Common "Metastasis" queries answered by top doctors | iCliniq


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 father has stomach cancer. Please help

Query: Hello doctor, My father had surgery a month back for stomach cancer bleeding tumor and in the histopathological report after surgery showed that metastatic deposits of the tumor have been found in six lymph nodes. I request you to kindly advice what would be the best possible treatment in this scen...  Read Full »

Dr. Pawar Satyajit Jalinder

Answer: Hello, Welcome to As seen in your reports, your father had stomach cancer, which is stage III. He will definitely need further treatment to avoid recurrence of the tumor. Usually, treatment should be started within 6 to 8 weeks. He has two options: Only chemotherapy or Chemotherap...  Read Full »

What is the guideline for treating metastatic breast cancer?

Query: Hello doctor, The patient is a 36-year-old female. She is a metastatic breast cancer patient. The diagnosis was made three years ago. Metastasis found this year through FDG PET CT scan. The primary treatment was for breast lumpectomy, followed by chemotherapy (3 FEC+3 Docetaxel), and radiation ther...  Read Full »

Dr. Arshad Hussain Shah

Answer: Hello, Welcome to It looks like she is having progressive metastatic breast cancer triple positive (ER +, Her 2 +ve). She received chemotherapy, hormonal, and target therapy (Trastuzumab). She also underwent BCS, oophorectomy, plus radiotherapy. Despite all this treatment. she progres...  Read Full »

Is there any alternative to chemotherapy? Please help.

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 »

Dr. Arshad Hussain Shah

Answer: Hi, Welcome to 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 »

We are unable to find primary cancer tumors. Please help.

Query: Hello doctor,My mother-in-law has a small cancer in the epigastric abdominal wall with adenocarcinoma, metastatic. We are carrying out further tests including PET-CT scan, endoscopy, colonoscopy, CBC, and all the CA tests, but no primary cancer was found. Now, what will I do?  Read Full »

Dr. Arshad Hussain Shah

Answer: Hello, Welcome to I have gone through the reports of your mother-in-law (attachment removed to protect patient identity). It looks like they have not yet completed the full work up. Biopsy from the abdominal wall nodule shows metastatic adenocarcinoma. So now, they must do upper GI en...  Read Full »

My father has hiccups after stopping steroids. Why?

Query: Hello doctor, My dad has been diagnosed with metastases and it has spread to his spines and lungs. He had prostate problems for past five years. Doctor on consultation here gave him few medicines which included Dexon. Once he stopped the medicine, he is hving hiccups continuously. Kindly advise on ...  Read Full »

Dr. Pawar Satyajit Jalinder

Answer: Hello, Welcome to Will you be able to provide me with details like: Does he have any other medical conditions like diabetes, heart disease or kidney problem? When was he diagnosed with malignancy and has he received any treatment? What exactly do you mean by prostate problems? W...  Read Full »

Please explain the test reports of my father.

Query: Hello doctor,My father has a liver disease. I need the description of the report and the stage of the disease.  Read Full »

Dr. Pawar Satyajit Jalinder

Answer: Hello, Welcome to As per the report, you have attached (attachment removed to protect patient identity), looks like he has hepatocellular carcinoma (liver cancer) and it is metastatic (stage). Another possibility is of cholangiocarcinoma or neuroendocrine tumor. But stage will be same...  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 »

Dr. Chitrangada Jitendra

Answer: Hi, Welcome to 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 »

My MRI shows enhancement on a rib. What is the cause?

Query: Hi, I had a routine MRI for the history of treated breast cancer, and that showed enhancement on a rib. What would cause this? I had rib pain following a bad cough and cold.  Read Full »

Dr. Vivek Chail

Answer: Hi, Welcome to Yes, it is possible that you might have mild fractures of ribs due to excessive coughing. Can you please upload the images. I will look at the pictures and then give a detailed opinion. Revert with the images to a radiologist online -->  Read Full »

Will polypoid nodular melanoma spread?

Query: Hello doctor, I was diagnosed with polypoid malignant nodular melanoma with superficial spreading melanoma in the adjacent. Clark level 3, and 1.6 mm ulcerated. Would you be able to tell me if it being polypoid was more serious as I cannot find much information about it?  Read Full »

Dr. Deepti Shukla

Answer: Hello, Welcome to Polypoid melanoma is a subtype of nodular melanoma. It is the most aggressive type of nodular melanoma. So, yes, polypoid variant is more serious. In polypoid variant tumor growth occurs vertically that is why there is exophytic growth above the skin surface occurs c...  Read Full »

How is metastatic CA of the gallbladder treated? Kindly help.

Query: Hello doctor, One of my friends, who is 55 years old, has been diagnosed with metastatic CA of the gall bladder (last stage) with direct infiltration of the segment IV of the right lobe of the liver, hepatic flexor of the colon, porta hepatis, head of the pancreas and first part of the duodenum. I w...  Read Full »

Dr. Abdul Aziz Khan

Answer: Hello, Welcome to Thank you for your query. This is most likely metastatic gall bladder cancer, as mentioned by the radiologist but needs a biopsy to confirm and to further characterize the tumor. Your friend can be treated with palliative chemotherapy. It will not cure the disease b...  Read Full »

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