When cancer cells detach from their original developed site and spread to different parts of the body through the bloodstream or lymphatics and develop a new tumor at the new site, it is known as metastasis. But some cancers tend to metastasize only to some areas. Lung cancer tends to spread to the brain, bones, and liver. Breast cancer tends to spread to the brain, liver, lungs, chest wall, and bones. Prostate cancer spreads to the bones. Colon and rectal cancers spread to the liver and lungs.
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My mother has been diagnosed with PUNLMP. Are there possibilities for it to turn malignant and undergo metastasis?
Query: Hello doctor, My mother has been diagnosed with PUNLMP under the medical code M8130/1. She had undergone a surgical procedure in which the neoplasm had been removed, and the tissue was sent for biopsy, which confirmed the diagnosis. Can you tell me what further care steps are required for her from n... Read Full »
Answer: Hello,Welcome to icliniq.com.I went through your query and understood your concern.It is a papillary urothelial neoplasm of low malignant potential (PUNLMP). Removal of the tumor is the only treatment for it. But there is some risk that it can recur again and in very rare cases, it can recur with in... Read Full »
Does the CT report show peritoneal metastasis?
Query: Hello doctor, Please can you look at this letter and report as they differ. We have been told the following are metastases which we agree with: 1 liver met, 1 aortocaval node, 1 sub pleural nodule. But the oncologist letter says possible peritoneal disease? Why did the CT report not state periton... Read Full »
Dr. Amol Kumar Wasudeorao Diwan
Answer: Hello, Welcome to icliniq.com. I can understand your situation at the moment. But you have to accept the facts about your patient. First thing is he has incurable disease, he has undergone a major surgery, in spite of treatment underlying disease is progressive, and most important the disease is w... Read Full »
Please provide a second opinion on my father's scan reports.
Query: Hello doctor, I need a second opinion on the results that came back from the doctor's report. Can you explain the report and the steps that we need to take further on this matter? Read Full »
Answer: Hi, Welcome to icliniq.com. Relax and do not worry. I have gone through the reports (attachment removed to protect patient identity) and I will explain you in detail. This is a gallium PSMA (prostate-specific membrane antigen) scan done for the whole body.The patient in the scan had undergone radica... Read Full »
What is non-FDG avid in a PET scan of a breast cancer patient?
Query: Hi doctor, My mother had breast cancer 13 years back, and this year again she has been diagnosed with bone only metastasis as per the report. She is currently on Letrozole and Ibrance for the last five months. Initially there was bone pain near pelvic, and so did the ultrasound, in that it came mini... Read Full »
Answer: Hi,Welcome to icliniq.com.I can understand your concern regarding the new findings on CT PET Scan of your mother. She is having multiple bony metastases proven radiologically and pathologically. The generalized mesenteric and omental haziness with raised tumor markers Ca 125 / CEA, these findings ra... Read Full »
Please explain my CT abdomen scan report.
Query: Hello doctor, My scan report reveals: The study reveals circumferential asymmetrical wall thickening of pyloric antrum of stomach extending upto first part of duodenum. The wall thickening is for a length of about 12 cm. Maximum wall thickness is about 1.8 cms in the posterior wall. There is a lum... Read Full »
Answer: Hi, Welcome to icliniq.com. The report suggests that there is malignant (cancerous) growth in the stomach that has metastasized to gallbladder as well as spread to anastomotic (joining) site of stomach and jejunum. Omentum (fatty tissue around the stomach) is also involved. As compared to previous ... Read Full »
I do not want to undergo chemotherapy for the metastatic breast cancer that has spread to my jaws; what is the alternative?
Query: Hi doctor, I have metastatic breast cancer that has spread to the bone. I feel pain in my lower jaw, and my teeth feel sensitive and loose; if I do not want to undergo chemotherapy or surgery, what is the best alternative to help me manage my symptoms? I am not looking for a cure but a way to manage... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Regarding your disease, metastatic breast cancer, are you taking any medicines for metastatic cancer? (Zoledronic acid, Denosumab, etc.) for your bone? If yes, your oncologist should hold these medications and refer you to a dental and maxill... Read Full »
CECT abdomen and lungs was taken after six cycles of chemotherapy. Kindly explain it.
Query: Hi doctor, My father is 62 years old. I have attached his CECT of the thorax, abdomen, and pelvis. It is taken after six cycles of chemotherapy with Gemcitabine and Cisplatin. He is diagnosed with carcinoma of unknown primary with left lung metastasis. Read Full »
Answer: Hi, Welcome to icliniq.com. I thoroughly read your query and understand your concern. I have gone through the attachment (the attachment is removed to protect the patient's identity). The scans look quite reassuring. There is nodular enhancement involving the left diaphragmatic pleura with minimal ... Read Full »
What are the chances for my daughter to survive with multiple tumors and pericardial effusion?
Query: Hello doctor,My daughter is in the ICU with pericardial effusion and multiple tumors. The fluid has been drained and there was blood mixed with the fluid. The regular blood test came back normal with no sign of cancerous cells. My question is, what are the chances that the tumors are benign? Through... Read Full »
Answer: Hello, Welcome to icliniq.com. Firstly, there is a diagnostic dilemma. The reports you have uploaded (attachment removed to protect patient identity) are fine. But, you should upload the echo reports and the fluid investigations as well. Now, considering the pericardial effusion with multiple cardi... Read Full »
Is the treatment for my breast cancer correct?
Query: Hi doctor, My chief complaint is severe lower back pain and pain in upper thighs. My medical history is as follows. Carcinoma of the breast three years back, followed by surgery, chemotherapy, and radiotherapy. I am on Tamoxifen for past 3 years, and now I am taking Arimidex. I have been suffering ... Read Full »
Answer: Hello, Welcome to icliniq.com. I do not have full information regarding the case from your query. What was the stage of the condition at the time of diagnosis? What chemotherapy was used? When did you start Arimidex? The conclusion I can make from the information which you have given is tha... Read Full »
Why do my pathology reports suggest NIFTP even though I have been diagnosed with follicular variant of papillary cancer?
Query: Hello doctor, I have had my left and right thyroid lobectomies done. Currently, I am taking tablet Levothyroxine. I have the follicular variant of papillary cancer, but my pathology report suggests NIFTP. I am attaching my reports for your reference. Kindly advise. Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern and will help you regarding it. I have seen the attached provisional report (attachment removed to protect the patient's identity). The diagnosis of a follicular variant of papillary cancer requires a capsular invasion by tumor cells on h... Read Full »