About Experts Sitemap - Group 38 - Page 49 2014-07-29

Oncology (General Cancer): Brain Tumors and Buddy Rich, brain tumor, brain tumors
brain tumor, brain tumors, heart failure: The word incapacitated is not precise. If you have your arm broken, you are incapacitated. If you are rendered comatose, you are incapacitated. So a brain tumor can cause different degrees of incapacitation, including being bed ridden and not being able...

Oncology (General Cancer): Brain Tumors and Buddy Rich, brain tumor, symptoms
brain tumor, symptoms: Hi Julie, All good questions. One of the big problems with brain tumors is that by invading, or placing pressure, or cutting off blood supply they can affect any part of the brain, and so may cause seizures, paralysis, neurological problems, and yes even...

Oncology (General Cancer): Bronchoalveolar adenocarcinoma, bronchoalveolar adenocarcinoma, radiation oncologist
bronchoalveolar adenocarcinoma, radiation oncologist, brain radiation: Unfortunately in this situation there are no other available treatment options with documented positive results. With a number of lesions present the gammaknife treatment is less likely to work, more so the more lesions there are. I m sorry I have nothing...

Oncology (General Cancer): Bump by jaw curve, mri with contrast, jawbone
mri with contrast, jawbone, lymph node: I think you are feeling the muscle that runs right behind the mandible (jawbone). With a negative MRI, four doctors saying they don t think much of it, and no real pain, I think this is not a tumor or a large lymph node. I would leave it alone and not worry....

Oncology (General Cancer): bladder cancer, bladder cancer, bladders
bladder cancer, bladders, chemo: I don t know your age, or how long ago all this happened. If you got chemo and radiation you ve probably had all the treatment you can for the bladder cancer, and cure is a possibility. Only time will tell. I would say that if you still don t have any cancer...

Oncology (General Cancer): blood disorder or cancer?, bone marrow transplant, platelet transfusion
bone marrow transplant, platelet transfusion, cancer question: I don t disagree with the pathologist about the diagnosis. The estimate of two years is exactly that, an estimate, and some will do better, some worse. A lot depends on how the disease progresses. Given the chromosome abnormalities, I d certainly look...

Oncology (General Cancer): CEA and CA 19-9, carcinoma pancreas, upper endoscopy
carcinoma pancreas, upper endoscopy, upper abdomen: I don t now how healthy your grandmother is, but if she has no jaundice and her liver functions are all right, I would recommend that she be treated with gemcitabine and tarceva. It is fairly gentle. There is another combination called folfirinox which has...

Oncology (General Cancer): Colon Cancer, liver biopsy, elevated sgpt
liver biopsy, elevated sgpt, cancer question: If the CEA was low to begin with, it may not be a very good marker. But in a person with colon cancer, any movement in the CEA, even if low, is suspicious. I would suggest a repeat SGOT and LDH (and an Alk PHos as well) and if they are still elevated I d...

Oncology (General Cancer): Colon Cancer Blood Tests, liver enzyme levels, liver biopsies
liver enzyme levels, liver biopsies, colon cancer: Elevated liver enzyme levels may be associated with his chemotherapy. But they may also be associated with his cancer disorder - that his cancer may be spreading to his liver perhaps, at least it is a possibility. I therefore do suggest that his liver should...

Oncology (General Cancer): no cancer but not producing blood, red blood cells, bone marrow transplant
red blood cells, bone marrow transplant, cancer cells: There are many causes for an aplastic anemia, toxic chemicals, radiation etc. But in many cases the cause is unknown. Since she does not produce enough red blood cells she has a decreased capacity for transporting oxygen from her lungs to the rest of her body...

Oncology (General Cancer): colon cancer, colon cancer surgery, life style changes
colon cancer surgery, life style changes, eating habit: Would talk to your doctor about more frequent surveillance -- unless your whole colon has been removed, which it sounds like. Do you have relatives with colon cancer, or do you have ulcerative colitis? You might have a genetic problem. If you do, then your...

Oncology (General Cancer): colon cancer w/mets to lungs, liver, abdomen - life expectancy, fluid in lungs, billirubin
fluid in lungs, billirubin, colon cancer: IF she is jaundiced, has fluid in her lungs, cannot get around very well, and is that weak, I would think that no further chemotherapy is warranted. You aren t going to save her life, and it sounds like she is ECOG 4 (a measure of her general health) and...

Oncology (General Cancer): Fevers?, acth stimulation test, low grade fevers
acth stimulation test, low grade fevers, cell leukemia: In my 35 year career, I ve seen several patients who have B-cell lymphoma which doesn t seem to be doing anything ( doesn t need treatment ) but there are symptoms. If you were my patient, I would want to offer you treatment, and that would be the simplest...

Oncology (General Cancer): fear of lymphoma, needle aspiration biopsy, lymph node
needle aspiration biopsy, lymph node, expert profile: It is normal for reacting lymph nodes to become bigger. If they later fade away everything is normal. So wait and see a bit! If you have a remaining one it can be checked with a fine/thin needle aspiration biopsy. Good luck! You can also reach me at:...

Oncology (General Cancer): Gall Bladder Cancer- Sage 4, gall bladder cancer, enlarged lymphnodes
gall bladder cancer, enlarged lymphnodes, gb wall: I don t know what chemotherapy your doctor gave her, nor do I know her current physical condition. From the CT scan reports, there has been progression of disease, which is not good. Depending on what she had before, I could make suggestions about other...

Oncology (General Cancer): high blood platlet count, hematology lab, low hemoglobin
hematology lab, low hemoglobin, expert profile: To answer you as well as possible I need to see her full hematology lab. results! You can copy them here. You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH There is no limit to the number of...

Oncology (General Cancer): high platelets, high platelets, cardiac catherization
high platelets, cardiac catherization, bundle branch block: Elevated platelet counts can be related to secondary effects like inflammation -- which wouldn t be surprising, since you just went through an invasive procedure, and since your white cell count is a little high as well. Elevated platelets can also be due...

Oncology (General Cancer): high WBC count, chronic myelogenous leukemia, high wbc count
chronic myelogenous leukemia, high wbc count, essential thrombocythemia: Causes of a high white blood cell count include: Infection - Severe physical or emotional stress - Use of certain medications, such as corticosteroids, antibiotics or anti-seizure drugs - Chronic bone marrow diseases such as a myeloproliferative disorder (...

Oncology (General Cancer): Low white blood cell count, blood cell count, white blood cell
blood cell count, white blood cell, low white blood cell: normal range: 4000 to 12000 cells per cubic millimeter; Normally a white blood cell count varies depending on many factors including time of day. If you get a daily blood count on a woman who is still having menstrual periods, you would find that the white...

Oncology (General Cancer): Lymphoma, tonsil stone, panendoscopy
tonsil stone, panendoscopy, ent doctor: I doubt you have a lymphoma. From your description, you might have a low grade inflammation of a tonsil, which comes and goes. Tonsils have channels (crypts) which can get blocked by mucus, or even form little stones. When that happens they can swell up...

Oncology (General Cancer): Lymphoma?, tonsil stone, expert profile
tonsil stone, expert profile, aspects of life: Without any examination I can not tell you what this is and your symptoms can be due to so many things that it is useless to just list them. I therefore strongly suggest that you let your doctor check you! Good luck! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH...

Oncology (General Cancer): Lymphoma after splenectomy., mantle cell lymphoma, chemo treatments
mantle cell lymphoma, chemo treatments, cell mediated immunity: CHOP-R does not involve bortezomib. Here is an article on splenectomy. I can t find anything that specifically deals with treatment complications in patients without spleens. Other than the increased risk of infections, I don t believe there are any others....

Oncology (General Cancer): little brother has lump on his neck, white blood cells, ultrasound scan
white blood cells, ultrasound scan, average kid: An ultrasound scan should be enough to make sure if it is a cyst or not. If a cyst it is most probably not dangerous. If not a cyst a fine/thin needle aspiration biopsy can tell what it is! Based on your description it is probable that it is a cyst. You...

Oncology (General Cancer): lymph node, follicle cysts, fat necrosis
follicle cysts, fat necrosis, lymph node: It s really hard for me to say since I can t feel them myself. However, if the MRI is normal and they are that small, I wouldn t worry unless they change in size. They might be follicle cysts, or possibly subcutaneous fat necrosis. I doubt they are cancer....

Oncology (General Cancer): Medical, white blood cells, fatty tumor
white blood cells, fatty tumor, swelling in neck: I would certainly consider a biopsy of the fatty tumor. Sometimes the radiologist can tell if it is benign. However, if there is any chance you have lymphoma or hodgin s disease, both could be associated with decreased ability to fight infections. I would...

Oncology (General Cancer): mri results, renal cell carcinoma, low mcv and mch
renal cell carcinoma, low mcv and mch, kidney cancers: If there is a lesion within the spinal cord, and you don t have any symptoms, I agree with your doctor. I d want to make sure this lesion was changing before I would try to biopsy it or remove it, because that is a very dangerous place to do surgery, or treat...

Oncology (General Cancer): Night Sweats, upper gi tract, hiatal hernia
upper gi tract, hiatal hernia, spicy meal: These are definitely not night sweats like some cancer patients have. Those sweats are drenching, and require that you get up and change your clothes. Generally when you have light sweating around the face and neck, it means that there is some kind of disturbance...

Oncology (General Cancer): Night Sweats, low blood count, routine chemistry
low blood count, routine chemistry, white blood cells: Alex, Do you keep up with your checkups? This sort of thing is best dealt with by making an appointment with your primary care doctor or family practitioner. In general, sweating is virtually never the only sign of cancer. When sweating is caused by...

Oncology (General Cancer): neck cancer, thyroid cancer, cancer doctor
thyroid cancer, cancer doctor, kinds of cancer: Titanium shouldn t interfere with an MRI. As for neck cancer there are many kinds of cancer that can occur in the neck,the most common being cancers that arise in the mouth,tongue, or voice box; or lymphomas; or thyroid cancer. In general they all start...

Oncology (General Cancer): need to know signs and symptoms of possible internal cancer., internal cancer, colon cancer
internal cancer, colon cancer, expert profile: The only sure way to find out is by having a colonoscopy done and then to have it repeated regularly maybe once per year. With your family history that should be done. Have it done soonest! Good luck! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH...

Oncology (General Cancer): node biopsy, interventional radiologist, lung lesions
interventional radiologist, lung lesions, vats procedure: If the pet and ct are negative, some thoracic surgeons would go ahead and do the VATS without a biopsy, and others woudn t. There is still controversy and the definitive study has not been done. A mediastinoscopy in your situation would sample several nodes,...

Oncology (General Cancer): Parotid Gland, mri with contrast, benign tumor
mri with contrast, benign tumor, careful record: There are lymph nodes in that area. If it is soft and difficult to feel, I d expect it would be benign. When a patient of mine points out something vague and difficult to feel I generally ask that they return in two or three months and let me feel it again....

Oncology (General Cancer): pain in thigh bone, worried it could be cancer, muscle cramp, pain in thigh
muscle cramp, pain in thigh, dull ache: Without an examination I can not tell you what it is. But your symptoms do not make me think of cancer as a first choice anyway. But let your doctor check you! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH...

Oncology (General Cancer): possible repeat of colon cancer - what's the next best step to take?, breast cancer survivor, antigen tests
breast cancer survivor, antigen tests, antigen test: Well, I suggest that you do both. That way you can be as safe as it is possible to be if nothing serious is found. Good luck! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH There is no limit...

Oncology (General Cancer): postrate, liver cancer, female cancer
liver cancer, female cancer, nerve endings: If the cancer got out of the prostate gland and invaded structures next door (like the anus) then it is stage III. It is not secondary cancer, if by that you mean metastatic cancer. It sounds more like direct invasion. as for whether there are cancer cells...

Oncology (General Cancer): prostate cancer, cancer question, blue cross blue shield
cancer question, blue cross blue shield, biospy: darbopoetin alpha is given to people in renal failure to improve red blood cell production. Kionex is given to people with renal failure to control potassium. Someone with prostate cancer can go into renal failure because of obstruction of the kidneys. ...

Oncology (General Cancer): Stage IV Melanoma, flank pain, left kidney
flank pain, left kidney, pathology report: If I were you, I d want to go through another work-up to find out whether this is the only spot in your body. If it is, I d suggest surgical removal, since this is the only thing that has any shot of curing you. Given the time frame, your disease doesn t...

Oncology (General Cancer): Subpleural Streaky Density's, lymph node enlargement, aluminium sulphate
lymph node enlargement, aluminium sulphate, toxic gases: If your lung function has decreased, you are in trouble, and might want to get another opinion. You might be headed for a lung transplant. Scarring is not always predictive of cancer, but we know that people with scarred lungs have a higher chance of getting...

Oncology (General Cancer): stage 4 squamous cell cancer, squamous cell cancer, stage 4 cancer
squamous cell cancer, stage 4 cancer, peg tube: If this is a stage 4 cancer it is at present incurable. Some such cancers can still be put under control for a longer or shorter time by radiation therapy and/or chemotherapy. Based on your description it is most doubtful that that is the case here. So probably...

Oncology (General Cancer): Thyroid cancer, thyroid hormone replacement, hormone replacement medication
thyroid hormone replacement, hormone replacement medication, thyroid cancer: A PET scan is not a biopsy! So before anything else is done your doctor has to check this indicated area - also with biopsies - in order to find out if anything really is there! First when we have these results can it be determined what to do - if anything!...

Oncology (General Cancer): Uterine cancer in elderly woman, auto accident injuries, difficult diabetes
auto accident injuries, difficult diabetes, radiation therapist: As far as I can understand the ONLY real medical issue here that can influence how suitable surgery is in her case is her diabetes. And that may not be a problem at all. That depends on how severe her diabetes is. Her age may not be much of a problem at all....

Oncology (General Cancer): Worried sick about asbestos exposure, asbestos related diseases, asbestos exposure
asbestos related diseases, asbestos exposure, occupational exposures: Chrysotile is not as dangerous as amphibole asbestos. Repeated exposures increase risk. We know that repeated exposure increases risk, as does smoking. The real issue is whether the asbestos causes lung scarring and inflammation. Amphibole fibers stay...

Oncology (General Cancer): years of occasional thigh bone pain at night...worried it could be cancer, nerve entrapment syndrome, aseptic necrosis
nerve entrapment syndrome, aseptic necrosis, muscle cramp: It sounds to me like you might have a nerve entrapment syndrome. If it s been going on ten years, it s not cancer. There is another problem you might have called aseptic necrosis of the femoral head which is a bit more serious, and sometimes ends up with...

Oncology (General Cancer): Blood Clots in organs with Uknown cancer, blood clot in his lung, upper gi scope
blood clot in his lung, upper gi scope, stage 4 cancer: None of this sounds at all good. The dependent purple color and swelling may be related to decreased protein in his body, from not eating well, or from liver damage, so that he isn t getting enough protein in his blood. I don t think it s from the drugs....

Oncology (General Cancer): blood tests for cancer, thyroid cancer, signs of cancer
thyroid cancer, signs of cancer, cancer doctor: No to all your questions. We can t screen for cancer with a blood test. There are blood tests that can tell us whether a cancer is growing or not, provided we know what the cancer is -- for example, there is a test called CA 27-29 that is associated with...

Oncology (General Cancer): CA 19.9, tumor marker, expert profile
tumor marker, expert profile, diagnostic tool: I can not call it alarming but to be on the safe side I do suggest an appropriate tumour investigation. In my view though this is not the proper way to use this kind of tumour marker. Instead of using it as a diagnostic tool it should mainly be used as a...

Oncology (General Cancer): Cancer Risk, brain cancer risk, causes of brain tumors
brain cancer risk, causes of brain tumors, mccune albright: Yes especially CT scans provide high radiation doses. All radiation effects are 1. dose related - the higher the dose the higher the effect and 2. time related, the shorter the time is in which a certain amount of radiation has been given the higher is the...

Oncology (General Cancer): Chances of Cancer, cancer oesophagus, cancer genes
cancer oesophagus, cancer genes, maternal grandmother: Oesophagus cancers have probably both hereditary and other (partly environmental) predisposing factors. Without any examination it is not possible to predict if you are at risk. Genes do not skip generations, they are either there or they are not but they...

Oncology (General Cancer): Colon cancer - CEA, bilateral mastectomy, cancer recurrence
bilateral mastectomy, cancer recurrence, total hysterectomy: I have a patient in my practice who has had recurrence of cancer four times in an eleven year period. I ve got several who have minor elevations in CEA for no apparent reason, but obviously it is a cause for worry. Some people with mild liver dysfunction...

Oncology (General Cancer): CTCL Advanced stage, immunomodulator, severe pain
immunomodulator, severe pain, chemo: Hi, CTCL is difficult to control. However, we can have good results from Antiangiogenesis therapy and Immunomodulator therapy. But these medicines are in Liquid form. If your father can take them, you can contact me for further information at medlifeasia@gmail.co...

Oncology (General Cancer): cancer, gall bladder cancer, enlarged lymphnodes
gall bladder cancer, enlarged lymphnodes, intrahepatic bile ducts: She is a stage IV (any metastatic disease makes you a stage IV automatically). And her survival would be on the average about four to six months, unless she has a very good response to chemotherapy, in which case she might make a year or so. Hope things...

Oncology (General Cancer): cancer, gall bladder cancer, enlarged lymphnodes
gall bladder cancer, enlarged lymphnodes, intrahepatic bile ducts: Hi, She has got cancer spread in many locations. I recommend Immunomodulator and Antiangiogenic treatment which are in the form of liquids before giving her chemotheray which has heavy side effects. I can send you documents on those therapies if you mail...

Oncology (General Cancer): colon cancer, liver function test, colon cancer
liver function test, colon cancer, liver damage: CEA test is a highly inaccurate test. It only gives a indication of the presence of cancer but often fails to predict the extent. I is just an enzyme and is not at all dangerous to life even in high levels. If you want a good assessemnt of the possible recurrance,...

Oncology (General Cancer): What Direction to go Now?, hairy cell leukemia, enlarged spleen
hairy cell leukemia, enlarged spleen, stomach problem: Well, there is a lot here, and I ll try to help. First of all, you should really see an oncologist or a hematologist. Second, you should definitely have an MRI of the pancreas. I also think that someone should compare the two CT scans to make sure that...

Oncology (General Cancer): dental x-rays and thyroid cancer, thyroid cancer, dental x rays
thyroid cancer, dental x rays, malignancy: We ve not shown that they are a significant risk. All x-rays in theory are capable of disturbing DNA. If there is injury to DNA, it is usually repaired. Once in a while an injury leads to a mutation. Most of the time the mutation is not malignant. Once...

Oncology (General Cancer): High Grade Gliomas, cafe au lait spots, cns tumors
cafe au lait spots, cns tumors, adult cns: From my reading, you are at risk for low grade and high grade brain tumors. The risk for high grade ones is five times the risk for the ordinary population, which isn t that great. Low grade ones are more common. That the high grade ones develop from low...

Oncology (General Cancer): Hypoechoic Lesion - Pancreatic Head, papillary thyroid carcinoma, pituitary macroadenoma
papillary thyroid carcinoma, pituitary macroadenoma, routine blood test: The risk of a pancreatic cancer is, based on these signs, probably low. Since it can be seen by ultrasound a needle biopsy via the abdominal wall or via an endoscope and guided by ultrasound could be tried to get a sure diagnosis. Otherwise just ask her doctor...

Oncology (General Cancer): hilar lymphadanopathy, lymph node biopsies, enzyme test
lymph node biopsies, enzyme test, lymphnodes: Not necessarily but lymph node biopsies may become necessary (can in your case probably be done by mediastinoscopy). It may turn out that such biopsies may be necessary to obtain a sure diagnosis. You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH...

Oncology (General Cancer): Increased WBC's Decreased RBC's ???, small intestine cancer, bone marrow tests
small intestine cancer, bone marrow tests, bone marrow test: First of all, the lumps. I f you ve had them for thirty years, they aren t cancer. You might have lipomas, which are not serious, but can be painful; or you might have myositis, which can be a problem but is treatable. You might have fibromyalgia, as well....

Oncology (General Cancer): LEUKEMIA SCARE, left nostril, occasional headaches
left nostril, occasional headaches, billirubin: I see no real reason to suspect leukemia with these symptoms and anyway blood and bone marrow studies should quickly be able to exclude or confirm such suspicions. So have a good lab. check up and we will know for sure either way. Good luck! You can...

Oncology (General Cancer): Lump, spermatocele, prostate cancer
spermatocele, prostate cancer, testicle: I do not know if this is a spermatocele or some other kind of cyst, but if you are in pain, you should go to a urologist and seek treatment. I doubt that it is cancer based on the location and age of the lump, but that doesn t mean that you should have to...

Oncology (General Cancer): Lupus, auto immune diseases, pinguecula
auto immune diseases, pinguecula, serositis: I m not a lupus doctor, but it sounds to me like you have some sort of autoimmune problem, but I don t think it s lupus. There is a rare disorder called autoimmune serositis which sounds like what you have. As for the pnguecula, that may be part of the...

Oncology (General Cancer): Lymphoma Question, differential diagnosis, arm pits
differential diagnosis, arm pits, hair roots: If they come and go, and if they are cystic, I d think they are more likely associated with infection rather than lymphoma. Whether they are related to the surgery or not, I d favor not related. They might be staph follicle cysts, which form where there...

Oncology (General Cancer): Mohs Surgery, thick edge, dominant style
thick edge, dominant style, sharpie pen: I might ask the question -- why did you remove more skin than you said you would? But a lot depends on whether he removed skin down to the dermis, or just the top layer. If the top layer, it will grow back. I know Moh s surgeons tend to remove the first...

Oncology (General Cancer): Mohs Surgery, medical oncologist, radiation therapist
medical oncologist, radiation therapist, cancer doctor: Basal cell carcinomas are usually - if treated correctly and as soon as possible - not dangerous. But correct treatment here means that you MUST make sure that ALL of the tumor is removed. If it succeeds to grow into for example the cartilage of your nose...

Oncology (General Cancer): metastatic brain tumors, metastatic brain tumors, brain tumors
metastatic brain tumors, brain tumors, mri report: If indeed his tumor has spread to his brain his prognosis is probably bad. To evaluate that however I would need to read his MRI report. What is his lung situation today? If his CT reports are available I would need to read them too. Reports can be copied...

Oncology (General Cancer): mr expert, malignant melanoma, expert profile
malignant melanoma, expert profile, erskine: Unfortunately if a malignant melanoma has spread to the brain there are hardly any real treatment options. I wish it was different but that is the situation here & now. You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH...

Oncology (General Cancer): mri results, internal jugular, parotid glands
internal jugular, parotid glands, mass lesion: This report sounds normal. From the description, I can t see any reason your parotid gland feels swollen. Given the normal MRI, I d assume things are ok. If you ve lost weight recently, sometimes the parotid gland feels more prominent. but the MRI is saying...

Oncology (General Cancer): Nail problems- relating to something serious?, cuticles, person ages
cuticles, person ages, real health: I don t know the answer to your question, except to point out that chronic smoking slows down the formation of rapidly growing tissues, like the nail cuticles. Even a few cigarettes produce very significant and long lasting changes in the small blood vessels....

Oncology (General Cancer): nusband has stage 4 rectum cancer and is blrrding, radiation dose, expert profile
radiation dose, expert profile, radiation therapy: It may be due to a bleeding in his tumor. That in turn may be connected with his chemotherapy - which even so probably is very important in his treatment. A stage 4 tumor is at present not curable but MAY (no promises) be possible to control. To be able to...

Oncology (General Cancer): Pain in my right testicle!?, testicular cancer, awkwardness
testicular cancer, awkwardness, testicle: I dont thin you should hide this from your parents. I would think that they would want to know if you had pain or were worried about something serious. Anyway, it could be cancer, so please do see the doctor. It could be other things as well, including...

Oncology (General Cancer): Prostate cancer, hip joints, cancer question
hip joints, cancer question, psa tests: Androgen ablation means that something is done to stop the hormone testosterone from being made (testosterone = androgen). In the olden days, men with prostate cancer would have their testicles removed. Now a shot can be given that does the same thing, but...

Oncology (General Cancer): pancreas, cancer of the pancreas, pancreas
cancer of the pancreas, pancreas, blood stream: It is fatal because almost always, even if it looks like the disease is confined to the pancreas, several months later (after the pancreas is removed) it pops up in the liver, which means that it had already sent cells there before the surgery. About 75%...

Oncology (General Cancer): radiation treatment after operation., pituitary adenoma, body radiation
pituitary adenoma, body radiation, silent versions: I think you mean whole brain radiation treatments. Generally they aren t too bad while getting them. Hair loss is common; loss of appetite, mild headache are also common but vomiting is rare. Over time you can get sleepy, even up to a few months later,...

Oncology (General Cancer): Spinal cancer, cancer of the spine, spinal cancer
cancer of the spine, spinal cancer, cancer of the lung: I am sorry to hear about your cousin and will keep you in my prayers as I always do when I hear of someone else having to go through this. In answer your question, I wish I had better news but from my research, the recovery rate of cancer of the lung that...

Oncology (General Cancer): shortness of breath, lung diseases, pack a day
lung diseases, pack a day, shortness of breath: The extra pounds may very well be a problem to you, as well as being sedentary. But if you are still smoking and experiencing shortness of breath, that s probably the biggest problem right there. Maybe you do have cancer (unlikely at your age) and probably...

Oncology (General Cancer): silent corticotroph pituitary post-op radiation, pituitary adenoma, brain radiation
pituitary adenoma, brain radiation, body radiation: Well I think it is unfortunate that her treatment has had to wait this long. So I m NOT inclined to suggest any further delay. Her senses of smell & taste may return or they may not. It is impossible to predict that at present. If I was her son I would have...

Oncology (General Cancer): small lump on left side of neck, cat scratch fever, hodgkin s disease
cat scratch fever, hodgkin s disease, lump on left side of neck: Yes you should be concerned!!! Not because it is anything in particular, but because it COULD be something serious. Here are some of the things that the swollen lymph node could be from: * common cold * infection * hyperactive thyroid...

Oncology (General Cancer): spinal lesions and abcess, having trouble urinating, groin area
having trouble urinating, groin area, signs of cancer: It could very well be prostate cancer given your description, but the multiple lesions suggest either metastatic disease or a severe infection. He needs a biopsy of the involved area, and it sounds like all that is happening. Let me know what they find....

Oncology (General Cancer): stage IV lung cancer spread to aorta, tumor tissue, lymph system
tumor tissue, lymph system, aorta: I don t disagree with using radiation to control pain and tumor tissue that is likely to cause problems. But really, unless there is a strong reason not to, the only thing that will prolong life in someone with metastatic lung cancer is chemotherapy. If...

Oncology (General Cancer): still have cancer, thyroid values, thyroid cancer
thyroid values, thyroid cancer, thyroid hormone: Medullary thyroid cancer isn t a good thing, and can come back. But your labs aren t that bad. The AST is frequently slightly elevated for any number of reasons -- and much more often in women then men. Most of the time we don t know why, especially when...

Oncology (General Cancer): Tonsil Enlargement, enlarged tonsil, night sweat
enlarged tonsil, night sweat, night sweats: It is highly likely that your problem is not a lymphoma. Sometimes a tonsilar duct gets blocked and there is inflammation, and, yes, it can be just on one side. I don t think the sweating you describe is a true night sweat where the sheets need to be changed....

Oncology (General Cancer): Tonsil Issue, enlarged tonsil, night sweats
enlarged tonsil, night sweats, expert profile: Yes it can be caused by lymphoma but that is a rather rare cause. It is far more likely that is has been caused by previous infections. Anyway to know the cause it is best to have it removed and studied by a pathologist. So I think you should follow the advice...

Oncology (General Cancer): thyroid cancer, swollen thyroids, mri reading
swollen thyroids, mri reading, thyroid cancer: If the mass is near the thyroid, it probably isn t from the thyroid; rather, it might be a lymph node or an enlarged normal structure. Swollen thyroids are generally not cancerous; the most common cause of a swollen thyroid is a lack of iodine in the diet....

Oncology (General Cancer): thyroid cancer, thyroid cancer, dentation
thyroid cancer, dentation, radiation environment: There is no known measurable connection of that kind. The contribution of dental x-rays to our radiation environment is rather small though of course somewhat bigger with panoramic pictures of the whole dentation at one time. Irradiated food is NOT made...

Oncology (General Cancer): uterus, pelvic discomfort, heterogenous
pelvic discomfort, heterogenous, cyst on: homogenous echogenic pattern refers to the uterus being normal. If there were fibroids, or if there was a tumor, then you would have a heterogenous echogenic pattern. So that s good. A cyst on an ovary is a common finding in women during their fertile years....

Oncology (General Cancer): worried about leukemia, leukemia, bruises
leukemia, bruises, blood test: It is possible, but highly unlikely. Women tend to bruise easier than men, and your tender neck might be due to coming down with a cold, or sleeping the wrong way, or something like that. As for being tired, if your CBC was normal, it isn t from anemia....

Oncology (General Cancer): Anticipation, genetic anticipation, clinical geneticists
genetic anticipation, clinical geneticists, cancer lymphoma: OK, you should discuss this with local oncologists & clinical geneticists! It is not possible to evaluate your situation from afar. Good luck! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH ...

Oncology (General Cancer): armpit lymph node, quitting drinking alcohol, symptoms of lymphoma
quitting drinking alcohol, symptoms of lymphoma, expert profile: No without an infection/inflammation there is usually no pain from lymph nodes but there may be from surrounding structures and it may be hard to differentiate. You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH...

Oncology (General Cancer): Bone Cancer stage 4, breast cancer diagnosis, pathology report
breast cancer diagnosis, pathology report, cancer stage: First of all, if you have a breast cancer diagnosis it IS indeed malignant! With the treatment she received however the risk that her cancer should spread is very low - but it is NOT 0! If it is possible for you to do I would like to read her pathology report...

Oncology (General Cancer): Breast Cancer Metastasis?, hilar lymph nodes, stage 4 breast cancer
hilar lymph nodes, stage 4 breast cancer, breast cancer metastasis: Tykerb has not been proven to be effective as adjuvant therapy. In your wife s case, however, it is not clear that she is still responsive to herceptin, given that as I read your note she progressed on herceptin. There is solid data that stage III breast...

Oncology (General Cancer): breast tumor marker, liver ultrasound, drug induced hepatitis
liver ultrasound, drug induced hepatitis, elevated enzymes: I agree with your oncologist in that I see no cause for worry at present. Good luck! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH There is no limit to the number of questions there. Please...

Oncology (General Cancer): Corectal Cancer information., radiation treatment, cancer information
radiation treatment, cancer information, chemotherapy: hi, you should get dendritic cell therapy if you can afford, it costs Rs 50000 per 1month dose in india. Or you can get immunomodulator therapy which costs Rs20000 per 1 month dose. These have very little side effects and should be given before chemotherapy....

Oncology (General Cancer): colon cancer and CEA, colon resection, colon cancer
colon resection, colon cancer, cancer stage: I don t know when you last had a colonoscopy, but you are probably due for one. If you ve had colon cancer once, there is an increased risk that another could happen. That being said, I don t think you have colon cancer. If you ve been a smoker or still...

Oncology (General Cancer): elevated B12, bone marrow biopsy, diseases of the bone
bone marrow biopsy, diseases of the bone, multiple myeloma: Your doctor may be right, but elevated b12 is seen in diseases of the bone marrow and diseases involving the liver. Your symptoms sound very severe for menopause, especially the loss of weight. I would consider other studies, including studies of liver function...

Oncology (General Cancer): Follow up lung nodule, mediastinal lymph nodes, asthma history
mediastinal lymph nodes, asthma history, lung nodule: If I happened to be in your shoes I would probably insist on that a biopsy of the subpleural mass in the left lung in order to KNOW what it is as soon as possible. But of course the choice is yours! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH...

Oncology (General Cancer): Thyroid Cancer, recurrent laryngeal nerve, thyroid pathology
Oncology (General Cancer): Thyroid Cancer, recurrent laryngeal nerve, thyroid pathology, parathyroid glands

Oncology (General Cancer): Increasing CA19.9, distal pancreatectomy, ca19 9
distal pancreatectomy, ca19 9, liver tumors: You are welcome! Yes I think you should have a colonoscopy! Good luck! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH There is no limit to the number of questions there. Please note: NEW SITE!...

Oncology (General Cancer): leukemia and sexual life, acute lymphoblastic leukemia, cause impotence
acute lymphoblastic leukemia, cause impotence, fetal malformations: Of course you and your boyfriend can get married, and have a normal sexual life. Once a couple of months have passed from the last time he had chemotherapy, his sperm should be normal in quality. However, the chemotherapy he had can do two things: he can...

Oncology (General Cancer): Mantle Cell Lymphoma Spinal Mets, mantle cell lymphoma, c spine
mantle cell lymphoma, c spine, tubiligation: With respect to your dad, everything you are talking about could be due to the lymphoma. I m surprised you haven t mentioned velcade. Did your doctor ever talk about using that drug? And assuming that your dad does not go into a response I would expect...

Oncology (General Cancer): Mantle Cell Lymphoma Stage 4, mantle cell lymphoma, c spine
mantle cell lymphoma, c spine, brain mets: In cases like this radiation therapy is NECESSARY of any brain or spinal mass since chemotherapy is not a good solution for lesions there (due to the blood-brain barrier). Chemotherapy is often necessary at the same time to treat the rest of the body (you...

Oncology (General Cancer): Melanoma-radiation, radiation treatment, dose chemo
radiation treatment, dose chemo, pain pills: Yes a CT scan was also a possibility though less able than MRI. Melanomas are usually not very sensitive to radiation therapy or chemotherapy but your tumor seems to have responded to radiation therapy before. So I do suggest local radiation therapy of your...

Oncology (General Cancer): My mum's pathology, hormone receptors, expert profile
hormone receptors, expert profile, her2: Thanks! My previous answer still stands BUT her cancer was of grade 3 which means that it probably was very malignant AND there was no tests done for HER2 or for hormone receptors. That has severely limited the possibilities of judging how dangerous her cancer...

Oncology (General Cancer): Nasopharyngeal cancer, scar tissue, time hope
scar tissue, time hope, chemotherapy: Only time will tell. Nasopharyngeal cancers are hard to beat, and they tend to come back, even with maximum treatment. On the other hand, if it has shrunk, it may only be left over scar tissue. If it wouldn t be disfiguring, I d think about cutting it out...

Oncology (General Cancer): petechiae and leukemia, normal blood count, cause of petechiae
normal blood count, cause of petechiae, low platelet counts: Sweating excessively is usually not a symptom of illness, unless you also have a fever. Night sweats, on the other hand, can be. As for petechiae on the neck and shoulders, if they really are petechiae, you might have something going on in your chest. Petechiae...

Oncology (General Cancer): prostate cancer, gleason score, psa level
gleason score, psa level, signs of cancer: He shouldn t need the prostate medicines after the surgery. He should take the nifedipine. The PSA should still be done periodically, because if the cancer comes back in the bones or lymph nodes, sometimes the PSA is the early warning sign. On the other...

Oncology (General Cancer): re-excision of staple lines., margin distances, visceral pleura
margin distances, visceral pleura, staple lines: If I interpret your second report correctly tumor growth of an invasive cancer was seen at the previous margin. But it seems - if I interpret it correctly - that your whole primary tumor has been removed. But that is in my opinion not enough. Has anyone discussed...

Oncology (General Cancer): Skin Cancer, vitamin D, and UVB, uvb lamps, low bone density
uvb lamps, low bone density, uvb lamp: We are finding that low levels of vitamin D are associated with increased risks of many disorders and you are right in trying to raise yours. There is a prescription preparation (50,000 units of a potent vitamin D) which you take once a week for twelve weeks....

Oncology (General Cancer): swollen ankle with stage 4 lung cancer, right heart failure, stage 4 lung cancer
right heart failure, stage 4 lung cancer, swollen ankles: Yes, it could. But it could also mean you have some heart failure going on, (Lung cancer can cause right heart failure) or that you aren t making protein or that one of the treatments you are taking is causing your kidneys to leak protein. Lung cancer can...

Oncology (General Cancer): Thyroid Cancer, thyroid tissue, enlarged thyroid
thyroid tissue, enlarged thyroid, thyroid replacement: I would probably not worry. These cancers grow slowly, seldom metastasize, and even when they have gotten outside of the thyroid can be cured. Odds are that you don t have any left in the thyroid remnant. You d be better off with some functioning thyroid...

Oncology (General Cancer): testicular ultrasound results, color doppler imaging, increased vascularity
color doppler imaging, increased vascularity, beta hcg: I don t really know what they could be other than cancer. The fact of the matter is that more than a few testicular cancers have been found due to a sports injury or trauma. The description in the ultrasound sounds, as the radiologist reported, suspicious...

Oncology (General Cancer): Do you think this could be something bad?, expert profile, stressful job
expert profile, stressful job, dear doctor: Unfortunately, without any examination whatsoever that is impossible to answer. So I suggest that you let a doctor - best a gastroenterologist - check you! Good luck! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH...

Oncology (General Cancer): Should I undergo radioactive iodine treatment or not? (i had total thyroidectomy for thyroid cancer)‏, radioactive iodine treatment, capsular invasion
radioactive iodine treatment, capsular invasion, total thyroidectomy: No there is no such method with a 100% certainty! The risks are probably quite small but they are also unnecessary! Why wait if you can do it soon?! So go ahead and do it! Good luck! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH...

Oncology (General Cancer): Brown Freckle on sole of foot melanoma?, thumbtack, freckle
thumbtack, freckle, melanoma: I don t think it is melanoma. If it hasn t changed, and if it blanches when you squeeze it, and if it is flat, it probably is just a little pigmented scar. I would be concerned if it bleeds or if it grows. As we get older we get a lot of changes in the...

Oncology (General Cancer): cancer, pleural surface, expert profile
pleural surface, expert profile, breast cancer: To be able to answer your questions well I need to read your full reports on this matter (all of them). You can copy them here! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH There is no...

Oncology (General Cancer): Cancer throat : survival span ., throat cancer, aunt lives
throat cancer, aunt lives, liquid foods: Hi, What type of treatment are you giving her? For her age, you should give treatments which no side effects like immunomodulator and antiangiogenic therapy. I can advice some commonly available medicines in this regards. mail me at medlifeasia@gmail.com...

Oncology (General Cancer): Cervical cancer, radio therapy, cancer stage
radio therapy, cancer stage, cervical cancer: Fever, abdominal pain, and vomiting all suggest that she may have an infection or an obstruction. This could be a consequence of the radiation and chemotherapy. The giddiness and weakness are probably from dehydration. She should be seen by her doctor. ...

Oncology (General Cancer): cervix cancer stage 2b, cervix cancer, tuberclosis
cervix cancer, tuberclosis, cancer stage: I see nothing wrong in the way your cervix cancer was treated and I do not think that has anything to do with your TB infection. You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH There is no...

Oncology (General Cancer): cure for cancer, expert profile, medical drug
expert profile, medical drug, cure for cancer: If it really can do that without any doubt at all I m sure any and every medical drug company in the world would be interested so you just have to contact any of them at your choice! Good luck! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH...

Oncology (General Cancer): Brown Freckle on sole of foot melanoma?
Oncology (General Cancer): Brown Freckle on sole of foot melanoma?

Oncology (General Cancer): liver cancer, centimeter, tumors
Oncology (General Cancer): liver cancer, centimeter, tumors

Oncology (General Cancer): fluid passage in bowel, paroxysmal atrial fibrillation, occult blood test
paroxysmal atrial fibrillation, occult blood test, passing mucus: The colon secretes mucus which normally passes with the stool. If mucus discharge is happening spontaneously, there are two possibilities; one is that there is something wrong with the anal sphincter, the second is that there is prolapse of anal tissues....

Oncology (General Cancer): ipmn branch cysts, amalase, needle biopsy
amalase, needle biopsy, mail: hi,i am specialized in immunomodulator therapy and dendritic cell therapy for cancer. Your description suggests pancreatic cancer of treatable stage. Mail me at medlifeasia@gmail.com for discussing treatment options. If treated at this stage, there is a good...

Oncology (General Cancer): I like to know u., expert profile
expert profile: Thanks but sorry this is NOT a social network! I m ONLY here professionally! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH There is no limit to the number of questions there. Please note:...

Oncology (General Cancer): liver cancer, liver cancer, expert profile
liver cancer, expert profile, lab tests: Such cancers are more or less hopeless to find in time at present. Once they give symptoms it is far too late. There are lab. tests that are of some help of finding them earlier but unless you suspect something you usually do not order them. Most other - ...

Oncology (General Cancer): lump in abdomen, liver enzymes, needle biopsy
liver enzymes, needle biopsy, abdominal ultrasound: No it does not sound like a cancer. If you want to be completely sure you can demand a needle biopsy of it! Good luck! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH There is no limit to the...

Oncology (General Cancer): Lung cancer screening, lung cancer screening, chest x rays
lung cancer screening, chest x rays, history of lung cancer: This is actually a very difficult question. CT scans normally give a lot more radiation than normal x-ray imaging does. Furthermore, spiral lung CT-scans at least so far find a lot in the lungs - so much in fact that it is difficult to separate out real cancers...

