CASE HISTORY: Mr. Lxminarayana ,Age :43 years Date-14-11-2006
A confirmed case of carcinoma of the urinary bladder in a male .He was suffering since 8 years back .However the patient did not come to me initially ,but after a allopathic treatment of 2 times operated , for one month back and 8 years back , he came to me with a lot of reports , because of his carcinoma recurrence. He consulted several surgeons but they declined to operate . The urinary bladder wall growth –likely carcinoma , fatty liver with multiple small hypoechoic focal lesions metastasis enlarged superficial inguinal lymph nodes . constant head ache , distension in stomach after eating even a little food , he was feeling worse , symptoms returning .
Head ache from sun exposing , journey sickness , head ache commence , hyper acidity, allopathic treatment , chest burning from acidity stomach fullness sciatica (acute) hands, legs pain, pulling pain . “urinary bladder cancer “growing operated 2 times since 8 years and since 2 months before operated .
FAMILY HISTORY : Father esophagus canal cancer died . uncle also died by bone cancer .
PAST HISTORY: 1ST USG REPORT .
Name:Mr.Laxminarayan age 43 years sex- male date—21-08-2006
Description- whole abdomen.
CASE HISTORY : Liver normal in size , contour and shows diffuse homogeneous to moderate increase in parenchymal echopattern, no focal lesions , intra hepatic biliary radicals and portal radicals normal . gallbladder appeared normal in size , contour and intra luminal echopattern . common duct appeared normal , no calculi seen in the common . pancreas appeared normal in size , contour and echopattern , spleen appeared normal in size , contour and echopattern . aorta appeared normal . no free fluid in the peritoneal cavity . no para aortic lymphadenopathy . adrenal glands appeared normal
KUB : Right kidney normal in position , size contour and parenchymal echopattern , no evidence of calculi or hydronephrosis . evidence . Left kidney normal in position, size, contour and parenchymal echopattern.
BIPOLAR LENGTH PARENCHYMAL THICKNESS;
Right kidney –9.16 cms, left kidney—1.92 cms,
Urinary bladder shows 5.37×3.53×1.66 cms intraluminal.
Irregular growth from the posterior wall . prostate normal in contour and echopattern . seminal vesicles appears normal. Appendix not visualized . no evident pericaecal mass lesion or fluid collection.
IMPRESSION : 1. fatty liver 2. urinary bladder growth-Likely carcinoma urinary bladder.
CASE HISTORY :Mr. Laxminarayana, age: 43 years, sex—male
PAST HISTORY: Test reports: Date; 31-08-2006.
HISTOPATHOLOGY:Tested on 01-09-2006, reported on ;01-09-2006.
EXCISION BIOPSY :
Material : T.U.R bladder tumour .
GROSS; specimen consists of multiple irregular grey brown pieces of soft tissue amounting to 05 grams,
MICROSCOPY; section studied shows structure of a cellular malignant bladder tumor , it is made up of papillary processes lined by multiple layer of malignant tumor cells and they have thin fibrovascular core, no evidence of infiltration into the submucosa observed .
DIAGNOSIS; PAPILLARY TRANSISTIONAL CELL CARCINOMA (GRADE-II)-BLADDER
MAIYA MULTISPECIALITY HOSPITAL
34, 10th main road ,1st block, Jayanagar, BANGALORE-11
Name; Mr.Laxminarayan sex; male age; 43years.
Admn.date-30-08-2006 Dis. Date 01-09-2006
Consultant incharge-Dr. K.N.Sridhar on 31/8/06 under LA by Dr. Sudha.Gurjar.
History and clinical Exam:
Admitted for surgery K/C/O Ca bladder-operated 8 years ago
H/O pain in lower abdomen—1wk
No h/o HTN/DM/Br. Asthma
OE: Moderate built Afebrile.
Pulse-80/min BP-140/90 mm Hg.
