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Doctor Q&A for Dr. Shelby Terstriep

A 40-year-old member asked:
Dr. Shelby Terstriep
Internal Medicine 20 years experience
Sometimes: A transplant is typically is used for lymphoma that has relapsed. It can be effective as long as the lymphoma is responsive to chemotherapy. The percentage of cure is dependent on type of lymphoma.
A 39-year-old member asked:
Dr. Shelby Terstriep
Internal Medicine 20 years experience
No-opposite: Typically it means there is not as much fat. As we age and have less estrogen the breasts get fatty replaced which makes them not as dense and easier to see abnormalities on the mammogram.
A member asked:
Dr. Shelby Terstriep
Internal Medicine 20 years experience
Yes: These are two separate diseases. Carcionoid syndrome is flushing and diarrhea associated with a carcinoid tumor and sarcoidosis is a disorder in which the body makes granulomas, typically in e lungs.
A 28-year-old female asked:
Dr. Shelby Terstriep
Internal Medicine 20 years experience
Dermatologist: I would consider getting a skin check by a dermatologist.
A 43-year-old member asked:
Dr. Shelby Terstriep
Internal Medicine 20 years experience
It can be: It can be part of a genetic cancer syndrome called lynch syndrome. Colon cancer (especially when it is seen in younger age people). Other cancers like ovarian cancer, stomach cancer, etc can be part of this. It is very important to always update your doctor of any changes to your family history.
A 39-year-old member asked:
Dr. Shelby Terstriep
Internal Medicine 20 years experience
See doc: From your symptoms i would recommend seeing a physician. If you are bleeding tests will need to be done to determine where it is coming from and what is causing it. This may definitely cause fatigue.
A 63-year-old member asked:
Dr. Shelby Terstriep
Internal Medicine 20 years experience
Spread: Cancer that has spread outside of where it started.
A 40-year-old member asked:
Dr. Shelby Terstriep
Internal Medicine 20 years experience
Yes: I would recommend seeing someone who is familiar with breast disorders ( breast clinic). A mammogram of the breasts and an ultrasound directed at that area will need to be done.
A 51-year-old member asked:
Dr. Shelby Terstriep
Internal Medicine 20 years experience
Care plan: The follow up plan for breast cancer is a good history and physical every 3-6 months for the first 2 years then every 6 months until 5 years then yearly. It is not recommended to do a lot of scans as survival is equivalent for patients we routinely scan versus those that we follow as recommend above. A mammogram is recommended on affected breast 6 months after radiation then yearly.
A 29-year-old member asked:
Dr. Shelby Terstriep
Internal Medicine 20 years experience
Needs workup: Boy, it sounds like you've have a lot of issues that have come up. I would see your physician this week. Many things will need to be looked into including infection, inflammatory conditions (i.e. Autoimmune diseases), and malignancies. Please get help and good luck.
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