How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask commissure Your Own Question

commissure
commissure, Doctor (MD)
Category: Health
Satisfied Customers: 30993
Experience:  Experienced and Compassionate Physician Trained in NYC Ready to Help.
41363181
Type Your Health Question Here...
commissure is online now
A new question is answered every 9 seconds

Clinical indication: Maxillary sinus cancer, new epigastric

Customer Question

Clinical indication: Maxillary sinus cancer, new epigastric pain and hepatomegaly

A CT scan of the chest, abdomen and pelvis was performed with intravenous and oral contrast. 85 cc of intravenous Omnipaque 350 was administered. Compared to exam dated 11/15/2012.

A few tiny clustered nodules in the right upper lobe are nonspecific but likely infectious or inflammatory. There are other scattered tiny nodules throughout both lungs which are nonspecific. There is no mediastinal or axillary adenopathy.

Innumerable new liver metastases are present in both lobes. The spleen, adrenal glands, and kidneys are unremarkable with the exception of mild prominence of the right collecting system. Atrophy of the pancreas is stable. There is no bowel obstruction, ascites, or pelvic mass. There is no abdominal or pelvic adenopathy.
Submitted: 1 year ago.
Category: Health
Expert:  commissure replied 1 year ago.

DrDavid :

This is Dr. David

DrDavid :

I am a cancer doctor.

DrDavid :

what type of cancer was seen in the brain?

DrDavid :

the new scan sounds like there is cancer also in the liver as well

DrDavid :

it would be rare for maxillary sinus cancer in the sinus and brain to spread to the liver.

DrDavid :

so the liver lesions need to be biopsied through CT guidance to see what type of cancer is in the liver or what is going on in the liver.

DrDavid :

hello?

DrDavid :

usually squamous cell carcinomas are the type of cancer which originate from the maxillary sinuses.

Customer :

Originally it was diagnosed as squamous cell
carcinoma, but then changed to ademocarcinoma

DrDavid :

I see.

DrDavid :

then a liver biopsy is needed to check for adenocarcinoma to see if that is present in the liver as well

DrDavid :

or if there is another type of cancer in the liver.

DrDavid :

the biopsy from the liver can then be compared to the surgery tissue from the brain and sinuses to see if the cancers are the same or different.

DrDavid :

hello?

Customer :

Biopsy is this Thursday.

Customer :

Thank you

DrDavid :

you are welcome

DrDavid :

best of luck to you

DrDavid :

let me know if you have other questions.

DrDavid :

if done, please leave +++ positive feedback below the chat box

DrDavid :

you might have to scroll down to see the feedback area.

DrDavid :

you can always reach me as Dr. David in medicine or oncology sections here at JustAnswer

DrDavid :

thanks for using Justanswer.com

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery