yf
发帖数: 272 | 1 http://jop.ascopubs.org/content/early/2013/03/26/JOP.2012.00081
Perspective
Practicing Western Oncology in Shanghai, China: One
Group’s Experience
By David H. Garfield, MD, Harold Brenner, MD, FRCR (Lond), and Lucy Lu, RN
ProMed Cancer Centers–Shanghai, Shanghai, People’s Republic of China
In October 2011, we—David H. Garfield, MD, medical oncologist,
United States; Harold Jacob Brenner, MD, FRCR,
radiation oncologist, Israel; and Lucy Lu, oncology nurse,
Shanghai, China—were part of a group tha... 阅读全帖 |
|
l***y
发帖数: 30 | 2 妈妈去年刚办了绿卡来美国，这周就被诊断出弥漫大B型淋巴癌。妈妈只有
medical，现在的家庭医生非常不靠谱，联系了三天电话都联系不上。想有经验的jm们
推荐接受medical的靠谱的家庭医生，可以帮忙refer给好的oncologist治疗。
如果有jm们了解湾区接受medical的好的治疗lymphoma的医生，也请告诉我。
急死了，求大家有任何消息能赶紧联系我么?感激不尽！！！
希望妈妈能够吉人天相，渡过难关。
坐标San Jose附近。 |
|
l***y
发帖数: 30 | 3 如题，妈妈去年刚办了绿卡来美国，这周就被诊断出弥漫大B型淋巴癌。妈妈只有
medical，现在的家庭医生非常不靠谱，联系了三天电话都联系不上。想有经验的jm们
推荐接受medical的靠谱的家庭医生，可以帮忙refer给好的oncologist治疗。
如果有jm们了解好的治疗lymphoma的医生，也请告诉我。
急死了，求大家有任何消息能赶紧联系我么?感激不尽！！！
希望妈妈能够吉人天相，渡过难关。
坐标San Jose附近。 |
|
y****4
发帖数: 7 | 4 【 以下文字转载自 Boston 讨论区 】
发信人: yz1234 (yz), 信区: Boston
标 题: 求助：波士顿地区最好的 Colon cancer oncologist / surgeon
发信站: BBS 未名空间站 (Sat Jan 25 18:19:30 2014, 美东)
A relative may have colon cancer. Need help for the information about best
doctor / hospital for colon cancer treatment in Boston area. Appreciate for
any information. Thank you very much. |
|
y****4
发帖数: 7 | 5 【 以下文字转载自 Boston 讨论区 】
发信人: yz1234 (yz), 信区: Boston
标 题: 求助：波士顿地区最好的 Colon cancer oncologist / surgeon
发信站: BBS 未名空间站 (Sat Jan 25 18:19:30 2014, 美东)
A relative may have colon cancer. Need help for the information about best
doctor / hospital for colon cancer treatment in Boston area. Appreciate for
any information. Thank you very much. |
|
发帖数: 1 | 6 If you are an oncologist(preferably in the area of breast cancer), and is
interested in industry work, please contact me.
[email protected]
/* */ |
|
P******t
发帖数: 1717 | 7 老调重弹？狼真的来了？
http://money.cnn.com/
http://money.cnn.com/2012/01/05/smallbusiness/doctors_broke/ind
NEW YORK (CNNMoney) -- Doctors in America are harboring an embarrassing
secret: Many of them are going broke.
This quiet reality, which is spreading nationwide, is claiming a wide range
of casualties, including family physicians, cardiologists and oncologists.
