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Dr. Noah Federman

Pediatric Hematology and Oncology
Los Angeles, CA
20 years experience male

Locations

Office

About

Bio

Director, UCLA Pediatric Bone and Soft Tissue Sarcoma Program. Specializing in delivering state of the art mulitidisciplinary quality care to our patients with bone and soft tissue cancers.

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.

Pediatric Hematology and Oncology

Languages spoken

English

Doctor Q&A

94 Answers
1 Agree
The number of answers this doctor has agreed with.
A 33-year-old member asked:
Dr. Noah Federman
20 years experience
Usually constant: Pain from bone cancer can come and go, but as times go on the pain is usually getting worse and more constant and can awaken you from sleep.
A 31-year-old member asked:
Dr. Noah Federman
20 years experience
Pain swelling mass: Progressive pain, swelling and firm mass.
A 29-year-old female asked:
Dr. Noah Federman
20 years experience
Sickle Screening: Generally, most cases of sickle cell disease in the usa are picked up by sickle cell screening at birth. If you have a parent that had sickle cell dis... Read More
A 28-year-old male asked:
Dr. Noah Federman
20 years experience
Paraneoplastic syndr: Paraneoplastic syndromes is a disease whereby the cancer is secreting something like a hormone or chemical which causes a problem. There can also be i... Read More
A 44-year-old female asked:
Dr. Noah Federman
20 years experience
Unlikely: Osteosarcoma is very rare. There are only about 450 new cases/year in the us. That this is osteosarcoma is unlikely. However, because the pain is sign... Read More
A 28-year-old male asked:
Dr. Noah Federman
20 years experience
Fibrosarcoma: This is a malignancy of soft tissues that derives from connective tissue. It can be low grade to high grade. It can be found in adults usually middle ... Read More
A 44-year-old female asked:
Dr. Noah Federman
20 years experience
Unlikely: Unlikely. Pain in all joints is not generally a symptom of osteosarcoma. Rather it is more common that this is related to an inflammatory condition. M... Read More
A 31-year-old member asked:
Dr. Noah Federman
20 years experience
Soft tissue sarcoma: The imaging findings are concerning for a soft tissue sarcoma or other aggressive process. You should be evaluated by an orthopedic oncologist or at a... Read More
A 45-year-old member asked:
Dr. Noah Federman
20 years experience
Usually random: Sarcomas are bone and soft tissue cancers. Generally, these occur because of random events in most patients. However things like radiation exposure ca... Read More
A 33-year-old member asked:
Dr. Noah Federman
20 years experience
Yes: Many patients achieve long term cure after being affected with bone cancer. Depending on the type of bone cancer, osteosarcoma being the most common, ... Read More
A 31-year-old member asked:
Dr. Noah Federman
20 years experience
Depends: If it is an aggressive bone cancer like osteosarcoma or ewing sarcoma than it is unlikely that someone would survive more than a year without treatmen... Read More
A 47-year-old member asked:
Dr. Noah Federman
20 years experience
Not usually: The causes of bone cancer are incompletely understood. You can get a secondary bone cancer from radiation therapy from another cancer. Bone cancer can... Read More
A 32-year-old member asked:
Dr. Noah Federman
20 years experience
Pain, swelling, mass: Symptoms include progressive pain often waking from sleep, swelling, and a firm mass.
A 41-year-old member asked:
Dr. Noah Federman
20 years experience
Multifactorial: We do not know the cause of all malignant bone tumors. Sometimes a defect in a tumor suppressor gene called p53 can be responsible for causing bone ca... Read More
A 34-year-old member asked:
Dr. Noah Federman
20 years experience
Pain, swelling, mass: Most common signs are progressive pain, swelling and firm mass.
A 47-year-old member asked:
Dr. Noah Federman
20 years experience
Treatment: He should be treated at a sarcoma center and receive a full metastatic evaluation and combination of multiagent chemotherapy and a surgery to remove t... Read More
A 47-year-old member asked:
Dr. Noah Federman
20 years experience
Different cancers: Bone cancer refers to actual cancer occuring in the bone tissues and cells of bone like osteosarcoma, chondrosarcoma, and ewing sarcoma. Cancer in the... Read More
A 39-year-old member asked:
Dr. Noah Federman
20 years experience
Depends: The prognosis for wilms tumor really depends on the stage of disease and how it looks under the microscope. Generally patients with localized disease ... Read More
A 38-year-old member asked:
Dr. Noah Federman
20 years experience
There are many: You are predisposed to acute chest crises, painful crises, stroke, lung hypertension, kidney dysfunction, and many many others.
A 35-year-old member asked:
Dr. Noah Federman
20 years experience
Aggressive: Usually bone cancer looks aggressive on plain films with lifting of the periosteum and a destructive lesion.
A 45-year-old female asked:
Dr. Noah Federman
20 years experience
Usually hard: Generally bone cancer presents as a firm mass in the affected bone/extremity.
A 21-year-old member asked:
Dr. Noah Federman
20 years experience
Yes: There are different treatments for thalassemia depending on the type and severity of disease. Currently the only curative option is a bone marrow tran... Read More
A 33-year-old member asked:
Dr. Noah Federman
20 years experience
Sickle cell : If family planning and you and/or your partner have sickle cell disease or trait it is advisable to meet with a genetic counselor. You can do preimpla... Read More
A 44-year-old member asked:
Dr. Noah Federman
20 years experience
They can be: Kaposi saromas used to be much more lethal two to three decades ago when the aids epidemidic was in full swing. Now with improving treatments and ret... Read More
A 41-year-old member asked:
Dr. Noah Federman
20 years experience
Chronic disease: Sickle cell disease is so significant in that it is a chronic disease that affects almost every organ. Like diabetes, the effects of sickle cell, cris... Read More
A 37-year-old member asked:
Dr. Noah Federman
20 years experience
