Doctor insights on:
Vs Hogan Apex Ftx
Benign biopsies in Nov. Chance of Cancer? Recent PET fu- 1.7 cm non calc. lung nodule. Intensity greater than blood pool. Concern for malignancy. 2 mild FDG avid L hilar & L prevasc. media.lymph nodes. Concern for metastatic disease of L lung malign.
30 yo with 2 mm cervical adenocarcinoma on cone biopsy. CIS at margin (no invasion at margin). No high-risk features such as LVI. Trachelectomy?
Conservative treat: after cone bx, the findings of in-situ Ca suggests that there is residual prcancercous changes which can be handled by cryosurgery of the cervix region. This can then be followed by Pap smears and if no residual disease appears the condition can be followed. Reappearance of malignancy suggests eventual hysterectomy ...Read more
Success rate for mastectomy retaining flap and nipple no sentinel node invasion stage 1b measures 8mm, margins good except anterior 1.5mm? Must chemo?
Tumor genetics: You could request a recurrence score which is a genomic evaluation of tumor cell gene s. 2 common tests in U.S. Are oncotype DX and mammaprint. ...Read more
Inactive sarcoid dx.-12mm subcar. Lymph-1cm bil. Hilar. 1yr CT shows subc. Node is 1.5cm-rt bil. Hilar is 1.7cm, -left hilar is1.3cm. Active sarcoid?
Wire exc biopsy shows invasive insitu lob carcinoma, sbr grade 2, 8mm stage 1b, favorable margins except anterior margin of 1.5mm, mastecto or radiatio?
Angiography report of dad
lad- proximal seg 90% stenois
lcx- distal diseased. Ostial total occlu.
Rca- domi, prox total
Sounds reasonable: Obviously many factors need to be considered, but the anatomy you are describing would be difficult to approach with stents. Other factors such as age, frailty, and other medical conditions play a significant role as well. Each decision should be individualized based on his situation. ...Read moreSee 1 more doctor answer
14mmx8mmx13 mm smooth bordered pleural based nodule anterior left upper lobe demonstrates intermediate grade activity. SUV max 1.3g/ml. Treatment?
Time: The nodule should be watched carefully. If you are a smoker then may need much closer workup. If you have cancer you then may need a closer workup. If this has been there then tincture of time may be the answer. Get an opinion from a lung doctor as to the best way to work this up from here. Best wishes ...Read more
My fathers medical diagnostic report. Evidence of multiple bulky (3-4cms) hypo-echoic lymphnodes along para aortic/aorto carval regions. What disease?
Diag w/ papillary thyroid carcinoma columnar cell variant (ccv) tumor sz 1.3 CM part encapsulated no observed metastasis. 50yo f will rad iodine work?
Biopsy says well differentiated infiltrating scc at the angle of the mouth depth of invation is 4mm no lvi or pni found staging t2n0m0 what treatment?
Right parahilar and para mediastinal necrotic mass 4.1x4.6 CM grew from 2.1x4.6 CM in 1 month. What prognosis? Ct report shows sig progress of disease
Unanswerable : There isn't enough information here to answer. Your doctor is the best resource for answers to this issue. ...Read more
Is docetaxel inferior or superior to paclitaxel for stage iii, er+, pr+, node+ postmenopausal patients?
Suvival rate for 47 Yr F with hx of STEMI in LAD, 6 stents, SSS, pacemaker (20% dependent), aortic valve replacement, non-semi, and occluded by pass?
Depends: Much depends upon the status of her heart muscle health as determined by an echocardiogram or gated blood pool scan.. If her left ventricle has good strength (normal ejection fraction)and no evidence of past or present congestive heart failure, I believe survival odds can be good barring any further heart attacks which will cause myocardial damage. ...Read more
Is mastectomy good for an invasive & in situ lobular carcinoma, stage 1b, sbr grade 2, 8 mm in size with good margins except anterior margin 1.5mm ?
Concern: The 1.5mm margin anteriorly is the only margin that gives me concern. For patients undergoing lumpectomy, obtaining at least a 2mm margin is associated with a decreased risk of recurrence. It would not be usual practice to take you back to surgery for a re-excision of this margin, however. ...Read moreSee 1 more doctor answer
Age 76, stg IV ovarian cancer, debulking surgery, 3 chemos. Ca 125 normal. Is lymphnode dissection advisable? Comment on quality vs quantity of life?