Industry watchers say the trend is worrisome. Half of all doctors in the
nation operate a private practice. So if a cash crunch forces the de... 阅读全帖 |
|
k******e
发帖数: 8870 | 8 ☆─────────────────────────────────────☆
dtbfsjsq (dtbfsjsq) 于 (Sun Sep 30 15:31:11 2012, 美东) 提到:
有个癌症病人营养的问题想请教一下。
我妈大概在三年以前开始脊椎疼痛，去省会以及北京的医院看过，医生说是脊柱有膨出
和突出，g骨骼有钙流失，这些会引起疼痛， 但是不应该疼到我妈那个程度。 于是他
们建议转看神经科。神经科医生也看不出个所以然，建议看看精神科， 去排除抑郁倾
向。看了很久以后，地方医院和协和也没有给出什么结论，我爸妈就决定回家静养。
2010年的时候情况有所好转，11年的时候我回家看了一下，我妈的精神状态还好。
今年三月的时候，我妈开始大面积出现皮疹，开始的时候以为是湿疹，后来医生建议做
病理切片，被诊断为蕈样霉菌病（mycosis fungoides）, 是一种罕见的cutaneous T-
cell cancer。知道了这个消息以后，我妈的身体一下由虚弱变成非常虚弱，骨骼疼痛
也加重到了难以忍受的程度。正常程序应该是在诊断之后测淋巴和骨髓，看有没有转移
，同时配合化疗和... 阅读全帖 |
|
c*******u
发帖数: 12899 | 9 ☆─────────────────────────────────────☆
ilovecats (lucy) 于 (Thu Apr 26 00:08:58 2012, 美东) 提到:
非常感谢大家的关心，建议，支持，鼓励。我还是决定去纽约看医生。虽然路上是比较
远，但化疗后，有我的朋友送我回家还是可行的。手术的医生是非常重要了，需要做各
种手术来累计经验。化疗也很重要，虽医生经验少，但还是可行的。在MSKCC工作的医
生，应该不会差到哪里去。我还是很相信她的。下个星期就开始化疗了，过几个星期，
头发大概就会掉光了，长这么大，第一次要看到自己的光头了，还是蛮紧张的。小时
候，我家人都没有拍到我光头的样子。希望我的头型不是那么难看。呵呵！
另外，跟了我11年的猫今年年初也得了淋巴癌（就是照片上的那只猫），也在做化
疗，听说用的药也是我将要用的。哈哈！非常有意思。
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
今天去看了纽约Mskcc的乳房专科的医生和乳房化疗的医生。乳房专科的医生是Top医生
，有32年... 阅读全帖 |
|
N**N
发帖数: 102 | 10 我妈三年前发现一个8mm的mass，做了mastotomy，医生说没必要radio和chemo，一直吃
femara，也定期看医生，上次例行检查是8月份。三年里一直没出现任何不适
前几天做一年一次的mammogram，我妈自己摸出在手术刀口附近有块疙瘩，好像长肋骨
上似的，硬硬的，8月份例行检查，surgery and medical oncologist都看了，当时有
没有不太确定，至少两个医生什么都没说。同时做了个检查（那天不是我带去的，不知
道是什么检查），随后做了biopsy，结果是没发现癌细胞
medical oncologist 给我打电话时说她建议surgery oncologist 再做一次biopsy，
今天surgery oncologist说她觉得没什么问题，如果我们还有什么顾虑，她可以做个小
手术，excisional biopsy，半小时左右，把那块mass割掉
请教：有人碰到过这种情况吗？是再做一次biopsy比较好呢还是直接做手术？ |
|
yf
发帖数: 272 | 11 chemoradiation means chemo+concurrent radiation.
do 1 cycle chemo and 2 cycles chemo before after chemoradiation.
m means meter square, it's the surfacec area of a person. there is a formula
to calculate it based on the weight and height of a person. I cannot type
the m2 correctly.
Who is the oncologist of this patient? Why don't you ask questions to the
oncologist? The oncologist has the final say of what kind of chemo to use or
what is the whole plan. Capecitabine is only one of the chemo reg... 阅读全帖 |
|
yf
发帖数: 272 | 12 chemoradiation means chemo+concurrent radiation.
do 1 cycle chemo and 2 cycles chemo before after chemoradiation.
m means meter square, it's the surfacec area of a person. there is a formula
to calculate it based on the weight and height of a person. I cannot type
the m2 correctly.
