FINAL DIAGNOSIS:

•METASTATIC ADENOCARCINOMA OF

NECK & AXILLARY LYMPH NODE

CONSISTENT WITH PRIMARY ORIGIN IN CONSISTENT WITH PRIMARY ORIGIN IN

LUNG

• HEPATITIS B POSITIVE

HISTORY13.09.2006 - Mr.RR, aged 58 years, a chronic smoker,

presented with history of right supraclavicular

lymphadenopathy & left axillary lymphadenopathy for the

last 3-4 months. The patient was clinically asymptomatic.

Body weight – 73 kg. Hypertension since April 2004 &

Hepatitis B positive since April 2006.

11.04.2006 - CT SCAN OF ABDOMEN – Small left suprarenal

nodule adenopathy along left external illiac vessels.

11.04.2006 – CT SCAN OF THORAX – Mediastinal & left

axillary adenopathy.

11.04.2006 – CT SCAN OF NECK – Small cyst in left tonsillar

region, effacement of left fossa of Rosenmullar.

12.04.2006 – BIOPSY OF RIGHT

SUPRACLAVICULAR NODE & LEFT AXILLARY

NODES - HPE – Metastatic adenocarcinoma ,

consistent with primary origin in lung. consistent with primary origin in lung.

12.04.2006 - IMMUNO-HISTOCHEMISTRY –

Strong CK (Cytokeratin) positivity.

05.05.2006 – BIOPSY OF AXILLARY LYMPH

NODE - Metastatic adenocarcinoma,

consistent with primary origin in lung.

Tumor cells express TTF-1 & are

immunonegative to HMB 45immunonegative to HMB 45

15.05.2006 – REVIEW OF FIVE H & E SLIDES

FROM SUPRACLAVICULAR & AXILLARY LYMPH

NODES – Cervical & axillary lymphnode –

Metastatic adenocarcinoma.

25.07.2006 - CT SCAN OF WHOLE ABDOMEN –

On comparision with previous CT dated 11.04.06 the

necrotic lymphnode on the left side of pelvis along the

left external illiac vessels shows no obvious interval

changes. It measures 2.5 cm in its long axis. No other

enlarged lymphnodes are noted in the abdomen or enlarged lymphnodes are noted in the abdomen or

pelvis.

The Liver, GB, Pancreas, Spleen & Kidneys are

unremarkable.

No ascitis is noted.

25.07.2006 – CT SCAN OF THORAX –

CT Scan of thorax shows an enlarged right

paratracheal lymphnode. It measures 2.6 cm.

On comparision with previous CT dated On comparision with previous CT dated

11.04.06 significant reduction in number &

size of the mediastinal lymphnodes are noted.

The left axillary lymphnode is not visualised.

Residual scar tissue is noted.

CONVENTIONAL TREATMENT

RECEIVED

SIX CYCLES OF PALLIATIVE SIX CYCLES OF PALLIATIVE

CHEMOTHERAPY

WITH

DOCETAXEL & CISPLATIN

POST CHEMOTHERAPY STATUS

23.10.2006 – CT SCAN OF WHOLE ABDOMEN –

On comparision with previous CT dated 25.07.06

complete resolution of the necrotic lymphnode in the complete resolution of the necrotic lymphnode in the

left side of pelvis is noted.

No new enlarged lymphnode is noted in abdomen or

pelvis.

The Liver, Spleen, Both Kidneys are unremarkable.

POST CHEMOTHERAPY STATUS

23.10.2006 – CT SCAN OF THORAX -

CT Scan of thorax shows an enlarged right paratracheal

lymphnode measuring 2.5 cm in size. Few lymphnode measuring 2.5 cm in size. Few

subcentimetre sized lymphnodes are seen in the aorto-

pulmonary window & the precarinal region. No lesion

is seen in bilateral lung fields.

On comparision with previous CT dated 25.07.06 mild

reduction in size of the right paratracheal lymphnode is

noted.

02.12.2006 – Mr.RR began treatment with the

Dr.Mitra’s Cancer Care Therapy – a protocol based

on pure homeopathic dilution medicines researched on pure homeopathic dilution medicines researched

& developed by Dr.Somenath Mitra.

For more info visit: www.cancercaretherapy.net

Patient was advised for review by his oncologist

after every 3 months interval.

PRESENT STATUS OF THE PATIENT

08.11.2008 – X- RAY OF CHEST - PA VIEW –

Perihilar congestion noted.

No active lung parenchymal lesion.No active lung parenchymal lesion.

No demonstrable lymphadenopathy nor any pleaural reaction.

Costophrenic angles are well defined.

Both hemidiaphragms are smooth and regular in contour.

Cardiac configuration is within normal limits.

PRESENT STATUS OF THE PATIENT

08.11.2008 – ULTRASONOGRAPHY

OF WHOLE ABDOMENOF WHOLE ABDOMEN

Impression: FATTY LIVER

PRESENT STATUS OF THE PATIENT

ABOUT 5 YEARS OF TREATMENT

WITH WITH

DR.MITRA’S CANCER CARE THERAPY -

MR.RR IS STILL ALIVE & WELL AT THE

PRESENT TIME ENJOYING HIS DAILY

SMOKE ☺☺☺☺ !