Doctor insights on:
Cancer Level 2
It is curable.: All breast cancer is bad, but the prognosis changes with stages. So the lowest stage has the best prognosis and the highest stage, stage 4, has the worst prognosis. Technically there is a stage 0 which is something called dcis, which hasn't invaded out of the ducts. Stage 1 is better than stage 2 but stage 2 is definitely curable. You can never know you are cured for sure so follow up is necessary. ...Read more
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
3 yr daughter w/ chronicle elevated alk phosphate level. Lab today show alk level 234, BUN 22 & creat 0.25. Alk level been elevated sense age of 2.
I'm not certain...: ...why your daughter was diagnosed with an elevated alk phos. Normal range for a toddler is from a low of 145 to a high of 420. A BUN to Creatinine ratio of 88 (22/0.25) can be caused simply by dehydration. In any case, all of these tests must be interpreted in light of your daughter's overall health, growth and development. I hope she's otherwise fine. ...Read moreSee 1 more doctor answer
Maybe CIN2?: "Stage" isn't normally used in connection with HPV. If you've had an abnormal pap smear, I wonder if you have CIN2. CIN means cervical intraepithelial neoplasia, with increasing severity (further along toward possible cancer) for 1, 2, and 3. If you have CIN2, follow your doctor's advice about treatment and follow-up. That will prevent progression to cancer. Discuss with your doctor. ...Read more
Thyroid cancer patient, my thy numbers 2 years after total thyroidectomy: tsh= 0.32, tg ab= 23, tg=0.2, pth= 68, vitamin d= 12. Number meanings?
See a Specialist: Tg ab and tg are a marker for remaining thyroid tissue (and presumably thyroid cancer), TSH is the hormone that stimulates thyroid tissue to grow and produce thyroid hormone, PTH is the hormone that controls your calcium metabolism. You should discuss your lab interpretations with a specialist, especially given your history of thyroid cancer. ...Read moreSee 2 more doctor answers
Interpretation: Serum creatinine is affected by protein intake, gender, age, race, muscular build, and renal function. A rising creatinine is always of concern. "normal" on lab tests is generally less than 1.2 mg/dl. Renal function can be estimated with a more complex formula or measured with a 24 h urine collection. ...Read moreSee 1 more doctor answer
Vascular involvement: The distinction between stage ii and iii hinges on the involvement of the arteries known as the celiac axis and the superior mesenteric artery. Specialist centers will treat a questionable stage iii as borderline resectable using chemo and radiation in an effort to get to resection. Seek help in a major center; this is an area where missteps occur. ...Read moreSee 1 more doctor answer
Solid heterogeneous thyroid nodule 15mm to 3cm in 2 years and normal TSH levels. If it is cancer, could it have spread over the 2 years? Fna tomorrow.
Is stage 2 pancreatic cancer in one person any more serious than stage 2 breast cancer in another person?
Completely different: Hello, Pancreatic cancer and breast cancer are 2 completely different disease. Stage for stage, breast cancer usually has a better prognosis than pancreatic cancer. There are a few rare exceptions: such as certain subtypes of pancreatic cancer so please discuss this with your oncologist. If you have a more specific question that you'd like addressed, please post it. Thank you. ...Read more
39y/o, had 2 polpys removed (sigmond & descending, villous adenoma w/high grade dysplasia). Will i get colon cancer even though 2 polyps were removed?
Not sure if: Family history or leeding led to your colonoscopy, but it showed its value. You are not predestined to get invasive cancer, but the findings warrant follow up to snip dangerous polyps before they invade, and gain access to nodes and blood steam. Your colonoscopist can tell you schedule for surveillance. ...Read moreSee 1 more doctor answer
Thyroidsectomy 5 days back.Case Papillary carcinoma & pitoury tumour. Pituory tumour yet to be operated. Tsh 39.9 T3 (liothyronine) 2.2 T4 1.2. is tsh level ok ?
Thyroid & pituitary?: Are you saying you have papillary ca of thyroid, and also a pituitary tumor? What kind of pituitary tumor? Does it really need surgery? The TSH is not ok, unless it is being left high intentionally in preparation for radioactive iodine therapy. This is complex. You need to see a competent endocrinologist right away; probably to concentrate on treatment of the thyroid cancer. ...Read more
No: Over a 40 yr. period I have only seen one colon cancer spread to renal parenchyma. Stage 2 kidney cancer is due to a lesion arising in kidney parenchyma and does not represent metastatic tumor to kidney. The lesion that does spread to kidney and eventually spreads though very rare is adenoCa of lung spead to kidney. If no lung lesion we are essentially talking about a primary kidney tumor ...Read moreSee 6 more doctor answers
Low co2, elevated anion gap, elevated pH of 7.5, low creatinine of . 2 in toddler with slow growth born prematurely at 31 weeks ga & 2 vessel cord?
Consider...: ...The possibility of a genetic or metabolic disease which will create excess anions (the anion "gap"). Examples would include Lactic Acid built up in cells that undergo anaerobic metabolism, or acids that build up such as ketoacids in the face of diabetes. A 2 vessel cord suggests a kidney or genetic anomaly and should have a genetics and nephrology evaluation. ...Read more
7 CM ovarian cyst, ca-125 levels elevated (48), roma score & all blood tests good. Previously had nasopharyngeal cancer. Recurrence or endometrioma?
Likely endometrioma: At your age, ovarian cancer would be exceedingly rare. Ca-125 levels can be elevated in young women for a variety of reasons that have nothing to do with cancer. Nasopharyngeal cancer and ovarian have no relation to each other. Your doctor should tell you what features or characteristics the ovarian cyst has, this will tell you what kind of cyst it is. Good luck! ...Read more
It varies: Ldh levels in various cancers can be elevated but not all the time. It is marker of cell proliferation;l so it is more often elevated in very advanced bulky tumors. But it is quite unpredictable so there is no set expected number that we can provide .But it is good to know the blood level as a normal ldh value is often a favorable feature in most types of cancer. ...Read more
Thyroid nodule. FNA benign. male. Last 2 tests. TSH high normal 4.0, and 4.2. FT4 Normal. TPO AB high at 39 (0-9 range)
do I need medication?
No: One of the questions with regard to thyroid nodules pertains to number and activity of the nodule. If on scan one sees several nodules, the dx for the most part is goiter. FNA can easily miss the nodule or can be read as an adenoma. A functional scan should be performed. If hot the nodule should be left alone. If the solitary nodule is cold there is a 30% chance the nodule is or will be Ca. ...Read more
It is an option...: ...But not the only one. Any person with an inherited cancer trait or a strong family history of cancer should discuss their management with a specialist in cancer genetics. No such thing as one size fits all. Good news is that by knowing you have a mutation, you have the tactical advantage. Best to you. ...Read moreSee 2 more doctor answers