expert type icon EXPERT

Dr. Behyar Zoghi, MD

Hematologist-Oncologist

Dr. Behyar Zoghi MD, PhD, FACP is triple board certified in Internal Medicine, Hematology and Medical Oncology and practices medicine in San Antonio, Texas. As an experienced cancer physician and bone marrow transplant specialist, he has been actively involved in treating and managing hematological malignancies at the Texas Transplant Institute at Methodist Hospital, a member of the Sarah Cannon Blood Cancer Network, as well as teaching to Hematology- Medical Oncology fellows, residents and medical students at the University of Texas Health Science Center at San Antonio. Dr. Zoghi got his M.D. and Ph.D. from Texas A&M School of Medicine, did his residency at UT Southwestern Medical Center/Parkland Hospital, and his fellowship at UT Health Science Center at San Antonio. He was awarded a patent for a novel therapy in breast cancer. He has authored/co-authored several publications in the field of breast cancer and hematology/bone marrow transplant. He is Chairman of Graduate Medical Education for the entire Methodist Healthcare System in his area and (Adjunct) Assistant Professor of Medicine at UT Health San Antonio. Dr. Zoghi was given the honor of being selected nationally as a Fellow of the American College of Physicians. He was selected as one of the Texas Super Doctor Rising Stars for 2018 and will be published in Texas Monthly Magazine in July 2018.
11 years Experience
Dr. Behyar Zoghi, MD
  • San Antonio, TX
  • Texas A&M University / Main Campus
  • Accepting new patients

Can blood cancer be treated naturally?

healthy diet is always important for body to be strong to fight against infection and disease. There are many therapies for blood cancer including immunotherapy, targeted therapy READ MORE
healthy diet is always important for body to be strong to fight against infection and disease. There are many therapies for blood cancer including immunotherapy, targeted therapy and CAR-T cells which are not chemotherapy. I recommend your cousin to talk to her/his physician and choose best non-chemo approach if available and if he does not want chemo. There any many types of leukemia that we can treat with other types of therapies beside chemotherapy. Diet by itself is not enough.

Can lymph nodes in the armpits be an indication of lymphoma?

lymph node can be enlarged due to infections or lymphoma. Usually, in lymphoma, patient experiences fever, night sweat, and weight loss. If none of these are present, for women READ MORE
lymph node can be enlarged due to infections or lymphoma. Usually, in lymphoma, patient experiences fever, night sweat, and weight loss. If none of these are present, for women concern is for the breast cancer. In general if there is a large lymph node and no infectious causes (such as Cat scratch disease, Brucellois, viral infection, fungal, and other pathogens), then need to excise the lymph node completely and check with pathologist to statin it to see what is the cause of enlarged lymph node.

Can blood clots in the hand be a sign of cancer?

Spontaneous blood clot might be related to cancer or hereditary predisposition to clot/inflammatory disease. Some individual gets superficial thrombophlebitis which can happens READ MORE
Spontaneous blood clot might be related to cancer or hereditary predisposition to clot/inflammatory disease. Some individual gets superficial thrombophlebitis which can happens due to heredity predispositions (Factor V Leidem, Protrombin gene mutation, thromnoangitis obilterans (in those with connective tissue disease, Lupus, smokers), hormones, or anticoagulant deficiency. Recommend to see a hematologist or rheumatologist (if Thromboangitis obliterates).

High lymphocytes

Monoclonal B lymphocytosis (MBL) is defined as the presence of a clonal B-cell population in the peripheral blood with fewer than 5 × 109/L B-cells and no other signs of a lymphoproliferative READ MORE
Monoclonal B lymphocytosis (MBL) is defined as the presence of a clonal B-cell population in the peripheral blood with fewer than 5 × 109/L B-cells and no other signs of a lymphoproliferative disorder. If reactive and polyclonal, then viral is usually the cause such as hepatitis, HIV, autoimmune, smoking, hypersensitivity, acute stress, lack of spleen.

