Recently Answered Questions
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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 »
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 »
Alternative medicine for breast cancer injections, kindly help.
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 »
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 »
Is it safe for my dad to take Durvalumab for bile duct cancer?
Query: Hello doctor,My father was just diagnosed with bile duct cancer and has been administered Imfinzi 500 mg. I am concerned about the efficacy of the treatment. Could you possibly share additional information about Imfinzi's efficacy in treating bile duct cancer? What are the chances of success or cons... Read Full »
Answer: Hello, Welcome to icliniq.com. Bile duct cancer is one of the most aggressive forms of cancer. Imfinizi, along with other chemotherapy drugs, has shown advantages over chemotherapy alone. In a clinical trial, combining Imfinzi (Durvalumab) with chemotherapy increased the time individuals were alive ... Read Full »
I suffer from advanced breast cancer. Please help.
Query: Hello doctor, I am a 55-year-old woman in advanced breast cancer stages. Completed chemotherapy, now prescribed Trodelvy. Despite this, I am still struggling and seeking additional support. Could you advise on further steps or any ways to better manage my condition? Please help. Thank you. Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and understand your concern. I am sorry to hear about your advanced breast cancer diagnosis. I understand the challenges you are facing, having completed chemotherapy and now starting Trodelvy. It is crucial to follow your doctor's instructions and take ... Read Full »
My grandfather has stage 2 colorectal cancer. Please help.
Query: Hello doctor, What personalized treatment plan and considerations should be prioritized for my 68-year-old grandfather diagnosed with stage 2 colorectal cancer? Given their age and the stage of cancer, what are the optimal treatment options available, considering factors such as potential comorbid... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. The treatment for colon and rectal cancers differs; rectal cancer patients typically require chemoradiation, while colon cancer patients usually do not need radiotherapy. Stage 2 colon cancer necessitates radical surgery, and the decisio... Read Full »
My mother has breast cancer. What treatment can she take?
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 »
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 son had tumor surgery. Is the dip in WBC count serious?
Query: Hello doctor, My 15-year-old son recently completed treatment for a primary mediastinal non-seminomatous germ cell tumor. He completed 4x VIP and surgical resection with NED 20 days back. He had one transfusion of red blood cells and platelets two months back after round 4. This month, one-day post-... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Your child is having a rare entity of non-seminomatous germ cell tumor and common extragonadal site for it is mediastinum. Mild splenomegaly is because of malignancy related process and no worry about that and nothing extra treatment needed. Second, only WBC count i... 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 »
I have metastasizing breast cancer. Is chin numbness severe?
Query: Hello doctor, I am a 61-year-old with breast cancer metastasizing to the liver, nodes, and bones. I am currently on Abraxane and Herceptin. I was diagnosed 19 years back and had 15 years of no cancer. Metastasis to a few nodes was noted four years back. I have been on Taxol, Taxatore and now Abraxan... Read Full »
Answer: Hello, Welcome to icliniq.com. You have been living with this cancer for a long time and have a lot of information about it. This numbness on your chin can be a side effect of your chemotherapy but without MRI (magnetic resonance imaging) of the brain very difficult to say you do not have any brai... Read Full »
My child has very low WBC counts. Can chemotherapy be given?
Query: Hello doctor,I want to have an opinion about my daughter's (8 years old) chemotherapy treatment for B-cell acute lymphoblastic leukemia. I want to know that is it possible to start or continue chemotherapy at very low counts of WBC and WBC differential. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Your child is having B-cell acute lymphoblastic leukemia. In that case, to induce remission, induction chemotherapy should be given to restore normal bone marrow. After induction, maintenance chemotherapy also to be given. Your total count might be low because of che... Read Full »