Can cancer be diagnosed from just one ct scan?

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My 92 year old Father was admitted to hospital with pneumonia and significant weight loss, and difficulty swallowing. The second day there he aspirated his pureed food, and the Dr.ordered a ct scan. The results were interpreted as lung emboli, and a mass in his esophagus, and carcinatomas in his abdomen. The Dr. won't do a biopsy to confirm the mass is cancer. Is one ct scan enough to be certain he has cancer, what if the interpretation is not correct? Should he have a biopsy, or another ct scan to confirm the diagnosis? I have been with him in his hospital room 24/7 except for going home to shower every few days and he has fought off the pneumonia, but the Dr. won't put in a feeding tube because he says it will only feed the cancer. My Father is coherent and desperately wants to recover, but with no feeding tube, there is no hope. He says he has no pain, but they are now giving him dilaudin. I just want to know if one ct scan is enough to justify this denial of nutrition, and administration of dilaudin that keeps him asleep 24/7 ?

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ct scans are wicked ( effective ) these days. they can spot arterial plaque , degenerative discs, etc. never pass one up when offered.
my mother had a mass on one of her kidneys and being kinda wacked anyway ( dementia ) she refused further investigation or treatment. in reading up on the subject i found that whatever moms motives were she was absolutely right. there is no effective treatment for an 82 year old person with kidney cancer. the surgery alone would probably kill them from cardiac arrest , the remaining kidney would overwork and fail, and / or the patient would develope pneumonia from the weeks lying in bed recooperating. many cancer treatments are recommended against nowdays, prostate being one of them -- simply because the treatments do not in any way enhance the quality or duration of life. its not a death panel mentality now, its more of an ignorance and bad medicine thing in the past. i wish your dad the best qol possible and i wish understanding and acceptance on your part.
i do know a man who recently bought himself 3 more years by undergoing lung cancer treatment but i well remember him being one sick puppy for 3 years too.
ive done 3 different hepc chemo treatments in the past and i can attest to the agony those meds can cause. i looked like a dead man walking by the end of the treatments and the body aches felt like someone was pulling the marrow from my bones with a claw hammer.
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You need to get more information from the doctor..... like how dangerous would a biopsy be for someone in that age group?..... and if cancer was found, would surgery and chemo/radiation be recommended or again too dangerous?

And if you aren't comfortable with the answers the doctor is giving, there is nothing wrong with getting a second opinion.

I hope for the best for your Dad.
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One CT scan, maybe not. One CT scan + that history… how many more painful and invasive tests must your father go through, even if there were a realistic hope of finding an answer we would all like better?

I'm so sorry. Your father's courage is outstanding. Your desperation I pity with all my heart. Please seek counsel from whatever minister or advisor you trust best.
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