Is additional endoscopic monitoring for esophageal adenocarcinoma based solely on non-erosive gastro-oesophageal reflux disease justified?
(Source: BMJ Comments)
Source: BMJ Comments - October 6, 2023 Category: General Medicine Source Type: forums
What if you can't get prior RT records??
Saw a patient with a new diagnosis of high risk prostate cancer who had colectomy and adjuvant chemoradiation 30 years ago for an adenocarcinoma of the rectosigmoid flexure. According to the institution that treated him, all of his records were destroyed.
He wants RT for his prostate cancer. How would you proceed? (Source: Student Doctor Network)
Source: Student Doctor Network - August 27, 2022 Category: Universities & Medical Training Authors: thesauce Tags: Radiation Oncology Source Type: forums
Challenging NSCLC-case!
Here is a challenging NSCLC case.
75 year old patient, good PS.
Small primary in the left lung, mediastinum looks mostly clear on PET, only a few very small nodes. MRI of the brain shows solitary <1cm lesion.
Histology come backs as adenocarcinoma in the lung, EGFR-mutated.
I just SRSed the brain lesion (EGFR-mutation was not known prior to the planning CT ).
The thoracic surgeons performed a mediastinoscopy this week to rule out any mediastinal involvement, they resected two nodes...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - October 15, 2021 Category: Universities & Medical Training Authors: Palex80 Tags: Radiation Oncology Source Type: forums
CROSS regimen on the chopping block
Tried to see if this was limited to Siewert II/III but seems all locations allowed: NEOadjuvant Trial in Adenocarcinoma of the oEsophagus and oesophagoGastric Junction International Study (Neo-AEGIS) - Full Text View - ClinicalTrials.gov
So periop chemo may become an option now for esophagus… (Source: Student Doctor Network)
Source: Student Doctor Network - June 6, 2021 Category: Universities & Medical Training Authors: frijoles Tags: Radiation Oncology Source Type: forums
Logic behind different concurrent chemotherapy regimens
Hello everyone,
As I'm studying for boards (on GI cancers now), I have been noticing the plethora of concurrent chemotherapy regimens that have been tried over the years and I'm trying to make sense of this information.
As general rules of thumb, do we expect certain concurrent chemotherapy regimens to work better in adenocarcinoma compared to SCC or vice versa? (5FU/cisplatin/carboplatin/etoposide/xeloda/epirubicin/leucovorin)
For example, why would you treat both SCC and...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - March 8, 2021 Category: Universities & Medical Training Authors: TurboTesla Tags: Radiation Oncology Source Type: forums
Complex Anal Case
Love to know what others think. Got a lady with extramammary pagets of the perineal area with an associated invasive adenocarcinoma involving the entire anal canal and peri-anal soft tissues with extension to the left labia and multiple 1/5-3 cm bilateral inguinal nodes with no distant disease. These tend to be bad actors. Planning chemo, preop chemorads and APR with plastics for recon. I am curious to know what people would do with the inguinals. This is not your typical SCC of the anal...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - January 8, 2021 Category: Universities & Medical Training Authors: ramsesthenice Tags: Radiation Oncology Source Type: forums
Does periolesional edema influence dose prescriptin/fractionation for SRS brain mets?
Dear colleagues,
I have an 80 years old patients known to have a lung adenocarcinoma since 2017, treated with systemic treatments and one course of brain SRS in 2017 with complete remission of the lesions.
he presents with two solitary brain lesions
one right frontal of 4mm
another right post parietal of 26 mm with intralesional hemorrhage and important peri-lesional edema (no midline shift ), inoperable
do you take in consideration the perilesional edema to decide for one Shot SRS or...
Does periolesional edema influence dose prescriptin/fractionation for SRS brain mets? (Source: Student Doctor Network)
Source: Student Doctor Network - April 8, 2020 Category: Universities & Medical Training Authors: Kroll2013 Tags: Radiation Oncology Source Type: forums
SBRT dose for bone osteocondensing vs osteolytic lesions?
Dear colleagues,
I have a patient with metastatic prostate adenocarcinoma, that responded very well to systemic treatment except for one painful osteocondensing lesion of the left ilio-ischial bone.
SBRT to this lesion was opted.
