Medical Specialty: Hematology - Oncology

The diagnosis, treatment and prevention of blood diseases (hematology) and cancer (oncology) and research into them. Hematology-oncology includes such diseases as iron deficiency anemia, hemophilia, sickle cell disease, the thalassemias, leukemias and lymphomas.

Hematology - Oncology
3-Dimensional Simulation
3-Dimensional Simulation. This patient is undergoing 3-dimensionally planned radiation therapy in order to adequately target structures at risk while diminishing the degree of exposure to uninvolved adjacent normal structures.
Adrenalectomy & Umbilical Hernia Repair
Laparoscopic hand-assisted left adrenalectomy and umbilical hernia repair. Patient with a 5.5-cm diameter nonfunctioning mass in his right adrenal.
Anaplastic Astrocytoma - Letter
Patient seen in Neuro-Oncology Clinic because of increasing questions about what to do next for his anaplastic astrocytoma.
Anemia - Consult
Refractory anemia that is transfusion dependent. At this time, he has been admitted for anemia with hemoglobin of 7.1 and requiring transfusion.
Anemia & Leukemia Followup
Chronic lymphocytic leukemia (CLL), autoimmune hemolytic anemia, and oral ulcer. The patient was diagnosed with chronic lymphocytic leukemia and was noted to have autoimmune hemolytic anemia at the time of his CLL diagnosis.
Aplastic Anemia Followup
Aplastic anemia. After several bone marrow biopsies, she was diagnosed with aplastic anemia. She started cyclosporine and prednisone.
Axillary Dissection & Mass Excision
Left axillary dissection with incision and drainage of left axillary mass. Right axillary mass excision and incision and drainage. Bilateral axillary masses, rule out recurrent Hodgkin's disease.
BCCa Excision - Canthus
Excision basal cell carcinoma, right medial canthus with frozen section, and reconstruction of defect with glabellar rotation flap.
BCCa Excision - Cheek
Excision of basal cell carcinoma. Closure complex, open wound. Bilateral capsulectomies. Bilateral explantation and removal of ruptured silicone gel implants
BCCa Excision - Lower Lid
Excision of large basal cell carcinoma, right lower lid, and repaired with used dorsal conjunctival flap in the upper lid and a large preauricular skin graft.
BCCa Excision - Nasal Tip
Excision of nasal tip basal carcinoma, previous positive biopsy.
Biopsy - Axillary Lymph Node
Right axillary adenopathy, thrombocytopenia, and hepatosplenomegaly. Right axillary lymph node biopsy.
Biopsy - Cervical Lymph Node
Excisional biopsy of right cervical lymph node.
Brain Tumor - Consult
The patient was admitted for symptoms that sounded like postictal state. CT showed edema and slight midline shift. MRI of the brain shows large inhomogeneous infiltrating right frontotemporal neoplasm surrounding the right middle cerebral artery.
BRCA-2 mutation
Discharge summary of a patient with a BRCA-2 mutation.
Breast Cancer Followup
A nurse with a history of breast cancer enrolled is clinical trial C40502. Her previous treatments included Zometa, Faslodex, and Aromasin. She was found to have disease progression first noted by rising tumor markers.
Breast Cancer Followup - 1
Stage IIA right breast cancer. The pathology showed an infiltrating ductal carcinoma Nottingham grade II. The tumor was ER positive, PR positive and HER-2/neu negative.
Breast Mass Excision
Excision of right breast mass. Right breast mass with atypical proliferative cells on fine-needle aspiration.
Breast Mass Excision - 1
Left breast mass and hypertrophic scar of the left breast. Excision of left breast mass and revision of scar. The patient is status post left breast biopsy, which showed a fibrocystic disease with now a palpable mass just superior to the previous biopsy site.
Breast Mass Excision - 2
Excision of left breast mass. The mass was identified adjacent to the left nipple. It was freely mobile and it did not seem to hold the skin.
Breast Radiation Therapy Followup
Breast radiation therapy followup note. Left breast adenocarcinoma stage T3 N1b M0, stage IIIA.
