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17461 questions answered by doctors & treatment decisions assisted by team clinicspots.

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Sir, I am from Kolkata. My father is suffering from Adenocarcinoma (Biliary type). Surgery (Cholecystectomy)has been done on 4.6.1019. But Biopsy (Portion of gall bladder wall for Biopsy) is Adenocarcinoma. For further treatment what are the procedures.

1 Answer
P

Pankaj Kamble

Member of team ClinicSpots.

Answered on 23rd May '24

Dear Chhaya, If cancer has spread and cannot be removed, the following types of palliative surgery may relieve symptoms:

  1. Biliary bypass: If the tumor is blocking the bile duct and bile is building up in the gallbladder, a biliary bypass may be done. During this operation, the doctor will cut the gallbladder or bile duct in the area before the blockage and sew it to the small intestine to create a new pathway around the blocked area.
  2. Endoscopic stent placement: If the tumor is blocking the bile duct, surgery may be done to put in a stent (a thin tube) to drain bile that has built up in the area. The doctor may place the stent through a catheter which is a soft hollow tube which is passed into the bladder that drains the bile into a bag on the outside of the body or the stent may go around the blocked area and drain the bile into the small intestine.
  3. Percutaneous transhepatic biliary drainage: A procedure done to drain bile when there is a blockage and endoscopic stent placement is not possible. An x-ray of the liver and bile ducts is done to locate the blockage. Images made by ultrasound are used to guide placement of a stent, which is left in the liver to drain bile into the small intestine or a collection bag outside the body. This procedure may be done to relieve jaundice before surgery.
     

And for further details on bile duct cancer treatment, you can click the link given below: https://www.cancer.net/cancer-types/gallbladder-cancer/types-treatment
Hope this information helps you. You can also get second opinions from experts by referring our page - Best Oncologist In India.

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I have a left testis seminoma and that will be out after the orchiectomy operation. Now the doctor told me to take chemotherapy with a low dose, can it be treated by targeted cancer therapy, and is it required to store the sperm for fertility as one testis is present?

1 Answer
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Pankaj Kamble

Member of team ClinicSpots.

Answered on 23rd May '24

Hello Abhijit, Chemotherapy has to be taken and there is no role of Targeted or Immunotherapy in testicular cancer. For the treatment, the age of the patient also has to be considered. You will have to store your sperms before treatment begins. We request you to kindly send us your test reports by clicking on the Whatsapp icon on the right side of the page so that we can guide you regarding the line of treatment in the best way possible. Hope this information helps you. Or you can visit more experts through our page - Best Oncologist In India.

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Hello, suggest to me the best treatment and best government hospital for Brain Cancer and Tuberculosis in the heart.

1 Answer
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Pankaj Kamble

Member of team ClinicSpots.

Answered on 23rd May '24

Hello,

  • In brain cancer, different types of doctors work together to create a patient's overall treatment plan that combines different types of treatment. This is called the multidisciplinary team.
     
  • The treatment options and recommendations depend on several factors:
  1. The size, type, and grade of the tumor.
  2. Whether the tumor is putting pressure on vital parts of the brain
  3. If the tumor has spread to other parts of the CNS or body.
  4. The patient's preferences and overall health.
     
  • The treatment options for brain cancer may include the following:
  1. Surgery,
  2. Radiation therapy,
  3. Chemotherapy,
  4. Targeted Therapy,
  5. Immunotherapy
     
  • The treatment options for latent TB may be as follows:
  1. Isoniazid (INH)
  2. Rifampin
  3. Isoniazid
  4. and rifapentine
     
  • The treatment options for Active TB: If you have this form of the disease, you'll need to take several antibiotics for 6 to 9 months. These four medications are most commonly used to treat it:
  1. Ethambutol
  2. Isoniazid
  3. Pyrazinamide
  4. Rifampin
    Your doctor may order a test that shows which antibiotics will kill TB strain. Based on the results, you'll take three or four medications for 2 months. Afterward, you'll take two medications for 4 to 7 months.
     
  • The best government hospital for brain cancer treatment and tuberculosis in Mumbai are:
  1. Tata Memorial Hospital, Parel
  2. ACTREC, Kharghar
     

Hope this information adds value to you. 

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Hi, I want to know which is the best Bone Cancer hospital in Mumbai?