Who is the oncologist of this patient? Why don't you ask questions to the
oncologist? The oncologist has the final say of what kind of chemo to use or
what is the whole plan. Capecitabine is only one of the chemo reg... 阅读全帖 |
|
N**N
发帖数: 102 | 13 【 以下文字转载自 MedicalCareer 讨论区 】
发信人: NFAN (FAN), 信区: MedicalCareer
标 题: 请教乳腺癌手术后的一个问题
发信站: BBS 未名空间站 (Fri Nov 18 21:44:26 2011, 美东)
我妈三年前发现一个8mm的mass，做了mastotomy，医生说没必要radio和chemo，一直吃
femara，也定期看医生，上次例行检查是8月份。三年里一直没出现任何不适
前几天做一年一次的mammogram，我妈自己摸出在手术刀口附近有块疙瘩，好像长肋骨
上似的，硬硬的，8月份例行检查，surgery and medical oncologist都看了，当时有
没有不太确定，至少两个医生什么都没说。同时做了个检查（那天不是我带去的，不知
道是什么检查），随后做了biopsy，结果是没发现癌细胞
medical oncologist 给我打电话时说她建议surgery oncologist 再做一次biopsy，
今天surgery oncologist说她觉得没什么问题，如果我们还有什么顾虑，她可以做个小
手术，exc... 阅读全帖 |
|
a**********2
发帖数: 3726 | 14 我不是说oncologist should not make money.但见太多oncologists do not tell
patients the truth, they always say let's try. 化疗对除了testicular cancer
and small cell lung cancer以外的极少数solid tumors有积极的治疗作用，更多时候
是在伤口上撒盐，是在accelerate death （没错，他们可以在细胞水平杀死癌细胞，
但同时也在整体水平将病人这个人给杀死了）。即便真有个别病人多活了三两个月，那
也是
极低的生活质量。我个人是极不喜欢oncologists的。对于solid tumor,手术是唯一改
变预后的治疗手段，如果不能手术了也基本意味着有限的寿命了。与其浪费钱财在化疗
上和经受化疗的折磨，倒不如试试抗体靶向治疗（if available),然后就是好好与家人
享受生命的最后时光。
纯属个人观点，有得罪在座oncologists之处请包涵。 |
|
D*******y
发帖数: 189 | 15 Thanks for your detailed reply.
The 3 nodules are all smaller than 2cm in diameter. They have different
pathology, the 2 in the superior lobe have the lepedic growth pattern, the
one in the middle lobe is the solid type, all with moderate differentiation.
Oncologists in China are all against chemotherapy, oncologists here have
different recommendations as you mentioned. We are not sure what to do.
One oncologist recommended targeted therapy as she does had the egfr exon 19
deletion, but the ot... 阅读全帖 |
|
D*******y
发帖数: 189 | 16 Thanks again for your helpful reply.
1. does she have access to low dose CTI will say no. if yes, then it makes
observation
more comfortable.
I am going to say yes though I don't know what dose is regarded as low dose
for CT. She does have access to a hospital with lousy doctors but with 5
different CT machines, all brand new. The oncologist here the US recommended
ct every 6 to 8 weeks but everybody in China thinks it is excessive and
wanted to do it every 6 months.
2. her age, we already... 阅读全帖 |
|
s****l
发帖数: 10462 | 17 我以前做的FA，这下碰到了死耗子。
发信人: stlstl (射天狼), 信区: pennystock
标 题: 是谁动了GXDX的奶酪？
发信站: BBS 未名空间站 (Thu Jun 17 20:00:23 2010, 美东)
GXDX前天调低盈利预期，所以股价大幅跳水。他家老板的解释是市场增长预期放慢，医
生因为经济原因改变医疗手段和实践。他这话其实要两说，经济不乐观确实给病人带了
经济压力，但是这不是医生改变诊断手段和实践的根本原因，根本原因是病人选择了更
为经济的诊断途径，从而缩减了他家服务的市场对象（oncologist）数量和需求。那么
病人选择了什么呢或者说越来越多的病人选择谁给他们做基因诊断呢？Pathologist，
但是GXDX没有跟上形势，其实市场增长还是很可观的，只是他家市场份额没有能跟上趟
