Nccn head and neck cancer guidelines

Common Questions and Answers about Nccn head and neck cancer guidelines

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Avatar m tn Mohs’ micrographic surgery might prove useful for excision of melanoma, especially lesions located on the head, neck, hands, and feet. However, there are no formal recommendations pending additional studies.4 Studies suggest that the current recommendation of 0.5-mm margins for lentigo maligna (melanoma in situ) is often insufficient. Mohs’ micrographic surgery and margin-controlled excision of lentigo maligna offer lower recurrence rates and allow tissue to be conserved." http://www.
Avatar f tn Your doctor is not following standard of care. Get a second opinion. Per nccn guidelines you needed a repeat turbt to get muscle in specimen 4 to 6 weeks after first and maybe bcg if no muscle invasion. Sometimes a bad hgt1 can go straight to chemo then surgery to remove bladder but doesn't seem he is following standard protocol... there may be more to the story but look up the nccn guidelines for bladder cancer...
Avatar f tn according my oncology MD I need to take Tamoxifen for 5 years, but according to Practice Guidelines in Oncology from NCCN I don’t need to take Tamoxifen. What will be your recommendation about my feature treatment? Thanks a lot.
Avatar f tn Dear markowd, NCCN guidelines for doing a bone scan with a diagnosis of breast cancer is only if bone pain or tests suggest cancer has spread to the bone. Your oncologist will be better able to discuss whether this test is necessary for you in context of your situation.
Avatar m tn Friends I just want to know a source where cancer patients share their experience and problems, cancer symptom, what they fell and all. Hope you guys will help me. Thanks a lot!!!
Avatar f tn Your present tumor status is microinvasive disease (T1mic), and with reference to present guidelines, chemotherapy is indeed not indicated (per National Comprehensive Cancer Network or NCCN guidelines). I believe that additional chemotherapy will not give additional benefit since it is also unlikely that your present tumor status would lead to systemic spread. however, I believe that additional treatment may still be warranted in the form of radiotherapy to the breast.
Avatar n tn Hi, According to the latest National Comprehensive Cancer Network (NCCN) guidelines, the recommended treatment for ductal carcinoma in situ (DCIS) is either mastectomy alone or lumpectomy plus radiation. Radiotherapy is added to the lumpectomy because it decreases local recurrence rates by 50% compared to lumpectomy alone. Lumpectomy alone, without subsequent radiotherapy, may be an appropriate treatment if the DCIS is considered to have a "low risk" of recurrence.
463154 tn?1206654341 Present cancer guidelines (NCCN) recommend lumpectomy with radiation for the treatment of DCIS. I suggest you discuss this matter with your surgeon. Keep us posted Regards...
Avatar n tn The decision to receive chemotherapy or not depends on the stage (usually if positive lymph nodes or tumors greater than 1 cm in size [NCCN guidelines]). However, a grade 3 cancer can add a new dimension on the decision to undergo additional treatment. Though medullary cancer generally behaves less aggressively than the usual invasive ductal cancer, a grade 3 finding can influence you and your oncologist to give additional treatment (like chemotherapy).
523728 tn?1264621521 Hi, I assume that you got the chemo for the commoner epithelial type of ovarian cancer. What surgery was performed? What were the Ca 125 levels before and after chemotherapy? Did the cancer disappear completely before re-appearing? Your cancer is platinum resistant, as it came back shortly after completing platinum based treatment.
Avatar f tn Hi. According to the latest National Comprehensive Cancer Network (NCCN) guidelines, the recommended treatment for ductal carcinoma in situ (DCIS) is either mastectomy alone or lumpectomy plus radiation. Radiotherapy is added to the lumpectomy because it decreases local recurrence rates by 50% compared to lumpectomy alone. Wide excision is NOT equivalent to lumpectomy (lumpectomy is a more extensive type of surgery), and is not the recommended procedure for treating DCIS.
Avatar f tn Hi. The fact that you have been previously diagnosed with Stage IV colorectal cancer make persistent elevations in carcinoembryonic antigen (CEA) highly suggestive of recurrent disease. A CEA value persistently greater than 5.0 is already abnormal, and should already prompt a thorough work-up for recurrence. The higher the value of the CEA, the higher is the probability of the presence of metastases/ recurrent disease.
Avatar n tn For Stage IIA patients who have undergone mastectomy and who have a metaplastic histology, the NCCN (National Comprehensive Cancer Network) guidelines suggest that radiation therapy be done if the tumor is 5cm or less and the margins of resection are close (less than 1 mm). Since the closest margin in your case is 0.5 cm or 5 mm, you have the option not to undergo radiotherapy.
Avatar f tn Hi. According to the latest National Comprehensive Cancer Network (NCCN) guidelines, the recommended treatment for ductal carcinoma in situ (DCIS) is either mastectomy alone or lumpectomy plus radiation. Radiotherapy is added to the lumpectomy because it decreases local recurrence rates by 50% compared to lumpectomy alone. Lumpectomy alone, without subsequent radiotherapy, may be an appropriate treatment if the DCIS is considered to have a "low risk" of recurrence.
