HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

How Can I Rule These Out Carcinoma And Sarcoma?

default
Posted on 4 days ago
Question: Carcinoma and sarcoma? How can I rule these out?
doctor
Answered by Dr. T Chandrakant (2 hours later)
Brief Answer:
Please give additional details.

Detailed Answer:
Hi.
Thanks for your query, albeit very short.
You have noted your gender and age as female - 26.
Please let me know the details about relevance of your query - say like whom are you asking for, gender and age or for yourself.
Any history of change in appetite, bowel and bladder habits, any mass or lump? The details will help me to assist you better.
Awaiting for your details.

Dr T Chandrakant.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. T Chandrakant (1 hour later)
I am 28 female. I’ve been feeling lightheaded, dizziness, extremely tiredness, unsteady, my eating habits fluctuates. I don’t think I have any mass or lump anywhere, I was diagnosed with fibromyalgia, I’m just feeling weird. Did a mammogram and didn’t show anything. Had multiple chest x-rays and chest Ct scans with and without contrast. Had ct scans, mri and a MRA on my head. Labs are normal right now. But I’m still having the symptoms. Like what could this be?
doctor
Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
as detailed

Detailed Answer:
Thanks for your detailed history, this helps me.
Noted your history: lightheaded, dizziness, extremely tiredness, unsteady, eating habits fluctuates and diagnosed as ''fibromyalgia'', also noted the investigations you have gone through.
As you might have been known, the basic cause of fibromyalgia is related to stress and anxiety.
And the best way to get treated may be one of the following:
Change the lifestyle to have least possible stress and anxiety and this is very much possible in a 28 year old. You already have gone through the initial period of life, learning a lot about yourself and the things all around you that give you stress and/or anxiety; the instigating and enhancing factors.
Most of your symptoms will be reduced or even will go away if you can avoid all these, this is just possible. Nothing is better that the peaceful life. Job, money, interpersonal relationship and all can be adjusted as per your needs. Nothing is impossible.
Second line of management comes with Meditation, added on by your hobbies, outings, being in nature, XXXXXXX trekking or anything that you know is best for you to relax.
Third line is counselling - that I am trying with, also with your Family Doctor, close friend or family member and medications if needed - needs prescription of your Doctor.
Also get your blood tests done for Vitamin B and D, get corrected if low; Thyroid and other tests might have already been done.

I hope this answer helps you.
Feel free to give feedback, ask for further relevant queries.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. T Chandrakant (26 hours later)
I don’t think it’s the cause of fibromyalgia
doctor
Answered by Dr. T Chandrakant (2 hours later)
Brief Answer:
As detailed.

Detailed Answer:
This is is one of the commonest causes as per the history that you have provided.
Please see the relevant blood tests are done and are normal or not.
I know, it is difficult to find the exact causes and accept in such cases.
Please post the reports of blood tests.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. T Chandrakant (11 minutes later)
My labs are normal right now. But how can I rule out any cancer or any life threatening
doctor
Answered by Dr. T Chandrakant (11 hours later)
Brief Answer:
as detailed

Detailed Answer:
Cancers are not common at your age. Yet to alleviate your doubts and anxiety I would suggest you the following in discussion of your Family Doctor.

Some of the common cancers in young adults are:

Breast cancer : Had multiple chest x-rays and chest Ct scans with and without contrast. Manual examination and Mammography can further rule out.

Lymphomas (non-Hodgkin and Hodgkin) - CT of chest would show internal lymph nodes; Ultrasound of abdomen would show any enlarged lymph nodes, liver and spleen.

Melanoma> any black spots on skin or lymph nodes?

Sarcomas (cancers of connective tissues like muscles and bones) > Manual palpation of the body for any mass or lumps. As per my knowledge till date - To date, no specific marker exists for the detection of circulating tumor cells (CTC) from different types of sarcomas, though tools are available for detection of CTCs in peripheral blood of patients with cancer for epithelial cancers. You will have to discuss these points with your Family Physician. Take help of Mother or so for body examination.

Cancers of the female genital tract (cervix and ovary)> Examination by a Gynecologist, pap smear, Ultrasound of abdomen and pelvis - preferably CT scan will show help to rule out intestinal, uterus, ovary cancers. You can also ask for ''tumor markers'' in blood like Cancer Antigen 125 (CA125) and Human Epididymis Protein 4 (HE4) are the most studied ovarian tumor markers and so on.

Thyroid cancer> Ultrasound of neck

Colorectal cancer > CT scan as discussed- Colonoscopy.

