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Doctor insights on: Internists Melanoma

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Dr. Mike Bowman
957 doctors shared insights

Skin Cancer (Definition)

A condition in which some element of your skin--which is one of the most complex organs in the body--degenerates into cancer. The three most common types of skin cancer are: basal cell, squamous cell, and melanoma which occur in that order and degree of aggressiveness. Although heredity plays a major role, sun exposure and tobacco use and ...Read more


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What procedures treat nonmelanoma skin cancer?

What procedures treat nonmelanoma skin cancer?

Depends: Depend on what type of cancer? Squamous cell, basal cell, skin lymphoma? Etc. Surgical resection if localized on the skin and if indicated. If it is already spreading to distant organ-then systemic therapy ( chemo or other biological agent) will be the option. In certain cancer on the skin -radiation therapy, uv therapy , topical chemotherapy , interferon etc-could be the treatment as well. ...Read more

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What careers involve pediatric cancer?

What careers involve pediatric cancer?

It takes a village..: In addition to md specialists, there are many who help provide care for a child with cancer. A partial list includes oncology nurses, nurse practitioners, physician assistants, dietitians, social workers, medical assistants, child life specialists and researchers (basic science, translational medicine, epidemiology). ...Read more

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Is metastatic melanoma preventable?

Is metastatic melanoma preventable?

Yes and No: Certain genetic conditions may predispose someone to malignant melanoma. But there are certainly things that can be done to boost one's immune system to fight cancers. And those with irregular moles should be seen at least yearly by their doctor or dermatologist to remove suspicious moles. Therefore, preventing a metastatic process. ...Read more

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Who should undergo genetic counseling for hereditary non-polyposis colorectal cancer (hnpcc)?

Who should undergo genetic counseling for hereditary non-polyposis colorectal cancer (hnpcc)?

Family history: There are a number of different inherited defects that cause hnpcc. A person with strong family history of colon cancer, occurring at a young age should seek counseling. ...Read more

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Superspecialisation available: MCH in surgical oncology m.Ch.In oncology dm in medical oncology difference?

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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Renal cell carcinoma (kidney cancer) at 83years. Would u recommend surgery?

Renal cell carcinoma (kidney cancer) at 83years. Would u recommend surgery?

More info needed: Yes but just because 83 yr old you don't write of people in cancer treatment , could be very healthy 83 , stage of the disease, health status , patient's own desire etc are all the factors to consider, for aggressive treatment, of course end stage, disease palliation and hospice care , make as comfortable as possible is the option at any age. ...Read more

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Do most cancers metastasize?

Do most cancers metastasize?

Yes: Ability to metastasize is a key feature of malignancy. Basal cells carcinomas of skin rarely, if ever, metastasize, brain cancer do not metastasize outside the brain. ...Read more

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In general, can shave biopsy diagnose Melanoma (not in situ)?

In general, can shave biopsy diagnose Melanoma (not in situ)?

Not a good way to: test. Shave biopsy of a mole is not a good way to diagnose melanoma. The mole or the suspected lesion should be excised fully and submitted to a pathologist for examination. Shave biopsy of a suspected melanoma is a bad idea. ...Read more

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Is?Amyloidosis defined as?A cancer?

Is?Amyloidosis defined as?A cancer?

No: It's an accumulation of an abnormal protein in various organs, and has many causes, including cancer of the plasma cells which is called (multiple) myeloma. It is very troublesome but is somewhat more manageable today than in the past. Good luck. ...Read more

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Experts, might someone recommend nexavar (sorafenib) for a stage 4 inactive neuroendocrine pancreatic cancer patient?

Experts, might someone recommend nexavar (sorafenib) for a stage 4 inactive neuroendocrine pancreatic cancer patient?

Possibly: Stage 4 indicates that you have net at a site distant from the pancreas or regional lymph node, likely the liver. Not clear what you mean by"inactive", whether you mean it is stable or not secreting any substance. In any case, sorafenib (nexavar) is being tested in metastatic net in clinical trials (http://clinicaltrials.Gov/ct2/show/nct00131911) & (http://www.Ncbi.Nlm.Nih.Gov/pubmed/23475104). ...Read more

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Can hematologists perform surgery?

