Doctor insights on:
What Is A Chemo Port
"ports" are: Accessible devices under the skin that allow puncture and direct line to the venous system. It prevents multiple sticks and extravasation of caustic chemo outside veins. When chemo is completed, it should be removed. ...Read more
Directed Chemo: Chemoembolization is a procedure performed by an interventional radiologist in which anticancer drugs are administered directly into a tumor through its feeding blood supply, with concurrent or subsequent blockage of the feeding vessel by occlusive agents that are injected through the delivery catheter. This permits a higher concentration of drug to be in contact with the tumor for longer time. ...Read moreSee 1 more doctor answer
What does it mean if a patient is to be treated with radical radiotherapy for a tumour of the oropharynx?
Primary tumor: Well defined lesions of the oropharynx are not uncommon. These range from primary squamous ca of the posterior oropharynx behind the cricoid of the larynx to minor salivary gland tumorss to squamous ca of the tonsillar area. The minor salivary lesions as well as well defined ulcerating ca can be approached by a transhyoid pif laharyngoteomy. If large then rt is employed. ...Read more
Yes-absolutely: Congratulations for responding to chemotherapy! this will make it easier for your surgeon to get clear margins. It is important to get the entire tumor removed. If not, once the chemo is stopped the tumor may grow back and become more aggressive (i.e. Spread to other parts of body). For the best outcome (i.e. Avoid death), please adhere to the treatment by your breast cancer team. ...Read moreSee 1 more doctor answer
Several types: • Several approaches are used for lung bx to obtain enough tissue for histologic exam. The simplest is the Needle biopsy. With local anesthesia a needle is guided through the chest wall into a suspicious area CT or CAT scan or fluoroscopy. A transbronchial biopsy is performed through a fiberoptic bronchoscope and a Thoracoscopic biopsy is used with general anesthesia and also allows bx. ...Read more
Usually excellent: Liver transplantation should only be performed for those expected to survive at least 3 years, one of the us government's key outcome measures for transplant programs. Two categories of liver disease are generally linked to a worse prognosis because they can recur (come back) - cancer and hepatitis. Other patients should do well provided they take their medications and follow good health habits. ...Read moreSee 2 more doctor answers
Hepaticojejunostomy: Hepaticojejunostomy is a procedure to drain bile from the liver into the intestines when the normal drainage (common bile duct) has to be removed or is blocked. The "roux-en-y loop" is the segment of bowel that is actually surgically connected to the bile duct. Prognosis depends on the disease process requiring the procedure. ...Read more
Hi, tell me a way to cure a malignant melanoma that has metastesised in two axillary lymph nodes? Chemo, radiation and surgery is not an option.
Limited options: Ask yourself why these are not options, and discuss with a surgical oncologist. Patients do very well after an axillary dissection and return to normal activities with the arm. You may be relying on incorrect information in making that decision. The most feared side effect, lymphedema, will likely occur anyway secondary to the cancer under the arm. Surgery alone may be curative. ...Read moreSee 3 more doctor answers
If a patient is a very likely candidate for cancer what could he gain from speculative chemo therapy before an actual cancer is detectable?
Can colon cancer is it bad if a aortocaval node contains a met ? The primary colon tumor is removed already . What is best treatment here ?
Mets are bad: Metastasis of any kind are a bad sign, because it indicates that the disease has spread. Metastatic disease may be treated with radiation or chemotherapy, but this will depend on specific patient factors. Solitary metastasis to the lungs or liver are sometimes removed surgically, but aortocaval nodes are probably too risky. ...Read more
Etoposide IV was given to my partner with carboplatin as a curative treatment for non-small cell lung cancer. Was this a standard treatment for this?
Setting?: When you say "curative", you mean after surgery or concurrently with radiation? The choice of chemo depends on the situation, the doctor, and institutional or national standards. To answer your question, i normally would use carbo (or cisplatin)/etoposide in small cell lung cancer patients but can't say is a bad choice for nslc patients, especially with radiation. I've used it in that setting. ...Read moreSee 1 more doctor answer
After ressection on a milagnant grade 3 anaplastic astrocytoma is temodar (temozolomide) and radiation the best treatment option? If not what else is available?
Yes : The standard of care is radiation and temador after resection. Since this is an aggressive cancer the alternatives are research trials. But it's been decades and very slow progress has been made. When further recurrence occurs more surgery plus radioactive implants or radiosurgery may be tried but has shown little benefit. ...Read moreSee 5 more doctor answers
See below:: Hepatoblastoma is the most common liver cancer in children, although it is relatively uncommon compared with other solid tumors in the pediatric age group. Surgical techniques and adjuvant chemotherapy have markedly improved the prognosis of children with hepatoblastoma. Complete surgical resection of the tumor at diagnosis, followed by adjuvant chemotherapy, is associated with 100% survival rates. ...Read moreSee 2 more doctor answers
Is there a possibilty of cancer metastases while herceptin (trastuzumab) session is still on going ?
Yes: To start with her 2 positive breast cancers are very aggressive tumors, due to over expression of her 2 gene ( makes her 2 protein causing uncontrollable growth ) Herceptin (trastuzumab) , a monoclonal antibody controls that growth , it is possible tumor can spread simultaneously during course of treatment. ...Read moreSee 1 more doctor answer
Tube under skin: The mediport is a small tube or catheter that is placed under the skin and enters a large blood vessel. It has a rubber disk that can be felt on the surface of the skin (this is the port) and a needle can be placed through the skin and enters the port. This allows blood to be drawn and most importantly, allows chemotherapy, fluids, antibiotics, etc to be given and distributed quickly. ...Read moreSee 1 more doctor answer
Giant cell bone tumor. What kind of surgery is recommended for treating this and what is the recovery time?
Surgical removal: Excision of the tumor from the bone is almost always curative. ...Read more
Find a good surgeon: Early breast cancer is managed by surgeons with help from radiotherapists and medical oncologists in most cases. But the first decision should be about breast surgery options - lumpectomy with radiation or mastectomy with or without reconstruction (any of these options may be followed with chemotherapy later. Find an experienced breast surgeon that you are comfortable with. ...Read moreSee 1 more doctor answer