<?xml version="1.0"?>
<rss version="2.0">
	<channel>
	<title><![CDATA[Ask an oncologist now]]></title>
	<link>http://www.askanoncologistnow.com/cancer/question</link>
	<description><![CDATA[Recent Questions Asked]]></description>
	<language>en-us</language>
	<pubDate>Sat, 19 May 2012 13:18:00 -0600</pubDate>
	<generator>AskPert - (c) 2005 W3matter LLC</generator>
	<managingEditor>info@askanoncologistnow.com</managingEditor>
	  
      <item>
		  <title><![CDATA[Bone Cancer]]></title>
		  <description><![CDATA[hi - I am a 52-yr-old healthy female with an osteochondroma in my left fibula  which was discovered serendipitously when I was 13. All these years it has been  dormant until mid March when I noticed soreness in the surrounding calf muscles.  The pain and discomfort has gotten progressively worse (4 on scale of 10) and I  had an xray plus mri which simply showed the growth but nothing indicating it  was other than benign (it's rather large to the touch but only visibly noticable  if you know it's there).    I was referred to an osteo-oncologist but he can't see me for two more weeks for  my initial consultation. My concern is that l understand there is a strong  possibilty of malignancy when these grow rapidly after reaching adulthood.    Each day it is getting worse with tingling and pain shooting up the thigh and  down to the ankle plus an achy feeling overall and I wonder if I should try to  find someone who can see me right away. Two more weeks seems like a long time  plus add time onto that to schedule a biopsy or excision and it seems to me the  thing could be much more serious by then (possible metastasis).    Am I being overly concerned? I have a bad feeling about this but want to hear  your thoughts.    Thank you!  anne]]></description>
		  <pubDate>Tue, 15 May 2012 21:28:45 -0600</pubDate>
		  <link>http://www.askanoncologistnow.com/cancer/question/index.php?xq=4642</link>	 
		  <guid isPermaLink="false">0f6a036c46602be1bc126f983f0da711</guid>
      </item>
      <item>
		  <title><![CDATA[Lung Cancer]]></title>
		  <description><![CDATA[Well, I am one of those idiots who decided to start smoking in college at 20. I  am now 36 and have been a heavy smoker the last 16 years. All in all, I am in  good health, other than the smoking habit, and recently during a physical I had  a bit of a scare as my doctor decided to share more details with me than my old  physician ever had. I.E. some lung scaring (that could be caused from smoking or  other things). Still it was enough to really get my attention as my father died  of cancer at 61, and my grandfather died of cancer at 67. I'm going to guess I  was a 28-32 pack year smoker.     I had a CT scan in October that showed all was clear. I'm still very worried  that I could have lung cancer as I have continued to smoke up until yesterday.  My physician does not feel I need a chest Xray until my physical and that I just  need to quit smoking. I'm somewhat worried I might be sick already. Would you do  another chest X-ray for peace of mind? All my CT showed was old granulamotous  disease and calcified hilar lymphnode. I understand these are benign. Correct?     My CT scan was clear in October. I am know concerned about the radiation  received from it, but with that said. Cancer free in October. I did continue to  smoke until last week. Probably considered heavily. What are my chances of  cancer starting between now and then?    Also, when I have my physcial would you do a final CT or just a chest XRAY as  radiation is lower? I only ask about a final CT as another physician prior to  you and I talking had recommended it. Was the CT in October a bad idea in your  opinion. I kind of forced my physician to let me do it.     I've just convinced myself that the last seven months has really hurt me, what  is your opinion.     Also, what is considered high in pack years?     What are my best methods to fight cancer, exercise, supplements, diet?     ]]></description>
		  <pubDate>Wed, 09 May 2012 15:59:42 -0600</pubDate>
		  <link>http://www.askanoncologistnow.com/cancer/question/index.php?xq=4636</link>	 
		  <guid isPermaLink="false">8628d8922401419be5dcba96eafb9e46</guid>
      </item>
