Recently Answered Questions
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What is the best treatment for adenocarcinoma of prostate?
Query: Hello doctor, I want to know about my dad's PSA prostate biopsy report. The report is in french language and I will translate it in English. Doctor advised him to take hormone therapy and radiation therapy. Will that work? Biopsy report shows: Adenocarcinoma of prostate Gleason score 6 (3+3) ass... Read Full »
Answer: Hi, Welcome to icliniq.com. It looks your father has been diagnosed with prostate cancer. The good thing is that his bone scan is free of metastasis (spread). I will suggest them to do an MRI (magnetic resonance imaging) pelvis and x-ray chest plus abdominal ultrasound for staging. These investiga... Read Full »
My grandfather has stage 2 prostate cancer. Please help.
Query: Hello doctor, My grandfather is 74 years old, he was found to have prostate cancer. The oncologist who found the cancer said that it would metastasize and spread throughout the body. I want to understand something that came across while we were searching for information. What is the role of stroma i... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. Stage 2 prostate cancer is usually curable with radical surgery or local radiotherapy. With these two treatment options, metastasis can be prevented in most cases. There is nothing like stroma, maybe it is prostatic stroma. The word st... Read Full »
Please suggest the treatment procedure followed for squamous cell carcinoma of tongue.
Query: Hi doctor, My father is 77 years old. He is diagnosed with moderately differentiated squamous cell carcinoma, in the right vallecula and at the base of the tongue aggregating 0.5 × 0.5 × 0.2 cm. He has pain and sensation while eating and drinking. What is the treatment? Please suggest. Read Full »
Answer: Hi, Welcome to icliniq.com. Treatment of choice in this condition is radical radiotherapy using IMRT (intensity modulated radiation therapy) and IGRT (image-guided radiation therapy) technique with concurrent weekly cisplatin chemotherapy. Read Full »
My relative has liposarcoma. Is it fatal?
Query: Hello doctor, Please could you tell me how fatal a liposarcoma is. It is not me who has the problem, but a family member. Read Full »
Answer: Hi, Welcome to icliniq.com. It depends upon the type of liposarcoma, site of origin, proximity to lymph nodes, size and depth of the tumor. Properly excised low grade tumor followed by radiotherapy may have recurrence rate of 8% to 12%. The five year survival would depend up on the questi... Read Full »
I was diagnosed with Gleason 6 and PSA levels are rising. Why?
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 »
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 »
Kindly share details about radiotherapy for advanced lung cancer.
Query: Hello doctor,My father has advanced lung cancer and severe pain in his legs or back. It is suggested that he should have radiotherapy, possibly five sessions. I understand this is to reduce his pain. Is it possible to explain to me what this involves, before and after, and for how long, whether the ... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. It looks like a stage 4 lung cancer (attachment removed to protect patient identity). The pain in the back and limbs is possibly due to bone metastasis (cancer spread to the bone). You have not attached any report to know the details o... Read Full »
Is full body PET scan needed to check tongue cancer spread?
Query: Hi doctor, My father is 65 years old and in excellent health. He is a diabetic and also has BP. But, his sugar levels and BP are very much in control. He is taking oral medication for both diabetes and BP. He is taking Telvas 20 mg for BP, Gluconorm for diabetes and taking thyroid medication for hyp... Read Full »
Answer: Hello, Welcome to icliniq.com.No, he did not need whole body PET scan now. Yes, the standardized uptake value (SUV) number indicates the probability of cancer as it increases, but it is not confirmative. The SUV number can be increased in case of infection, inflammatory condition and cancer. But, we... Read Full »
Is the tumor detected in my dad's MRI cancerous?
Query: Hi doctor, My father is 56 years old and healthy. Since last few months, he is suffering from sudden chewing like action and unconsciousness or seizure like situation. This situation remains the same for some time. During the MRI (Magnetic Resonance Imaging) test, our doctor informed about the tumor... Read Full »
Dr. J. Mariano Anto Bruno Mascarenhas
Answer: Hi, Welcome to icliniq.com. I have gone through your query with diligence and I would like you to know that I am here to help you. The reports (attachment removed to protect patient identity) denote that there are two problems. Reduced blood supply to brain and a small tumor (brain cancer). As per ... Read Full »
Query: Hello doctor, My brother, who is 55 years old, has been diagnosed with metastatic clear cell renal cell carcinoma. Please help. Thank you. Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. This is a case of clear cell renal cell carcinoma (ccRCC) status post right radical nephrectomy performed eight years ago, with a recent late recurrence of the disease. Metastases have been observed in multiple sites, including the bone... Read Full »
Is bone marrow transplantation necessary in acute leukemia patient?
Query: Hello doctor, A 27-year-old female has acute leukemia (ALL). Her vision is lost because of the presence of malignant cells in the brain now but her treatment was finished six months back. Previously she got relapsed CSF 13 months back when her maintenance phase was going on. The doctor gave high do... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hi, Welcome to icliniq.com. Acute lymphoblastic leukemia has a very high relapse rate in adults (about 60 %), the higher the white cell count, the worser the prognosis. Those with Philadelphia chromosome (chromosomal abnormality) have poor prognosis and bone marrow transplantation is required. Rel... Read Full »