How stage 4 cancer is eliminated by microsatellite instability (MSI) - DM(AIIMS) - Immunotherapy

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Dr Vineet Govinda Gupta Oncology

Dr Vineet Govinda Gupta Oncology

Күн бұрын

This video explains microsatellite instability (MSI), an important test in cancer. Learn which cancers require MSI testing, such as cancers of the large intestine (colon and rectum), small intestine, stomach, gallbladder, liver, and uterus. Learn the modern techniques used to test for MSI. Immunohistochemistry (IHC), PCR, and NGS can be used to test the cancer DNA quickly and cheaply.
Immunotherapy plays a special role in MSI cancers. We discuss the role of MSI and mismatch repair (MMR) in the treatment of stage 4 cancer. Learn how MSI is important in choosing effective treatments, including chemotherapy, targeted therapy, and immunotherapy. Understand how immunotherapy, which includes drugs such as pembrolizumab (Keytruda), atezolizumab (Tecentriq), nivolumab (Opdyta), ipilimumab (Yervoy), and dostarlimab (Jemperli), can improve long-term survival in patients with MSI cancer and can even cause cancer remission in many patients. Learn from Delhi's renowned Cancer Specialist Medical Oncologist Dr. Vineet Govinda Gupta MBBS (AIIMS) , MD (AIIMS), DM (AIIMS), Gold Medalist.
If you have any question other than this video contact us on whatsapp, phone, or email. Subscribe to our channel.
Phone: +919013812875, +917290928042
Website: drvineetgovinda.com
E-Mail: vineetgovindagupta@gmail.com
Facebook: @drvineetgovindagupta
Twitter: @drvineetgovinda
00:00 Introduction परिचय
01:10 What is microsatellite instability माइक्रोसेटेलाइट अस्थिरता क्या होती है
02:30 Importance of testing for MSI यह MSI जांच कराना क्यों ज़रूरी है
05:41 Cancer types where MSI is common कौनसे कैंसर में MSI पाया जाता है
07:02 Testing for MSI टेस्ट जिनसे MSI पता किया जाता है
10:07 Treatment of MSI positive cancer MSI वाले कैंसर का इलाज कैसे करते है
15:13 Contact information संपर्क

Пікірлер: 99
@kulwindersingh815
@kulwindersingh815 Ай бұрын
Great docter
@sagarpaudel9490
@sagarpaudel9490 Ай бұрын
Kitne charhge lagte hoga sir plz...
@amit31784
@amit31784 Ай бұрын
Pdl1less than 1 ha immunotherapy ho sakti ha
@vinitachandrakar5774
@vinitachandrakar5774 Күн бұрын
Please make video on 4th stage GIST cancer
@Shivalikphysicalacademy
@Shivalikphysicalacademy Ай бұрын
Sir meri mother ko pt1Nmx gall bladder mai hai kon see stage hai aur unka ot ho gya hai an 2 keemo ho gyi hai safdarjung hospital mai total 4 keemo boli thee kya sir ye early stages hai kya......kya video aap aeise late rahiye sir thankyou sir ji...❤
@navbharat1443
@navbharat1443 Ай бұрын
Dr. Does this treatment (msi) work in patients with brca mutated genes?
@mishtyworld9707
@mishtyworld9707 Ай бұрын
Bone metabolism and ca stomach metabolic he kya ilaj he ...abhi IV par he
@kirtoniyasumit951
@kirtoniyasumit951 4 күн бұрын
Dr. Vijay Govind Gupta aor app dono vai han kay
@studyicon02
@studyicon02 28 күн бұрын
Hello sir, Please reply🙏🏼 Kya vulvar cancer puri tarah se thik ho sakta hai..
@ashimamohapatra8242
@ashimamohapatra8242 15 күн бұрын
Sir pTNM staging -pT2N1aMx what stage it is?
