Radiotherapy

Cancer treatment that uses high doses of radiation (x-rays) to kill cancer cells is called radiotherapy or radiation therapy. The two types of this therapy are external beam and internal radiation therapy. Radiotherapy is either used before surgery to shrink the size of the tumor or after surgery to kill the remaining cancer cells.

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Kindly explain the results of the pathology report of my mother who had breast surgery for cancer.

Query: Hi doctor, My mother underwent a breast surgery for breast cancer recently. I have attached her pathology report. She is taking medicines for cholesterol. Please explain it.  Read Full »


Dr. Pawar Satyajit Jalinder

Answer: Hi, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity). Please answer my questions. What type of surgery was done? Is it MRM (modified radical mastectomy) or breast conservation. Also whether the reports of ER, PR (estrogen and progesterone re...  Read Full »

My wife is diagnosed with a giant cell tumor and the doctor suggests radiotherapy. Is it safe?

Query: Hi doctor, My wife felt a heavy pain in her buttocks two months ago. The doctor suggested MRI. MRI shows a large sacral mass. The doctor suggests surgery (decompression). After the biopsy doctor confirmed it as a giant cell tumor. He also he suggested radiotherapy to prevent local recurrence. But wh...  Read Full »


Dr. Abdul Aziz Khan

Answer: Hi, Welcome to icliniq.com. As per the histopathology report (attachment removed for patient identity protection), it is a benign lesion, possibly a bone cyst. If it is true, then I am not in favor of radiotherapy. But only MRI (magnetic resonance imaging) will help in knowing how complete the sur...  Read Full »

My 79-year-old father has prostate adenocarcinoma. Which treatment will be best for him?

Query: Hello doctor, My father-in-law (79 years old) has been recently diagnosed with prostate adenocarcinoma - acinar type with a Gleason score of seven, grade group two. He is quite active physically and does his regular walks meticulously. He has no specific symptoms related to his prostate other than f...  Read Full »


Dr. Madhav Tiwari

Answer: Hello, Welcome to icliniq.com. Thank you for your query. I understand your concern. Considering his age, both surgery and the wait-and-watch approach are valid options. The decision to do a radical prostatectomy generally depends on the expected life expectancy of the patient. Generally speaking...  Read Full »

Please help me interpret my prostate biopsy.

Query: Hi doctor, Here are the results of a prostate biopsy. What do you think of the results? Do you recommend surgery or chemotherapy for a 71 year old?  Read Full »


Dr. Vivekanandan Govindasamy

Answer: Hello, Welcome to icliniq.com. The prostate biopsy report is suggestive of high grade prostate adenocarcinoma. So, the recommended treatment would be either a laparoscopic radical prostatectomy or radiotherapy in the form of IMRT (intensity-modulated radiation therapy). No role for chemothe...  Read Full »

I am diagnosed with Gleason 6 before twelve years, undergoing radiotherapy, and my PSA levels are increasing. What could be the cause?

Query: Hello doctor, I was diagnosed with Gleason 6 before twelve years. Undergoing radiotherapy from then, intially, it was 0.40 nadir, which increased annually. The last four PSA readings were 1.12 ng/mL, 1.60 ng/mL, 1.46 ng/mL, and 2.35 ng/mL. This last value was my concern. My urologist has retired, an...  Read Full »


Dr. Saurabh Subhash Pandya

Answer: Hello, Welcome to icliniq.com. Your PSA (prostate-specific antigen) has been rising post-radiotherapy. Since it is above 2.0 ng/mL, I suggest you go for a PSMA PET (prostrate-specific membrane antigen positron emission tomography) scan. This will show any recurrence in the prostate or lymph nodes ...  Read Full »

Can my grandmother undergo radiotherapy after having a radical mastectomy for stage 2B invasive carcinoma?

Query: Hello doctor, My grandmother had a radical modified mastectomy for stage 2B invasive carcinoma. I am attaching her biopsy reports. She had been advised to undergo radiation therapy and hormonal therapy. We need a second opinion on radiation therapy. Is it good to do radiation therapy at this stage? ...  Read Full »


Dr. Arshad Hussain Shah

Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. I went through her reports (the attachments were removed to protect the patient's identity). Any breast cancer with lymph node metastasis and perineural or lymphovascular invasion needs radiotherapy. If she omits r...  Read Full »

My mother has a mass in the left mid lung of 5.3 x 4.5 cm, and her CEA result is 897. Why?

Query: Hi doctor, My mother is easily getting tired. I want to inquire and evaluate the x-ray result and laboratory report of my mother. Her x-ray shows that she had a mass in the left mid lung measuring 5.3 x 4.5 cm. Her CEA (carcinoembryonic antigen) result is 897 was the latest. She was previously diag...  Read Full »


Dr. Muhammad Zubayer Alam

Answer: Hi,Welcome to icliniq.com.Thank you for the query.I can understand your concern.According to your statement, your mother has recently done a CXR (chest x-ray) P/A (posteroanterior) view. Her x-ray film (attachment removed to protect patient identity) has shown a mass in the left mid lung, lung nodul...  Read Full »

Is surgery required after radio and chemotherapy for adenocarcinoma?

Query: Hi doctor, My father got cancer and the treatment was done. According to the reports, some of the doctors said he must need the surgery right now, and some of his doctors said he is fine after radiotherapy and chemo as the tumor and cancer cells are unseen in his body right now. So what do you sugg...  Read Full »


Dr. Vedprakash Verma

Answer: Hi, Welcome to icliniq.com. I have seen all your reports (attachment removed to protect patient identity), suggesting adenocarcinoma of text, which is 3 cm from anal verge with infiltrating surrounding lymph nodes. As I will tell you they did chemotherapy to reduce the extension of cancer cells surr...  Read Full »

We did not have sex for five years. How did my partner develop HPV throat cancer?

Query: Hi doctor,My partner is just diagnosed with HPV throat cancer. We did not have sex for five years. How could he have got this?I do not know if I have dormant HPV or could it have been dormant in him for five years?  Read Full »


Dr. Bhadragiri Vageesh Padiyar

Answer: Hi, Welcome to icliniq.com. Thanks for briefing me regarding the problem in concern. There is no such thumb rule that it is necessary to have any form of sex to develop this form of cancer. Although, it is more commonly seen in people having oral sex with HPV (human papillomavirus) positive partners...  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 8 cycles of ABVD, which did not remove the tumor and the tumor started growing back after 4 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 cell ...  Read Full »


Dr. Erioli Braholli

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 ...  Read Full »

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