。为什么选择pathologist而不是oncologist。前者平均年薪240k，后者年薪265k，贵
阿。据说和pathologist约诊也要比oncologist容易多了。
这个领域DGX还是老大，和GXDX不是一个量级的，也不是很重合的，这个且按下不表。
那么到... 阅读全帖 |
|
x*x
发帖数: 9 | 18 还有，整个帖子里面，好像只有你自己在masterbate。呵呵，继续，继续，抱着你的
medical oncologist和你的比千老高十倍的工资。不过你masterbate的时候，最好留在
家里，别说自己是个medical oncologist，因为你真的是一个很SB的medical
oncologist，别给我们这个行业里的中国医生丢脸，拜托了。
top |
|
g*n
发帖数: 538 | 19 刚刚去看了一个病人，下面继续。。。。
二年级末期，大学医院的gyn oncologist Dr. A 走了。这个也是手术狂人。和Dr. P
可以称东邪西毒。他的离开对我们是个大损失。我还没机会向他学习。学校找来了两个
oncologists代替。gyn oncologist 是非常抢手的。一下搞到两个，每个人都很兴奋。
这两人是夫妻俩。wife 是Dr.M, husband 是 Dr. G. 如果说Dr P 和A 是东邪西毒，这
两口子只能算是黑风双煞。Dr M residency就是我们 program做的。后来做了
fellowship，是我们曾经的骄傲。后来遇到了Dr G，两人有一段荡气回肠的爱情故事，
这里略过不提。Dr M是Dr P 教出来的，对P总是恭恭敬敬 。
两人来的条件就是Dr M接班作PD和chair。这两个家伙来了就开始抢班夺权。为了证明
他们的能力，要改革residensy。于是大刀就砍向了我们。
既然要改革，那一定会挑 residency 的毛病。第一条就是开会批评我们的case number
太低。我当时很愤怒，也很傻。因为我认为我做了很多手术。她说的那个n... 阅读全帖 |
|
s****l
发帖数: 10462 | 20 GXDX前天调低盈利预期，所以股价大幅跳水。他家老板的解释是市场增长预期放慢，医
生因为经济原因改变医疗手段和实践。他这话其实要两说，经济不乐观确实给病人带了
经济压力，但是这不是医生改变诊断手段和实践的根本原因，根本原因是病人选择了更
为经济的诊断途径，从而缩减了他家服务的市场对象（oncologist）数量和需求。那么
病人选择了什么呢或者说越来越多的病人选择谁给他们做基因诊断呢？Pathologist，
但是GXDX没有跟上形势，其实市场增长还是很可观的，只是他家市场份额没有能跟上趟
。为什么选择pathologist而不是oncologist。前者平均年薪240k，后者年薪265k，贵
阿。据说和pathologist约诊也要比oncologist容易多了。
这个领域DGX还是老大，和GXDX不是一个量级的，也不是很重合的，这个且按下不表。
那么到底是谁动了GXDX的奶酪？CLRT，以pathologist为服务对象的通过网络提供癌症/
基因诊断测试服务公司。
先申明一下，然后看情况再说。
曾经拥有一万手CLRT，结果在发彪之前因为资金管理的问题出了一大半，只剩小半在手
，悔得... 阅读全帖 |
|
|
w*******e
发帖数: 15912 | 22 大夫没那么容易吧，就算干oncologist，大傻得经过residency吧，脚的他好像博士后
还是做的高能物理，不是医学物理。就算当上了oncologist,年薪不可能百万，10-50万
之间。 |
|
s*****n
发帖数: 1998 | 23 DETROIT — He pumped poisonous chemotherapy drugs into patients for years,
telling them they had cancer. They didn't.
He over-treated terminal cancer patients rather than letting them die
peacefully. When he could profit from it, he also under-treated actual
cancer patients.
And on Friday, nearly two years after his arrest, Dr. Farid Fata was
sentenced to 45 years in federal prison for violating more than 550 patients
' trust and raking in more than $17 million from fraudulent billings.
For many ... 阅读全帖 |
|
g******1
发帖数: 295 | 24 (Senior) Software Developer -- Bioinformatics
If interested, email cv to [email protected]/* */
Job Description:
Redwood City, CA Guardant Health
At Guardant Health, we are committed to positively and significantly
impacting patient health through technology breakthroughs that pointedly
address long-standing unmet needs in oncology. Using next-generation
sequencing and big data, we provide noninvasive tumor genomic profiling to
aid oncologists in determining the right treatment at the rig... 阅读全帖 |
|
g*****j
发帖数: 1211 | 25 Again, you need to refer to a hemetology oncologist for expert opinions.