Sickle cell and race: Sickle cell disease is more common in patients of african descent. Although rare, there are caucasians that can have sickle cell disease particularly ... Read More
A 32-year-old member asked:
Dr. Noah Federman
20 years experience
Agressive lesion : It depends on the location, but generally malignancies of bone will have an aggressive appearance with periosteal reaction, occasionally associated so... Read More
A 44-year-old member asked:
Dr. Noah Federman
20 years experience
Depends: It really depends on the location of the rhabdomyosarcoma. The most common presenting symptoms/signs of rhabdomyosarcoma are pain in the area of the t... Read More
A 49-year-old member asked:
Dr. Noah Federman
20 years experience
Neuroblastoma relaps: Relapsed neuroblastoma generally happens within the first year or two of completion of therapy. Survival beyond 5 years is generally considered cure a... Read More
A 39-year-old member asked:
Dr. Noah Federman
20 years experience
Pain: Generally first presenting symptom is pain.
A 36-year-old member asked:
Dr. Noah Federman
20 years experience
Unlikely: This likely unrelated to your sickle cell disease.
A 35-year-old member asked:
Dr. Noah Federman
20 years experience
Of course: Anyone can get married. Family planning however should occur in consultation with a hematologist and genetic counselor about the risks of having a chi... Read More
A 26-year-old female asked:
Dr. Noah Federman
20 years experience
Poor prognosis: Cardiac sarcomas in general carry a poor prognosis due to their difficult location and often inability to be removed surgically. Metastatic cardiac sa... Read More
A 50-year-old female asked:
Dr. Noah Federman
20 years experience
Yes: Generally, all bone cancers are serious regardless of the size. However, some are more aggressive than others it really depends on the actual subtype ... Read More
A 32-year-old female asked:
Dr. Noah Federman
20 years experience
No: If a father has sickle trait he carries only one abnormal copy of the sickle cell gene. His children have a 50% chance of getting that abnormal copy a... Read More
A 35-year-old member asked:
Dr. Noah Federman
20 years experience
Etiology ewings: The underlying molecular defect in ewing sarcoma is a translocation of two genes creating a fusion product. The most common product is ews-fli1. This ... Read More
A 46-year-old member asked:
Dr. Noah Federman
20 years experience
Anemia, pain, crises: The most frequent presenting signs/symptoms of sickle cell include anemia and typical sickle cell crises which include pain crises (severe pain in arm... Read More
A 40-year-old member asked:
Dr. Noah Federman
20 years experience
Rarely: Osteosarcoma is most commonly seen in the long bones like at the end of the femur, tibia and humerus. However, osteosarcoma can be seen anywhere but i... Read More
A 30-year-old member asked:
Dr. Noah Federman
20 years experience
Ewing sarcoma: Ewing sarcoma is a very treatable bone and soft tissue sarcoma that generally affects adolescents and young adults. The positive news is that in its l... Read More
A 37-year-old member asked:
Dr. Noah Federman
20 years experience
Depends: Fertility depends on a lot of things. Having had wilms tumor the chances of future fertility really depend on whether or not you received radiation as... Read More
A 38-year-old member asked:
Dr. Noah Federman
20 years experience
Lots: The training is long and arduous. You need to go to medical school, then pediatric residency, then pediatric hematology/oncology fellowship and then b... Read More
A 45-year-old member asked:
Dr. Noah Federman
20 years experience
Bone cancer is rare!: There is a higher chance of being hit by a car or struck by lightening than getting bone cancer. Over 20, 000 people are struck by lightening each yea... Read More
A 28-year-old male asked:
Dr. Noah Federman
20 years experience
Cancer of bone/soft: Sarcomas are relatively rare bone and soft tissue cancers. They are a heterogeneous group of cancers that are grouped together because they generall a... Read More
A 25-year-old male asked:
Dr. Noah Federman
20 years experience
Unlikely: This is not a typical presenting sign of bone cancer. If you have persistent and progressive pain you should be evaluated by a physician.
A 33-year-old member asked:
Dr. Noah Federman
20 years experience
Abnormal protein: One genetic mutation such as the one that is found in sickle cell causes abnormal hemoglobin beta chains to form which result in sickling of the hemog... Read More
A 39-year-old member asked:
Dr. Noah Federman
20 years experience
Many factors depends: The prognosis for stage ii(a or b) osteosarcoma that is localized (hence stage ii) is very very roughly around 60%. However, it depends on the locatio... Read More
A 57-year-old male asked:
Dr. Noah Federman
20 years experience
Evaluation warranted: Depending on how low the white count, it would be wise to continue to be followed by a primary health care provider and/or hematologist. It will likel... Read More
A 44-year-old member asked:
Dr. Noah Federman
20 years experience
Usually asymptomatic: Generally metastatic disease is asymptomatic without signs or symptoms and will be picked up on surveillance imaging. However, you could have pain at ... Read More
A 31-year-old member asked:
Dr. Noah Federman
20 years experience
Pain and functional : Generally bone cancer if it is localized (in one location) causes local problems ie. Pain in the affected extremity/bone, swelling, and limitation of ... Read More

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

2
Recommendations
94
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Federman is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Federman is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Bone cancer at a very early stage and gave her doctor only hormone pil
HealthTap member
Thankyou. I now know my joint pain is one of the symptoms of
HealthTap member
Thank you, your answer was very helpful!

Education & Training

Medical/Graduate school

Mount Sinai School of Medicine, NY
Graduated 2002MD

Awards

Top Pediatric Hematologist and Oncologist, Third Place, National - Winter
2013
Top Pediatric Hematologist and Oncologist, First Place, California - Summer
2013
HealthTap Founding Doctor
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less