Cancer of the nasopharynx
T1 N3 M0 cancer of the nasopharynx, status post radiation therapy with 2 cycles of high dose cisplatin with radiation.
Cholangiocarcinoma Consult
Newly diagnosed cholangiocarcinoma. The patient is noted to have an increase in her liver function tests on routine blood work. Ultrasound of the abdomen showed gallbladder sludge and gallbladder findings consistent with adenomyomatosis.
Colon Cancer Consult
Newly diagnosed stage II colon cancer, with a stage T3c, N0, M0 colon cancer, grade 1. Although, the tumor was near obstructing, she was not having symptoms and in fact was having normal bowel movements.
Colon Cancer Screening
Routine colorectal cancer screening. He occasionally gets some loose stools.
Colon Polyps - Genetic Counseling
Genetic counseling for a strong family history of colon polyps. She has had colonoscopies required every five years and every time she has polyps were found. She reports that of her 11 brothers and sister 7 have had precancerous polyps.
Concomitant Chemoradiotherapy
Concomitant chemoradiotherapy for curative intent patients.
Conformal Simulation
Conformal simulation with coplanar beams. This patient is undergoing a conformal simulation as the method to precisely define the area of disease which needs to be treated.
Consult - Breast Cancer
Patient presents with complaint of lump in the upper outer quadrant of the right breast
Consult - Breast Cancer - 1
The patient is a 57-year-old female with invasive ductal carcinoma of the left breast, T1c, Nx, M0 left breast carcinoma.
Craniopharyngioma - Postop
Postoperative visit for craniopharyngioma with residual disease. According to him, he is doing well, back at school without any difficulties. He has some occasional headaches and tinnitus, but his vision is much improved.
Discharge Summary - Mesothelioma
A patient with preoperative diagnosis of right pleural mass and postoperative diagnosis of mesothelioma.
Discharge Summary - Mesothelioma - 1
Mesothelioma, pleural effusion, atrial fibrillation, anemia, ascites, esophageal reflux, and history of deep venous thrombosis.
Disseminated Intravascular Coagulation
Disseminated intravascular coagulation and Streptococcal pneumonia with sepsis. Patient presented with symptoms of pneumonia and developed rapid sepsis and respiratory failure requiring intubation.
Endometrial Cancer Followup
Stage IIIC endometrial cancer. Adjuvant chemotherapy with cisplatin, Adriamycin, and Abraxane. The patient is a 47-year-old female who was noted to have abnormal vaginal bleeding in the fall of 2009.
Excision of Squamous Cell Carcinoma
Re-excision of squamous cell carcinoma site, right hand.
Eyelid Squamous Cell Carcinoma Excision
Excision of right upper eyelid squamous cell carcinoma with frozen section and full-thickness skin grafting from the opposite eyelid.
Glioblastoma Multiforme - Consult
Asked to see the patient in regards to a brain tumor. She was initially diagnosed with a glioblastoma multiforme. She presented with several lesions in her brain and a biopsy confirmed the diagnosis.
Glioma - Consult
Progressive low-grade glioma, now more than 20 years since initially diagnosed. She is status post craniotomy for debulking and has done well with the surgery.
HDR Brachytherapy
HDR Brachytherapy
Head & Neck Cancer Consult
Newly diagnosed head and neck cancer. The patient was recently diagnosed with squamous cell carcinoma of the base of the tongue bilaterally and down extension into the right tonsillar fossa.
Hematology Consult
Leukocytosis, acute deep venous thrombosis, right lower extremity with bilateral pulmonary embolism, on intravenous heparin complicated with acute renal failure for evaluation.
Hematology Consult - 1
Markedly elevated PT INR despite stopping Coumadin and administering vitamin K. Patient with a history of iron-deficiency anemia due to chronic blood loss from colitis.
Hyperfractionation. This patient is to undergo a course of hyperfractionated radiotherapy in the treatment of known malignancy.
