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Lastet 100Mg Injection Health Feed

Asked for male, 43 years old from Greater Noida

I am suffering with pmbcl non gcb cancer stage 1b. Already taken 4 cycle of chemo nd 2 r remaining. R-chop (vincristine 1.5 mg doxorubicin 35 mg etoposide 180 mg diluting in 500 ml ns given with the speed of 10 ml per hour from day 2 to day 5, rituximab 375 mg first day. Cyclophosphamide 750 mg day 6) please advise whether it is a wright treatment. My age is 43 male.

Dr. Atul Narayankar

DNB MEDICAL ONCOLOGY, MD MEDICINE, MBBS,...read more

Oncologist•Mira Bhayandar

Hello.
Regimen given this way is known as r dose adjusted epoch and not r chop. I will not comment on dosages as it will be decided by treating oncologist based on patient tolerance. Typically after completing such 6 cycles. After a gap of at least 2 months. We do a repeat pet ct scan to assess response and rule of any additional role of any therapy. Thank you.

Health Query

My mother 38 yr old had underwent operation for fibroid uterus with serous cystadenoma rt ovary 10yrs back by a general surgeon and she was doing well for almost 6yrs. But then she had pain abdomen vague pain. We consulted gynecologist and she referred her to oncologist suspecting a malignancy. She was diagnosed as stage 3c disseminated ovarian carcinoma in the year 2013. She had gone through 6 cycles of paclitaxel and cisplatin. 6 cycles of doxorubicin still ca125 remained high, refractory to treatment then changed to etoposide. My doubt is does there is any negligence from the side of general surgeon who had done surgery in 2006. As he said that he is not able to respect some tissue so he left it.

Dr. Asha Khatri90%(4251 ratings)

MD - Obstetrtics & Gynaecology

Gynaecologist•Mumbai

What was the histopathology report you should have gone for follow up at the regular interval of 6 months

219 people found this helpful

Asked for male, 27 years old from Moradabad

Hello my mother 45 years has stage 3b small cell carcinoma cervix and has been injected with cisplatin n etoposide in first line after 6 cycles which there was 100% response after which she went through internal and external radio therapy. Not 2 months later the cancer reoccurred. After which she received good dose of pacitaxel and ireantecon on 1st and 8th day in her second line which proved out to be ineffective and the disease progressed. Now currently she is having her 3rd line with gemcitabine and another drug (don't know it's name) which aren't looking good either. There is a new lymph node visible on her throat which is getting bigger. I want to know if there is anything we can do about this type of cancer? Any experimental drugs which are proving to be effective? Or what else can we do for that cist on her throat. Or what other drugs can help our case. Thank you.

Dr. Ninad Katdare90%(209 ratings)

MBBS, MS - General Surgery, DNB - Genera...read more

Oncologist•Mumbai

It's unlikely for a small cell carcinoma of the cervix to reach the throat. It would be a good idea to do a PETCT scan to assess the extent of the disease. Small cell tumours are very aggressive and difficult to treat. If the disease is localised on petct, then surgery can be attempted.

Asked for male, 26 years old from Moradabad

My mother age 45 years has neuroendocrine small cell carcinoma cervix that was diagnosed in august last year, stage 3B She was operated before receiving any chemotherapy and her uterus was removed. Then we started the treatment from a better hospital where she received 6 cycles of chemo (etoposide & cisplatin) and 28 days of external and two sessions of internal radio therapy (ovoid). The last PET CT she had was saying that the conditions are better and with no cancer been seen. The question I wanted to ask that there has been no medicines going on for stopping the recurrence of cancer from our doctors, are we on the right path. Is this how it suppose to be going with no further medicines? And what are the things that can be done to assure that there is no re occurrence.

Dr. Mukul Roy91%(646 ratings)

MBBS, DNB ( Radiation Oncology), Fellow...read more

Oncologist•Mumbai

Hello Mr. Your mother has been treated appropriately as per the guidelines. There are no medicines to avoid recurrence. She just needs to have a healthy diet, moderate exercise and most importantly a regular follow up and clinical evaluation by her treating oncologist. That is the way ca cervix is handled. Good luck!

Asked for Male, 45 years old from Noida

Kindly advise My father was diagnosed with small cell lung carcinoma in July 2017. It was in stage 3 b. He started treatment in Delhi State Cancer Institute as he preferred close to home. Chemotherapy was advised weekly. Initially he was able to keep up with weekly schedule but later the blood counts (platelets and wbc) used to be less. So he was given injections of GC and intrabolin. And had Prednisolone once a day. Then the gap of chemo increased to two to three weeks. November pet scan report showed disease under control. But in March he wasn't able to take a single chemotherapy. pet scan done in April showed disease under progression. Currently he is under pain around the pelvic area and back. Sugar is fluctuating. Kindly have a look at the reports and advise if anything can be done to increase the life span. Radiation is planned. Can radiation be given around liver and lung area along with pelvic area? Zolotronic acids drip is planned but we don't have dental clearance. Any Chemotherapy meds are advisable?

Dr. Nikhilesh Borkar94%(1011 ratings)

MBBS, M.S. General Surgery, M.R.C.S. Eng...read more

Oncologist•Mumbai

Small cell cancer is an aggressive cancer. The chance of cure is there only if the disease is localised to the lung. Usually prophylactic cranial radiotherapy with concurrent chemoradiation to lung is given if it is a localised disease, with surgery reserved for very early disease.
For advanced disease chemotherapy usually cisplatin + Etoposide is given, which usually delays disease progression. If excellent response, then we could radiation to chest and prophylactic to cranium
If the di...more

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