CVS, RS, Abd-NAD
Investigation; Reports enclosed
Treatment given: Treated with IVF+Bladder irrigation,
IInd SCANNING REPORT ; date 30/oct/2006 whole abdomen
Liver normal in size , contour and shows moderate increase in echopattern with multiple small hypoechoic focal lesions largest measuring 2.27 x1.9 cms. Intra hepatic radicals normal . Gallbladder appeared normal in size , contour and intraluminal echopattern . common duct appeared normal . no calculi seen in the common duct . pancreas appeared normal in size , contour and echopattern . spleen appeared normal in size , contour and echopattern. Aorta appeared normal in . No free fluid in the peritoneal cavity . no para aortic lymphadenopathy , Adrenal glands appeared normal .
KUB: Right kidney normal in position , size , contour and parenchymal echopattern . no evidence of calculi or hydronephrosis . left kidney normal in position , size , contour and parenchymal echopattern . no evidence of calculi or hydronephrosis.
Bipolar length parenchymalthickness
Right kidney –9.17 cms 1.52 cms
Left kidney —10.0 cms 2.05 cms.
Urinary bladder shows 0.96×0.35 cms moderately echogenic
Growth from the inferior aspect of the posterior wall .
Prostate normal in contour and echopattern. Seminal vesicles appears normal .
Enlarged inguinal lymph nodes seen. Appendix not visualized.
No evident pericaecal mass lesion or fluid collection.
1. SMALL INTRALUMINAL URINARY BLADDER WALL GROWTH –LIKELY CARCINOMA.
2. FATTY LIVER WITH MULTIPLE SMALL HYPOECHOIC FOCAL LESIONS-? METASIS
3. ENLARGED SUPERFICIAL INGUINAL LYMPH NODES.
Studying all reports and past case history of the patient by me ,I started giving homoeopathic treatment from 14/11/2006. advising not to go for surgery .
1.Phosphrous 200—3 doses
2.Crtulous horridus 200
5.Berberis volgaris Q
6.Thuja 1M –3 doses/weekly one dose
Date 24/11/2006 —— much improvement is noticed. Urine no burning, normal
Evening lower abdomen pain from 7-8 pm slightly
MEDICINES 1.Sabal serrulatha Q 2.berberis vulgaris Q—daily thrice, continue.
Date; 8/12/2006. all symptoms improved, chest burning from acidity, shoulder pain .
MEDICINES; 1. sabal serrulatha Q 2. berberis vulg. Q 3.causticum-200
Date; 25/12/2006. all symptoms are improved except acidity.
Medicines: 1.Arsenicum album. 200 2.sabal serrul. Q 3.berberis vulg. Q
4.calc. Flour CM—3 doses
Medicines: 1.Taraxacum 200.—daily 3 times for one week
After homoeopathic treatment, I advised him to get the scanning report
USG REPORT OF ABDOMEN; Date; 08-02-2007, REF:BY DR. B.S.SUVARNA
Liver shows fatty infiltration . no focal lesions sen .
Intra and extra hepatic biliary passages are not dilated .
Intra hepatic IVC & hepatic veins are normal.
Gall bladder is distended with clear contents & normal wall thickness . no calculi or debris seen. Pancreas is normal to the extent seen . spleen is normal in size & texture . it measures 8.7 cms no focal lesion seen.
No free fluid noted in peritoneal or plural space . paraortic &aorto-caval regions are normal. Diaphragmatic movements satisfactory . no evidence of subdiaphragmatic pathology seen .
Both the kidneys are normal in size & texture with normal cartico medullary differentiation. No evidence of calculi hydronephrosis seen bilaterally.
Right kidney measures 8.5×1.7 cms . Left kidney measures 9.4x 1.9 cms
Urinary bladder is distended with clear contents &shows diffuse thickning of the bladder wall . no vesicle calculus seen.
Prostate measures 3.6x 2.9x 3.6 cms –volume approximately 20 CC . it shows normal in size &texture . seminal vesicles are normal. No mass/localized collection seen in right iliac fossa.
IMPRESSION; FATTY LIVER , NO FOCAL LESION SEEN, DIFFUSE THICKENING OF THE URINARY BLADDER WALL .NO FREE FLUID SEEN IN ABDOMEN/PELVIS.
The patient improved in general health and is now in almost leading normal health after taking homoeopathic treatment .on 09-02-2007 he reported in my clinic as he was completely cured . he is very happy by avoiding surgery.