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
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.
My mother was diagnosed upfront as metastatic breast cancer on Nov 2023. At that time it was ER PR positive Her2 negative so first treatment was taxol chemo 6 cycle and then tumor reduction and given palbociclib tablet with letrozole for an year and half hr then further scan showed increased. So again biopsy done and it showed tnbc and also ngs panel done and it says pic3 mutation and now completed 6 cycles of carbo and docetaxol chemo and waiting fof pet scan now but doctor sayinf next treatment will be Alpelisib and Fulvesterant injection. But this alpelisib is too costly here in india and also not sure whether insurance is gonna cover it. Any advise? Attached ngs report
My father have been diagnosed with a small mass lesion in kidney less than 4 cm, exophytic, nephrometry score is 6, urologist suggested for partial nephrectomy, my fear is with the lung nodules as it can happen beacuse of metastasis, we have done PET CT , reporte are yet to come, the nodules are so small cannot be even takrn for biopsy, will do repeat CT after 6 months, but if cancer then what are the chances of recovery?
Need consultation with best uro Oncologist in New Delhi. BCG 80 mg applied 6 times at an interval of one week, after cystoscopy no appearance of tumor cells, but then after maintenance dose 3 times at an interval of one week, lesions appear, may be tumor.
