Michael I. Goldberg, MD
- obstetrics & gynecology
Location and Office HoursMagliaro & Goldberg MDs
New Brunswick, NJ 08901
- BlueCross BlueShield
- Great-West Healthcare Cigna
- Health Net
- Horizon BlueCross BlueShield
- Independence BlueCross BlueShield
- United Healthcare
- Robert Wood Johnson University Hospital
- Saint Peter's University Hospital
How is stage B seminoma testicular cancer treated?
Stage B testicular cancer means the cancer has spread to the retroperitoneal lymph nodes. Men with stage B seminomas are given either radiation or chemotherapy, and then over time, their cancer is restaged. The scans are repeated, and in the vast majority of men, the lymph nodes get better. The cancer disappears in response to the radiation or chemotherapy.
What are the side effects of chemoRT for cancer of the esophagus?
Patrick Maguire, MD, Oncology, answeredThe preoperative chemoRT (chemotherapy during the course of radiotherapy) course for esophageal cancer can be difficult for patients to tolerate. The radiation is generally delivered using three-dimensional conformal radiation therapy (3DCRT) to a dose of about 50 Gy over a five-and-a-half-week course, in small daily fractions, five days per week. Acute side effects may include fatigue, bowel irritation including nausea, sore throat, and diarrhea. Severe late side effects such as a bowel obstruction or fistula (hole between the esophagus and breathing tube) are rare. The most common concurrent chemotherapy medications that have been tested in randomized controlled trials (RCTs) are cisplatin and fluorouracil. Acute side effects include nausea, fatigue, poor appetite, bowel irritation including diarrhea, and rare chance of severe peeling of skin from hands and feet (hand-foot syndrome). Rare but serious late effects include high-frequency hearing loss or permanent nerve damage.
What is the treatment for Phyllodes tumors?
Johns Hopkins Medicine answered
Phyllodes tumors are usually benign, meaning non-cancerous. They are malignant, or cancerous in about 10 percent of cases.
Even though these tumors are usually benign, it is still very important to remove the entire tumor. If any tumor cells are left behind, the tumor can grow back. That is why treatment for benign Phyllodes tumors requires surgically removing the entire tumor, as well as a good amount of healthy tissue around the tumor.
If your Phyllodes tumor is malignant, your doctor will likely recommend any of the following treatment options, depending on the stage and growth of your cancer:
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- Lumpectomy - A lumpectomy removes the tumor from within the breast. Recovery usually just takes a few days.
- Mastectomy - A mastectomy surgically removes the entire breast.
- Chemotherapy - These are drugs your doctor administers either before or after surgery to help treat your cancer.
- Radiation - Radiation uses high-energy rays (such as X-rays) to kill cancer cells or shrink tumors. Most commonly, doctors use radiation therapy to kill any cancer cells that remain in the breast, chest wall or underarm area after surgery.