Oncology (General Cancer)/Way forward advice


My 67 year old mother, with past history of several episodes of pain abdomen (?Acute cholecystitis/ Cholelithiasis) underwent  Laparoscopic cholecystectomy+ Lap Adhesiolysis under GA on 4/7/2013. Histopathology revealed moderately differentiated adenocarcinoma, state 2 (pT2, Nx, Mx). Perineural spread was seen; Proximal margin could not be commented upon; Cholelithiasis). Whole body PET with triphasic CECT  done on 17/7/2013 did not reveal  any evidence of metabolically active disease anywhere in whole body. She underwent complete radical cholecystectomy ( Lymphnode+Liver Bed+Port site excision) on 22/7/2013. Histopathology revealed
  Tumour invasion in 1 out of 6 lymph nodes dissected in Lt peridochal region
  Tumour invasion in one lymph node dissected in Posterior pancreaticodudenal region
   Fibrocollagenous tissue/ foreign body  Giant Cell reaction/ granulation tissue in pericholedochal region
  Cystic duct margin had fibrocollagenous tissue; tissue free of tumour
  In Liver wedge, few neoplastic glands lined by cells  showing moderate plemorphism; body giant cell reaction was also seen in parenchyma
  Port site: all 4 sites lined by stratified squamous epithelium; subepithelial tissue shows foreign body  Giant Cell reaction and fibrosis; Free of any tumour invasion.

As advised, she has been given 12 cycles of chemotherapy (Cytogem 1600: Gemcitabine) over 4 months (September-December 2013). [CECT Abdomen conducted after 3 chemo cycles indicating marked postoperative changes in the GB Fossa in form of surgical clips but no obvious mass lesion in gall bladder fossa. No significant lymphadenpapthy]
Now, radiotherapy has been advised (5 days a week; total 25 sessions).  I  wanted a second opinion, since she has already undergone radical surgery followed by chemotherapy : Whether radiotherapy is really required.

Hi Amandeep,
Cancer is a condition requiring rigouros treatment and multi modality approach. If radiotherapy is adviced, it may be to eliminate the remaining micro focii. Where are you getting the treatment? You can reduce the duration of radiotherapy but you also need to get a contrast CT every 4 months for  next 1 year to check for recurrence. Also antiangiogenic therapy and immunomodulation therapy can be given to preven relapse. visit:



you can write to me on medlifeasia@gmail.com

Oncology (General Cancer)

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Dr M Khalid Munir


I can answer questions about the correct guideline for treatment of cancers to achieve best results. I can analyze signs and symptoms to identify cancer. I can tell about many good treatment methods recognized by American Cancer Society and NIH which have been developed recently through credible cancer research.


I have been working as a Immuno Oncologist since the last five years. I have experience of treating cancer patients through a variety of methods. My patients have been treated with radiation therapy, chemotherapy and surgery. I am also trained in Antiangiogenic therapy, Immunomodulator therapy and Immunotherapy of cancer which is a FDA recognized treatment method and also a known effective modern therapy as per the guidelines of the American Cancer Society (ww.cancer.org). Immunotherapy works by enhancing the body's own defence mechanism hundreds of times. It is used to treat Hepattis and AIDS too.

2. Consultant Immuno Oncologist, Wockhardt Hospital, Hyderabad, India. An associate of Harvard medical international. 3. Ex Care management consultant, Royal Hobart Hospital, Australia. 4. Ex Care management consultant, KGH, Canada. 5. Associate, IAMMS, Aligarh, India (A UNESCO listed organisation).

Medical Doctor with MBBS and Fellowship in Immuno oncology. 2. Fellowship in Dendritic cell therapy from ICT, Noida, New Delhi NCR 3. Member of American Geriatrics Society 4. Having specialised Training in a. Dendritic cell therapy and Chemotherapy b. Hematology c. AIDS prevention d. Geriatric medicine

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