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Hello, my father has detected with PT2B adenocarcinoma in Gall bladder cancer. He has undergone radical cholecystectomy. The biopsy report shows microscopic adenocarcinoma in lever with margin of resection lever as negative and lymph node negative. Is chemotherapy needed post surgery?

Answered by Dhanya Shetty

Hello, Chemotherapy is usually given after the surgery, to reduce the chances of recurring cancer. In some cases, chemo is given before the surgery to shrink the tumour; it is called neoadjuvant therapy. As you have mentioned that your father has undergone radical cholecystectomy, and you want to know if chemo is needed after the surgery. Our recommendations would be to undergo adjuvant chemotherapy. As it is suggested by various studies that, Post-operation chemotherapy is used as palliative care treatment for gallbladder cancer, as it inhibits the growth of any cancer cells remaining in the body after the removal of the tumour. Even though there are various side effects associated with receiving chemotherapy, one can increase their survival chances and diminish any chances of recurrent cancer. Hope this answer helps you. If you need additional guidance then connect with more experts, or do same even for the sake of getting second opinions, this page might help - Best Oncologist In India.

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Dhanya Shetty

Dhanya Shetty

Questions & Answers on "Cancer" (368)

Hodking lymphoma hai kya meri mother ko Cancer hai unka treatment Oswal Cancer hospital me chal Raha tha but ab pese nahi hai treatment kaha kar wa sakta hu

Female | 53

Please share reports so that I may guide you appropriately.

Answered on 23rd May '24

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Ive always had discharge for as long as I can remember and at my 8 week postpartum checkup the doctor checked me but said it wasn’t alarming because it’s not bothering me. I am currently 4 months postpartum and noticed I was getting discharge that had a slight odour and the discharge left rashes between my thighs and it got to the point I couldn’t wear underwear because the discharge would get more and I keep getting rashes. I noticed it getting a little bit better when I stopped wearing underwear the smell was still slightly fishy but not too terrible like before but recently after sexual intercourse I bled a little. Now google says it’s either the C word or some infection. I’m aware I should go doctor right away but I’m just not able to do so , my last two screenings for cervical cancer with my Pap smear came negative it was in 2018 and 2021. What’s the reason I bled?

Female | 27

Postpartum, it is normal to discharge but rashes and odor can prove an infection. Sex-related bleeding is not normal and may indicate a problem. This is why it’s important to go and see a doctor so that they can rule out any serious conditions. Cervical cancer screenings are also significant, but they do not detect all problems. If you are experiencing symptoms, do not waste time before seeing a doctor.

Answered on 15th May '25

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I am writing for my father's treatment. He has been diagnosed with stage 4 lung cancer in April 2018. He had gone through 6 cycles of of Alimta and carboplatin till October and then two cylces of Alimta only till December 2018. Up to October, he was doing great, had no side effects and his tumor size went down. After that he became very fatigued and also his tumor size increased significantly. In January 2019, Doctor put him on Docetaxel and so far he is doing good with no side effect. But, we would like to continue his treatment in your reputed hospital. I have attached his initial PET scan (April 2018) and recent PET scan (January 2019) along with few other CT scan. I appreciate if you could suggest me the doctor for his treatment and help me getting the appointments. Also, it would be very helpful if you can give me idea about the expenses. Since he will be coming from Bangladesh, it will take time to get visa and arrange rest of the stuff. Currently I am in Canada and planning to join him during his initial treatment at your hospital, preferably in March.

He will have to consult medical oncologist to make a treatment plan. everything will have to be looked into in detail before advising a plan. I suggest you to continue Docetaxel until that time. 

Answered on 23rd May '24

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My grandfather suffering from Esophageal cancer and his age is 68 years, so what is the possible treatment for this, and which is the best caring hospital in Chennai?

The treatment of esophageal cancer depends upon several factors stage, fitness level, and type. Treatment modalities can be surgical intervention, chemotherapy, and/ or radiation therapy. In Chennai, prominent hospitals such as Apollo Hospitals, MIOT International, or Cancer Institute (WIA) are options for advanced treatment. Consulting an oncologist is essential to evaluate your grandfather’s condition and determine the optimal treatment plan that addresses his requirements.

Answered on 23rd May '24

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Sir , Do u perform colonoscopy

Female | 47

Greetings from Rid of Pain Physiotherapy
my first advice is don't go for surgery at first. go for Physiotherapy, get some best results.Because after surgery also u need physiotherapy. better u try it on priority basis.  u will get result definitely, but if don't get then choose surgical maneuver only

Answered on 23rd May '24

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I'm pramod, 44 years old i have mouth cancer and my treatment is going on from long time but now it's getting worse i cant eat anything can't walk my health is getting worse. I have seen many doctors but nothing happened. Please tell me if I can be treated in this hospital.

