Hello, Welcome to icliniq.com. I could not find the hormone status and HER2 report. Is it done and awaited? The decision to undergo chemotherapy is greatly influenced by those reports. Moreover, the margin seems to be positive, and this may need a revision surgery. The pathologist and surgeon need to discuss.
Hello, Welcome to icliniq.com. I can understand your anxiety. By the EGFR (epidermal growth factor receptor) not being successful, do you mean that the test was not positive for mutations, or that it could not be performed due to inadequacy of the sample? Please clarify. Starting EGFR inhibitors in the absence of mutation is not recommended, as there will be no benefit, and the patient will lose valuable time in which she could have received chemotherapy. If the sample is inadequate and it is strongly recommended to get a rebiopsy, then continue chemotherapy till then.
Hi,Welcome to icliniq.com.I have seen your reports (attachment removed to protect patient's identity). The FNAC says it is benign (fine needle aspiration cytology). However, it is recommended to get an annual mammogram as a follow-up. Moreover, as FNAC is not the best for diagnosis, a biopsy is recommended.
Hello, Welcome to icliniq.com. Thank you very much for being specific in what you want to ask. I understand your concern about a core biopsy and thoracentesis. Based on your description, I suggest the following: For lymphoma-associated effusion, we do not suggest pleurodesis (a procedure to remove excess fluid in the pleural space), as most of the patients respond to chemotherapy. One cycle is a short time to know if there is a response.
Hello,Welcome to icliniq.com.I understand your concern.The first thing I would ask is whether she has had mutation testing done. If not, that should be considered, as a positive result could open up targeted treatment options that chemotherapy would not have addressed.For the pain, if narcotics are not effective, the dosage can sometimes be adjusted, or other options like nerve blocks may provide better relief.
Hello, Welcome to icliniq.com. If you are on a weekly regimen of Paclitaxel chemotherapy, the numb feeling you are experiencing could be a side effect of the treatment. Kindly inform us if you are undergoing any other chemotherapy as well. If the numbness significantly affects your daily life, I recommend considering Pregabalin to alleviate the discomfort. Additionally, it is essential to bring this symptom to the attention of your oncologist, as we may need to adjust the medication or discontinue it if the severity surpasses a certain grade.
Hi, Welcome to icliniq.com. My first step is to congratulate you for a definite action towards your health, such as the bariatric surgery. Also, you have achieved a great weight reduction with it, which needs appreciation too. I understand that you have not been following the diet, and just accept the fact and move forward in life. But I could not understand the term poor health.
Hello, Welcome to icliniq.com. I understand your confusion in today's world of information. I think the best option is to approach a spine surgeon, who can get an appropriate biopsy. Based on the biopsy, further specialists can be decided. Because bone erosion could also be due to non-tuberculosis disease, like myeloma, which is a genuine possibility in CKD (chronic kidney disease) patients.
Hello,Welcome to icliniq.com.I understand your concern.I have gone through the reports (attachments removed to prevent patient's identity) you have provided and the limited clinical history in your case. As I gather from it, let me summarise the case that I understood. Due to your age and the date of reports, it appears to me that you undergo an annual mammogram every two years, as indicated in a memo from the shelter, with high BI-RADS.
Hello, Welcome to icliniq.com. Nosebleeds are a known side effect of Isotretinoin, but fortunately, they often resolve quickly after discontinuing the medication. Considering your upcoming marathon in two days, I recommend temporarily stopping the tablet. It is also essential to have your blood pressure checked, as Isotretinoin can potentially cause an increase in blood pressure. However, there's no need to worry too much about the nosebleed (caused by a blood clot), as marathons typically have paramedic teams that can provide assistance if needed.
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