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Doctor insights on: Surgical Tumor Debulking

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Transsphenoidal surgery or craniotomy for pituitary adenoma?

Transsphenoidal surgery or craniotomy for pituitary adenoma?

First Option: Transsphenoidal approach has become the surgery of choice for pituitary adenomas. ...Read more

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Neoplasms (Definition)

"tumor" literally translates as "mass", so even a fresh bruise could be called a "tumor". Doctors use the term "neoplasm" (tranlates literally as new growth) to describe tumors that are abnormal growths of cells. These may be benign or malignant; "malignant" = cancer. In everyday usage, we use "tumor" ...Read more


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Is pituitary tumor surgery risky?

Is pituitary tumor surgery risky?

Yes: Yes. This gland sits in a bony bowl behind and between the eye balls. Find a specialized center and a neurosurgeon that treats these commonly. ...Read more

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Colon surgery:tumor size=2cm.Pathologic staging(pt3, n1b, mx).2/17 lymph nodes show metastatic.Margins of resection free of carcinoma.Need chemotherapy?

Colon surgery:tumor size=2cm.Pathologic staging(pt3, n1b, mx).2/17 lymph nodes show metastatic.Margins of resection free of carcinoma.Need chemotherapy?

Yes: Chemotherapy regimens based on the drug Fluorouracil (5-fu) have been part of the treatment for high-risk stage ii or stage iii colon cancer. Many clinical trials have shown that these regimens improve overall survival primarily by reducing the high risk of recurrence within the first two years after surgery. ...Read more

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Colon:2x3cm non lifting flat lesion(malignant suspicion)couldnot be removed by polypectomy, needs segmental surgical resection.Surgery or laparoscopy?

Colon:2x3cm non lifting flat lesion(malignant  suspicion)couldnot be removed by polypectomy, needs segmental surgical resection.Surgery or laparoscopy?

Either way: Must be removed , laparoscopic surgery will have slightly quicker recovery, less pain , due to your cardiac surgery which ever takes shorter operation time time you should choose, increased intra abdominal pressure may not be good for you as in laparoscopy discuss with your surgeon and cardiologist ...Read more

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Are there new brain tumor surgery options, like robotic surgery or radiation surgery, etc..?

Are there new brain tumor surgery options, like robotic surgery or radiation surgery, etc..?

Gamma knife: One of the not so new options is the use of gamma knife. Multiple sources of radiation are focused on the lesion, thus minimizing the damage to surrounding normal tissues. ...Read more

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Bladder tumor pathology showed low grade, noninvasive tumor. What will treatment be? Chemo, etc?

Bladder tumor pathology showed low grade, noninvasive tumor. What will treatment be? Chemo, etc?

Intravesicle meds: The treeatment of bladder cancer is based entirely on the extent of the mucosal invasion of muscle of the bladder. When the latter occurs surgery is required along with possible RT. When superficial it is managed by intra bladder chemo or BCG. ...Read more

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Wilms tumor cancer----what are the treatments?

Wilms tumor cancer----what are the treatments?

Depends.: The major factors that effect treatment of wilms include stage (how much has the tumor spread) and histology (pathology report of the appearance of the tumor). Treatments typically include surgery, chemotherapy and radiation therapy. ...Read more

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Hepatocellular carcinoma.All spleen and partial liver resection.Later,secondary systemic cancer metastasis.any targeted therapy or immunotherapy?

Hepatocellular carcinoma.All spleen and partial liver resection.Later,secondary systemic cancer metastasis.any targeted therapy or immunotherapy?

Yes, for both: Hepatocellular Carcinoma is commonly treated with Sorafenib which is a type of targeted therapy. This is a good choice of treatment in case you have not yet received this drug. Immunotherapy using PD-1 inhibitors has also shown some modest evidence of benefit although it is not yet FDA approved for this indication. Ask your oncologist to guide your treatment further. ...Read more

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Chemotherapy after bladder radical cystectomy needed?

Chemotherapy after bladder radical cystectomy needed?

Perhaps: Chemotherapy following bladder cancer removed by radical cystectomy may be advised depending on the stage of the cancer. A deeply invasive cancer, or a cancer with lymph nodes involved may be treated post-operatively with chemotherapy if chemotherapy was not used preoperatively. ...Read more

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Can radio frequency ablation technique fully cure small malignent liver tumor?

