Doctor insights on:
Melanoma In Pediatric Patients
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
Any recommendation for pediatric plastic surgeons that specialize in treating congenital outer ear abnormalities? In los angeles, southern cal areas?
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 moreSee 2 more doctor answers
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
Are treatments and guidelines in pediatric nephrology very different from those in adult nephrology?
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
"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 moreSee 1 more doctor answer
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 moreSee 5 more doctor answers
My dad,70yo with polycitemia (therapy= hidroxiurea).Found 3 squamous cell carcinomas in face. Are 2 carcinomas metastasis/diffusion of the first one?
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
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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