MedWorm: Cancer & Oncology Forums

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Unmatched Surg Sub to IM?

Hi all, I'm unfortunately an M4 who went unmatched in a competitive surgical subspecialty and am delaying graduation. I'm thinking about possibly switching to medicine as I had a strong interest in Heme/Onc coming into medical school and am also curious about the more procedural subspecialties. Step 1 : 250-255 Step 2CK: 255-260 Step 2CS: Pass...

pT3N0 proximal rectal during COVID

pT3N0. Thought to be sigmoid pre-op. 1 cm below reflection at surgery. 2mm fat invasion. Well-differentiated. No LVSI. Margins widely negative. Don't believe it was TME because approach was for sigmoidectomy. Treating? Deferring? Observing? What you think? (Source: Student Doctor Network)

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...

RO may have a role in this COVID crisis, but we need a clinical trial.....

Any academics in COVID hotspots got the motivation and balls to start a clinical trial ASAP on use of low dose ionizing radiation (LD IR) to treat COVID patients who are on ventilator or close to needing a ventilator?? Once you are on a vent, it is extremely tough to recover. Low dose ionizing radiation is known to modulate downstream anti-inflammatory...

A day in the life of HemeOnc fellowship?

I'm currently caught in the middle of going directly to primary care or pursue a HemeOnc fellowship after residency. I'm leaning toward fellowship. However, another three years of training sounds a bit daunting to me, for I will be well into my thirties when I'm finished. So I wanted to find out more information to help me decide. Can anyone tell me...

Esophageal nodal failure -

Hello. Looking for any input on this challenging case. 58 yo male, obese. neoadj chemo (carbo/taxol)-XRT (50.4 Gy total dose as 41.4 then boost gross disease) for cT3N0 GE junction adeno completed 7/2018. Ivor Lewis Esophagectomy 10/2018 with 4mm residual disease ypT1bN2 (4 nodes + out of 18 submitted). 1 year later (11/2018) on imaging he has...

The Sad Story of VC taking over EM

A Major Medical Staffing Company Just Slashed Benefits for Doctors and Nurses Fighting Coronavirus — ProPublica Alteon Health, a staffing company backed by private-equity firm Frazier Healthcare Partners, will cut salaries, time off and retirement benefits for providers, citing lost revenue. Several hospital operators announced similar...

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...

Re: When to suspect a non-melanoma skin cancer

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Re: Covid-19 and long term conditions: what if you have cancer, diabetes, or chronic kidney disease?

(Source: BMJ Comments)

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