Cancer

Cancer is a broad term used to group a number of diseases together which are characterized by the abnormal and uncontrolled proliferation of cells to the extent that they start to invade upon neighboring structures and organs.

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After analysis of pleural effusion fluid, diagnosed with Stage 4 Cancer.

Query: Dear Doctor, After analysis of pleural effusion fluid, my mother has been diagnosed with Stage 4 Cancer - CUP, poorly differentiated carcinoma. She has exhibited lower lobe fibrosis for at least three years, has normal kidney lab work at this time, previous breast carcinoma ductal in situ with remov...  Read Full »


Dr. Prasad Eswaran

Answer: Hi, Welcome to icliniq.com. Thanks for the information given. To get the facts right, patient is a 74 year old female with prior history of Anal canal cancer and Breast cancer (DCIS) treated with surgery and radiation. Her co-morbidity includes osteoporosis / prior UTI / Lung fibrosis / multiple fra...  Read Full »

My father is having cough and is prescribed with Keytruda. Will it cause lung inflammation?

Query: Hello doctor, My father has started Keytruda end of October and has received two treatments. His third is coming up early next week. For the past three weeks, he has developed this tickle cough that comes in jags, and he coughs very hard to try and pull up what he says feels like a thin stick subst...  Read Full »


Dr. Satyajit Jalinder Pawar

Answer: Hello, Welcome to icliniq.com. I have gone through your query, and I understand your concern about Keytruda being the last hope. As I can gather from your question, your father has received two dosages of Keytruda, and third is due soon. But I could not figure out the exact indication or natur...  Read Full »

I have a white spot on my tongue. Could it be a developing cancer?

Query: Hi doctor, I have a white spot on the tongue. It feels raised and rough. Please see the attached picture. What could it be?   Read Full »


Dr. Naveen Thomas

Answer: Hi, Welcome to icliniq.com. I have seen the picture (attachment removed to protect the patient's identity). Do you have any symptoms related to it? It might be inflammation or an epithelial thickening, which will resolve within a week or two. Sometimes, it can be a precursor to a simple develo...  Read Full »

My mother is diagnosed with lung cancer, and her PD-L1 is 1%. Will Tecentriq help?

Query: Hello doctor, My mother has been diagnosed with lung cancer and they have tested for various markers (eGFR, PD-L1, TTF, etc.). Her PD-L1 is 1% and our understanding is that FDA approved Tecentriq only for situations of PD-L1 greater than 50. The tumor is 3 by 5. Can you provide any guidance on ho...  Read Full »


Dr. Rajesh Gulati

Answer: Hi, Welcome to icliniq.com, I understand your concern. As the PD-L1 (Programme death ligand-1) is one percent, Tecentriq (Atezolizumab) would not help much. Tecentriq slows down the growth of cancer cells. Thank you.  Read Full »

Is it advisable to give more water for a cancer patient with low sodium?

Query: Hi doctor, My dad has been diagnosed with aggressive mesothelioma cancer. He is very frail, and on leaving the hospital, he suffered from low sodium. He constantly asks for water, and I am unsure whether we are giving him enough to drink or giving him too much. His urine output is usually from 500 m...  Read Full »


Dr. Bharat Patodiya

Answer: Hello, Welcome to icliniq.com. The water he drinks will not affect the drain output unless the heart failure component is there. However, when sodium is low, we usually restrict water intake depending on the cause of less sodium. Has he received chemotherapy? Your intake should be based on outpu...  Read Full »

Can chemotherapy result in new wounds?

Query: Hi doctor, My father had surgery for cancer and subsequent chemoradiation on the cheeks. After that, he developed a wound on the right cheek, which grew into a big hollow wound. Would you please help us?  Read Full »


Dr. Raghu

Answer: Hi, Welcome to icliniq.com. The most common causes for a wound at the operated or treated site is - osteoradionecrosis and recurrent cancer. From your description, it seems like the wound is an effect of chemoradiation, more specifically radiation. We call it osteoradionecrosis, a complication ...  Read Full »

Will taking a contraceptive pill in a woman with cancer cause serious health problems?

Query: Hello doctor, My friend has stage three esophageal cancer. Her doctor said that she is recovering well. She had unprotected sex with her fiance. She is in a panic now. She has planned to take Unwanted 72 pills to prevent a pregnancy. But my question is, will she have serious health issues if she tak...  Read Full »


Dr. Rakesh Mittal

Answer: Hello, Welcome to icliniq.com. You have missed mentioning if the patient is currently on treatment or post treatment. If she is on chemotherapy or radiation therapy, she should not get pregnant. But taking contraceptive medicines does not affect cancer in any way. She can take these pills without ...  Read Full »

Can mild neutrophilia and borderline high TLC indicate cancer?

Query: Hello doctor, I have mild absolute neutrophilia and high-end borderline TLC. Can this be a sign of cancer?  Read Full »


Dr. Mubashir Razzaq Khan

Answer: Hi, Welcome to icliniq.com. I hope you are doing well in the pandemic. The signs and symptoms associated with neutrophilia are those of infections. Sore throat, skin infection, chest infection, and urogenital infections are common. Moreover, neutrophilia can occur due to stress, steroid use, h...  Read Full »

Can tuberculosis infect organs other than the lungs?

Query: Hello doctor, My recent chest x-ray showed some suspicious infiltrates in the lung. I am currently under thyroid cancer treatment. I got two CT scans done for both neck and chest. I have attached both reports here. Please help me in clarifying few terms which I did not follow. I would like to know, ...  Read Full »


Dr. Amolkumar W Diwan

Answer: Hello, Welcome to icliniq.com.  I went through both your CT scan reports (attachment removed to protect patient identity). According to your CT report, there is no defect in the lungs. It only shows collapse in certain parts. As you have mentioned you are currently under treatment for thyroid canc...  Read Full »

How to prevent damage to my eyes caused by radiotherapy for my nose cancer?

Query: Hi doctor,I have nose cancer, so I am going to get radiotherapy. The doctor said that the radiation might touch the eye, which may lead to loss of vision and eye removal. Is there any other way to prevent this? Please help.  Read Full »


Dr. Andrew Chellakumar Fenn

Answer: Hi, Welcome to icliniq.com. You have not given enough details, but from what I understand, you need to be given radiation to your nose. With conventional radiation, it is very difficult to save the eye, but we can try computerized radiation like IMRT (intensity-modulated radiation therapy) or VMAT (...  Read Full »

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