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Doctor insights on: Why Is It Important For Bladder Cancer Patients To Be Monitored For A Lifetime

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Why is it important for bladder cancer patients to be monitored for a lifetime?

Why is it important for bladder cancer patients to be monitored for a lifetime?

Bladder cancer: Bladder cancer is categorized by its grade and stage. Non-invasive tumors have a tendency to recur. If found early they generally can be removed cystoscopically. The surveillance protocol is designed to catch the tumors before they become high grade or stage. ...Read more

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Dr. Barry Rosen
4,357 doctors shared insights

Cancer (Definition)

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


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Why is it important for bladder cancer patients to be monitored for lifetime?

Why is it important for bladder cancer patients to be monitored for lifetime?

Recurrence: Because they is a high recurrence rate even after some form of definitive treatment including radical surgery or chemotherapy and radiation. It can recur in other parts of the urinary tract after the initial treatment has been performed. ...Read more

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Is it important for all men to have a prostate exam?

Is it important for all men to have a prostate exam?

Prostate exam: It is important for all men to have a prostate exam, for men after 50 years of age. Exceptions are african-americans and men with family history of prostate cancer who should start at age 40, including a baseline psa. ...Read more

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Is it unusual for a lung cancer patient to have surgery with no radiation?

Is it unusual for a lung cancer patient to have surgery with no radiation?

No: Ideally we woul like to do surgery on lung cancer which means the cancer was resectable. In these cases the disease will be early stage and not require further therapy. ...Read more

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Why is it important to monitor markers for prostate disease?

Why is it important to monitor markers for prostate disease?

Early detection: There is only one widely used marker for prostate cancer which is psa. Prostate cancer is a potentially devastating disease that is best managed when caught early, a benefit for screening. Prostate cancer in its early stages generally causes no symptoms and thus may only be detected with a blood test or rectal exam. Debate, however, exists for which men should undergo treatment. ...Read more

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How important is it to have a doctor who is doing cancer research?

How important is it to have a doctor who is doing cancer research?

Depends: It may be important for a person seeking care for cancer. However, cancer is a large group of diseases, and doing research in one area would not provide an advantage in treating other cancers. If the illness is not cancer, e.g., heart disease, cancer research credentials would not be relevant. ...Read more

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Is it routine for doctors to check for diabetes whenever someone is admitted to the er?

Is it routine for doctors to check for diabetes whenever someone is admitted to the er?

IT: Depends what the reason you went to the er. If you had some benign trauma there no reason to check for blood sugar levels. If for other reasons and there is a history of diabetes of course one should check for it in the blood and well as urine for ketosis. ...Read more

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Is it possible for a person to be born with lung cancer?

Is it possible for a person to be born with lung cancer?

Highly unusual...: ...But not unheard of. There are a select few reports of fetuses who developed exceedingly rare lung tumors during gestation. Practically speaking, the overwhelming majority of lung cancers occur in adults and have genetic, environmental, and other causes, many of which only present themselves much later in life. ...Read more

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Is it possible for a 14-year-old to have prostate cancer?

Is it possible for a 14-year-old to have prostate cancer?

Rare, not impossible: Nothing is impossible 14 year old boys have a prostate, and any organ can get cancer it would be extremely rare and likely the source of a journal article in a patient that young, it would most likely be a rhabdomyosarcoma, not a traditional adenocarcinoma. ...Read more

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Is it ok for a stroke patient be treated for cancer at the same time?

Is it ok for a stroke patient be treated for cancer at the same time?

Yes: Having a prior stroke is not a contraindication to being evaluated and possibly being treated for cancer. ...Read more

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Is it possible for a 16-year-old to have lung cancer?

Is it possible for a 16-year-old to have lung cancer?

