Nodal ITC after neoadjuvant chemotherapy
Dear colleagues,
I would greatly appreciate your input on this situation.
cT2N0 triple positive breast cancer.
Mastectomy and axillary clearance after neoadjuvant chemotherapy shows pCR in the breast and sentinel node biopsy shows ITC.
RT? Leave alone?
Thanks (Source: Student Doctor Network)
Source: Student Doctor Network - October 5, 2020 Category: Universities & Medical Training Authors: Treat Tags: Radiation Oncology Source Type: forums
Restarting research
Have been a little surprised about the lack of ethics conversations being had about this issue right now, so thought I would post to start one here. Curious to hear about people's thoughts on research in the present climate and how your respective institutions are handling things.
We have largely been closed aside from studies with imminent life-saving health benefits (generally not psychiatry/psychology - think "We won't stop your experimental chemotherapy"). We're now in the process of...
Restarting research (Source: Student Doctor Network)
Source: Student Doctor Network - July 10, 2020 Category: Universities & Medical Training Authors: Ollie123 Tags: Psychology [Psy.D. / Ph.D.] Source Type: forums
Mediastinal PNET in a young patient
Please advise on this case.
24 year old patient, that presents with chest wall pain and dyspnea.
CT Chest showed a large anterior mediastinal mass 7*6 cm, with left anterior chestwall invasion and important left pleural effusion.
Biopsy suggested thymoma (Ki>30%).
pleural effusion cytology was negative for malignancy.
she received two cycles of neo-adjuvant chemotherapy: Adriamycin+CDDP+Oncovin+Endoxan
CT Chest showed a very good response, almost 40% of size reduction and lesion became more...
Mediastinal PNET in a young patient (Source: Student Doctor Network)
Source: Student Doctor Network - April 16, 2020 Category: Universities & Medical Training Authors: Kroll2013 Tags: Radiation Oncology Source Type: forums
Re: Prostate cancer: only one in four men with metastatic disease gets recommended chemotherapy - consider side effects
(Source: BMJ Comments)
Source: BMJ Comments - January 26, 2020 Category: General Medicine Source Type: forums
Re: Prostate cancer: only one in four men with metastatic disease gets recommended chemotherapy
(Source: BMJ Comments)
Source: BMJ Comments - January 26, 2020 Category: General Medicine Source Type: forums
pN0(i+), do you treat the nodes?
Dear friends,
I have a 39 yo female diagnosed with a 2.3 cm IDC of the left Breast. she underwent a partial mastectomy with sentinel node sampling. it is a grade 3 IDC, Ki67 30%, 2 LN were sampled, both positive with isolated cells <2mm (i+). LVSI +. she received adjuvant chemotherapy.
i know that according to Z0011, it is justified not to irradiate the nodes.
What is the best practice now, considering her age and the grade? (Source: Student Doctor Network)
Source: Student Doctor Network - January 17, 2020 Category: Universities & Medical Training Authors: Kroll2013 Tags: Radiation Oncology Source Type: forums
metastatic breast Ca that responded very well to CT.....
Dear Colleagues,
What would you do in this case?
57 years old female with no comorbidities, that presented with a metastatic breast carcinoma.
Locally, the tumor was very locally advanced ulcerating into the skin and invading the pectorals with high burden of disease in the axilla.
Pet CT showed: positive nodes in the mediastinum, hilarious regions and many lung nodules.
she is ER/PR+, Her2 negative, IDC.
she received upfront chemotherapy with significant response:
- significant...
metastatic breast Ca that responded very well to CT..... (Source: Student Doctor Network)
Source: Student Doctor Network - September 3, 2019 Category: Universities & Medical Training Authors: Kroll2013 Tags: Radiation Oncology Source Type: forums
Is PMRT needed for this patient?
59 yo female patient, that presented with multifocal right breast lesions in the upper-lower outer quadrants: T1 26.5*21 mm - T2 23*19mm cN0 on the initial MRI.
staging Pet: N0 M0
she underwent neoadjuvant chemotherapy.