1 Answer
m

mayuri das

Member of team ClinicSpots.

Answered on 23rd May '24

Hello, For your convenience we are mentioning some of the leading cancer hospitals in Mumbai below, here you can expect to have all your needs related to your treatment met, along with a good infrastructure - Cancer Hospitals in Mumbai. Hope our answer helps you.

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Hi, my father's treatment for neck cancer was completed three years ago but now after three years he has problem in breathing specially at night and he cannot take food easily so I want a chest or lung specialist for him who can see him and cure these problems.

1 Answer
m

mayuri das

Member of team ClinicSpots.

Answered on 23rd May '24

Hello, We understand your concern for your father, so, for your convenience we are linking our page which enlists top pulmonologists i.e., chest or lungs specialists in Mumbai: Pulmonologists in Mumbai. Hope our answer helps you.

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My mother-in-law whose age is 49 years is suffering from jaundice for the last 1 month (bilirubin level is 20.8). The doctor has diagnosed it as a malignant neoplasm of the Gallbladder (according to other doctors hepatobiliary CA). Is this curable with surgery or medication? Please Suggest.

1 Answer
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Pankaj Kamble

Member of team ClinicSpots.

Answered on 23rd May '24

Hello Avijit, Hepatobiliary CA needs a multidisciplinary approach. The prognosis in such cases is not good. Treatment plan mainly depends on the extent (stage) of the disease, Investigations include Blood tests, Imaging tests, liver biopsy. After all the parameters being considered a medical treatment like Radiation therapy, Targeted drug therapy, Immunotherapy, Chemotherapy and if needed surgery will be decided. We advise you to consult an oncologist as only after clinically examining the patient, the doctor can guide you further. Wish your mother-in-law a speedy recovery. Hope our answer helps you. We have also curated a list of relevant experts for you - Best Oncologist In India.

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Female | 67

chemotherapy in thane west?

My mother aged 67 has sigmoid colon cancer stage 3, she has been operated on emergency basis as her rectum was blocked. The tumor is out, now doctor had advised for chemotherapy. Please suggest a good doctor and hospital in Thane West area for chemo.

1 Answer
D

Dhanya Shetty

Member of team ClinicSpots.

Answered on 23rd May '24

Hello, For your ease in search, we have listed down some of the best hospitals for colon cancer in mumbai - Cancer Hospitals in Mumbai. We are sure that they will meet your service based needs and expectations, all the best!

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Hello, I have been diagnosed with Squamous cell carcinoma in mouth. Please suggest the best possible treatment.

1 Answer

Answered on 23rd May '24

Squamous cells is a thin, flat cells lining inside of the lips and oral cavity. The Cancer that grows in this cell is called squamous cell carcinomas. Squamous cell carcinoma usually develops in areas of leukoplakia (white patches of cells that do not rub off). Treatment options for squamous cell carcinoma depends on the stage of cancer, size of tumor and location of the cancer (where it is in the lip or oral cavity), also whether the patient's appearance and ability to talk and eat can stay the same, as well as their age and general health. Patients with lip and oral cavity cancer should have their treatment planned by a team of doctors who are expert in treating head and neck cancer. Two types of standard treatment are used: Surgery, Radiation therapy. Consult Oncologists in Mumbai, or in any other city.

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My wife's age is 41 years and she got operated on by laparoscopy on 21 February 2020 for stone in gallblader. However, histopathological report of the gallbladder which has been cut out shows Carcinoma grade 2. Please guide me for further treatment.

1 Answer
Dr. Samrat Jankar

Surgical Gastroenterologist

Answered on 23rd May '24

41 year old lady underwent laparoscopic cholecystectomy for gallbladder stones, post surgery if biopsy turned to be cancer, we need to evaluate and treat further. My question is what else treatment u had after diagnosis of cancer. Usually we do PET CT scan to know stage followed by radical cholecystectomy for gallbladder cancer. Frankly speaking gallbladder cancer per se has poor prognosis only

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Hello, I am diagnosed with Soft Palate Cancer - stage 3. Please suggest the best hospital in Mumbai for the same.

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Samruddhi Bhartiya

Member of team ClinicSpots.

Answered on 23rd May '24

Dear user, we are sorry for replying late, if it helps then you can refer to our list of Best Cancer Hospitals in Mumbai, or in any other city based on your preference.