@sudarp6560
@sudarp6560 19 күн бұрын
Sir please let me know whether kras wild type stage 4 colon cancer spread in liver lung be treated with chemo along with cetuximab
@sweta5262
@sweta5262 Ай бұрын
Sir please make a video on multiple myeloma and stem cell transplant my mother has MM and doctors are suggesting stem cell transplant
@lalitsaini4492
@lalitsaini4492 Ай бұрын
Sir immunotherapy ke sath iska full treatment cost bhi bataye
@user-iw9ph5py5r
@user-iw9ph5py5r Ай бұрын
Sir bone tiumar ho geyi he kea kere
@ehteshamrock4736
@ehteshamrock4736 Ай бұрын
If er pr nagative triple nagetive in breast Cancer then what is solution
@archanasharma9923
@archanasharma9923 Ай бұрын
Sir , good evening .Mai cancer patient hu .primary cancer ovarian clear cell aaya tha .treatment mai operation and 6 cycles chemo liya tha but disease recurrence 1st follow up mai hi ho gaya spleen mai .fr se operate hua aur 6 cycles chemo aur 3 Rd cycle se hi targeted therapy start ki thi jo 17 cycles hue till Feb 2023 par Feb 2023 mai hi pancreatic tail par fr se disease aa gayi Ess baar chemo liya 6 cycles jo ki oct 23 mai hue Pancreatic lesson ki size Kam nahi hui par metabolic activity 21 se 5 Suv tak aa gayi Fr mere Dr ne bola ki vo nahi sochte ki ab chemo se advantage milega so 3 months tak observation par rakha muje After 3 month pet scan mai pata chala ki pancreatic tail lesson mai metabolic activity 18 tak pahuch gayi and perirectal reason par kuch lymph nodes positive aaye aur supraclavical lump nodes mai metabolic activity detect hui Mera MSI test mai MLH1 expressed PSM 1 Expressed
@archanasharma9923
@archanasharma9923 Ай бұрын
Sorry PMS 2 Expressed MSH 2 Expressed MSH 6 Expressed Aaya hai Sir abhi chemo chal raha hai but pancreatic lesson ki size bhi Kam nahi ho Rahi aur metabolic activity bhi thodi raise Hui hai after 2 cycles Aapko pahle bhi mene apni history bheji thi aapne reply bhi Kiya . So nice of you Thanks Aapne genetic testing karvaane ko bola I did ..MSI HER q negetive CPC , PDL1 KARVAAYA JO 3.5 AAYA THA Sir 3 baar recurrence Esa q ho raha hai . Mera MSI bataaya aapko Plz reply kariyaega Plzzz plzz 🙏
@sunitasharma8838
@sunitasharma8838 Ай бұрын
Sir mere husband ko October 2023mea urnri bolder se low gread tumor ka tritmant kiya or abhi may 2024mea dr.khte h tumor ne growth le li kya dr. Theek kh rhe h urine mea blood arha tha pr baki sari sari repot theek h please hume gaind krna
@AzeemUnissabegum-xg7tl
@AzeemUnissabegum-xg7tl Ай бұрын
Hora
@AnujC-xr6on
@AnujC-xr6on 27 күн бұрын
Doctor, one doubt. We know ulcer in stomach could be detected by upper GI endoscopy only which is the golden standard. Is there any other non invasive test available to confirm it with same accuracy..
@sameerbansal3100
@sameerbansal3100 Ай бұрын
Kya ye prostate cancer me bhi ho skta h
@chunchunshow348
@chunchunshow348 Ай бұрын
Why your video not coming frequently
@user-rf8qv2ys3e
@user-rf8qv2ys3e Ай бұрын
Sir, MSI Stable means?
@gauravvlogup1572
@gauravvlogup1572 Ай бұрын
WHAT IT IS BENEFICIAL IN BREAST CANCER ( MATASTATIC CARCINOMA)
@ShaileshGupta87
@ShaileshGupta87 Ай бұрын
Sir mere papa ko Acute myeloid leukemia hai fever nahi ja Raha hai mujhe kya karana chahiye
@bhagyashreeparhi5696
@bhagyashreeparhi5696 14 күн бұрын
If regorafenib is not working then what will be the next treatment can Any one plz suggest it' an emergency.
