Mum (72) diagnosed in 2010 had Carboplatin 4 rounds then hysterectomy in Feb 2011, 3 more rounds of chemo. Within 3 months she reoccurred and was given Taxol, round 2 she had a severe reaction and was put onto Caelyx, after 4 rounds this was stopped as she had hand and foot syndrome and ct showed no real change. In March of this year she had a complete bowel obstruction and was operated on and ended up with an ileostomy. After the op she was told to go away and recuperate and that chemo would be offered as and when symptoms returned. An appointment and CT date was given for 3 months but Mum’s symptoms started after 2 months so the scan was brought forward, her onc was away so she did not get the results for another month. During this time she started vomiting and has only eaten small amounts of food for the last 7 weeks, had chemo Carb/Gem a month ago. Was admitted to hospital just over a week ago for the vomiting. 3 days on a drip to give the bowel a break, sent home and told to have only liquid food. She was unable to have her chemo that week but had it yesterday, still being sick not from the chemo though.
Tried getting to the bottom of where the obstruction is this time but to no avail, Can anyone advise on the CT result below,
Small amount of ascites, not evident on previous scan, Thickening of the undersurface right hemidiaphragm as well as plague like tissue on the surface of the liver, suspicious of peritoneal involvement. Focal low density area in the liver (3.8cm) close to the falciform ligament, larger than previous scan 1st May 2012, Small nodular densities have appeared in the fat of the supracolic omentum, not present on previous scan. Within the pelvis a poorly defined soft tissue mass 5 x 4 cm, this lies to the right of the midline and involves the surface of the number of loops of small bowel which appear tethered together and show variability in calibre, indicative of peritoneal involvement.
Any help would be so appreciated