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?
Wbc count anything from.12000 to 18000 always once reach 22000 also ldh report is normal as attached so why wbc is high
Chronic prostatis leads to high WBC?
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.
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.
My father is suffering from CLM (Chronic Myeloid Leukemia), Local Oncologist advised to take "BOSUTINIB 500 mg" but the Medicine doesn't suits on him, so many health issues arises after taking the Medicine. Earlier he was taking Tab "Imatinib 400" since 2018. Now patellate count has increased,& Hb is very low, Please Guide what to do now
