Hematology-Oncology Ask The Experts Index

 
 
  • 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?
  • 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.
  • 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?
  • 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?
  • Treating Limited-stage SCLC? Two years after chest x-ray and ultrasound showed a small hilar mass in a 48-year-old heavy smoker, repeat scans showed that the mass was now 2.5 cm, and biopsy demonstrated SCLC. What would you do?
  • Therapy Options for Primary Pulmonary NHL? A 69-year-old woman with incidental findings of a follicular lymphoma of the mid-lobe of the right lung showed minimal evidence of follicular (small-cell) lymphoma. What would you recommend?
  • Follow-up Therapy for a Stage IIIB Pulmonary Blastoma? A stage IIIB pulmonary blastoma was diagnosed in a 42-year-old man with a 30-pack-year history of smoking. What would you recommend after daily radiation and weekly chemotherapy?
  • Asymptomatic Locally Advanced Unresectable NSCLC With a Single Node on PET Scan? A 61-year-old man with NSCLC stage IIIB was treated with radiotherapy and chemotherapy 1 year ago. He is now disease-free on MRI and CT, but PET shows a single node at the aortic window.
  • Metastatic NSCLC Causing Obstructive Jaundice? A 42-year-old man with obstructive jaundice showed a left-sided mass on CT; local nodes were positive for disease. Could the obstruction be caused by metastatic deposits in the periampullary region?
  • Treatment Options for Pancoast Tumor? A 55-year-old woman was diagnosed with stage IIIB T4N0M0 squamous cell Pancoast tumor involving the adjacent vertebrae (T1-T3) and extending into the neural canal. What would you do?
  • Myelodysplasia and Desferrioxamine What about the use of desferrioxamine in anemic patients with myelodysplasia who require monthly transfusion?
  • Follow-up Therapy to Reduce the Risk of Recurrence? What course might be recommended for a woman who has a tumor recur in her breast 10 years after initial treatment?
  • Transfusions for Myelodysplasia in the Elderly Is there a relationship between chronic transfusions for myelodysplasia in the elderly and cognitive dysfunction?
  • Treating Non-Hodgkin's Lymphoma of the Breast? A 54-year-old woman with a right breast mass was diagnosed with non-Hodgkin's lymphoma. CT of the chest, abdomen, and pelvis were all negative, as was her bone marrow. What would you suggest?
  • Novel Treatment Regimens for Refractory Hodgkin's Disease? A 42-year-old man was diagnosed with Hodgkin's disease. He has had multiple relapses over the years despite autologous BMT and multiple courses of chemo- and radiotherapy. What would you advise?
  • Postoperative Therapy for Stage IA NSCLC? CT scan of a 56-year-old man showed a 3-cm mass in the LLL. Mediastinoscopy was negative and a 2.8-cm adenocarcinoma was removed. All nodes were negative. Is there any role for postoperative therapy?
  • Treating Locally Advanced NSCLC With Possible Nodal Involvement? Chest x-ray of a 63-year-old woman showed a 3.4-cm mass in the periphery of the RUL. CT scan showed no disease in the mediastinum, but PET scan showed nodal involvement. What would you suggest?
  • Reticulocyte Count Due to Blood Loss or Hemolysis How does one work out whether an elevated reticulocyte count is appropriate degree of anemia either due to blood loss or hemolysis?
  • Epoetin Therapy Guidelines for Secondary Anemia What are the latest ASH/ASCO guidelines for epoetin therapy for cancer- and CKD-induced anemia?
  • Therapy for Asymptomatic Malignant Pleural Mesothelioma? Thoracoscopic pathology of a 66-year-old male revealed epithelial mesothelioma with involvement of the lung and ipsilateral hilar lymph nodes. Resection is not possible. What would you recommend?
 
 
 
All material on this website is protected by copyright, Copyright © 1994-2008 by Medscape. This website also contains material copyrighted by 3rd parties.