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?
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?
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.
I am a 47 year old female was diagnosed with pT1c N0 M0 IDC grade 2 hormone positive her2 negative breast cancer In May 2025 (last year).. had lumpectomy, no chemo needed, had radiation and currently on tamoxifen..had my one year PET CT all clear...can I use hair dye?..keep reading that it causes cancer...any suggestions which hair dye can be used safely
Thanks
Hello doctor my father is 75 yrs old.. from last 4 years he diagnosed with ckd but before 2 months his hb level very low. But now his condition is better but hb is 8 and platelets is 65000 his creatinine level is 5 . 15 and other 2 reports I attach.. so please tell me is my father have blood cancer?