@sunitabala8627
@sunitabala8627 Ай бұрын
Hlo Doctor meri mom ko 4th stage lung cancer hai.6 cheemo ho chuki hai.pls btao ji kya next process hai.plz apna address b btao Dr pls.reply
@gajrajsingh3863
@gajrajsingh3863 Ай бұрын
Cost
@ashimamohapatra8242
@ashimamohapatra8242 7 күн бұрын
Sir pTNM staging -pT2N1aMx iska matlab Cancer initial stage par hai
@abhisheksagar7126
@abhisheksagar7126 Күн бұрын
2nd stage h bhai
@akashbabusaxenaabsmotivati8812
@akashbabusaxenaabsmotivati8812 Ай бұрын
Sir mene 2 mahine pahle endoscopy karbai thi to dr sahab ne h pylori biopsy ki negative tha aur lactose intolerance duodenal biopsy ki positive tha ....baki sabhi normal hai sirf gerd hai sir kya is tarah ki biopsy karne se koi dikkat to nahi hoti please answer
@kirpals10
@kirpals10 Ай бұрын
Sir pls make a video on stage 4 lung cancer with KRAS mutations.
@drvineetgovindagupta
@drvineetgovindagupta Ай бұрын
Good thought, we will do it soon
@loveyoumangal9931
@loveyoumangal9931 Ай бұрын
Sir kya maltipal mayloma thik hota he
@drvineetgovindagupta
@drvineetgovindagupta Ай бұрын
Yes
@jewellery-wala
@jewellery-wala Ай бұрын
Brest cancer me चार chemo ke bad v tumor chhota nahi hua aisa kyu
@radhahb781
@radhahb781 Ай бұрын
Sir mere mom ko non hodgkin lymphoma b& t cell hi 4th stage me hi.8 chemo complete ho gaya. Maintance ki liya rituximab le ra hi. But day by day wbc kam rahe hi 2100 hi. Ye kyo hota hi pl batayiye
@meenakshisharma6563
@meenakshisharma6563 Ай бұрын
Is she responding to chemotherapy
@ganeshwankhade349
@ganeshwankhade349 Ай бұрын
sir ye stage 4 lung cancer me ho skta hai kya?
@RajaSingh-mo5to
@RajaSingh-mo5to Ай бұрын
Sar meri mummy ke gal ke andar daal Ke bich mein cancer hai Sujan nahin ja rahi hai ki vah bhi lagva rahe hain
@aditisrivastav8805
@aditisrivastav8805 Ай бұрын
Sir ap please mere husband ka treatment kariye 😢
@user-fs4pt7fq8t
@user-fs4pt7fq8t 27 күн бұрын
Hi frnds m overcm from cancer wd my medical treatment and will power
@user-fs4pt7fq8t
@user-fs4pt7fq8t 27 күн бұрын
Meri 12 ceemo,2surgery,20 radiotherapy huyi.m weak nw.bt totally free from cancer
@manojkumarsahu4295
@manojkumarsahu4295 Ай бұрын
Sir NET T2N1M0 kaunsa stage hai. Only surgery hua hi. Aur koi treatment hai kya sir.
@raviji-tl2uz
@raviji-tl2uz Ай бұрын
Stage 1 ya 2 ..