Oncology (General Cancer): Lung Nodules, lung nodule, cancer marker
lung nodule, cancer marker, lung nodules: It s good news that the two nodules in the right lung haven t changed. A growing lung lesion should always be investigated. A cancer marker is not reliable, because that is related to the total amount of cancer, and you may not have enough to show. Furthermore,...

Oncology (General Cancer): mantle cell lymphoma, mantle cell lymphoma, definitive cure
mantle cell lymphoma, definitive cure, hello doctor: Well both patients & lymphomas (and other malignancies) are individuals not identical carbon copies or clones. So apart from the fact that a typical end of the road patient most probably is dead there are too many differences from case to case to be able...

Oncology (General Cancer): meat and colorectal cancer, apple cider vinegar, irritable bowel syndrome
apple cider vinegar, irritable bowel syndrome, colorectal cancer: There is no question that a diet high in beef and/or preserved meat products is not as good for you as a largely vegetable diet. Pure vegetarian diets (vegan) are good also, but very hard to manage; most vegans end up with certain minor deficiencies. There...

Oncology (General Cancer): about nasopharynx, cancer centre, vellore
cancer centre, vellore, lucknow: hi, there are many modern treatment methods of cance available now. You can contact ICT cancer centre in Delhi where all types of treatment is available with good results. The director Dr J A Khan knows me. Contacts: 0120-2500111, 01202500195. You can also...

Oncology (General Cancer): nsclc, brain mets, brain disease
brain mets, brain disease, breathing difficulties: to answer that question I d have to know more; If he has only a little disease in the chest and he gets chemotherapy, my bet would be that the brain disease would grow back before the lung disease caused his death. If he has a lot of disease in the lungs...

Oncology (General Cancer): Papulary carsinoma, radioactive iodine, thyroid cancer
radioactive iodine, thyroid cancer, thyroid hormone: Well it is not certain that these problems have anything to do with your thyroid cancer at all. So let a neurologist check you to see what more that should be done. Good luck! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH...

Oncology (General Cancer): Not producing enough red blood cells, red blood count, red blood cells
red blood count, red blood cells, red blood cell: Anemia always has a cause. My approach to anemia is to look at a blood smear under the microscope. That can give you some clues. Depending on the smear, I might order a serum iron, a ferritin level, a B12 and Folic acid level. I would look at the thyroid...

Oncology (General Cancer): Another Question Re: Mantle Cell Lymphoma, mantle cell lymphoma, lung mets
mantle cell lymphoma, lung mets, conservative course: Any stage 4 malignancy is an advanced case and it may well be that his condition - at least in the opinion of his doctor - does not allow any stronger chemotherapy. Your own description of his symptoms does give support to this view of his condition. There...

Oncology (General Cancer): radiation rash spreading to other parts of body, red itchy bumps, radiation treatments
red itchy bumps, radiation treatments, inner arm: This is not a radiation rash. They never go outside the area being irradiated. You are probably allergic to something. YOu need to see a physician, perhaps a dermatologist. there is the slight possibility that this is shingles and that can be serious....

Oncology (General Cancer): Recurring infections, petechia, and lab tests, vertigo dizziness, chest x ray
vertigo dizziness, chest x ray, joint stiffness: If you don t stop smoking, and I mean completely, you will never achieve normal health. It s that simple. The elevated white count is a sign that your lungs are chronically inflamed; your URI s signal that the normal mechanisms by which the lungs defend...

Oncology (General Cancer): retroperitoneal liposarcoma, excision of mass, prostate psa
excision of mass, prostate psa, renal vessels: It looks to me as if his illness has come back! Before any treatment is discussed I think it is best to KNOW with certainty where we stand. So I think biopsies of the observed lesions should - if at all possible - be done. Maybe as ultrasound guided (if these...

Oncology (General Cancer): Skin cancer?, expert profile, tanning beds
expert profile, tanning beds, skin doctor: Probably not. But why use tanning beds at all?! Just as smoking there is no reason to do it. But let a dermatologist (skin doctor) have a look at it so you know what it is. You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH...

Oncology (General Cancer): Very small bump on right testicle about the sixe of a ratshot pellet., epididymis, sixe
epididymis, sixe, special trip: If this were TC it would be on the testicle itself and it would not disappear when you tried to touch it. I agree that it is most likely a cyst and is nothing to worry about. I would not make a special trip to the doctor to ask about it, but I would bring...

Oncology (General Cancer): thyroid calcification, thyroid cancer, cycst
thyroid cancer, cycst, innervation: Usually simple cysts are not malignant, but they can be annoying. We might recommend putting a small needle in the cyst and withdrawing the fluid. As for your globus sensation, usually that has nothing to do with the thyroid. In most people your age it...

Oncology (General Cancer): thyroid cancer?, fine needle biopsy, fine needle aspiration
fine needle biopsy, fine needle aspiration, thyroid follicular cells: Since there are few thyreoid cells in the biopsy the findings are somewhat uncertain but the overall picture indicates a lymphocytic tyreoiditis (an inflammation of your thyroid). This kind of inflammation is usually known as Hashimoto s thyreoiditis and is...

Oncology (General Cancer): thyroid cancer?, fine needle aspiration, thyroid follicular cells
fine needle aspiration, thyroid follicular cells, thyroid biopsy: The biopsy does not answer the question. It is indeterminate. I would suggest a second biopsy. as for the other nodules on your arm and armpit, these are almost certainly benign. I would not worry about them unless they get larger. I don t think the thyroid...

Oncology (General Cancer): unexplained symptoms, brass foundries, v tach
brass foundries, v tach, outflow tract: compare with other symptoms given on early signs of cancer at www.medilfeasia.com Also you may consier a checkup to rule out cirtain conditions. Persistent metallic taste sensations have been reported by workers in brass foundries and among those who weld...

Oncology (General Cancer): unexplained symptoms, upper gi tract, ct scan with contrast
upper gi tract, ct scan with contrast, v tach: I m a cancer specialist, and you are still in need of a diagnosis. Something is definitely wrong, and given your stomach pains and unexplained weight loss, as well as muscle cramps, I d be concerned about a malignancy. Especially of the upper GI tract (pancreas,...

Oncology (General Cancer): 3 mm Lung Nodule, lymph node involvement, lung nodule
lymph node involvement, lung nodule, expert profile: Lung CT scans regularly show A LOT of things. Most of these have nothing to do with cancer. This lesion is probably too small for a biopsy so we can ONLY wait and check it again later as already suggested. Your risk of a cancer there is probably quite small...

Oncology (General Cancer): abdominal issues, complete metabolic panel, pain above navel
complete metabolic panel, pain above navel, mid abdomen: The differential diagnosis is large, from low grade cholecystitis, diverticulosis of the colon, maybe some degree of chronic gastritis or duodenitis (often a compication of incompletely treated heartburn). The discomfort doesn t sound too serious, but the...

Oncology (General Cancer): anal cancer, pelvic lymph nodes, biopsy results
pelvic lymph nodes, biopsy results, radiation therapy: I do not understand why you could not have had a colostomy ahead of your radiation therapy & chemotherapy?! That would have made those treatments easier. And it would not have interrupted your other treatments for long. No cancer may be there now since your...

Oncology (General Cancer): Brain lining &spinal fluid cancer, cancer of the brain, chemotherapy treatment
cancer of the brain, chemotherapy treatment, loss of consciousness: Usually there is gradual deterioration of the nervous system -- seizures, confusion, difficulty with movement and bowels and bladder; and things progress to loss of consciousness and death. Breast cancer which has spread to the lining of the brain is very...

Oncology (General Cancer): Breast Cancer, inflammatory breast cancer, flap procedure
inflammatory breast cancer, flap procedure, tram flap: Yes it is, and you should have a biopsy. However, it would seem more likely that you have an infection, and I d want to test for that as well. Inflammatory breast cancer can live for a long time dormant in the skin before it progresses. I hope this just...

Oncology (General Cancer): Breast cancer survivor with lung nodule, breast cancer survivor, pelvis pain
breast cancer survivor, pelvis pain, breast cancer: Your doctors are making the right decision. First, if it is 3 mm, it is too small to hit with a needle, and I wouldn t go through a lung operation for a 3 mm nodule. Second, most people would advise a follow up CT in three months, because if it increases...

Oncology (General Cancer): CA Stomach, small bowel obstruction, mutation test
small bowel obstruction, mutation test, signet ring: The tests were done to see if he might benefit from Herceptin or from an EGFR inhibitor. The tests would tell us that he won t. About all you have is chemotherapy, and if it s been more than a year, some of the drugs he s had before might help. There are...

Oncology (General Cancer): cancer of the colon, colon tumor, cancer of the colon
colon tumor, cancer of the colon, colon cancer: If the spot in the lung is from colon cancer, and it has decreased a bit, that s a good sign. And if the mass on the CT scan is stable or smaller, that s a good sign. If you have colon cancer together with a spot on the lung, I d worry more about the colon...

Oncology (General Cancer): ct scans causing cancer, massive heart attack, calcium score
massive heart attack, calcium score, horrible headaches: The problem with your question is that many people get cancer, and a lot of them get cancer who never had a CT scan or an xray. That means we have to figure out the cancer risk in the population who does not get CT scans, then look at the population who did...

Oncology (General Cancer): curious, expert profile, jaw bone
expert profile, jaw bone, radiation therapy: What was the reason for his treatment? Kind and location of his cancer? Alcohol plays a role in the causes of several cancers within the area of his treatment. If treatment had to be given due to such a cancer it is not a wise behaviour to continue to consume...

Oncology (General Cancer): curious, mouth cancer, jaw bone
mouth cancer, jaw bone, radiation therapy: Modest amounts of alcohol could cause further irritation of the damaged mucous membranes. And if he is still smoking, alcohol and tobacco increase the risk of mouth cancer fifteen times that of normal individuals. Alcohol wouldn t cause a bacterial infection,...

Oncology (General Cancer): what does early colon cancer feel like?, online symptom checker, right abdomen
online symptom checker, right abdomen, colon cancer: If you are in your early forties and have no risk factors, I would have a low suspicion that you have colon cancer, since it is usually painless until you get an obstruction or bleed. Unless the tumor rises in the rectum, the rest of the colon isn t well...

Oncology (General Cancer): Enlarging lump on volar arm, punch biopsy, dfsp
punch biopsy, dfsp, fat necrosis: To be on the safe side you should consult your sarcoma specialist. That doctor can also order whatever biopsies and MRI scans that will be needed. Good luck! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH...

Oncology (General Cancer): CA Stomach, alternate treatment, times of india
Oncology (General Cancer): CA Stomach, alternate treatment, times of india, clinical trials

Oncology (General Cancer): Follow-up to lung nodule questionsa, atypical chest pain, tumor marker
atypical chest pain, tumor marker, lung nodule: You are asking questions I can t answer. The best thing is to wait another three months; if the nodule is the same, check it again three months later. If it is bigger, arrange a biopsy. It could be benign, but you have to worry about malignancies. It s...

Oncology (General Cancer): help, expert profile, urologist
expert profile, urologist, testicle: It may be an infection/inflammation. This is not a usual tumor symptom. Let a urologist check you soonest! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH There is no limit to the number of...

Oncology (General Cancer): This lump, occipital bone, folliculitis
occipital bone, folliculitis, unusual place: It is more likely folliculitis if it is tender, and if you don t remember having an injury to that area. It would be an unusual place for cancer to pop up. It might also be a touch of tendonitis, as there is a tendon that inserts there. If it persists,...

Oncology (General Cancer): Melanoma-Hospice, radiation oncologist, feeling sick all the time
radiation oncologist, feeling sick all the time, hospice care: I don t disagree with hospice. If you have widespread melanoma, there is no cure. As for getting another scan, I don t think it will help make a decision, so I probably wouldn t. I don t know how old you are or how bad your heart disease is. There is a...

Oncology (General Cancer): Ovarian Cancer....risk?, birth control pills, cancer risk
birth control pills, cancer risk, distant relatives: Unless you have a first degree relative with ovarian cancer or breast cancer, you probably have no greater risk then someone in the general population. And the risk reduction from taking birth control pills is quite small in any event. (only detectable in...

Oncology (General Cancer): Pain under right rib cage, liver ultrasound, pain under right rib cage
liver ultrasound, pain under right rib cage, liver enzymes: How are your liver enzymes now? What other liver tests have been done? Hepatitis tests? Results? In view of all the negative tests you have had and that your symptoms hardly are associated with a suspected cancer condition I think that a cancer cause is very...

Oncology (General Cancer): Pancreas Cancer, pancreas cancer, bile ducts
pancreas cancer, bile ducts, bile duct: That is based on the clinical data the investigation has revealed - and you have described to me - showing the way his lesion has grown (blocking his bile duct) and the knowledge based on the experience that lesions that grow this way are indeed cancerous....

Oncology (General Cancer): pathology report, squamous metaplasia, chronic cervicitis
squamous metaplasia, chronic cervicitis, inflamed cervix: chronic cervicitis, which can lead to squamous metaplasia, is not necessarily due to HPV. Sometimes infections of the cervix can be relatively painless, so if you are prone to repeated yeast infections, that could be an explanation. As for HPV, unfortunately...

Oncology (General Cancer): Possible lymphoma, internal medicine specialist, high lymphocytes
internal medicine specialist, high lymphocytes, thyroid tumor: Hi, Sorry for the late reply. as per the history which you have nicely provided, i recommend you go for naturopathic treatment. You may have lymphoma. It is controllable and I have seen many patients cured by naturopathy provided it is authentic. Go to an...

Oncology (General Cancer): pre-cancerous cells in uterus, pre cancerous cells, surface tissues
pre cancerous cells, surface tissues, colpotomy: I suspect her doctor is describing carcinoma in situ . This is a situation where the malignant cells are confined to the surface and it can persist for a while, but greatly increases the probability of more serious cancer down the line. A simple hysterectomy...

Oncology (General Cancer): prevention for oesophogal cancer, preventitive measures, dreadful illness
preventitive measures, dreadful illness, hello doctor: Screening tests won t be of much help at your age, or for that matter, even when you get older. On the other hand, there are things you can do to reduce risk: don t smoke, use alcohol sparingly, keep weight off, have a diet high in antioxidants. If you...

Oncology (General Cancer): Right testicle problem, testicle, urologist
testicle, urologist, family doctor: I don t know that I would be worried, but it is slightly concerning. Just because one testicle differs from the other does not mean there is cancer, but it remains a possibility. Can I ask how old are you, and have you noticed this problem before? I mean,...

Oncology (General Cancer): shadow on chest xray, chest xray, scar tissue
chest xray, scar tissue, fungal disease: Yes it could, but we can t tell till the tests are done. Encourage her to follow her doctor s advice, get the CT scan, and if that shows something, get a biopsy. She could have pneumonia, tuberculosis, a fungal disease, an area of scar tissue from all that...

Oncology (General Cancer): Skin Cancer?, liquid nitrogen, kind of hurt
liquid nitrogen, kind of hurt, skin cancer: I think it is a pimple, and sometimes they will become a little nodule because of scarring. I ve had these, and when I get one that lasts a long time, I go to my dermatologist who inspects it and then puts a drop of liquid nitrogen on it. That takes care...

Oncology (General Cancer): skin condition, lot of nerve, nerve damage
lot of nerve, nerve damage, gastric cancer: They could be shingles, or perhaps areas of skin breakdown. From your description, I d probably lean towards shingles. These usually eventually disappear, but can leave behind a lot of nerve damage which translates into pain. These should be seen by an...

Oncology (General Cancer): Spindle Cell Carcinoma, spindle cell carcinoma, stage 4 cancer
spindle cell carcinoma, stage 4 cancer, brain lesion: Unfortunately with lesions in his brain, in his kidney and in his lungs his cancer must be regarded as a stage 4 cancer. All such cancers are at present incurable everywhere in the world and eventually fatal. Since his brain is involved the expected survival...

Oncology (General Cancer): stomach cancer, fluid in the abdomen, stomach cancer
fluid in the abdomen, stomach cancer, enlarged liver: I would be concerned about a lot of things and I would recommend he see a doctor. He probably has something which is keeping his stomach from emptying easily, and that could be a tumor, such as a stomach or pancreatic tumor. It could also be scar tissue,...

Oncology (General Cancer): Tamoxifen- Should I take it w/ co-morbidity?, peripheral artery disease, cholesterol triglycerides
peripheral artery disease, cholesterol triglycerides, sentinel nodes: I think you should take Tamoxifen or an aromatase inhibitor. Which one should be decided by your oncology doctor in cooperation with your other doctors. Your other doctors should them adjust whatever treatments they are using in accordance with this new situation....

Oncology (General Cancer): 2-6MM RENAL CALCULI OR ARTIFACTS, metric measurments, renal calculi
metric measurments, renal calculi, kidney stone: What they have seen is either a kidney stone or some artificial item (something man made). It is NOT a tumor! That is why your doctor takes it so lightly! Well, an inch is 25.4 mm so 6 mm is not quite 1/4 (25%) of an inch (why is the USA not going metric?...

Oncology (General Cancer): Breast Cancer, radiation therepy, blood calcium
radiation therepy, blood calcium, upper abdomen: I would do the following tests: a bone scan; a CT scan with IV and oral contrast of the chest and upper abdomen; and a CA-27-29 blood test. If these are all negative, she probably doesn t have breast cancer. But there are other things that could give her...

Oncology (General Cancer): Cancer??, hilar lymph nodes, pulmonary nodules
hilar lymph nodes, pulmonary nodules, axillary lymph nodes: Yes indeed, there is a cause to worry. Some of the possibilities that come to my mind include bronchoalveolar carcinoma, renal cancer, melanoma, breast cancer; I ve seen all of these present this way, but the bronchoalveolar cancer is highest on my list,...

Oncology (General Cancer): Cervical cancer signs, degenerative disc disease, cervical dsyplasia
degenerative disc disease, cervical dsyplasia, mild dysplasia: I don t think any of your symptoms are due to your cervical dysplasia. Your doctor is right about doing occasional pap smears. But if these only show mild dysplasia, I don t think further tests need to be done. Right lower quadrant pain could be due to...

Oncology (General Cancer): colon cancer and matastisize, sloan kettering, colon cancer
sloan kettering, colon cancer, cancer cells: I know of colon cancer grade 4 (IV) patients (like your son - though perhaps not as advanced cases as his is) that have survived for more than 6 years with chemotherapy. Both MD Anderson and Sloan Kettering Memorial are good and I can not distinguish between...

Oncology (General Cancer): Eosinophil count, routine blood test, weather changes
routine blood test, weather changes, expert profile: Also in my opinion there is no reason or need to worry! a high level here is often an indication of allergy which may be the case in your case. You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH...

Oncology (General Cancer): Fibroadenoma and discharge, hypoechoic nodule, sclerosing adenosis
hypoechoic nodule, sclerosing adenosis, fibrocystic changes: Clear discharges usually have nothing to do with cancer. Without biopsies we can NOT KNOW what it is you have. I do suggest at least needle biopsies of your lesions that have been seen. I also suggest that you also have breast MRI scans done routinely! Good...

Oncology (General Cancer): Grandfather, psa levels, cancer cells
psa levels, cancer cells, colon cancer: About 90% of patients respond to hormonal ablation therapy . The PSA comes down, the cancer cells die, the pain goes away. Right now the doctor is giving a medication that will prevent the flare that sometimes comes when the shots are given. At 78, your...

http://en.allexperts.com/q/Oncology-General-Cancer-978/2011/8/lump-6.htm


Oncology (General Cancer): lung cancer, colonic perforation, central venous catheter
colonic perforation, central venous catheter, post operative recovery: Well, to be precise she unfortunately has a cancer that has spread from elsewhere to her lungs. The prime suspect cancer here is her colon cancer - much more likely than her breast cancer. Her lungs are not working properly with this cancer burden so that...

Oncology (General Cancer): lung cancer, colonic perforation, central venous catheter
colonic perforation, central venous catheter, post operative recovery: Patients with active cancers can have clotting problems which are very difficult to manage. I m concerned that your mother has respiratory compromise, probably related to the effusions, the clots in the lung, and the tumor nodules. She s been given two fairly...

Oncology (General Cancer): lung cancer, lung needle biopsy, cell lung cancer
lung needle biopsy, cell lung cancer, large cell lung cancer: Please be patient. About 15% of the time needle biopsies do not give the diagnosis. He may need another biopsy. with swelling of the adrenal glands it is probably lung cancer, but youhave to be sure. I would push my doctors to schedule another biopsy if...

