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Doctor insights on: Michael Douglas And Cancer

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Father got diagnosed w/ stage 4 colon cancer. Spread to liver, lungs, and brain. Currently at city of hope. Recommend a good place in LA areas? Help!

Father got diagnosed w/ stage 4 colon cancer. Spread to liver, lungs, and brain.  Currently at city of hope. Recommend a good place in LA areas? Help!

Here R some options: City of Hope is a good Cancer Center. Alternative institutions include USC- Cancer Center, UCLA cancer Center and many oncologists in private practice. search under Medical Oncologists in your area and make a call/s to find out if another medical oncologist would accept your father for treatment of his metastatic Colon cancer. This is a disease for which good treatments are available ...Read more

Dr. Barry Rosen
4,310 doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


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If my great aunt had colon cancer at 66, lived to 95 and my grandmother had pancreatic cancer at 72, does this sound like Lynch syndrome?

If my great aunt had colon cancer at 66, lived to 95 and my grandmother had pancreatic cancer at 72, does this sound like Lynch syndrome?

No: You've asked before, right? I'm not sure why you're concerned, but I also honor folks' intuition. It's an easy if perhaps slightly pricey genetic test. If you have decided what you'd do different once you have your answer, ask your physician about it. ...Read more

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I'm 19 and they found 2 inflammatory polyps, .59 cm hyperplastic polyp, and rectal juvenile polyp in my colon. What's the risk of future colon cancer?

I'm 19 and they found 2 inflammatory polyps, .59 cm hyperplastic polyp, and rectal juvenile polyp in my colon. What's the risk of future colon cancer?

Genetics consult: 19 yo woman PMH sig for iron deficiency anemia with colonic polyps found on virtual colonoscopy. You need a referral for a standard colonoscopy where the polyps will be removed and examined pathologically. With your history, you may have Inflammatory Bowel Disease and or some type of familial polyposis which may give you a higher risk in future but your expert GI doc will always watch out for you ...Read more

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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?

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?

Regular Surveillance: Regular surveillance with physical exam, rectal exam and cea levels on a yearly basis will help detecting future recurrence or new cancers. Colonoscopy is recommended when any of the above are positive. Hope this will help. ...Read more

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Colon cancer 3yrs ago. Surgery, 2spots was in liver..Chemo for 2yrs.Now z tumor is 15 cm& 7.5 wiz spots in lungs!fatigue &dysfunction liver. What help?

Colon cancer 3yrs ago. Surgery, 2spots was in liver..Chemo for 2yrs.Now z tumor is 15 cm& 7.5 wiz spots in lungs!fatigue &dysfunction liver. What help?

NCI: It does not seem as though surgery is an option for you at this time. Body-wide treatment such as chemotherapy is going to be the preferred way to treat this. Seek care at a national cancer institute designated comprehensive cancer center. This will give you the best access to available clinical trials. Another option is to go to the website www.Cancer.Gov and click in the clinical trial link! ...Read more

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Any dr read this destroying the myth about testosterone replacement and prostate cancer by abraham morgentaler, md, facs introduction by william fa?

Any  dr read  this destroying the myth about testosterone replacement and prostate cancer
by abraham morgentaler, md, facs introduction by william fa?

Yes: Great book. Morgantaler is the doc when it comes to testosterone. When it comes to testosterone adn prostate cancer all is not what it seems. This is not standard but have a look here http://1.Usa.Gov/n7ggvn ...Read more

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Thanx in advance ur all a blessing, what can be found in a punch biopsy, doc thinks tumor in back is my breast cancer spreading ?

Thanx in advance ur all a blessing, what can be found in a punch biopsy, doc thinks tumor in back is my breast cancer spreading ?

?Cancer in skin?: A "punch biopsy" by definition means removing a very small (1/16-1/8") circle of skin, and a tiny amount of fat underneath it. The reason for doing so is redness or a "rash" that spreads onto the chest, neck, back, or lower abdomen and RARELY can be the return of breast cancer, confined to the skin. This biopsy does not go deeper, and is done by numbing the skin. Good luck to you! ...Read more

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Dad had bladder cancer biopsy.waiting pathology report. dr said fairly large tumor and a few satellite tumors. Is this bad news?

Dad had bladder cancer biopsy.waiting pathology report. dr said fairly large tumor and a few satellite tumors. Is this bad news?

