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Questions & Answers

Q&A

Answered by Dr. Mohamed Abdirahman Ali

What is the prognosis of triple-negative breast cancer?

Hello, Welcome to icliniq.com I understand your concern, and I am here to discuss your mother's case. Regarding the condition of triple-negative breast cancer, this type of cancer is progesterone hormone receptor-negative, with HER2 negative as well. It is an aggressive type, and it needs aggressive chemotherapy followed by surgery (mastectomy with axillary lymph node clearance). Chemotherapy will be given in different types of regimens for about four months, which your oncologist will tell you about and which you need to consult. Triple-negative breast cancer prognosis is poor.

June 4, 2026

Can I undergo metabolic surgery for type 2 diabetes?

Hello,Welcome to icliniq.com.I can understand your concern.As you mentioned, you tried different lifestyle modifications and treatments, but nothing has worked so far, with uncontrolled diabetes and hypertension. So you are a strong candidate for bariatric or metabolic surgery.In such cases, the risk of not opting for surgery and continued progression of diabetes, cardiovascular disease, and kidney damage can outweigh the risks of surgery itself, especially if medications and lifestyle changes have not been effective.

June 1, 2026

How is my aunt’s HR-positive HER2-negative cancer treated?

Hello, Welcome to icliniq.com. I read your query and can understand your concern. Based on your description, your aunt has been diagnosed with HR (hormone receptor)-positive HER2 (human epidermal growth factor receptor 2)/neu-negative breast cancer. This type of tumor is estrogen and progesterone hormone receptor-positive, and HER2/neu is epidermal growth factor receptor-negative. We also need to know the tumor size.

May 20, 2026

What is my mom's stage 1 TNBC treatment at 45?

Hello, Welcome to icliniq.com. I can understand your concern. Triple-negative breast cancer (TNBC) is more aggressive and has a poorer prognosis compared to hormone receptor-positive types. The oncologist has started a chemotherapy regimen of six cycles over three to four months, which is already underway. The blood tests show normal levels of hemoglobin, white blood cells, and liver function, while the tumor size of 1.

May 19, 2026

How do I manage anal pain, bleeding, and gas issues?

Hello, Welcome to icliniq.com. I read your query and understand your concerns. After going through your case, it seems like you are suffering from an anal fissure. Anal fissure is a longitudinal ulcer in the anoderm of the distal anal canal. This condition is usually associated with hypertonia of the internal anal sphincter, which increases the traumatic effect of passing hard stools.

May 13, 2026

Can I work out if my MRI showed tiny umbilical fat?

Hello, Welcome to icliniq.com. I have read your query. Thank you for sharing your reports (attachments removed to protect the patient's identity). I can understand why this has been confusing and stressful, especially when one scan mentioned a possible hernia while the other did not show one. Let me reassure you that the ultrasound findings are actually quite encouraging here.

May 12, 2026

How can I handle my HER2-negative breast cancer and fear?

Hi, Welcome to icliniq.com. I understand your concern. You said that you have noticed a lump in your breast; it is common for women at this age to feel a lump in their breast. First, you need to go for a triple assessment (clinical examination of both breasts, radiological examination of the mammogram of both breasts, and histological examination (biopsy of the lump)). For treatment, it depends on the type of cancer and the staging of the disease.

May 7, 2026

Does my mom need chemotherapy for breast cancer at 49?

Hello, Welcome to icliniq.com. I read your query and can understand your concern. She had been diagnosed with breast cancer, in which initial imaging shows localised disease, which is a good sign. The management of breast cancer needs a multidisciplinary team (MDT) that includes a surgeon, oncologist, radiologist, and pathologist. It depends on factors like, Tumor stage.

April 27, 2026

Can weightlifting worsen my varicocele?

Hello, Welcome to icliniq.com. I have reviewed your case and understand your concerns. Varicocele is an abnormal dilation and enlargement of the scrotal venous plexus that drains the testis. It is clinically divided into three grades: subclinical, grade 1, grade 2, and grade 3. For grade 1 varicocele, which is only palpable during the Valsalva maneuver but not otherwise, it is often asymptomatic and may not require active treatment.

April 24, 2026

How can a woman manage HER-negative breast cancer at 48?

Hello, Welcome to icliniq.com. I read your query and can understand your concern. The breast lump size is 1.38 inches, with no lymph nodes and no other lesions in the body that need to be investigated (CT (computerized tomography) scan, contrast chest, abdomen, pelvis), and it falls under stage II breast cancer. The patient is feeling pain and needs painkillers.

April 21, 2026

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