed a mass distal to 3rd part

of the duodenum measuring 1.7cmx 1.3cm. There were small bilateral metastatic

lung lesions, two on the right side and one on the left side. There was one

suspicious metastatic lesion in the right lob of the liver.

 

She underwent upper GI endscopy, which revealed a tumor obstructing the 3rd part

of the duodenum about 5 cm from papilla of Vater. Biopsy of this lesion revealed

invasive adenocarcinoma moderately differentiated. Her CBC revealed WBC 3.9,

hemoglobin 11.7 and platelets 143. Biochemical profile was normal whereas tumor

markers including CEA, alpha feto-protien and Ca125 were within normal range.

Her bilirubin, AST, and ALT were all normal.

 

If anyone has treated similar cases by any method (Modern Medicine, Traditional

or any other method) Kindly provide me with your contact

information to communicate. Please help this patient who is in desperation and

in need of immediate treatment. info

 

Thank you for your time and cooperation

 

 

 

[Guest guest]

Morning Doc:

 

I have worked with many friends, patients and colleagues with cancer

using herbal therapy and acupuncture. I have helped all feel very

much better, but have lost several to the disease. One must be

thoughtful to suggest and provide all pertinent care for these

difficult conditions. Be honest and realistic about what service you

can provide.

 

With that in mind, here's some thoughts:

 

A proper Chinese diagnosis in addition to her Western diagnosis is

essential. A concurrent treatment plan is likewise essential. Can

you work with her physician or not?

 

Abdominal acupuncture is impressive as regards edema, pain and bowel

control in similar cases. Check out Dr. Zhiyun Bo's work (Google

Zheng Fu).

 

Chinese herbal medicine is essential. She will need a traditional

herbalist to formulate decoctions, such as Hai Zao and Shui Zhi.

Formulas must be custom fit to the patient, so you'll need help on

this one. One must always be mindful of possible drug - herb

interactions. Remember to dig deeply into medication history.

 

A source I use often is Dr. Zhou Zhong Ying's " Clinical Manual of

Chinese Herbal Medicine and Acupuncture " .

 

Basic needle therapy should include appropriate Back Shu points,

Jiaji at the corresponding organ system level, and the 5 Shu points -

plus what you find.

 

This fine lady will likely need daily treatments with long needle

retention. I prefer generous needling at first for immediate

response, then a few specific points thereafter, but each case

evolves uniquely.

 

The nausea points PC-6 and GV-26 may be taught to the patient for

self use p.r.n. to assist her tolerance of concurrent Western

medicine therapy.

 

I wish you well with this case.

 

Bill