Dr. Carlos Encarnacion

Medical Oncology
Waco, TX
37 years experience male

Locations

Texas Oncology Horizon Circle

Waco, TX

Address

6520 Horizon Circle, Waco, TX
Directions

My office hours

Thursday: Closed
Show more

About

Bio

Dr. Encarnación obtained his medical degree at the University of Puerto Rico School of Medicine in 1986. He completed an Internal Medicine internship and residency and spent a year as Chief Resident at the San Juan VA Hospital followed by a Medical Oncology fellowship with emphasis in breast cancer at UT San Antonio. He currently works for Texas Oncology in Waco, where he serves as Research Site Leader. He is a member of the US Oncology Genetic Risk Evaluation and Testing Steering Committee and chairs the Department of Medicine at Providence Health Center.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Medical Oncology

Clinical Genetics

Internal Medicine

Doctor Q&A

1.0K Answers
713 Agrees
The number of answers this doctor has agreed with.
A 41-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Microscopic spread: The purpose of adjuvant therapy (chemo or hormones) is to kill microscopic deposits of cancer that may have spread from the primary before surgery. I... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Depends: ...on the stage and other factors, my friend. Surgery is done if early, but sometimes radiation and/or chemo are used.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Very much so: Greetings from waco. Sorry to hear your cancer relapsed. If there is any consolation, know that the fact it took so long to come back suggests it sh... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Risk assessment: There are specialists who will evaluate you risk, recommend screening, and advise you how to reduce such risk. They will also determine if you need g... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
In theory,: ...Finding a cancer earlier through screening should make therapy more successful but that is not so except in relatively few cancers (breast, colon, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Yes you can: Different chemos have the potential to cause death in many ways: low white cells leading to serious infections, low platelets causing bleeding, heart ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old male asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
To know : You have enlarged nodes which can be due to multiple reasons other than cancer. The pulmonary specialist will do certain procedures to determine the c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old female asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Can't say: I wonder why it was ordered to begin with. Was it routine or was she having some symptoms? The problem with markers is that once found high (and con... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
See someone: Not sure what your question is but you should visit a health professional with expertise on cancer risk assessment and genetics. He/she will take a go... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Yes: I agree with my colleagues: staging tests first, then chemo, then surgery, and possibly radiation afterwards. Best to you.
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Not sure what your..: ...Question is. If her cancer is spread as you say, i'm afraid she has stage 4, not 2. Seems to me she needs to visit an oncologist right away ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Depends: Many people have a distant relative who had breast cancer late in life and that is not an indication for brca testing. There are certain criteria like... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Unknown: I honestly cannot remember any data that solidly links repeated trauma to the breast and cancer of the breast although it is tempting to theorize ther... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Expert: Glad you have a "non-aggressive" tumor. That said, sarcomas are not terribly common and in my practice i tend to refer patients like you to tertiary ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Depends: That is a very open ended question. Early stage melanoma has a very good chance for cure whereas advanced melanoma is almost always fatal. Thus the im... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old male asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Yes but...: ..it would mean that it spread BEFORE the cancer was removed (it cannot "jump back" after it is out). You see, cancer can spread microscopically and g... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Maybe: Patients with bone metastases could have elevations in serum calcium and/or alkaline phosphatase. Also, tumor markers like cea, psa, or ca27.29 can go... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Up to 38-40 but...: ...Please do not take it out of context. It can go up due to other reasons and can be normal even in the presence of active cancer. It is just anothe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old female asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Start treatment NOW: Inflammatory breast cancer is an aggressive form of cancer that requires intensive therapy right away, starting with chemotherapy followed by surgery ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 56-year-old male asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Makes good ice cream: When i was a kid, we used to eat the fruit raw, as a drink, or as ice cream. Pretty tasty ice cream but i don't know of any data on its anti cancer e... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
What is love?: Just as that question, yours is waaaaay too broad to answer in 400 characters. Maybe you can be more specific. Also, to learn about breast cancer, ch... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
???: Not sure what you mean. Did you have chemo before the mastectomy? Or was it after a biopsy? You need to see an oncologist (if you have not already d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old male asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Cannot say: No way anyone can tell what's happening with the information you provided. Odds are in your favor of not being a malignancy but you need to see a doc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Yes: In short, yes. Hodgkins lymphomas as a rule are very treatable and often curable but some can behave very aggressively and cause death despite best av... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 16-year-old male asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