      <item>
		  <title><![CDATA[Cancer Suspected]]></title>
		  <description><![CDATA[I have been having an undiagnosed illness for 4 months now at first changes in stool both caliber. I had a ct which showed enlarged bladder wall 7 mm and some messenteric lymhpnodes enlarged about 5 MM and a jejunal jejunum invagination. I live in Europe and testing takes a long time. I had elevated WBC 14.5 which 2 weeks later was 25 and cpr 9.0 up to 9.9. I had a colonoscopy it was clear and cytoscopy (with a white light)who saw nothing although did not take a tissue sample. My urine tests showed no blood although quite acidic at 5. 5 PH.  I have lost weight about 10 pounds in 3.5 months) maybe stress and vegetable diet. My last ultrasound with Gastroentrologist noted my spleen was 129 mm X 42 MM and sludge in my gullbladder. Now I have developed more symptoms such as bubble in my urine (neg for protein)fitsula test on May 17th and I feel very unwell but only at certain times of the day like in waves.   Now for the question   My last blood results saw normal WBC count and Normal CRP if I had cancer wouldn't these levels stay high? And 2nd question would it be normal for someone with cancer to feel terrible but only in waves throughout the day? Terrible mean like a little like anxiety or nervousness but I feel like I am gonna die.  All things on the CBC are normal such as minerals Thyroid test was normal. Now that the CBC is normal i wait months for tests.]]></description>
		  <pubDate>Fri, 04 May 2012 08:52:11 -0600</pubDate>
		  <link>http://www.askanoncologistnow.com/cancer/question/index.php?xq=4631</link>	 
		  <guid isPermaLink="false">629cbb9fb22683c07ebaab5267474d77</guid>
      </item>
      <item>
		  <title><![CDATA[Oncology]]></title>
		  <description><![CDATA[A 27 yr female Para 1+0 evaluated for pelvic mass. On Laparatomy had 8 x 7 cms unilateral ovarian mass. An R0 Excision done. Histology was Fibrosarcoma 4-5 mitosis per HPF. She was seen in Oncology 3 months after surgery and is 11 week pregnant. Issues for reply:  - Need of Adjuvant chemotherapy  - After 3 months how much is efficacy of adjuvant chemotherapy  - Termination indicated  - What staging work up to be done in view of pregnancy?  - Which chemotherapy is safe in pregnancy? Not much data available in Sarcoma chemotherapy in pregnancy.  - Effect of chemotherapy on future reproductive life and chances of conception in future  ]]></description>
		  <pubDate>Mon, 30 Apr 2012 05:27:32 -0600</pubDate>
		  <link>http://www.askanoncologistnow.com/cancer/question/index.php?xq=4627</link>	 
		  <guid isPermaLink="false">f7436c4ee5a3b08892e2d5f2e5784166</guid>
      </item>
      <item>
		  <title><![CDATA[4 rounds of TC versus 6 rounds and Oncotype dx testing AFTER chemo has started?]]></title>
		  <description><![CDATA[My wife was diagnosed with breast cancer Jan 2012. 2.5 cm on left breast she had a lumpectomy Jan 15th. The surgeon first said the margins were clear, but them she told us they are close because my wife is tiny (105lbs 5'0) the cancer was close to the chest wall and close to the surface of the breast. Surgeon said that the radiation will take care of any microscopic cells in the close areas. Sentinel biopsy was done on 2 nodes 1 was clear and the other had a micromatetis (0.8Millimeters). Breast Cancer was 2.5 cm  Estrogen positive (100%) and Progesterone positive (70%) HR2 negative and a grade 2. The oncologist prescribed 4 rounds of TC given every 3 weeks with a neulasta shot the day after each treatment. She will have the 4th and last scheduled chemo treatment on April 25, she is scheduled to start radiation about 1 month after last chemo and then she will go on tamoxophen after that. We are now concerned that 4 rounds isn’t enough as we are finding that some patients had 6. We also recently heard that microscopic lymph node involvement should be dealt with a complete axillary lymph node dissection (a Dutch study) what are your thoughts.  