Cancer Care and Treatment

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Query on pancreatic cancer

In the metastasis of the liver and lungs. Detected with Pancreatic cancer. Can we go for further chemotherapy without having liver biopsy??
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Papillary thyroid carcinoma

Hi My wife was tested with papillary thyroid carcinoma. Now thyroid has been removed via surgery. Radio Iodin scan test has been done in which 2 small cells are found . Doctor has advice for Radio Iodin Therapy . After Radio Iodin Therapy will it be clear. And is there a chance where it will come back. Report has been attached .
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Query regarding biopsy

Pt. is 59yr old and have pancreatic cancer detected last year. Underwent whipple surgery and following that chemotherapy ( capecitabine & gemcitabine) and now the cancer got spread to lungs & liver metastasis. Shall we go for liver biopsy or liquid biopsy. Please recommend which will be suitable.
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Cancer issue

Can a person take PET Scan again after 1 week? Pls prescribe the treatment for the above question. Can it be cured
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Cancer treatment advice

My father was diagnosed with pancreatic cancer in July, 2023 and underwent whipple surgery on 29th July ,2023. Following the surgery, he received six months of chemotherapy, comprising Gemcitabine and Capecitabine, which concluded on February 13. Gemcitabine was administered in six cycles, each comprising three sessions per week, while Capecitabine was taken as one tablet in the morning and two tablets at night for 14 consecutive days, followed by a seven-day break.  Subsequently, a PET scan was performed on February 22,,2024 revealing metastases to the lungs and liver. Pls suggest the further treatment and test
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Is this Cancer? Worried!!

PATIENT - 62 years, female. Height - 5 ft 2 inch. CONDITION-hyperthyroidism, hypertension, CKD, Ovary Cyst, prediabetic. SYMPTOM - weight loss by 10 kg in one year (from 58kg to 48 kg) else no symptoms at a physical level. BIOCHEMISTRY- alpha feto protein, ca 19-9, ca 125, mSpike, electrophoresis, ANA test all in normal range, CBC normal except slightly lowered haemoglobin (11.6). Cervical pap smear - normal Mammography - normal Carcino embryonic antigen- normal Creatinine - 1.58 Serum Beta HCG-4.38 (range 0-3). Serum HE4-143 pmol/L TVS PELVIS FINDINGS - (report attached please have a look) 1) small hypoechoic nodular lesion (0.45 x 0.61 cm) in posterior fundus 2) Thin endometrial fluid collection (3.9 mm thickness) 3) Benign left ovary (cyst size 2.99 x 4.45 x 5.35 cm) 4) Small simple right ovarian cyst (cyst size 0.66 x 0.84 cm). I beg before you, some of you, please throw some light on the scenario. The statistics are of my mother. Please help..
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Loss of appetite

Iam having loss of appetite since 6 month since a year as I have to eat forcefully and have no interest in having food. I have got test done but nothing is there in the report except diabetics..please suggest somthing.
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Please explain this

In this report getting Ewing sarcoma but in fish test showing negative what I need to consider and also.I have sent bone biopsy , in the bone biopsy shows Test : Biopsy, medium Histopathology no: VCD-0303/24 Brief clinical data: ?Metastasis in D12 and L2 vertebrae. ?Infection. Specimens : Biopsy lesions D12 and L2 vertebrae Macroscopic examination : Received a labelled container, with formalin fixative, containing a dark brown blood clot like material, measuring 3.0x1.5x1.0 cm. Tiny fragment of grey-white tissues are seen in the clot. Bits codes : 2/3rds tissue processed. Partially embedded: 01 block. Grossing done by Dr.A.Venugopal. Microscopic examination : Sections show blood clots with fragmented bony trabeculae and haemopoietic tissue. The haemopoietic tissue shows increase in neutrophilic cells. The bony tissue is fragmented. No evidence of granulomata, caseation necrosisk, suppuration seen. No increase in plasma cells, lymphoid cells or other evidence of malignancy
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Chest hurt

I've cervical in my left shoulder from almost 2 year and its also hurt in my left arm left underarm and in mu kefr chest. Sometimes i thought what if it is a breast cancer. Is this possible? I've self examine my breast and i disnt saw any abnormalities. So i need to get mammogram ?
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Multiple Myeloma Treatment and relapse

Hi, My aunt was diagnosed with Myeloma stage 3 on Feb'23. Since then she's going through treatment of bortezomib and dexamethasone. As per her current report of electrophoresis, M-band is not there. Doc stopped bortezomib and dexamethasone one month back and suggested to go for Zolendoric. She was doing fine. But 2 days ago she got mild fever with chills, loss of appetite and itching issue. Is the Myeloma relapsing? I'm scared
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