Hi, my mother has been diagnosed with Stage IV Metastasis cancer.

Hi, my mother has been diagnosed with Stage IV Metastasis cancer. She can survive for a 1-year max as said by the doctor. Currently she is undergoing 10 dosage of radiation therapy of which 8 has been completed. Doctor consult us next treatment will be chemotherapy & if it doesn't work then they will suggest for immunotherapy. Please let me know on below queries- 1) Can Immunotherapy be taken as 1st level of treatment post-radiation? 2) Which is the hospital that gives the best immunotherapy treatment in India? 3) How many cycles & which will be the immunotherapy drug according to stage IV & how much approx cost per dose?

Cancer

Answered by Dewangi Newaskar

Hello, For recovery from any type of cancer the overall condition of the patient, his/her age, type of cancer, stage of cancer and associated comorbidities are all that matter. As such, stage 4 means the cancer is metastasized which means poor prognosis. But she has been treated meticulously. Immunotherapy has promising results and only a few types are FDA approved. Some immune checkpoint inhibitors are approved for specific cancer but some are used to treat tumors anywhere in the body mainly by concentrating on a specific genetic change. Pembrolizumab has been approved by the FDA to treat metastatic tumors or tumors that cannot be treated with surgery. As you have not mentioned about the site of cancer it is a little difficult to brief you about the drugs which will be used in your mother's case. Kindly consult an oncologist for the choice of drug for immunotherapy and also after clinically assessing the case he will be in a better position to opine on the number of cycles that the therapy will require. Immunotherapy is considered post other therapies but it is your doctor's decision. Also, the approx cost of one session ranges from Rs. 1, 00, 000 to Rs. 1, 30, 000, further depending on the weight the cost may increase. One session of immunotherapy lasts for 21 days. We wish your mother a speedy recovery. Hope our answer helps you. We have prepared the following listicle to help you out - Immunotherapy hospitals in India. If you wish to learn more about immunotherapy and what gets covered or what you are at a position to expect, then our blog may be helpful - Immunotherapy cost in India.

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Questions & Answers on "Cancer" (367)

I am Ritu from Nagpur. My father is 64 and he has stomach cancer that has spread throughout his body. He recently had a stent implanted to assist him in eating and swallowing, but he is still refusing to eat since it makes him feel sick. For him, we can't go for surgery and we are worried that he can't take chemo with this present health condition. If he still can't eat and get more week, what are the other options we can go for?

Please perform PETCT if not able to eat /persistent vomiting then surgical intervention like feeding jejunostomy to be done chemotherapy -needed plz consult medical oncologist.

Answered on 23rd May '24

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Case of pontine glioma, 21 year old boy. MRI done on 24th February 2021 reveals large pontine lesion of 5cm x 3.3cm x 3.5cm. Recent MRI done on 16th march 2021 and new size of the lesion is 5cm x 3.1cm x 3.9 cm. Patient is currently having below symptoms: Impaired vision and mobility Dysarthia Dysphagia Breathing difficulties Headache I can send medical reports via whatsapp. Please help to contact via whatsapp. Thanking you in anticipation. Yours Faithful, A.Haradan

Male | 21

Based on the information you have provided, it seems that the patient has a pontine glioma, which is a type of brain tumor that is located in the pons region of the brainstem. The symptoms you have listed, such as impaired vision and mobility, dysarthia, dysphagia, and breathing difficulties, can be caused by the presence of a brain tumor in the pons region. It is important for the patient to receive appropriate medical care and treatment for their condition. This may involve a combination of surgery, radiation therapy, and chemotherapy, depending on the specific characteristics of the tumor and the patient's overall health. It is important for you to follow treatment plan as recommended by your neurosurgeon and to continue to monitor symptoms closely.

Answered on 23rd May '24

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If I have a mastectomy do I need chemo?

Female | 33

That will depend on the cancer's type, how advanced it is, and if it has spread. Ask your medical team they will suggest the best treatment plan based on your specific situation.

Answered on 23rd May '24

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Hi its stage 3 carcinoma of cervix.. so what is the percentage of curing it?

Hello,

Please attach your reports-

CBC,CRP,Lft,& PET scan

Hope that helps,

Regards,

Dr sahoo (9937393521)

Answered on 23rd May '24

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Hello, my aunt was diagnosed with a brain tumor after a bad fall on December 31st. We were advised that surgery would be impossible due to her age and other considerations and she would be unable to undergo chemo, therefore she will be treated solely with steroids. We are not sure about this hence would like to go for a second opinion. She has diabetes also. We are from Kolkata.

