Navigating Cancer Diagnosis: Key Questions for Families in Taiwan - Oncology

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Cancer


My father is currently 63 years old and has always been in good health.
However, he experienced a rapid weight loss from 60 kg to 55 kg, which led him to undergo a comprehensive health check on October 16.
The initial findings revealed kidney stones and a tumor on the spleen.
On October 17, he underwent lithotripsy for the kidney stones, and on the same day, we were informed that the comprehensive health check report showed no abnormalities.
A splenectomy was scheduled for October 18, but during the surgery, the doctor discovered that the tumor had spread to the spleen, pancreas, aorta, and lymph nodes, and informed the family that the removal could not be performed.
Only a biopsy was conducted for pathological examination, but the doctor suspected it to be lymphoma.
The preliminary pathology report ruled out lymphoma, yet the doctor directly stated, based on experience, that it should be cancer, with a prognosis of possibly passing away within two to three months.
Currently, the cause of the condition is unknown, but there is an imminent threat to life.
I would like to inquire about the following: 1.
If we wish to transfer to another hospital, is "Hoshin" Hospital currently the specialized cancer hospital in Taiwan? 2.
Is it necessary to wait for the complete pathological report before transferring (since the patient has already undergone surgery and is not in robust health, he may not be able to endure another surgery)? I have heard that if the pathological report is not available, all tests would need to start over upon transfer.
3.
Is there a device called "Positron Emission Tomography" (PET) that can detect organs with cancerous cells through the injection of a tracer? Currently, only "National Taiwan University Hospital" and "Chung Shan Medical University" have this device.
How would using this device benefit our understanding of my father's condition? A group of helpless and anxious family members is seeking answers.

Lin, 30~39 year old female. Ask Date: 2000/10/23

Dr. Yang Youhua reply Oncology


Hsinchu Hospital and major teaching hospitals in Taiwan (such as National Taiwan University Hospital, Veterans General Hospital, Chang Gung Memorial Hospital, etc.) are specialized institutions for cancer treatment.
When choosing a treatment facility, in addition to professional considerations, the convenience of location is also important (to facilitate family members in providing care nearby).
If a transfer to another hospital is necessary, patients can request the original medical institution to copy examination results (such as pathology reports, CT scans, etc.) to bring to the new facility, which can help avoid redundant tests.
Positron Emission Tomography (PET) is a non-invasive examination; however, based on the patient's condition described in the text, this examination may not provide significant benefits.
It is advisable to wait for the definitive pathology report before deciding on the next steps for treatment (consulting with an oncologist from another institution for further opinions is also recommended).

Reply Date: 2000/10/23

More Info


Navigating a cancer diagnosis can be an incredibly challenging experience for families, especially when faced with the uncertainty and fear that often accompany such news. In your father's case, the rapid progression of his condition and the initial findings of a tumor in the spleen, along with the complications that arose during surgery, understandably raise many questions about next steps and treatment options.

1. Choosing a Specialized Cancer Hospital: In Taiwan, there are several reputable hospitals known for their oncology departments, including National Taiwan University Hospital and Chang Gung Memorial Hospital. While "Hoshin" Hospital may have its strengths, it is essential to consider hospitals with specialized cancer care and a multidisciplinary team that can provide comprehensive treatment options. It is advisable to consult with your father's current medical team about potential referrals to these specialized institutions, as they can provide insights based on your father's specific medical history and needs.

2. Transferring Hospitals and Pathology Reports: When considering a transfer to another hospital, it is crucial to have all relevant medical information, including pathology reports, imaging studies, and treatment history. While it is not always necessary to wait for the complete pathology report to transfer, having as much information as possible can facilitate a smoother transition and ensure that the new medical team is fully informed about your father's condition. If the pathology report is still pending, the new hospital may request to repeat certain tests to confirm the diagnosis, which could delay treatment. However, if the current medical team believes that immediate transfer is necessary due to your father's health status, they may expedite the process.

3. Positron Emission Tomography (PET) Scans: The PET scan is indeed a valuable diagnostic tool that can help identify cancerous cells throughout the body. This imaging technique uses a radioactive tracer to highlight areas of increased metabolic activity, which is often indicative of cancer. In your father's case, a PET scan could provide critical information about the extent of the disease, including whether it has spread to other organs or lymph nodes. This information is vital for determining the most appropriate treatment plan, whether it be surgery, chemotherapy, or palliative care. As you mentioned, institutions like National Taiwan University and Chung Shan Medical University are equipped with this technology, and it would be beneficial to discuss the possibility of a PET scan with your father's medical team.

In addition to these considerations, it is essential to maintain open communication with healthcare providers. Ask questions about your father's diagnosis, treatment options, and what to expect moving forward. It may also be helpful to seek support from cancer support groups or counseling services, as navigating a cancer diagnosis can be emotionally taxing for both patients and their families.

Lastly, consider discussing palliative care options with the medical team. Palliative care focuses on providing relief from the symptoms and stress of a serious illness, aiming to improve the quality of life for both the patient and the family. This approach can be beneficial at any stage of cancer treatment, especially when facing advanced disease.

In summary, while the journey ahead may seem daunting, taking proactive steps to seek specialized care, understanding the diagnostic process, and utilizing available resources can help you and your family navigate this challenging time.

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