Oncology (General Cancer): Mantle Cell Lymphoma, mantle cell lymphoma, expert profile
mantle cell lymphoma, expert profile, positive attitude: You asked if this may be an ongoing thing and I answered that unfortunately the risk of that is big in a situation like this. I do hope this explains it! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH...

Oncology (General Cancer): Metastatic Lung Cancer, scapular pain, provisional diagnosis
scapular pain, provisional diagnosis, end stage copd: I do suggest radiation therapy of his hip lesion to decrease his pain problem there. It MAY be less than 6 months and it is definitely less than a year. But it is impossible to give you an exact time table. He will unfortunately steadily get worse - unless...

Oncology (General Cancer): metastatic melanoma, liver lesion, metastatic melanoma stage 4
liver lesion, metastatic melanoma stage 4, uveal melanoma: Not necessarily but let her doctor check her so we will KNOW what it is. You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH There is no limit to the number of questions there. Please note: NEW SITE!...

Oncology (General Cancer): Numerous enlarged nodules in lung, hilar lymph nodes, mediastinal lymph nodes
hilar lymph nodes, mediastinal lymph nodes, pulmonary nodules: CT scans of the lungs often report lesions. Only a minority of these are cancerous. However with your smoking back ground I have to take your case more seriously. If I happened to be in your shoes I would insist on biopsies. The easiest and simplest way to...

Oncology (General Cancer): pains while passing stools, rectal fissure, hemmorhoid
rectal fissure, hemmorhoid, burning sensation: almost certainly he has a rectal fissure or some proctitis. Usually pain on passing stool is not due to the cancer itself. I don t know what chemotherapy he had, but it s possible that he has an infarcted hemmorhoid. If he is moving his bowels that often,...

Oncology (General Cancer): Pancreas/colon issue?, amylase lipase, ct scan with contrast
amylase lipase, ct scan with contrast, bowel movments: Bright red blood is usually from somewhere very low in the intestine, and a hemmorhoid are rectal fissue are possibilities. But you should have a colonoscopy. Yellow stool could mean that you were passing barium, and there was some stool mixed in it, turning...

Oncology (General Cancer): Pancreas mass, density mass, foul taste
density mass, foul taste, low density: Given the symptoms, and the finding of a mass in the pancreas, I d certainly want a ct scan with oral and IV contrast. I m not sure the constipation is related, but the foul taste and the weight loss are important. Cancer is a possibility. Hope this helps....

Oncology (General Cancer): Pancreatic Cancer, extrahepatic bile ducts, drug regimens
extrahepatic bile ducts, drug regimens, regional nodes: Yes, unfortunately. Even if it were operable, the presence of regional nodes (adenopathy) is a bad sign, and would mean that he couldn t be cured. However, your husband is a candidate for radiation therapy conbined with chemotherapy, and if it were me I...

Oncology (General Cancer): Pancreatic question, natural extracts, pain medicines
natural extracts, pain medicines, pain meds: Hi Jenny, I can understand your concern. At the age of your aunt, its better to give immunomodulators which are natural extracts rather than giving chemotherapy. they give a great response in about 70% of patients. I can send you some documents if you mail...

Oncology (General Cancer): Peritoneal disease (unknown primary), signet ring cells, expert profile
signet ring cells, expert profile, adenocarcinomas: Has any gastroscopy been done? His stomach was indicated as a possible source. So his stomach should also be checked - by gastroscopy. 1. At least not at present. If his primary tumour is found it may be a PART of his treatment, but only a part. And even then...

Oncology (General Cancer): Progressive non-mechanical back pain, ct scan of the abdomen, ultasound
ct scan of the abdomen, ultasound, stress work: You need to have a CT scan of the abdomen and pelvis with IV and oral contrast. If that is normal, you should see a gastrointestinal specialist, to consider upper and lower endoscopies. I don t think your problem is psychiatric. Hope this helps, and keep...

Oncology (General Cancer): request for biopsy interpretation, core needle biopsy, biopsy interpretation
core needle biopsy, biopsy interpretation, biopsy report: You have a malignant (cancerous) spindle cell tumour in your thigh. May be a sarcoma. EXTENSIVE therapy with surgery, radiation therapy and chemotherapy is probably needed! And SOON! Good luck! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH...

Oncology (General Cancer): squamous cell carcinoma, squamous cell carcinoma, metastisis
squamous cell carcinoma, metastisis, survival rate: cancers of the head and neck are often curable, with combined radiation, surgery, and chemotherapy. But a 15 year old with squamous cancer is very rare, so probably all bets are off. A teaching hospital is the way to go. All in all, for older people the...

Oncology (General Cancer): stomach, upper abdomen, lower abdomen
upper abdomen, lower abdomen, stockholm sweden: Without an examination - which I can not do since I m in Stockholm, Sweden - it is unfortunately impossible to tell you what this is or may be - the list of possibilities would be LONG! So you will have to rely on your local doctor. Your local abdominal tenderness...

Oncology (General Cancer): stomach issues, gall bladder disease, irritable bowel syndrome
gall bladder disease, irritable bowel syndrome, navel area: Unfortunately,the differential diagnosis is very large. Sometimes multiple tests can be done and nothing is found -- just serious matters ruled out. What it sounds like to me is diverticulosis. This could cause point tenderness on the abdominal wall, shifting...

Oncology (General Cancer): swollen lymph node, ent man, swollen lymph node
ent man, swollen lymph node, scar tissue: This sounds like a reactive lymph node. it suggests that in your throat there is a spot that gets infected, drains into the node, and causes it to swell. Then when the infection is taken care of, there is some scar tissue that keeps the node from getting...

Oncology (General Cancer): swollen lymph node, needle aspiration biopsy, ear nose throat specialist
needle aspiration biopsy, ear nose throat specialist, ear nose throat: What you describe is rather normal after repeated infections there. It is normally only tender DURING an infection, not when it has cleared up. If possible to get where you are you can also ask for a fine/thin needle aspiration biopsy for a cytological examination...

Oncology (General Cancer): tests, prominent veins, hospital appointment
prominent veins, hospital appointment, finger test: Don t put off your holiday. If the sigmoidoscopy is negative, I d not worry until something else happens. If your brothers have prostate cancer, you may have an increased risk of breast cancer. So you should get your annual mammograms and a breast exam....

Oncology (General Cancer): thyroid nodules, thyroid nodules, needle biopsies
thyroid nodules, needle biopsies, expert profile: Unfortunately that does not tell us much at all! To know more I suggest ultrasound guided needle biopsies of your nodules - if at all possible. With those we will know what they are! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH...

Oncology (General Cancer): Urinary Bladder Cancer, dr yeshi dhonden, urinary bladder cancer
dr yeshi dhonden, urinary bladder cancer, ashok kumar: His case seems to be serious and with at least an uncertain pronosis. I m retired so I can not take care of any tests at all. I therefore strongly suggest that you have his case evaluated (= second opinion) by local doctors who should be urologists and oncologists!...

Oncology (General Cancer): WBC, chronic sinus infections, chronic sinus infection
chronic sinus infections, chronic sinus infection, lymph node biopsy: Normal white cell count max is about 10.5 depending on the lab. It sounds like you have either recurrent chronic infection, or possibly an autoimmune disease. Lupus, thyroiditis, lymphadenitis, and indeed, chronic sinus infections could account for your...

Oncology (General Cancer): Breast Cancer Treatment Opinions, invasive duct carcinoma, adriamycin cytoxan
invasive duct carcinoma, adriamycin cytoxan, breast cancer treatment: The treatments are more or less equivalent, but I think the dose-dense treatment is easier to take, in my experience, and you get it over with quicker. I would go with that option. Normally I don t do a pet scan in patients with breast cancer, even with...

Oncology (General Cancer): Breast spot?, inflammatory breast cancer, history of breast cancer
inflammatory breast cancer, history of breast cancer, left breast: It looks more like a normal local infection/inflammation to me but let your doctor check it! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH There is no limit to the number of questions there....

Oncology (General Cancer): Cancer and treatment side effects, gallbladder polyps, invasive breast cancer
gallbladder polyps, invasive breast cancer, estrogen receptors: I wouldn t worry about the heterogenous liver, given the information you ve given me. But I still don t understand why your doctor said you were resistant to tamoxifen. The high estrogen, persistence of periods, and elevated FSH are not signs of resistance....

Oncology (General Cancer): digestive cancer, expert profile, radiation therapy
expert profile, radiation therapy, dissapeared: Actually if she is undergoing chemotherapy no vitamins or antioxidants should be given since they can counteract the effects of both chemotherapy and radiation therapy! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH...

Oncology (General Cancer): Breast spot?, inflammatory breast cancer, breast cancer symptoms
Oncology (General Cancer): Breast spot?, inflammatory breast cancer, breast cancer symptoms, breast cancer

Oncology (General Cancer): Lymphoma question, ultrasound report, o clock
Oncology (General Cancer): Lymphoma question, ultrasound report, o clock, mammogram

Oncology (General Cancer): gynecological cancers, gynecological cancers, vulva itch
gynecological cancers, vulva itch, vaginal ultrasound: Endometrial cancer hardly results in a vulva itch. In general, in a situation like this she should not be examined by a GP but by a gynecologist! So that is what should be done! Good luck! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH...

Oncology (General Cancer): IBC, history of breast cancer, insect bite
history of breast cancer, insect bite, breast cancer: I don t recall your last message. But basically, I think I would see whether this gets larger. If you have inflammatory BC, you will need very aggressive treatment. But I think it s pretty unlikely that that is the case. This looks to me like an insect...

Oncology (General Cancer): iron deficiency, chronic blood loss, poor absorption
chronic blood loss, poor absorption, iron pills: The most common reason for iron deficiency is blood loss. Ibuprofen, even in normal doses, can cause chronic blood loss from the stomach, partly because of irritation, and partly because of impairing the ability of blood to clot. If you have a very low ferritin,...

Oncology (General Cancer): Leukemia, blood cell count, white blood cell
blood cell count, white blood cell, expert profile: That WBC may have a multitude of causes but leukemia is hardly a probable cause. Just have one or several follow ups on it and see if it changes. Good luck! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH...

Oncology (General Cancer): LGL Leukemia, hairy cell leukemia, bone marrow biopsy
hairy cell leukemia, bone marrow biopsy, low wbc: A bone marrow biopsy is NECESSARY to make sure the diagnosis is correct. Not everything (especially not lymphomas) show up with certainty in the blood! Your other question is a matter of semantics. No leukemia is really benign since by definition leukemias...

Oncology (General Cancer): Low Absolute Neutrophils Count, low absolute neutrophils, absolute neutrophil count
low absolute neutrophils, absolute neutrophil count, initial blood test: This can be looked upon as an example of that so called health tests not always are blessings. With all lab. tests it is a fact that what is normal is based on statistics of lab. results from people that seem to be healthy. So it is possible to have lab...

Oncology (General Cancer): lump above left testicle, attached is a smaller lump, blood clot, definitive answer
blood clot, definitive answer, testicle: Abel, I am glad you are going to see the doctor. I am sure they can give you a more definitive answer than I can give. It certainly does not sound like cancer. It does sound like a cyst, but the fact that you had a blood clot like this in the past means...

Oncology (General Cancer): Lump in throat, hello doctor, lump in throat
hello doctor, lump in throat, expert profile: No if done correctly that risk is very small and there is at present NO other way to do it! So there is really no choice. What kind of treatment that is possible can only be discussed when we KNOW (after the biopsy) what this is! Please do keep me posted!...

Oncology (General Cancer): Lymphoma question, needle aspiration biopsy, breast mri
needle aspiration biopsy, breast mri, history of breast cancer: The fact that it is painful makes it less likely to be dangerous. However to be as sure as possible you can insist of having a fine/thin needle aspiration biopsy done on your lump. A breast MRI can not be guaranteed to tell us what this is. Another possibility...

Oncology (General Cancer): mediastinal mass -thymic hyperplasia or thymoma?, chest x rays, intestinal pseudo obstruction
chest x rays, intestinal pseudo obstruction, enlarged lymph nodes: 1. It is difficult to distinguish blood vessels from tumor tissue on an unenhanced CT scan. 2. If the mass is quite large, it is probably a thymoma. But it isn t possible to make a complete diagnosis by just seeing an image. 3. There are different...

Oncology (General Cancer): MRI findings of pancreas, ct scan of the abdomen, percutaneous biopsy
ct scan of the abdomen, percutaneous biopsy, focal lesions: There are no lab tests that can tell you what is going on. There is a test, CA-19-9, which can be elevated in cancers of the pancreas, but if it is normal, it isn t much help. A CT scan is not as difficult as an MRI. I would consider seeing a gastroenterologist....

Oncology (General Cancer): Myelofibrosis, red blood cells, bone marrow transplant
red blood cells, bone marrow transplant, immunological problems: Myelofibrosis means that her bone marrow is losing its ability to produce blood (or rather the cells of the blood). Bone marrow is the site of blood production. This means that her ability to replace blood cells (such cells age too, red blood cells have a...

Oncology (General Cancer): pancreas nodule, left abdominal pain, pancreas cancer
left abdominal pain, pancreas cancer, lower left abdominal pain: Well, at his age pancreas cancers are rare but not unheard of. So a second opinion is what I suggest. Good luck! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH There is no limit to the number...

Oncology (General Cancer): Prostate Cancer, core biopsy, cancer question
core biopsy, cancer question, doctor answer: Your urologist is not wrong. I m just saying that I would prefer to have the gland removed by a skilled davinci surgeon and then forget about it, as opposed to going through biopsies and blood tests and rectal exams every three months and still someday maybe...

Oncology (General Cancer): PROSTATE CANCER, radical prostatectomy, pelvic organs
radical prostatectomy, pelvic organs, elevated psa: An elevated psa in a patient who had a radical prostatectomy suggests that there is prostate cancer somewhere in your body. It might be in the prostate bed, or might be somewhere else. First I d have another test just to be sure it s a real value. If it...

Oncology (General Cancer): Spinal Fluid, waking up with headaches, visual distortions
waking up with headaches, visual distortions, white blood cells: No, at the moment I see no signs of cancer in what you have described. For the rest you have to discuss it with your neurologists as it is outside my area of expertise here. You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH...

Oncology (General Cancer): stage4 non small cell lung and lymph noids, lymph noids, lung cancer cells
lymph noids, lung cancer cells, cancer in the lymph nodes: The chest pain can mean that the cancer has grown back, but there are several other possibilities including: infection; scarring; nerve damage from surgery; fluid collecting in the chest. These can be sorted out by a CT scan, usually. Radiation can destroy...

Oncology (General Cancer): stomach issues, h pylori infection, upper endoscopy
h pylori infection, upper endoscopy, pancreatic enzymes: Sometimes all medical science can do is prove that something serious is not going on. With your long history of heartburn and response to prilosec, as well as the bloating, etc, I would be interested in knowing whether you have an H Pylori infection, and...

Oncology (General Cancer): Swollen lymph nodes, swollen lymph node, swollen lymph nodes
swollen lymph node, swollen lymph nodes, hodgkin s lymphoma: If it is hard and the sized of a pea, I suspect it is an inflamed node, not cancer. But if you are having fevers that come and go, I d see someone about that. That isn t normal and may have nothing to do with the little lymph node. I hope you aren t a smoker....

Oncology (General Cancer): blood lab results, low hemoglobin levels, hemoglobin level
low hemoglobin levels, hemoglobin level, anemia of chronic disease: I don t know what her hemoglobin level is. My approach would be to make sure iron, b12, and folic acid were ok. Then I d check occult blood. If that was positive, I d do a colonoscopy. If negative, I d probably hold off. I d examine the blood under the...

Oncology (General Cancer): bone and lung cancer gone into remission, expert profile, radiation therapy
expert profile, radiation therapy, osteosarcoma: Since it has spread to her lungs her tumor is a stage 4 one. Such tumors are in principle incurable at present. But they may be controled by chemotherapy. That it is in remission means that at present there are no obvious sign of it and no progress of her...

Oncology (General Cancer): Brain Cancer, brain cancer, expert profile
brain cancer, expert profile, exceptions: Practically never. The exceptions are so few and we can not distinguish them in advance that I usually do not discuss them here. You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH There is no...

Oncology (General Cancer): Breast Cancer, cancer cells, tata memorial
cancer cells, tata memorial, breast cancer: When breast cancer is diagnosed, we stage it. That means that based on the information (size of tumor, whether lymph nodes are involved, the characteristics of the cancer cells using special tests, etc. Once we know the stage, we can predict how likely it...

Oncology (General Cancer): Breast cancer, neglience, cancerous cells
neglience, cancerous cells, breast cancer: In her case with seven positive lymph nodes she had stage IIIa breast cancer. The tumor markers were probably done at the same time, but we don t know these. If surgery alone is used to treat stage IIIa breast cancer, there is a 50% survival rate (more or...

Oncology (General Cancer): Breast Cancer, cancer centers of america, cancer treatment center of america
cancer centers of america, cancer treatment center of america, cancer treatment center: Even though the cancer has metastasized, it may be quite controllable for a while, depending on a lot of things. MD Anderson and Baylor are leading Cancer centers in Texas. However, you can almost always get excellent and up to the minute cancer treatments...

Oncology (General Cancer): cancer, cancer doctor, placebo effect
cancer doctor, placebo effect, cure cancer: I ve never seen evidence of this in my career as a cancer doctor, nor can I figure out how any of these things would work. So I wouldn t recommend these as ways to deal with cancer. I also know patients who have put their faith in these kinds of things,...

Oncology (General Cancer): cancer in small intestine of my dog, small intestine, cancer doctor
small intestine, cancer doctor, dogs and cats: Sorry, I m not a veterinarian so this is outside my area of expertise. I m here ONLY as a cancer doctor for humans (though I have owned both dogs and cats - and parrots) I ve also lost a cat to pancreatic cancer so I do understand your feelings. I suggest...

Oncology (General Cancer): cancer/tumor, bartholin cyst, box of pills
bartholin cyst, box of pills, vulvar cancer: Without an examination I can not be sure what it is, but it does not have to be serious. It still needs to be examined though and for that a gynecologist is best! Breast cancer is in no way connected with this! If you are 31, married and with 4 children you...

Oncology (General Cancer): ct scan, left quadrant pain, pelvic ct scan
left quadrant pain, pelvic ct scan, upper left quadrant pain: In some areas contrast would probably be better. But discuss that with your doctor. The kidney calcifications do not indicate any cancer. Well at least many cancers would show up on a CT. A lung cancer will probably not show up early on an ordinary x-ray picture...

Oncology (General Cancer): kidney calcification
Oncology (General Cancer): kidney calcification

Oncology (General Cancer): Fatty bulge after mole removal, mole removal, hello doctor
mole removal, hello doctor, first hope: I don t know where you live, but it sounds like this could be managed as an outpatient. If you have no insurance you might see about a surgery clinic in a medical school. I suspect the cost would be on the order of $500, but that depends on where you live...

Oncology (General Cancer): Head of Pancreas Hypoechoic, chronic pancreatitis, hereditary tendency
chronic pancreatitis, hereditary tendency, needle biopsy: A negative needle biopsy should not be considered proof that something isn t cancerous. It is reassuring, but remember that the biopsy only samples a few cells. That being said with your history this sounds more like chronic pancreatitis, We know that more...

Oncology (General Cancer): heredity/genetic link, breast self examination, digital rectal exam
breast self examination, digital rectal exam, psa test: Testicular cancer is not hereditary. Prostate and breast cancer can run in families. The fact that your husband s female relatives with breast cancer were older when they got it suggests that while your daughters may be at increased risk, it is probably...

Oncology (General Cancer): im soo worry please help me, groin area, cell lymphomas
groin area, cell lymphomas, red skin: If the problem continues despite using anti-fungal medication, I d suggest a biopsy. There are disorders like T-cell lymphomas that can behave this way. Also, if you ve been give a cream, there are some fungal infections that require pills and creams don...

Oncology (General Cancer): kidney calcification, kidney doctor, kidney cancer
kidney doctor, kidney cancer, kidney infections: kidney calcifications are common. they usually happen in areas where there has been tissue injury. The most common kind of tissue injury in the kidney is infection. Kidney infections can be silent so you don t know about them when they happen. However,...

Oncology (General Cancer): Leukimia, acute lymphocytic leukemia, leukemia cells
acute lymphocytic leukemia, leukemia cells, james holland: Leukemia cells have mutated so that they don t respond to the normal controls that keep the white count in the normal range . Another kind of mutation is one in which the cell develops a self-stimulation circuit, so that it is not dependent on outside stimuli....

Oncology (General Cancer): Local eczema on areola and puffing of areola, diseases of the breast, breast diseases
diseases of the breast, breast diseases, breast cancer: It is rare for 28 year olds to get breast cancer, but not unheard of. If creams aren t helping and things are getting a little worse, I d certainly recommend a biopsy, or at least another opinion about how to manage the problem. It may be that the doctor...

