My dad had bowel on and off for 6 months. A gastro specialist did colonoscopy and report said a mass in rectosigmoid region 10cm from anal bulge neoplastic? pet ct said luminal narrowing of the colon wall causing dilation of large bowel immedietly we got the surgery done immedietly and tumour removed tumour biopsy said all 12 lymph nodes are free t3N0 lvi plus pni plus emvi plus and high budding. Heart ef 40 to 45 percent. My question is that shall we go for ctdna or not and also as per mosiac trial they say that chemo specially oxilaplatin benefit in high risk stage 2 disease is very limited compared to stage 3 disease so shall we skip oxilaplatin and prefer only s1 or skip chemo totally if ctdna negative
Please advise whether to do ct dna or go for chemo directly or omit chemo totally outwieghing the risk of toxicity
My grand mother was diagnosed with neck cancer right side in march 25 treatment ongoing chemo pills taken and rt done in jan. Now she is unable to eat anything and weakness is there. Pipe is inserted. Reports attached. Need opinion
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?
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?
