Chemotherapy

The cancer treatment that uses drugs that prevent cancer cells from dividing and growing is called chemotherapy. It used before surgery or radiation therapy to shrink the tumor or after surgery to kill cancer cells left behind. The side effects of chemotherapy include nausea, vomiting, hair loss, fatigue, infertility, loss of appetite, etc.

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Chemotherapy sessions for breast cancer has been increased to 12. Why?

Query: Hello doctor,My mother is suffering from breast cancer, and her treatment is going on. We have already done four chemotherapy with a gap of 21 days, but now instead the surgery doctor advised us to take 12 chemotherapy weekly. Please let me know the treatment that is going on is right or wrong?  Read Full »


Dr. Arshad Hussain Shah

Medical Oncologist

Answer: Hello, Welcome to icliniq.com. It is called neoadjuvant chemotherapy. So with chemotherapy, the size of the tumor is reduced significantly to make breast tumor operable. She has completed four cycles every 21 days, and now they will start the second phase of weekly chemotherapy (a new drug) for 12...  Read Full »

Breast cancer detected two days ago. Please provide expert opinion on treatment.

Query: Hello doctor, I need advise from experts about my mother. She is suffering from breast cancer. It was diagnosed two days ago. I want an expert's opinion for future treatment. Kindly guide me. What is the best treatment?  Read Full »


Dr. Arshad Hussain Shah

Medical Oncologist

Answer: Hello, Welcome to icliniq.com. I have gone through the attached reports (attachment removed to protect patient identity). Yes, the biopsy report has confirmed the diagnosis of breast cancer. Now, the next step will be to stage this disease. For that purpose, she will be adviced to do a CT scan of ...  Read Full »

My mother has surgery, where some tissue and ovary were removed. Is it cancer?

Query: Hello doctor, My mom had her surgery before two weeks. A 14 cm tissue was removed from her womb as well as her ovary. We are waiting for the results of her biopsy at the moment. Will it be cancer? If so, then what kind of cancer? Is it curable?  Read Full »


Dr. Eriol Braholli

Family Physician, General Medicine Physician, General Practitioner, General Surgeon, Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. As you are saying, the results of biopsy must be taken to determine if it is cancer or not. An idea may be given by the operating surgeon, who has seen the formation of tissue, but without biopsy there is no 100% accuracy. If the mass was found only in the womb, then ...  Read Full »

Kindly examine my father's biopsy report and suggest a treatment plan.

Query: Hi doctor, I am writing on behalf of my father, who is 64 years old. He is a diabetic patient, but his diabetes is completely under control. A few weeks before, he found some blood coming out along with his urine. He consulted a few doctors and went under some tests. He was found to have a tumor in ...  Read Full »


Dr. Bharat Patodiya

Family Physician, General Medicine Physician, General Practitioner, Internal Medicine Physician, Medical Oncologist

Answer: Hi, Welcome to icliniq.com. As the biopsy is showing high grade tumor and involves muscularis propria, this makes a T2 stage. The latest guideline suggests a Cisplatin based chemotherapy followed by radical cystectomy (bladder removal). Pelvic node dissection should be done even if CT scan did no...  Read Full »

What is the treatment regime for well-differentiated adenocarcinoma in rectosigmoid junction?

Query: Hi doctor, My brother (asymptomatic, 32 years old) underwent a screening colonoscopy due to positive family history. During the procedure, a mass (4.5 cm) was found at the rectosigmoid junction along with three polyps. HPR on mass revealed mass as a well-differentiated adenocarcinoma confined to mus...  Read Full »


Dr. Ram Abhinav

Medical Oncologist

Answer: Hello, Welcome to icliniq.com. I could see that the tumor is limited to muscular mucosa, and it is in the rectosigmoid junction. One should have information on at what distance the tumor is located on colonoscopy. Secondly, on MRI, whether the tumor is located above the peritoneal reflection or...  Read Full »

Is my mother's breast cancer treatment correct?

Query: Hi doctor, My mother, who is 55 years old, is undergoing chemotherapy for breast cancer T4 M1 (less than 5 mm non-avid in lymph node above lung) Nx, after mastectomy. She is HER2 positive and other two receptors are also positive. We have two different opinions in front of us from the two best onco...  Read Full »


Dr. Bharat Patodiya

Family Physician, General Medicine Physician, General Practitioner, Internal Medicine Physician, Medical Oncologist

Answer: Hi, Welcome to icliniq.com. I understand your plight. Your mother seems to be in stage 4 and less likely 3. However, to give the benefit of doubt, I think that people has considered to give chemotherapy followed by response evaluation. If the result is favorable, then they may even opt for surger...  Read Full »

Why do my hands feel numb after cancer treatment?

Query: Hi doctor, I am finishing the last part of my treatment for breast cancer. About a month ago, I started having numbness and tingling in arms and hands. It wakes me up through the night. I just recently started working in a grocery store, which is very physically demanding. It lands me with endless k...  Read Full »


Dr. Bharat Patodiya

Family Physician, General Medicine Physician, General Practitioner, Internal Medicine Physician, Medical Oncologist

Answer: Hello, Welcome to icliniq.com. I think you are on Paclitaxel weekly regimen. If yes, then this numb feeling is a side effect of chemotherapy. Please inform if you are taking any other chemotherapy. If it is bothering you in daily life too much, then I suggest Pregabalin. Also, bring it to your onco...  Read Full »

What is the survival rate of stage 4 non-small cell lung adenocarcinoma?

Query: Hello doctor, I want to get a second opinion on my father's treatment for advanced non-small cell lung adenocarcinoma. I want to ensure he is given the best possibility for the longest survival with good quality of life. He started suffering headaches and was also bringing up small specks of bloo...  Read Full »


Dr. Monish De

Medical Oncologist

Answer: Hello, Welcome to icliniq.com. Your father is suffering from non-small cell lung carcinoma stage IV. Disease subtype is adenocarcinoma. Since it is stage IV, adenocarcinoma and his age are already 67, I would advise you on EGFR (epidermal growth factor receptor) and ALK (anaplastic lymphoma kinas...  Read Full »

Kindly advise on chemotherapy treatment for my aunt with uterine cancer.

Query: Hello doctor, My aunt has vaginal cancer. She is on chemotherapy for a couple of months. Her first blood test report after the removal surgery says that she is in stage 4. Can you tell me what the indication in her last blood test report is? Also, explain her health condition?  Read Full »


Dr. Priyadarshini Tripathy

Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. I went through the blood tests (attachment removed to protect patient identity). Her blood test results are not too bad, except for anemia (low hemoglobin levels). Your aunt needs to take iron tablets (1 tablet once daily). The other report shows your aunt ha...  Read Full »

Do all pleural effusions need pleurodesis?

Query: Hi doctor, The patient is a 52 years old female. 25 days ago, core biopsy of retroperitoneal lymph node non-Hodgkin's mature B cell lymphoma diffusely positive for CD10, CD20, BCL6 and BCL12. Bone marrow biopsy showed erythroid hyperplasia with focal micronormoblastic maturation. She is suffering wi...  Read Full »


Dr. Bharat Patodiya

Family Physician, General Medicine Physician, General Practitioner, Internal Medicine Physician, Medical Oncologist

Answer: Hello, Welcome to icliniq.com. Thank you very much for being specific in what you want to ask. For lymphoma associated effusion, we do not suggest pleurodesis (procedure to remove excess fluid in pleural space) as most of the patient responds to chemotherapy. One cycle is a short time to know if the...  Read Full »

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