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to discus metastaic ca. gb was posted 10/08/2015 08:52 pm by pawan
E-mail Address: pawan9746@gmail.com

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58 yr old male htn nondiabetic alcohluc diagnosed with metastatic ca. gall bladder. MRI colangio graphy shows a neoplastc mass lesion infiltrate 4b and 5 of liver extending to segment 8 to porta and supra pancreatic cbd. mass invoke RHA which arise from SMA n abutting portal vein. CA 19.9 is 20.3u/ml CEA 13.5 ng/ml .fnac +ve for malignancy. now on chemotherapy with oxaliplatin n gemcitabine 9 cycle. plz inform us or reply to me at pawan9746 @gmail.com

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