Please consult medical oncologist so that he can prescribe you proper line of treatment.

Answered on 23rd May '24

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Esophagus cancer history we r so worried plz tell she survive???

Female | 48

Consult with an oncologist who can provide personalized advice and guidance based on your specific situation. They will consider factors such as the stage and type of cancer, previous treatments, and any other relevant medical history.

Answered on 23rd May '24

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My mom has been diagnosed with metastatic breast cancer which is the best hospital to deal with this kind of cancer. Please help me out.

I don't know about the best hospitals. but the treatment will depend on the extend of spread. in some cases cure is possible

Answered on 23rd May '24

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My farther is 67year old. He was diagnosed as stage four prostate cancer and we are living in Johor. Can you advise me the specialist in urology oncologist nearby me. Thanks in advance!

Male | 67

Stage 4 prostate cancer is usually managed with medicines that can easily be prescribed. Please share his reports, for optimal guidance.

Answered on 23rd May '24

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Hello, I want to know if breasts are removed in Breast Cancer surgeries, or are there any other methods in which there is no need of removing the whole breasts?

Female | 46

The biology and behavior of breast cancer will be considered for planning the treatment of breast cancer. Treatment options also depends on several factors like the tumor subtype, hormone receptor status, stage of the tumor, patient's age, general health, menopausal status, and preferences. The presence of known mutations in inherited breast cancer genes, such as BRCA1 or BRCA2. There are some general steps commonly preferred for treating early-stage and locally advanced breast cancer. Doctors generally recommend surgery to remove the tumor in breast. Though the goal of surgery is to remove all the cancer which is visible but microscopic cells sometimes remain behind. Therefore another surgery may be required. For cancers which are large or are rapidly growing, the clinician suggest systemic treatment with chemotherapy or hormonal therapy before surgery. This is called neo-adjuvant therapy. This helps in shrinking the tumor which is easy to operate; also breast can be preserved in some cases. After surgery it is important to check for recurrence. Then adjuvant therapy is advised. Adjuvant therapies may include radiation therapy, chemotherapy, targeted therapy, and/or hormonal therapy When surgery to remove the cancer is not possible, it is called inoperable, and then Chemotherapy, targeted therapy, radiation therapy, and/or hormonal therapy may be given to shrink the cancer. For recurrent cancer, treatment options depend on how the cancer was first treated and the characteristics of the cancer. What will be the line of treatment in your case will depend on your clinical condition. You can take one more opinion to a clear understanding of your concerns. Consult Cancer Treatment doctors in Mumbai, or any other city you find convenient.

Answered on 23rd May '24

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I had pain in my armpit without lumps and even body aches, fatigue, bloating, reduced appetite and breathlessness occasionally. So I consulted general physician, he checked but no lumps found and he said due to panic regarding this lump I was getting all symptoms. But he suggested for thyroid and usg whole abdomen. Yesterday the reports came in which stated only cysts were found and nothing serious. But two days ago I observed a small pea size lump on my neck and stinging pain radiating in my body and hoarness. And yesterday I observed a swollen abdomen with pain What should I do. I fear it's cancer. I observed all this within a week of time

Female | 23

It’s good that you consulted a general physician and got tests done. Since you’ve now noticed a lump in your neck, hoarseness, and other symptoms like body pain and abdominal swelling, I recommend visiting an endocrinologist or oncologist. They are specialists in thyroid and other conditions that might need further examination. It’s important not to jump to conclusions but to get proper advice from a specialist for peace of mind and accurate diagnosis.

Answered on 28th Oct '24

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my uncle had scc on left lateral border of tongue and underwent widelocal excision and adj chemo and radio but with in 9 months it was reoccured in the opp field @ right lateral border of the tongue can please suggest me the further treatment plan and etiology/ cause for the reoccurrence kindly

Male | 47

Your uncle's situation with recurrent squamous cell carcinoma on the opposite side of his tongue is difficult. Treating this type of cancer again can involve surgery, radiation therapy, or combining both approaches. The reason for recurrence often stems from remaining cancerous cells left behind after initial surgery. Your uncle must consult his oncologist about subsequent treatment options available.

