Doctor insights on:
Not really: Most GI stromal tumors are sporadic. There are rare cases where there can be familial syndromes. In general having a G.I. Stromal tumor is not associated with increased risk of other cancers or lipomas. Sporadic lipomas are also very common. ...Read more
Colon:multi foci adenocarcinoma in situ &tubulovillous adenoma.Doctor suggest colonscopy to remove adenoma but another suggested surgery.Which better?
Translation: I am sorry but this was not translated into English. ...Read more
Prognosis of 41 yo female diagnosed with 2.2 CM papillary thyroid (follicular variant) with no lymph nodes, distant mets or extraglandular extension?
The 2: Nationally known cancer research centers are scripps and uc san diego. I've worked at the nci and 5 nci designated centers, and I am not sure that you have to go to one of these for most cases of breast cancer care. In fact, sometimes going to your local center/doctor first, and seeking the 2nd opinion is best. You choose. ...Read moreSee 2 more doctor answers
About 200: Primordial means we do not know the specific cause, about 200 sub-types have been described in medical literature. With the genome project many of this causes will gradually come to light. ...Read more
Bilateral parotitie with intraparotid lymphnodes and few lympho epithelial cysts treatement for 28 years old female?
Colon surgery:tumor size=2cm.Pathologic staging(pt3, n1b, mx).2/17 lymph nodes show metastatic.Margins of resection free of carcinoma.Need chemotherapy?
Yes: Chemotherapy regimens based on the drug Fluorouracil (5-fu) have been part of the treatment for high-risk stage ii or stage iii colon cancer. Many clinical trials have shown that these regimens improve overall survival primarily by reducing the high risk of recurrence within the first two years after surgery. ...Read more
10cm ulcerative sigmoid bowel tumor found, disease also in s.4&5 liver plus other areas - what options pse? Aflibercept?Massive surgery, stent?
There is good chemot: There is good chemo available. It is often comined with targeted drugs like Avastin (bevacizumab) and erbitux(cetuximab)depnding on the kras mutation status of the tumor. The results of chemoa re quite good, so go for it. Aflibercept is not a particualry good drug...Certainly no better than avastin (bevacizumab). ...Read more
Thyroid nodule with rare cluster ofoverlapping enlarged cells, grooves and pale chromatin. Rebiopsy or surgery? 2.9x1.1x2.2 cm
You have a choice: The results you are sharing are benign. The cells were likely from a fna biopsy. The size of your thyroid nodule meets criteria for removal, greater than 2.5 cm. Okay to talk to your doc and your surgeon about risk/benefits of waiting a few months with repeat ultrasound versus surgery now to remove one side of your thyroid. Good luck. ...Read moreSee 1 more doctor answer
Colon biopsy:huge tubulovillous adenoma with marked atypia, multi foci adenocarcinoma in situ &one tiny focus suggestive of micro invasion.Is it cancer?
In a new state. Autonomic dz is pots. Pit, liver, ovary adenomas. Thyroid has new solid nodules and nodes. Only bx'd node. ?Ask for excision?
Thyroid nodules: I know more about pots than thyroid but in general if you have a node biopsied, if there is not diagnosis, they will likely biopsy nodule to determine whether to excise. If there is a diagnosis based on node biopsy, that will lead to best recommendation. Decision depends on the pathology and extent of tissue involved. If hyperthyroid, that can explain what was diagnosed as pots, as not pots. ...Read moreSee 1 more doctor answer
35yr female,mri showed tumor on t6,pet scan showed hypermetabolism in lymph nodes neck,chest ,med.focal uptake in esophagus.what can that be? Lymphoma
Lymphoma: A biopsy of the lymph node or one of the other sites is required to establish a diagnosis. The T6 lesion can be biopsied and bone cement placed in the vertebral body (kyphoplasty/vertebroplasty) if the pain is significant between the shoulder blades. An oncologist can provide a plan for treatment. ...Read more
Moderately diff. sq. cell tongue carcinoma surgically removed + Left level I-IV Lymph nodes also(tumor free in path. report)Radiotherapy Needed stil?
Multidisciplinary : Make sure tour case is being discussed at a multidisciplinary meeting that includes the surgeon, along with medical and radiation oncologists, and radiologists. This is something usually referred to as a tumor board, and is present at many hospitals. Also look on the American Cancer Society website for more information about stage related treatment options. Hope this helps! ...Read more
Small pleomorphic adenoma(<2cm) on postero inferior part of superficial parotid gland.traditional incision needed?anyone do micro parotidectomy in ct?
Traditional incision: Pleomorphic adenoma of the superficial lobe of parotid requires removal of the superficial lobe. This operation is not performed on the lobe per se but on identifying the facial nerve and its branches and lifting the lobe off the nerve. The incision is designed to give landmarks that define the trunk of the nerve as it comes out of the stylomastoid foramen. Procedure this way is under 1 hr. ...Read moreSee 1 more doctor answer
What are some possible causes of bulky mediastinal lymphadenopathy(other than cancer) involving subcarinal, bilateral hilar and paratracheal nodes?
Sarcoid: could cause adenopathy in those regions, as well as other granulomatous inflammatory processes. Infectious processes such as histoplasmosis could do it. Certain chronic exposures such as berylliosis and silicosis could cause mediastinal adenopathy, but usually the history and other findings make those diagnoses more obvious. Unfortunately, lymphoma is the major consideration in most cases. ...Read more