Chemotherapy of Haematological Malignancies

Health Q&A
Cancer Screening Test

Hi I'm Praveen, me and my family would like to have a cancer screening test. We are located in Hyderabad. What kind of tests and where can we do? Thanks in advance.

Painless Groin Lymph Node Swelling

My grandmother is 72 years old and has painless external swelling/lumps near the groin/private-part area. She is otherwise normal, but she gets anxious and her BP increases during hospital visits. We consulted a gynecologist and general physician. Ultrasound report mentions bilateral inguinal nodal mass lesions and suprapubic lymph nodes, largest around 33 × 30 mm, with loss of fatty hilum and increased vascularity on Doppler. Impression says morphology is indeterminate/sonographically suspicious: lymphomatous / metastatic / granulomatous lymphadenitis. Report advised FNAC/core/excision biopsy and MRI pelvis with contrast. Please advise which specialist we should consult first: gynecologic oncologist, surgical oncologist, medical oncologist, or general surgeon? Also, should we proceed with FNAC/core biopsy first, or MRI pelvis with contrast first?

Is this oral cancer

I have two lumps in my mouth I have history of chewing tobacco from 5 yrs. It is not going from two months. I met a maxilofacial surgeon he told me it is benign no need to take any tension. And also told no need of biopsy. But it is not going what should I do?

HIPEC treatment for Ovarian Cancer

Hello Doctor, my mother has ovarian cancer and has completed 4 cycles of neoadjuvant chemotherapy with very good response (CA-125 reduced from 273 to 11). Her treating team is now planning interval cytoreductive surgery with HIPEC. We would like to take an expert opinion specifically regarding whether HIPEC is truly necessary/beneficial in her case, considering the additional recovery burden and cost. Could you please help us in deciding if HIPEC would be necessary and effective ? Thank you.

Advice for non small lung cancer - sqcc

Hello Doctor, Seeking your opinion regarding a 71-year-old patient diagnosed with NSCLC favor squamous cell carcinoma (P40 diffuse positive, TTF1 negative) involving the right upper lobe. PET-CT shows a spiculated RUL lesion approx. 3.0 × 4.7 × 4.0 cm with SUV max 16.58. Mildly FDG-avid hilar/paratracheal nodes (SUV ~4.2) with some calcification noted. EBUS/TBNA from stations 4R, 7 and 11L showed no evidence of malignancy. Current staging documented as cT2bN1M0 (Stage IIB). Proposed plan is neoadjuvant chemotherapy followed by reassessment for surgery. Would appreciate guidance on: 1. Whether chemo + surgery appears the optimal curative-intent approach in this case. 2. Whether adding immunotherapy to neoadjuvant chemotherapy would significantly improve outcomes. 3. Whether current imaging/EBUS findings sufficiently support N1 staging or need further nodal evaluation. Thank you.

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Doctors
Dr. William  Hicks - Internal Medicine
Dr. William Hicks Internal Medicine (Medical School, Fellowship in Neurology - Vascular, Residency in Neurology, Internship, Transitional Year, Medical degree, DO, Internship) 52 years experience Ohio State Brain and Spine Hospital
Weinland Park, COLUMBUS
Dr. JAMES G SIVARD - General Surgeon
Dr. JAMES G SIVARD General Surgeon (Medical School, Internship, Residency) 47 years experience OhioHealth Doctors Hospital
Forest Park West, COLUMBUS
Dr. Timothy  Moore - Internal Medicine
Dr. Timothy Moore Internal Medicine (Residency, Medical School, B.S., Internship-Internal Medicine, Residency in Internal Medicine, Clinical Fellowship in Hematology and Medical Oncology) 45 years experience Select Specialty Hospital - Columbus
Short North, COLUMBUS
Dr. Jeffrey  Zangmeister - Internal Medicine
Dr. Jeffrey Zangmeister Internal Medicine (Fellowship, Residency, Medical School, Internship, Residency in Internal Medicine, Clinical Fellowship in Hematology and Medical Oncology, Medical Education, Fellowship 2, Residency - ID, Class of 1981) 45 years experience Zangmeister Cancer Center
Columbus 43222, COLUMBUS
Dr. Michael A. Caligiuri - Internal Medicine
Dr. Michael A. Caligiuri Internal Medicine (Medical School, Residency, Summa Cum Laude, Phi Beta Kappa, Master’s Degree in Physiology, Medical degree, DO, B.A., M.A., M.D., Undergraduate Degree in Humanities and Health Science) 43 years experience The James Cancer Center
Columbus 43210, COLUMBUS