Examples: low back pain,  low potassium levels,  diet food ...
905.866 medical & health answers

Cancer clinic answers (7259)

«Previous Page 2 from 100 Next >
Q: 

I am hoping that you can tell me what I need to ask for when I visit my doctor at the beginning of July. I had stage 1, IDC, estrogen positive,four years ago when I was 46. Lumpectomy, followed by radiation and tamoxifen followed. I am also on several high dose anti-depressants during that time frame and now. In December, I developed a large mass in the radiated breast. I was told it was an abcess and then a complicated cyst. Nothing could be aspirated from it as it was too solid. This was diagnosed thru ultrasound and mammogram. My doctor chose to leave it and although it is still present, the mass is smaller. My breast is also very hard now to touch and feels lumpy, which it hasn''t been prior to this developing. When I had my visit at the beginning of June at the cancer clinic, the nurse practioner and student doctor noted the changes. They also noted that the breast had some peau d''orange. There is also some swelling under my arm area. I had lymph node removal, but no cancer was found in them. They scheduled a follow up for late August. However, I have now been called in to see my radiation oncologist. I was pre-menopause when diagnosed, although I had a hysterectomy in my mid 30''s. For some reason, I tend to get lost in the shuffle and usually come home from appointments knowing not much more than when I went in. I would like to know from you what I should be asking my doctor to do now. Should I have a biopsy? Should I ask for other tests? Which ones? I am quite worried that this is the cancer back again. If it is, I believe that I should probably ask for a masectomy as a breast cant be radiated twice. Is that correct? I am sorry to fire so many questions at you, but I want to be heard this time and I need to know what should be doing. Thank you for all your help

A: When a patient presents with a new solid mass in the breast that was previously treated for breast cancer, and has peau d-orange as well and swelling in the axillae then the first thing that must be considered is local recurrence of breast cancer. diagnostic evaluation including a biopsy of the mass and the breast skin where the peau d''orange is should be performed most of the time. you need to state that you are concerned that you have breast cancer again and want biopsies done to determine if this is the case. Also, request that a blood test be done to measure the CYP2D6 level. you mentioned you were on anti-depressants and tamoxifen. Many anti-depressants cannot be taken with tamoxifen as it blocks the ability...
Add your question  ·  Add your comment  ·  Answer to this question  


Q: 

In 2003 a l.7cm Medullary carcinoma removed from right breast. DCIS absent and sentinel and 3 lymph nodes removed but were benign. Radiation no chemo. PET scan in 2004 showed activity in the same area. Ultrasound core biopsy showed scar tissue. (false positive PET?)Because of breast pain in left breast I had an MRI March 20, 2006 and finding was a 9x16mm area of slow progressive enhancement but with irregular margins, left lower-quadrant but some concern for malignancy. (BI-RADS 4) Before having this abnormality removed I wanted to find out if there could be cancer anywhere else and asked for a PET/CT scan.PET Scan did not show any activity. My surgeon who performed the first lumpectomy suggested an ultrasound because it was so small and he wanted to compare it with the MRI. The ultrasound did not pick up the ''abnormality''. Report said ''no sign of cancer''. The oncologist insists on an MRI biopsy and the surgeon at the John Moore''s Breast cancer clinic agreed with me that instead of rushing into a biopsy, to wait and get another MRI in 3 months.Because of the size and rating this is probably benign. I really don''t believe in biopsy because I think it damages good tissue and misses some cancer cells. However, I just don''t know what to do. For 100% diagnosis, I feel I should have it removed entirely, wiout the biopsy first like I did before. on the other hand, because of the irregular border that is a concern. I am hesitant about this MRI biopsy being painful and complications that could occur. I do not take any medicines. My receptors were negative. I feel fine and full of energy. Do you think this is something that I could watch for another 2 months? Thank you very much

A: consider taking your films to another radiologist who specializes in breast imaging and see how suspicious (particularly given its irregular edges) the doctor thinks this mass may be from a cancer perspective. it usually is best to know what it is before removing it. the technique would be surgically different. if you want to come our way just call 443-287-2778....
Add your question  ·  Add your comment  ·  Answer to this question  


Q: 

