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Dr. Noah Federman

Pediatric Hematology and Oncology
Los Angeles, CA
21 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 36-year-old member asked:
Dr. Noah Federman
21 years experience
COG, SARC: Children's oncology group is a national organization that specialized in cooperative group clinical trials in pediatric cancers. This is the most well... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old female asked:
Dr. Noah Federman
21 years experience
Surgery + XRT: To prevent local recurrence of most soft tissue sarcomas the most important thing is a complete surgical resection by a swith negative margins. For hi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Noah Federman
21 years experience
Unlikely: Ewing sarcoma recurrence is most common within the first two years of diagnosis 90% of the time. After 5 years it is highly unlikely, but there are st... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Noah Federman
21 years experience
Estimates: The exact #s are not known. In the usa according to the cdc estimates for the incidence of sickle cell disease are that 90-100, 000 americans are affe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Noah Federman
21 years experience
Sickle crises: Simply put, sickle cell crises generally result from sickled red cells that occlude the small vasculature of various organs. The crises can take sever... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Noah Federman
21 years experience
Stage 4 neuroblastom: Generally speaking stage 4 neuroblastoma in children and adolescents carries a poor prognosis 30-40% depending on a variety of factors. There is a sub... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Noah Federman
21 years experience
A good question: This question is tricky! for instance, if you die from metastatic cancer that would preclude you from donating organs. However, if you have a very dis... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Noah Federman
21 years experience
Evaluated by a dr. : Bone cancer is unlikely. However, you should be evaluated by a primary health care provider and depending may warrant imaging and referral to an ortho... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Noah Federman
21 years experience
Pain, swelling, mass: The most frequent symptoms of bone cancer are pain at the site of disease often severe enough to wake from sleep, swelling at the area, and a firm mas... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old female asked:
Dr. Noah Federman
21 years experience
Usually not: The treatment of bone sarcomas depends on the specific diagnosis like ewing sarcoma, osteosarcoma, chondrosarcoma etc. Conventional osteosarcoma is ge... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old female asked:
Dr. Noah Federman
21 years experience
Highly unlikely: From the limited information provided leukemia or bone cancer would be highly unlikely. Obviously one would need to see a more extended workup to rule... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Noah Federman
21 years experience
No: Primary malignancies of bone are very uncommon in children, adolescents and adults.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Noah Federman
21 years experience
It isn't common: Primary malignancies of bone are very rare in children, adolescents and adults. There are only 450 cases/year of osteosarcoma in the us in children an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Noah Federman
21 years experience
Maybe soon: At this point, it is not possible though there are some newer technologies that may make it possible to detect circulating tumor cells or a signature ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Noah Federman
21 years experience
Depends on the type : It depends on the type of bone cancer. We generally treat primary cancers of bone with a combination of chemotherapy with surgery with or without radi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Noah Federman
21 years experience
Yes: Osteosarcoma is the most common primary malignancy of bone in children adolescents and young adults.
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Noah Federman
21 years experience
Generally good: Prognosis in osteosarcoma depends on a few things 1) presence of metastasis 2) complete surgical removal 3) pathologic response to chemotherapy ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Noah Federman
21 years experience
ALL: Acute lymphocytic leukemia is the most common childhood cancer.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Noah Federman
21 years experience
It can spread quickl: Primary malignancies of bone like osteosarcoma, ewing sarcoma and chondrosarcoma can metastasize most commonly to the lungs and other bones. However,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Noah Federman
21 years experience
Not reversible: Cancer is not reversible, but depending on the type and stage of liver/bone cancer it is treatable with modern chemotherapy, surgery and or radiation ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Noah Federman
21 years experience
Cancer in children: Simply put, this is the specialty and study cancers that affect children and adolescents under the age of 18.
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Noah Federman
21 years experience
Hospitalization: Acute chest syndrome(acs) in sickle cell disease is a very serious complication and can be fatal. Generally, acs will require hospitalization of the p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Noah Federman
21 years experience
Unlikely: Bone cancer is exceedingly rare. Generally these symptoms are from musculoskeletal strain/sprain and possible nerve inflammation. That being said, you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Noah Federman
21 years experience
Globus sensation: The sensation of having a lump in one's throat is called globus sensation. This is generally caused by inflammation in the throat, pharynx or larynx. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Noah Federman
21 years experience
Matter of concern: This is a matter of significant concern. Hard to say from here, but my concern would be for compression of a nerve root, the spinal cord or even a met... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Noah Federman
21 years experience
No radiation: Generally we use radiation with alveolar rhabdomyosarcoma; however, in the setting where the primary site was amputated there is nothing left to radia... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Noah Federman
21 years experience
See Dermatologist: If you have a concern that you might have skin cancer you should be evaluated by a dermatologist who can do a full skin exam and evaluate any potenti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Noah Federman
21 years experience
Sickle cell anemia: Sickle cell anemia is the medical name. You might also hear sickle cell disease, hemoglobin ss, hemoglobin s/beta thal, or hemoglobin sc depending on ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Noah Federman
21 years experience
Yes: If you have bone cancer and you have a complicated fracture through the affected bone you might not be able to have a limb salvage procedure.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Noah Federman
21 years experience
Many paths: There are many paths in pediatric oncology you could be a pediatric oncology physician, surgeon, nurse, social worker, child life specialist, care coo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Noah Federman
21 years experience
Depends: Patients with metastatic alveolar rms do not tend to live very long as the disease is aggressive and generally incurable. 1-2 years would be my estima... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Noah Federman
21 years experience
Likely: A ct scan of the pelvis should include the hip bones so one would likely pick up a bone cancer like ewing sarcoma, osteosarcoma or chondrosarcoma.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Noah Federman
21 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
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old male asked:
Dr. Noah Federman
21 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.
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Noah Federman
21 years experience
There are many : In the usa there are several excellent sarcoma centers depending on your location to name a few: 1) ucla, los angeles, california 2) sloan kettering... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Noah Federman
21 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
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Noah Federman
21 years experience
Flying with sickle c: Not every sickle cell pt flies with supplemental o2. It really depends on the severity of your illness overtime, the pressurization and the recommenda... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old member asked:
Dr. Noah Federman
21 years experience
Yes: Sickle cell disease is a hereditary disease. If the mother and father pass on only one copy of the affected gene then it is sickle cell trait. However... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 57-year-old male asked:
Dr. Noah Federman
21 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
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Noah Federman
21 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
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Noah Federman
21 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
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Noah Federman
21 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
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Noah Federman
21 years experience
YEs: If you have one copy of the sickle cell gene then you have sickle cell trait and very likely you will have no symptoms perhaps just a mild anemia. If ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Noah Federman
21 years experience
Very dangerous: Bone cancer can be very dangerous if left untreated. Depending on the actual type of bone cancer and whether it has spread or not may determine the ac... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Noah Federman
21 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
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Noah Federman
21 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
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Noah Federman
21 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
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Noah Federman
21 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
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Noah Federman
21 years experience
Depends: It truly depends. Some spindle cell sarcomas can have much more aggressive growth doubling in several weeks to a month or two. Some spindle cell sarco... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Noah Federman
21 years experience
Yes if untreated: If untreated strep infections can result in rheumatic fever or more seriously in toxic shock.
Created for people with ongoing healthcare needs but benefits everyone.

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
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