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Doctor insights on: Melanoma Family Physicians

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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

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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Other than immediate family members (mother father brother sister) should any other family member's medical history be taken in consideration as well?

Other than immediate family members (mother father brother sister) should any other family member's medical history be taken in consideration as well?

Grandparents too!: When considering close family history, i also want to include grandparents. Although uncles, aunts, cousins may not be as important, include their information if you have it. ...Read more

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Are family physicians trained in alternative medicine?

Are family physicians trained in alternative medicine?

Not Necessarily: The basic requirements for family medicine training are uniform around the country and there is little required training on alternative treatments. However, specific training programs may provide more background and training in this area. ...Read more

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Hiv just diagnosed in family member/ need answers, life expectancy, etc?

Hiv just diagnosed in family member/ need answers, life expectancy, etc?

Book suggestion: That's too much to discuss in the limited space available here. At the risk of pushing my own book, i'd suggest you read "100 questions and answers about HIV and aids, " which is written for exactly this situation. ...Read more

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How is breast cancer inherited between family members?

How is breast cancer inherited between family members?

BRCA Mutations: The genetic mutations responsible for the hereditary type of breast cancer are called BRCA mutations. If either parent has this mutation, there's a 50:50 chance that any of their children will inherit this mutation. Even with this mutation, the chance of breast cancer is not 100%; it's closer to 60%(in women). Keep in mind that only 10-15% of all breast cancers in the US are the hereditary type. ...Read more

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Why do problems arise among family members who have always had sibling rivalry?

Why do problems arise among family members who have always had sibling rivalry?

Rivalry: Due to unresolved issues with boundaries, dominance, unrealistic expectations , limit setting & control. ...Read more

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What family members get autoimmune diseases?

What family members get autoimmune diseases?

No certainity: Although autoimmune disease have high genetic transmission rates, I do not know if you can say who will get what until signs/symptoms appear. So the best advice i can give is that you to be aware of the signs and symptoms of conditions which are prevalent in your family and be vigilant and honest in recognizing them and taking action to be evaluated by a medical professional. ...Read more

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Family history of breast cancer. Should i get brca testing?

Family history of breast cancer. Should i get brca testing?

Depends: Many people have a distant relative who had breast cancer late in life and that is not an indication for brca testing. There are certain criteria like very young breast cancer, male breast cancer, triple negative breast cancer before age 60, and others. Visit your family doc or gyn to see if you need a referral to a genetics health professional for testing. ...Read more

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I need your expertise, is colon cancer hereditary?

I need your expertise, is colon cancer hereditary?

Some colon cancers: Are hereditary. Vast majority are not. The two common hereditary forms of colon cancer are familial adneomatous polys and lynch syndrome. Let me reiterate that hereditary colon cancers are a minority. See this site for more info. http://www.mskcc.org/cancer-care/hereditary-genetics/inherited-risk-colorectal. ...Read more

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If a family member has ovarian cancer, can genetic screening determine if other family members will get the disease?

If a family member has ovarian cancer, can genetic screening determine if other family members will get the disease?

Yes: Ovarian cancer, especially pre-menopausal ovarian cancer is a rare disease and i recommend family members of such patients atleast have a genetics consultation to talk about testing. Brca-1 and brca-2 mutations put women at a much higher risk of developing ovarian, breast and endometrial cancers. More common in jewish women. Hnpcc (lynch syndrome) also increases the risks of female cancers. ...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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Please tell me if a lentiginous junctional dysplastic nevus is really melanoma in situ. My doctor won't respond.

Please tell me if a lentiginous junctional dysplastic nevus is really melanoma in situ. My doctor won't respond.

There is a subtle di: Melanoma in situ is different than a dysplastic nevus, but it is a continuum. They both need to be treated in the same manner, re-excision with a negative margin.But remember one is a cancer the other one is a precursor of cancer. So it has long term health implications for health insurance etc. ...Read more

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Is a phone available for family members in icu?

Is a phone available for family members in icu?

It is uncommon: For hospitals to restrict cell phone use anymore. There used to be concerns about emi ( electrical interference) but this proved not to be true. We actually give(loan) our patients families cell phones to carry so we can contact them if we need to. ...Read more

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Family history of colon cancer. Do I start seeing GI before or at age parent diagnosed?

Family history of colon cancer. Do I start seeing GI before or at age parent diagnosed?

Earlier colonoscopy: If you have a significant family history of colon cancer, you would start your colonoscopy 10 years earlier than the age of the youngest family members diagnosed with colon cancer. Significant history - if there are multiple family members with colon ca; if a very young age of diagnosis of colon ca in some family members; diagnoses of other, associated cancers in family members. ...Read more

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Any recommendations 4 knowledgeable & caring rheumotalogist & endocrinologist in los angeles area within kaiser permanente network?

See details: Go online to kaiser's website or call them directly. Physician recommendations are not a function of this website. ...Read more

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Is there a standard set of genetics tests for a person who has 2-3 close family members with cancer?

Is there a standard set of genetics tests for a person who has 2-3 close family members with cancer?

Genetic counselling: You will need to have a genetic counselling. They will be able to tell you your risk for possible genetic abnormality/syndrome and what tests you would need to have. There is no a standard set of genetics tests -all will depend on your family history of cancer. ...Read more

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Please explain who tracks newly diagnosed cancer cases regarding cancer clusters?

Registrars...: Most cancer centers employ a cancer registrar(s). These peole keep detailed records of all the patients seen in their geographic areas and compile statistics that are reported to state and federal agencies. You could contact your local cancer center to see who the registrar is there if you have a local concern. Hope that this helps. ...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