The 7+3 regimen is 7 day Cytarabine & 3 day Daunorubicin. The selection of
these two particular agents was largely based on clinical trial data, as I
was taught. There might have been new studies supporting better outcome
using a different combination. But usually the difference is not that big
and you need to ask an oncologist for the latest update. |
|
W***M
发帖数: 50 | 26 You can't buy it without a prescription of an oncologist. No oncologist will
prescribe the medicine to you unless the patient is seen by him/her. |
|
g*****j
发帖数: 1211 | 27 想请问大家的问题包括以下：
1.这种情况预后会很差么？在网上搜了一下淋巴转移还是很影响预后的，但是不知道具
体到父亲这种情况，就是术后几年以后出现转移，发现得早，这样子的预后具体会有多
乐观还是悲观。
- I am not familiar enough with esophageal cancer. But overall,
metastasis to the lymph node is always bad news. In terms of prognosis,
whether or not metastasis is present matters more than the size of
metastatic tumor.
2.本来想让父母今年到美国来玩的。机票也都买好了，父亲现在还是很想来的。我们也
支持，到这边玩玩心情好一些，也许病情会有转机。（他们以前来过几次，每次也都还
玩得挺开心的）。但是不知道这二个月以后的复查要怎么样。医生说要做个CT看一下。
可是旅游保险好像都不保pre-existing conditions，所以想问问各位知不知道没有保
险做CT大约... 阅读全帖 |
|
g********u
发帖数: 8891 | 28 I suggest you chill out if you donot hv a firm answer. I personally met a
colon cancer old man, who was predicted by his oncologist in DUKE with 6-10
mon.s left, and he still survives until now after many time surgeries after 10 yrs.
How can you give such a misleading advise?
There is no really a very authority to tell how long one can live, not even
a prestigious oncologist like that one in DUKE hopsital, which ranks top in
USA.
I was predicted with 1 yr left once. and I never tell anybody how ... 阅读全帖 |
|
F*******1
发帖数: 40 | 29 抱歉有点长。
家庭医生#1体检时查出颈部有小肿块 （大家annual check不要省,不要忘！），后作ultrasound发现一个1.1*1.9 cm肿块在甲状腺中间偏右，立马推荐了oncologist医生#2, 然后作biopsy，结果是 “Suspicious for Papillary Thyroid Carcinoma”, 医生#2说了由50%的概率是癌，要切除整个甲状腺。可是看到是50%概率，考虑到终生影响（终生吃药），而且他说不要做其他任何测试，心里没有底，感觉好像是骗钱是的。后来看文献，强力要求医生#2在做biopsy那家测试中心做了碘活性测试，结果是 “碘吸收正常，但是结合先前ultrasound的结果，所以结论是是cold,可能是Carcinoma”. 同时，本人联系了另一个oncology center , 人家根本不看，说你要见endocrinologist first, 你家庭医生怎么直接推荐了oncologist? 然后约了endocrinologist 医生#3， 再次作了biopsy，结果是“suspicious for Papillary Thyr... 阅读全帖 |
|
F*******1
发帖数: 40 | 30 抱歉有点长。
家庭医生#1体检时查出颈部有小肿块 （大家annual check不要省,不要忘！），后作ultrasound发现一个1.1*1.9 cm肿块在甲状腺中间偏右，立马推荐了oncologist医生#2, 然后作biopsy，结果是 “Suspicious for Papillary Thyroid Carcinoma”, 医生#2说了由50%的概率是癌，要切除整个甲状腺。可是看到是50%概率，考虑到终生影响（终生吃药），而且他说不要做其他任何测试，心里没有底，感觉好像是骗钱是的。后来看文献，强力要求医生#2在做biopsy那家测试中心做了碘活性测试，结果是 “碘吸收正常，但是结合先前ultrasound的结果，所以结论是是cold,可能是Carcinoma”. 同时，本人联系了另一个oncology center , 人家根本不看，说你要见endocrinologist first, 你家庭医生怎么直接推荐了oncologist? 然后约了endocrinologist 医生#3， 再次作了biopsy，结果是“suspicious for Papillary Thyr... 阅读全帖 |
|
d*c
发帖数: 306 | 31 Thyroid cancer progresses very slow, read the pathology description and
google, you should have some idea about your case.