Can radio frequency ablation technique fully cure small malignent liver tumor?

Radiofrequency ablat: For small tumors < 1.5 inches it can be effective 85% of the time https://www.radiologyinfo.org/en/info.cfm?pg=rfaliver ...Read more

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Is surgical removal necessary for fibroadenomas?

Is surgical removal necessary for fibroadenomas?

Rarely: Fibroadenomas are benign and by natural history will often regress over 10-15 years. diangosis can be established via core bx. Making them "go away" is generally reserved for symptomatic (palpable and/or tenderness which is usually cyclical). Minimally invasive options are generally preferred over surgical excision - image guided percutaneous vacuum assisted excision, cryoablation. ...Read more

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Is prostate removal surgery considered major surgery?

Is prostate removal surgery considered major surgery?

Yes, but...: Yes, it's major; the one for prostate cancer is definitely big and that for obstructive urination, less but still takes 3-6 months to completely heal ; resurface the large internal raw surface. But, with the refined professional skills and advanced technology, the expected surgery-related suffering ; pain as well as its outcome has been better accepted than ever. More detail? Ask doc timely. ...Read more

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Stage iii-b colon cancer removed surgically. Suspected liver lesion resected and analyzed with not malignancy. Is kras analysis needed for recurrence?

Stage iii-b colon cancer removed surgically. Suspected liver lesion resected and analyzed with not malignancy. Is kras analysis needed for recurrence?

Possibly: For initial treatment after surgery, you shouldn't need to get kras testing. However, if this is metastatic or recurrent colon cancer, then it may help to determine if egfr based therapies like Cetuximab can help (they only work for kras "wild type"). Remember that if you do recur (god forbid), management may be different at that future time! not something to worry about with your current story. ...Read more

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How successful is surgery in curing malignant glioblastoma surgery?

How successful is surgery in curing malignant glioblastoma surgery?

Not good alone: The standard management for glioblastoma includes surgery followed by radiation and chemotherapy. Radiation and chemotherapy following surgery is well established to improve the overall survival of patients compared to radiation alone. ...Read more

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Define transurethral resection of bladder neck?

Define transurethral resection of bladder neck?

Bladder neck incisio: Transurethral resection of the bladder neck ( TURBN ) should be a bladder neck incision in most all cases. It is often indicated for patients for symptoms of BPH with a small prostate gland. If a formal resection is done bladder neck scarring may occur. Sometimes TURBN is done for bladder neck contractures and should be best performed as an incision. ...Read more

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Could stage iva oropharyngeal cancer be surgically removed?

Could stage iva oropharyngeal cancer be surgically removed?

Yes: In general, yes. Prognosis poor. See a very experienced head and neck surgeon. ...Read more

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Which is better: transsphenoidal surgery or craniotomy for pituitary macroadenoma?

Which is better: transsphenoidal surgery or craniotomy for pituitary macroadenoma?

Depends: Transsphenoidal approach has been standard for years as it avoids brain retraction and optic nerve manipulation. In larger tumors with more of a suprasellar location (think in the brain), a craniotomy is occasionally required to reach the whole tumor. ...Read more

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Pancreatic cancer, ampullary tumor. Whipple procedure. Spread to liver, not respectable. Chemo for 6 months and continuing. Prognosis?

Pancreatic cancer, ampullary tumor. Whipple procedure.  Spread to liver, not respectable. Chemo for 6 months and continuing. Prognosis?

Poor: While Whipple is the best approach for a primary pancreatic or ampullary lesion, the recurrence rate at 1-2 yrs is 90%. Chemo either of the FOLFIERI or Genciabine /Abraxane combo have limited effects on liver mets which in pancreas are not considered amenable to resection. There is an FDA protocol using specific monoclonals targeting pancreas that might be available but only after chemo failure ...Read more

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How critical is surgical operation of thyroidal cyst?

How critical is surgical operation of thyroidal cyst?

Usually not required: Unless worrisome size, aspirate/ biopsy, growth- that makes one concerned about a possible cancer. ...Read more