Oncology (General Cancer): Lump in throat/Swollen lymph node in neck, swollen lymph node, lymph node biopsy
swollen lymph node, lymph node biopsy, swollen lymph node in neck: I don t know how serious it is but it is clearly bothering you a lot and that makes it serious enough. I don t know if you ve consulted someone at the University of Maryland or the John s Hopkins Medical center. If you ve been to several doctors, you might...

Oncology (General Cancer): Lung Nodules, scar tissue in lungs, lung nodules
scar tissue in lungs, lung nodules, pulmonologist: Having asthma for years and years, and getting lung infections can lead to scarring. This can appear as nodules. Your doctor is making exactly the right recommendation. When nodules are discovered that are non-specific (meaning you can t tell by looking...

Oncology (General Cancer): neroendocrine cancer, tumors of the pancreas, microscopy section
tumors of the pancreas, microscopy section, endocrine cancer: This sounds like a carcinoid tumor to me. Sunatinib doesn t affect carcinoids, but does affect neuroendocrine tumors of the pancreas. It is also a difficult drug to take, very expensive, and would not cure him; even if it worked on the cancer cells that...

Oncology (General Cancer): Old Lump/Hard Testicle, ultrasound scan, spermatocele
ultrasound scan, spermatocele, hello doctor: Well, you are right. If you had an untreated testicular cancer 5 to 6 years ago you would hardly be around now. But that tells us absolutely nothing about your present new problem. Since I can not examine you myself. You are after all in the USA and I m in...

Oncology (General Cancer): Pain in leg bones., leg bones, expert profile
leg bones, expert profile, breast cancer: At your age and with the symptoms you describe it is most probably NOT related to cancer. But let a doctor check it anyway! Good luck! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH There is...

Oncology (General Cancer): paraneoplastic syndrome due to thymoma, plasmapharesis, functional determination
plasmapharesis, functional determination, benign tumor: Benign thymomas have been known to cause paraneoplastic problems. I don t think I can make a diagnosis of thrombophlebitis from your description. However, it would be entirely poasible for you to have some sort of vasculitis as part of a paraneoplastic syndroms....

Oncology (General Cancer): Pituitary gland problem?, mri brain scan, unexplained thirst
mri brain scan, unexplained thirst, endocrinology section: Well, without an examination I can not come far by just knowing your symptoms. I do suggest that you INSIST on (DEMAND) an MRI brain scan! That way we will know if there is anything there. Simple lab tests of your urine when you have not been drinking any...

Oncology (General Cancer): Throat cancer, throat cancer, biopsy
throat cancer, biopsy, sore throat: I don t quite understand your question. Did your father have the biopsy or was it cancelled because the soreness had almost gone away? If he had the biopsy, and it was negative, I don t think you need to be concerned. If the biopsy was cancelled because...

Oncology (General Cancer): Thyroid Cancer?, thyroid nodule, swollen lymphnode
thyroid nodule, swollen lymphnode, follicular carcinoma: You should be worried about the spot in the lung, but I doubt it has anything to do with the thyroid. If the nodule in your thyroid hasn t changed in 16 months, it is probably a benign nodule or at most a follicular carcinoma. These are slow growing and...

Oncology (General Cancer): TIA/tumors, lung tumor, mri of the brain
lung tumor, mri of the brain, tumor in the brain: If he has those symptoms and a lung tumor, the first thing I d want to do would be to do an MRI of the brain. Many patients with lung cancer have their first symptoms due to a tumor in the brain. It is vaguely possible that a lung tumor can cause neurologic...

Oncology (General Cancer): Vincristine and other Chemotherapy Drugs, chemotherapy drugs, cancer cells
chemotherapy drugs, cancer cells, expert profile: Well, cancer cells divide in an unregulated, uncontroled fashion so also usually more rapidly than normal cells. So this is a characteristic we try to use in chemotherapy to fight them. But these are GRADE differences not absolute ones so rapidly growing and...

Oncology (General Cancer): abn blood work, rdw cv, rdw sd
rdw cv, rdw sd, liver enzymes: You seem to have mild abnormalities in your blood work; your vitamin D level is puzzling, especially after you have been taking it for a while. Low vitamin D has been associated with a lot of problems, although cause and effect is not always clear. Have...

Oncology (General Cancer): asbestos in pleura?, pleural plaques, pleural plaque
pleural plaques, pleural plaque, asbestos dust: A plaque is simply a name for a small thickened area on the pleura. While asbestos could be the cause, there are other things that can cause this appearance. One of them is to have a localized lung infection near the pleural surface (pneumonia) in which...

Oncology (General Cancer): asbestos scar?, diagnostic radiologist, lung specialist
diagnostic radiologist, lung specialist, expert profile: Both are possible as is a combination of both. It is impossible to differentiate just from your description. Probably also from the CT scans as far as I know (I m not a diagnostic radiologist, remember). Discuss this with a lung specialist. Good luck! ...

Oncology (General Cancer): Breast Cancer spread to Bone, breast cancer, bone destruction
breast cancer, bone destruction, hormone receptor: I would recommend chemotherapy at this point, given your description and her history. That being said, there is a drug, everolimus, which sometimes makes patients who have become resistant to hormone therapy sensitive again. You might talk to your onc. about...

Oncology (General Cancer): Burning, cayenne pepper, frequent urination
cayenne pepper, frequent urination, expert profile: Without an examination I can not tell you. Let a doctor check you! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH There is no limit to the number of questions there. Please note: NEW SITE! ...

Oncology (General Cancer): Cancer and Communicability, oncology nurses, stage cancer
oncology nurses, stage cancer, breast cancer: We have no evidence that cancer is contagious. Follow your instincts. They did a study once looking at the risk of cancer in oncology nurses compared with those who didn t deal with cancer patients. There was no difference in risk. So don t worry about...

Oncology (General Cancer): Cancer fear..., history of skin cancer, italian dishes
history of skin cancer, italian dishes, throat cancer: From what you are telling me, I don t think you have cancer. We get little bumps in our mouths because of trauma (accidentally biting tongue, etc) and these usually go away. Lymph nodes in the neck the size you are describing are almost certainly not cancer,...

Oncology (General Cancer): Concerns, abnormal pap test, history of breast cancer
abnormal pap test, history of breast cancer, diverticuli: I don t know what you have, but you ve got something serious. If you have extreme weight gain and your abdomen protrudes, and there is swelling in the legs, and you can still go to gym and hike, you almost certainly have fluid in your abdomen, or possibly...

Oncology (General Cancer): cronic pain to radiation to the neck, lymph node, expert profile
lymph node, expert profile, uncommon problem: This is not an uncommon problem after surgery and radiation in that area. But its treatment is outside my area of expertise here. You should consult a pain specialist. You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH...

Oncology (General Cancer): heavy menstruation, full blood test, white cells
full blood test, white cells, vitamins and minerals: At your age and with your history as well as the physical findings, I don t think you have cancer. However, what is going on isn t normal, and you might need a gynecologic consultation. I can think of a lot of things that might be giving you these symptoms,...

Oncology (General Cancer): IBS?, pain in the lower abdomen, ca 125 blood test
pain in the lower abdomen, ca 125 blood test, irritable bowel syndrome: If you ve had TVU s and they have been negative and if you ve had these symptoms since 2010, you don t have ovarian cancer, which would have really shown up by now. Your symptoms are compatible with IBS, but there are women who have suprapubic discomfort...

Oncology (General Cancer): Liver Cancer, loss of appitite, chronic pneumonia
loss of appitite, chronic pneumonia, coughing up blood: Coughing up blood is always a bad sign. It may be recurrent cancer, new cancer, tuberculosis, a fungal infection in the lungs, or just chronic pneumonia. I don t think the liver cancer 8-10 years ago has anything to do with her current situation, but she...

Oncology (General Cancer): Lymph Nodes, horrible headache, abcess
horrible headache, abcess, loose skin: I don t know what the problem is, but it is a problem, probably not cancer. Your symptoms are consistent with a local infectious process that amoxicillin may not have touched. There are some unusual malignancies that could act like this but the fact that...

Oncology (General Cancer): nausea and other GI issues..., elevated liver enzymes, upper gi series
elevated liver enzymes, upper gi series, stomach scope: If you have marked reflux, and you ve put on a lot of weight during your pregnancy, I would wonder if that s the main problem. Surely the symptoms you are describing are consistent with severe acid reflux, and many with this problem don t have heartburn...

Oncology (General Cancer): PLATELET COUNT, rdw count, spleen
rdw count, spleen, anemia: If you were my patient I d probably have it repeated in a few months. It is slightly elevated, but if everything else was normal I would probably not worry at the moment. The RDW has to do with variation in red cell size, and may be seen (besides in normal...

Oncology (General Cancer): Raised mole, reddish tint, uniform colour
reddish tint, uniform colour, medium brown: If it keeps getting larger, then yes, you should see your doctor. There are a lot of things it could be, but it s better to be safe than sorry. Moles that change should be investigated. At your age it s probably not malignant, but don t take chances. Measure...

Oncology (General Cancer): Recurrent symptoms, sessile polyps, grade dysplasia
sessile polyps, grade dysplasia, internal hemorrhoids: The passage of blood tinged mucus for ten years or more suggests to me that you might have low grade ileitis or colitis, and your doctors have been diverted by the presence of the fissure. Fissures can be associated with blood, but usually large amounts of...

Oncology (General Cancer): Risk?, worst case scenario, foot fractures
worst case scenario, foot fractures, smoke cigarettes: Since I (like you) do not know what kind of examinations you have had or how many my evaluation must be somewhat uncertain. But I do not think you should worry. If I were you however I would not like to visit smokers! But the choice is yours of course! ...

Oncology (General Cancer): Risks?, worst case scenario, foot fractures
worst case scenario, foot fractures, natural mechanisms: Bottom line, we know that there is a relationship between radiation and cancer; some scientists think that any radiation confers a small risk. That being said, should you worry? Only to the extent that you do what is possible and reasonable to minimize risk....

Oncology (General Cancer): Sarcomatoid Carcinoma, type of cancer, left lung
type of cancer, left lung, reoccurrence: 1. It s been tried. In the fifties and sixties it was common to remove all the nodes from the mediastinum in lung cancer surgery. It didn t impact on mortality, since almost always the cancer metastasizes outside the chest through the blood stream. Nodes...

Oncology (General Cancer): scan timeframe, chest xrays, long term health
chest xrays, long term health, stage cancer: I tend to side with your surgeon, but your oncologist is right, the guidelines for an asymptomatic stage III patient would fit. Here s the thing. If your disease comes back, it will most likely be incurable. It doesn t help if that is detected early or...

Oncology (General Cancer): Schwannoma, expert profile, shoulder area
expert profile, shoulder area, mri scans: That one schwannoma has happened slightly increases your risk of one or several more. But that risk increase is slight and the risk of a schwannoma is small to begin with. So if I happened to be in your shoes I would not be worried. Lipomas and melanomas are...

Oncology (General Cancer): testical lumps, testical lumps, anythink
testical lumps, anythink, epididymis: Sorry for the delay in answering... Anyway, these lumps are not actually on the testicle. The top and bottom of the testicle are actually part of the epididymis. They store sperm and are prone to get cysts from time to time, but they do not really get cancer....

Oncology (General Cancer): Actinic cheilitis, lip cancer, cancer screenings
lip cancer, cancer screenings, oral cancer: I think the picture is not quite good enough to be sure, but what I am seeing isn t normal. Usually when someone has this, the best thing to do is to keep watching it closely, because if cancer does emerge, and it isn t always the case, it can be treated...

Oncology (General Cancer): Breast Cancer Mets to Brain, radiation oncologist, brain mri
radiation oncologist, brain mri, lymph node involvement: cyberknife therapy involves giving a very focused dose of radiation to a tumor; in this way a much higher dose can be given, with less damage to the surrounding tissue. This is especially good for brain lesions. The problem with diseases like breast cancer...

Oncology (General Cancer): cancer- MPV value and symptoms, upper abdomen pain, bone marrow cancer
upper abdomen pain, bone marrow cancer, alkaline phos: Although I can think of other things that can cause your symptoms, I would certainly want to rule out the possibility that you have breast cancer. This might entail to start with a biopsy of the node you feel, and/or a bone scan. The marker is not a reliable...

Oncology (General Cancer): cancer for smoking, cancer bladder, bladder cancer
cancer bladder, bladder cancer, farook: Once you stop smoking, it takes about ten years before your risk of lung cancer gets back towards normal (although it will always be higher than the risk of a non-smoker). Continuing to smoke even a few cigarettes a day slows down this recovery process. ...

Oncology (General Cancer): Dark spots, trauma injury, perfect rectangle
trauma injury, perfect rectangle, toe nail: Although highly unlikely, a dark spot under the nail that is getting larger, and not related to trauma (injury) needs to be seen by a good dermatologist, since melanoma is a possiblity. There are lots of other things, however, including trauma he didn t notice,...

Oncology (General Cancer): elevated b12 levels area of concern?, cancer question, blood cancers
cancer question, blood cancers, blood cancer: Generally you look at some measure of the total numbers of red cells, white cells, and platelets; you would want to know the percentages of different kinds of white cells; and you would want to know the predominant size and shape of red cells, together with...

Oncology (General Cancer): secondry breast cancer
Oncology (General Cancer): secondry breast cancer

Oncology (General Cancer): Fear of leukemia, anti oxidants, aerobic exercise
anti oxidants, aerobic exercise, tobacco smoke: I m not sure you ve actually asked a question. However, if I had to have cancer, I would probably go for leukemia, rather than pancreatic or lung cancer, since leukemia is often curable, and usually can be controlled for a while, depending on what kind. ...

Oncology (General Cancer): Hard Inguinal Lymph Nodes, inguinal lymph nodes, genitourinary tract
inguinal lymph nodes, genitourinary tract, hypochondria: You are describing a common problem. Hard enlarged non-tender nodes in the groin are found in many individuals. We aren t sure why they pop up but when biopsied seem to be granulomatous. Some people speculate that they are a reaction to fungal elements in...

Oncology (General Cancer): Histio Cytosis to my 3 Year old Son., e mail address, cytosis
e mail address, cytosis, immune cells: More recently researchers have found evidence that it is actually an autoimmune phenomenon, in which immune cells mistakenly attack the body, rather than fight infections. Extra immune cells may form tumors, which can affect various parts of the body including...

Oncology (General Cancer): Lab results showing high ferritin, low serum iron and low saturation., iron deficiency anemia, high ferritin levels
iron deficiency anemia, high ferritin levels, absolute lymphocytes: I have to admit that the whole picture you paint is a mystery. Especially if your basic blood picture seems more or less normal. I can only recommend that you let a hematologist do a thorough investigation of your case from the very beginning including bone...

Oncology (General Cancer): lump on neck, lump on neck, expert profile
lump on neck, expert profile, bottom side: Probably some sort of infection. LET A DOCTOR CHECK YOU SOONEST & STOP SMOKING!!!!! Good luck! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH There is no limit to the number of questions there....

Oncology (General Cancer): Lung cancer, cell lung cancer, small cell lung cancer
cell lung cancer, small cell lung cancer, non small cell lung cancer: She has about a 50% chance of being around for 18 months. The combination works very well, and isn t too hard to take. However, not everyone responds to it, and some who do respond do so only for a short period of time. If the cancer is in the omentum and/or...

Oncology (General Cancer): Mural Uterine Leiomyoma, leiomyoma, leiomyomas
leiomyoma, leiomyomas, test findings: These are quite normal, and many women have small leiomyomas, which are easy to tell by ultrasound or CT scan from more serious problems. Given how common they are, most of the time we don t biopsy them; however, another ultrasound in six months or so to...

Oncology (General Cancer): Persistent leukocytosis, chronic blood loss, bone marrow examination
chronic blood loss, bone marrow examination, symptoms of autoimmune disease: Although your blood tests tend to be slightly abnormal, the rising platelet count is a little concerning. However, most of the time such elevations are due to external disturbances to the bone marrow, rather than leukemia or myelodysplasia. There is a disorder...

Oncology (General Cancer): possible Desmoid tumor, post nasal drip, desmoid tumor
post nasal drip, desmoid tumor, needle biopsy: I do not understand that too! Well I did not mean a gastroscopy. I meant an endoscopy of your abdominal cavity. Growth rates can be quite different in different cases. If your doctor can palpate this lump maybe a needle biopsy may be possible guided by touch....

Oncology (General Cancer): recurrence of cyst in breast, cyst in breast, vaginal hysterectomy
cyst in breast, vaginal hysterectomy, expert profile: Every woman above a certain age level should undergo mammography check ups regularly every year. Pain or no pain is not significant here. Cysts are not dangerous in themselves. There is no reason to remove obvious cysts. Also there is no reason to believe...

Oncology (General Cancer): is it right that smoking 4 cigarettes a day will not cause cancer?, glenfield hospital, michael peake
glenfield hospital, michael peake, nitrogen oxides: Hi, There s a direct link between how much you smoke over your lifetime and your risk, says Dr Michael Peake, consultant and senior lecturer in respiratory medicine at the Glenfield Hospital, national clinical lead for NHS Cancer Improvement, and clinical...

Oncology (General Cancer): secondry breast cancer, recurrent breast cancer, reconstruction surgery
recurrent breast cancer, reconstruction surgery, recurrent cancer: It sounds to me like two things need to be investigated -- why your left arm is getting more swollen (most of the time lymphedema gets better if there is nothing else going on) and what the persistent problem is in your right lung. Both might be related to...

Oncology (General Cancer): slightly elevated white blood count, bone marrow biopsy, high platelet
bone marrow biopsy, high platelet, white blood count: If you have a high white blood cell count and platelet count and all those symptoms, you may need to see a rheumatologist because this is all compatible with a disorder of bone/joint tissue. (We used to call them collagen vascular diseases). If your white...

Oncology (General Cancer): Is less smoking harmful, expert profile, cancer risk
expert profile, cancer risk, heart risks: Of course the risk increases with how much you smoke, so obviously 4 cigarettes/day is less risky than 20 cigarettes/day. But in your case I also have to consider how long you have smoked. You have been smoking for 15 years ever since you were 16 years of...

Oncology (General Cancer): tumor tests, prostate cancer treatment, colon cancer
prostate cancer treatment, colon cancer, expert profile: I do not recommend to use tumour markers in this way (except maybe with regards to PSA for prostate cancer) - for primary diagnosis - as they are far too uncertain! But since you have already done so I have to comment. In your shoes the levels of CEA & CA...

Oncology (General Cancer): Abnormal blood tests, rdw cv, severe constipation
rdw cv, severe constipation, ovarian cysts: The information provided does not permit any sure conclusions (not enough for that). However it is certainly enough to warrant more extensive examinations - preferably by a hematologist. None of these results in any way points in the direction of a cancer...

Oncology (General Cancer): bladder cancer that has moved to the lungs and Kidney,(recently removed), bladder cancer, tumor tissue
bladder cancer, tumor tissue, line responses: Necrosis simply refers to the appearance of some tumors that are dying. If the central part of a tumor dies, the tumor tissue becomes liquid, and that gives the appearance we call necrosis . As for the issue of chemotherapy, bladder cancer usually responds...

Oncology (General Cancer): chemo power port pain, expert profile, bleedings
expert profile, bleedings, thrombosis: There are a number of possible complications including infections, thrombosis and bleedings. How long they last is very different from case to case. I do suggest that you lrt your doctors check it SOONEST! Good luck! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH...

Oncology (General Cancer): gynecomastia?, dense breast tissue, risk factors for breast cancer
dense breast tissue, risk factors for breast cancer, rnp antibodies: Gynecomastia is a probable diagnosis. To check the dense tissues in your left breast I thinkk an MRI breast scan should be done there (better than an ultrasound breast scan). A biopsy is only needed if any real abnormality shows up in your scan. Thanks! Good...

Oncology (General Cancer): lump in buttock, soft tissues, lymph node
soft tissues, lymph node, minor surgery: If it is painful and subsides during the day, I would suspect you have a cyst. They are easily treated but can recur. You are right that this doesn t sound cancerous; it sounds like it is in the soft tissues where cancers rarely originate. the usual treatment...

Oncology (General Cancer): Metastatic Malignant Melanoma, metastatic malignant melanoma, brain radiation
metastatic malignant melanoma, brain radiation, cyber knife: Whole brain irradiation may buy a little time, but cannot cure him. Often, with melanoma the amount of radiation that the brain can tolerate is not enough to really kill the tumors. That being said, unless he is very elderly, I d consider having the radiation....

