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Doctor insights on: Vitamin Colectomy Carcinoid

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Dr. Murthy Andavolu
132 doctors shared insights

Carcinoid (Definition)

Carcinoid refers to neuroendocrine tumors originating in gastrointestinal (GI) tract, lungs and appendix. They are usually indolent developing over many years. Aggressive, fast-growing forms such SCLC known as Oat Cell Ca of lung represents neuroendocrine carcinoma that exhibits rapid growth and early spread to distant sites. They are sensitive ...Read more


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Colon:multi foci adenocarcinoma in situ &tubulovillous adenoma.Doctor suggest colonscopy to remove adenoma but another suggested surgery.Which better?

Colon:multi foci adenocarcinoma in situ &tubulovillous adenoma.Doctor suggest colonscopy to remove adenoma but another suggested surgery.Which better?

Depends: The 2 important factors to consider are the size of the polyp ; your health status. If the polyp is small and your health is not good, colonoscopic removal may be your best bet. If the polyp is very large ; your are in good health, surgery may be the wiser option. ...Read more

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Stage iiib colon cancer, starting chemo tues. Vitamin d 25-hydroxy level is 9 ng/ml. Will taking vitamin D3 supplements help? If so, how many iu?

Stage iiib colon cancer, starting chemo tues. Vitamin d 25-hydroxy level is 9 ng/ml. Will taking vitamin D3 supplements help? If so, how many iu?

Possibly help.: There is some evidence that vitamin d deficiency is not desirable in patients with colon cancer. The goal should be to achieve a level of 30 ng/ml. Another vitamin d test should be done after taking 50, 000 units twice a week for 2 months. If you are considerably overweight 2-3 times the dose may be necessary. After achieving 30 ng/ml a daily dose of 1-2000 units may maintain this level. ...Read more

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Small ulcer in terminal ileum, biopsy: In Eosinophil fokal chronic active ileites, lymphoid hyperplasia. non specific colitis. Crohn ruled out. any suggest?

Yes: Call up the G.I. doctor that did the test he can give you more specific information about diagnosis and treatment for your condition ...Read more

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Is liver resection possible for brother w/stage 4 colon cancer mest to liver w/lots of tumor.

Is liver resection possible for brother w/stage 4 colon cancer mest to liver w/lots of tumor.

Possibly: Removal of liver metastases can sometimes be helpful for patients with colon cancer. A remarkable amount of cancer can be removed usually after there has been some response to chemotherapy. If surgery is not recommended alternatives such as radioembolization, chemoembolization, radiosurgery, or rfa or cryoablation may be considered. Get with an experienced team to determine the best course! ...Read more

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Is golytely (polyethylene glycol) fatal to pts with partial obstruction with colon perforation? (Stage 4 CRC with mets to lung)

Is golytely (polyethylene glycol) fatal to pts with partial obstruction with colon perforation?  (Stage 4 CRC with mets to lung)

No: Golytely (polyethylene glycol) is a bowel diuretic drawing fluid into the colon. If there is a patient with partial obstruction and with possible colonic performation, why would a bowel diuretic be employed that could cause a greater leak of GI fluid into the periotoneal cavaity, especially in the face of lung mets.? Laparoscopic evaluation of a possible leak may be necessary if not proven by radiologic evaluation ...Read more

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Can you tell me about lap radical subtotal gastrectomy w/ en-bloc distal pancreatectomy & transverse colectomy?

Can you tell me about lap radical subtotal gastrectomy w/ en-bloc distal pancreatectomy & transverse colectomy?

Performed for cancer: Radical subtotal gasstrectomy is usually performed for mid to distal stomach cancers. Upper stomach lesions have an Ivor Lewis procedure. To require pancreas body and tail removed means the lesion performated into the lesser sac to involve body of pancreasa and invade gastrocolic ligament to hit the transverse colon. If all tumor out, regardless of approach, chemo may still be needed. ...Read more

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What to expect for surgical resection of ascending colon in Crohn's colitis?

What to expect for surgical resection of ascending colon in Crohn's colitis?

Are you sure?: Partial resection of the colon on Crohn's disease can be tricky and also can lead to complications such as obstruction of the colon that is left over. Many are left with permanent ostomy bags. I wouldnmake absolutely certain that you have maxed out medical therapy and would even get a second opinion before embarking on this surgery ...Read more

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Have you done surgical resection of ascending colon in Crohn's colitis?

Have you done surgical resection of ascending colon in Crohn's colitis?

Not recommended: Whenever there is evidence of dysplasia or cancer in the setting of crohn's colitis, it is probably better to consider a total proctocolectomy as there is high risk of synchronous cancer or recurrence elsewhere in the colon. ...Read more

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U/s confirmed many nodules.Bx schedules, high platelets, wbc, pot. &anemic.Chronic fever.Low acth 3. Checking addison's, cancer, hashimotos. Any thoughts?

U/s confirmed many nodules.Bx schedules, high platelets, wbc, pot. &anemic.Chronic fever.Low acth 3. Checking addison's, cancer, hashimotos. Any thoughts?

Expert specialist: Care is needed and it appears you are in the loop. It sounds as if you have multiple nodules in the thyroid, and concerns about thyroid disease. Biopsy will help with the question of cancer, but follow up with an endocrinologist is essential. ...Read more

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Is Melanoma a vitamin D deficient cancer?

Is Melanoma a vitamin D deficient cancer?

No: Melanoma is a skin cancer due in part to exposure to UV light, including sunlight and in part attributable to hereditary predisposition. Vitamin D deficiency per se is not a known cause of melanoma. ...Read more

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Can iron deficiency anemia consider normal response to post- nephrectomy for clear cell renal cancer without metastasis?

Can  iron deficiency anemia consider normal response to post- nephrectomy for clear cell renal cancer without metastasis?

No.: I would be looking for another cause if you have iron deficiency anemia. If you have one functioning kidney, you are probably making enough erythropoietin (which is important in regulating red cell production) but a low epo level would give you a different kind of anemia. Usually iron deficiency anemia in a 60 year old male is due to some sort of blood loss, assuming a normal diet. ...Read more

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Colon 20cm resection 10days ago(75 y old).Today, discovered all colon dead(arteriosclerosis).So, had total colectomy(1.5 meter).Was that medical error?

Colon 20cm resection 10days ago(75 y old).Today, discovered all colon dead(arteriosclerosis).So, had total colectomy(1.5 meter).Was that medical error?

Medical error: Arteriosclerosis can cause colonic ischemia and infarction. Whether the extent of the problem was not recognized at your surgery or if there was no appearance of threatened bowel thus not resected at the initial surgery can't be judged or speculated from out here. ...Read more

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What stage colon cancer is pt4a pn1c?

What stage colon cancer is pt4a pn1c?

T4aN1c M?: Any evidence of spreading to other organ? If no spread- t4an1 means- stage 3b cancer. If evidence of sprading to other organ- it is a stage 4. ...Read more

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Colon biopsy:huge tubulovillous adenoma with marked atypia, multi foci adenocarcinoma in situ &one tiny focus suggestive of micro invasion.Is it cancer?

Colon biopsy:huge tubulovillous adenoma with marked atypia, multi foci adenocarcinoma in situ &one tiny focus suggestive of micro invasion.Is it cancer?

Yes: Adenocarcinoma in situ is cancer. The area suggestive of micro invasion suggests you should have rather aggressive followup screening which I am sure your doctor has, or will soon suggest. Stay on top of this and follow his/her advice. ...Read more

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Dr. Raj Kapur
749 doctors shared insights

Colectomy (Definition)

It can mean removal of part or complete colon with ...Read more