Intensity-Modulated Radiation Therapy
Intensity-modulated radiation therapy is a complex set of procedures which requires appropriate positioning and immobilization typically with customized immobilization devices.
Intensity-Modulated Radiation Therapy Simulation
Intensity-modulated radiation therapy simulation note. The patient will receive intensity-modulated radiation therapy in order to deliver high-dose treatment to sensitive structures.
Intraperitoneal Mesothelioma
A female with a history of peritoneal mesothelioma who has received prior intravenous chemotherapy.
Iron deficiency anemia
Iron deficiency anemia. She underwent a bone marrow biopsy which showed a normal cellular marrow with trilineage hematopoiesis.
Discharge summary of patient with leiomyosarcoma and history of pulmonary embolism, subdural hematoma, pancytopenia, and pneumonia.
Lung Cancer & MI - Hospice Cosult
Patient with metastatic non-small-cell lung cancer, on hospice with inferior ST-elevation MI. The patient from prior strokes has expressive aphasia, is not able to express herself in a clear meaningful fashion.
Lung Cancer Followup
Extensive stage small cell lung cancer. Chemotherapy with carboplatin and etoposide. Left scapular pain status post CT scan of the thorax.
Lymph Node Excisional Biopsy
Left axillary lymph node excisional biopsy. Left axillary adenopathy.
Lymphoblastic Leukemia - Consult
Newly diagnosed high-risk acute lymphoblastic leukemia; extensive deep vein thrombosis, and pharmacologic thrombolysis following placement of a vena caval filter.
Lymphoma - Consult
Marginal B-cell lymphoma, status post splenectomy. Testicular swelling - possible epididymitis or possible torsion of the testis.
Mantle Cell Lymphoma
A 61-year-old white male with a diagnosis of mantle cell lymphoma status post autologous transplant with BEAM regimen followed by relapse. Allogeneic peripheral stem cell transplant from match-related brother and the patient is 53 months out from transplant.
Mantle Cell Lymphoma - Consult
Newly diagnosed mantle cell lymphoma, admitted now to start chemotherapy. She will start treatment with hyperfractionated cyclophosphamide, vincristine, doxorubicin, dexamethasone.
Marginal Zone Lymphoma
Marginal zone lymphoma (MALT-type lymphoma). A mass was found in her right breast on physical examination. she had a mammogram and ultrasound, which confirmed the right breast mass.
MediPort Placement
Rhabdomyosarcoma of the left orbit. Left subclavian vein MediPort placement. Needs chemotherapy.
Mesothelioma - Pleural Biopsy
Right pleural effusion and suspected malignant mesothelioma.
Mesothelioma - Port-A-Cath Insertion
Biopsy-proven mesothelioma - Placement of Port-A-Cath, left subclavian vein with fluoroscopy.
Mesothelioma - Thoracotomy & Lobectomy
Right nodular malignant mesothelioma.
Metastatic Ovarian Cancer - Consult
A very pleasant 66-year-old woman with recurrent metastatic ovarian cancer.
MGUS Followup
MGUS. His bone marrow biopsy showed a normal cellular bone marrow; however, there were 10% plasma cells and we proceeded with the workup for a plasma cell dyscrasia. All his tests came back as consistent with an MGUS.
Mullerian Adenosarcoma
Discharge summary of a patient presenting with a large mass aborted through the cervix.
Neck Dissection
Left neck dissection. Metastatic papillary cancer, left neck. The patient had thyroid cancer, papillary cell type, removed with a total thyroidectomy and then subsequently recurrent disease was removed with a paratracheal dissection.
Neck Mass Biopsy
Malignant mass of the left neck, squamous cell carcinoma. Left neck mass biopsy and selective surgical neck dissection, left.
Needle Localized Excision - Breast Neoplasm
Nonpalpable neoplasm, right breast. Needle localized wide excision of nonpalpable neoplasm, right breast.
Neuroblastoma - Consult
The patient is an 11-month-old with a diagnosis of stage 2 neuroblastoma of the right adrenal gland with favorable Shimada histology and history of stage 2 left adrenal neuroblastoma, status post gross total resection.