Oncology (General Cancer): Pancreatic Cancer, radiation program, liver involvement
radiation program, liver involvement, pancreatic tumor: If you ve not had removal of the pancreatic tumor by surgery, there isn t any realistic chance of cure. Chem and radiation together are generally used when the disease cannot be operated on but is still in one place. We do know that this extends survival....

Oncology (General Cancer): Related to thyroid? Carotid? Lymph node?, fine needle biopsy, antibiotics for bronchitis
fine needle biopsy, antibiotics for bronchitis, lump on left side of neck: He really needs to have some sort of imaging of his chest -- my preference would be a CT scan. He also needs a careful oral examination, and if the mass is a mass and not a carotid aneurism, a fine needle biopsy of that. In an ex-smoker with the symptoms...

Oncology (General Cancer): Spindle Cell / Meningeal Sarcoma of Brain, spindle cell sarcoma, brain stem tumor
spindle cell sarcoma, brain stem tumor, proton beam therapy: I m sorry for what you are going through. First, the words meningeal sarcoma tell me he has a sarcoma (a kind of tumor) growing on the meninges of the brain. (Meninges refers to the lining of the brain). Temporal spindle cell sarcoma tells me that the...

Oncology (General Cancer): Swollen glad, reactive lymph node, post nasal drip
reactive lymph node, post nasal drip, saliva gland: It could be an enlarged node, filled with scar tissue after a chronic infection, which is what it sounds like. Or it could be an impacted salivary gland, in which case I would expect it to hurt. In any event if it isn t enlarging, I don t think you have...

Oncology (General Cancer): Taking of Combined Oral Contraceptive Pills, oral contraceptive pills, cancer hope
oral contraceptive pills, cancer hope, regular periods: This is not my area of expertise. However, in general the combined pill is safe, safer than many over the counter drugs. I couldn t answer A at all. In general I think you could take these indefinitely, but I don t know what a gynecologist might answer....

Oncology (General Cancer): Appendix Cancer Questions, stage 3 cancer, visceral peritoneum
stage 3 cancer, visceral peritoneum, colon cancers: I don t know how old you are or your other problems. You did seem to have a rather advanced stage of this very rare disorder. The metastatic potential of goblet cell cancers is about the same as adenocarcinomas, and yours was aggressive, given the invasion...

Oncology (General Cancer): appendix cancer, stage 3 cancer, visceral peritoneum
stage 3 cancer, visceral peritoneum, cancer community: Was your cancer a so called carcinoid? If so you did not receive any chemotherapy because such cancers are rather insensitive to that treatment (& radiation therapy). That is probably also why such extensive surgery was used. I do hope it will work. ...

Oncology (General Cancer): Bile Duct Cancer, bile duct cancer, hmo health insurance
bile duct cancer, hmo health insurance, city hospitals: The only possible cure of this cancer is surgery. She needs to find a good hepatobiliary surgeon and I would suggest a University hospital. Many universities have training programs in city hospitals, so you might find that she would get great care in one...

Oncology (General Cancer): blood in stools, blood in stools, expert profile
blood in stools, expert profile, colonoscopy: Yes your colonoscopy result and your age make a cancer most unlikely. Your doctor is probably right. I see no cause for concern! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH There is no...

Oncology (General Cancer): Bone Marrow/Radiation, bone marrow biopsy, cartilage growth
bone marrow biopsy, cartilage growth, lifetime dose: Not necessarily. But as I have myself not seen this bone marrow of yours I have no comment to add. The probably best way to settle the matter is that you ask a doctor (preferably a hematologist) to perform a bone marrow biopsy on you. That way you will have...

Oncology (General Cancer): Do i have cancer of pancreas, pain under left rib cage, cancer of pancreas
pain under left rib cage, cancer of pancreas, pain in left side under rib cage: Without an examination my answer must be rather uncertain. But the symptoms you describe do not - in my opinion - support the diagnosis of pancreas cancer. Since a CT scan of that area has not shown any signs of such a lesion either we have no signs at all...

Oncology (General Cancer): chemotherapy, leukemia, statistical probability, exact evaluation
statistical probability, exact evaluation, expert profile: There is a definite risk that it can develop after this kind of chemotherapy and radiation therapy though the risk is still rather small (without knowing more details it is impossible to make a more exact evaluation). A spontaneous development of leukemia...

Oncology (General Cancer): Fear of liver cancer!, liver cancer, cancer colon
liver cancer, cancer colon, cancer breast: I don t actually see a question here. It is increasing in this country, but primarily because of the increase in hepatitis C, and secondarily, perhaps, because of alcohol abuse. So avoiding these would be a way to lower your risk. Liver cancer is much less...

Oncology (General Cancer): genetics of bad lusk, nam vet, viet nam
nam vet, viet nam, expert profile: In the case of breast cancer it is possible, even probable, that genetics plays a role though bad luck can not be excluded completely. A combination is quite possible too. Also with regards to lung cancer bad luck is possible, even probable, but again genetics...

Oncology (General Cancer): lump above armpit, sebacious cyst, breast cancer
sebacious cyst, breast cancer, gynecologist: My suspicion is that you are talking about a lipoma. Other possibilities in that part of your body might include a small node under the skin, or a sebacious cyst. I strongly doubt it is cancer. I might suggest hot packs for a few days and if it doesn t...

Oncology (General Cancer): Malignant melanoma of the lumps, malignant melanomas, malignant melanoma
malignant melanomas, malignant melanoma, liver surgery: Unfortunately malignant melanomas are usually not very sensitive to chemotherapy or radiation therapy. And I m sorry to have to tell you that surgery is not much of an option in a case like this. You are correct, surgery remains the main option of treatment...

Oncology (General Cancer): night sweats, upper torso, expert profile
upper torso, expert profile, sweaty face: It is impossible to tell you what this is based on just one symptom especially from afar. But let your doctor check you. You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH There is no limit to the...

Oncology (General Cancer): NSE tumor marker, tumor marker, neuroendocrine tumor
tumor marker, neuroendocrine tumor, thymic mass: The only way to answer your questions about what this tumor is all about is surgery. The tissue can then be studied by a pathologist and yes, he/she will be able to tell whether it is malignant or not. Special stains will be done, and markers will be studied,...

Oncology (General Cancer): Ongoing Gross Hematuria, bladder tumor, coke habit
bladder tumor, coke habit, fever chills: He could be passing stones. Some people are stone-formers and with his coke habit that might be helping a bit. The other thing that comes to mind is a bladder tumor. Sometimes that can give intermittent bleeding, pain in the testicles, etc. Less common...

Oncology (General Cancer): peri-menopause , ovarian cyst etc..., transvaginal sonogram, irritable bowel syndrome
transvaginal sonogram, irritable bowel syndrome, abdominal bloating: A really complex cyst would be more suspected of being cancerous (a lesion with many cysts). It means that your endometrium is thin (a thick one would be more suspected of being cancerous) and difficult to see. The rest you have to discuss with your gynecologist...

Oncology (General Cancer): Stage IV Melanoma, malignant melanomas, chemotherapy treatment
malignant melanomas, chemotherapy treatment, expert profile: If this information is correct and her melanoma has spread like this her tumor is by now indeed a stage 4 malignancy. That is at present incurable. Since malignant melanomas usually are not very sensitive to radiation therapy or chemotherapy treatment options...

Oncology (General Cancer): Albumin Globulin Ratio, albumin globulin ratio, cbc blood test
albumin globulin ratio, cbc blood test, expert profile: Probably not - at least not alarmed. But check it as a follow up. Good luck! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH There is no limit to the number of questions there. Please note: NEW...

Oncology (General Cancer): Albumin Globulin Ratio, albumin globulin ratio, cbc blood test
albumin globulin ratio, cbc blood test, globulin levels: Usually this doesn t mean anything if you are in otherwise good health. About the only disease that can cause a lowering of the AG ratio with normal values is liver dysfunction. However, if your other tests were normal, I wouldn t worry. If you tend to...

Oncology (General Cancer): Anal Cancer, digital rectal exam, colon cancer
digital rectal exam, colon cancer, colonoscopy: Anal tumors can be detected by close examination by your doctor. They do not require follow-up with colonoscopy. The risks for anal cancer differ from the risks for rectal and colon cancer, so you aren t at a higher risk for a cancer higher up in your intestinal...

Oncology (General Cancer): Biopsy of cyst., subaceous cyst, lung apices
subaceous cyst, lung apices, general malaise: In general, if the cyst is incised and purulent material (pus) comes out and it collapses, you probably don t need to worry. I would hope that the pus be cultured. If on the other hand the incision does not result in loss of pus and collapse of the cyst...

Oncology (General Cancer): bone cancer ?, bone cancer symptoms, left arm pain
bone cancer symptoms, left arm pain, upper left arm pain: An MRI is a good idea, and possibly a plain xray of the area of pain in your arm. Odds are very good that you don t have cancer. Given your fever, chills, and night sweats, I d want to go through a CT scan of the chest, a very good physical exam, and a complete...

Oncology (General Cancer): Brain Stem Glioma, brain stem, expert profile
brain stem, expert profile, chemo: Unfortunately her tumor may be back and yes it may be more aggressive. But we do not know yet. You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH There is no limit to the number of questions there....

Oncology (General Cancer): Breast Cancer, invasive ductal carcinoma, liver metastases
invasive ductal carcinoma, liver metastases, cancer question: There are some types of breast cancer where the regimen you mentioned is appropriate. This would be dependent on the histology. That being said, I wouldn t be against this regimen in your case; it isn t one I would use except in certain subclasses of BC...

Oncology (General Cancer): Breast cancer and MACA Root, oil of evening primrose, history of breast cancer
oil of evening primrose, history of breast cancer, bilateral mastectomy: Maca root, like many herbal preparations, probably helps by providing the patient with phytoestrogens which come from plants. We have no evidence that they make any difference in survival from breast cancer. Other things that have been helpful include...

Oncology (General Cancer): do i have cancer of the eyelid?, inclusion cyst, eye cancer
inclusion cyst, eye cancer, eye specialist: I don t think yhou have eye cancer. It sounds like you might have an inclusion cyst or something along those lines. Sometimes they need to be incised and drained. That s probably why your doctor wanted you to see an eye specialist, who does that sort of...

Oncology (General Cancer): Cancer Question, cancer question, cancer doctor
cancer question, cancer doctor, anesthesiologist: Yes. An anesthesiologist can decide to recommend against an operation if he/she believes it isn t in the best interest of the patient. He/she can also refuse to provide anesthesia, even if the surgeon wants to go ahead. That leaves the surgeon with the...

Oncology (General Cancer): Experiments, leukemia cases, expert profile
leukemia cases, expert profile, bone marrow: It is not that easy to cause leukemia. Even agents known to be able to do it like radiation or chemicals only do it in a small fraction of those exposed and it does not happen at once. It takes time even a lot of time. But if you have a lot of mice you can...

Oncology (General Cancer): Gastric Cancer, advanced gastric cancer, pleural cavity
advanced gastric cancer, pleural cavity, stem cell therapy: Hi, A cancer limited to stomach has a very high chance of cure. However there is still a good chance of cure with pleural cavity spread. Antiangiogenic medicines and Immunotherapy can be started immediately for your brother. The medicines are mainly orally...

Oncology (General Cancer): Granddad, persistent headaches, impending loss
persistent headaches, impending loss, swelling in the brain: If he s on steroids, has liver and brain involvement, and has gone this far with previous radiation, I would guess that he will not be around in a month. Steroids can reduce swelling in the brain for about two or three weeks, then progression of the tumor...

Oncology (General Cancer): Headache and neck pain following alcohol cessation, alcohol cessation, headache and neck pain
alcohol cessation, headache and neck pain, expert profile: I m not sure. It may very well be just an effect of her drinking. But it should be investigated - preferably by a specialist of internal medicine. If she wants to be checked for this however is probably doubtful. Alcoholics are usually not very cooperative...

Oncology (General Cancer): Heterogeneous liver, liver enzyme elevations, metabolic bone disease
liver enzyme elevations, metabolic bone disease, hepatitis b vaccine: I can not rule out overreading but if you have hyperlipidemia & hypercholesterolemia then that should by itself be enough possible cause for this finding. However to be sure a liver biopsy is necessary and somehow I feel that that is going too far to clarify...

Oncology (General Cancer): Lung Cancer, fine needle biopsy, cancer question
fine needle biopsy, cancer question, signs of cancer: A strategy of treatment would require that you know about all the areas that are suspicious for cancer. It would be malpractice, for example, to remove the lung nodule and then later discover that the cancer in the face is inoperable. And vice versa. So...

Oncology (General Cancer): Lung nodule, lung nodule, lung surgery
lung nodule, lung surgery, calcifications: My response to a finding like this would be to repeat the CT scan in three months, and if there was no change, in one year. You are right to be concerned about calcifications, but there are many other conditions where this can occur. At 3 mm, it would be...

Oncology (General Cancer): Lymph Nodes, slow drainage, chronic inflammation
slow drainage, chronic inflammation, hello doctor: Nodes can only be diagnosed by biopsy. The other studies really don t give certainty. I don t think the pressure is related to the nodes. Usually eustacian tube pressure is from slow drainage of the tube, due, for example, to chronic inflammation. Hope...

Oncology (General Cancer): Malignant histyocytoma, survival rate, curative treatment
survival rate, curative treatment, older adults: The burns from the radiation will heal in a couple of weeks. The disease is not a good one, and probably radiation will only buy time. Curative treatment is possible with surgery but it sounds like your doctors felt that surgery was out. Most of the time,...

Oncology (General Cancer): about parotid cancer, mucoepidermoid carcinoma, facial nerve
mucoepidermoid carcinoma, facial nerve, expert profile: At least radiation therapy is NECESSARY! Without having all your reports available I can not tell you if that is enough or if your best option is more surgery. You should discuss this seriously with your doctor! Good luck! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH...

Oncology (General Cancer): about parotid cancer, salivary gland tumors, mucoepidermoid carcinoma
salivary gland tumors, mucoepidermoid carcinoma, biopsy report: Piece meal excision is commonly done around delicate structures like nerves. Most tumors don t spill but some (like ovarian cancer) do. With a low-grade tumor the likelihood that spilled cells will give rise to new tumors is low, especially with radiation...

Oncology (General Cancer): A pea size solid beneath right testicle attached to the spermatic tube, dull ache, palpable mass
dull ache, palpable mass, pea size: I think the doctor was wrong in calling it an infection. I think it is far more likely to be a simple cyst than an Infection. Either way, it is not testicular cancer!! If the doctor gave you antibiotics, then take them. If not, I wouldn t worry too much...

Oncology (General Cancer): Please helpout with my dad rare cancer, tufts university school of medicine, tufts university school
tufts university school of medicine, tufts university school, michael goodman: This is a very bad cancer, but there are some people doing some investigational work. There are a few centers in the United States where they do peritoneal surface therapy . This involves very detailed surgery to remove most of the disease, then treating...

Oncology (General Cancer): Results of pelvic/abdomen scan, stomach discomfort, hypodensity
stomach discomfort, hypodensity, uncinate process: The process in the pancreas is probably not the reason for your symptoms. (that doesn t mean you shouldn t be concerned). with weakness, flushing, high blood pressure, and right front stomach discomfort I am concerned about carcinoid or pheochromocytoma...

Oncology (General Cancer): Sarcoma, survival rate, malignancy
survival rate, malignancy, different kinds: Unfortunately, I can t answer your question. There are many different kinds of sarcoma, each of which has a different degree of malignancy. The stage of the sarcoma is important as well. If it can be completely removed by surgery, chances of survival are...

Oncology (General Cancer): Skin Cancer, weird shape, expert profile
weird shape, expert profile, skin doctor: I can not guarantee that it is not cancer. And based only on your description I can not evaluate what you have with any certainty. So I do strongly suggest that you let a doctor - preferably a dermatologist (skin doctor) - check your lesions soonest! Good...

Oncology (General Cancer): Spindle cell Sarcoma, spindle cell sarcoma, lung metastasis
spindle cell sarcoma, lung metastasis, biopsy report: I am not surprised by the involvement of the lung and kidney area. This would rule out attempts at surgery, and I woudn t be eager to radiate either. You are at a point where the disease can t be cured. All you can do is try different drugs and see if one...

Oncology (General Cancer): Treatment for pleural effusion, cell lung cancer, continuous drainage
cell lung cancer, continuous drainage, drainage treatment: If the only problem is a pleural effusion, and it can be managed successfully, sometimes people can go for a year or so; but in his case, I think four to six months is about right. There are procedures which can often stop the necessity of repeated drainage;...

Oncology (General Cancer): Tumor marker CA 19-9 and PSA, cancer of pancreas, pancreas cancer
cancer of pancreas, pancreas cancer, needle biopsies: Dear Alicia, I do understand your concern for your father and why you have done this for him. BUT these tumor markers are quite uncertain so (with the possible exception of PSA, after all my own prostate cancer was found that way but my PSA was then 8.8!)...

Oncology (General Cancer): i.b.c, lump under nipple, biopsey
lump under nipple, biopsey, signs of cancer: If an abcess was surgically removed there MUST have been an infection/inflammation going on there. That would explain all your signs & symptoms too. If your surgery pathology report does not show any signs of cancer there is NO reason to suspect any! Your...

Oncology (General Cancer): Biopsy and Hysteroscopy, thick uterine lining, proliferative endometrium
thick uterine lining, proliferative endometrium, expert profile: Yes it does! Good luck! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH There is no limit to the number of questions there. Please note: NEW SITE! Donations are also always welcome! No amount...

Oncology (General Cancer): Cancer and weight loss, transvaginal ultrasounds, cancer fears
transvaginal ultrasounds, cancer fears, cancer mortality: You are right to lose weight. Being obese, in fact, increases your risk for certain cancers. And you are right, some kinds of tests can be hard to interpret when you are massively overweight, or even hard to do (CT scans, MRI s) but mammograms and transvaginal...

Oncology (General Cancer): carotid body tumor, ear lobes, sensory nerves
ear lobes, sensory nerves, facial nerve: The location of the tumor suggests that it involves a branch of the facial nerve going to the ear lobe. That would hardly be noticeable to your daughter, since the ear lobes have a low density of sensory nerves anyway; that s why people can get away with...

Oncology (General Cancer): cervical cancer, poor immune system, stage of cervical cancer
poor immune system, stage of cervical cancer, hiv test: You ARE very protective. I do not think I would have appreciated this amount of protection when I was 29 (38 years ago). I can not say if she has HIV or not though the risk is probably not big. It is far more likely that her flu infection was made more easy...

Oncology (General Cancer): CT scan, lung abnormality, chronic lung disease
lung abnormality, chronic lung disease, allergy season: The recommendations for a small lung abnormality are that it should be measured every six months for two years, and if it is stable, one shouldn t worry. If you have a very low risk for lung cancer (non smoker, relatively young, etc) a year may be sufficient....

Oncology (General Cancer): What to expect..., liver metastases, median life expectancy
liver metastases, median life expectancy, liver resection: Well, based on the material you quote here we can conclude that 0% of one group of patients with an untreated liver lesion survived 5 years (I have NO quarrel with that result) while 28% with a resected liver did survive 5 years - which also means that 72%...

Oncology (General Cancer): Health, nodules in the lungs, sarcoma center
nodules in the lungs, sarcoma center, conventional therapy: I don t know where you live in the united states. Having synovial sarcoma metastatic to the lungs is not good at all, and chemotherapy (standard treatment) is not likely to cure you. However, it can buy time, and there is a lot of research going on right...

Oncology (General Cancer): hpv, anal cancer, mouth cancer
anal cancer, mouth cancer, cancer in women: Yes it is possible - even probable - that he has HPV. It is therefore possible that he is a carrier and may infect other women in the future. But as I wrote in my previous reply he may have had HPV already before he met this young lady since the virus is rather...

Oncology (General Cancer): HPV and cancer, hpv virus, cancer question
hpv virus, cancer question, other sexually transmitted diseases: If your son has no contraindications, he can be vaccinated. He should remember, though, that there are other sexually transmitted diseases that HPV vaccine won t help. HPV vaccine is not even perfect against HPV, as there are several strains of the virus,...

Oncology (General Cancer): HPV and cancer, hpv vaccines, hpv virus
hpv vaccines, hpv virus, cervix cancer: HPV virus is rather common. So it is probable that your son had been exposed to this virus even before he met this young lady. There is - as far as it is known - no connection between this virus and cardiovascular disease. Yes there is a connection between...

Oncology (General Cancer): lung cancer, hospice nurse, fluid in the abdomen
hospice nurse, fluid in the abdomen, terminal cancer: I guess it s too late for stopping smoking to be of any benefit. If her stomach is distended, she may be collecting fluid in the abdomen, which in turn might mean that she has disease in the liver, or on the surfaces of the abdomen inside. Spots of blood...

