Tuesday, May 14, 2013

STATE OF MY CANCER---AN UPDATE




B.RAMAN

(Medical history. Will be 77 in August next )

 

27-9-2009—Heavy blood in urine after I returned from evening walk. Only one episode.Underwent cystoscopy in Apollo Main, Chennai. Urologist—Dr. Murali Venkataraman.Biopsy result: “ Bladder biopsies superficial and deep and prostatic chips showing features of a high grade carcinoma. The morphology is suggestive of a prostatic adenocarcinoma. Immunobiochemistry is advised for confirmation.”

Gleeson score test was not done. At the time of bleeding my PSA was around 4 only.

Full body PET CT scan was done on 3-11-09. Its conclusion:

“ Known case of high-grade carcinoma of the prostate.

“ Enlarged prostate with hetrogenous increased metabolic activity predominantly in the left half of the gland and in the intravesical component involving the bladder base. No obvious involvement of seminal vesicles. Metabolically active left obturator and internal illac lymadenopathy--- metastasis.

“Hypermetabolic skeletal metastasis involving the right aia of sacrum and left inferior public ramus.”

Severe urinal bleeding on the night of November 1,2009. Stopped on its own

Dr. Murali Venkataraman and Dr. I Raja, Oncologist of Apollo, Chennai, advised me to undergo total androgen blocade. Was given one Lucrin  depot injection once a quarter from November 18,2009. Took one tablet of Calutide 50 daily.

My PSA level, which was already normal, came down below one.Dr. Venkataraman stopped the Lucrin depot injection from November 18,2011. Felt  after two years of injection, it could make my bones fragile. Continued taking Calutide 50.

My PSA level started going up from Feb 11,2012, ( 1.67) and reached 14.28 on November 27,2012

In November,2012, started feeling weak, legs swollen, pain while walking, gasping.

My haemoglobin level was taken in Apollo Main 5.9.

Ultrasound scan in Bharath Scan showed:

“Bladder diffusely thickened measuring 4.8 mm.

“Presence of multiple polypoidal growths noted within the urinary bladder, largest measuring 78 + 50 mm.

“ Significant postvoid residual urine in the bladder vol 205 ml”

“ Volume of prostate is 17 ml.

“It shows altered echo pattern.

“ Evidence of calcification. “

Admitted in Fortis Malar, Chennai, hospital under care of Dr. Pari, Urologist on Dec 3,2012. Cystoscopy , CT scan and biopsy were done. Cystoscopy  conclusion :

 Bladder tumour.

“Prostate fossa—Normal

“Large tumour from anterior wall of bladder 7 cm extending from bladder neck.”

Biopsy conclusion:

“Papillary urothelial neoplasm---high grade.

“Extent of invasion – Lamina propria

“Lymphatic/vascular invasion---Not detected.

“Histological type---Usual.

“Pattern of growth---Nodular.”

The CT scan in Malar Fortis did not indicate any abnormality in liver.

Overall diagnosis of Dr. Pari:

“ CT whole abdomen showed enhancing bladder growth with dilated and thickened perivesial lymphatic.Large hiatus hernia”

On his recommendation underwent 36 doses of radiation in Apollo Cancer Hospital under care of Dr. Ratna Devi, Radiologist, from January 2,2013 to Feb 23,2013.

On her advice, a PET CT scan of the  abdomen was taken in the Apollo Cancer hospital, Chennai, on April 29,2013. Observations:

“Multiple hypodense lesions are seen in both lobes of liver, largest in segment V measures 3.5 + 4.7 cms. No focal lesion seen. Portal vein is normal. Intra hepatic biliary radicals are not dilated.

“Enlarged retroperitoneal, retro crural and bilateral common iliac nodes noted, largest paraaortic node measures 1.9 + 1.4 cms.Ne mesenteric or peritoneal deposits. No ascites.

“Hypodense lesion noted in right adrenal gland measures 2.0 + 0.8 cms.

“ Prostate measures 3.8 + 2.6 + 4.2 cms.No focal lesions.

“ Bladder wall irregularly thickened. The seminal vesicles are normal. No significant pelvic adenopathy.

“Paraoesophageal hiatus hernia noted.

“Multiple subpleural and parenchymal nodules are seen in visualised lung bases.

“Hypermetabolic hepatic, right adrenal, retroperitoneal and bilateral common iliac nodal and marrow metastases.

“ No other demonstrable, significant metabolically active disease in rest of the abdominal and pelvic regions.’

