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Chronic Lymphocytic Leukemia Questions

Asked for Male, 35 years old from Navi Mumbai
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My dad has a tumor in the upper and mid pole of the right kidney measuring 14 *6.9*10.5 CMS as per latest USG. 2. Likewise prostrate is also enlarged at 5 CMS. 3. The Impressions mentioned in the report include Mild Hepatocellular splenomegaly, small cyst measuring 1.7 CMS in the left lobe of liver, mass lesion in the right kidney, enlarged prostate. 4.The latest chest ray states, well defined rounded opacities in right mid zone and bilateral lower zone with a possibility of lungs metastasis. 5. He has lost 10 kgs in the last 1 year. 6. His left and right foot especially appear to be swelling now. Not sure why. 7. He wakes up 6-7 times at night to pass urine and as a result has a disturbed sleep. 8.He has been constantly having cough and pain along the lower back and spinal cord. If surgery needs to be done, how critical would that be? Life threats now versus Post surgery? Can surgery be avoided? Any effective oral medication?

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MBBS, MS - Oncology, DNB ( General Surge...read more

Oncologist•Bangalore
Appears kidney cancer with spread to lung. PET/CT scan will show all the body parts affected with it, so that it can be analysed and managed better. Surgery is not required when there is already metastasis (spread). Oral medications are available to keep a control over the growth of tumor so that life can be extended. Please consult a qualified medical oncologist near by for further analysis and prescription.
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Asked for male, 72 years old from Chennai
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My dad has a tumor in the upper and middle pole of the right kidney measuring 14 *6.9*10.5 CMS as per latest USG. 2. Likewise prostrate is also enlarged at 5 CMS. 3. The Impressions mentioned in the report include Mild Hepatocellular splenomegaly, small cyst measuring 1.7 CMS in the left lobe of liver, mass lesion in the right kidney, enlarged prostate. 4.The latest chest ray states, well defined rounded opacities in right mid zone and bilateral lower zone with a possibility of lungs metastasis. 5. He has lost 10 kgs in the last 1 year. 6. His left and right foot especially appear to be swelling now. Not sure why. 7. He wakes up 6-7 times at night to pass urine and as a result has a disturbed sleep. 8.He has been constantly having cough and pain along the lower back and spinal cord. How do you suggest I go about?

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

Oncologist•Mumbai
He would need a CT thorax to confirm the size and number of metastasis. Also a bone scan would be advisable if bone pain or raised alkaline phosphate level in blood. PET CT scan can be done instead of both the above investigations. MRI brain if symptomatic.
If he is asymptomatic for the lung mets and his general condition is good and tumor is resectable and not poor prognosis on IMDC criteria (based on some blood reports and contition of Patient), then I prefer to to a cytoreductive nephrect...more
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C.S.C, D.C.H, M.B.B.S

General Physician•Alappuzha
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FibroScan results range from 2.5 kPa to 75 kPa. Between 90–95% of healthy people without liver disease will have a liver scarring measurement <7.0 kPa (median is 5.3 kPa. YOur result is high and need to Assessed with general check up.
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Asked for male, 20 years old from Jabalpur
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MBBS

General Physician•Mumbai
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It is a type of Wbc and is usually found in lymphatic system and increase in the level indicates some chronic infection
Asked for female, 46 years old from Ghaziabad
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MBBS

General Physician•Mumbai
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We should plan for symptomatic treatment and make sure to take tablet folvite 5mg once a day everyday and treatment needs to be taken for a long time with a hope for cure
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Bachelor of Ayurveda, Medicine and Surge...read more

Ayurveda•Zirakpur
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Take Curcumin 90 to 95% capsule 1 twice daily. Take sanjivani vati 2 b.i.d. With warm water. Kantkari avaleh may be taken 1 tsp b.i.d. Take for a month and report.
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MD - Ayurveda, Bachelor of Ayurveda, Med...read more

Ayurveda•Bangalore
Treatment goes in 3 ways depending on the condition:
1. Induction therapy:
kills leukemia cells in the blood and bone marrow to induce remission. Treatments include chemotherapy and corticosteroids. 2. Consolidation therapy
This include more chemotherapy and may include stem cell transplant.
3. Maintenance therapy: This also prevents any remaining leukemia cells from growing. This may be done using lower doses of chemotherapy than those used during induction or consolidation.
31 people found this helpful
Asked for Male, 26 years old from Jabalpur
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