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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
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Follow-up Therapy for Poorly Differentiated Breast Carcinoma?
A 55-year-old, postmenopausal woman underwent lumpectomy in the right breast. Sixteen lymph nodes were clear of metastasis, ER and PR were highly positive, and HER-2/neu was negative. What to do?
Medscape Hematology-Oncology, March 2004
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Adjuvant Therapy for Receptor-Positive Multifocal Breast Cancer?
A premenopausal 42-year-old woman has 3 separate foci of infiltrating grade 2, ER+, PR+, ductal carcinoma in the left breast following mastectomy. What would you suggest for adjuvant therapy?
Medscape Hematology-Oncology, March 2004
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A Boy Presents With Immune Thrombocytopenia Purpura for the Second Time
If a 12-year-old boy presents for the second time with ITP, should he be labeled as a chronic ITP patient?
Medscape Critical Care, February 2004
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Management of Large Hyperplastic Gastric Polyps?
What is the recommended approach to management of large (> 1-2 cm), hyperplastic gastric polyps usually in the antrum/lower body? Michael L. Kochman, MD, FACP, discusses this clinical scenario.
Medscape Gastroenterology, February 2004
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Albumin for Hypoalbuminemia in the Elderly
Is it justifiable to administer 100 mL of 25% human
albumin over 8-10 hours to a 70-year-old patient with
hypoalbuminemia?
Medscape Critical Care, December 2003
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Treatment Options for Primary Cutaneous Lymphoma?
A 76-year-old woman presented with erythematous
cutaneous nodules over the scapula. Biopsy confirmed
a diagnosis of large B-cell lymphoma. CT scans show
no other disease. What would you recommend?
Medscape Hematology-Oncology, December 2003
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Diagnosis of Primary CNS Lymphoma
Primary CNS lymphoma is the most common CNS
neoplasm in HIV infection. Read this expert's advice on
how to confirm a diagnosis.
Medscape HIV/AIDS, December 2003
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Adjuvant Treatment for a Stage T1 Parotid Mucoepidermoid Carcinoma?
A 50-year-old man underwent parotidectomy after
diagnosis of a 1-cm, low-grade mucoepidermoid
carcinoma. There was no adenopathy and surgical
margins were clear. Is there a role for adjuvant therapy?
Medscape Hematology-Oncology, December 2003
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Metastatic Papillary Adenocarcinoma of Unknown Primary?
CA-125 in a 66-year-old woman with a 5-cm lytic lesion
in the right sacrum and a 4-cm pelvic mass fell from
224 and to 36 after chemoradiotherapy. What would you
suggest at this point?
Medscape Hematology-Oncology, November 2003
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Minimizing Menopausal Symptoms From Endocrine Therapy?
A 44-year-old woman with an ER+, PR+, node-positive
breast cancer was started on tamoxifen and goserelin,
but the menopausal symptoms were too difficult to
bear. What would you recommend?
Medscape Hematology-Oncology, November 2003
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Follow-up Therapy for a Young Woman With T3Nx Breast Cancer?
Core biopsy of a 7-cm lesion in a 37-year-old woman
showed an infiltrating ductal carcinoma. She received
neoadjuvant AC and docetaxel; there is no palpable
mass. What should be the next step?
Medscape Hematology-Oncology, November 2003
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Follow-up Surveillance for Localized Breast Tumor?
A 48-year-old woman underwent mastectomy for an
ER-positive, PR-positive, 2.5-cm tumor of the right
breast with no nodal involvement, received 6 courses of
FAC, and started tamoxifen. What's next?
Medscape Hematology-Oncology, September 2003
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Hormonal Treatment for Recurrent ER-Negative, PR-Positive Breast Cancer?
A 62-year-old woman with a 4-cm lobular carcinoma
received chemotherapy and 5 years of tamoxifen. A year
later, a 1.8-cm, ER-, PR+ tumor was found in the
contralateral breast. What would you do?
Medscape Hematology-Oncology, September 2003
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Treatment Options for Bronchioloalveolar Carcinoma?
A 55-year-old female former smoker was diagnosed
with bronchioloalveolar cell carcinoma, possibly
involving both lungs. No other metastases were noted,
and her PS is 1. What would you suggest?
Medscape Hematology-Oncology, September 2003
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A 54-Year-Old Woman With Colon Polyps
Michael L. Kochman, MD, FACP, discusses the
possible next step in management and surveillance
interval for this patient.
Medscape Gastroenterology, August 2003
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Local-Regional Advanced Tonsillar Carcinoma?
A 44-year-old man with tonsillar carcinoma could not
undergo resection because of rapid growth and skin
involvement. He did not respond to a course of
induction chemotherapy. What would you recommend?
Medscape Hematology-Oncology, July 2003
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Treatment for Borderline Ovarian Cancer?
A young infertile patient with a unilateral ovarian cyst was diagnosed with a stage Ia papillary serous borderline adenocarcinoma. She conceived 1 month after oophorectomy. What would you suggest?
Medscape Hematology-Oncology, July 2003
