Comprehensive Cancer Care: Navigating Treatment Options for Your Aunt - Oncology

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Comprehensive Medical Consultation


Hello, I am inquiring on behalf of my aunt.
If there are any unclear points, please bear with me.
My aunt is 65 years old, 163 cm tall, and weighs about 50 kg.
She underwent a thorough examination at a large hospital, which revealed that she has a malignant tumor approximately 0.5 cm in size in both her liver and lungs, as well as gallstones and a duodenal ulcer.
The doctors from various specialties only instructed her to see different departments and did not provide a comprehensive treatment plan.
Due to the different specialties involved and the high number of patients at the large hospital, it is often overwhelming for her during consultations.
My aunt is currently at a loss, as we, being non-medical professionals, do not know where to start.
Could you please advise on possible courses of action? Are there smaller hospitals in Taipei that can provide comprehensive diagnosis and treatment? How can my aunt apply for a more holistic evaluation to facilitate proactive treatment? Thank you very much for your guidance!

Mi Mi, 20~29 year old female. Ask Date: 2009/04/04

Dr. Fan Sheng reply Oncology


Mimi: I recommend Dr.
Lin Zhe-bin from the Department of Hematology and Oncology at Taipei City Hospital Ren'ai Branch.
Please remember to bring your previous examination results and reports.
X-rays and CT scans should be requested from the original hospital to be made into a CD for your consultation.
Thank you!

Reply Date: 2009/04/04

More Info


Navigating cancer treatment options can be overwhelming, especially when multiple specialists are involved and the patient is facing serious health issues. In your aunt's case, with diagnosed malignant tumors in the liver and lungs, along with gallstones and a duodenal ulcer, a comprehensive approach is essential for effective management.

Firstly, it’s important to understand that cancer treatment often requires a multidisciplinary team. This team typically includes medical oncologists, surgical oncologists, radiation oncologists, and other specialists who can address the various aspects of the patient’s health. Given your aunt's situation, it would be beneficial for her to be evaluated at a cancer center that offers integrated care. These centers often have the resources to provide a coordinated treatment plan that addresses all of her medical issues in one place.

In Taiwan, there are several reputable hospitals in Taipei that specialize in cancer treatment and offer comprehensive care. Hospitals like National Taiwan University Hospital and Taipei Medical University Hospital have oncology departments that are well-equipped to handle complex cases. These institutions often have tumor boards, where specialists from various fields come together to discuss individual cases and develop a unified treatment strategy.

To initiate a more comprehensive diagnostic and treatment plan for your aunt, you can take the following steps:
1. Referral to a Comprehensive Cancer Center: Ask her primary care physician or the doctors who diagnosed her to refer her to a specialized cancer center. This referral can help streamline the process and ensure that she receives coordinated care.

2. Request a Multidisciplinary Consultation: When scheduling an appointment at the cancer center, request a multidisciplinary consultation. This will allow her to meet with various specialists in one visit, which can save time and provide a clearer understanding of her treatment options.

3. Prepare for the Appointment: Before the appointment, gather all relevant medical records, imaging studies, and pathology reports. This information will help the specialists understand her medical history and current condition better.

4. Discuss Treatment Options: During the consultation, discuss all potential treatment options, including surgery, chemotherapy, radiation therapy, and palliative care. Given her age and overall health, it’s crucial to consider the benefits and risks of each treatment.

5. Inquire About Clinical Trials: Ask about any ongoing clinical trials that may be appropriate for her condition. Clinical trials can provide access to new therapies that are not yet widely available.

6. Consider Palliative Care: If her condition is advanced, it may also be worth discussing palliative care options. Palliative care focuses on improving the quality of life for patients with serious illnesses, addressing pain management, and providing emotional and psychological support.

7. Follow-Up Care: Ensure that there is a plan for follow-up care after initial treatment. Regular monitoring is essential to assess the effectiveness of the treatment and make adjustments as necessary.

8. Support Services: Look into support services offered by the hospital, such as social work, nutrition counseling, and psychological support. These services can help address the emotional and practical challenges that come with a cancer diagnosis.

In summary, your aunt's situation requires a coordinated approach to treatment. By seeking care at a specialized cancer center and ensuring that she receives a multidisciplinary evaluation, you can help her navigate her treatment options more effectively. It’s important to advocate for her needs and ensure that she receives comprehensive care tailored to her specific circumstances.

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