Malignant Melanoma Treatment

Health Q&A
Ulcer on toung from last 40 days

She has a ulcer about 2.5 cm from last 45 days. She takes normal medication like orasore, omiprazol etc but not recover. She done biopsy also but report not understood. So need to consult what can I do and explain the attached report.

Undiagonised case

She has severe, persistent pain around the chest, upper back, shoulder and arm. She describes it as a pinched nerve, pressure on a nerve, or a bursting sensation. She also has frequent fevers and recurrent night sweats, and the pain is significantly affecting her daily life. symptoms: persistent cough, blood in cough, fevers, night chills and sweats. pain in head Over time, she has undergone several CT scans, PET-CT scan once, blood tests, bronchoscopy and hematology investigations. The scans have repeatedly shown multiple small pulmonary 3-8mm nodules, no definite cause for the severe chest and back pain. Pulmonary embolism, pneumonia, pneumothorax, fractures and obvious bone damage were not identified. Her leukemia and hematology investigations have largely been normal, including blood counts, hemoglobin and platelets. No clear evidence of leukemia or another blood cancer has been found. Most autoimmune, inflammatory, liver, kidney and coagulation tests were also unremarkable.

 MULTIPLE FIBROADENOMA

Hi Multiple fibroadenoma in breast.first it is detected in2017. As per dr advised we did sonography on regular basis till 2019. Also scan are evaluated by oncologist in 2019. Dr mentioned it's FIBROADENOMA and do test scan. But during corona we planned for baby and we missed for scan.now we have 2 childern a. The 2 nd child is 10 month old and curentwufe doing breastfeeding. We just did the breast scan again as lump size looks more. The report is attached here as well. Please guide whether we plan to postpone the removal of the big size lump after 6 months as baby is on breastfeeding.

Suspected likely cancer

72-year-old male with history of tongue cancer. PET-CT shows low-FDG lung lesion and multiple bone lesions. Persistent lower back pain. ESR, CRP and ALP elevated. Kidney function and calcium normal. Bone marrow biopsy planned to rule out multiple myeloma versus metastatic disease. No leg weakness or bowel/bladder symptoms.

Ovarian Cystectomy

I underwent the Ovarian Cystectomy a month back ,the histopathology report Says Seros borderline tumor micro papillary Subtype. Kindly suggest how to proceed further and what the reoccurrence rate is. Attached report for your reference.

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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