@abhikap88
@abhikap88 Ай бұрын
Early stage 3
@rahulrahul8161
@rahulrahul8161 Ай бұрын
Stage 2
@shahnawazquraishi2950
@shahnawazquraishi2950 Ай бұрын
सर आप अभी भी AIIMS मे ही कार्यरत हो? या प्राइवेट हॉस्पिटल चलाते हो। सर आप से कैसे बात हो सकती है प्लीज बताए😢
@harshitaagarwal8131
@harshitaagarwal8131 Ай бұрын
Can this be done for lung cancer (nsclc egfr) stage 4
@ganeshwankhade349
@ganeshwankhade349 Ай бұрын
plz bataye sir
@rajeevsingh8251
@rajeevsingh8251 Ай бұрын
Sir aapke video mein bahut echo hota hai.awaz goonjati hai.theek se kuchh samajh nahi aat.plz look into this area before the release of video
@SanjeevDahiya-qs4jl
@SanjeevDahiya-qs4jl Ай бұрын
Bacche 4 sal ka baccha hai usko retinoblastoma cancer h koi ilaj h
@KiranSingh-dv3zy
@KiranSingh-dv3zy Ай бұрын
Hello sir mere pet scan m lungs m ggo infection aaya h ky h serious issues h abi m palbo,fluversent treatment pr hu er pr positive mcb patients
@drvineetgovindagupta
@drvineetgovindagupta Ай бұрын
GGO infection ya fluid se ho sakta hai. Apne oncologist se discuss karna padega
@KiranSingh-dv3zy
@KiranSingh-dv3zy Ай бұрын
@@drvineetgovindagupta thanku sir
@dr.urmilgarg3974
@dr.urmilgarg3974 Ай бұрын
Mujhe lung cancer stage 4 metastaic from breast cancer h Er pr positive her 2 negative h I m on targeted therepy Kya mera bhi test ho sakta h
@manukapoor7482
@manukapoor7482 Ай бұрын
Muje colorectal se metasis ho gya h cancer ….or mai b Cituximab targeted therepy with folfox chemo chl rhi hai ….apko kya treatment diya ja raha h ??
@HarishJain-zb4nr
@HarishJain-zb4nr 23 күн бұрын
Mere pitaji ko liver cancer hai ab mujhe nai report karvani hai kaun si kaun si report karvau please sar mujhe batae aur mujhe aapke clinic ka adress bheje ❤❤
@AzeemUnissabegum-xg7tl
@AzeemUnissabegum-xg7tl Ай бұрын
esopgus.4.stage.44year.6.cemotharohy.stool.black.mostionproblem.vomting
@ramgher780
@ramgher780 Ай бұрын
Sir pl alk lung cancer stage 4 ke upar video bano pl sir😢😢
@drvineetgovindagupta
@drvineetgovindagupta Ай бұрын
Soon
@ramgher780
@ramgher780 Ай бұрын
@@drvineetgovindagupta thank you
@smitavlogs446
@smitavlogs446 Ай бұрын
Sir bone tumor Ewing sarcoma me msi positive ka kitna chance he 😢😢 ihc me cd99 and FL1 both positive he and is there any immunotherapy present now a days
@rakeshroutray2475
@rakeshroutray2475 Ай бұрын
I'm also suffering from Ewing's Sarcoma.What is ur Current Situation.
@smitavlogs446
@smitavlogs446 Ай бұрын
@@rakeshroutray2475 nothing chemo chal raha he
@rakeshroutray2475
@rakeshroutray2475 Ай бұрын
@@smitavlogs446 Number mil sakta hai
@smitavlogs446
@smitavlogs446 Ай бұрын
@@rakeshroutray2475 but online kese du
@rakeshroutray2475
@rakeshroutray2475 Ай бұрын
I m taking immunotherapy
@shellytiwari6527
@shellytiwari6527 Ай бұрын
Mere brother in law ko colon cancer h . 4 stage h.. Delhi mex me chemotherapy hui koi khas relief nhi h ... Kya krna chahiye
@raviaryatube
@raviaryatube Ай бұрын
Pls go to NCI jhajjar its nearby.. don't waste time in mex
@shellytiwari6527
@shellytiwari6527 Ай бұрын
Sir please suggest. .. Ayurvedic medicine leni theek rahengi kya
@raviaryatube
@raviaryatube Ай бұрын
@@shellytiwari6527 nhi pehle NCI jhajjar ya delhi aiims jao... ayurvedic dawai jyada kaam ni krti is bimaari m
@Shanbushra
@Shanbushra Ай бұрын
@@shellytiwari6527rajeev Gandhi delhi Kaisa hospital hai ?