Need to get to your doctor ask to get Flow cytometry test. If monoclonal, then need bone marrow biopsy.

Do I have leukaemia

rash in legs, bruises on arms, achy knee are very general symptoms that can happens from dermatitis, petechia due to aspirin and arthritis. You need to see your doctor, order CBC READ MORE
rash in legs, bruises on arms, achy knee are very general symptoms that can happens from dermatitis, petechia due to aspirin and arthritis. You need to see your doctor, order CBC with differentials to see anything is abnormal or not. Check you r TSH and free T4 to make sure there are normal limit. These symptoms should not scare you, and you just need to see your doctor and do the test.

Non Hodgkins follicular lymphoma

Follicular lymphoma is very slow growing indolent tumor. Based on PRIMA study, you get maintenance therapy with Rituximab for 2 years. Median overall survival in one study on READ MORE
Follicular lymphoma is very slow growing indolent tumor. Based on PRIMA study, you get maintenance therapy with Rituximab for 2 years. Median overall survival in one study on those on therapy with maintenance was 12 years (median not overall). There is a FLIPI score. age >60. stage III/IV, low hemoglobulin, more than 4 lymph node and LDH and based on that you can look at the prognosis

I keep passing blood in my stools. While doctors have ruled out anything serious, I am worried.

several things can cause it: 1. Hemorroid, 2. AVM small oozing blood vessel in the intestine. See you GI physician for colonoscopy and capsular endoscopy if needed.

What are the ways to treat sickle cell disease?

we can do bone marrow transplant for individual for sickle cell disease. They usually need exchange or simple transfusion, treatment with hydrea , folic acid, vaccination and READ MORE
we can do bone marrow transplant for individual for sickle cell disease. They usually need exchange or simple transfusion, treatment with hydrea , folic acid, vaccination and monitor eye and gallbladder exam and spleen function test as they get pneumonia a lot. I would recommend to be evaluated for transplant.

Can continuous anemia be a sign of blood cancer?

yes. Can be sign of mylodysplastic syndrome, OR colon cancer. remember common thing should be rule out first and then other thing to be evaluated. get colonoscopy and see hematologist READ MORE
yes. Can be sign of mylodysplastic syndrome, OR colon cancer. remember common thing should be rule out first and then other thing to be evaluated. get colonoscopy and see hematologist after that.

Can leukemia be heriditary?

Yes. Germ line mutation has shown several of leukemia can be hereditary. Further test needed to be done to be sure

How does stem cell transplant work for a blood cancer patient?

to tell the through I should talk to you about it almost an hour. :) But briefly, autologous stem cell transplant is simple, you get chemo to ablate the marrow and then replenish READ MORE
to tell the through I should talk to you about it almost an hour. :) But briefly, autologous stem cell transplant is simple, you get chemo to ablate the marrow and then replenish with your own stem cells. for allogenic stem cell transplant we vcan use your sibling, total strangers, or your family or umbilical cord each has their own side effects but generally speaking graft versus host disease, infection and relapse with 20% transplant related mortality

Are there any symptoms of blood cancer?

bleeding, bruising, anemia, bleeding as brushing her teeth, decrease urine (usually happens due to side effect of leukemia we call her tumor lysis), shortness of breath due to READ MORE
bleeding, bruising, anemia, bleeding as brushing her teeth, decrease urine (usually happens due to side effect of leukemia we call her tumor lysis), shortness of breath due to anemia. Get CBC with diff with your PCP and then you do not need to be anxious.

What are the symptoms of a blood infection?

fever, low blood pressure, fatigue, confusion, but the most important of all is fever. Anytime you have fever, see the doctor as soon as possible. If you are taking steroid, you READ MORE
fever, low blood pressure, fatigue, confusion, but the most important of all is fever. Anytime you have fever, see the doctor as soon as possible. If you are taking steroid, you might not show fever, then you need to watch your blood pressure and overall physical well being if not feeling good, see the doctor.

