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Doctor insights on: Melanoma In Pediatric Patients

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Review of tonsillar lymphoma in pediatric patients from the pediatric oncology group: what can be learned about some indications for microscopic examination?

Review of tonsillar lymphoma in pediatric patients from the pediatric oncology group: what can be learned about some indications for microscopic examination?

Data says don't: There have been a number of studies (2005 pog study and more recently in 2011 and 2012) to suggest that always doing microscopic examination on routine tonsillectomies is not cost effective. If someone has a index of suspicion (clinical or asymmetric enlargement), then it is warranted. It has been estimated that not doing this automatically could save ~$35 million per year. ...Read more

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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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Is neuroblastoma stage 4 deadly in teenagers and children in general?

Is neuroblastoma stage 4 deadly in teenagers and children in general?

Improving: We are constantly trying to improve therapy for children with high-risk neuroblastoma (stage 4). Within the last couple of years, the addition of immunotherapy to standard of care therapy greatly improved overall survival from 46% to 66%. Thus, immunotherapy should now be standard of care. ...Read more

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Who are the best doctors for removing basal cell carcinoma cancer in silicon valley, ca.?

Who are the best doctors for removing basal cell carcinoma cancer in silicon valley, ca.?

Many +++ choices: There are many outstanding physicians and surgeons in the silicon valley but the choice of surgeon and specialty will vary according to location, size, histology and history of the specific tumor. ...Read more

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Comparing palliative care for adults with cancer in hospice?

Comparing palliative care for adults with cancer in hospice?

The time to: Shift from exclusive focus on cure, to acceptance that cure is not possible, time to focus on quality, comfort and care is difficult for many. Today, evidence is pointing toward integrating comfort measures for pain, nausea, fatigue and sleep early during "cure care". Amazingly, people treated this way live longer, and more comfortably. It's what i would want! ...Read more

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I'm looking for doctors who specialize in adult onset Langerhans Cell Histiocytosis in bone. I'm in NE Ohio and no local doctor has treated it. Thanks?

I'm looking for doctors who specialize in adult onset Langerhans Cell Histiocytosis in bone. I'm in NE Ohio and no local doctor has treated it. Thanks?

Call the NIH: See if you can get in a series. This illness is rare and you might be lucky enough to get yourself into a study, which will compare the current treatment standard with something that we may have reason to think is better. Be sure that a couple of different pathologists have reviewed the case -- it's a tricky call. There are times when, following excision, it may be best to leave it alone. Cheers. ...Read more

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Are there specialists in pediatric radiation oncology?

Are there specialists in pediatric radiation oncology?

Yes: While there is no formal fellowship for pediatric radiation oncology there are people who have a focus in treating pediatric patients. These physicians are most commonly at academic centers as opposed to in private practice. ...Read more

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Are treatments and guidelines in pediatric nephrology very different from those in adult nephrology?

Are treatments and guidelines in pediatric nephrology very different from those in adult nephrology?

Nephrology: Yes; excretion of urine and medications is extremely different depending on the severity of kidney disease, blood pressure, and age of the child. ...Read more

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Which hospitals in US are among the best at treating thymus cancers? Prefer academic hospitals or major cancer centers. Thanks for your referral!

Which hospitals in US are among the best at treating thymus cancers?  Prefer academic hospitals or major cancer centers.  Thanks for your referral!

Believe it or not: Believe it or not University hospital of Missouri is actually first for thymus cancers including thymoma at least it was the case within the last 5 years. The important thing is connecting with a doctor you trust. Most oncologists can treat all kinds of cancers, even the rare ones, as long as they keep up with the literature and clinical trials. ...Read more

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Who is the best colorectal surgeon in sydney for cancer?

"Best" = Subjective: I have no idea about sydney. But "best" is subjective, even when evaluated in an "objective" systematic fashion. Technically best surgical technique? Difficult to assess. Best outcomes - more objective data, but may be biased by patient selection. Best bedside manner? Most publications? Most well known? Best from a hospital (revenue generation) standpoint? Ask around, but realize caveats. ...Read more

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How many cases of colorectal cancer are diagnosed each year in age groups UNDER 50 years of age?

How many cases of colorectal cancer are diagnosed each year in age groups UNDER 50 years of age?

Colorectal cancer: Tough question to answer. Each year there are about 135,000 new cases of colorectal cancer diagnosed in the US. In my experience I would guess less than 20% of the colorectal cancers I see are in patients under 50. Hope this helps. ...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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Who are the doctors/institutions that perform surgery for thyroid cancer with hidden scars?

Who are the doctors/institutions that perform surgery for thyroid cancer with hidden scars?

Da Vinci Robot: The procedure you are referring to is performed via small incisions in the armpit utilizing the da vinci robot (intuitive surgical). There are numerous hospitals across the country that offer this. If you try an internet search in your area, I am sure you can find a nearby surgeon. ...Read more

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Why is the prognosis of someone who may have stage 2B lymphoma in a young adult?

Why is the prognosis of someone who may have stage 2B lymphoma in a young adult?

Potentially curable.: Stage IIb Hodgkin's Lymphoma is considered advanced but very susceptible to chemotherapy and radiation, thus potentially curable. The 5 year survival rate for stage II is 90%. Having "B" symptoms can lower this excellent prognosis, but with more aggressive treatment, this is curable. ...Read more

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Where do pediatric hematologists/oncologists work? Are they only at the cancer hospitals?

Where do pediatric hematologists/oncologists work?  Are they only at the cancer hospitals?

The vast majority...: Work at tertiary care medical centers and located in larger cities. There are some who work in smaller practices, but maintain a close affiliation with larger medical centers. This enables their patients to receive the highly specialized diagnostic, therapeutic and post-treatment surveillance services they need. When patients live far from their oncologist, local practioners help to provide care. ...Read more

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Are there surgeons who specialize in treating moyamoya disease?

Are there surgeons who specialize in treating moyamoya disease?

Yes: Neurovascular and pediatric neurosurgeons are often involved in the surgical care of patients with moyamoya. ...Read more

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Possibility of colorectal cancer in younger people. Which persons should get colonoscopy <50 years?

Possibility of colorectal cancer in younger people.  Which persons should get colonoscopy <50 years?

Colonoscopy <50 y o: There are several nationally-recognized colonoscopy screening guidelines. Most agree the following patients under 50 year old should undergo colonoscopy:1) afro-american males at age 45; 2) familial syndromes that predispose to early colon ca (fap, lynch syndromes, etc.); 3) inflammatory bowel of longstanding; 4) history of colon ca or adenomatous polyps at young age; 5) other select settings. ...Read more

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What kind of doctors specialize in children with rare diseases?

What kind of  doctors  specialize in children with rare diseases?

Not rare disease MD: It's the rare disease in whatever area the disease exists in--the rare heart disorder, the rare cancer, the rare skin disease, etc. Fully-trained and board-certified peds cardiologists, oncologists, dermatologists, would be able to treat not only the routine and everyday cardiac, cancer or skin problems and diseases, but also the rare or unusual ones. Some will be better and smarter than others! ...Read more

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On-line doctor writes that colon cancer is extremely common among healthy people in their sixties. So, everyone in age group will get colon cancer?

Colon Cancer: The lifetime risk for developing colon cancer is about 4.5%. The median age at diagnosis is about 70. It is the 3rd most commonly diagnosed cancer. So, relatively speaking, it is a common cancer, but it is not extremely common. Most people won't get colon cancer. ...Read more

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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


Dr. Chad Rudnick
3,170 doctors shared insights

Pediatrics (Definition)

Pediatrics is the branch of medicine that concerns ...Read more