Doctor insights on:
Cold Knife Conization Surgery
No: Stereotactic surgery is usually a minimally invasive procedure using x-ray and computers to locate a spot or lesion to perform a needle biopsy through a very small incision. Gamma knife is a non-invasive procedure to deliver very carefully a high dose of radiation therapy with specialized equipment to treat a lesion or tumor with no incision. ...Read more
While the patient is under anesthesia (asleep) the doctor cuts out a small (outside) cone shaped portion of the cervix that has abnormal/ pre cancerous or cancerous skin and deeper tissue . It can treat cervical dysplasia ( pre cancer of the cervix) or diagnose cervical cancer. It is rarely enough ...Read more
Depends: The answer to this question really depends on her diagnosis. I assume she has some sort of problem with her pap smear. Usually cervical issues, those conditions found in a pap test, dont require hysterectomy. The leep can be both diagnostic and treat most conditions involving her cervix, but she should consult her doctor as to why either procedure should be done. ...Read moreSee 1 more doctor answer
No: Painful intercouse might be an infection. Be sure and see a gyn doctor to evaluate. ...Read more
LASIK : Lasik is the acronym for laser in situ keratomileusis. It is performed using an excimer laser to provide optical correction for myopia (nearsightedness), hyperopia ( farsightedness) and astigmatism. A flap, under which the laser vision correction is performed, can be made with a mechanical microkeratome or a femtosecond laser like the intralase or ziemer ldv. ...Read more
Gamma knife: One of the not so new options is the use of gamma knife. Multiple sources of radiation are focused on the lesion, thus minimizing the damage to surrounding normal tissues. ...Read more
Neck n shoulder pain 2 years. R hand tingle. Steroid jab C4/5/6/ no improvement. What minimally invasive disc surgery is there?
Varies: The " traditional" surgical procedures are highly successful in the good candidate with a 90-95 percent success rates. Typical minimally invasive options are either a posterior laminoforaminotomy or a percutaneous discectomy. In general , they are not quite as successful, but are less invasive. ...Read more
I want to know whether radio surgery (cyber knife or gamma knife) is applicable in metastatic breast cancer to liver?
Mets in liver: If someone had just one met, cyberknife, rfa, nano knife, cryo ablation or surgical resection any of them can be considered. It would be important to biopsy it and make sure what the pathology is as there is a 20% chance of having different pathology compared to the primary breast cancer. That can make a difference in systemic therapy we choose. ...Read moreSee 1 more doctor answer
I'm 2 months op brain surgery removed 50% of tumor now i've got to have 22 frictioned radition.Will radition made anesthesia dolorosa worst ?
Possible: This technique supposedly offers the advantage of causing little or no disturbance of facial sensation. Nevertheless, complications such as paresthesias, dysesthesias, and anesthesia dolorosa (pain in an area that is without sensation) have been reported. Rec.: talk to your surgeon for more information and education. Take care. ...Read more
Next week am undergoing endovenous radio frequency ablation closure procedure. Drs say its minimal pain. How minimal? Is it worse than an IV poke?
Pain should be minor: The pain from the procedure itself should be less than an IV placement. You will feel a slight sting and burn with the local anesthetic in several places, but otherwise it is usually very well tolerated. Pain after the procedure should also be minimal, and is usually along the lines of a pulled muscle sensation. ...Read moreSee 2 more doctor answers
Minimal: There is very little pain with a leep procedure. I do them in my office using a paracervical block which requires an injection on each side of the cervix. Most of my patients do not feel that injection. If I do the leep in the operating room, those patients have an I.V. Which does require a neele stick for its placement - still only a needle stick - minimal pain. ...Read moreSee 1 more doctor answer
DCIS, left breast, biopsy itself removed high grade cancer cells, lumpectomy path 100% cancer free. Radiation necessary? What about proton therapy?
Sometimes: Endoscopic brain surgery has both risks and benefits. In the correct hands, this type of surgery can make the previously unthinkable possible but like anything, if this type of surgery is not applied properly, it can have significant (even deadly) risks. In short, open brain surgery can be just as safe as endoscopic surgery but it depends on the comfort level of your surgeon. ...Read moreSee 1 more doctor answer
I had stage 1 grade 2 invasive lobular cancer. Had a bilateral mastectomy. Taking Anastrazole, but no chemo or radiation. Is this smart?
Stage I Breast Ca: Suppose you had ER/PR-pos and Her2-neg BC. Stage I BC defined as tumor size 0,5cm or N1mi, consider oncotype for recurrence score (RS). If RS is high (>31), chemo may benefit. ...Read more
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