Heme/Onc

Tailoring Colon Cancer Screening

December 19, 2009
Tailoring Colon Cancer Screening

Guidelines for Colorectal Cancer Screening and the Recent Evidence Behind Them

 Nazia Hasan, MD MPH

Faculty peer reviewed

For most residents, screening for colorectal cancer (CRC) may seem as established as that for breast and cervical cancer. In reality, the use of CRC screening has only recently approached that of screening for those other malignancies. We have seen recently changes to the CRC screening guidelines last published by The American College of Gastroenterology in 2000. The updated screening guidelines for colorectal cancer became available…

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Tailoring Colon Cancer Screening

December 11, 2009
Tailoring Colon Cancer Screening

Guidelines for Colorectal Cancer Screening and the Recent Evidence Behind Them

 Nazia Hasan, MD MPH

Faculty peer reviewed

For most residents, screening for colorectal cancer (CRC) may seem as established as that for breast and cervical cancer. In reality, the use of CRC screening has only recently approached that of screening for those other malignancies. We have seen recently changes to the CRC screening guidelines last published by The American College of Gastroenterology in 2000.…

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Prostate Cancer Screening: Where Do We Stand Now?

December 9, 2009
Prostate Cancer Screening: Where Do We Stand Now?

Annery Garcia

Prostate cancer is the second most common cancer in western men and the second leading cause of cancer-related deaths in men in the U.S.1 In 2007 approximately 218,890 men were diagnosed with prostate cancer, and it is expected that one out of six men will receive the diagnosis in their lifetime.2 Although considered to be a slow-growing tumor, the American Cancer Society estimated that in 2008 186,330 new cases of prostate cancer would be diagnosed, and 26,000 men will…

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Myths and Realities: Cell phones and the risk of brain cancer

November 27, 2009
Myths and Realities: Cell phones and the risk of brain cancer

Daria B. Crittenden

Although children today have never known a world without cell phones, the rest of us remember when these devices were created and have watched their popularity soar. The ability to have constant communication, anytime and anywhere, is now taken for granted. Many have asked the question, are we putting our health at risk with this technology? Specifically, with cell phones cradled against our ears many times a day, and sometimes for many hours a day, are we at…

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Breaking News: Begin Cervical Cancer Screening at 21 Says ACOG

November 20, 2009
Breaking News: Begin Cervical Cancer Screening at 21 Says ACOG

Joshua Strauss, MD

In the second decision of its kind and magnitude in a matter of days, a major medical group has again recommended cutting back on cancer screening for women.  On the heels of Monday’s USPSTF release on reducing mammography, newly revised evidence-based guidelines regarding cervical cancer screening were issued today by The American College of Obstetricians and Gynecologists (ACOG) and published in the December issue of Obstetrics & Gynecology. 

The new guidelines, “based on good and…

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Breaking News: Initiate Mammography Screening at 50, not 40, Says USPSTF.

November 17, 2009
Breaking News: Initiate Mammography Screening at 50, not 40, Says USPSTF.

Aalok Turakhia, MD

As the debate over when to begin screening mammography in women rages on, the United States Prevention Service Task Force (USPSTF) added fuel to the fire by releasing a new recommendation statement in the November 17th issue of the Annals of Internal Medicine.  Applying to women aged ≥40 who are not at an increased genetic risk or have had chest irradiation, the USPSTF now recommends biennial screening in women between ages 50-74.  In February 2002, the task force first recommended that annual…

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Tailoring Colon Cancer Screening

October 29, 2009
Tailoring Colon Cancer Screening

Guidelines for Colorectal Cancer Screening and the Recent Evidence Behind Them

 Nazia Hasan, MD MPH

Faculty peer reviewed

For most residents, screening for colorectal cancer (CRC) may seem as established as that for breast and cervical cancer. In reality, the use of CRC screening has only recently approached that of screening for those other malignancies. We have seen recently changes to the CRC screening guidelines last published by The American College of Gastroenterology in 2000.…

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Medicine by the Numbers

October 9, 2009
Medicine by the Numbers

Chris Tully MD

Faculty peer reviewed

What is the number of patients needed to prophylax to prevent an episode of venous thromboembolism in a hospitalized medical patient?

 

 The use of prophylactic anticoagulation for venous thromboembolism (VTE) is considered standard of care in the inpatient medical setting in order to prevent deep venous thrombosis (DVT) and fatal and nonfatal pulmonary embolism (PE). While a majority of the knowledge stems of post-surgical patients, there…

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PrimeCuts: This Week in the Journals

September 14, 2009
PrimeCuts: This Week in the Journals

Michael Ford MD

Faculty Peer Reviewed

Last spring, The New York Times published a series of articles that examined the status of “the War on Cancer,” initiated some 40 years ago by then president Richard Nixon. The halting pace of this war was made more poignant with the recent death of Senator Edward M. Kennedy, who had championed the effort from its inception. Certainly, much has been learned about cancer in the intervening decades, but while other illnesses saw dramatic…

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CT Colonography-The Future of Colorectal Cancer Screening?

August 21, 2009
CT Colonography-The Future of Colorectal Cancer Screening?

Ely R. Felker


Faculty Peer Reviewed

The patient is a 52 year-old white male who presented to his internist for a routine examination. He has no family history of colorectal cancer. He has not previously been screened. He recently heard about CT colonography and would like to know how it compares to conventional colonoscopy. Colorectal cancer (CRC) is the third most common cancer and the second most common cause of cancer death…

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The Asian Glow: A unique screening tool to evaluate for an elevated risk of esophageal cancer

July 29, 2009
The Asian Glow: A unique screening tool to evaluate for an elevated risk of esophageal cancer

Cindy Mui MD

Faculty Peer Reviewed

The alcohol flushing response is a physiologic response to ingestion of alcohol and is characterized by facial flushing, nausea, tachycardia, and hypotension, felt to be due to an inherited deficiency in the enzyme aldehyde dehydrogenase 2 (ALDH2). It is experienced by one third of East Asians and is more commonly known as the “Asian glow” or the “Asian flush”(1). Although the alcohol flushing response is generally seen as cosmetic and even embarrassing on…

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Myths and Realities: Do Power Lines Cause Cancer?

May 20, 2009
Myths and Realities: Do Power Lines Cause Cancer?

Aditya Mattoo MD

Faculty Peer Reviewed

Prompted by personal experience, I thought I would explore the alleged causative role of power lines in hematologic malignancies for the next installment of Myths and Realities. In recent years, two close family friends living at separate locations but in homes adjacent to lots with electrical transformers were diagnosed with Multiple Myeloma and Non-Hodgkin’s Lymphoma. Naturally, the coincidence was not unnoticed, so I decided to put power lines on trial…

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