Oncology (General Cancer): mass/lump on outer R thigh, mri scan, expert profile
mri scan, expert profile, lipoma: Since the MRI scan was normal it most probably is nothing dangerous. But if you want to be sure you can ask the surgeon to do a biopsy or even remove it completely and to send it all to the pathologist for examination. Good luck! You can also reach me...

Oncology (General Cancer): about parotid cancer, mucoepidermoid carcinoma, facial nerve
mucoepidermoid carcinoma, facial nerve, radiation therapy: If this indeed was a low grade and low stage tumour its prognosis should be rather good. But as usual no one can guarantee that. Perineural invasion is anyway at least not a good sign. And since there is no pathology available from the deep parts of your parotid...

Oncology (General Cancer): Possible stage 4 cancer, stage 4 cancer, pulmonary nodules
stage 4 cancer, pulmonary nodules, subcutaneous nodules: Yes these findings seem to indicate that indeed he is unfortunately suffering from a widely spread malignancy (a stage IV cancer). As an educated guess I would say that it is the described pelvic mass which is his primary tumour (prostate?, colon?). A simple...

Oncology (General Cancer): Primary myelofibrosis progression, genetic abnormality, myelofibrosis
genetic abnormality, myelofibrosis, hematologist: If she has myelofibrosis, there are some treatments available. If she is transfusion dependent to the extent you describe, and if she is in otherwise reasonable health for her age, I would certainly be interested in offering her some treatment. There is...

Oncology (General Cancer): Question about prognosis, pathology results, cancer cells
pathology results, cancer cells, lymph node: The truth is that with Stage IIIa disease, the prognosis with surgery alone is about 40 - 60% cure rate, depending on what you read. Obviously, you had a good stage III with only one node; You could have had a bad stage III with seven or eight nodes....

Oncology (General Cancer): radiation, hiroshima atom bomb, cancer incidence
hiroshima atom bomb, cancer incidence, cause cancer: There is a low level of radiation to which we are always exposed -- cosmic rays. that has been going on since mankind appeared on the earth. Since it is always there, it s hard to tell if it causes cancer. However, they did one experiment where they measured...

Oncology (General Cancer): radiation sickness from prostrate cancer treatment, prostrate cancer treatment, radiation sickness
prostrate cancer treatment, radiation sickness, radiation damage: It is always difficult to explain radiation damage. What your father suffers from is NOT radiation sickness or radiation poisoning . What he has - based on your own description - is local radiation damage comparable to a severe local sunburn (also radiation...

Oncology (General Cancer): Re: Pea size lump on knee, stockholm sweden, expert profile
stockholm sweden, expert profile, pea size: To be able to answer you fully I would need to examine it myself which I can not do (I m in Stockholm, Sweden). So I think you should let a doctor check it even though it probably is benign (not malignant) but I can not give any guarantees without any examination!...

Oncology (General Cancer): Slow growing lymphoma, ct scan with contrast, lymph node enlargement
ct scan with contrast, lymph node enlargement, red cells: First, don t worry about the CT scans. While there is a very slight increase in the risk of certain blood diseases with cumulative radiation, probably the risk is lower than that of second hand smoke or barbecued meat or the cosmic rays we get every day....

Oncology (General Cancer): Stage 4 Melanoma, groin lymph node, medical oncologist
groin lymph node, medical oncologist, immunologic approaches: Assuming he is under 70, there are several options I would explore. A very promising new drug called Yervoy (ipilumimab) is an antibody that allows the body s own immune system to switch into high gear. This has been known to bring about complete remissions,...

Oncology (General Cancer): Swollen lymph nodes in the trapezius, swollen lymph nodes, inguinal nodes
swollen lymph nodes, inguinal nodes, swollen nodes: Your surgeon wasn t wrong to advise waiting, but if there has been growth since October, then the next step is a biopsy. You probably have a lymphoma, and with modern therapy these can be managed very successfully. There is no way we can make a diagnosis...

Oncology (General Cancer): Tailbone pain, blood in the stools, running a fever
blood in the stools, running a fever, cancer doctor: I can not examine you since you are in Indiana, USA, while I am in Stockholm, Sweden. And I can not give you a diagnosis based on symptoms alone without any examination. I therefore strongly suggest that you let a local doctor there examine you! Besides I...

Oncology (General Cancer): Test results, polyps in the stomach, fundic gland polyps
polyps in the stomach, fundic gland polyps, kidney cancer: I don t know the details about what kind of kidney cancer you had. In general, getting kidney cancer in one kidney raises the risk for the second to get a new cancer; and there are some types (and some family situations) where the risk is even higher. If...

Oncology (General Cancer): testicular cancer, cancer testicular, spermatocele
cancer testicular, spermatocele, sized lump: I am almost certain that this is a b spermatocele /b . Try looking that term up on the internet and see if the descriptions match what you are feeling. I am also certain that it is not testicular cancer. Testicular cancer forms inside of the testicle, and...

Oncology (General Cancer): Me again, echogenic, vascularity
echogenic, vascularity, sonogram: The tech is right; a one mm difference is within the limits of error, and in an ovary, changes in the size of abnormalities during the monthly cycle are normal. And at 7 mm it s too small to diagnose by any method other than removing the ovary and examining...

Oncology (General Cancer): 3mm nodule on urinary bladder, urinary bladder, nodule
urinary bladder, nodule, transurethral resection: what kind of surgery? If he wants to do a transurethral resection, that would be fine. If he wants to remove your bladder, that s another story. If the nodule is in the inside of the bladder, it should be removed first before deciding on next steps. If...

Oncology (General Cancer): blood clot, ultrasound test, fibrous tissue
ultrasound test, fibrous tissue, blood clot: An ultrasound test might disclose what could be a blood clot. Good radiologists can talk about probabilities. Sometimes you have no symptoms with these clots; other times pain, and possibly even some bleeding. And yes, you can have clots for a long time...

Oncology (General Cancer): Bone Marrow Biopsy Results, bone marrow biopsy, bone marrow biopsy results
bone marrow biopsy, bone marrow biopsy results, chromosome complement: With a high ESR, CRP, and white blood cell count, I would be looking for chronic inflammation, caused by things like tuberculosis, fungal diseases, autoimmune diseases, and cancer. The situtation you describe is compatible with diseases like rheumatoid arthritis,...

Oncology (General Cancer): Bone scan results, pubic ramus, ct scan of the abdomen
pubic ramus, ct scan of the abdomen, kidney cancer: Loosening of prosthetic components is not uncommon after a long period of time. I don t think the findings would automatically suggest cancer. Given the problems with prostheses and CT scans, and the fact that MRI s would not be indicated if the prosthesis...

Oncology (General Cancer): Breast Mass, non hodgkins lymphoma, hodgkin s disease
non hodgkins lymphoma, hodgkin s disease, ultrasound report: Having simultaneous bilateral cancers is not as rare as you might think. The approach should be to treat each as though it were the only cancer. In other words, if you have stage I cancer in one breast and stage II in the other, you are still curable. There...

Oncology (General Cancer): constipation/bloating?, stomach cramps, chronic heartburn
stomach cramps, chronic heartburn, gall bladder: Your symptoms may be due to something like chronic heartburn (which doesn t always feel like heartburn) or your gall bladder may be at fault. At 35 years of age, it probably isn t colon cancer; however, there can be problems in the upper part of the bowel...

Oncology (General Cancer): CT scan showing lung nodule, chest x rays, breast biopsy
chest x rays, breast biopsy, lung nodules: If the marker was actually in the breast, it would not be confused with a lung nodule (that happens with chest x-rays). On the other hand, lung nodules are not uncommon. Generally we measure them and repeat the study in three or four months. (for nodules...

Oncology (General Cancer): diagnosing liver cancer, liver biopsies, liver cancer
liver biopsies, liver cancer, ultrasound test: The risks of liver biopsies - which is what we are discussing here - are very small. All liver biopsies I have done while I worked were done with only local anesthesia and that was enough! On the other hand here in Sweden colonoscopies are usually done without...

Oncology (General Cancer): Drinking cold water after a meal, medical myths, urbanlegends
medical myths, urbanlegends, snopes: I clicked the wrong button before, which prevented me from answering your question. It is true that this is not my field of expertise, but I can tell you that this is a hoax. Numerous sites agree that there is no merit to this warning. Here are a few of...

Oncology (General Cancer): Mass in Knee - Scheduled for Biopsy, intermediate grade, biopsy
Oncology (General Cancer): Mass in Knee - Scheduled for Biopsy, intermediate grade, biopsy, three months

Oncology (General Cancer): head lump, head lump, sized lump
head lump, sized lump, cyst: If it s hard and tender, it probably is a cyst or a bruise, especially if it popped up suddenly. However, I can only guess, and if it doesn t go away soon, see your doctor. And I don t think I can relate this to your headaches. That s probably something...

Oncology (General Cancer): health, needle aspiration biopsy, thyroid lobe
needle aspiration biopsy, thyroid lobe, ultrasound guidance: Should be checked with a needle biopsy - can be done with ultrasound guidance - in order to KNOW what it is! Can be done as a fine/thin needle aspiration biopsy (FNAC). Good luck! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH...

Oncology (General Cancer): High Platelets count, high platelet counts, hypertension medicine
high platelet counts, hypertension medicine, bone marrow examination: High platelet counts need to be worked up. I don t think this is drug related. However, a platelet count of 496000 is not in itself dangerous. If she were my patient I d look for signs of infection or inflammation; I would definitely repeat the count every...

Oncology (General Cancer): Lymphoma?, shotty lymph nodes, lymph node enlargement
shotty lymph nodes, lymph node enlargement, general malaise: First of all, you can make lymph nodes larger by handling them excessively. Second, the only way to diagnose lymph node enlargement for sure is to biopsy it. Third, if you have one painless slightly enlarged node and it isn t changing significantly, it probably...

Oncology (General Cancer): Mantle Cell and globus sensation, mantle cell lymphoma, radiation therapy
mantle cell lymphoma, radiation therapy, cold symptoms: They could be; It s probably time you had a PET scan anyway. The sensation is compatible with enlarged nodes in the chest. Obviously it could be due to a lot of other things as well, including cardiac disease, hyperacidity, esophageal spasm, etc. But there...

Oncology (General Cancer): Mass in Knee - Scheduled for Biopsy, orthopedic oncologists, distal femur
orthopedic oncologists, distal femur, chondroma: There are tumors that grow in the bone (like perosteal chondroma) which aren t really malignant, but if left alone will cause further pain and fracture. There are also sarcomas, which are malignant. You can only be sure by looking at a biopsy. If you have...

Oncology (General Cancer): oral cancer, expert profile, oral cancer
expert profile, oral cancer, dental visit: If the test is a biopsy it may involve needles. So probably to be on the safe side you should call your doctor. You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH There is no limit to the number...

Oncology (General Cancer): Pain in thigh, pubic ramus, ct scan of the abdomen
pubic ramus, ct scan of the abdomen, kidney cancer: Impossible to say at present. It is possible but not certain. As mentioned in your report it has to be correlated with your upcoming CT scan of the area. Please do keep me posted! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH...

Oncology (General Cancer): Query regarding Mantle cell Lymphoma Stage 4, mantle cell lymphoma, lower back ache
mantle cell lymphoma, lower back ache, bone marrow transplant: Anyone and everyone who has had a sepsis will be quite exhausted (my mother had one BEFORE antibiotics in 1941, for some reason she managed to survive otherwise I would not be here, but it took her several months to regain herself and she had no lymphoma on...

Oncology (General Cancer): Am I at risk for Cancer? if so what can I do to prevent?, small intestine bacterial overgrowth, bone density test
small intestine bacterial overgrowth, bone density test, barium swallow: You have had a lot of studies. What is important, though, is how much radiation a particular part of your body received. We know that there is a threshold below which there isn t much change in risk (we all get a little radiation every day from natural...

Oncology (General Cancer): Skin spot, diagnoses?, pencil eraser, fruits and vegetables
pencil eraser, fruits and vegetables, pacific islander: Dear Christopher, Its a pleasure to help you. If the lesion on your skin looks like one of these then you need to see the doctor. http://at-risc.org/cancer.aspx you can avoid cancer by having lots of fruits and vegetables in diet and doing exercise daily....

Oncology (General Cancer): Small brown spot on bottom of foot, irregular margins, ultraviolet radiation
irregular margins, ultraviolet radiation, melanomas: It doesn t look like a problem to me. If it is flat and doesn t change, it s probably all right. Melanomas tend to be slightly raised, and they have irregular margins, and most of all, they grow. sometimes they bleed. Likewise, melanomas tend not to occur...

Oncology (General Cancer): Smoking and cancer, cancer question, stomach cancer
cancer question, stomach cancer, cancer diagnosis: Patient can take immunomodulator medicines which are not expensive to avoid getting cancer again. mail me at medlifeasia@gmail.com for further advice. Also eating fruits and vegetables, walking for 2 Km daily and maintaining low body weight reduce the risk...

Oncology (General Cancer): Spinal Fluid Cancer, brain tumor, cancer cells
brain tumor, cancer cells, spinal fluid cancer: I have just answered your question which has appeared 2 times here. Please see that reply. You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH There is no limit to the number of questions there....

Oncology (General Cancer): TC, high hcg level, normal hcg level
high hcg level, normal hcg level, weasel words: They should have measured your LH and FSH. Did they do that? If you had testicular cancer, and if it had a high HCG level, then it could possibly cause gynecomastia. But it would not really explain the low testosterone. Have you seen an endocrinologist?...

Oncology (General Cancer): Testicular Cancer, testicular cancer, seminoma
testicular cancer, seminoma, hypogonadism: The HCG is not a perfect marker for testicular cancer; it is elevated primarily in those tumors which have choriocarcinoma cells. (would not be elevated in Seminoma, and usually not in Embryonal cancer). In your case, the level is normal, so without other...

Oncology (General Cancer): thyroid cancer, low thyroid function, fine needle biopsy
low thyroid function, fine needle biopsy, thyroid lobe: among all patients with your condition, 10% are found to have cancer. there is a general rule that any part of the body develops cancer if exposed to abnormal conditions for a long time. For example fibroid uterus, hepatitis etc. if left untreated can change...

Oncology (General Cancer): Treatment Side Effects?, breast cancer treatment, radiation treatment
breast cancer treatment, radiation treatment, expert profile: It is actually the very first time ever that I hear about this effect so I doubt very much that it has anything to do with your treatment! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH There...

Oncology (General Cancer): worried about bowel cancer, crohn s disease, bowel cancer
crohn s disease, bowel cancer, night sweating: It is not impossible but it is VERY rare. But there are other serious conditions with the same symptoms much more probable at your age like ulcerative colitis and Crohn s disease. So you SHOULD let a doctor - preferably a gastroenterologist - check you soonest!...

Oncology (General Cancer): abdominal mass, 11 month old babies, abdominal bloating
11 month old babies, abdominal bloating, loose stools: I can not guarantte that nothing has been missed. But I agree a 1 cm (1/2.54 inch) should be big enough to see. The alternative would be to do an MRI scan. But if you had insurance problems with an ultrasound scan I can not even imagine the problems an MRI...

Oncology (General Cancer): Does blood count recovery get slower after every chemo?, low platelets, mantle cell
low platelets, mantle cell, expert profile: Honestly I do not dare to give advice on this. I know far too little with regards to his condition and his previous reactions. So this is something you MUST discuss with his doctors who know him better! Good luck whatever you decide! In principle also your...

Oncology (General Cancer): Breast Cancer Metastasis to Brain, breast cancer metastasis, brain mri
breast cancer metastasis, brain mri, lymph node involvement: Unfortunately, it sounds like her long-term prognosis is pretty poor. I agree that cyberknife therapy is a good thing now, but unlike some other kinds of cancer, breast cancer that gets to the brain is usually in multiple sites, and the others are likely...

Oncology (General Cancer): Calcification and ultrasound, ultrasound scan, abdominal cavity
ultrasound scan, abdominal cavity, tumors in the liver: Calcifications will both increase the reflected signal and decrease the transmitted signal. Depending on why the ultrasound is being done, it may be better to use another imaging modality. If ultrasound is being used to drain fluid from the abdomen, that...

Oncology (General Cancer): Colon cancer with mets to omentum, peritoneal surface malignancy, stage 4 colon cancer
peritoneal surface malignancy, stage 4 colon cancer, omentum cancer: If the omental cancer is growing, the treatment isn t working sufficiently the continue it. There are different drugs which work in Colon cancer. Maybe your doctor should change drugs at this time. Also, you might want to talk to your doctor about peritoneal...

Oncology (General Cancer): early age bladder cancer, signet ring, bladder cancer
signet ring, bladder cancer, cell cancers: First of all, I live in Sweden. I have a principle here of not giving advice with regards to details of chemotherapy for 2 reasons, 1. I do not know what is available in other parts of the world, in this case India, and 2. I do not know enough details with...

Oncology (General Cancer): One hard testicle and a rough one with a small lump, testicle, urologist
testicle, urologist, appointment: A hard testicle, particularly if you know that it has not always felt like this, is a possible sign of trouble. I can only suggest that you see your doctor or a urologist as soon as you can. I don t mean that it is an emergency and you need to go tomorrow,...

Oncology (General Cancer): Help me, worst case scenario, lymphoma cancer
worst case scenario, lymphoma cancer, expert profile: What you describe is probably due to a local infection/inflammation somewhere around that ear. But let your doctor check it! Good luck! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH...

Oncology (General Cancer): kidneys, renal cell carcinoma, partial nephrectomy
renal cell carcinoma, partial nephrectomy, tumor biopsy: Basically, the tumor that was removed was a fairly standard renal cancer; clear cell type is the most common. There were no features suggesting sarcomatous change; that would be a bad thing if there were. The initial specimen showed tumor right up to the...

Oncology (General Cancer): Kidneys, abdominal aorta, pathology report
abdominal aorta, pathology report, retroperitoneal lymph nodes: To be able to answer you properly I DO need to read your original pathology report! You can copy it here. That is why I asked about it! I generally do not believe in waiting. But in order to give you correct advice I do need that pathology report! So please...

Oncology (General Cancer): lab results 30 months later, elevated liver enzymes, liver biopsy
elevated liver enzymes, liver biopsy, ct scan of the abdomen: The PET scan might be useful, but in the absence of a finding on the Ct scan, it sometimes is confusing. And I can t think of a situation where the PET would be positive and the CT would be negative that would lead to cure. (usually this is associated with...

Oncology (General Cancer): Pancreatic Cancer, liver metastases, extreme fatigue
liver metastases, extreme fatigue, strict diet: There are several reasons her hemoglobin might be dropping. The liver may be unable to synthesize as well as it should; her diet may be deficient because of the pain and the limitation in what she can eat; and most likely, she has a little chronic GI bleeding...

Oncology (General Cancer): possibly early sign of oral cancer, benign lesions, oral cancer
benign lesions, oral cancer, malignant conditions: It sounds like you may have leukoplakia and/or erythroplakia, which are pre-malignant. CT s and MRI s will not pick up very early superficial cancers or pre-malignant conditions. They need to be examined by a specialist and watched closely if not treated....

Oncology (General Cancer): prostate cancer, cancer cells, natural medicines
cancer cells, natural medicines, cancer stage: I will assume your father is elderly. If that is the case, the very best treatment is medical castration, which can be done with an injection every three to six months. The side effects for elderly men are minimal; if you are a youngish type, you might have...

Oncology (General Cancer): prostate cancer, prostate cancer patient, stage 4 cancer
prostate cancer patient, stage 4 cancer, soursop: If it truly is a stage 4 cancer it must by definition have spread not only to lymph nodes but also to elsewhere. A stage 4 cancer is at present incurable regardless of treatment. All those claims you have read are unfortunately just garbage and none of them...

Oncology (General Cancer): return of cancerous cells, precancerous cells, frequent urination
precancerous cells, frequent urination, pap smear: Apparently they left the cervix of your uterus in place in spite of the removal of the rest of your uterus. Why that was done in this way I can not understand. It would have been better to have that removed too since that was the source of your problem! Please...

Oncology (General Cancer): sqamous cell caracinoma, squamous cell carcinoma, expert profile
squamous cell carcinoma, expert profile, permanent wave: In itself that probably does not make the situation any worse - or any better. However in this situation I can not understand why any effort is made with regards to the hair. It would probably be better to keep the scalp shaved(!) to help the doctor to inspect...

Oncology (General Cancer): strange feeling pelvic area, pain during urination, vitamin c powder
pain during urination, vitamin c powder, prostatits: Obviously I can only list some possibilities. Chronic prostatitis can do this sort of thing. It s unusual for someone your age, but it happens. You might also have disorder called interstitial cystitis which comes to mind because you seem to respond to...