Male | 44

Advanced oral cancers can be offered treatment. Please share your reports so that we may able to advise further.

Answered on 23rd May '24

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Hi, my mother has been diagnosed with a suspected case of breast cancer. The initial biopsy and a CT scan has been conducted.The CT scan suggests some lesions in retropectal lymph nodes too. And a PET CT scan is scheduled for the 25th of Jan. We need some guidance on which hospital to pick, and what should be ideal line of treatment. My mother lives in Kochi.

Pt require hospital admission and work up for staging and surgery.  you can visit to any hospital where oncologist is available. 

Answered on 23rd May '24

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Granulomatous cheilitis I had this problm frm last several mnths

Female | 36

You can try Tab Rebagen 100 mg thrice a day for 14 days. You can take this medicine after meals.

Answered on 23rd May '24

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Whether immunetherapy helps in cancer after taking chemotherapy and radiation and advanced stage.

Female | 70

Immunotherapy is a very effective treatment options in select cancers in advanced stages. Please consult with your reports for guidance.

Answered on 26th June '24

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. Heterogeneous Soft Tissue Nodule in the Right Lower Lobe (RLL) Size: 14 x 8 mm This nodule is described as heterogeneously enhancing, which suggests it may have varying levels of blood flow or different tissue densities within it. This could be indicative of a tumor. 2. Air Space Opacification in the Right Upper Lobe (RUL) Finding: There is patchy air space opacification with interlobular septal thickening in the posterior segment of RUL. This could represent infection, inflammation, or more concerningly, metastatic disease or lung cancer causing these changes. 3. Left-sided Pleural Effusion and Subsegmental Atelectasis Pleural Effusion: Mild left-sided pleural effusion is noted. Pleural effusion can occur in the context of metastatic disease or cancer. Atelectasis: This refers to partial lung collapse, which may occur when there is a mass obstructing the airflow or due to pleural fluid. 4. Enlarged Mediastinal and Hilar Lymph Nodes Lymphadenopathy: There are multiple enlarged and necrotic lymph nodes, most notably in the right hilar region, with the largest measuring 35 x 25 mm. Enlargement and necrosis of lymph nodes can be a sign of metastatic spread. The presence of enlarged lymph nodes in the mediastinum and hilum is typical of malignancy spreading beyond the primary lung site. 5. Liver Lesion Size: 14 x 13 mm lesion in the right hepatic lobe, which is well-defined and peripherally enhancing. A hypodense lesion could indicate a metastatic tumor, especially since it shows peripheral enhancement, a characteristic of some types of metastases. 6. Skeletal Lesions Multiple Lesions: There are mixed lytic and sclerotic bony lesions, some with soft tissue components. These lesions involve the vertebrae, ribs, glenoids, sternum, sacral ala, iliac bones, and femur. Soft Tissue Components: Some of the lesions, such as those in the ribs and iliac bones, have a soft tissue component, which suggests more advanced involvement, possibly indicating metastases. 7. Other Findings: No signs of emphysema, bronchiectasis, or pneumothorax were noted, which is reassuring as it reduces the likelihood of certain types of lung diseases. The liver, spleen, pancreas, kidneys, urinary bladder, and prostate all appear normal on imaging, which helps to rule out major issues in these organs. Impression: The findings of a heterogeneously enhancing solitary pulmonary nodule in the right lung, with associated hilar and mediastinal lymphadenopathy, along with a hepatic lesion and extensive skeletal involvement (with mixed lytic and sclerotic lesions), strongly raise concern for metastatic disease, most likely originating from the lung. The primary lung cancer is a potential consideration, though other primary sites are also possible. Next Steps: Histopathological correlation: This means a biopsy or tissue sample should be taken from one of the lesions (pulmonary, hepatic, or bone) to confirm whether the lesions are malignant and, if so, to identify the type of cancer. This will help determine the best course of treatment. The overall picture suggests a metastatic malignancy, likely of pulmonary origin, but further investigations and biopsy are essential to establish a definitive diagnosis and treatment plan.

Male | 58

Answered on 8th Mar '25

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Is there any treatment for cholangiocarcinoma? 4th stage of cancer Hoping for your quick response Do you know any good hospitals in India? Thank you

depending of the condition of the patient systemic therapy is the choice of treatment 

Answered on 23rd May '24

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I have some reports of my father. As per doctor suggested it is a liver cancer. So, I want to more suggestions on its. Like what is the reason behind it? Treatment?. Best hospital for this treatment?

Male | 62

follow these herbal combination :- Sootshekhar ras 125 mg twice a day, Pittari avleh 10 gms twice a day, after breakfast and dinner with water , send his reports initially

Answered on 2nd July '24

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