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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Is GemCarbo chemotherapy effective?

Query: Hello doctor, My mother has been diagnosed with stage 4 adenocarcinoma. She was having trouble breathing due to pleural fluid buildup. As per our oncologist's suggestion we have started Gemcitabine-Carboplatin chemotherapy before 10 days. The suggested course of treatment is six cycles of chemothera...  Read Full »


Dr. Bharat Patodiya

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

Answer: Hi, Welcome to icliniq.com. I can understand your anxiety. By the EGFR (epidermal growth factor receptor) not been successful, do you mean that the test was not positive for mutations or it could not be performed due to inadequacy of the sample? Please clarify. Starting EGFR inhibitors in the absenc...  Read Full »

My CEA values are increasing while on chemotherapy. Why?

Query: Hello doctor,On chemotherapy, CEA is rising. The patient had colon cancer surgery last year and was in the third stage. A PET scan showed one metastasis in the liver of 16 mm and one distant node. The chemotheraphy was started last year. CEA is rising instead of decreasing. The CEA values were 9.8, ...  Read Full »


Dr. Jaydeep Tripathy

Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. Stage III colon cancer will have elevated CEA (carcinoembryonic antigen) levels. However, following surgery and on chemotherapy, it should gradually come down. 10 is not very high. Still, post-surgery the standards should have been around six. Now since it is increas...  Read Full »

In an ultrasound, what does SOL mean?

Query: Hi doctor, My father is 63 years old. He is a diabetic patient and currently under diabetic medication. Now, he found blood in urine. His USG showed SOL in a urinary bag and it was measured about 44 mm x 22 mm. Please help me to understand what it is.  Read Full »


Dr. Saurabh S Pandya

Urologist

Answer: Hi, Welcome to icliniq.com. SOL in bladder (space-occupying lesion) means a bladder growth. Most of the times, the bladder growth will be malignant. So, your father needs early evaluation and treatment for his bladder growth. Based on CT scan and bladder biopsy, further treatment can be decided. F...  Read Full »

What are the chances of recurrence of mediastinal neuroblastoma after surgery?

Query: Hello doctor,My son was diagnosed with mediastinal neuroblastoma before nine months. He had undergone surgery and tumor was removed completely he had undergone chemotherapy for six cycles before three months. And the myc test was negative and favorable histology and pathology report. I want to know ...  Read Full »


Dr. Satyajit Jalinder Pawar

Internal Medicine Physician, Medical Oncologist, General Medicine Physician

Answer: Hello, Welcome to icliniq.com. Can you answer a few questions? 1. What was the baseline stage? Whether bone marrow, lymph nodes, or bones were involved? Baseline imaging? 2. What was the histopathology report after surgery? 3. What was a response after chemotherapy? 4. Any cytogenetic studies?...  Read Full »

CA-125 test value is 13.32 U/ml after tumor removal. Is chemotherapy required?

Query: Hello doctor, My wife has undergone tumor removal surgery along with uterus and ovary removal a week back. CA-125 test value is 13.32 U/ml. The doctor has advised to undergo 4 to 6 sessions of chemotherapy based on the biopsy report and below impression: Sex cord- stromal tumor– granulosa ce...  Read Full »


Dr. Jatin Bhatia

Radiation Oncologist

Answer: Hi, Welcome to icliniq.com. I went through your reports (attachment removed to protect patient identity), I have a couple of questions. First and foremost, any other blood tests done, called as tumor markers, similar to CA 125, like AFP, bHCG, inhibin, estrogen? Based on the details provided...  Read Full »

What is the alternative medication for the hormone blocking injections in the treatment of breast cancer?

Query: Hello doctor,My mother was diagnosed with breast cancer early this year. She underwent MRM surgery and now undergoing chemotherapy. Her age is 57, and the doctor advised for eight cycles of chemotherapy. Now she completed five cycles, and now the doctor had advised 17 more injections for hormone blo...  Read Full »


Dr. Rajesh Gulati

Family Physician, General Practitioner, Geriatrician, Medical Oncologist

Answer: Hello,Welcome to icliniq.com.Her cancer will be her 2 neu positive, in this scenario, it is mandatory to give 17 injections of Trastuzumab, otherwise chances of recurrence are high. As far as cost is concern, you can get some other way, like hospital cost is very inflated, get it administered at a s...  Read Full »

My mother's chemotherapy treatment for breast cancer has been increased to 12 per week. Is that correct?

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 »

Kindly give a second opinion on getting a surgery done for breast cancer after chemotherapy.

Query: Hello doctor, I need a second opinion on getting a surgery done for breast cancer after chemotherapy.  Read Full »


Dr. Rajesh Gulati

Family Physician, General Practitioner, Geriatrician, Medical Oncologist

Answer: Hello, Welcome to ilciniq.com. There is are multifilament lesion (attachment removed to protect patient identity). I suggest total mastectomy, which is complete removal of the breast. The chances of recurrence will be low in this approach.  Read Full »

Is it advisable to wait for chemotherapy to remove the main intestinal cancer?

Query: Hello doctor, My father is suffering from intestinal cancer. It is a tumor and the tumor blocked his intestine. D2 is completely blocked and then today he had a surgery in which all the spreadings is removed. Stomach bypass is now done but the main tumor is not removed and they said it will be afte...  Read Full »


Dr. Rajesh Gulati

Family Physician, General Practitioner, Geriatrician, Medical Oncologist

Answer: Hi. Welcome to icliniq.com. It was emergency surgery done to relieve the blockage, complete surgery will be done after chemotherapy because chemotherapy will further shrink the tumor and will make the surgery more feasible. Since surgery is done now, chemotherapy can be started only after healing ...  Read Full »

What causes very high hCG levels in pregnancy?

Query: Hi doctor, I am 31 years old. I had two miscarriages around 9 and 8 years ago. My last 6-7 periods were heavy and had a lot of pain. A lot of my family members had fibroids. So, I thought the same in my case too. Two months back, I got my last period, and as usual, it lasts 5-7 days, 28-29 days cycl...  Read Full »


Dr. Richa Agarwal

Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. I have gone through your history and understand your concerns. I feel sorry about your loss. It is most likely a molar pregnancy (benign tumor developing in the uterus) because hCG levels are quite high (human chorionic gonadotropin) and it is inside the uterus. Most l...  Read Full »

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