Doctor insights on:
Positive Words For Cancer Patients
What to do if I heard tarceva (erlotinib) is a medicine that has a positive effect on cancer patients. Is that true?
Erlotinib is its: Generic name. It is a tyrosine kinase inhibitor. It works on tumors that have a driving force caused by epidermal growth factor receptor. If the tumor has specific mutations, it is likely to work; if not. Likely it will not work by any mechanism that we understand...Long shot. ...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
Why is Cyramza's 9 month Overall Survival considered positive, if most advanced stomach cancer patients manage to make it past one year?
Ask her doctor: There is not enough info here to even give an opinion. Her test results is in the best position to answer your questions, ...Read more
Can a patient stage 1 papillary thyroid cancer with BRAF mutation positive live more than 20 years (she is 51 years old)? Thank you very much!
Yes: Papillary thyroid cancer is very common and some people do not even know they have it as small tumors may be found on autopsy when they die of something else. Generally tumors are graded by how ugly they look to the pathologist and how far they've spread. Your tumor has also been molecularly characterized. There are new treatment options available. Please discuss with your oncologist. ...Read more
Is chemotherapy required for stage 1A IDC breast cancer, tumor size 1.1 cm, ER & PR positive, HER2 negative, nuclear grade 1. Patient is 42 years old.
Borderline call!: Your breast tumor is quite small, so it has >90% odds that it can be safely treated with surgery, without any chemotherapy required. You may ask your doctor for treating you with tamoxifen which is a antihormone type of medication, commonly used as the treatment for tumors that are ER positive. Good luck ...Read more
In a r phlebotomist who recently drew a bladder cancer patient. The potassium result showed a false positive of 14. What caused this result?
Urine tested positive for blood said its normal for patients that had radiation therapy for prostate cancer also are ther any cancer cells in urine bl?
Possibly: Radiation therapy can cause inflammatory changes in the bladder which can result in microscopic blood in the urine. However a urine cytology should be performed to rule out possibly bladder abnormalities. Additionally, if the history of radiation therapy is in the past, then a cystoscopy (camera to look in your urethra and bladder) may be warranted. Please discuss further with your doctors. ...Read more
No!: We can't always cure cancer, but we can always treat pain. Cancer patients should never suffer from pain. We can block nerves that carry pain signals, use medications, and even implant spinal cord stimulators to control pain. Cancer patients die for many reasons, but not from pain. If you are suffering from cancer pain, ask your doctor for relief. And don't stop asking until you are comfortable! ...Read more
Valodex/nolvadex are other names for the generic drug tamoxifen. It is an antiestrogen and blocks the effects of estrogen in the body. It can be used in breast cancer, dcis (ductal carcinoma in situ, pre-invasive breast cancer) and non-cancerous conditions rarely.
Some cancers need estrogen to grow and this can block that growth. ...Read more
Many well: Intentioned care providers withhold information, offer more treament, and don't come clean about the fact that: losing weight, not eating; having no appetite; spending increasing to all one's time in bed or chair signal approaching end. Inability to control bowels and blader and losing consciousness can occur before breathing ceases. Invite palliative care in early. ..Before the end is near. ...Read more
Cancer: Love, compassion, tolerance, and most important empathic listening, being able to understand the unique experience of the person suffering without trying to fix or judge. Also helping the person live life despite cancer. Helping the person to participate in life as much as possible. ...Read more
Context is key: I'll let you find the "sick" / counterphobic jokes on your own. The greatness of the human spirit is shown, among other ways, in our ability to find a smile (not ridicule) even in the most difficult situations. Sandra miniere's "lighter side of cancer" is a model for staying brave, upbeat, and cherishing life. ...Read more
Cancer is internal: Many times with the cancers, there are no external stigmata. Also, many of the treatments are much better tolerated than previously. The chemotherapeutic agents are more specific and more targeted, thus many of the bad side effects are decreased. Thus, the old image of sickly, infirm, bedridden patients may be less prevalent. Obviously, this is on a case by case basis. ...Read more
Dr. House??: Dude. That is a fantasy program with very little grasp of reality (funny as it may be). Wrong website. Try imdb (internet movie database). They have a tv section and list each episode individually. ...Read more
If cancer was diagnosed 14 months prior actual diagnosis, would that help to extend a patient life?
Often yes: Finding cancers early often means that they can be completely removed by surgery & gives cancer less time to spread. This is rationale for doing colonoscopies to find precancerous or early cancerous lesions the colon. Has significantly reduced death rate from colon cancer. Similar with routine mamograms for early breast and routine psa blood test & biopsies for early prostate cancer detection. ...Read more
Cancer: Is is really important for a fully independent patient to know the stage of cancer one is in?
Yes, so you plan yr L: Stage determines your prognosis, so if you want to plan your future better, then you would want to know what your odds of survival from your Cancer will be like. This may give you more hope and lessen your anxiety. yet it is up to you to ask for more info or less info from your oncologist. ...Read more
In most cases of cancers, do patients present with almost all the symptoms associated with the cancer?
Is it a usual thing that the cancer comes back after curing to the patients after a while or in the future?
Here are some...: The odd to have recurrence of a treated cancer always exists, but the longer no recurrence after its definitive Rx, the less its recurrence; the 5-year survival rate is designed to serve the purpose of comparison & study. Besides, the extent and tissue features of cancer play their important role affecting long-term survival. So, ask the treating doctor for more specifics on this subject. ...Read more
Will a patient who is suffering from an extremely painful cancer and will certainly die be allowed to die in pain?
Pain not tolerated: In my practice, excessive pain is not tolerated. This is especially true for somebody who has a limited survival. Talk with your doctor about what options are available. ...Read more
When are the most trying times for a person newly diagnosed with serious cancer? What is your experience with cancer patients?
Stages..: I am not clear in what the question is but if you are asking about the person's reaction after diagnosis, people usually go through 4 stages: denial (they deny the condition or act like it does not exist), anger (they get very angry at life, others or God), negotiation (the person tries to negotiate a solution with God or life), acceptance (person finally accepts condition and treatment/options. ...Read more
Depends: ...On the cancer, the treatment, and the general condition of the patient. As a rule, we would like for a patient to spend as much time as possible at home and to be as functional as possible. Unfortunately, that is not always possible, especially with intense chemo programs like the ones used for leukemia. ...Read more
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