Need studies: The severity of bladder cancers depend on several factors. Can the tumors be removed without removing the entire bladder? Do they extend through the bladder wall? Do they extend beyond the bladder to lymph nodes or more distant sites? How immature are the tumor cells? The pathology report and CT and/or MRI studies will tell us. Then, the treatment and the long term outlook can be stated. ...Read more

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Is my diet involved in colorectal cancer development?

Is my diet involved in colorectal cancer development?

It May Be: Studies have shown that diets with a high intake of fruits, vegetables, and whole grains are associated with a lower risk of colon cancer. In contrast, high red-meat diets are associated with an increased risk. ...Read more

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After nephrectomy for clear cell renal cancer , pathology lab gave me slides of cancer.How can they be helpful for me in screening/prognosis?

After nephrectomy for clear cell renal cancer , pathology lab gave me slides of  cancer.How can they be helpful for me in screening/prognosis?

Screening/prognosis: Having your slides with you are always helpful. You are young, and rcc is rare in young people except those with familial predispositions, such as von hippel lindau, polycystic kidney disease or tuberous sclerosis. In terms of screening, your slides can be used by pathologists to compare your prior tumor to anything new that arises or assess the grade of your tumor to prognosticate behavior. ...Read more

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What are the best cancer centers in Canada? How about in Vancouver? The cancer in question is Colorectal cancer. Thank you!

What are the best cancer centers in Canada? How about in Vancouver? The cancer in question is Colorectal cancer. Thank you!

Not in Vancouver: As in the US. when one has a specialty problem one goes to a center, not to a location. On this basis when there is a major cancer problem one seeks advice from MD Anderson in Texas or Sloan Kettering in NY. In Canada it is the Princess Margaret Hospital and McGill Univ. Hospital. Other wise any hospital in Vancouver that has a colorectal surgeon can be consulted. ...Read more

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A friend of mine was just diagnosed with rectal cancer, liver cancer and lung cancer. What is his life expectancy?

A friend of mine was just diagnosed with rectal cancer, liver cancer and lung cancer. What is his life expectancy?

Grave Situation: Of course we cannot even begin to guess at this tragic situation. I would defer to the physicians providing him care. But, as you have surmised it may not be long for him. ...Read more

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Would you put the appendix in this category? I have had thyroid and appendix cancer w/ ovarian involvement and my father died of pancreatic cancer.

Would you put the appendix in this category? I have had thyroid and appendix cancer w/ ovarian involvement and my father died of pancreatic cancer.

Not related: I am not familiar with any genetic syndromes that involve appendiceal, thyroid, and pancreatic cancer. Now, if the appendix was actually ovarian cancer that spread to the appendix, a mutation in the brca gene could account for the ovarian and pancreatic cancer. Talk it over with your oncologist, and stay up to date on your cancer screening. ...Read more

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I developed a lung metastasis from orihinal rectus cancer treated with chimio radio and asportation .Why this lung metastasis and what s the best t?

I developed  a lung metastasis  from orihinal rectus cancer treated with chimio  radio and asportation .Why this lung metastasis and what s the best t?

Speak to oncologist: Isolated pulmonary metastasis best dealt by resecting it and continuing the chemotherapy, and patients do well . Speak to your oncologist , if you are a candidate for it. Good luck. ...Read more

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38 yr male, good shape, avid runner.Traces of blood in urine.Dad diagnosed with kidney cancer at 40. Dr ordered ultrasound. Would this show cancer?

38 yr male, good shape, avid runner.Traces of blood in urine.Dad diagnosed with kidney cancer at 40. Dr ordered ultrasound. Would this show cancer?

Not necessarily: Traces of blood in urine can result from many reasons, running and exercise is amongst few of the benign reasons, however it can be an early sign of cancer as well. A thorough investigation is mandatory for anyone with strong family history. One should consult the PCP right away and ideally should be evaluated by a Urologist. A kidney ultrasound is one of the many tests needed. ...Read more

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Dear doctor, my father is suffering from keratin pearls squamous cell carcinoma of intestine. I'm in pakistan and looking for help for his treatment.?

Dear doctor, my father is suffering from keratin pearls squamous cell carcinoma of intestine. I'm in pakistan and looking for help for his treatment.?

Complex--good luck!: Most squamous cell carcinomas arise at the anus, although rare cases of it arising elsewhere in the intestines have occured. It is important to exclude a metastasis (a spreading) from another site, such as the lungs. With the appropriate therapy, including surgery, radiation, or chemotherapy a good outcome might be possible. ...Read more