Coach Rose diagnosed with Pancreatic Cancer

[cougjunkie]

Dave Rice will be interim Head Coach and is already acting in that capacity in spite of it not being made public yet.

Patrick Kinahan said he knew a few weeks ago Dave Rose would not coach this year.

How does the spleen surgery relate? Is that when they discovered it?

[cougjunkie]

Jay Drew sure has shitty sources, posted yesterday afternoon:

Rose released from hospital, will meet with players today
Just got some great news from BYU's basketball program.

Head coach Dave Rose was released from a Las Vegas hospital on Tuesday and is now at home in the Provo-Orem area.

Rose is feeling well enough that he is meeting with his players today at the Marriott Center.

It is just an informal get-together, as Rose wants to talk to his guys for the first time since he was hospitalized with internal bleeding (he later had his spleen removed) about 10 days ago.

[RockyBalboa]

Patrick Kinahan said he knew a few weeks ago Dave Rose would not coach this year.

How does the spleen surgery relate? Is that when they discovered it?

There's no warning signs for that kind of cancer. He was in pain and suffering internal bleeding and they opened him up....and that's how they found out.

[Color Me Badd Fan]

According to this SL Trib article, 4.6% of people diagnosed with pancreatic cancer between 1995-2001 have survived and then later the trib writes that this year "32,000 people will be diagnosed with pancreatic cancer and 32,000 will die from it." Nice reportin' trib!

http://www.sltrib.com/collegesports/...812?source=rss

[doctorcoug]

Patrick Kinahan said he knew a few weeks ago Dave Rose would not coach this year.

How does the spleen surgery relate? Is that when they discovered it?

maybe. I suspect the pain led to a chest xray, which then led to a CT, which showed free fluid. That CT may have shown the tumor. That then led to the surgery to stop the bleeding, which showed a tumor. A tissue sample was sent to path with the patient still in the OR. Path does a "frozen section", which is a quick way to mount the tumor to test for malignancy.

This, of course, complete speculation. Who knows what happened. In fact, I'm quite glad we don't know. It means the hospital staff did their job.

[UteStar]

maybe. I suspect the pain led to a chest xray, which then led to a CT, which showed free fluid. That CT may have shown the tumor. That then led to the surgery to stop the bleeding, which showed a tumor. A tissue sample was sent to path with the patient still in the OR. Path does a "frozen section", which is a quick way to mount the tumor to test for malignancy.

This, of course, complete speculation. Who knows what happened. In fact, I'm quite glad we don't know. It means the hospital staff did their job.

There is many ways that can lead doctors to think pancreatic cancer...though most of them in of itself won't lead to the diagnosis. He could have become jaundiced...he could have begun losing weight, etc. But going in for surgery can reveal a lot of things especially if they suspect something.

This form of pancreatic cancer is much more treatable than the other one. With that said, still not a good cancer (if there is such a thing) to have.

[SoonerCoug]

I would never be so bold as to claim that I am already an MD, since I'm just a 4th-year medical student, but I'll bet it was a gastrinoma. Gastrinomas cause high levels of stomach acid, which can give you bleeding ulcers. (They say it is some kind of endocrine-type tumor...which would make a gastrinoma quite likely. Rose had bleeding, which might have been from an ulcer.) They might have removed his spleen because the tumor had invaded it...or for another reason. Sometimes spleens just get damaged during complex surgeries and have to be removed because of the damage.

[Mr. Crimson]

That's very close to having a terminal prognosis. Only 5% recover from Pancreatic cancer.

Dave Rose seems like the kind of guy who would make that 5%. Get better coach.

[il Padrino Ute]

That's awful. Hopefully he can make a quick and full recovery.

All the best to Rose and his family.

[il Padrino Ute]

Dave Rose seems like the kind of guy who would make that 5%. Get better coach.

This is a great point. Rose is a fighter.

[Jarid in Cedar]

Well, it really depends on what the bleeding was from. He could have had a bleeding ulcer (not all that rare in even healthy people) and they noticed something on the scope. Jarid? They may have picked up something on his blood chemistries incidentally. Or he could be in liver failure from the cancer. We just need more info.

In the end, cancer sucks no matter what. Very sad day.

If the tumor is a gastrinoma(Zollinger-Ellison syndrome), that would easily cause a bleeding gastric ucler and have a brighter prognosis. I don't think that would explain why his spleen would need removed however, unless the tumor was in the pancreas and eroded into the splenic vasculature.

That said, not enough info to say for sure. I could envision about 10 different scenarios that could explain what is publically known.

My hopes and prayers are with Rose in his family.

[Jarid in Cedar]

I would never be so bold as to claim that I am already an MD, since I'm just a 4th-year medical student, but I'll bet it was a gastrinoma. Gastrinomas cause high levels of stomach acid, which can give you bleeding ulcers. (They say it is some kind of endocrine-type tumor...which would make a gastrinoma quite likely. Rose had bleeding, which might have been from an ulcer.) They might have removed his spleen because the tumor had invaded it...or for another reason. Sometimes spleens just get damaged during complex surgeries and have to be removed because of the damage.

Sorry for the repeat post soonercoug. I didn't read all the way through the thread before I posted. Z-E would be a very plausible explanation.

[CardiacCoug]

What a sad thing to happen to Coach Rose. I hope he recovers, and maybe there is some hope for recovery given his young age and the fact that it isn't adenocarcinoma.

Nice to see doctorcoug educating Cougarboard on these neuroendocrine tumors and interesting to see that he favors Sooner's diagnosis of gastrinoma from above (but without attribution):

http://www.cougarboard.com/noframes/...tml?id=4655046

[doctorcoug]

I don't have to give credit when I use my own medical knowledge and resources, right? I did have to use Robbins to remind me of all of them, though.

soonercoug sounds pretty bright.

[SoonerCoug]

Now the Tribune is implying that his spleen had ruptured, and that's why he went for surgery. If that's the case, then I have no idea which neuroendocrine tumor it might be.