Oncology (General Cancer): Strange Question, spongiotic dermatitis, uterine polyps
spongiotic dermatitis, uterine polyps, gynecologic conditions: I don t see how anything confined to the ovary could cause a vaginal discharge. Spongiotic dermatitis could be the reason for the discharge. However, I m not too familiar with gynecologic conditions, and if everything else has been ruled out, you might want...

Oncology (General Cancer): Sunburn and skin cancer, severe sunburn, skin cancers
severe sunburn, skin cancers, dangerous rays: Peeling is a sign of a pretty bad sunburn, although maybe not as bad as blistering. What we know about sunburns and cancer is that getting these during the teens and early twenties is the worst time, and the more often you get them, the more likely you will...

Oncology (General Cancer): Suspected Melanoma, reddish color, free clinics
reddish color, free clinics, melanoma: I guess I would recommend that you find a free clinic, or medical schools sometimes have free clinics. I don t think it sounds like a melanoma if it has a small white center; it may be a boil. But I can t do anything over the internet. You are right, you...

Oncology (General Cancer): uterine cells in pap smear.. In woman who had uterine ablation, uterine cervix, uterine ablation
uterine cervix, uterine ablation, pap smear: Since you had a pap smear done your uterine cervix was probably left behind when most of the rest of your uterus was removed. The question is how much of your uterus was indeed left inside you. It seems to be enough to produce some uterine cells. That not...

Oncology (General Cancer): Bowel issues, fecal blood test, streaks of blood
fecal blood test, streaks of blood, transverse colon: Red blood on the stool or toilet paper is usually a sign of something going on in the rectum. this would include hemorrhoids, fissures, polyps, and rectal or anal cancer. At your age, assuming no risk factors, the last two are unlikely. Whether a fecal blood...

Oncology (General Cancer): Colon Cancer 3B, but another tumor in pelvic region & 2 MM one in Omentum, colon resection surgery, distant metastasis
colon resection surgery, distant metastasis, drainage tube: Colon cancer might very well be cured by removing solitary metastases. However, I don t like the outlook with your mother s case, because of omental metastases. That usually means that tumor cells were floating around in the abdominal cavity, and will...

Oncology (General Cancer): Would a cure for everything be a bad thing?, immune systems, immunities
immune systems, immunities, medical world: If we had a cure for everything, I suspect our immune systems would weaken, because they wouldn t have to be used. At present we would have to treat each person to prepare them for a life of 100 per cent immunity. I don t think evolution would get us to...

Oncology (General Cancer): Is disease eradication even possible?, disease eradication, african slaves
disease eradication, african slaves, european arrival: It is NOT impossible to eradicate diseases - at least some of them. For example smallpox was eradicated by vaccination and if only ALL people had themselves & their children vaccinated poliomyelitis would also be eradicated by now! Circumcision in males prevents...

Oncology (General Cancer): Dual Cystadenomas on same ovary, partial hystorectomy, serous cystadenoma
partial hystorectomy, serous cystadenoma, ovarian cysts: I m here ONLY as a cancer doctor. Since these findings of yours do not seem to indicate any cancer I do suggest that you direct this question of yours to an expert of gynecology as they are outside my area of expertise here. Good luck! You can also reach...

Oncology (General Cancer): Epididymal lump, spermatocele, epididymis
spermatocele, epididymis, testicular cancer: I cannot definitively say this is not a bad thing since you never know what weird thing the body could be doing, but IN GENERAL, these are not a problem. They definitely are not testicular cancer. They are typical small cysts, probably a sperm filled cyst...

Oncology (General Cancer): Gastric cancer and blood group A, blood group, risk
Oncology (General Cancer): Gastric cancer and blood group A, blood group, risk

Oncology (General Cancer): Gastric cancer and blood group A, upper gi endoscopy, h pylori infection
upper gi endoscopy, h pylori infection, high risk group: There is a somewhat increased risk of such cancers in your blood group but not dramatically so. Your own medical history is far more important and it may be a good idea to check your esophagus and stomach from time to time with gastroscopy (upper GI endoscopy)....

Oncology (General Cancer): Issue of sedation: Colonosocopy v. prostate biopsy, free psa test, prostate biopsy
free psa test, prostate biopsy, psa tests: Usually people getting prostate biopsies are given light sedation with Versed and Meperidine, or some similar combination. That plus local anesthesia seems to be sufficient. A 7% risk of infection seems kind of high; usually urologists will give antibiotics...

Oncology (General Cancer): lump in armpit, enlarged lymph node, mild viral illness
enlarged lymph node, mild viral illness, lump in armpit: I would not remove the lump you described, unless it began to get larger. Even if it is cancerous it isn t growing, in which case it is extremely low grade. And the likelihood of cancer is so small that I don t think any doctor could convince your insurance...

Oncology (General Cancer): lump between bum cheeks, bum cheeks, expert profile
bum cheeks, expert profile, 4 months: Your description does not allow me to make any sure diagnosis. ONLY an examination can do that! So the conclusion is clear! You SHOULD let a doctor check you soonest! Good luck! You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH...

Oncology (General Cancer): Lymph node, swollen lymph node, lymphadenitis
swollen lymph node, lymphadenitis, cyst: Your symptoms may be due to a lymphoma or something equally serious, but most of the time, this sort of thing is a simple cyst or lymphadenitis . If it grows or if you develop nodes in other areas, see your doc. If it is stable, or disappears, it probably...

Oncology (General Cancer): lymphdema and spleen tumors, enlarged lymph node, swollen lymph nodes
enlarged lymph node, swollen lymph nodes, complete blood count: It s very likely that you have splenic lymphoma, which can start in the spleen and go to other places. I would proceed as follows: Blood tests: LDH, liver functions, complete blood count, BUN and creatinine, total protein and albumen, calcium. These tests...

Oncology (General Cancer): lytic lesion in the fibula, radiation oncology department, lytic lesions
radiation oncology department, lytic lesions, bone cysts: A lytic lesion is an area of bone which doesn t contain the normal amount of calcium. The term isn t precise; there can be lytic lesions whose margins fade into normal bone density, and others where the margin is sharply demarcated. Some lytic lesions show...

Oncology (General Cancer): metastatic cancer to bone, dead cells, breast cancer
dead cells, breast cancer, initial surgery: I see! Thanks! Femara seems in your case to be much more effective & efficient than Tamoxifen. Well, I agree that a complete remission is more or less impossible - that is why I mentioned chemotherapy that most probably would have to be repeated indefinitely...

Oncology (General Cancer): paraganglioma, spots on liver, liver surgery
spots on liver, liver surgery, pathology reports: That may be a good sign, meaning that it is turning into calcified scar tissue. But without reading all his radiology & pathology reports I can not be sure. You may copy them here. You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH...

Oncology (General Cancer): porphyria, abdomen pain, porphria
abdomen pain, porphria, human metabolism: I m an oncologist. That means that my specialty is about cancer. Porphyria has nothing to do with cancer. So it is outside my area of expertise. You should discuss this with an expert of internal medicine especially human metabolism. Good luck! You can...

Oncology (General Cancer): Porphyria, abdomen pain, porphria
abdomen pain, porphria, bladder stones: If blood and urine tests have been negative, and your pee varies between light and tea color, and you have abdominal pain and difficulty urinating, that whole complex doesn t sound like porphyria to me. How did the out of state doctor make the diagnosis?...

Oncology (General Cancer): How much power do emotions have over illnesses?, expert profile, clich
expert profile, clich, trope: I have no idea. Probably no one else has any either! I think those sentences you mention are rather meaningless and worthless! But I m a rather skeptic person. You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH...

Oncology (General Cancer): Prostate Cancer, kidney trouble, cancer question
kidney trouble, cancer question, bladder stones: It may take longer, but I would definitely ask your urologist to look into it. You may have an infection of the bladder, or there may be dead tissue that needs to be reamed out, or you may even have bladder stones. I don t think you have a kidney problem,...

Oncology (General Cancer): screening for colon cancer, virtual colonoscopy, history of colon cancer
virtual colonoscopy, history of colon cancer, near death experience: Doctors don t like to do colonoscopies without sedation because they are often unsuccessful. I tried having one done without once, and besides the pain, the doctor couldn t advance the colonoscope. I finally allowed sedation. And, of course, if you have...

Oncology (General Cancer): Swollen lymph node in groin, swollen lymph node, wasp sting
swollen lymph node, wasp sting, muscle sprain: This is probably due to an inflammation. The wasp sting may be the cause. The pain caused by leg movements supports this theory. BUT if the lymph node does not reduce its size soon - within one to 2 weeks - or gets worse let a doctor check you! Good luck!...

Oncology (General Cancer): Testicle lump, testicular self exam, doctor asap
testicular self exam, doctor asap, cancer survivor: Many people say that the lump feels like half a pea. Mine felt like a BB or a ball bearing. It was not moveable. I could move the scrotal skin and it would stay in the same place. The lump was on the side of the testicle. I could always find it. I HAVE found...

Oncology (General Cancer): Do you think that looks like skin cancer please im worry, expert profile, skin doctor
expert profile, skin doctor, skin cancer: I doubt very much that this is a cancer. Its border to its surroundings is too precise. And the fact that you only noticed this today also supports that. It is far more likely that this is an infection/inflammation or an injury with some bleeding. But in order...

Oncology (General Cancer): Tiny lump on testicle, lump on testicle, tiny lump
lump on testicle, tiny lump, cancerous lump: Not really, not the way you are describing it. It is some kind of cyst, but I don t know what kind. ALternately, you could have an infection, though at your age that may be a little less likely. If it is bothering you, and it does seem to be bothering you,...

Oncology (General Cancer): Bump, clavical, body acne
clavical, body acne, expert profile: Apart from the lack of pain and soreness/tenderness this does sound like a local infection/inflammation coming up. There are lymph nodes almost everywhere. But this does not sound like a lymphoma. Let a doctor check it if it does not get better within a week...

Oncology (General Cancer): effectivity of chemotherapy in a Mucoepidermoid carcinoma low grade case, mucoepidermoid carcinoma, neutron radiation
mucoepidermoid carcinoma, neutron radiation, radiation treatment: Hi, The best people will be medical oncologists only. I recommend to try surgery operation + radiation therapy + immunomodulator therapy. If we dont get good response then opt for chemotherapy too. You can travel to India to our centre for getting these treatments....

Oncology (General Cancer): effectivity of chemotherapy in a Mucoepidermoid carcinoma high grade case, md anderson cancer center, mucoepidermoid carcinoma
md anderson cancer center, mucoepidermoid carcinoma, md anderson cancer: High grade (= very malignant) carcinomas (cancers) often need combined therapies (including surgery, radiation therapy & chemotherapy) for the treatment to have a better chance of success (however NO guarantees of success possible). If she was my mother and...

Oncology (General Cancer): Possible leukemia in new born? Please advise., neutrophils, cancer
Oncology (General Cancer): Possible leukemia in new born? Please advise., neutrophils, cancer, conclusion

Oncology (General Cancer): Leukemia?, low neutrophil count, petechia rash
low neutrophil count, petechia rash, bcg vaccination: As the father of six and grandfather of nineteen, I can tell you that petechiae during those early months of life are not unusual, and almost never signal a blood disease. The fact that your baby s blood counts are normal or near normal on three occasions...

Oncology (General Cancer): Lynch Syndrome, colonectomy, chronic back pain
colonectomy, chronic back pain, lifeless life: Cancers like patients are individuals not identical carbon copies/clones. So it is impossible to give you an answer with any kind of exactness or precision. What about a total colonectomy? At least no more NEW tumors to worry about! In your position that...

Oncology (General Cancer): mantle cell lymphoma, mantle cell lymphoma, expert profile
mantle cell lymphoma, expert profile, neurological symptoms: Not necessarily. So his neurological symptoms must be investigated separately to see if there is any kind of brain involvement (CT, PET & MRI scans etc.). Any radiation therapy too? You can also reach me at: http://www.liveperson.com/professional/expert-profile.aspx?gsBMQvSJ0S4K1haAm6AtH...

Oncology (General Cancer): Porphyria, abdomen pain, hematological malignancies
abdomen pain, hematological malignancies, cluster headaches: Since I m an oncologist my interest in hematology is mainly - almost exclusively - in hematological malignancies like leukemias etc. Porphyria is not a malignancy it is a metabolical disorder to a large extent with a genetic background. It is therefore outside...

Oncology (General Cancer): Possible leukemia in new born? Please advise., low neutrophil count, blood transfusion
low neutrophil count, blood transfusion, neutrophil counts: It is in this situation quite possible that his rash is NOT petechiae at all! Let a dermatologist check it! If not petechiae the whole reason for his blood tests disappears. It seems the only somewhat pathological test result is now more normal or even quite...

Oncology (General Cancer): prostate cancer 4, gleason 9, aggressive chemotherapy
gleason 9, aggressive chemotherapy, urologic problems: Your urologist is probably right, and with the COPD you aren t a candidate for surgery or aggressive chemotherapy. However, if there is no evidence of disease in the bones, I would consider hormone ablation, and possibly if you achieve a good response radiation...

Oncology (General Cancer): Pure Green Coffee Bean Extract while undergoing chemo, double mastectomy, pathology reports
double mastectomy, pathology reports, old breast: I see no reason you can t take green coffee bean extract supplements. If you are being treated in the USA you aren t getting any drugs which wouild be affected by those extracts. I m sure this situation has been a terrible shock to you and your family. ...

Oncology (General Cancer): question about chance of getting cancer, lifetime probability, lifetime risk
lifetime probability, lifetime risk, j public health: I think this reference (Can J Public Health. 1994 Nov-Dec;85(6):385-8. Lifetime probability of developing lung cancer, by smoking status, Canada. Villeneuve PJ, Mao Y. Source Bureau of Chronic Disease Epidemiology, Tunney s Pasture, Ottawa, Ontario....

Oncology (General Cancer): radiotheray/quimotherapy, temozolamide, biopsi
temozolamide, biopsi, scan images: These tumors - if malignant - all have a VERY BAD prognosis regardless of treatment. Treatment can at most temporarily reduce symptoms and prolong survival. That is unfortunately all. I do not think this pain is just a side effect, nor do I think his worsened...

Oncology (General Cancer): Second hand smoke and cancer, lung cancer patients, occasional whiff
lung cancer patients, occasional whiff, second hand smoke: There is a danger in second hand smoke, and we recognize that the majority of lung cancer patients who have never smoked have been exposed to second hand smoke. However, this usually means being married to a smoker, or working in an office where everyone...

Oncology (General Cancer): Stage 4 prostate cancer that has spread to T5&6 on spine, stage 4 cancer, psa levels
stage 4 cancer, psa levels, word cancer: Well it is unfortunately quite bad. A stage 4 cancer is at present incurable and eventually fatal. I agree with the suggested treatment. I may even suggest even more radiation therapy (my own prostate cancer was treated only with radiation therapy with a very...

Oncology (General Cancer): 2mm non specific nodule in lung, nodule in lung, chest ct
nodule in lung, chest ct, ground glass: It is a possibility that the nodule represents recurrence and spread of his cancer. However, at 2 mm it is too small to biopsy and certainly does not justify surgery at this point. I think the best thing to do (if there is no other evidence of recurrence)...

Oncology (General Cancer): To Biopsy or Not?, poor margins, needle biopsy
poor margins, needle biopsy, safeguarding your health: The only SURE way to KNOW what that lesion is is to do a biopsy. So on that point I think your doctor is right. After all he is actually only safeguarding your health and life by his suggestion. A biopsy - if done as an ultrasound guided needle biopsy as it...

Oncology (General Cancer): blood work, antibiotics and diarrhea, serum calcium
antibiotics and diarrhea, serum calcium, acid base balance: A lot of people in the US, especially those who live central and northern regions, will have low vitamin d levels. I would certainly start taking vitamin D, about 600 to 1200 units per day. (It protects people from a lot of things besides rickets .) The...

Oncology (General Cancer): bowels, fiber laxative, liposarcoma
fiber laxative, liposarcoma, lipoma: First of all, lipomas are benign. A related process, a liposarcoma, is malignant. Sometimes what is diagnosed initially as a lipoma turns out to be a liposarcoma. If your doctors say it was a lipoma, it probably was, because nowdays most pathologists do...

Oncology (General Cancer): breast cancer, breast mri, calcifications
breast mri, calcifications, bug bite: It would be unusual to have a rapidly appearing spot appear and then regress a little. I suspect that it is a bug bite. If it goes away in a few days, that s probably the answer. The calcifications are more worrisome, but a trained radiologist can often...

Oncology (General Cancer): Hard lump on back of head, lump on back of head, hair follicle
lump on back of head, hair follicle, lump on back: I don t think it s cancer, especially if it hasn t changed. I don t know where it is, precisely, but there are two prominences on the skull in the back which can be different in size. Also, sometimes a hair follicle can become inflamed and eventually transition...

Oncology (General Cancer): Husband, allergy medication, persistent cough
allergy medication, persistent cough, petscan: A very small spot on the lung calls for a second CT in six months, and if it is the same size, another in a year. If that one is the same, you can be pretty sure it isn t cancer. On the other hand, someone who is a smoker, has a spot on the lung, and does...

Oncology (General Cancer): Inflammatory breast cancer, inflammatory breast cancer, white blood count
inflammatory breast cancer, white blood count, lymphnoids: First of all, you could simply have mastitis. you did not tell me your age, if you were nursing, etc. Inflammatory breast cancer can look like this as well. But you need a biopsy and I would suggest you get one. Sometimes a doctor tries a week of antibiotics...

Oncology (General Cancer): Lump on bottom of right testicle, epididymis, testicular cancer
epididymis, testicular cancer, testicle: Jack, It does not sound like testicular cancer. It is in the wrong place and the feeling you describe also sounds wrong. A testicular cancer would feel more like a BB and is not movable. However, it is possible for it to feel like a ridge. Nevertheless,...

Oncology (General Cancer): Lung and brain cancer ? Prognosis?, brain cancer prognosis, homogeneous opacity
brain cancer prognosis, homogeneous opacity, brain lesions: It sounds to me like this sixty year old woman has lung cancer with meatastases to the brain. This is a very bad situation, and not curable. In this country we would biopsy the lung lesion with a fine needle and plan a treatment accordingly, but if it is...

Oncology (General Cancer): Lung cancer, chronic lung infections, cell lung cancer
chronic lung infections, cell lung cancer, small cell lung cancer: Fatigue can be due to decreased oxygen in the blood stream. That is not uncommon after pneumonectomy, and sometimes it takes a while for the body to adjust. The heart is under extra pressure as well, since it now has to push twice as much blood through one...

Oncology (General Cancer): Lymph nodes??, childhood malignancy, swollen nodes
childhood malignancy, swollen nodes, lymph tissue: It s common to be able to feel nodes in a small child. They tend to grow and shrink as the child does. Tonsils, for example, are lymph tissue, and it is very common for them to enlarge and then regress as the child grows. The best thing to do is keep...

Oncology (General Cancer): lymphoma, thyroid lobe, nonproductive cough
thyroid lobe, nonproductive cough, hypoechoic: Only a very very small percentage of people get lymphoma. so dont worry. try homeopathic medicine which will me better for you. Do you have increase or aggracation of the problem after exposure to certain foods or things? furtehr communicate with me on medlifeasai@gmail.co...

Oncology (General Cancer): Lymphoma / Viral Infection, high liver enzymes, swollen lymph nodes
high liver enzymes, swollen lymph nodes, red blood cell: A virus infection is very probable. Hepatitis A also seems probable. To be SURE what they are (swelling due to an infection/inflammation or lymphoma) your swollen lymph nodes could be checked by fine/thin needle aspiration biopsies - if available where you...

Oncology (General Cancer): medical question, bone marrow biopsy, swollen neck lymph nodes
bone marrow biopsy, swollen neck lymph nodes, white blood cell: It could, but only a bone marrow biopsy could tell. A good pathologist could look at the peripheral smear and give you a better idea. With the history of swollen nodes, fevers, body aches, etc, there are many different things that cometo mond. You ve ruled...

Oncology (General Cancer): Melanoma in heart, chest wall mass, inguinal lymph nodes
chest wall mass, inguinal lymph nodes, pulmonary nodules: My reading of this suggests that he has widespread metastatic disease. The fact that it isn t in the liver is probably a good thing, although metastasis to the heart is not at all good. The bone islands are indeterminate; they may or may not be metastatic...

Oncology (General Cancer): neck lymph node?, developmental abnormality, upper esophagus
developmental abnormality, upper esophagus, cleft cyst: I can think of a lot of situations which could cause this, but one that comes to mind is a branchial cleft cyst. This is a developmental abnormality which is a little pouch that comes out of the upper esophagus. It can get filled with food or debris, and...