作ultrasound发现一个1.1*1.9 cm肿块在甲状腺中间偏右，立马推荐了oncologist医生
#2, 然后作biopsy，结果是 “Suspicious for Papillary Thyroid Carcinoma”, 医
生#2说了由50%的概率是癌，要切除整个甲状腺。可是看到是50%概率，考虑到终生影响
（终生吃药），而且他说不要做其他任何测试，心里没有底，感觉好像是骗钱是的。后
来看文献，强力要求医生#2在做biopsy那家测试中心做了碘活性测试，结果是 “碘吸
收正常，但是结合先前ultrasound的结果，所以结论是: 是cold,可能是Carcinoma”.
同时，本人联系了另一个oncology center , 人家根本不看，说你要见
endocrinologist first, 你家庭医生怎么直接推荐了... 阅读全帖 |
|
I****a
发帖数: 407 | 32 I agree with the medical oncologist's opinion, he can try radiation. There
is no proven benefit of using chemotherapy on your father's case.
I am surprised to see surgical oncologist's recommendation on 生物免疫治疗.
It is not a proven therapy and I doubt it has any benefit. |
|
l*h
发帖数: 4124 | 33 NovoTTF actually has FDA approval. Not sure what type of approval though.
Few neuro-oncologists know about it. Even fewer recommend it. FYI, I know
every neuro-oncologist and neurosurgeon at a major cancer center. Not a
single one would use it at this time.
There are various immune therapies. The most developed one appears to be the
a vaccine against EGFRvIII. It actually prolongs survival. After a certain
period of time (not very long), the cells expressing EGFRvIII become
undetectable, but oth... 阅读全帖 |
|
l*h
发帖数: 4124 | 34 for conformal radiation therapy, there is essential nothing to change about
your regular life. if there is any discomfort, let the radiation oncologist
know.
larger field radiation may have more impact on your bodily functions, but
radiation oncologist should have talked to you about it. |
|
l*h
发帖数: 4124 | 35 you need an oncologist to coordinate her care. hearsay does a lot more harm
than good. such poorly written "medical summary" is close to useless.
to be honest, there are essentially no properly trained oncologists in China.
右。 |
|
j****i
发帖数: 496 | 36 Physician-to-physician consultation is different from patient encounter. No
physician can treat a patient without establishing a physician-pateint
relationship, which requires a face-to-face patient encounter. Any
physician can offer another physician a second opinion - that what Doximity
is for - without being subject to any legal liability.
Ultimately, it's your choice whether you want your mom to visit US in person
. If it was my family member, I would choose to get her over here for the
P... 阅读全帖 |
|
j****i
发帖数: 496 | 37 It is very common to see CEA elevation after chemo due to drug toxity. In
fact, any type of inflammation/liver damage may raise CEA. That's why
oncologists always run CEA periodically. Only a persistently elevating CEA
requires intensive workup.
@MedicalLawyer, CEA is not routinely used for screening CRC, but ASCO
guideline of CRC surveillance does include periodical CEA monitoring. Vast
majority of practicing GI oncologist order CEA for post-treatment
surveillance. |
|
f****o
发帖数: 2770 | 38 非hematologist/oncologist开化疗药就是outside of their scope of practice
pharmacy可以refuse to fill prescription
医生还会被举报到board of medicine
hematologist/oncologist也不会为自己没有见过诊断过的病人随便开化疗药品的。
人家那么多年residency fellowship 培训出来，不会为了这点小钱丢执照的
支持楼主，但是问如何购买处方药的帖子还是会连绵不绝的 |
|
d*w
发帖数: 384 | 39 但出现副作用为面部下巴极痒， 身体皮肤干燥怕风，受阳光晒后皮肤稍疼， 腹痛腹泻。
this is the reason you need to follow with an oncologist to take this kind
of drugs. there is also more serious side effects to some patients. skin
