Doctor insights on:
Multiple Myeloma And Pneumonia
I had not heard of "kahler's disease" until seeing multiple questions on healthtap. It is multiple myeloma (mm). "multiple" is from the often seen "multiple" bone lesions (especially in advanced disease). Mm is a cancer of plasma cells [highly specialized b white blood cells (lymphocytes)] that produce antibodies. Sx are crab: hypercalcemia, renal insufficency, anemia, ...Read more
"Many": Myeloma and other plasma cell dyscrasia treatments has evolved from standard cytotoxic approaches (eg mp, vad, hypercvad) to "novel" therapies. Immunomodulatory drugs (imids) - eg thalidomide, lenalolidomide, pomalidomide proteasome inhibitors - eg, bortezomib, carfilzomib, etc other: hsp90 inhibitors, hdaci, b-raf, etc. Over the last few years multiple new drugs have been approved for myeloma. ...Read moreSee 1 more doctor answer
Blood/Urine/Imaging: Usually workup involves blood and urine tests (spep / upep - serum and urine protein electrophoresis). The preferred initial imaging study is the skeletal survey (x-ray of multiple sites of the body including skull, axial skeleton, and proximal long bones). Bony lesions are usually lytic. ...Read moreSee 1 more doctor answer
What is the prognosis (chance of recovery) for multiple myeloma and other plasma cell cancer types?
Better than before: Most patients can now achieve remission either with standard therapy or stem cell transplant. The remissions can be long lived although patients are not cured. Many live a decade or more with good quality of life and this time line continues to get longer with the new targeted therapies. The average life span used to be 2.5 years. ...Read moreSee 1 more doctor answer
Broad Coverage: There are published guidelines. Most recommend a 3rd generation cephalosporin with a macrolide or a flouroquinolone if there is an allergy. This covers the usual bacteria that cause respiratory infections, because in most cases the exact bacteria will not be identified. This and other diseases, medications and other factors are used by the physician to tailor the treatment. ...Read moreSee 2 more doctor answers
What is the prognosis of life expectancy of someone diagnosed with NSCLC WITH mets to, liver, multiple bones, multiple lymph nodes and brain?
NSCLC: Unfortunately, the prognosis isn't good. One year survival is about 30%. 5 year survival with distant mets is less than 4%. Just remember that statistics are valid for groups. Who knows what grace God might bestow on any individual? ...Read more
Are there other kinds of cancers other than brain, lukemia, bone, skin, breast, colon, lung, and oral cancer?
Bone pain possible: Multiple myeloma is a malignant proliferation of plasma cells. This is a serious disease that can be fatal without treatment. Some symptoms include possible recurrent infections, bone pain, poor circulation, and kidney impairment. If you are concerned about myeloma please talk with your doctor. Use this link: http://my.Clevelandclinic.Org/disorders/multiple_myeloma/bm_overview.Aspx. ...Read more
Really aren't: Pulmonary embolism represents a loose blood clot from an area of pre-existing thrombosis, such as leg, heart, or pelvic areas. Chronic disease can lead to debility, and prolonged immobility, which can promote blood stasis and local clotting, but if the ms patient is treated with potent medication, exercises, and stays active, the risk of embolism is very low. ...Read more
It depends : Other than pain, cancer in the bones can potentially cause pathologic fractures ( fractures that wouldn't occur in normal bones) that usually cannot heal without an intevention. Cancer in the spinal bone can potentially cause irritation to the spinal neves and possible serious spinal cord compression especially if a fracture occurs in the spinal bones. ...Read more
Severe HPV (plantars), sarcoidosis w/ atypical lung nodules 8mm with suv of 10.9 what are chances of cancer? No lung bx done other site pos for sarc
Hard to say: Do you have significant risk for lung cancer? Are you a smoker? If yes, you need to stop smoking . The lung nodule is likely sarcoidosis of the lung although if you are also a heavy smoker, lung cancer is possible. I will suggest you to have a follow up ct scan to ensure stability if it is rapidly growing, while your sarcoidosis is quite without symptom perhaps biopsy can be considered then. ...Read moreSee 1 more doctor answer
See below: Pneumonia causes cough, fever, sometimes shortness of breath and chest pains. Rales are heard on auscultation of the lungs and an infiltrate is seen on chest x-ray. Tb is a more chronic illness characterized by cough, night sweats, weight loss, a positive PPD skin test or gamma interferon release test with apical infiltrates on cxr.Sputum smears and cultures are + afb/tb.Tb can cause pneumonia too. ...Read moreSee 1 more doctor answer
In law in stage IV RCC with multiple metasises all cancerous in multiple bones and organs We have noticed a difference breathing and mood. What's next?
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