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I have high grade squamous intraepithelial lesion. Which hospital or Doctor is recommended for such treatment?

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Pankaj Kamble

Member of team ClinicSpots.

Answered on 23rd May '24

The presence of High Grade Squamous Intraepithelial Lesion (HGSIL) means the presence of pre-cancerous cells (NOT cancerous cells). As a course of treatment, the doctor would remove the abnormal cervical tissue to avoid cervical cancer.

The treatments used could be:

  1. Loop Electrosurgical Excision Procedure (LEEP)
  2. Cryotherapy
  3. Conization
  4. Laser Therapy
     

For getting treated you should consult a Gynae Oncologist. If the finances are tight and you do not mind a long waiting time for treatment, it would be best that you visit charitable/ government hospitals which would give you affordable treatment.

In Delhi, they are:

  1. Rajiv Gandhi Cancer Institute and Research Centre, Rohini (Charitable)
  2. AIIMS Hospital, Ansari Nagar (Government)

If you do not want to wait for a long time and are ready to pay a premium for your treatment, then you can go to a Private Hospital. In your case preferably a hospital with a dedicated Gynae Oncology department. Some of the best private hospitals for your treatment in Delhi are mentioned in the following page: Cancer Hospitals in Delhi. Hope this has answered your question completely.

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Diagnosed with well-differentiated squamous cell carcinoma (left submandibular area) Site: Alveolus

1 Answer

Answered on 23rd May '24

Hello Sachin, Treatment for oral cancer (mouth cancer) or any other cancer normally depends on the type, location, and stage of the cancer, age of patient and patient's general condition when diagnosed.

Oral cancer treatment includes:

  1. surgery in early stages,
  2. Radiation therapy,
  3. Chemotherapy.
  4. Treatment for advanced stages will usually involve a combination of chemotherapy and radiation therapy.
  5. Targeted therapy can be effective in both early and advanced stages of cancer.

In your case, depending of stage of cancer or if it is recurring, the clinician will decide about the line of treatment. Very important is nutrition of patient as eating will be a concern during and after treatment for some time. Hygiene of mouth is also very important and not to be missed. In case of advanced oral cancer, the patient may need reconstructive surgery and some rehabilitation to assist with eating and speaking during recovery. Speech therapist, nutritionist will be needed. Kindly consult an oncologist for evaluation.

Hope my answer helps you. Refer this page to find doctors - Oncologist In India.

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Hi, Patient's age is 73 years diagnosed with Cancer prostate and bone metastasis. What is the next treatment? Already underwent angioplasty before 4 years.

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Pankaj Kamble

Member of team ClinicSpots.

Answered on 23rd May '24

Hello Moncy! In this case, as you say bone metastasis has occurred then the prostate cancer is above Stage 2. In higher stages of prostate cancer or metastatic prostate cancer by treatment you can only slow down the spread of the cancer but there is no cure to it.

Prostate cancer treatment options which can slow down the spread are as follows:

  1. Hormone Therapy: This treatment is also known as Androgen Ablation Therapy in which they suppresses testosterone formation which reduces the spread and formation of the cancer causing Prostate Specific Antigen (PSA)
  2. Chemotherapy: If the patient does not respond to Hormone Therapy then chemotherapy is administered. Here they will give the patients anti cancer drugs like Docetaxel via Intra Venus line (IV).
  3. Immunotherapy: They will inject an injection like Provenge which would have antibodies into the patient to prolong their survival.

Hope my answer has satisfied your question! You can find hospitals for this disease on our page - Prostate Cancer Treatment Hospitals in India.

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I have mouth ulcers in my mouth and tongue, pain in the neck and right ear. Is it cancer? Which doctor, should I consult first?

P

Pankaj Kamble

Member of team ClinicSpots.

Answered on 23rd May '24

It is not necessary that all mouth ulcers lead to cancer. They have multiple causes like a viral infection or stress. I am sure that it is not cancer. But to be on the safe side, it is best that you consult a doctor. To start with, you should contact your family physician who will guide you about your condition. Further, he may refer you to an Oncologist, if he feels you have cancer. Mouth cancers are usually treated by a Surgical Oncologist or a Maxillofacial surgeon having experience in head and neck cancer treatment. If you're looking for which doctor to consult for tongue can also find physicians on our page - General Physicians in India.

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