Anyone have an opinion about vaginal atrophy, dyspareunia and the use of Pueraria Mirifica to treat it?
I am asking this question because a woman I know says her surgeon told her that using the product Hygeena (see Hygeena Vaginal Suppositories) to treat her vaginal atrophy and dyspareunia, will increase her probability that cancer will return. Two years ago, she had a ring section of her colon removed to deal with her stage 2 cancer. She now has a clean bill of health. I looked at a dozen websites that basically say three things to me. 1) Nobody has done any extensive double-blind... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - September 29, 2023 Category: Universities & Medical Training Authors: LiamAllone Tags: Ob/Gyn Source Type: forums

Cancer screening boondoggle?
Cant post something like this on twitter because /cancelled so posting here but does an ounce of prevention really equal a pound of cure? Docs and lay public alike often treat screening as prima facie Discuss. Estimated Lifetime Gained With Cancer Screening Tests The meta-analysis examines evidence from randomized clinical trials of lifetime gained with use of screening tests for lung, breast, prostate, and colorectal cancer. jamanetwork.com JAMA Intern Med. 2023 Aug 28. doi: 1...
Source: Student Doctor Network - August 29, 2023 Category: Universities & Medical Training Authors: winstonfoot5 Tags: Radiation Oncology Source Type: forums

when do you use SCRT (25Gy/5fr) within a total neoadjuvant approach for Rectal Ca?
Dear Colleagues, I am interested to know when do you favor standard LCRT versus SCRT in the setting of a TNT approach for rectal cancer? What are the criterias you follow ? does the age matter (young versus elderly)? location (lower/upper rectum)? sphincter involvement? sequencing (induction chemo versus upfront RT)? Any other considerations? ty a lot for sharing your thoughts (Source: Student Doctor Network)
Source: Student Doctor Network - November 29, 2022 Category: Universities & Medical Training Authors: Kroll2013 Tags: Radiation Oncology Source Type: forums

Re: Association of ultra-processed food consumption with colorectal cancer risk among men and women: results from three prospective US cohort studies
(Source: BMJ Comments)
Source: BMJ Comments - October 31, 2022 Category: General Medicine Source Type: forums

FDA approves 'SKOUT' - a new AI device to detect colon polyps
https://www.cancertherapyadvisor.com/home/cancer-topics/gastrointestinal-cancers/fda-clears-skout-to-detect-colorectal-polyps-in-real-time-during-colonoscopy/ Interesting article that leads to more questions: Does FDA approval mean gastroenterologists can bill more for using the device vs standard colonoscopy? If so, will insurance companies reimburse for it? And on the path end, does this mean receiving more or less colon biopsies if this becomes widely adopted? I could see... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - October 28, 2022 Category: Universities & Medical Training Authors: coroner Tags: Pathology Source Type: forums

Re: Association of ultra-processed food consumption with colorectal cancer risk among men and women: results from three prospective US cohort studies - Isn ’t it time to restrict access to Ultra processed Food?
(Source: BMJ Comments)
Source: BMJ Comments - October 10, 2022 Category: General Medicine Source Type: forums

Landmark RCT on colonoscopy screening for colon cancer
https://www.nejm.org/doi/full/10.1056/NEJMoa2208375 “The trial’s primary analysis found that colonoscopy only cut colon cancer risk by roughly a fifth, far below past estimates of the test’s efficacy, and didn’t provide any significant reduction in colon cancer mortality. Gastroenterologists, including Bretthauer, reacted to the trial’s results with a mixture of shock, disappointment, and even some mild disbelief. “This is a landmark study. It’s the first randomized trial... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - October 10, 2022 Category: Universities & Medical Training Authors: wamcp Tags: Internal Medicine and IM Subspecialties Source Type: forums

Ultra-processed food and colorectal cancer: where do we go from here?
(Source: BMJ Comments)
Source: BMJ Comments - October 10, 2022 Category: General Medicine Source Type: forums

Re: Association of ultra-processed food consumption with colorectal cancer risk among men and women: results from three prospective US cohort studies
(Source: BMJ Comments)
Source: BMJ Comments - September 26, 2022 Category: General Medicine Source Type: forums

Protective beneficial effects of coffee for colorectal cancer?
(Source: BMJ Comments)
Source: BMJ Comments - September 10, 2022 Category: General Medicine Source Type: forums

Rectal Radiotherapy Antipathy
Is this a thing? Not doing chemoRT for everyone preop in N+ or local advanced rectal? The data to support preop chemoRT has "little relevance to practice in 2020?" Not on my 2022 RT Utilization Bingo Card. NICE withdraws quality standard on colorectal cancer treatment after “lack of consensus”​"The decision comes after an update to the NICE guideline for colorectal cancer, published in January, 2020, prompted concerns around the recommendations on the use of... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - March 11, 2022 Category: Universities & Medical Training Authors: TheWallnerus Tags: Radiation Oncology Source Type: forums

Rectal T3N1 TNT (Total Neoadj Therapy) sequencing question...
At tumor board today, 65 yo man with T3N1 rectal cancer. Low-lying tumor encroaching on the sphincter. Colorectal surgeon argues for 1) ChemoRT ---> Chemo ---> Surg. I am used to 2) Chemo ---> ChemoRT (wait 6-8 wks) ---> Surg. The CR surgeons claim that Annals of Surgery article says #1 is better bc of higher pCR in that cohort "about 11% more pCR in approach #1"...blah blah blah. They pointed me to this article in Annals of Surg (BTW, primary author is a colorectal surg... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - November 24, 2021 Category: Universities & Medical Training Authors: Radonc90 Tags: Radiation Oncology Source Type: forums

Re: Screening and prevention of colorectal cancer
(Source: BMJ Comments)
Source: BMJ Comments - October 7, 2021 Category: General Medicine Source Type: forums

Screening of colorectal cancer: a worrying state of affairs
(Source: BMJ Comments)
Source: BMJ Comments - September 24, 2021 Category: General Medicine Source Type: forums

Re: Risk of colorectal cancer in first degree relatives of patients with colorectal polyps: nationwide case-control study in Sweden
(Source: BMJ Comments)
Source: BMJ Comments - June 15, 2021 Category: General Medicine Source Type: forums