Answered on 23rd May '24

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My mother 56 yr old is a breast cancer survivor ...its been 1.5 yrs since she is cancer free ...she is suddenly facing body ache and loss of appetite similar to what she used to face after chemotherapy .what is the reason behind it

Female | 56

These symptoms could be related to the chemotherapy or may be due to another underlying condition. It is important to get a proper diagnosis from a specialist who has knowledge of her medical history and current condition. It is advisable for your mother to consult her oncologist regarding her body ache and loss of appetite.

Answered on 23rd May '24

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33 days Radiation Cost of price

Male | 57

It may vary depending on the indication and technology employed. Please consult with reports.

Answered on 26th June '24

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Sir 3-4 th stage liver cancer k liye kitna paisa kharcha hoga or kiya sasthy sathi card chale ga is hospitals mai.

Male | 54

Sahi sujhav ke liye reports share karein

Answered on 23rd May '24

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Diabetic 2 full body swelling edema weakness blood cancer how to relief

Male | 60

A patient suffering from diabetes type 2 as well as full body swelling, weakness, and edema might point out several serious conditions A symptom of blood cancer may be the cause of these symptoms. The build-up of blood cancer can also cause the water to get absorbed in your body and cause you to feel weak. See an oncologist immediately to get proper treatment for these symptoms. Blood cancer treatment can also help relieve these symptoms and improve your quality of life.

Answered on 10th Sept '24

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I have recently been diagnosed with stage 2 cervical adenocarcinoma. I have no idea what to expect and am feeling anxious. Please refer me to a doctor. I am from Noida.

Please share your reports. We will discuss suitable treatment options for you. You may consult me in South Delhi.

Answered on 23rd May '24

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Life expectancy when chemo stops working ovarian cancer

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Answered on 23rd May '24

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The treatment plan depends on the stage of treatment. I would suggest you to please consult with your reports, to understand the treatment plan and cost estimates

Answered on 26th June '24

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Sir, my mother aged 74 years is been diagnosed Colorectal cancer stage 4. Her adjacent lymph nodes shows metastatic carcinoma (4/5) (H/L) in her biopsy report. She already undergone an operation where some portions of her right colon is removed. Sir i want to know where is the best treatment possible in india? We are residing in Kolkata.

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Answered on 23rd May '24

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In bone marrow test 11% blast means wht

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Bone marrow test showing 11% blasts generally suggests an increased presence of immature or abnormal blood cells. This finding may indicate potential issues with blood cell production and can be associated with conditions like leukemia. Consult a hematologist or oncologist from best cancer hospital in India.

Answered on 23rd May '24

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Hi, my mother has been diagnosed with Stage IV Metastasis ca...

Dewangi Newaskar

Questions & Answers on "Cancer" (367)

If I have a mastectomy do I need chemo?

Hi its stage 3 carcinoma of cervix.. so what is the percentage of curing it?

Esophagus cancer history we r so worried plz tell she survive???

My mom has been diagnosed with metastatic breast cancer which is the best hospital to deal with this kind of cancer. Please help me out.

My farther is 67year old. He was diagnosed as stage four prostate cancer and we are living in Johor. Can you advise me the specialist in urology oncologist nearby me. Thanks in advance!

Hello, I want to know if breasts are removed in Breast Cancer surgeries, or are there any other methods in which there is no need of removing the whole breasts?

my uncle had scc on left lateral border of tongue and underwent widelocal excision and adj chemo and radio but with in 9 months it was reoccured in the opp field @ right lateral border of the tongue can please suggest me the further treatment plan and etiology/ cause for the reoccurrence kindly

My mother 56 yr old is a breast cancer survivor ...its been 1.5 yrs since she is cancer free ...she is suddenly facing body ache and loss of appetite similar to what she used to face after chemotherapy .what is the reason behind it

33 days Radiation Cost of price

Sir 3-4 th stage liver cancer k liye kitna paisa kharcha hoga or kiya sasthy sathi card chale ga is hospitals mai.

Diabetic 2 full body swelling edema weakness blood cancer how to relief

I have recently been diagnosed with stage 2 cervical adenocarcinoma. I have no idea what to expect and am feeling anxious. Please refer me to a doctor. I am from Noida.

Life expectancy when chemo stops working ovarian cancer

Cervical cancer How much money is required to treatment

In bone marrow test 11% blast means wht

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