My core bioposy results were:Two tiny foci...show the presence of invasive ductal adenocarcinoma, each measuring less than .5mm. Complete local removal of the lesion is recommended. Focal microcalcification is seen associated with duct epithelium in the areas of adenosis. ''Two real tiny foci of invasive ductal adenocarcinoma seen, Grade I to Grade ll.'' After a modified radical mastectomy and sentinel node and geographical area node removal, I received the news that the oncologist says their team feels not only do I not have cancer now, but they feel I never did. The cancer clinic that is affiliated with the university hospital I went to stated this as the final summary:''He feels that she had an infarcted papilloma and that there was no invasive duct carcinoma on the original core biopsy. There was no residual papilloma or other lesion found in the breast except for sclerosing adenosis. There was a track from the original core biopsy, but no actual papilloma was detected on the slides.'' I am interested in your comments, unfortunately after the fact

A: When there is controversy over pathology accuracy it can be helpful to have a third opinion look at the slides-- someone who specializes in breast cancer pathology. Hopkins does as well as Vanderbilt. No doubt this is shocking news for a patient to hear-- the good news that she isn''t a cancer patient but the bad news that she has had surgery as if she was. Having another set of eyes look at the tissue block and slides may help decipher the information more clearly....
Add your question  ·  Add your comment  ·  Answer to this question  


Q: 

My 14 yr old daughter has just had a lump removed from her right breast. The pathology report is as follows: benign phyllodes tumor with foci of non-atypical epithelial hyperplasia. The benign phyllodes tumor is present at the excisional margins. There is also a cystic component, an unusual finding is phyllodes tumors, but one that in this case corresponds to the stated ultrasonographic findings. The surgeon recommends additional surgery to do a wide local excision but is also sending us for second opinion with the breast clinic at his hospital. We have a strong history of breast cancer in our family. Should we be getting another opinion from a breast cancer clinic like Hopkins?

A: yes, you may want to, beginning with having our lead pathologist, Dr. Argani, re-review the pathology slides to ensure accuracy. You can reach him at pargani@jhmi.edu or 410-614-2428....
Add your question  ·  Add your comment  ·  Answer to this question  


Q: 

My final diagnosis of a recent core needle biopsy follows: ''Breast, Right, 6 o''clock position, core needle biospsy:Intraductal Papilloma.'' clinicAL INFORMATION:''46 yr-old female with nonpalpable solid 1 cm size mass lesion in the 6 o''clock position of the lower quadrant of the right breast, detected by imaging. The specimen was obtained via ultrasound guided needle core biopsy. The patient is not currently pregnant or nursing and her family history is negative for breast cancer.'' clinicAL DIAGNOSIS: ''?fibroadenoma vs carcinoma.'' GROSS DESCRIPTION: '' ''Right breast 6 o''clock,'' is yellow-tan pices, and the aggregate ia 15x13x1 mm, filtered, one cassette.'' MICROSCOPIC DESCRIPTION: ''Sections of segments of breast tissue do show presence of an intructal papilloma. Foci of Sclerosis and hyalinization are present. Within the papilloma proper there are foci of apocrine metaplasia. There are rare to occasional scattered microcalcifications within the ductal lumina that are part of this papilloma, and a portion of the sclerotic stroma also shows dystrophic calcification. There is no evidence for malignancy in the sections available for evaluation.'' MY QUESTIONS: My understanding is that a common symptom of Intraductal Papilloma is discharge from the nipple, yet I have never had this symptom. Is this unusual? Why the question mark in the clinical diagnosis? I''m scheduled to see a surgeon in 3 weeks. If I were your mother, would you suggest surgical removal of the papilloma? Any other insight you might have regarding this diagnosis? Thank you so very much for your feedback

A: surgical removal is the standard of care for papillomas. and they don''t always cause nipple discharge. usually what happens is someone has bloody nipple discharge and it is found to be caused by a papilloma. sounds like they want more tissue anyway to confirm this is benign....
Add your question  ·  Add your comment  ·  Answer to this question  


Q: 

