Cancer Care and Treatment

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Verzinio, capecitabine

Hi, Is verzinio, capecitabine targeted therapies available in india? If so how much costly it is? Is this an imported one like ribociclib or indian version is there? And for metastatic hormone positive and her2 negative with liver mild metabolic activity, in case if targeted therapy fails what will be next option any immunotherapy is available? And how much cost is immunotherapy please
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Metastatic

Hi, On targeted therapy, only palbociclib is available in india with low cost or verzenio also available please? I know ribociclib is only available as imported and its too costly as well. So doctors prescribed palbociclib indian version. But is it effective in liver mets which showed mild metabolic activity in pet ct. I have read many liver mets were taking verzenio or capecitabine. Please suggest
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Cyst or something sinister?

The image i am attaching is the cyst or something like that just in between the tongue's back part and the epiglottis. I had posted a free query in the ENT section one doctor mentioned vallecular cyst. The closest similar pictures i could come across was epiglottic cyst on google. They look pretty similar to this. So i had observed this thing since last year or many months you csn say. Hx: I have history of allergies, recurrent throat infections and also tonsillitis since childhood. Recently had a bad chest infection, sfter a throat infection. After that the cough has reduced a lot but sometimes i get tickling issue in my lower throat, not sure if its cuz of this. And i dont smoke or eat tobacco. I rarely drink thst too in moderation. Never had choking symptoms or any apnea. Please guide me doctors, i am extremely scared. I am 27M, fairly active. Only symptom is occasional throat tickling or irritation mostly after eating food. But i would not call it as sore throat. Please gu
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Medicine enquiry

My father ,aged 59, was diagnosed with Pancreatic Cancer on July, 2023, following EUS-FNAC & ERCP surgery. He is also a Type-2 Diabetic pt. On July, 2023, he underwent Whipple surgery as part of his treatment. Post-surgery, he received six months of chemo, which consisted of Gemcitabine and Capecitabine. The chemo regimen involved Gem. administered in 6 cycles, each comprising three sessions per week. Cap. was taken once in the morning and twice at night for 14 consecutive days, followed by a seven-day break. The chemo  concluded on February, 2024. A PET scan revealed metastases to the lungs and liver and underwent liver biopsy.The doctor has advised Teyoges 20mg two times for 21 days with 7 days off, and this cycle is to be continued.Additionally, the patient has received the first dose of Oxaliplatin 150mg on 27th March, with another chemo session scheduled after 3 weeks. currently pt. is too week, having body pain and loss of appetite. can we reduce the dose of teyoges
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Please check the report and help

Patient name : Soma Bhadra Please check the report and help me out What to do?? What should be the next step? What to do?
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Platelets high 575000 report attached

Hello doctor i am anemic my platelets are high 575000 ,three months ago it was 480000, I have attached my reports of iron studies cbc peripheral please have a look I m very tense it is any cancer sign??? I have deficiencies of vitamin b12 and vit d.
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Regarding cervical cancer

Hello Dr. I am a 43 years woman can I go directly to take take cervical cancer vaccine or any test are required before taking it?
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High altitude and sickle cell disease

My son 16 year old has sickle cell disease... my question is Is it safe to travel high altitude place like Kashmir with him for vacation Will high altitude cause any problem
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High platelets 575000 attached reports

Attached reports please have look.I am anemic my iron level is 24 hemoglobin is 11.6 my platelets counts is high 575000 .I have b12 deficiency and vitamin d deficiency. No fever or any other symptoms right now but platelets are high is this sign of cancer ??pls pls reply I am very stress. I am taking both b12 or vitamin supplements from past 3 months .
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SUV max value

Hi, In pet ct its showing an liver lesion 1.5cm with suv max 2.8, likely mets. So suv max 2.8 is really cancerous?
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