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Routine Screening for HCC Recommended for the Hepatitis B Patient in the Inactive Carrier State?
Is routine screening for hepatocellular carcinoma recommended for the hepatitis B patient in the inactive carrier state? Emmet B. Keeffe, MD, explores the issue.
Medscape Gastroenterology, July 2005
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Subtotal Colectomy in a Young Patient With a Single Adenocarcinoma Found on Colonoscopy?
Are there circumstances in which a subtotal colectomy might be recommended for a young patient with a single adenocarcinoma found on colonoscopy without previous family history or colitis?
Medscape Gastroenterology, July 2005
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Treatment for Psoriatic Arthritis in Patient With Hodgkin's Lymphoma
A 38-year-old patient who is a woman with a 10-year history of Hodgkin's lymphoma presented with psoriatic arthritis. Although she is currently in remission, what is the appropriate therapy for her?
Medscape Rheumatology, April 2005
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Laparoscopic Pancreatectomy for Potentially Malignant Pancreatic Lesions
What is the current consensus regarding the use of laparoscopic pancreatectomy for potentially malignant pancreatic lesions? John Baillie, MD, explores the issues.
Medscape Gastroenterology, November 2004
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Possible Childhood Myelofibrosis
A 6-year-old boy with severe thrombocytopenia since age 20 months, mild anemia, and leukocytosis presents with increased dysplastic megakaryocytes and fibrosis without abnormal cancer cells.
Medscape Pediatrics, September 2004
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Adjuvant Therapy for a Second Breast Tumor?
A 60-year-old woman with stage IIB ILC underwent mastectomy and chemotherapy. Tamoxifen was stopped after 1 year because of hot flashes. She now has a 2.5cm IDC in the other breast. What would you do?
Medscape Hematology-Oncology, July 2004
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Follow-up Therapy for Stage III Colon Cancer After Significant Toxicity From Roswell Park Regimen?
What would you suggest for a 29-year-old woman who was treated for stage III colon cancer and ended up with significant toxicities?
Medscape Hematology-Oncology, July 2004
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Third-line Therapy for Colon Cancer and Multiple Unresectable Liver Metastases?
What would you recommend as third-line therapy for a 54-year-old woman with colon cancer and multiple unresectable liver metastases?
Medscape Hematology-Oncology, July 2004
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Approach to the Patient With Multiple Colorectal Polyps?
The patient is a 53-year-old man with multiple (10-20) colorectal polyps, predominantly right-sided. Michael L. Kochman, MD, explores issues in surveillance, evaluation, and approach to management.
Medscape Gastroenterology, June 2004
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Therapeutic Strategies for Medullary Carcinoma?
A 48-year-old premenopausal woman with medullary carcinoma, stage I (T1c/M0/N0), that is ER/PR-negative and HER-2/neu-negative. What would you recommend for therapy?
Medscape Hematology-Oncology, May 2004
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Management Options for Stage IV Breast Cancer Metastatic to the Brain?
A 42-year-old woman underwent mastectomy, RT, and chemo for a HER2+ ductal carcinoma; 2 years later, she had radiosurgery, WBI, and chemo for brain metastases. Two nodules remain. What would you do?
Medscape Hematology-Oncology, May 2004
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Management Options for Stage III Renal Cancer?
A 37-year-old man underwent radical nephrectomy for a 4.5-cm, moderately differentiated, clear-cell carcinoma of the kidney. One of 5 lymph nodes was positive for tumor. What would you recommend now?
Medscape Hematology-Oncology, May 2004
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Management of Immunosuppression in a Kidney Transplant Recipient With Testicular Cancer
How should I manage immunosuppression in a kidney transplant recipient with stage I testicular cancer?
Medscape Transplantation, April 2004
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Follow-up Therapy for Metastatic Endometrial Stromal Sarcoma?
A 23-year-old woman with metastatic endometrial stromal sarcoma was treated with suboptimal debulking surgery followed by chemotherapy. Complete symptomatic response was seen. What would you do next?
Medscape Hematology-Oncology, April 2004
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Chemotherapy Following Secondary Cytoreductive Surgery for Ovarian Carcinoma?
A 45-year-old woman with stage III ovarian cancer underwent debulking surgery and chemotherapy. Three years later, 2 enlarged retroperitoneal nodes were found. What would you do after dissection?
Medscape Hematology-Oncology, April 2004
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Therapy Options for Limited-Stage, Small-Cell Lung Cancer?
A 58-year-old woman with SCLC received 3 cycles of cisplatin-etoposide plus 25 doses of concurrent 45 Gy thoracic RT. Follow-up CT demonstrated a good response. What would you recommend at this point?
Medscape Hematology-Oncology, April 2004
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Second-Line Therapy for Advanced Clear-Cell Ovarian Cancer?
A 57-year-old woman who was diagnosed with stage III clear-cell ovarian cancer received paclitaxel/carboplatin. Five months later, CT showed ascites and peritoneal metastases. What would you suggest?
Medscape Hematology-Oncology, April 2004
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Follow-up Therapy for Locally Advanced Pancoast Tumor?
A right-sided Pancoast tumor involving the upper lobe with rib destruction in a 54-year-old man remained unchanged after 4 cycles of carboplatin and paclitaxel and irradiation. What you would suggest?
Medscape Hematology-Oncology, April 2004
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Therapeutic Options for an Elderly Woman With Metastatic Non-Small-Cell Lung Cancer?
PET scan of a 74-year-old woman who smokes revealed a tumor in the right lower lobe and 3 tumors near the adrenals. Biopsy confirmed squamous cell carcinoma. How would you proceed?
Medscape Hematology-Oncology, April 2004
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Use of Whole Fresh Blood for Transfusions
Are there any indications for the use of whole fresh blood in today's transfusion practice?
Medscape Critical Care, March 2004