We originally asked the Oncologist about the Oncotype Dx test prior to beginning chemo, his explanation seemed reasonable at the time. The Oncologist highly recommended chemo, and said we didn't need the test, he explained it was a tool to see if chemo was a viable treatment in some patients and because we had already decided to go ahead with the Chemo we didn't push the issue. We are really stressed now that we are not sure if 4 rounds of TC are enough as we have heard some patients with microscopic node involvement are getting 6 rounds. In hindsight I think that the Oncotype DX would have helped in making the decision of 4 rounds versus 6.  My questions are.  1. Are there studies on 4 rounds versus 6 of TC? What does the drug manufacture recommend and is there a standard of how many rounds to have?  2. The lumpectomy was done Jan 15 2012, she has already had 3 rounds of TC and will be having the 4th chemo round on April 25 2012, is it too late to get OncotypeDX test now?  Or are there other ways to evaluate if 4 TC treatments are enough? We are in Toronto Canada. but willing to see another doctor in US or Canada.]]></description>
		  <pubDate>Wed, 18 Apr 2012 09:42:48 -0600</pubDate>
		  <link>http://www.askanoncologistnow.com/cancer/question/index.php?xq=4622</link>	 
		  <guid isPermaLink="false">79cadc0de298b804fe4331402e179cf7</guid>
      </item>
      <item>
		  <title><![CDATA[Patient with Pancreatic cancer]]></title>
		  <description><![CDATA[my spouse has pancreatic cancer what can I give to eat has had 1 dose chemo]]></description>
		  <pubDate>Sun, 15 Apr 2012 06:24:05 -0600</pubDate>
		  <link>http://www.askanoncologistnow.com/cancer/question/index.php?xq=4619</link>	 
		  <guid isPermaLink="false">99241b9316c002666a34f72f0900c941</guid>
      </item>
      <item>
		  <title><![CDATA[Recurrent endocervical adencarcinoma]]></title>
		  <description><![CDATA[Quick timeline...10/2011 diagnosed with 1b2 endocervical adenocarcinoma. No lymph involvement. 12/2012 radical hysterectomy, all margins clean, 8 lymph nodes negative. 3/2012 cancer reoccured, confirmed by PET, CT and biopsy. 4 local nodes positive. Nodes present on sigmoid colon, tumor 4 cm. I would like your best guess as to how this reoccured so quickly and I need a straight answer As to my chances of cure]]></description>
		  <pubDate>Tue, 10 Apr 2012 14:21:11 -0600</pubDate>
		  <link>http://www.askanoncologistnow.com/cancer/question/index.php?xq=4617</link>	 
		  <guid isPermaLink="false">bb0fab3f40375787a2f1e9a6bfa2ae3f</guid>
      </item>
      <item>
		  <title><![CDATA[PAINFUL lump on clitoris]]></title>
		  <description><![CDATA[about 5 months ago I noticed a small, painful lump on the side of my clitoris. a doc-in-the-box poked at it but could tell me nothing. it has now come back with a vengeance. it hurts to wear underwear, walk, sit, etc. I've been having problems with urinating (starting and stopping), more discharge than usual, pain and spotting with sex, and it's very itchy. obgyn can't see me for another 3 days and the ER doc won't touch it. I am in tears it's so painful. what can I do? hot compresses, Epsom salt baths, nothing helps. not even pain pills.]]></description>
		  <pubDate>Mon, 09 Apr 2012 17:37:21 -0600</pubDate>
		  <link>http://www.askanoncologistnow.com/cancer/question/index.php?xq=4616</link>	 
		  <guid isPermaLink="false">85813f89a12f9162ea4e3ba59063ab53</guid>
      </item>
      <item>
		  <title><![CDATA[Myeloma]]></title>
		  <description><![CDATA[In order to get a more accurate picture of effects, how long should one wait between chemo treatment and blood tests.  Currently getting tests less than 48 hours after treatment but thinking about waiting 4 full days.  (Tests are Comprehensive Blood Panel, Immunofixation w/o SPE and Light Chain.  Originally waiting 4 days after treatment then changed to the less than 48 hours with a noticeable change in consistency of results.)  Thanks Karen]]></description>
		  <pubDate>Mon, 09 Apr 2012 08:43:52 -0600</pubDate>
		  <link>http://www.askanoncologistnow.com/cancer/question/index.php?xq=4615</link>	 
		  <guid isPermaLink="false">94220cb98c3368bbab9b3431f71b271b</guid>
      </item>
      <item>
		  <title><![CDATA[Breast Ca]]></title>
