Malignancy is the word used to describe diseases that spread and invade the nearby tissues uncontrollably. These malignant cells spread to other parts of the body through the blood and lymphatic system. Carcinoma, sarcoma, leukemia, and lymphoma are a few examples of malignant conditions.
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From the attached USG report, can you tell me the risk of thyroid cancer?
Query: Hi doctor, My mom is 62 years old diabetic patient. The following details are her thyroid gland ultrasonography report. Thyroid gland is in the normal position. The size of the thyroid gland is increased and extends to the substernal area. In the right lobe of the thyroid gland, there is a cystic de... Read Full »
Answer: Hi, Welcome to icliniq.com. The risk of cancer cannot be told exactly. Although the hypoechoic nodule, age and calcification are kind of in favor of malignancy. Ultrasonography of thyroid is not a sure test to diagnose malignancy. I would rather do FNAC (fine needle aspiration cytology) from both t... Read Full »
What does watery and foul-smelling vaginal discharge signify?
Query: Hi doctor, My aunt is 31 years old and had her uterus removed 11 years ago. From then she never had the periods nor any discharge. It was all alright until a month ago. She had suddenly started experiencing waterlike vaginal discharge which is little smelly, and it hurts in stomach sometimes. When s... Read Full »
Answer: Hi, Welcome to icliniq.com. If there were few more facts about your aunt regarding the indication for uterus removal, any follow-ups, diabetic status, her sexual life, etc., would have been helpful. At the age of 31 years, the most probable cause is an infection. I put forth the possibilities and t... Read Full »
I have enlarged lymph nodes in my neck from six months. Do I need a biopsy?
Query: Hello doctor, I am considering pursuing a second opinion about some palpable lymph nodes that have been present in my neck for approximately six months now. There is a total of eight of them, present on both sides of the neck. These are all cervical lymph nodes, with the exception of one, which is s... Read Full »
Answer: Hello, Welcome to icliniq.com. Any lymph node that is smaller than 1 cm is not significant, but multiple palpable lymph nodes should be investigated.In my opinion, you should get a FNAC (fine needle aspiration cytology) done from the lymph nodes to rule out any infection or malignancy.For more infor... Read Full »
Is it safe to have surgery or oil treatment for DCIS?
Query: Hi doctor, My partner has DCIS. The doctor advised for surgery. She has been taking full extract Cannabis oil for six weeks. The initial pathology report and the follow-up reports seem to be different. The surgeon knows what my partner has been taking. I have sent both the pathology reports. I need ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. I have gone through the attachment (attachment removed to protect patient identity). Do not try Cannabis oil as a remedy for your lesion. Your report is suggestive of ductal carcinoma in situ. You are right, in the second report, it is given that necrosis is not evident. ... Read Full »
I have a brown mole on my forehead, which is growing slowly and has increased in size by about 5 to 6 mm. Can it turn malignant?
Query: Hello doctor, I am 29 years old having a brown mole or spot on my forehead that has been growing slowly for approximately three years. Now the size has increased around about 5 to 6 mm. I have attached the images of the mole. I consulted a dermatologist when it was smaller in size and had a schedul... Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query. I have gone through the case and the attachment provided. A mole that grows over the years is not malignant. In melanoma, growth is usually rapid. Even days and weeks count. To me, your current mole does not look to be malignant or has not ... Read Full »
What does symptoms like frequent fever, weakness in bone and no weight gain indicate?
Query: Hello doctor, My friend gets frequent fever and weak bone problems. She is not able to gain weight and strong bones. She belongs to a poor family though she has been visiting many ayurvedic, homeopathic MD's no one is able to figure out the exact reason. There might be chances of bone cancer? She ha... Read Full »
Answer: Hi, Welcome to icliniq.com. It seems from what you have mentioned that your friend is a 30-year-old lady with frequent episodes of fever and bone pain (assuming that the bone problems you mentioned are bone pains at multiple locations). If she is indeed only 70 lbs, then it is likely that she is c... Read Full »
MRI shows 'intermediate signal intensity lesion in endometrial cavity.' What is it?
Query: Hello doctor, My mother aged 55 years got an MRI with an observation of 'intermediate signal intensity lesion noted in the endometrial cavity measuring 19x28x24, in the fundal body region with loss of endometrial interface. Tethering of sigmoid colon with distal ileal loops to the uterus in fundus r... Read Full »
Answer: Hello, Welcome to icliniq.com. With this report (attachment removed to protect the patient's identity), there is a possibility of malignancy. Cancer of the uterus is more likely. I suggest you do CA 125 level, CT (computed tomography) scan abdomen and pelvis, X-ray, sonography, PET (positron emis... Read Full »
I have a deep wound around the anus. What could it be and how to dry this?
Query: Hello doctor,I am 35 years old, and I have a deep wound around the anus. I have been taking Cefixime dispersible tablets 200 mg for the last two weeks. However, the wound is not getting dry; please advise me. Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. I understand your concerns. From what you mentioned, there are many differentials, for example, anal fissures, piles, and perianal fistula. So, I need to know more details like: Is there any pain during defecation? Is there any blood on the paper? Any constipation o... Read Full »
I have non-malignant nodular hidradenoma of the legs. Should I be worried?
Query: Hello doctor, I was diagnosed with non-malignant nodular hidradenoma of the legs. These were removed chirurgically by a dermatologist with less than 1-millimeter margins. My question is can these come back? Is surgery curative? I read on the internet that it can be cancerous. Do I need surveillance... Read Full »
Answer: Hello, Welcome to icliniq.com. According to your biopsy report (attachment removed to protect patient identity) and the surgery, your lesions appear cured and should not recur. However, supervision at regular intervals is advisable for similar lesions at other sites. Read Full »
Why is my mole proliferating even after excision?
Query: Hi doctor, I have a question about a mole. I had a mole biopsied a few weeks back, and the pathology report came back, as the pathologic process is that of the proliferation of nevomelanocytes within the epidermis and focally within the dermis. Cytologic atypia is present and manifests as large nucl... Read Full »
Answer: Hi, Welcome to icliniq.com. Melanocytic nevi have an aberrant course and continue to show junctional activity. These areas can have cytological atypia, and a disorderly growth pattern of malignant melanoma develops in situ. Downward spread in the dermis results in invasive melanoma. Also, junc... Read Full »