Brain tumors : you already had ct scans, mri and a MRA on head.

I hope this answer helps you further. I can understand the symptoms are making life difficult. It is better to rule out as many diseases as possible before saying this to be due to the obvious reason we discussed previously.
Take care and give feedback.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. T Chandrakant (8 hours later)
I’ve had a ultrasound on my neck already and also a mammogram as well.
doctor
Answered by Dr. T Chandrakant (3 hours later)
Brief Answer:
I hope the reports are normal.

Detailed Answer:
Great to know.
I hope they are normal.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. T Chandrakant (1 hour later)
Yes they were normal except for fibrogen tissue in breast. What could that be? I’m getting a ct scan of my chest and abdomen and pelvic to rule out lymphoma , my peripheral blood smear was normal so do I have to worry about sarcoma or carcinoma?
doctor
Answered by Dr. T Chandrakant (18 hours later)
Brief Answer:
PBS (peripheral blood smear) is a good indication

Detailed Answer:
Thanks for your feedback.
Fibrogen tissue in breast is a normal finding, I mean does rule out cancer.
Let us wait for fresh CT scan reports.
If peripheral blood smear was normal then you should worry far less. Many a cases this test can show or indicate that there may be some underlying problem, hence being normal is a good indication.

Stop worrying at the moment.
Take care.

Dr T Chandrakant
Above answer was peer-reviewed by : Dr. Dr. Yogesh D
doctor
default
Follow up: Dr. T Chandrakant (13 minutes later)
Okay and yes my peripheral blood smear was normal. But the one in 2018 wasn’t I was diagnosed with neutrophilia . What could that mean?
doctor
Answered by Dr. T Chandrakant (5 hours later)
Brief Answer:
Type pf white cells increase in response to infection

Detailed Answer:
Neutrophilia means the Neutrophils are increased percentage wise at that time.
And the commonest cause is infection of some sort wherein the body responds by increasing the production of neutrophils, one type of white cells to combat infection which gets normal with proper treatment and body's care.
It was in 2018 and not now, hence no worries at the moment.

Above answer was peer-reviewed by : Dr. Kampana
doctor
default
Follow up: Dr. T Chandrakant (22 hours later)
Okay , would a ct scan of my chest abdomen and pelvic show carcinoma and sarcoma
default
Follow up: Dr. T Chandrakant (8 hours later)
What about throat cancer?
doctor
Answered by Dr. T Chandrakant (4 hours later)
Brief Answer:
It helps

Detailed Answer:
Yes, CT scan of chest can show if there is any carcinoma or sarcoma.
Do you have any symptoms related to throat?
Please discuss with your Doctor or radiologist if they have a facility for full-body scan?

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. T Chandrakant (6 hours later)
Difficulty swallowing and feeling like something is stuck in my throat
doctor
Answered by Dr. T Chandrakant (2 hours later)
Brief Answer:
Cancer almost unknown in age-group of your gender

Detailed Answer:
Cancer of throat very uncommon in ladies of your age.
This can be due to many a factors and endoscopy will help the best. Other options are Barium swallow test or CT scan.
Please Consult an ENT Surgeon to get these done to find out or rule out any problems.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. T Chandrakant (1 minute later)
I had an endoscopy done and it was normal
doctor
Answered by Dr. T Chandrakant (2 hours later)
Brief Answer:
This is great

Detailed Answer:
Nice to know.
So no worry.
In some cases such symptoms may be related to stress and/or anxiety if all the relevant investigations are within normal limits.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. T Chandrakant (44 hours later)
Yeah but I’m constantly loosing weight I look sick. Like I feel like imma die
doctor
Answered by Dr. T Chandrakant (6 hours later)
Brief Answer:
Other causes for weight loss needs to be considered

Detailed Answer:
I can understand.
There are many reasons for loosing weight.
All the tests you have undergone are normal, you are yet to undergo some tests as you have mentioned.
If all the relevant tests are normal then other causes should be considered. We have already discussed in the beginning.
So let us wait for reports.
Consider having counselling to start with.
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19777 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
How Can I Rule These Out Carcinoma And Sarcoma?

Brief Answer: Please give additional details. Detailed Answer: Hi. Thanks for your query, albeit very short. You have noted your gender and age as female - 26. Please let me know the details about relevance of your query - say like whom are you asking for, gender and age or for yourself. Any history of change in appetite, bowel and bladder habits, any mass or lump? The details will help me to assist you better. Awaiting for your details. Dr T Chandrakant.