I have seen one case: In 35 years of practice focused on lung cancer, so it is very rare. We call cancers from their source of origin because it helps us decide how to manage the problem and what the outlook is. A "lung cancer" in an adolescent would be so outside the norm, we would not have those answers. One must be sure it is not lymphoma, germ cell tumor, or metastasis from another place. ...Read more

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Is it possible for liver cancer tumors to be too big for a transplant?

Is it possible for liver cancer tumors to be too big for a transplant?

Milan criteria: Most transplant programs adhere to some form of the milan criteria that restrict transplants to persons with one tumor<5 cm, up to 3 tumors<3cm, no extrahepatic disease, and no vascular invasion. Size is a marker for vascular invasion. Some programs have adjusted these criteria. Some tumors not amenable to transplant may nevertheless be resected (removed) surgically. ...Read more

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Is it possible for bone marrow be removed in advance for someone who needs it in the future?

Is it possible for bone marrow be removed in advance for someone who needs it in the future?

Yes it can be: Your doctor can address this question better but yet bone marrow can be collected in advance of chemo or any other treatment procedures. ...Read more

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Is it safe for a patient with dementia to get versed for a colonoscopy? Why or why not?

Is it safe for a patient with dementia to get versed for a colonoscopy? Why or why not?

Versed: The colonoscopy procedure will be fairly quick, but patients do need some sedation. Versed is frequently used, and is safe. It wears off very quickly also. Patients are carefully monitored and cared for during the procedure and after. They are in a recovery room until all systems are back to baseline. ...Read more

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Is dementia hereditary disease? What cautions should be taken to patient in order to live a safe life?

Is dementia hereditary disease? What cautions should be taken to patient in order to live a safe life?

Yes and no: If there is an illness that runs in your family you should speak to your doctor about it. There are many types of dementia. Some of them are genetically passed on while others aren't. The most common type of dementia is alzheimers disease and there are 2 forms. The early onset form is highly heritable. Alcoholic dementia is not inherited though a propensity for alcohol dependence can be. ...Read more

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Is it worth taking the 4k test for possible prostate issues, it is recommended by my Urologist....much more to the story ?

Is it worth taking the 4k test for possible prostate issues, it is recommended by my Urologist....much more to the story ?

4k: It is a relatively new blood test which will give you an idea if you have a prostate biopsy whether you would have an aggressive or mild form of prostate cancer. It is not covered by insurance and only certain labs will run this test. Just make sure you know the costs and where it can be done. ...Read more

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Does a new diagnosis of hepatocellular carcinoma add points to the meld score of a cirrhosis patient? Patient is going to be evaluate for transplant. Hepatologist has not started testing to see if hcc is primary or a metastasis? Shouldn't they be doing

Usually: A diagnosis of hepatocellular carcinoma often adds "tumor exception points" to the meld score. Unlike most cancers, hepatocellular cancer can be diagnosed based on imaging and laboratory findings without a biopsy. A tumor usually has to reach 2 centimeters in size before it affects the meld score. ...Read more

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When is it most important for men to get tested for prostate cancer ?

When  is it most important for men to get tested for prostate cancer ?

Not needed?: The uspstf recommends against psa-based screening for prostate cancer. http://bit.ly/nmvhid. Short and sweet. Any questions? ...Read more

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More and more consensus that mental health inpatients should be treated as near to home as possible, but what is the evidence for this?

More and more consensus that mental health inpatients should be treated as near to home as possible, but what is the evidence for this?

Family interaction: Treating close to home can allow for family interaction & /or family therapy. However, in some situations one may need to travel further to obtain specialized care. ...Read more

Bladder (Definition)

The bladder is a muscular organ in the pelvis that accepts urine from the kidneys, stores the urine at low pressure, & expels the urine during voluntary voiding. Though seemingly a simple reservoir, the bladder is a complex organ intricately connected with the brain and spinal cord with sensory, motor, and autonomic circuits. The muscular layer that contracts during voids ...Read more


Dr. Terence Chapman
289 doctors shared insights

Bladder Cancer (Definition)

Cancer of the bladder, the ...Read more