MD: You are quite young and contrary to testicular cancer, colon cancer is not common in your age group. That said, it is not impossible so if you have GI... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Dietitian: We usually advise nutritional supplements to our patients but in my opinion, patients on chemo should visit a trained dietitian/nutritionist if at lea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Long time: There's a handful of egyptian papyri that deal with medical issues. Mostly they have to do with trauma but bone and female organ cancers were mention... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old female asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Yes: A patient with acute leukemia and a very high white cell count can develop leucostasis with diminished blood flow to organs including brain. Also, pa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Which one?: Please be more specific. There are dozens of blood disorders with different treatment.
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old female asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Call your doc: It may be nothing but if you are on chemotherapy, it is your responsibility to alert your own physician about any possible side effect or complication... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Hard question: Depends on the type of cancer and tons of other variables including ethnicity, exposures, family history, and others. My advise: eat healthy, exercise... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Nope: Plain x rays of the pelvis will not show cervical cancer unless it got so advanced as to involve the pelvic bone. You don't want to let it get to tha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old female asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Straight answer:: Cannot tell for sure without a proper evaluation. Do not freak out, just go see your doc as soon as you can and take it from there, ok? I truly hope... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Depends: There are at least 4 or 5 syndromes i can think of that can increase your risk of pancreatic cancer, depends on how strong your family history is. Yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
?: Are you 19 or 31? Either way ovarian cancer is rare except in brca mutation carriers and even then is quite early. Not sure what you mean by "all th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Many reasons : It is a common cancer, it has an effective screening, can be treated successfully when detected early, and affects patients in a very visible way so i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old female asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Should not: A handful of patients report thinning of the hair but i've not heard of complete baldness with this.
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Many things: Many causes for enlarged nodes, both malignant and not. You need to see a doc for a good physical exam and maybe additional tests. Do it asap. Best to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old male asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Borderline to nope: It would be seen on the ct component of the scan but may not uptake enough FDG to make it light up. Many centers use 8 mm as cutoff but i guess it wi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
?: Not sure what you mean with your poetic description but the primary is the place where the cancer started and a metastasis is a separate area that ori... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 69-year-old male asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Not necessarily : It means the radiologist is a thorough fellow who wants to be sure of what he/she is seeing because someone's health is resting on his/her hands. Take... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Uncommon: Male breast cancer is uncommon. There are about 2, 000 new cases and 450 deaths yearly in the us (compare to 230, 000 and 40, 000 yearly in women). It... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Stage III: Means there are small deposits of cancer (separate from the primary cancer) in the mesentery or the tissues surrounding the colon. Nodes are negative... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
None: None is "better" or "safer". A third of cancer deaths in the us are related to tobacco use. Please don't smoke! regards and happy tg.
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old male asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Help: Congratulations on being a survivor and on your interest in being physically fit, but that does not get you off the hook about smoking. Do exercise un... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Yes: Unfortunately, melanoma has the potential to spread to internal organs, thus the importance of diagnosing it as early as possible. Other kinds of skin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Nope: Please don't believe that. No need to go "commando" for that reason.
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Depends: Depends on the type of cancer and even then it varies a lot. Also, cancer progression rarely happens in steps. May be diagnosed as stage 1, 2, or 3 ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
Could you?: Yes you could, but you could also have lots of other reasons for those palpable nodes. Go see your doc and get a good evaluation. Hopefully is nothi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 37 years experience
???: Not enough information to answer the question but if a patient has cancer and is to be treated, it is important that he/she at least know the type and... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

9
Recommendations
563
Thank you notes
Jul 20, 2014
I learn a great deal from the information that Dr. Encarnacion provides. He is clearly very knowledgeable about oncology and medicine in general. I endorse Dr. Encarnacion.
I highly recommend Dr. Carlos Encarnacion. He is highly knowledgeable and caring.
Jul 7, 2014
Very accurate and timely responses.
HealthTap member
This was very helpful. Thanks! Ok. Situation is now in hands of preeminent surgical oncologist whose also world renowned in organ transplants at major medical center.Online=helpful!
HealthTap member
This was very helpful. Thanks! All that you wrote is fully understood. Each point was really helpful to the max. I will continue on the right health track that I have remained on.
HealthTap member
Thanks for your quick reply! Okay thanks...since the caae is unrelated can u say how effective is femara instead of chemo in stage 3 if the person cannot take chemo

Education & Training

Medical/Graduate school

University of Puerto Rico School of Medicine, PR
Graduated 1986MD

Residency

San Juan VA Hospital

Awards

Friend of the ACS 1999
Alpha Omega Alpha (AOA)
Top Doctor, First Place, Waco, TX - Winter
2013

Affiliations

American College of Physicians
American Society of Clinical Oncology
McLennan County Medical Society
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