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Adenocarcinoma

At GastroDoxs in Houston, Dr. Scott specializes in diagnosing and treating adenocarcinoma-cancers arising in mucus-producing cells of the lungs and colon. Combining advanced imaging, targeted therapies, minimally-invasive procedures, and personalized support, he ensures comprehensive, compassionate, expert cancer care tailored for you.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
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Houston Methodist leading Medicine
HCA Houston Healthcare
Scott Liu

About the Expert

Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.

What Is Adenocarcinoma?

  • A cancer that begins in mucus- or fluid-producing glandular cells
  • Can occur in organs such as the lungs, colon, rectum, pancreas, and prostate
  • Tends to grow slowly but may spread (metastasize) if untreated

Common Causes and Risk Factors

  • Smoking or long-term secondhand smoke exposure
  • Family history of cancer or inherited gene mutations
  • Chronic lung conditions (e.g., COPD) for lung adenocarcinoma
  • Low-fiber, high-processed-food diet for colorectal adenocarcinoma
  • High levels of air pollution, especially in urban areas

Signs and Symptoms

  • Persistent cough or wheezing (lung)
  • Chest pain or shortness of breath
  • Unexplained fatigue or unintended weight loss
  • Blood in stool or changes in bowel habits (colon/rectal)
  • Abdominal discomfort, heartburn, or fullness
  • Difficulty swallowing (esophageal involvement)

How Dr. Scott Diagnoses This Condition?

Dr. Scott uses a step-by-step approach:

Medical History and Physical Exam

He reviews your recent history of bleeding (surgery, trauma, GI symptoms), current medications (especially anticoagulants), and any risk factors for hemorrhage. He checks vital signs for tachycardia or hypotension and looks for signs of acute blood loss (pallor, cool extremities).

Laboratory Tests

A complete blood count measures hemoglobin and hematocrit to confirm anemia. A reticulocyte count assesses how well your bone marrow is compensating. Iron studies and a coagulation panel (PT, aPTT) help rule out other causes.

Imaging and Endoscopy

  • Upper or lower endoscopy identifies bleeding sources in the gastrointestinal tract.
  • CT angiography or tagged red-cell scans locate active bleeding in the abdomen or elsewhere.

Additional Investigations (if needed)

Stool guaiac testing for occult blood, renal and liver panels if chronic disease is suspected, and, rarely, bone marrow biopsy to evaluate marrow response in unexplained cases.

Dr. Scott
Treatment

Our Team offers a full range of care for adenocarcinoma.

1. Lifestyle and Diet Modifications

  • Eat more fruits, vegetables, and whole grains
  • Avoid smoking or get professional support to quit
  • Stay active with light exercise, such as walking
  • Practice stress relief techniques like breathing exercises, yoga, or support groups

2. Medications

  • Targeted therapy to block specific cancer growth pathways
  • Chemotherapy regimens tailored to your adenocarcinoma type
  • Immunotherapy to strengthen the body's natural defenses against cancer

3. Minimally Invasive or Advanced Procedures

  • Endoscopic removal for small rectal tumors
  • VATS (video-assisted thoracic surgery) for early lung adenocarcinoma
  • Robotic-assisted surgery for enhanced precision and faster recovery
  • Radiation therapy or tumor ablation when surgery isn't an option
Scott Liu

About the Author

Dr. Nghia Nguyen, DO, is a board-certified gastroenterologist providing advanced digestive care in the Greater Houston area. He earned his medical degree from the Texas College of Osteopathic Medicine and completed both his Internal Medicine residency and Gastroenterology fellowship at the University of Texas at Rio Grande Valley. Dr. Nguyen specializes in treating conditions such as acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and liver disorders.

Frequently Asked Questions

Is lung adenocarcinoma serious?

It can be, but early detection and treatment significantly improve outcomes. Dr. Scott will develop a plan tailored to your stage and overall health.

What tests does Dr. Scott suggest?

He often recommends low-dose CT scans for at-risk patients (like smokers) and colonoscopies for adults over 45, along with ultrasounds or MRIs as needed.

Can food changes help with recovery?

Yes. A diet rich in fruits, vegetables, whole grains, and lean protein supports healing, boosts immunity, and may reduce side effects from treatment.

Is robotic surgery a good option?

For many patients, yes. Robotic surgery offers smaller incisions, less pain, reduced blood loss, and a quicker return to normal activities compared to open surgery.

How long is the recovery time?

Most patients feel noticeably better within one to two weeks after minimally invasive procedures. Full recovery varies by treatment type and individual health.

What is the ICD-10 code for rectal adenocarcinoma?

The code is C20. Dr. Scott's team will include this on all documentation submitted to your insurance.

Will my insurance cover treatment?

Most major plans cover standard adenocarcinoma treatments. Our staff will verify your benefits and help you navigate any prior authorizations.

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