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Tamtero 20Mg Tablet Health Feed

Asked for female, 53 years old from Akola
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2013-mastectomy surgery followed by chemotherapy (6) (doxorubicin) and radiotherapy (25) followed by ai therapy including tamoxifen citrate 20 mg (5 yrs) 2018- metastasis in lumber spine along l3-l4 region treated by palliative radiotherapy (5 of 20 gy dosage) followed by ai therapy including letrozole 2.5 mg+palbociclib+monthly zoledronic acid 4 mg inj. But due to some affordability issues were unable to continue it. Now 2020- metastasis progressed to retroperitoneal region proximal to left para-aortal lymph nodes as per latest mri screening. From last few months she is suffering from excruciating pain in lumber spine that radiates to her ribs and intensifies during night. So for current condition she has already completed palliative radiotherapy (10) but that was of no use to her in terms of pain management or tumor suppression. So she is currently on chemotherapy treatment and completed 3/6 of paclitaxel100 mg+carboplatin. Our problem is that she is suffering from side effects of chemo including nausea, vomiting, diarrhea and abdominal cramps. Please help us to get her relieve from this condition.

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MBBS, MD - Oncology, DNB Radiation Oncol...read more

Oncologist•Delhi
While these may be the side effects of chemotherapy, they may also be a subtle pointer towards drop in white blood cell counts specially if the patient is taking the chemotherapy on a weekly basis. The patient also needs good pain management.
Asked for female, 4 years old from Udaipur
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Advice needed from oncosurgeon. She is 30 with 2 babies, has history of PCOD and delay menstrual. Breast cancer 3rd stage. No sign of metastatic. Right side Mastectomy with lymph node removal: Dec 2016 Chemo, radio: 2017 herceptin 2017-18 Currently on tamoxifen 20 mg PET scan Aug 2018, finding - 30x18 mm left adnexal solid mass with 12.7 SUV uptake. After PET SCAN test-CA 125, 15.3, usg abdomen, usg vaginal, mammography left side- all normal. Repeat PET SCAN Dec 2018- reports same left adnexal mass. Reports shown to 2 docs- 1 says will remove left whole ovary including mass by open surgery because if it is cancer so there is Chance of spread so open surgery will be best. Another doctor says 4 pin hole surgery to be done to remove mass. Then will check mass in lab. If mass will be suspicious then will remove left ovary whole. Now my problem is - I should follow which doctor advice? Doctor 1 or doctor 2. Request advice. please let me know if any further test is required and which doctor I follow.

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MBBS, DNB Gen Surgery, DNB Surgical Onco...read more

Oncologist•Bangalore
Few advises from my side:
surgery is needed. But, please consult surgical oncologist for proper planning.
Surgery can be laparoscopic or open. Depends on the expertise of the surgeon. Proper handling of tissues is important. I prefer laparoscopic in most cases.
She needs to undergo genetic test to assess her risk profile for other cancers.
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M.Ch - Plastic Surgery

Cosmetic/Plastic Surgeon•Motihari
Gynaecomastia needs to be operated. It can be done under local anaesthesia very comfortably. Just go for it. If you still don't want surgery you can try tamoxifen tablets for 2 years which may prevent further growth but doesn't dissolve the existing lesion.
Asked for male, 36 years old from Chennai
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MBBS, M.S. General Surgery, M.R.C.S. Eng...read more

Oncologist•Mumbai
May be due to pubertal gynaecomastia. Better to see a breast surgeon if it is persistent. It usually resolves on its own. If persistent, they need to rule out secondary causes of the same, which include medications, liver problems, testicular tumors amongst a few. If none found, they may try antiestrogen like tamoxifen or danazole or surgery as the last resort.
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DM - Neurology, MD (Gold Medal), MBBS (H...read more

Neurologist•Durgapur
Topiramate is an anti-epileptic drug, which can be used to treat various neurological disorders like migraine. Where neophedan contains tamoxifen citrate which is a nonsteroidal antiestrogen used to treat breast cancer. They do not belong to same class of drugs. Can you please mention why are you taking topiramate? By the way topiramate can never be substituted by neophedan.
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MCh Plastic Surgery, MS - General Surger...read more

Cosmetic/Plastic Surgeon•Bangalore
Hello, Gynecomastia is a very common problem among men. It is a physiological aberration and not a disease per say. Most of the times it is idiopathic and there are no tests that are required to be done. Though some use tamoxifen it is not effective and has high recurrence. Surgery is the only effective treatment. It is a simple surgery involving liposuction and gland removal by very small incisions and almost invisible scars. It is a day care procedure and you can get back to work in 3 days.
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MCh Plastic Surgery, MS - General Surger...read more

Cosmetic/Plastic Surgeon•Bangalore
Hello, gynecomastia is a very common problem in men. It's a aberration of normal development. Most of the times there is no underlying cause. You won't need any more investigation. Though some have taken oral tamoxifen the results are not good and tends to recur. Treatment is surgery where liposuction and gland excision is done. It's a day care procedure and you can get back to work in 3 days. It's a very satisfying procedure. Contact personally for more details.
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