reactions can be well controlled now if you see an oncologist trained in the
U.S. |
|
D*****r
发帖数: 1239 | 40 David August是surgical oncologist。如果lz老公确定不能开刀手术的话，没有必要
看August。Ajani还行，就是比较远。
NJ这边可以找Rebecca Moss 看看，她是medical oncologist specializing in GI. |
|
D*****r
发帖数: 1239 | 41 David August是surgical oncologist。如果lz老公确定不能开刀手术的话，没有必要
看August。Ajani还行，就是比较远。
NJ这边可以找Rebecca Moss 看看，她是medical oncologist specializing in GI. |
|
m*****a
发帖数: 2160 | 42 让你做PET的是国内的医生还是美国的medical oncologist？
妇科肿瘤在美国很多时候是gynecological oncologist（属于surgeon）负责，你为什
么会有两个医生，而且意见还不统一？ |
|
t*****s
发帖数: 41 | 43 在美国排名第五的肿瘤医院。由于做过手术，之后又化疗，所以每三个月交替见
surgeon 和 oncologist(专门负责化疗的)。他们俩现在说法不一，尽管理论上是一个
team里的。Oncologist说不必太担心，可以一个月后再查一次ca125,如果实在担心也可
以做一次PET。由于时间上正好轮到见surgeon，他也知道此事，他认为只上升了一点点
，还说有统计监测CA125意义不大，有symptom时再做PET. |
|
p******e
发帖数: 17163 | 44 我爸乡下人，国语不好，当时没听清楚，是我看到referal上有oncologist一字，吓了
一跳
：细心周到的医生，应该说需要看血液专科，hematologist 。刻意避开肿瘤科
：oncologist 这个词儿。虽然大多数看的是同一个专家。
：以免给患者带来不必要的误解及担忧。 |
|
p******e
发帖数: 17163 | 45 原来referral上只写了hematology, 不过附了一张专科医生名片上面有oncologist这字。
：细心周到的医生，应该说需要看血液专科，hematologist 。刻意避开肿瘤科
：oncologist 这个词儿。虽然大多数看的是同一个专家。
：以免给患者带来不必要的误解及担忧。 |
|
s******e
发帖数: 493 | 46 Bless!
What is a rhabdoid tumor?
A rhabdoid tumor is a rare and highly malignant tumor of childhood, first
described in 1978. These tumors were initially considered an aggressive
variant of Wilms' tumor of the kidney, however, with newer diagnostic
techniques, these tumors are believed to represent a distinct entity. Since
that time, there have been fewer than 50 cases reported, although it is
likely that some cases previously identified as medulloblastoma or as
primitive neuroectodermal tumo... 阅读全帖 |
|
b*****r
发帖数: 4717 | 47 Thanks for your info...No what I meant is originally we decided in a rush
that will have the liver biopsy done at our vet. Then we realized it is such
a big surgery that requires open the belly. We decided to have it done at
oncologists if deemed necessary.
Saw one oncologist today, she said it is an 'interesting' case as he is only
4 and the position of the neck tumor 'very rare' so she ordered a full body
CT scan and needle biopsy and additional ultrasound. We have a 2nd
specialist to see afte... 阅读全帖 |
|
t*d
发帖数: 1290 | 48 IMHO, to find novel drug delivering methods might be better ways to conquer
cancer comparing to studying the mechanisms of cancer initiation and
progression.
Nature 491, S58–S60 (22 November 2012)
Nanotechnology: Carrying drugs
When Joseph DeSimone makes nanomedicines, he compares himself to a baker. He
mixes drugs with different chemical 'batters', puts them in tiny moulds,
cures them and then turns them out. He can mould almost any shape: discs,
cubes, long sticks, roughened doughn... 阅读全帖 |
|
m***T
发帖数: 11058 | 49 宣传会是不能太相信的，一般这咱会上讲的多是sales或marketing的。
看到你是oncologist，失敬。其实我现在的工作就是经常和oncologist还有
pathologist打交道的，当然主要是和大的genome center里的。我对你提到的oncotype
技术不太了解，简单google了一下，似乎是用rt-pcr技术做gene panel的。不谈别的，
仅从成本上来讲，我从wiki上看到的是oncotype的成本大概要4000-5000美圆，是不是
current你应该更清楚。同样的panel在ngs上只要几百就够了，差距还是很大的，而且
ngs成本还在不断下降。另外ngs非常容易scale up，这点相信是oncotype做不到的。现
在能进入临床上的基本上是gene panel和whole exome，全基因组进临床还需要时间， |
|
x*x
发帖数: 9 | 50 真给medical oncologist丢脸。我们系里面几十个medical oncologists, 没有一个象
你这么SB的。 |
|