Non-Hodgkin lymphoma Followup
Follicular non-Hodgkin's lymphoma. Biopsy of a left posterior auricular lymph node and pathology showed follicular non-Hodgkin's lymphoma. Received six cycles of CHOP chemotherapy.
Non-Small Cell Lung Cancer - Consult
New diagnosis of non-small cell lung cancer stage IV metastatic disease. At this point, he and his wife ask about whether this is curable disease and it was difficult to inform that this was not curable disease but would be treatable.
Nuclear Medicine Lymphatic Scan
Left breast cancer. Nuclear medicine lymphatic scan. A 16-hour left anterior oblique imaging was performed with and without shielding of the original injection site.
Parathyroid Adenoma Excision
Excision of right superior parathyroid adenoma, seen on sestamibi parathyroid scan and an ultrasound.
Pilonidal Cyst Excision
Pilonidal cyst with abscess formation. Excision of infected pilonidal cyst.
Polycythemia Rubra Vera
Polycythemia rubra vera. The patient is an 83-year-old female with a history of polycythemia vera. She comes in to clinic today for followup. She has not required phlebotomies for several months.
Polycythemia Vera Followup
Followup for polycythemia vera with secondary myelofibrosis. JAK-2 positive myeloproliferative disorder. He is not a candidate for chlorambucil or radioactive phosphorus because of his young age and the concern for secondary malignancy.
Posttransplant Lymphoproliferative Disorder
Posttransplant lymphoproliferative disorder, chronic renal insufficiency, squamous cell carcinoma of the skin, anemia secondary to chronic renal insufficiency and chemotherapy, and hypertension. The patient is here for followup visit and chemotherapy.
Prostate Brachytherapy
Prostate Brachytherapy - Prostate I-125 Implantation
Radical Mastectomy
Invasive carcinoma of left breast. Left modified radical mastectomy.
Resection of Tumor of Scalp
Radical resection of tumor of the scalp, excision of tumor from the skull with debridement of the superficial cortex with diamond bur, and advancement flap closure.
Sepsis - Consult
Sepsis. The patient was found to have a CT scan with dilated bladder with thick wall suggesting an outlet obstruction as well as bilateral hydronephrosis and hydroureter.
Sickle Cell Anemia - ER Visit
A 19-year-old known male with sickle cell anemia comes to the emergency room on his own with 3-day history of back pain.
Symes Amputation - Hallux
Excision of mass, left second toe and distal Symes amputation, left hallux with excisional biopsy. Mass, left second toe. Tumor. Left hallux bone invasion of the distal phalanx.
T-Cell Lymphoma Consult
Newly diagnosed T-cell lymphoma. The patient reports swelling in his left submandibular region that occurred all of a sudden about a month and a half ago.
Thrombocytopenia - Consult
Consultation for evaluation of thrombocytopenia.
Thrombocytopenia - SOAP Note
Patient with immune thrombocytopenia
Thrombocytosis Followup
Essential thrombocytosis. He underwent a bone marrow biopsy, which showed essential thrombocytosis. His CBC has been very stable.
Thyroid Mass Consult
Thyroid mass diagnosed as papillary carcinoma. The patient is a 16-year-old young lady with a history of thyroid mass that is now biopsy proven as papillary. The pattern of miliary metastatic lesions in the chest is consistent with this diagnosis.
Tongue Lesion Biopsy
Excisional biopsy with primary closure of a 4 mm right lateral base of tongue lesion. Right lateral base of tongue lesion, probable cancer.
True Cut Needle Biopsy - Breast
True cut needle biopsy of the breast. This 65-year-old female on exam was noted to have dimpling and puckering of the skin associated with nipple discharge. On exam, she has a noticeable carcinoma of the left breast with dimpling, puckering, and erosion through the skin.
Uterine Papillary Serous Carcinoma
The patient is a 67-year-old white female with a history of uterine papillary serous carcinoma who is status post 6 cycles of carboplatin and Taxol, is here today for followup.