MRI showed a good radiological response
she had total mastectomy and LND:
bifocal residual carcinoma, T1: ILC, 3.7 cm
T2: IDC, grade 2
negative margins, lVSI neg, skin free, nipple free, 0/21 negative nodes with no signs of...
Is PMRT needed for this patient? (Source: Student Doctor Network)
Source: Student Doctor Network - August 16, 2019 Category: Universities & Medical Training Authors: Kroll2013 Tags: Radiation Oncology Source Type: forums
chemotherapy prescription
hi all,
i am a french resident and i would like to know more about oncology in the USA and Canada. i know that french MD can't work in the USA but there are agreements between Canada and France. My question is about the organisation of oncology over there. In France med onc is a speciality, but they often treat cancers that are not in the field of an organ medical speciality. For instance, pulmonologist treat lung cancer and can prescribe all treatments like conventional chemotherapies or...
chemotherapy prescription (Source: Student Doctor Network)
Source: Student Doctor Network - August 16, 2019 Category: Universities & Medical Training Authors: frenchdoc Tags: Hematology / Oncology Source Type: forums
Appropriate Level of Aggressiveness in Hem/Onc?
I have recently been wondering whether I went into the right field, because I often don't feel comfortable subjecting patients to fourth or fifth line therapy when I feel they would be better served with hospice. I am training in a large cancer center where 90% of my teachers push patients to the brink of death, with many to die with chemotherapy in the last 2 weeks of life.
Is this an academics thing, or all of oncology thing? Maybe I should do benign heme. (Source: Student Doctor Network)
Source: Student Doctor Network - August 7, 2019 Category: Universities & Medical Training Authors: thisampgoestoeleven Tags: Hematology / Oncology Source Type: forums
SRS for BS lesion: what dose?
young female, known to have a metastatic breast cancer, since 5 years.
In 2017, she developed secondary lesions in the brain with positive CSF.
She receives 30Gy/10 fr whole brain radiation, with intra-thecal chemotherapy.
A month ago, she developed gait disturbances with blurred speech an hemifacial paresia.
Brain MRI showed a solitary secondary lesion, 1.5 cm involving the left middle cerebral peduncle with extensive edema. No signs of meningeal disease.
Pet CT : NED outside the brain...
SRS for BS lesion: what dose? (Source: Student Doctor Network)
Source: Student Doctor Network - July 22, 2019 Category: Universities & Medical Training Authors: Kroll2013 Tags: Radiation Oncology Source Type: forums
PMRT for this patient?
Dear colleagues,
i need your opinion concerning this patient:
44 yo patient diagnosed of a bifocal mass of the right breast 5*2*3 cm , UOQ, cN0 , no suspiscious nodes on MRI
biopsy showed a poorly differentiated IDC with extensive high grade DCIS, HR neg, Her2 positive
she received neoadjuvant chemotherapy with complete response.
pathology of the radical right mastectomy with sentinel node showed:
no residual tumor, 0/1 LN, LVSI was not specified.
do you give PMRT taking into...
PMRT for this patient? (Source: Student Doctor Network)
Source: Student Doctor Network - May 30, 2019 Category: Universities & Medical Training Authors: Kroll2013 Tags: Radiation Oncology Source Type: forums
Chemotherapy already minimally effective
(Source: BMJ Comments)
Source: BMJ Comments - May 20, 2019 Category: General Medicine Source Type: forums
durvalumab after chemoradiation for NSCLC
For stage IIIB lung cancer, if the chemotherapy regimen is paclitaxel plus carboplatin, do MedOncs complete 2 cycles of consolidative paclitaxel plus carboplatin q21 days and then start durvalumab? Or forgo consolidatiive pac/carbo altogether? Any data to support either approach? Thanks. (Source: Student Doctor Network)
Source: Student Doctor Network - April 18, 2019 Category: Universities & Medical Training Authors: seper Tags: Radiation Oncology Source Type: forums
Re: Hospital suspends chemotherapy because of nurse shortage
(Source: BMJ Comments)
Source: BMJ Comments - April 15, 2019 Category: General Medicine Source Type: forums