Side-effects of radiation that still continue 10 weeks after radiation was completed:

(a)      Burning sensation while passing urine. Urispass of no benefit,

(b)      Periodic constipation aggravating a long-standing piles complaint.

(c)      Severe flatulence causing discomfort in lower part of abdomen all the time.

(d). Severe & frequent belching. Sucrafil and Domstahl of no benefit

Dr. Sankar Srinivasan, Oncologist, Apollo Cancer Hospital, has been my consultant since May 9,2013.

 

B.Raman, 11-5-2013. Will be 77 in August.

51 comments:

sbm said...

For what little it is worth, my very best wishes to you in your fight against this disease.

Sanjay

Suresh said...

You are one of bravest blogger.Hats off to you in your fight.Good luck.



Shital Gandhi said...

Sir, our best wish are with you....hats off to you to ur fight

Indian Guy said...

Sir , all my wishes and sincere prayers for your fight against cancer . Though I can't make sense of the medical reports but i do hope for the best .

And also thank you for taking time to blog given the situation u r under . U r blogs are very helpful and give good perspective .

Unknown said...

Sir,

Wishing you a healthy life. Please visit the link.

Power of your Subconscious Mind by Joseph Murphy - Audiobook Part 1

http://www.youtube.com/watch?v=QaAHHKBgRVo

and

http://www.youtube.com/watch?v=XC4asg5VGkY

Anant Dhamala said...

Sir,

My best wishes and prayers for you to fight this disease.

And thank you for this great blog.

Anant

Anant Dhamala said...
This comment has been removed by the author.
sridev kumar said...

Sir
We wish you a very Good health and speedy recovery.

Visible Trade said...

Wish you all the best. Do let us know if you ever need any assistance.

Kumar said...

Dear Sir
While wishing for a speedy recovery, I also pray to Lord Almighty to give you strength to fight this ailment.

Warmest regards
Kumar

r c sharma said...

R c sharma -Sir, Wish u speedy recovery. I worked under u in early 80s and have fond memories of appreciation received whenever i did a good job. -Warm regards

peter g. said...

Reliably learnt that Mr.B.RAMAN passed away on 16th June after a prolonged battle with prostate cancer which he fought bravely. He was never cowed down by the disease. A great analytical and incisive mind that remained razor sharp till the end.His blog dated 14th May, was his last. My salute to the one of the last officers of the old intelligence school. May his soul RIP.

Vijayakumar A. P. said...

May the Almighty bless your soul, RIP!

Swathi said...

May your soul rest in peace Sir. You were a Great source Of Information And Inspiration.

Roy K said...

Rest in peace Sir.
~Roy

Roy K said...

Rest in Peace Sir.

Subash said...

We all miss you Sir, Rest in Peace. Subash Nair

Anonymous said...
This comment has been removed by the author.
Manoj Kusshwaha said...

this is really a dangerous disease and i appreciate your effort

lenajhon said...

Nice Blog topic choose for these blog..

Mumbai call Girls

Thanks Lot.

Unknown said...

apollo hospital chennai is jsut best and you will surely get success

Unknown said...


Thanks for sharing good information find best urologist in chennai.

Prasanth said...

really i quite impressed! Very useful information. Great Post and very good articles.and blog keep it up I really enjoy the blog post…
UI Designing Companies, Web Application Development in Bangalore

devidnayana said...

I am very happy when read this blog post because blog post written in good manner and write on good topic.
Thanks for sharing valuable information.
Web Design Company Bangalore,
Digital Marketing Company

Ogen Infosystem said...
This comment has been removed by the author.
Cmc Marine said...

Thank you for posting this article. It is really good and informative.
marine engineering courses

CMCINS said...

Very useful information. Great Post and very good articles.

Best Cbse School In Coimbatore

aarthi scan said...

nice post..CT angiogram
CT Scan price
CT scan abdomen

iisindia said...

God bless you for all the moments of your life! Thanks for sharing it.
best urologist in Bangalore
Best Urology doctor in Bangalore

JeyanthiNatherAcademy of Marine Studies said...

I have read this blog.Its very usefull
Gp Rating

Gp Rating Course
B.SC NAUTICAL SCIENCE Near me
stcw courses
Gp Rating Courses

Dr. Gaurav Goel said...

DR. Gaurav Goel is the Top Most Urologist In Jaipur. He Provides you all urology treatments with the highest success rate. Get appointment with DR. Gaurav Goel one of the Best Urology Doctor in Jaipur. For appointment you can visit our website or you can call us on 9895140822. Feel free to ask any query.

Digital Marketing Brains said...

