Doctor insights on:
Good diagnosis technique papillary cancer?
Start w/the basics: A better question is: how do you diagnose a thyroid mass? Since 99% of thyroid masses are benign, you wouldn't start out by looking for one type of tumor. Feel the neck and observe for multiple lumps. Go to an ultrasound to check out the fluicd content (suggesting cysts). If it appears to be a solid mass, go for either a nuclear scan or a needle biopsy. Open biopsy or surgery comes last. ...Read moreSee 2 more doctor answers
IDC BC-HER2,PR,ER&LN positive,local skin met-LVI found AFTER CHEMO completed.
Recur risk?Prognosis?Avg time 2 reoccur? Dx@39
Is afirma thyroid fna analysis-molecular marker test by veracyte any good for diagnosing papillary thyroid cancer?
NIH or ACS website: The nih/nci website can give you a lot of information of surgical oncology, clinical trials available for certain cancers. The american cancer society website has information on all types of cancers including the surgical and nonsurgical treatments available. ...Read moreSee 2 more doctor answers
Best treatment for invasive and in-situ carcinoma with lobular features, sbr grade 2, 8mm in size?
If this was a....: ...Exam question, i'd say: lumpectomy with sentinel node analysis followed by radiation or mastectomy with sentinel node. Either would be followed by 5-10 years of oral endocrine therapy (tamoxifen or ai) if the tumor is er or pr positive. There may be other factors i'm not aware of that may move a doc to take a different approach so have a good talk with your doc about your options. ...Read more
FNA results 2.4cm thyroid nodule was FLUS.Please explain good vs bad for US.Mildly hypervascular solid circumscribed. Histo is microfollicles. ?
Referral: Most thyroid nodules are benign and this is a common problem. However, this can be serious. Usually a fine needle aspiration biopsy (FNA) will determine if the nodule is cancerous or benign. This test can get right to the bottom of the issue. Often an ultrasound is needed to determine the characteristics of a thyroid nodule. You need a pathologist and radiologist you can trust! ...Read more
Essential HTN: Essential HTN is the cause of most hypertension. We can treat it though we don't truly know the cause. A very small percentage of hypertension are known as secondary htn, have known causes such a renal artery stenosis, pheocromocytoma and other rare disorders. These are rare. I have personally had two cases in twelve years of active practice... More important that the cause is aggressive treatment. ...Read moreSee 1 more doctor answer
Pathology report: mixed protoplasmic astocytoma and olichdendroglioma grade 2. Does that mean cancer?
Skin mole removal question? Am expat, limited resources, biopsy basal cell, can I wait 2 mo till in us>
Maybe: Basal cell cancers tend to grow fairly slowly so a delay in treatment for a couple of months may be ok in some cases. But it really depends where it is, what type it is and how advanced it is. You should get some advice from a dermatologist regarding your options. ...Read moreSee 2 more doctor answers
MRI biopsy was done and showed DCIS. Histopathology showed invasive ductal with 2.5 mm microinvasion (grade 2). ER-PR negative, HER +ve (+3). My ques?
I'm not sure: of the question. It is not unusual for an image-guided needle biopsy DCIS to be 'upgraded' to an invasive cancer at surgery. The needle biopsy randomly samples small areas of the lesion, whereas following surgery the pathologist has the whole mass to work with. It is relatively common to have elements of DCIS and invasive components existing in different parts of the same tumor. ...Read more
My mom has needle aspiration biopsy and the results were: follicular neoplasm adenoma vs carcinoma; adenomatous colloid goiter with hyperplastic chang?
It could be cancer/T: Thyroid cancer can show up like this. On the other hand benign Thyroid nodules are common but FNA may not be adequate to make a correct diagnosis. You should seek an expert opinion from a Thyroid Cancer doctor. Such specialists are found in bigger Medical centers or in a Cancer hospital where you could first go to an Endocrinologist or head and Neck surgeon for advice. ...Read more
35y stage i rectal cancer cured via lar w/ tme & wide margin, post-op biopsy clear of cancer in all 17 lumph nodes. Advice on follow-up & gene tests?
Benign: Nothing more needed, even if incomplete removal. ...Read more
Is chemotherapy required for stage 1A IDC breast cancer, tumor size 1.1 cm, ER & PR positive, HER2 negative, nuclear grade 1. Patient is 42 years old.
Borderline call!: Your breast tumor is quite small, so it has >90% odds that it can be safely treated with surgery, without any chemotherapy required. You may ask your doctor for treating you with tamoxifen which is a antihormone type of medication, commonly used as the treatment for tumors that are ER positive. Good luck ...Read more
Decipher fna biopsy: benign hyperplastic/adenomatoid nodule w/ cystic hemorrhagic change. Also, prep shows follicular cells w/ macrophage and colloid?
Pigmented lesion . In face..Recent increase size..Irregular border....Biopsy reveals malignant cells infiltration ...Whats diagnosis plz?
Superspecialisation available: MCH in surgical oncology m.Ch.In oncology dm in medical oncology difference?
Huh!: I don't understand your question. Surgical oncologists have completed a 5 year residency in surgery and a two year fellowship in surgical oncology. We are surgeons with special interest and experience in treating cancer. Most do not give chemotherapy. Medical oncologists typically start with internal medicine and then subspecialise. They give chemotherapy and other drugs but do not do surgery. ...Read more
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