		  <description><![CDATA[Impression:  multifocal invasive mammary carcinoma with mixed ductal and lobular features.  Bloom Richardson grade 3.  Microscopic nodal invasion.  Ductal and Lobular carcinoma insitu. ER PR positive, HER2/neg.  Status post left breast mastectomy and axillary sampling with two left lymph nodes postive for isolated tumor cells.  pT2 pNO (i+).  Is this considered a spread of cancer cells less than 200 cells in the underarm. The sentinal nodes carried at least 200 cells making this area a micrometastases.  Because the underarm had less than 200 cells no node change I believe is correct.]]></description>
		  <pubDate>Sat, 07 Apr 2012 17:56:05 -0600</pubDate>
		  <link>http://www.askanoncologistnow.com/cancer/question/index.php?xq=4614</link>	 
		  <guid isPermaLink="false">20895eb43feaaabea99771fec8319427</guid>
      </item>
      <item>
		  <title><![CDATA[blood in urine and spit after running]]></title>
		  <description><![CDATA[i have blood in my urine and spit after running, why is this?]]></description>
		  <pubDate>Thu, 05 Apr 2012 05:22:20 -0600</pubDate>
		  <link>http://www.askanoncologistnow.com/cancer/question/index.php?xq=4613</link>	 
		  <guid isPermaLink="false">1c04c329afa39a188af574326e34f73d</guid>
      </item>
      <item>
		  <title><![CDATA[Infertility after Cytoxan?  Temporary or permanent menopause?]]></title>
		  <description><![CDATA[I had a Cytoxan treatment for about 4-6 weeks where I took roughly 200-300mg a day for an autoimmune disorder.  My periods stopped during treatment which took place from about mid Jan thru mid march.  It has been 3 or so weeks since my last oral Cytoxan was taken.  I have yet to have a period and I did not have one during the Cytoxan treatment either.  I have been having hot flashes and my lh and fsh levels are high indicating menopause or premature ovarian failure.  Is this likely permanent or just temporary from Cytoxan?  I am only 31 and want to have more children.  I am practically sick and very worried thinking about this causing me to be permanently infertile.  Is this just temporary menopause or is it permanent?]]></description>
		  <pubDate>Wed, 04 Apr 2012 12:41:44 -0600</pubDate>
		  <link>http://www.askanoncologistnow.com/cancer/question/index.php?xq=4612</link>	 
		  <guid isPermaLink="false">435c0007f7fb04f7fcc92e823152dd18</guid>
      </item>
      <item>
		  <title><![CDATA[Diagnosis Question]]></title>
		  <description><![CDATA[Hi,    One year ago I started getting SOB symptoms upon mild exertion, which then led  to heart palpitations and body tremors; four months after this, I started  developing abdominal pains, and in the last two months, my urine has been  darker  than usual (blood tests come out normal for me-- CBC, Metablloic, Thyroid,  Urine) only thing is a PH of 7.5 which is somewhat high for me. Wanted to know further  testing I should have done specifically, to try and rule out cancer. Thanks.]]></description>
		  <pubDate>Fri, 30 Mar 2012 21:14:36 -0600</pubDate>
		  <link>http://www.askanoncologistnow.com/cancer/question/index.php?xq=4611</link>	 
		  <guid isPermaLink="false">40c25327c5ba529ca69f21c51d25a046</guid>
      </item>
      <item>
		  <title><![CDATA[lung and bladder cancer prognosis]]></title>
		  <description><![CDATA[Hello Doctor, My 70 yr old mother has just been diagnosed with squamous cell Lung CA of both lungs.  She has a history of Breast CA, 1984.  Recent CT Scan showed a mass in the bladder.  this was also biopsied and was found to be low and high grade papillary urothelial CA.  Her oncologist staged my mother at Stage 4 before we even knew about the bladder.  The oncologist said that the pathology of the lung was not characteristic of breast CA nor Lung CA, but that of esphogeal CA.  She did undergo a endoscopy which was negative.  However it is felt that it is elsewhere, we just havent found it yet.  I have a brother that lives out of State, therefore my question to you is, in your experience how quickly do these types of cancers spread and typically what is the prognosis for this?  We know that there is no cure and its very poor, however my brother is trying to figure out when to come so that it is not too late.  Thank you in advance for your advice and help.]]></description>
		  <pubDate>Sun, 25 Mar 2012 16:27:38 -0600</pubDate>
		  <link>http://www.askanoncologistnow.com/cancer/question/index.php?xq=4609</link>	 