To improve your vocabulary play free online word game and scrabble online multiplayer game

Home Services said...

However, manual analysis of large-scale and complex PPC campaigns is not easy. This is why you need a smart PPC analytics tool that can help you dig into the data and find something interesting.
https://ppcexpo.com/blog/ppc-analysis-tool

Emma King said...

I'm searching this type help and information's from a long time. but, not getting shticks information's to make a new site by online help. but,
Website Development Company In Dubai
Website Development Company In Australia
Social Media Marketing Agency in Delhi
Adwords- PPC Management Company Delhi
Website Development company in ranchi
Creative Web Development Company

Unknown said...

Thanks for sharing such a great information.. It gave me a lot of information for the same & also helping others to have the same full body health check-up in noida

Anusha Margarte said...

Content is really good...

Scan Centre Chennai
Scan Centre Near Me

rdmedia said...
This comment has been removed by the author.
worldofurology said...

Leading experts in their disciplines, World of Urology is a group of the best urologist in Bangalore. Conditions that affect the urinary tract and reproductive system can be treated to the best of our abilities. We also offer thorough robotic treatments of the highest caliber for prostate cancer, bladder issues, and kidney issues.

worldofurology said...

Top-notch patient care is provided by The World of Urology, which focuses on robotic and minimally invasive surgery best urologist in Bangalore staff is committed to offering all patients the most modern resources, attention, and compassion while encouraging the capacity to heal and respond to the therapy. By providing complete pre- and post-treatment information, our best urologist in Bangalore successfully treats patients.

worldofurology said...

our bodies can still have issues, even if we maintain a healthy lifestyle. sometimes things don't work out as planned, in which case you should consult a specialist who specializes in the relevant condition. World of Urology forum provides access to the Best Urology doctor in Bangalore who provides comprehensive urological treatment for all kidney problems.

worldofurology said...

If you are seeking treatment for a condition relating to the bladder, urethra, ureters, kidneys, and adrenal glands consult the best urologist in Bangalore Best Urologist in Bangalore With our consultation, you get the best diagnosis and treatment.

worldofurology said...

When germs enter the urethra, UTIs result which develops either from exposure to the outside world or from the digestive tract, which is why they afflict women more frequently. If you suffering from the same problem then you must consult World of Urolgy’s best urologist in Bangalore Our team provide complete urological care with modern technology.

worldofurology said...

For cancer patients who require surgery as part of their treatment, specialists in the World of Urology choose modern technology-based robotic cancer surgery. Robotic Cancer Surgery Robotic surgery systems employ one or more robotic arms, which the surgeon may precisely and remotely control from a console nearby.

worldofurology said...

Robotic surgery is a cutting-edge form of minimally invasive surgery that is gaining popularity with both patients and surgeons. Robotic Cancer Surgery For successful robotic cancer surgery, you can connect with specialists at the World of Urology.

worldofurology said...

Your urologist will advise you on a variety of choices for maintaining the health of your urinary system or managing a disease, problem, or condition of the urinary tract best urologist in Bangalore All the specialists here are well-trained and experienced to provide comprehensive care

worldofurology said...

Surgery may be the sole option if someone has been diagnosed with cancer, depending on the location, proximity, and stage of the tumour Robotic Cancer Surgery World of Urology specialists provides the best robotic cancer surgery.

worldofurology said...

World of Urology doctors specialize in the treatment of diseases and conditions affecting the urinary system, including the bladder, kidney, ureter, urethra, and adrenal glands. Urologist in Bangalore Among the best urologist in bangalore, he or she is offering a full range of urology, uro-oncology, and uro-gynecology therapies, including robotic surgery for faster recovery, to aid our patients in leading healthy lifestyles.

worldofurology said...

The World of Urology, a prominent group of urologists in Bangalore, is well known for providing a comprehensive range of Best Urologist in Bangalore options. Best Urologist in Bangalore For diseases including urethral damage, bladder cancer, kidney cancer, male infertility, urine incontinence, pelvic discomfort, and more, our top-rated urologist in Bangalore provides thorough therapies.

worldofurology said...

The board certification of urologists is among the most important considerations. best urology doctor in bangalore has finished his training in robotic surgery, a cutting-edge technique. He is also credited with founding the field of laser urology

worldofurology said...

Dr. Premkumar Krishnappa stands out as the Top urologist in Bangalore, revered for exceptional expertise and compassionate care. Their commitment to patient well-being and remarkable surgical skills solidify their position as the best urologist in India.

vaidegi said...

this analysis is very useful
pls give like this
etl testing course in chennai