How can hemoglobin levels be increased?

low hemoglobin due to renal failure need Erythropoetin PLUS Iron. She need to be tested for Iron level and if it is low, Iron who'll be given to her. other causes of anemia also READ MORE
low hemoglobin due to renal failure need Erythropoetin PLUS Iron. She need to be tested for Iron level and if it is low, Iron who'll be given to her. other causes of anemia also need to be tested to make sure it is not multifactorial beside kidney issues.

What are the risk factors for thalassemia?

it is heridatary disease. NO.

you need to have thalassemia minor and your husband too. Get hemoglobin electrophoresis for yourself and your husband.

Is leukemia curable?

As I mentioned in previous questions, leukemia is curable with bone marrow transplant at this time. There is good evidence regarding the use of CAR-T cell in leukemia with good READ MORE
As I mentioned in previous questions, leukemia is curable with bone marrow transplant at this time. There is good evidence regarding the use of CAR-T cell in leukemia with good outcomes. Unfortunately, these outcomes are relatively new and we do not know if cure is for long-term for short term. At this time, chemotherapy followed by bone marrow transplant is the best option to cure it,

Can blood cancer ever be treated?

yes. The only cure to blood cancer (leukemia) is through bone marrow transplant in 60% of the time. the patient has chance of relapse up to 20%.. Other blood cancer such as myeloma, READ MORE
yes. The only cure to blood cancer (leukemia) is through bone marrow transplant in 60% of the time. the patient has chance of relapse up to 20%.. Other blood cancer such as myeloma, you can control it with transplant and medications, not able to cure it. Lymphoma can be treated with chemo and improved with bone marrow transplant.

Can an episode of sepsis in childhood cause the risk of blood cancer in the future?

One of the most common pediatric leukemia is Acute Lymphoblastic Leukemia There was an article published in journal of Nature Review Volume 18, August in 2018, pp 471 showed Microbial READ MORE
One of the most common pediatric leukemia is Acute Lymphoblastic Leukemia There was an article published in journal of Nature Review Volume 18, August in 2018, pp 471 showed Microbial exposures earlier in life are protective but, in their absence, later infections trigger the critical secondary mutations in childhood acute lymphoblastic leukemia. Common infections were therefore proposed to have two opposing impacts on risk of ALL that depend on timing — antagonistic (early) or promotional (late) based on the publication. therefore, antibiotic use in infancy might increase risk of ALL. There are very great interest on the role of Microbiata (good microbes in our body) in immune modulation. This has not been systematically evaluated to date, There are limits to what epidemiological studies can achieve. I recommend Germ line mutation testing be done (Fanconi DNA breakage test, TERT testing, TP53 mutation status (Li-Fraumeni syndrome), and the panel of genes based on your overall family history.

While getting chemo, is it safe to get a flu shot?

Very good questions. Yes and also your family members also need that to prevent them to get sick as well which has direct role on your disease prevention. American cancer READ MORE
Very good questions. Yes and also your family members also need that to prevent them to get sick as well which has direct role on your disease prevention.

American cancer society recommendation:
Yes, people getting cancer treatment (for instance, radiation or chemotherapy) should get a flu shot.

My hemoglobin level Is very low since I had chemotherapy. What should I do?

first usually if chemotherapy is recent, that is very normal. If you already completed your chemotherapy, then need to see if you have renal dysfunction which reduce erythropoietin READ MORE
first usually if chemotherapy is recent, that is very normal. If you already completed your chemotherapy, then need to see if you have renal dysfunction which reduce erythropoietin production. For making red blood cells, you need Iron, Heme, Globulin, healthy marrow and if any of these requirements are not there appropriately, then you became anemic. Need step by step found out what is the cause, is it post chemo induced vs pure red cell aplasia due to chemo or supplement deficiency. Need to see your hematologist