Cancer Care and Treatment

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VHL case..

Diagnosed with Bilateral multifocal RCC and operated with negative margins. Pancreatic cysts, cerebellar hemangioblastoma, spinal schwanomma and hemangioma, bilateral simple renal cysts Any targeted or immunotherapy to maintain stability of the cysts or shrink them? Please let me know, will take consultation. Medical Oncologist opinion is needed on therapies.. Got one opinion stating RCC in Vhl doesn't have any approved therapies except surgery. But came across belzutifan therapy but some say it's not completely approved in India.. Need opinion from medical oncologist. So that I can consult further. Attached biopsy report. As if now tumours can have been cleared with negative margins. Follow-up Usg shows simple renal cysts of 3 with 1.1cm consistent with old findings
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BIRADS 4 IN USG AND BIRADS 3 IN MRM

Hello Doctor, I am a 30-year-old woman and a new mother (delivered one month ago). I recently underwent a breast ultrasound and MRI mammography after noticing some breast issues. Below are the key findings from my reports: 1. MRI Mammography Findings: A BIRADS III lesion (minimal peripheral enhancement) was observed in the left breast at the 12 o’clock position, measuring approximately 24 x 13 mm. A simple cyst measuring 9 x 4 mm was noted in the left breast. Few reactive axillary lymph nodes were present on the left side, the largest being 18 x 10 mm with increased vascularity. 2. USG Findings: Multiple BIRADS II lesions were noted in the right breast at the 1 o’clock position. An ill-defined hypoechoic lesion with irregular margins was seen at the 12 o’clock position of the left breast, categorized as BIRADS IV, requiring further evaluation. Prominent lactiferous ducts were seen, likely due to lactation. I am very concerned about the BIRADS IV lesion on ultrasound and t
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Gynecomastia

I have lump in right chest, did mammography and scan the result turned out to be normal Breast tissue and doctor said it could be Gynecomastia . Suggested for another test after 3 months. Is there anything to be worried about, will the lump disappear after some days?
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Prostate cancer 4th stage

Currently ayurvedic. Was under harmone therdoyfir about a year Following strict diet, yoga, exercises , meditation . Gave up sugar, wheat, milk, processed food. I feel better My question Can prostatecancer be reversed
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Cyst or lump under forearm skin

I noticed a cyst or a lump under my forearm skin 2 months ago. It is not visible but I feel it by touching it. It is just under my skin and is of a size of small grain. I can collect it in my pinch and I believe it is not on my muscle. Should I be worried
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VHL case..

Diagnosed with Bilateral multifocal RCC and operated with negative margins. Pancreatic cysts, cerebellar hemangioblastoma, spinal schwanomma and hemangioma, bilateral simple renal cysts Any targeted or immunotherapy to maintain stability of the cysts or shrink them? Please let me know, will take consultation. Medical Oncologist opinion is needed on therapies.
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Pet scan report

Full body Pet scan is done for my mother post cholecystectomy which was done on 2nd January. Report is attached for reference . Please help is understanding the report better
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Bcr abl 1 m244v mutation

Hi Is bcr abl 1 m244v mutation is treatable when imatnib not working What tki will treat this Is this mutant common
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Multiple solid nodules with both smooth 

Multiple solid nodules with both smooth and irregular margins, in random distribution (both  centrilobular and perilymphatic) seen in both upper, right middle and lower lobes, with some of  them showing feeding vessel sign, largest 
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BIRADS III & IV Lesions-Mother's Concern

Hello Doctor, I’m a 30-year-old woman, one month postpartum. My ultrasound and MRI mammography reports show: MRI Mamography Findings: BIRADS III lesion (24 x 13 mm) in the left breast with minimal enhancement. Few reactive lymph nodes in the left axilla (largest 18 x 10 mm). USG Findings: BIRADS IV lesion in the left breast at 12 o’clock (irregular margins, 43 mm from the nipple). Multiple BIRADS II lesions in the right breast and prominent lactiferous ducts. I’m anxious about the BIRADS IV lesion and reactive lymph nodes. Could lactation cause these findings? Should I proceed with a biopsy, or can I wait? How reliable is MRI compared to USG during lactation? Please guide me on the next steps.
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