Avatar n tn chemotherapy is recommended for breast cancers that are node positive, or those whose primary tumor has a size of more than 1cm according to the NCCN guidelines (national comprehensive cancer network). Chemotherapy aims to reduce the chance that the cancer will come back by an additional 10-15% by killing microscopic cancer cells called 'micrometastases' (there are actually no means to test for micrometastases; this is just intelligently assumed by cancer specialists).
Avatar f tn Carboplatin (Paraplatin) is usually given in ovarian cancer, and in other cancers as well, via intravenous route. I have used this drug a lot in my clinical practice, but this is the first time that I've heard of carboplatin being given intramuscularly for ovarian cancer. Maybe it's part of an ongoing clinical trial. Certainly, intramuscular injection of Carboplatin is NOT standard procedure.
Avatar f tn There are websites that give good information about breast cancer and give explanations of various pieces of information, for example the website www.breastcancer.org. The National Comprehensive Cancer Network (NCCN) (http://www.nccn.org/patients/patient_gls.asp) also has information available for patients regarding treatment guidelines.
Avatar f tn Hi. The National Comprehensive Cancer Network (NCCN) guidelines state that removal of the uterus and ovaries is not routinely recommended even for those with full-blown Lynch syndrome (those who already have colon cancer). Hysterectomy/oophorectomy is, however, a reasonable option for those who have Lynch syndrome, as well as those who carry the gene.
Avatar n tn The National Comprehensive Cancer Network (NCCN), in their breast cancer guidelines, has issued the following criteria for determining if a woman is likely post-menopausal: 1. At least 60 years old. 2. If less than 60 years old, the woman has stopped menstruating for 12 months or more in the absence of chemotherapy, tamoxifen, toremifene or other hormonal treatment to suppress the ovaries, AND blood levels of FSH (follicle stimulating hormone) and estradiol are in the post-menopausal range.
Avatar n tn Hi. The National Comprehensive Cancer Network (NCCN) guidelines for the treatment of breast cancer state that an absolute contraindication for lumpectomy is "widespread disease which cannot be incorporated by a single local excision which achieves negative margins". Since the lumpectomy was able to remove the two additional lesions with clean margins, the smaller lesions were in effect, "incorporated by a single local excision which achieves negative margins".
Avatar f tn C in Dec showing endometrial cancer (stage 1 well-defined). Hyst. in Jan.. Lymph nodes, tubes and ovaries all clear but Non-Small cell carcinoma showing up in peritoneal Wash. Upgraded to Stage IIIA Grade 1 Just wondering what would be expected when I see gyn/onc at the end of Feb.
Avatar n tn Hi there, I'll be blunt. I was diagnosed with Clear Cell Stage 1A back in 3/2006, Mass was Huge, but that is actually typical for Clear cell tumors. Same thing with me, everything else was negative for tumor, omentum, tubes, nodes, ovarian surface, etc), had never had any health issues until that point. At First, there was debate on chemo, no chemo-chemo, as it was Stage 1A, however, once my oncologist spoke to Dr.
Avatar f tn Two months ago she found a lump and it has turned out to be breast cancer. It is a grade 3 stage 2. The size of the tumour was about 5 cm so quite large. She had a full mastectomy to remove the cancer and all the lymph nodes removed. The results now show that there is no sign the cancer has spread and all the nodes were clear, it is e + and she has to take tamoxifen for 5 years, the debate now is if she needs chemo?
Avatar n tn m not mistaken, metaplastic carcinoma may behave less invasive and has a more favorable prognosis and course compared to invasive ductal carcinoma. However, the national comprehensive cancer network (NCCN) has lumped metaplastic with the invasive ductal in terms of treatment: http://www.nccn.org/patients/patient_gls/_english/_breast/contents.asp The consultations that your doctors are doing with each other or with other specialists are very welcome as this would tailor-fit your treatment.
Avatar m tn I was diagnosed with chondrosarcoma 2 years ago. I have radioterapy in my neck and some radiation hit my face. My sinusitis crises get very worse after the radiation. It can be only a fungi or things like that? This infectious or benign things grows too or only metastatic nodules grows? The point is: The nodule aparently grows to slow for a mestastasis but to fast for a benign neoplasia. I did not know what to think!!
Avatar m tn I went to the ER for neck pains and found out I had a fever of 99.7. I also found out that I had a UTI. The doc told me I had a pinched nerve in my neck. Now I am feeling extremely anxious and depressed. From my past 3 neg test (9.5wks, 14.5wks, and 19wks) I hv bn told I am conclusively negative. But my mind won't accept it especially when I feel the way I do. I know that symptoms usually begin abt 2 to 4 wk after.can late Ars happen?