Doctor insights on:
Cin3 Involving Surgical Margins
Wire exc biopsy shows invasive insitu lob carcinoma, sbr grade 2, 8mm stage 1b, favorable margins except anterior margin of 1.5mm, mastecto or radiatio?
30 yo with 2 mm cervical adenocarcinoma on cone biopsy. CIS at margin (no invasion at margin). No high-risk features such as LVI. Trachelectomy?
Conservative treat: after cone bx, the findings of in-situ Ca suggests that there is residual prcancercous changes which can be handled by cryosurgery of the cervix region. This can then be followed by Pap smears and if no residual disease appears the condition can be followed. Reappearance of malignancy suggests eventual hysterectomy ...Read more
What it means?cervical/endocervical trans zone mucosa show high grade squamous intrapithelial lesion CIN2-3 with focal prominent glandular involvement
Is mastectomy good for an invasive & in situ lobular carcinoma, stage 1b, sbr grade 2, 8 mm in size with good margins except anterior margin 1.5mm ?
Concern: The 1.5mm margin anteriorly is the only margin that gives me concern. For patients undergoing lumpectomy, obtaining at least a 2mm margin is associated with a decreased risk of recurrence. It would not be usual practice to take you back to surgery for a re-excision of this margin, however. ...Read moreSee 1 more doctor answer
RT NEPRECTOMY CLEAR CELL RENAL CARCINOMA(FUHRMAN GRADE 2) CONFINED TO KIDNEY.URETER RESECTION MARGIN, SINUS & HILUM , ADRENAL FREE FROM TUMOR?
Unclear: Sorry I am unclear as to what your question is. Please clarify. ...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
Leep shows hsil cin3 w/ endocervical gland involvement. Exocervical margins positive. Endocervical margins clear. Pap in 3 months or cone biopsy now?
At least PAP, may: Require bone biopsy later. From the information you provided, you have residual abnormal cells in the cervix and at a minimum you need to monitor the process by pap. Three months is not likely to cause irreversible changes for the worse and you can wait to see the pap results to decide, in consultation with your doctor, if cone biopsy is needed. ...Read more
Abnormal FDG activity involving pleural thickening in Rt lower lateral lung base compatible with inflammatory VS early neoplasticism disease. Meaning?
Pleural thickening: It means that the pleural thickening is metabolically active(i.e. It is not chronic scarring, which would be inactive). The 2 main possibilities for this, as you mention, are an active inflammation, which is benign, or neoplastic disease(tumor). Speak with your doctor. If the answer is not clear based on your entire clinical picture, biopsy could be needed to determine what it is. ...Read more
Colon:2x3cm non lifting flat lesion(malignant suspicion)couldnot be removed by polypectomy, needs segmental surgical resection.Surgery or laparoscopy?
Either way: Must be removed , laparoscopic surgery will have slightly quicker recovery, less pain , due to your cardiac surgery which ever takes shorter operation time time you should choose, increased intra abdominal pressure may not be good for you as in laparoscopy discuss with your surgeon and cardiologist ...Read moreSee 1 more doctor answer
B breast ca, bilaterally multifocally recurrent, s/p salvage mastectomy, with no distant mets except back lesion which resolved on neoadj chemo. ?Rt?
My view...protons...: In a similar case, i chose to use proton therapy. Why it is useful is that it can treat the axilla and chest wall, as well as the internal mammary nodes while sparing lung and heart. That spine/back lesion is a concern, but I have seen (it has been published) that bone met only patients if controlled can have very, very long survivals, so in my mind it is worth the work/travel. ...Read moreSee 1 more doctor answer
Biopsy says well differentiated infiltrating scc at the angle of the mouth depth of invation is 4mm no lvi or pni found staging t2n0m0 what treatment?
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
C5/6residual rparacentral disc osteophyte complex mild flatening & indent anterior aspect of cord-surgery with anterior fixation&fusion 2fix-soreneck?
Hard to say: The treatment options for someone with the MRI findings you are describing are based also on the degree of problem you have had with it and also with the understanding that many people can respond to nonoperative care. That being said, an anterior cervical discectomy and fusion is the time tested surgery for that condition and is reasonably safe and effective. Thank you for your question. ...Read more
Post neck dissection and head lesion removal. Mets from head to neck. Path results: malignant epithelioid and spindle cell neoplasm-english please. ?
Provisional: This is a preliminary report while the pathologist does more work to get the exact nature of the tumor settled down. I suspect this will turn out to be a carcinosarcoma. This is a difficult case and your physician will probably want several pathologists' signatures on the final report. ...Read more
What does each word/phrase mean?Infiltrating, well differentiated adenocarcinoma; carcinoma focally invades superficial submucosa;no lymphovascular invasion?Is surgery advised for this type of report?
Colon biopsy:huge tubulovillous adenoma with marked atypia, multi foci adenocarcinoma in situ &one tiny focus suggestive of micro invasion.Is it cancer?
Does metastatic cheek 1.5cm lymph node & almost completely occupied by a tumor proliferation without extracapsular extension need radiotherapy?
Maybe: Not always - need to sample additional and if carcinoma still present would rec XRT ; can do a scan to see if any residual tumor. ...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
Fragments of hyperplastic squamous epithelium with basal zone hyperplasia. Underlying stroma moderate infiltrate of chronic inflammatory cells. Bad?
Not cancer: Nothing in this dscription says 'cancer'. In fact, nothing in this description says it's other than just a palce where you scratched for a week or so because it itched. The key is the clinical correlation. ...Read more
Superficial fragments of oesophagel mucosa lined by stratified squamous epithelium showing mild acanthosis and papillomatosis. Please explain?
Fancy med talk: I just looked up in a medical dictionary: acanthosis means a thickening of a layer of the mucosa of the esophagus. This can be seen with chronic inflammation ( like with reflux disease). The word papillomatosis refers to papilla or projection of tissue sticking out. This can occur if there is chronic injury to the tissue and regeneration. Please ask your GI doctor to take the time to review this. ...Read moreSee 1 more doctor answer
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