Recently Answered Questions
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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 »
Answer: 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 rec... Read Full »
My father has a tumor in his urinary bladder. Please help.
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 »
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 not... Read Full »
What are the treatment options for an ALK-positive patient?
Query: Hi doctor, My brother was diagnosed to have ALK positive before two years. He had brain and bone metastasis. He got a brain surgery, WBR and spine radiation. He was on Crizotinib for 10 months and after brain and bone metastasis progression he was on Ceritinib for 5 months. In the latest scan, the d... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your plight. There are a few options more at this time if general condition is good. From the details it appears that chemotherapy is not exhausted yet and it can be utilized now. If only targeted agents are to be discussed, then Alectinib can ... 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 »
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... 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 »
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 »
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 »
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 »
Is it necessary to remove the entire breast in case of cancer?
Query: Hi doctor, My mother-in-law got operated for breast lump at before 15 days. We sent that lump to the clinic for further test and found that the lump has cancer cells. Before 13 years, she was operated for the same reason in the same breast, but that time it was a normal lump. Now, we did PET CT scan... Read Full »
Answer: Hello, Welcome to icliniq.com. I could not find hormone status and HER2 report. Is it done and awaited? The decision of 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 needs to discuss. R... Read Full »