Recently Answered Questions
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My cousin is diagnosed with Hodgkin's lymphoma. Please suggest.
Query: Hello doctor,A relative of mine recently got diagnosed with Hodgkin's lymphoma, and I am trying to wrap my head around it. Can you break down the prognosis for her? She is in her early 40s, and her health has been fairly routine until now. What are the chances of overcoming this, and what kind of jo... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. We cannot say about the prognosis because it depends on the progression of the disease if it is in a very late stage then the prognosis is poor but if she has good control of the Hodgkin’s lymphoma then the prognosis is better so we should ... Read Full »
I have a relapsed HL tumor despite treatment. Why?
Query: Hello doctor, I am a 52-year-old male, and I was diagnosed with Hodgkin's lymphoma a year back. To date, I have undergone ten cycles of ABVD (Adriamycin, Bleomycin, Vinblastine, and Dacarbazine), but they did not fully remove the tumor. The tumor relapsed again. The doctor advised to do the autolog... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read the query, and I can understand your concern. The choice of treatment prescribed for individual patients with relapse depends on several factors, including the histopathological details, IHC (immunohistochemistry), molecular profile, the timing of the re... Read Full »
Does Hodgkin's lymphoma elevate CD3 and CD57 NK cells?
Query: Hello doctor, I recently tested positive for Lyme disease. I have a history of stage IIA lymphoma, 15 years ago, and I am in full remission ever since. My reports, that I have attached, show elevated CD3 and CD57 NK cells. The lab recommended that an oncologist looks at this for a possible Hodgkin'... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen your reports (attachment removed to protect patient identity). Lyme disease is usually associated with decreased CD57, especially in the chronic form. But, the lab findings reveal a high CD57. It also reveals high CD3 levels. Both high CD57 and CD3 levels... Read Full »
I have been misdiagnosed with Hodgkin's lymphoma. Please help.
Query: Hello doctor,I am a 30-year-old male misdiagnosed with Hodgkin lymphoma and have been on an ABVD regime for three cycles. Then seek a second opinion, which turned out to be non-Hodgkin PMBCL even in the first place because the doctor misread the HPE report. Been on the DA-epoch regime for three cycl... Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query. I understand your concern. I am not sure about your stage of lymphoma. But once they start chemotherapy, it will continue for four cycles. Then, if the PET (positive emission tomography) scan is normal and there is no evidence of any residu... Read Full »
I have reactivated Epstein-Barr for a year. Please help.
Query: Hi doctor, I have had reactivated Epstein-Barr for a year. I recently got a blood test, which said, faint monoclonal band detected in the gamma region, repeat blood test in six months. There is no immunoparesis, and my levels have risen in the last four months, but still in the normal range. What do... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your query, and I can understand your concerns. The brief history you have described suggest a possibility of past infection with EBV (Ebstein-Barr virus). Probably you had an episode of IMN( infectious mononucleosis) in the childhood, which is ... Read Full »
I have breast cancer. Kindly interpret my pathology report.
Query: Hello doctor, I had a core biopsy done on an enlarged axillary lymph node. The pathologist had asked for a larger sample. Some CD (cluster of differentiation) tumor markers have shown up on the first biopsy. I need help interpreting the pathology report. I was diagnosed with right breast cancer thir... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Following is my opinion on your asked question. CD (cluster of differentiation) 30 and pax gene can be positive in Hodgkin's lymphoma. However, your result is positive for cyclin D, which is positive in mantle cells, and CD 20, which is positive in B cell neoplasm. S... Read Full »
Why do I have high hemoglobin and hematocrit values?
Query: Hi doctor,I am a 31-year-old female. I have a history of celiac disease and a past medical history of Hodgkin's lymphoma, a stage 2 cervical lymph node and tumors in my chest. I had a blood test last week which showed B12 and Folic Acid deficiency, raised hemoglobin of 161 and raised hematocrit of 0... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. You are having celiac disease in which because of malabsorption vitamin B12 deficiency and folate deficiency can occur. This deficiency also can be developed if polycythemia present in which proliferation more. Here hemoglobin and HCT is high as per history. Hence if... Read Full »
Is autologous stem cell transmission a good option for Hodgkin's lymphoma?
Query: Hi doctor,I was diagnosed with classical Hodgkin's lymphoma. I had eight cycles of ABVD, which did not remove the tumor and the tumor started growing back after four cycles. Then, I went for salvage therapy and that also did not give a good response. Now, the doctor advised to do the autologous stem... Read Full »
Answer: Hi, Welcome to icliniq.com. First line therapy of Hodgkin's lymphoma is chemotherapy. ABVD is the most common scheme (Adriamycin, Bleomycin, Vinblastine and Dacarbazine). Second line chemotherapy and radiation may be used if the first therapy fails. As you said in your query that has not had the... Read Full »