Quality of life: In end stage cancer quality of life is essential but patient 's decision is equally important. 76 yr old could be very healthy 76 , in stage IV some do respond well to chemo, will have quality & comfortable , remaining part of life , so choice should be left to the person. Also to follow the advice of doctors , if unsure to take a second opinion , treating md will be glad to refer. ...Read more
Questionable right lower lobe lung nodule vs end on vessel a followup x-ray is recomended in 3 month to reassess.No acute anatomic finding. any wrong?
Unclear: The lauded radiologist, whoever it was that issued the report, is uncertain as to whether a nodule was found in the lung, or if there was a confounding shadow from a vessel. That is why he/she recommends a repeat of the exam (X-ray) in 3 months. A malignant nodule would get bigger. A stable appearance suggests a benign anomaly or artifact. Without seeing the actual film, nothing more can be said. ...Read more
Adenocarcinoma pressing on the left main stem bronchus. Pulmonologist recommends an endobronchial stent and/or targeted radiation. Thoughts?
There are >1 choices: Your case can be best managed by a team of oncologists working together. A medical oncologist can/ should coordinate your management. Radiotherapy alone or in combination with chemotherapy may be the best choice. Stenting is an option which is best kept to later use when there is no other treatment options. Right now you need treatment for cancer in addition to mechanical help which is all stent d. ...Read more
om1 has ostial lesion(>80% stenosis).om2 got critical stenosis in mid course.rest of LCX is normal.
ur advice stent,medicine?
Cad: Films need to be reviewed with good history and physical along with other diagnostic tests ...Read more
Depends on the -: -place of the apex. Anterior, posterior, medial or lateral. Also there is no C-23. Try again! ...Read more
Lordotic view shows minimal hazy infiltrates in the left apex. Consider minimal PTB of undetermined activity. Kindly explain it to me. Thank you?
Chest x-ray: The presence of the so-called hazy infiltrates in the the top of the left upper lobe has caused the radiologist reading the film to suggest that you may have tuberculosis. This is not the purview of a radiologist and their suggestion is only to make sure that the doctor ordering the film considers this in their diagnostic evaluation. Continue your work-up with your doctor. ...Read moreSee 1 more doctor answer
Infiltrate rt apex: Isolated filtrate in any part of lung is a shadow seen on xrays which normally is not there.Most of the infiltrates are due to infectious process like pnumonia, tuberculosis or other infections.Some times you need more images and cat scan to define the shadow if it does not clear with standard therapy. ...Read more
Apexectomy: Is this part of an apexectomy procedure? ...Read more
What is the meaning of this apico is equivocal
remarks- spot film of the left apex suggested for further evaluation?
Don't worry too much: This means there is an area in the upper lung looks possibly abnormal, but additional views of the area are needed to clarify the situation. The additional views may or may not show anything of concern. Try not to worry too much, because it's very common for radiologists to ask for additional views. In the majority of cases the additional views show everything is normal and ok. ...Read more
What to do if I have been diagnosed with puminarly sarcoidosis.also that there are subplerural blebs in the right apex. ?
More oxygen at apex: There is more ventilation and less blood flow at the apex of the lung. Since tuberculosis is a strict aerobe it grows better in the better oxygenated upper lobe where less of the oxygen is carried away be the blood. The lower lobes of the lung have more blood flow and less ventilation so there is less oxygen to feed the TB because the blood carries more of the oxygen into the body. ...Read more
Apex and vicodin: The only reference to apex i could find was that it is a medication syringe. Vicodin is designed as a tablet to be swallowed whole. It should not be crushed, or tampered with in any way. This is responsible use of medications. As a rule vicodin has to be swallowed whole and taken according to the md's strict instructions. ...Read moreSee 1 more doctor answer
Meaning: It means that in the coronal plane (looking straight at your spine from the front- as opposed to saggital or from the side); you have a curve facing the right with the peak of the curve being at C7. The underlying pathology and many other factors can determine whether it is normal or not. ...Read more
Reversible?: It depends. Is the ischemia reverisble or irreversible? Was it detected on a nuclear stress test? Assume it's reversible as seen in a nuclear stress test.Such things seen on a perfusion scan are often referred to as apical defects.That said, along with other indications, i might suggest a clinical correlation via an angiogram or ccta. The consequences could not be determined without a cath or ccta. ...Read moreSee 1 more doctor answer