Doctor insights on:
Osteoporosis Screening Tool
No: Unfortunately, there are no good "screening" tests for ovarian cancer. When an ovarian cyst or mass is present and appears suspicious, your doctor may draw a ca-125 or ova-1 test. These tests can help predict the likelihood that it may or may not be concerning for cancer. ...Read moreSee 1 more doctor answer
Examples are: colonoscopy for colon polyp or cancer; mammograms for breast lesions or cancer; psa a blood test that could indicate enlargement of cancerous prostate tissue; blood sugar or hemoglobin a!c for diabetes. Many think that scanning the whole body will pick up a cancer--in all likelihood, it will not. There also is no good blood test, yet, ...Read more
Many options: The gold standard is colonoscopy, which is performed under sedation. Other alternatives include barium enema, ct colonography ("virtual colonoscopy"), flexible sigmoidoscopy, and/or checking for blood in bowel movements (hemoccult test). I recommend colonoscopy for all my patients at age 50 (or earlier, if they have a family history). ...Read moreSee 1 more doctor answer
How reliable are the screening tests for prostate cancer? Does prostate cancer screening save lives?
Mri & bone scan impression is suspecious metastatis, bmd show osteopenia spiral, m.Band negative, s.Cortisol 30 with dexona 1 mg, biopsy needed ?
Perhaps: Discuss your situation with your primary doctor or the one who ordered those tests. If you are feeling uncomfortable, it may be good to get a second opinion from an oncologist (a cancer specialist). Do not wait. Time can make a difference in how you do. ...Read moreSee 1 more doctor answer
Not specifically: The bone profile test checks the blood for different indicators of bone metabolism. This measures the calcium, phosphate, albumin, alkaline phosphatase. If there are abnormalities that signal some problem with the bone metabolism-this could trigger additional tests for cancer of the bone-the best being radiographs. ...Read more
How sensitive is pet scan in detecting metastatic clear cell renal cancer, irrespective of screening guidelines (uiss/nccn) , side effects, cost?
Cheap compared to...: If the diagnosis is missed, the price is your life. Period. If you have a dominant mass in your breast, get seen. We're all trapped in the same dysfunctional health care system, but we're here for those who can pay, and those who cannot. ...Read more
Are clinical breast exams effective screening tools in women under 40 with no first degree family history?
Not very good.: No, they aren't that good. Exams have a low pick up rate compared to radiological AND the clinical ones are generally done very infrequently AND the overall risk is so very low.... so.. 40-45, CBE has some advantages over radiological and the two together are best. http://www.ncbi.nlm.nih.gov/pubmed/9709288 under 40... ONE or a FEW CBE to learn self-exam techniques, otherwise not so much ...Read more
See answer: Pulmonary ct is extremely sensitive in identifying lung nodules. When found, these nodules then need to be appropriately evaluated either with followup lung ct, pet-ct, or direct tissue sampling. Your clinical dr. Can best advise you – or you can be seen at a dedicated lung nodule center. ...Read moreSee 1 more doctor answer
Is an nmr lipid panel a valuable tool to better assess heart disease risk compared to a basic lipid panel?
Yes - Based on Data: LDL cholesterol (LDL-C) is the traditional measure of LDL quantity. NMR measures LDL particle number (LDL-P). When LDL-C and LDL-P differ CHD risk tracks with LDL-P not LDL-C. Expert groups advocate use of LDL-P to judge response to therapy and guide adjustment of therapy. New data shows adjusting therapy to achieve low LDL-P results in fewer CVD events versus statin treatment to low LDL-C levels. ...Read moreSee 2 more doctor answers
Important: Family history of cancer is very important information. If your family history of colon cancer is significant ( multiple family members with colon cancer especially at younger age) -then you would need to be screen for colon cancer- started approximately 10 years earlier than the age of the youngest person in the family got diagnosed with colon cancer.You also need to see a genetician if history +. ...Read moreSee 1 more doctor answer
PAP smear: During a female pelvic exam the gynecologist will scrape the outside of the cervix and smear it on a microscope slide. The pathologist will look at this under a microscope and give a report. If its of concern then a sampling or biopsy if the cervix is taken to confirm or exclude a cancer. ...Read moreSee 1 more doctor answer
Awareness: For you few years from now regular breast examination by the physician, monthly self examination, annual mammography , if needed sonography, some times mri, core needle biopsy of suspicious dencities. Genetic study ( braca i & ii ) if there is strong family history. ...Read moreSee 1 more doctor answer