		  <guid isPermaLink="false">ee344c7bc03e76ddb2ed9c50006d16ab</guid>
      </item>
      <item>
		  <title><![CDATA[breast ca]]></title>
		  <description><![CDATA[ductal and lobular invasive, ducatal and lobular insitu, treatment as understood the same.  All of this going on in one quadrant, because this has lobular added in the mix, does this give rise to a prognosis more grave than if it was just ductal?]]></description>
		  <pubDate>Sat, 24 Mar 2012 14:57:30 -0600</pubDate>
		  <link>http://www.askanoncologistnow.com/cancer/question/index.php?xq=4608</link>	 
		  <guid isPermaLink="false">8d620ef1ca356ef49e03037956077eb1</guid>
      </item>
      <item>
		  <title><![CDATA[Hello!  My husband and I are considering purchasing a new home that is near ahigh voltage 230 KV TV power line.  We are concerned since we have a one yearold that this may cause some issues with her health.  There is a high level ofcancer history in out f]]></title>
		  <description><![CDATA[Hello.  I am looking to purchase a house that is one house away from a  KV TL High Volatage Power Line.  We have a small child and I was wondering if this poses any health risks since there is a high history of cancer in our family.]]></description>
		  <pubDate>Tue, 20 Mar 2012 14:11:45 -0600</pubDate>
		  <link>http://www.askanoncologistnow.com/cancer/question/index.php?xq=4607</link>	 
		  <guid isPermaLink="false">a85e50ed7f08a971efbbf922921de5b7</guid>
      </item>
      <item>
		  <title><![CDATA[using abraxane for ovarian cancer]]></title>
		  <description><![CDATA[should abraxane be used to treat ovarian cancer?]]></description>
		  <pubDate>Tue, 20 Mar 2012 08:53:22 -0600</pubDate>
		  <link>http://www.askanoncologistnow.com/cancer/question/index.php?xq=4606</link>	 
		  <guid isPermaLink="false">6bec3d7178d15aa9b0eb8b92c3ed60ea</guid>
      </item>
      <item>
		  <title><![CDATA[Cluster of microcalcifications in breast]]></title>
		  <description><![CDATA[I have a cluster of microcalcifications in my breast and the radiologist said they look benign and to come back in 6 months..will this cluster eventually turn in to cancer?]]></description>
		  <pubDate>Fri, 16 Mar 2012 15:42:08 -0600</pubDate>
		  <link>http://www.askanoncologistnow.com/cancer/question/index.php?xq=4604</link>	 
		  <guid isPermaLink="false">f1a58c0e28377fdebea3ddf3d004b88a</guid>
      </item>
      <item>
		  <title><![CDATA[Cancer tests]]></title>
		  <description><![CDATA[If I am having a blood test every six months because I had breast cancer, would it show if I had cancer in other parts of my body?    I have a heavy, light green discharge, is this from the tamoxephen?    I am supposed to take tamoxephen twice a day, can I take it once a day?  I have a cyst on each ovary and am getting bad side aches.  ]]></description>
		  <pubDate>Tue, 06 Mar 2012 11:53:16 -0700</pubDate>
		  <link>http://www.askanoncologistnow.com/cancer/question/index.php?xq=4603</link>	 
		  <guid isPermaLink="false">55008f55ddf7f531f12c86745ac775fc</guid>
      </item>
      <item>
		  <title><![CDATA[Have been diagnosed with stage 3 breast cancer which would also be negative todrugs like tamoxifen, had coronary artery bypass graft in 2007. Due to damagefrom radiotherapy for Hodgkins disease when younger which has also caused thistumour. I have a heart]]></title>
		  <description><![CDATA[Have been diagnosed with stage 3 breast cancer which would also be negative to  drugs like tamoxifen, had coronary artery bypass graft in 2007. Due to damage  from radiotherapy for Hodgkins disease when younger which has also caused this  tumour. I have a heart murmur and am 46 years old. Reluctant to have chemo so  far lump is confined to breast following mammogram and ultrasound.what treatment  will be offered and what is mt prognosis bearing in mind chemo is something I do  not want. for surgery on tuuesday for wide excision lumpectomy.]]></description>
		  <pubDate>Sun, 04 Mar 2012 11:37:22 -0700</pubDate>
		  <link>http://www.askanoncologistnow.com/cancer/question/index.php?xq=4602</link>	 
		  <guid isPermaLink="false">089b2e0ede85766558f13e86ada51451</guid>
      </item>
   </channel>
</rss>