Can hematologists perform surgery?

No: Hi. Hematologists are trained in internal medicine and then sub-specialize in hematology and oncology. They do minor procedures like bone marrow biopsies and any internal medicine procedures, but surgeries are performed by surgeons, physicians who specifically train in surgery. ...Read more

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Is there a melanoma cancer walk or a melanoma society?

Is there a melanoma cancer walk or a melanoma society?

Yes: Melanoma is a lethal disease if untreated, early detection and excision will cure melanoma.Awareness and education is essential to cure, which is done by melanoma walks in your local area, several organisations like melanoma research alliance, melanoma.Org etc contact your local american society office for more information or your local hospital. ...Read more

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Who are the best at diagnosing genital warts? Dermatologists or urologists?

Who are the best at diagnosing genital warts? Dermatologists or urologists?

Urologists: probably see more genital warts however Dematologists are usually EXPERTS in sexually transmitted diseases...(it is said that this "expertise" resulted from the various SKIN manifestations of the "oldest" STD SYPHILIS which has NUMEROUS skin manifestations!! My suggestion is choose the expert recommended by your PCP (primary Care Provider) or a Friend/Family member! Hope this helps Dr Z ...Read more

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New3mm sessile/transverse;no path yet;1hyperplastic18yrs ago;biological mother-colorectal ca in50s;family w/lung&other CAs;I had breast ca;test4Lynch?

New3mm sessile/transverse;no path yet;1hyperplastic18yrs ago;biological mother-colorectal ca in50s;family w/lung&other CAs;I had breast ca;test4Lynch?

Genetic testing: Although there are some genetic diseases that increase the risk of both breast and colon cancer your history and family history do not seem to indicate that spectrum. A hyperplastic polyp is completely benign and does not even change the screening protocols for colon cancer screening. I would wait for the pathology to discuss the results and determine your best screening methods. ...Read more

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Why don't cancer doctors prescribe zevalin (ibritumomab tiuxetan)?

Why don't cancer doctors prescribe zevalin (ibritumomab tiuxetan)?

Used: Doctors do prescribe zevalin (ibritumomab tiuxetan) (ibritumomab). It is a useful medication, but the dosing involved a complex test dosing which was doable, but not available at all centers. That is better now. Also there is not "head-to-head" data vs the "naked" cd20 monoclonal antibody Rituximab vs. Zevalin, (ibritumomab tiuxetan) so some data are hard to interpret. It if more often used as consolidation or relapse therapy. ...Read more

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Need expert opinions about skin cancer radiation treatment?

Need expert opinions about skin cancer radiation treatment?

Not usual Rx: Radiation is not usually used to treat skin cancer. Surgery is the usual approach. See this site for more info. http://www.mayoclinic.com/health/skin-cancer/ds00190. ...Read more

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Is melanoma genetic?

Is melanoma genetic?

Sometimes: There are a portion of melanomas that have a genetic inheritance, e.G, the dysplastic nevus syndrome. We are not yet certain about exactly how the inheritance works for this. Other rare inherited conditions also increase the risk of melanoma and other cancers too. Finally, there are a large number of melanomas that have no inherited predispostion as well. ...Read more

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Dysplastic nevus, or atypical moles, and they are benign lesions that resemble early melanoma, and about 1 in 10 million americans willmelanoma, what to do?

Dysplastic nevus, or atypical moles, and they are benign lesions that resemble early melanoma, and about 1 in 10 million americans willmelanoma, what to do?

Watch carefully: Dysplastic nevi are potentially serious in that they can convert to infiltrating melanoma. In children with spitz nevus, they look malignant but never convert. In patients with neurofibromatosis there is a high incidence of dysplastic nevi and since many are present they are watched for changes in shape, darkening in color or redness around the lesion suggesting that they are converting. ...Read more

Dr. Travis Kidner
2,633 doctors shared insights

Melanoma (Definition)

Cancer of the melanocyte cells. Melanocyte cells determine the color of your skin. Although these cells are primarily found in your skin, they can also be found in the bowel ...Read more