I am 49 years old and have just completed a stressful chemo schedule. Last October, I had a wide local resection and sentinel node biopsy for breast cancer. The pathology showed a 4.5 scm invasive ductal carcinoma and 3 positive nodes, grade 3 lesion, stage 2b. The patholgy showed the cancer involved the margins, so a week later I had a full right mastectomy and axillary clearance, with a further 2 large (2cm nodes positive with extranodal spread).I have just completed FEC- 6 cycles, and have been advised to have chest wall radiation and commence tamoxifen.Both my sisters have had breast cancer. We have consulted a familial cancer clinic and been advised to undergo genetic screening for BRCA1 and 2. My eldest sister has volunteered to be the first for this. We have also been advised that we are in a high risk category for recurrence and for ovarian cancer. Both my sisters have been advised to have their ovaries removed and to consider bilateral prophylactic mastectomy. They both had grade 3 tumours, but not as advanced in stage as mine. I have been advised to complete all treatments before considering any further intervention.To complicate this, my husband is about to commence a two year contract in the US, in Maryland. Whilst I will remain in Australia to complete my current treatment, I am concerned that I will need to continue a level of medical monitoring once I do travel to the US.What follow-up should I be seeking? Is there any need for me to pursue any of the advice concerning high risk status over the next 2 years whilst we are in the US?

A: Pursuing genetic testing for you family sounds like a wise idea given your family history and personal history. based on those results you will be in a better position to determine what needs to be pursued now vs maybe able to wait. for those who are genetically positive, it is increasingly common to have ovaries removed and even do prophylactic mastectomies. Commonly, women will get tested as a family with everyone submitting their blood at once. If you need care while here in the states and are going to be in our area you are welcome to come here for this purpose. just contact Lillie Shockney at 410-614-2853 and she will assist you....
Add your question  ·  Add your comment  ·  Answer to this question  


Q: 

(First, THANK YOU for the Artemis e-zine! ) Are there any ''viagra for females'' options that will not increase my breast cancer risk (ie., non-hormonal)? I carry the BRCA1 gene and with both my aunts now dead of ovarian cancer, I had a prophylactic salpingo oopherectomy 2 yr. ago(at age 49). My sex drive is now 0 and my marriage is stressed. My breast cancer clinic doctor said she''d heard of studies / trials of substances that weren''t hormonal, but said she wasn''t fully conversant on the topic. Many thanks for any information you can provide

A: need to direct you to gyn website then i think. i have read myself that there are studies underway with similar medicines as viagra for women. don''t know much about them though to be able to guide you. go to: www.hopkinsmedicine.org and click on the gyn section!...
Add your question  ·  Add your comment  ·  Answer to this question  


Q: 

Lilli, I didn''t know if this is the correct category for me to submit my question. I asked you a few questions last week and after your help previously, I''m finding myself asking, ''What would lilli say?'' so here goes. I mentioned to you before that I only have general surgeons available to me at my local cancer clinic. I just received news that I could see a surgical oncologist but not until Dec. 15th for a consult. Do you think that is too long to wait? Do I risk it spreading?

A: i''m not able to connect one question posted with another and i get about 200 a day. can you tell me more about your diagnosis? invasive cells? size of tumor?...
Add your question  ·  Add your comment  ·  Answer to this question  


Q: 

VITAMIN B-17, Laetrile, amygdalin .. Do they Cure cancer?

A: I do know that God loves each and every one of us. And in lll john :2 says Beloved, I wish above all things that thou mayest prosper and be in HEALTH, even as thy soul prospereth. God wishes above all things that we be in health. Thats a Promise from God that we must claim. Claim your health back. Doctors dont have cures for many diseases, but God can heal any disease. PSALMS 103:3 ...Who healeth ALL (without exception) thy diseases. God dosent want anyone to be sick. He just wants us to believe His word, so that he can heal us. Read Matthew 21:22 And all (with distinction, acording to Gods word)things, whatsoever ye shall ask in prayer, believing, ye shall recieve. There is no vitamin B-17, and no, they don''t work. check out herbdoc.com, i claims to heal lot of things. i know it...
Add your question  ·  Add your comment  ·  Answer to this question  


Q: 

What Is a Breast clinic?

A: A breast clinic, also called a breast center, is a specialized medical facility that provides overall breast healthcare to women. Procedures performed at breast clinics include screening, diagnosing and treating cancer and other breast diseases. Breast clinics also educate women about breast health and provide assessments of cancer risk. Some breast clinics focus more on the screening and diagnostic side of breast health, diagnosing problems and performing mammograms or other preventative procedures. Breast cancer clinics often are more involved with patients who already have been diagnosed...
Add your question  ·  Add your comment  ·  Answer to this question  


 
< previous | 1 2 3 4 5 6 7 ... 100 | next >
Contact us   |   Disclaimer   |