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Treatment for an Endoscopically Resected Polyp When the Histologic Findings Show Adenocarcinoma?
What is the recommended treatment for an endoscopically resected polyp, when the histologic findings show adenocarcinoma? Amitabh Chak, MD, FACG, discusses the issue.
Medscape Gastroenterology, June 2007
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Can Ondansetron Be Administered Transdermally?
Pediatricians are asking pharmacists to make topical preparations of this antiemetic drug, but is there evidence to support that practice?
Medscape Pharmacists, May 2007
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What Is the Role of Rosiglitazone in Steroid-Induced Diabetes?
Glucocorticoids can cause diabetes in susceptible patients, but the "glitazones" can enhance insulin sensitivity.
Medscape Pharmacists, March 2007
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Combining Duragesic Patches With Other Pain Medications
Is it acceptable to combine transdermal fentanyl (Duragesic patch) with either methadone or oral transmucosal fentanyl citrate (OTFC [Actiq]) for breakthrough pain?
Medscape Pharmacists, June 2006
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Subcutaneous Immunoglobulin in the Management of Primary Immunodeficiency
Will the new Ig product Vivaglobin replace IVIG in patients with primary immunodeficiency?
Medscape Pharmacists, April 2006
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Combining Long-acting Opioids That Are Active at Different mu Receptors for Pain Management
OxyContin and methadone work on different opioid receptors, so could the combination of these agents be clinically advantageous?
Medscape Pharmacists, March 2006
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Combining Methadone With Other Long-acting and Short-acting Opioids for Pain Management
Why am I seeing more and more patients with prescriptions for massive amounts of pain medication who are taking methadone plus narcotics?
Medscape Pharmacists, March 2006
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Keratinizing Squamous Metaplasia
What is the best course of treatment for this 47-year-old male patient with squamous metaplasia, bladder inflammation, and recurrent UTIs?
Medscape Urology, February 2006
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Restaging and Treatment for Recurrent Multifocal Invasive Ductal Carcinoma
Dr. Harold Burstein discusses adjuvant therapy options for a patient with HER2-positive breast cancer who experienced axillary failure after chemotherapy.
Medscape Hematology-Oncology, September 2005
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Adjuvant Therapy for Locally Advanced Inflammatory Breast Cancer?
Harold J. Burstein, MD, PhD, answers a reader's question about treating a perimenopausal patient with a hormone receptor-positive, HER2-positive tumor.
Medscape Hematology-Oncology, August 2005
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Treatment of Breast Cancer in a Man
Harold Burstein, MD, PhD, discusses adjuvant chemotherapy and endocrine therapy in an elderly male patient with breast cancer and preexisting coronary disease.
Medscape Hematology-Oncology, August 2005
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Drotrecogin Alfa Use and Low Platelet Levels
A platelet count < 30,000 × 10 6/L is a relative contraindication. What do you do?
Medscape Critical Care, July 2005
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Routine Screening for HCC Recommended for the Hepatitis B Patient in the Inactive Carrier State?
Is routine screening for hepatocellular carcinoma recommended for the hepatitis B patient in the inactive carrier state? Emmet B. Keeffe, MD, explores the issue.
Medscape Gastroenterology, July 2005
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Subtotal Colectomy in a Young Patient With a Single Adenocarcinoma Found on Colonoscopy?
Are there circumstances in which a subtotal colectomy might be recommended for a young patient with a single adenocarcinoma found on colonoscopy without previous family history or colitis?
Medscape Gastroenterology, July 2005
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Treatment for Psoriatic Arthritis in Patient With Hodgkin's Lymphoma
A 38-year-old patient who is a woman with a 10-year history of Hodgkin's lymphoma presented with psoriatic arthritis. Although she is currently in remission, what is the appropriate therapy for her?
Medscape Rheumatology, April 2005
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Laparoscopic Pancreatectomy for Potentially Malignant Pancreatic Lesions
What is the current consensus regarding the use of laparoscopic pancreatectomy for potentially malignant pancreatic lesions? John Baillie, MD, explores the issues.
Medscape Gastroenterology, November 2004
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Possible Childhood Myelofibrosis
A 6-year-old boy with severe thrombocytopenia since age 20 months, mild anemia, and leukocytosis presents with increased dysplastic megakaryocytes and fibrosis without abnormal cancer cells.
Medscape Pediatrics, September 2004
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Adjuvant Therapy for a Second Breast Tumor?
A 60-year-old woman with stage IIB ILC underwent mastectomy and chemotherapy. Tamoxifen was stopped after 1 year because of hot flashes. She now has a 2.5cm IDC in the other breast. What would you do?
Medscape Hematology-Oncology, July 2004
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Follow-up Therapy for Stage III Colon Cancer After Significant Toxicity From Roswell Park Regimen?
What would you suggest for a 29-year-old woman who was treated for stage III colon cancer and ended up with significant toxicities?
Medscape Hematology-Oncology, July 2004
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Third-line Therapy for Colon Cancer and Multiple Unresectable Liver Metastases?
What would you recommend as third-line therapy for a 54-year-old woman with colon cancer and multiple unresectable liver metastases?
Medscape Hematology-Oncology, July 2004