Doctor insights on:
Need An Excellent Thoracic Surgeon In Maryland To Remove A Small Cancerous Mass In A Lung
Oncologist's: During surgery, can a surgeon actually see the difference between a cancerous vs. a benign tumor/mass in the pancreas?
Surgeon's view: First not a surgeon but work in surgery every single day. It can very difficult to say with certainty if a mass of the pancreas is malignant. It can be difficult even with the help of a microscope. If there is a pancreatic mass with several enlarged lymph nodes nearbye the surgeon will usually think they are dealing with a cancer but they usually wait for the pathology report before telling pt. ...Read more
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
Would a pa in skin center do shave biopsy for melanoma by appearance after a skin check? Or would the patient be referred to an MD in dermatology
Shave biopsy-Mole?: It requires experience and good judgement before a mole is considered for a biopsy. There has to be sufficient risk of the mole being a Melanoma. Indiscriminate excisons are wasteful of resources. So I do not think this procedure should be done by a PA or any physician other than a experienced Dermatologist. Moreover a shave biopsy for Melanoma is considered a poor choice over an excisional biop ...Read more
A 2-3cm mass was found by my sacaral bone, in a CAT scan. Should a biopsy be done before surgical removal of the mass?
Is bladder cancer spreads to the lymph nodes in my chest, do I need to see a urologist or a thoracic surgeon?
several reasons: When peritonitis develops due to reputed diverticulitis , left colon rectosimoid colon resection , end will become pouch ( colostmy ) later will be reattached hartman's procedure , also done in cancer, it is not reversed for several reasons , if medically unstable, non compliant pts, unable to loose weight, or had , end stage cancer with limited life expectancy , your could be any one of them ...Read more
Oncology: Would it be prudent for a surgeon to remove a benign tumor (if it was) of the pancreas when there is a family history of pc?
Ask the surgeon: I guess the question is 'is there an association between benign tumor and later malignant pancreatic cancer'. But how do you know its benign? In any case, putting the question directly to your surgical consult, and checking the answer with your own practitioner is a good idea. ...Read more
What kind of doctor would perform a nerve biopsy & a muscle biopsy?
Do you recommend a dr in Central Jersey who would perform these procedures?
Please explain: A 46x51x54 mm cyst is seen in the right ovary with a peripheral avascular nodule. Surgical eval should be considered.
I live in a small town and was diagnosed with a neurological condition that needs surgery. What is the best method/service for finding a surgeon?
Ask doc, friends!: One of the best parts of having a long term relationship with your primary care doc, is that the doc will be a valuable resource for referrals and send you to a surgeon with whom he/she is familiar and trusts. Also ask family and friends. Insurance is a factor too. Check your plan and see which surgeon is on it. ...Read more
A family member has a nodule about l/2" inside right lung. Can vats procedure be used to remove this?
Surely, a thoracic surgeon must know if a round spot is a lung nodule, carcinoid or a coin lesion by looking at pet, CT and x-rays. Yes or no?
Pathology specimen: The pathologist makes the diagnosis with the microscopic exam of a piece of the lesion. Even then, it can be challenging to get diagnosis. So the answer to your question is no. Stay with your thoracic surgeon, get your follow up exams, stop nicotine if you have that addiction. Ok to go for a second opinion. Take a friend with you and don't be surprised if you get same answer. ...Read moreSee 2 more doctor answers
I have a 4.5 mms calculus in the left vesico-ureteric junction. Please suggest the safest treatment, preferably non-invasive.
Pass it: The statistics say you have an 80% chance to pass this stone. Drink lots of fluids to generate a high urine output, soak in a hot bath, and take an Alpha blocker like flomax (tamsulosin). After that, the most reliable direct way to remove the stone is with ureteroscopy. This can be done on an outpatient basis and is very reliable. ...Read more
Sclerotic region in the left mandible, tumor showed up on X-ray. Had kidney cancer. Seeing a oral surgeon. Common? Do they biopsy it or take it out?
It depends on the ex: Patient should be staged to look for other sites of metastases? If the mandibular lesion is a single site and it is operable(ask Head and Neck surgeon) then removal is the best treatment approach. If there are also other sites of tumor spread, then removal of the mandibular lesion will not be useful...in this case a biopsy would be the preferred first step of management. ...Read more
Would a surgeon have to repair a hole in the lung caused by a .222 rifle (that also caused a collapsed lung) or would it heal on its own?
Not absolutely: As long as chest tube drainage, to decompress the pneumothorax and remove blood, was successful, formal exploration would not be necessary. If there's a persistent air leak, or significant or persistent bleeding, then thoracotomy or thoracoscopy would be necessary. Good luck. ...Read moreSee 1 more doctor answer
To have a second opinion about the need of removing a fibroadenoma 5.5×5.2×2.4 CM with usual focal hyperplasia ductal in right breast. ?
Sure.: It's always OK to get a second opinion, especially when surgery is involved. See a breast surgeon. A breast mass measuring 5cm is quite large, and a biopsy only removes and tests a tiny piece of it. Without removing the whole mass, it's hard to know for sure that it's benign (not cancer). ...Read more
A Hyperechoic Nodule 9x5mm in liver and an Iso-echoic Nodule 5.5x4.5mm in Gallbladder in body of my grandmother(76) , can it be fixed without surgery?
Deoxygenated blood enters the lungs from the right side of the heart and travels to the lungs. When you inspire, oxygen flows into the lungs, transverses the capilliares and attaches to hemoglobin down a gradient. At the same time, co2 diffuses into the capilaries and is expelled with exhalation. Oxygen rich blood then flows to the left side of the heart and into the ...Read more
Thoracic surgeons operate on the chest and the organs within: airway, heart, lungs, esophagus, chest wall, mediastinum, etc. You may also find a common title of "cardiothoracic surgeon" or in more specialized regions a distinction will be made between heart surgeons and non-heart surgeons, i.e. "cardiovascular ...Read more