Cancer Care and Treatment

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68 year old Male

Detected BONE MARROW (Multiple Mylomia), in 2016.(Near spinal cord) Blood Test indicated 25% Plasma Cell, in 2016. So far done this Tests 16 times, till last month. Now it is 1 %. Should I take that now I have been cured almost of Multiple Myloma. No medicine since last 6 months. ( Before that took THALIX-100 : 1 Tablet /day.) Thanks
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Conventional prostatic adenocarcinoma

What should be the next treatment? How can we treat this Conventional prostatic adenocarcinoma with neuroendocrine differentiation and an extensive small cell type? He has aged alot , psa is 1.1, Intense FDG uptake noted in peripheral zone of right lobe of enlarged prostate (measures 5.0x4.3 cm); SUVmax 10.9 FDG avid bilateral external iliac, left obturator nodes; ~ 3.1x2.5 cm, SUVmax 9.5 FDG avid few bilateral hilar, subcarinal, paratracheal, prevascular nodes (largest measures 1.8x0.9 cm; SUVmax 8.5), few of them demonstrating hyperattenuation of NCCT thorax: favours the granulomatous etiology. No other significant adenopathy noted FDG avid extensive lytic and marrow lesions (few with associated soft tissue; Intraspinal extension at the level of few dorsal-lumbar vertebrae and sacrum) are noted involving axial and proximal appendicular skeleton; SUVmax 9.5. Variable FDG avid varying sized hypodense lesions in both lobes of liver; largest measures ~ 2.5x3.0 cm (segment V), SUVmax 14.5
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Adenocaricoma of stomach pylorus

Hi, My father underwent radical gastrectomy surgery for adenocaricoma of stomach. The hispathalogy report has come and stage is 2A , pT3N0 Need suggestions/views if the chemo can be delayed for 2 months as there is a important function amd father is not agreeing to take chemo before that fearing side efffects Attaching the report here.
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Tnbc with pik3

Hi, My mother got diagnosed with upfront mbc on nov 2023 and that time it was er pr +ve and her2 negative so taxol given for 6 cycle then palbociclib with letro went for nearly 1.7 yrs then progression and did re biopsy then its changed to triple negative and also did gene and ngs test. Gene test came negative but ngs test showed pik3ca mutation and pd L1 also came negative. Then docetaxol and carboplaton chemo went for 6 cycle then few days back pet scan done but no response and its progressed again on liver. Now doctor suggested alpelisib and fulvestrant and started on it. Am really worried will alpelisib works on this tnbc? And how long can be managed and also aide effects etc.
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Renal Mass and Lung Nodules

Recently did a PET SCAN for my father, where the Renal mass is less than 4 cm, FDG intake is low and for the lung nodules comments are looks like inflamatory than metastasis, we are planinng for Nephrectomy, but am worried with the lung nodules , can anyone please suggest
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Intramucosal andenocarcinoma

Good evening Doctor. I had intramucosal adenocarcinoma of the rectum about 9 years ago, arising from a tubulovillous adenoma (2 × 2 cm), moderately differentiated, with no invasion beyond the muscularis mucosa. Only polypectomy was done, and no further treatment was required. The report showed MSI negative / MMR proficient. At that time MRI pelvis and CT scan were normal, and post-polypectomy site biopsy showed no dysplasia or malignancy. Follow-up done regularly: • Colonoscopy – about 10 times, all normal (last on 12 November 2025) • USG whole abdomen – 10 times, all normal • Blood tests – about 6 times, normal • Chest X-ray (PA) – 4 times, normal Kindly advise the appropriate interval for future surveillance colonoscopy. Also, if a new polyp appears in future, would it necessarily be malignant in my case, or usually benign? . Kindly send your advice by SMS when convenient. Thank you.
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About inflammation developed in colon

Hi maam / sir my grandmother after receiving chemo radiation for ca cervix developed post inflammatory inflammation and fibrosis of colon for which colostomy was done gradually bleeding subsided but pain is not yet decreased..its been 4 months .. she is not under any medication except for ultracet which is giving only relief for sometime.. she has not been given any medication for ulcer to heal or pain to subside could anyone suggest a solution to reduce pain and heal ulcer...
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Cyst on the nape of neck where hair ends

I have the cyst on the back of the neck in nape area where hair line ends atleast from 3 years . And suddenly from past 1year  it grows a little it doesn't give any discomfort to me and it feels like movable it feels like 2 cm soft marble . Should I worry or not ?
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CML patient having alcoholic addiction

I have been a CML patient since 2016 and have had undetectable reports since 2023. Since last year due to family and personal issues. I became alcohol sober and can't skip any day. I was told by a doctor friend that Neltrexone 50mg will help me to stop alcohol. But I am afraid whether it will interact with my CML medicine. Please advise I am living a very bad life. Please help me answer.
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Blood cancer (Leukemia)

A teenager girl, having pain in the left side of my chest near heart for the past 4 months , got heart tests like Echo , ECG done , but the pain is still there with me , Sometimes blood , mucus comes in stool ( once a fortnight not very often) , weight fluctuates even after eating same foods, extreme tiredness, fatigue , and till now two times my ankles have swollen, nose bleed a little only once today.. Cardiac reports don't indicate any flaw , but I feel like my symptoms are with leukemia, by the way , I have my appointment with a grd doctor ( gastroenterologist) because parents are suggesting instead of any serious disease all this is included in grd disease, want to know what I can do.. please reply doctors..
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