Is there any difference concerning the dose prescription for osteocondensing lesions compared to osteolytic mets?
what is the best dose/fractionation to such relatively large lesion ?
ty (Source: Student Doctor Network)
Source: Student Doctor Network - March 31, 2020 Category: Universities & Medical Training Authors: Kroll2013 Tags: Radiation Oncology Source Type: forums
liver SBRT for single large lesion
Dear colleagues,
your opinion is highly appreciated:
55 years old female, diagnosed of a pancreatic adenocarcinoma in 2017. She underwent a Whipple surgery followed by adjuvant chemoradiation to the tumor bed using a 3 fields 3D-conformal plan.
In 2019, she developed a single liver lesion of 2.5 cm , segment VIII treated with RFA.
3 months after, the lesion progressed in size reaching 7 cm , CA19-9 5000, with no other secondary lesion elsewhere.
Her liver function is maintained, only...
liver SBRT for single large lesion (Source: Student Doctor Network)
Source: Student Doctor Network - February 4, 2020 Category: Universities & Medical Training Authors: Kroll2013 Tags: Radiation Oncology Source Type: forums
North Carolina Medical Board: Adenocarcinoma of Appendix
The Board is concerned that on December 31, 2017, a surgical pathology specimen was submitted to you, following an appendectomy with colostomy performed on Patient A. Within two weeks, you communicated a verbal preliminary report finding a likely adenocarcinoma of the appendix. Your final report was not submitted until more than six months later on July 14, 2018. The Board had your care of Patient A reviewed by an outside medical expert in pathology. This expert opined that you fell below...
North Carolina Medical Board: Adenocarcinoma of Appendix (Source: Student Doctor Network)
Source: Student Doctor Network - November 19, 2019 Category: Universities & Medical Training Authors: jkdoctor Tags: Pathology Source Type: forums
Stuttering During Rotations
I have a question from attending physicians and residents. I have a pretty bad stutter. I am an IMG. My stutter is bad to the point that I have blocks and my head starts moving when I speak and I don't make eye contact. When I am on the phone people usually get frustrated or think the signal is bad. In medical school, I never did any presentations except twice which went very badly. All the classes we had to present I talked to teachers to just give me a C. I have heard in America residents...
Stuttering During Rotations (Source: Student Doctor Network)
Source: Student Doctor Network - April 20, 2018 Category: Universities & Medical Training Authors: Adenocarcinoma Source Type: forums
Foreign Medical Graduate Seeking help!
Hello, everyone! I have been a long time reader of this forum. I have recently come to America. I am a permanent green card holder. I graduated from medical school in 2017. I studied in an EU medical school. However, due to life circumstances, I had to come to America (long story). I understand getting matched to a specialty in America is quite hard and even after years, it may never happen. I personally know two people who tried for years and had OK USMLE scores. One of them finally got...
Foreign Medical Graduate Seeking help! (Source: Student Doctor Network)
Source: Student Doctor Network - April 15, 2018 Category: Universities & Medical Training Authors: Adenocarcinoma Source Type: forums
FMG Seeking Advice and Help
Hello, everyone! I have been a long time reader of this forum. I have recently come to America. I am a permanent green card holder. I graduated from medical school in 2017. I studied in an EU medical school. However, due to life circumstances, I had to come to America (long story). I understand getting matched to a specialty in America is quite hard and even after years, it may never happen. I personally know two people who tried for years and had OK USMLE scores. One of them finally got...
FMG Seeking Advice and Help (Source: Student Doctor Network)
Source: Student Doctor Network - April 14, 2018 Category: Universities & Medical Training Authors: Adenocarcinoma Source Type: forums
Anxiety and A. fib w/ RVR
Recently overnight in the ICU, 70 y/o s/p LUL lobectomy for adenocarcinoma, a fib, HTN, HLD. Came out of surgery in a fib with RVR 2 days prior in the 140s, w/ steady pressures. Hard to rate control, but manageable the past 2 days. At 3AM get a call, hes a. fib in the 160-170s pressure 120/60, received 1 x metop push during the day, 25 mg atenolol BID that day. At bedside patient is extremely anxious, excessively worried about his heart rate, however not fidgety or agitated. Adminstered 1 x...
Anxiety and A. fib w/ RVR (Source: Student Doctor Network)
Source: Student Doctor Network - January 12, 2018 Category: Universities & Medical Training Authors: DrOwnage Source Type: forums
