Squamous carcinoma in situ of anal canal
50+ year old woman, otherwise healthy with squamous cell CIS of the anal canal (at dentate line). Discovered incidentally on endoscopy. Just roughness on DRE and can visualize on anoscopy. Unfortunately, significant circumferential involvement and unlikely to be a candidate for surgery with both adequate margin and sphincter preservation.
Doing staging workup, etc. Assuming no more advanced disease will become evident.
Concurrent chemorads just seems harsh here (could treat relatively low...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - August 15, 2023 Category: Universities & Medical Training Authors: communitydoc13 Tags: Radiation Oncology Source Type: forums
Bad Wegener's and Lung RT
69 yo man with COPD and ILD with Wegeners Granulomatosis (GPA) on 2-3L O2 at rest and 3-4L on exertion gets rituxan infusions and on chronic steroids for the GPA had incidentally found 3.5 cm perihilar mass that is touching the aorta from about 2-5 o'clock. Biopsy positive for squamous cell carcinoma. Staged T4N0. Lung function is bad but sounds like he's been stable for over a year since starting rituxan in additionto the chronic steroids. Was just referred to us in RT and referred to med...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - April 12, 2023 Category: Universities & Medical Training Authors: Haybrant Tags: Radiation Oncology Source Type: forums
Skin cancer path
How do your pathologists report out squamous cell cancer, particularly from head and neck?
We get:
1) the fact that it is squamous
2) margins negative or positive
Nothing else - no size, no PNI, no grade, no LVSI, no DOI. And, this is not the first place that does this. I have been at least 3 centers that report it out this way.
What do your pathologists do?
The CAP for squamous cell of the head and neck says all this should be reported out. (Source: Student Doctor Network)
Source: Student Doctor Network - November 10, 2022 Category: Universities & Medical Training Authors: RealSimulD Tags: Radiation Oncology Source Type: forums
NSCLC - solitary brain met; ?management of thoracic burden?
Looking for further input, as I've struggled with these cases in the past....
I've had different variations on this, but looking for what people do in these cases. Let's say you have a fit patient with T4 (small mediastinal invasion)N0M1 squamous cell of lung with a brain met. Asymptomatic from chest disease. Symptomatic from met. Met is being managed with surgery followed by radiosurgery (or in a very small met managed with SRS)...
How do you manage the chest? Chemo (full dose) -->...
NSCLC - solitary brain met; ?management of thoracic burden? (Source: Student Doctor Network)
Source: Student Doctor Network - December 20, 2019 Category: Universities & Medical Training Authors: BobbyHeenan Tags: Radiation Oncology Source Type: forums
DermRads
Now Available at Dermatology Specialists of Mississippi in Biloxi
Biloxi, MS – Dermatology Specialists of Mississippi is now offering Superficial Radiation Therapy (SRT) as a treatment option for patients with non-melanoma skin cancer. This advanced technology is offered in less than 1% of dermatology clinics and has a 95%+ cure rate for non-melanoma skin cancer. There are four million new cases of basal cell carcinoma and squamous cell carcinoma diagnosed in the United States each year...
DermRads (Source: Student Doctor Network)
Source: Student Doctor Network - November 27, 2019 Category: Universities & Medical Training Authors: jkdoctor Tags: Radiation Oncology Source Type: forums
Clinical Case Management - Locally Advanced Penile Cancer
I am presenting a patient at tumor board with penile cancer. I have treated a couple of these in residency but there is some disagreement between myself and the other radiation oncologist here on field design, so I would like to see what other people would do.
Diagnosis: Invasive moderately differentiated squamous cell carcinoma
Staging: pT3 (invasion of corpora cavernosa), pN3 (ENE), cM0 (by PET)
Previous treatment/workup: Biopsy and penectomy with right inguinal lymph node...
Clinical Case Management - Locally Advanced Penile Cancer (Source: Student Doctor Network)
Source: Student Doctor Network - November 24, 2019 Category: Universities & Medical Training Authors: dieABRdie Tags: Radiation Oncology Source Type: forums
EGFR Testing in Squamous Cell Carcinoma of the Lung
Is it true that we don't do EGFR Testing in Squamous Cell Carcinoma of the Lung? True according to NCCN: https://www.nccn.org/professionals/physician_gls/pdf/nscl.pdf (slide 17). But I thought we do EGFR testing in all non-small cell lung CA ? (Source: Student Doctor Network)
Source: Student Doctor Network - October 18, 2019 Category: Universities & Medical Training Authors: DrMetal Tags: Hematology / Oncology Source Type: forums
is there any special constraints for the esophagus with varices ?
Dear colleagues,
would you consider any special constraints to the esophagus in a patient with secondary esophageal varices to portal hypertension? for example when treating a T3N+ subglottic squamous cell carcinoma with concomitant chemo-radiation.
Ty (Source: Student Doctor Network)
Source: Student Doctor Network - September 9, 2019 Category: Universities & Medical Training Authors: Kroll2013 Tags: Radiation Oncology Source Type: forums
There is an association between HPV and oesophageal squamous cell carcinoma; causation is debatable
(Source: BMJ Comments)
Source: BMJ Comments - August 4, 2019 Category: General Medicine Source Type: forums
Another "My Worst Airway Case"
56 year old presented to the OR this week for a PEG and IV infusion port and the surgeon asked for sedation. She had a squamous cell tumor from the mandible to the base of the neck on the left side protruding 4" off the side of the neck and was 4 inches wide and 5 1/2 inches long. CT scan showed tumor protruding into the oral pharynx, involving the tongue, lingual and palatine tonsils on the left side and extending more than half way across the pharynx at the level just superior to the...
Another "My Worst Airway Case" (Source: Student Doctor Network)
Source: Student Doctor Network - April 1, 2018 Category: Universities & Medical Training Authors: algosdoc Source Type: forums
T2?N1? NSCLC Case - any suggestions?
I have a 77 year old male, long time smoker with COPD (FEV1 ~35% of predicted, DLCO 20% of predicted, on O2 prn). Not a surgical candidate. He was diagnosed with what was initially thought to be a ~4 cm peripheral left upper lobe squamous cell. CT C/A/P negative for nodal or distant mets (non contrast).
For whatever reason he had EBUS before PET. All nodes "looked small" so none sampled. Then came PET and a small L hilar ?node? is hot (PET done without IV contrast, so no node was seen...
T2?N1? NSCLC Case - any suggestions? (Source: Student Doctor Network)
Source: Student Doctor Network - July 4, 2017 Category: Universities & Medical Training Authors: BobbyHeenan Source Type: forums
Reirradiation for recurrent glottic cancer
Dear collegues,
Your opinion is needed plz.
70 yo male, smoker
may 2016: radiochemotherapy for T3N1 supraglottic squamous cell carcinoma
He received 70Gy in 35 fractions to the GTV,60Gy to the intermediate risk regions and 50 Gy to the low risk PTV, 3DRT +IGRT ( could not afford IMRT. In my country VMAT is not covered)
He kept smoking and drinking
Good response to CRT
March 2017: he relapsed with 2cm transglottic lesion and underwent total laryngectomy with bilateral neck dissection...
Reirradiation for recurrent glottic cancer (Source: Student Doctor Network)
Source: Student Doctor Network - May 16, 2017 Category: Universities & Medical Training Authors: Kroll2013 Source Type: forums
Re: Facial cutaneous squamous cell carcinoma
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Source: BMJ Comments - July 26, 2016 Category: Journals (General) Source Type: forums
Re: Facial cutaneous squamous cell carcinoma
(Source: BMJ Comments)
Source: BMJ Comments - April 6, 2016 Category: Journals (General) Source Type: forums