@ganeshwankhade349
@ganeshwankhade349 Ай бұрын
plz bataiye sir kya ye lung cancer me ho skta hai kya??
@drvineetgovindagupta
@drvineetgovindagupta Ай бұрын
Lung mein kam hota hai. Par Lung mein waise bhi immunotherapy ka result achcha hai. Hamara stage 4 lung cancer wala video dekho
@PawanGautamofficial
@PawanGautamofficial Ай бұрын
Mujhe bhi urinary bladder 4 stage ka Cancer hai
@user-uu2eb4dc3k
@user-uu2eb4dc3k Ай бұрын
Kimo chalu hai kya ?
@PawanGautamofficial
@PawanGautamofficial Ай бұрын
Ha 12 lag chuki hai Fhir bhi koi response nhi hai
@reinvent3207
@reinvent3207 Ай бұрын
Kaise pata chalaa koi response nhi h?​@@PawanGautamofficial
@be_kind3372
@be_kind3372 Ай бұрын
Liver cancer hua tha surgery .chimo.radiotherepy ke baad fir se tumour ho gaya
@neelamkhullar2256
@neelamkhullar2256 Ай бұрын
I have breast cancer stage 4, how can I contact you to send my reports to know further treatment
@kulwindersingh815
@kulwindersingh815 Ай бұрын
Agar apko 800 rs pay karna hoga inko fer ik number par riport send karo gy tu agly din dr call kary gy acha dr hi jy
@RohanGondwal7641
@RohanGondwal7641 Ай бұрын
Sir maine whatsapp prr aapko report send kii thii jiska reply abhi tkk nhi aaya haito 40,000 Rs kaa blood test huaa thaa or sir boht jyaada situation khraab hai patient kii 😢genetic testing huyii thiiUske baad doctor ne regorafenib tablet start kii hai prr pain boht jayaada hotii hai tramadol injection se bhii pain me relief nhii haii Colorectal cancer with liver metastasis hai Sir abb aap hii shaara ho please🙏🙏🙏🙏🙏🙏🙏
@RuhFl
@RuhFl 22 күн бұрын
Ajkal doctor log ka naya dhanda hai, kabhi bhi mat sun nA, ye sale log cancer bol dega,, in logo ke pass jo percent ayega usko hi cancer hota hai,, jaise ankh ka doctor ke pass jo ayega uska ankh ka problem hai
@littledreams8804
@littledreams8804 17 күн бұрын
Aap kaha ilaaj Kara rahe hai mere papa ka bhi colon cancer with metastatic liver cancer hai please bataaye kaise unka ilaaj Kiya mere papa ka age 60 hai .kuch samjh nahi aa raha please reply..
@RohanGondwal7641
@RohanGondwal7641 17 күн бұрын
@@littledreams8804 Chandigarh pgi kra rhe hai hum Agar aap financially stable ho to aap dr vineet gupta ke pass jroor jao Baki mere father kaa puraa ilaaj ho chukaa hai prr bimaari nhii thiik huyii
@bhagyashreeparhi5696
@bhagyashreeparhi5696 16 күн бұрын
Mere husband ka apendix cancer hai stage 4 .please suggest sir what will the treatement.
@RohanGondwal7641
@RohanGondwal7641 16 күн бұрын
@@bhagyashreeparhi5696 kitna time huaa hai mam? Fir aapko suggest krr sktaa hoon
@debasishpandit0911
@debasishpandit0911 Ай бұрын
Sir my father malignant melanoma cancer patients. Please sand contact number.
@RuhFl
@RuhFl 22 күн бұрын
Aj kal doctor log ka dhanda hai,, logo ko kuch bhi ho ye sale cancer bol deta hai,, naya dhanda hai,
@sanjayrathi9479
@sanjayrathi9479 Ай бұрын
Kya ye oral cancer me bhi kaam karta h?
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