Hello Doctor, my grandfather (Nanu) has Stage 4 prostate cancer and we are from Alwar, Rajasthan. He has severe pain from lower back/waist area to knees. Earlier, his testicles were surgically removed and currently he is on chemotherapy medicines. It has been 5 days since medicines started and he is gradually becoming weaker. Now he is finding it difficult to walk properly and we are very concerned.
Could you please guide whether this is expected or urgent? Also, if needed, could you recommend a good specialist near "Jaipur", Delhi, or nearby areas?
Could you please guide us regarding what kind of diet/food he should take during this time? Also, are there any foods we should avoid?
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?
My dad was having stool on and off since last 6 months after doing colonoscopy we noticed a mass in rectosigmoid region 10cm from anal bulge pet ct said luminal narrwing in rectosigmoid region causing dilation of proximal larhe bowel he underwent colostomy surgery and is now recovering. doctors prescribed chemo qfter it was mss and eF of heart 45 percent with oxilaplatin and s1. my question is that isnt oxilaplatin too toxic for high risk stage 2 because in mosiac trail they say that oxilaplatin almost adds neglible benefits in overall life for high risk stage 2 patients compared to stage 3 patients...also he is very fine walking eating smiling and energetic well i m very confused that after chemo it might not be the same...pls help also is ctdna test or any other tests required to check further or chemo is important. we are giving him superb high antioxidant diet in his recovery days after surgery
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.
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?
