Recently Answered Questions
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My wife has recurrent dizziness and headaches. Please help.
Query: Hi doctor, My wife is 34 years old, and she is having recurrent dizziness and headaches. So, she got an MRI(Magnetic Resonance Imaging) scan of the brain. I have attached the reports for your better understanding. Your advice is much appreciated. Read Full »
Answer: Hello, Welcome to icliniq.com. Unfortunately, the report (attachment removed to protect patient identity) says that there is a mass in the brain, most likely a cancerous growth. IT is most probably a high-grade glioma or lymphoma. You will need to see a neurosurgeon, who will be able to examine her ... Read Full »
Query: Hi doctor, My blood test shows lymphocytes 60% where the normal range is 20% to 45%. I had immunophenotyping and the values are CD23 - 2.11%, CD19 - 0.30% and CD5 - 79.9%. What does it indicate? Am I a leukemia patient? Please advise. Read Full »
Answer: Hello, Welcome to icliniq.com. I would also like to know the total leukocyte count, platelets, and RBC (red blood cell) count. Have you had an ESR (erythrocyte sedimentation rate) done? Is this the only CBC (complete blood count) you have ever had? Are there any accompanying symptoms like fever, ch... Read Full »
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... Read Full »
Does lump in the right anterior triangle of neck suggest lymphoma?
Query: Hello doctor, I am a 21-year-old female. I have a lump in my neck for about nine weeks now. It is between my hyoid bone and sternocleidomastoid muscle on the right anterior triangle of my neck. It is palpable when I tilt my head back. It is probably as big as a penny but not as round as a penny. It... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern regarding this lump. I also understand that you have gone through the internet trying to get an approximate diagnosis for the same. As per your history and description, it appears that this lump is arising from superficial structures of th... Read Full »
What is the best treatment for Burkitt's lymphoma?
Query: Hi doctor, My 60 year old uncle is diagnosed with Burkitt's lymphoma. His report says MYC-IGH fusion signal was detected in 45 % of the cells. The sample is positive for t(8;14). Could you please suggest whether it is curable and if it is curable then what is the best treatment? Read Full »
Answer: Hello, Welcome to icliniq.com. He needs to be admitted urgently to a tertiary care hospital where specialists such as hematologist, oncologist, etc. will be available. An early initiation of chemotherapy with R-CHOP (Rituximab, Cyclophosphamide, Hydroxy daunomycin, Oncovin, Prednisolone) regim... Read Full »
Query: Hi doctor, I have just finished three rounds of R-CHOP for stage 1A diffuse large B-cell lymphoma and currently receiving radiation to my hip or groin. Recently I found another lump on my elbow bone, not inside crease but outside. Two weeks ago, my elbow was red and sore. Possibly bursitis but can ... Read Full »
Answer: Hello, Welcome to icliniq.com. As per your history, you had stage 1A DLBCL (diffuse large B-cell lymphoma) and have already completed 3 R-CHOP. On radiation currently, which is standard therapy. Regarding the lump, I would like to know since when it is present, do you have any pain or tenderness,... Read Full »
Can my follicular lymphoma treated?
Query: Hello doctor,I had a physical test, and blood works done about six weeks ago. I told my doctor, I had a lump, or mass, under my right armpit. He checked it out, and then sent me for an ultrascan, and a needle biopsy. A week later the doctor, called and said it was follicular lymphoma which is a type... Read Full »
Answer: Hello, Welcome to icliniq.com. Do you have lymph nodes only in the axilla? If they are only in the axilla, it is treatable. This is stage one. In this stage, either chemotherapy or radiation therapy will be given. Do not worry too much. Did they say what type of Hodgkin's - B-cell or T-cell? If po... Read Full »
I had viral fever and my blood report shows lymphocytosis. Why?
Query: Hello doctor, I had a viral infection before two months with fever for five days and cough and increased mucus production for more than two weeks. On a follow-up visit with a PCP, I was given antibiotics for five days Azithromycin and antihistamine Levocetirizine to make sure there is no secondary i... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I have seen your attached report. (attachment removed to protect patient identity). The lymphocytes are slightly elevated. The lymphocytosis seems most likely to be due to previous viral infection of the upper respiratory tract. The peripheral smear report not sho... Read Full »
I am a stage 4 lymphoma cancer survivor. Why do I have tongue pain?
Query: Hi doctor,I am a stage 4 lymphoma cancer survivor. My eight rounds of chemotherapy treatment for stage 4 lymphoma were completed six months ago. My 2nd PET CT scan assessment with my treating oncologist was one month ago. PET CT scan showed no FDG intake and my treating oncologist said that I am in ... Read Full »
Dr. Bhadragiri Vageesh Padiyar
Answer: Hello, Welcome to icliniq.com. I can understand your concern. I had a detailed view of the pictures (attachments hidden to protect the identity of the patient) you sent. This does not seem to look like anything that you need to be worried about. Post-chemotherapy there could be some minor micro ulc... Read Full »
Kindly suggest further tests to rule out cancer.
Query: Hello doctor, Blood tests show high leukocytes of 12000 per microliter of blood with lymphocytosis and an elevated alkaline phosphatase at 162 u/L. Kindly suggest further tests to rule out cancers and lymphoma. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. You need to repeat your CBC (complete blood count) after three to five days. If lymphocytes count is normal then the chances of cancer are very less. If lymphocytes count remains persistently high then further workup as follow. 1. Peripheral smear examination repor... Read Full »