Oncology

  • Sometimes the look is worth the walk
    Brian F. Mandell, MD
    Cleveland Clinic Journal of Medicine January 2022, 89 (1) 4-5; DOI: https://doi.org/10.3949/ccjm.89b.01022

    We do not routinely look at blood smears today. The need for expediency and efficiency limit the time spent on activities with a low yield for influencing care. And yet, for some conditions in some patients, going back to the basics can be clinically rewarding, and even memorable.

  • Cardiac considerations in liver transplantation
    Cardiac considerations in liver transplantation
    Vikram Sharma, MD, MD(Res), Cerise Kleb, MD, Chirag Sheth, MD, Beni Rai Verma, MD, Vardhmaan Jain, MD, Ruchi Sharma, MD, MS, Parth Parikh, MD, Jacek Cywinski, MD, K. V. Narayanan Menon, MD, FAASLD, Jamak Modaresi Esfeh, MD, Bijan Eghtesad, MD, Cristiano Quintini, MD, Teresa Diago Uso, MD, Michael Z. Y. Tong, MD, Ravi Nair, MD, Ajay Bhargava, MD and Maan Fares, MD
    Cleveland Clinic Journal of Medicine January 2022, 89 (1) 46-55; DOI: https://doi.org/10.3949/ccjm.89a.21006

    Today’s transplant patients are older and more likely to have cardiac comorbidities, and effects of advanced liver disease on the circulatory system pose challenges in perioperative management.

  • Megaloblastic anemia due to severe vitamin B12 deficiency
    Nellowe Candelario, MD and Catherine Klein, MD
    Cleveland Clinic Journal of Medicine January 2022, 89 (1) 8-9; DOI: https://doi.org/10.3949/ccjm.89a.21041

    The 75-year-old patient presenting with altered mental status and pancytopenia had a history of peptic ulcer disease and subtotal gastrectomy.

  • Gastrointestinal varicella-zoster virus infection
    Nobukazu Agatsuma, MD, Kaoru Tsujioka, MD, Yoshitaka Nishikawa, MD, PhD, Yasuki Nakatani, MD and Yukitaka Yamashita, MD, PhD
    Cleveland Clinic Journal of Medicine November 2021, 88 (11) 592-593; DOI: https://doi.org/10.3949/ccjm.88a.20151

    Esophagogastroduodenoscopy showed small, shallow ulcers and erosions surrounded by red haloes, spread diffusely throughout the stomach and duodenum.

  • Options for preserving fertility in women undergoing gonadotoxic treatment
    Laura Detti, MD
    Cleveland Clinic Journal of Medicine November 2021, 88 (11) 607-612; DOI: https://doi.org/10.3949/ccjm.88gr.21001

    For females undergoing cancer therapy, proactive treatments can help preserve the possibility of having children.

  • Risk-based guidelines: Redefining management of abnormal cervical cancer screening results
    Amy Wiser, MD, FAAFP, Jeffrey D. Quinlan, MD, FAAFP and Pelin Batur, MD, FACP, NCMP
    Cleveland Clinic Journal of Medicine October 2021, 88 (10) 556-560; DOI: https://doi.org/10.3949/ccjm.88a.20193

    A shift from results-based to risk-based management, based on the patient’s immediate and 5-year risks of grade 3 or higher cervical intraepithelial neoplasia.

  • An 86-year-old man with unexplained right-sided headache and vision loss
    Marc Ohlhausen, BS, Eden Bernstein, MD and Craig D. Nielsen, MD, FACP
    Cleveland Clinic Journal of Medicine September 2021, 88 (9) 494-501; DOI: https://doi.org/10.3949/ccjm.88a.20077

    Steroid treatment for suspected giant cell arteritis brought no improvement in vision or headache severity.

  • Pseudopathologic vertebral body enhancement
    Yi Pan, MD, Peixin Tan, MD, Songxi Xie, MD, Jiewen Chen, MMed and Yi-Long Wu, MD
    Cleveland Clinic Journal of Medicine August 2021, 88 (8) 424-425; DOI: https://doi.org/10.3949/ccjm.88a.20150

    Contrast-enhanced computed tomography revealed sclerotic enhancement of the T1 vertebral body and the vertebral bodies from C2 to T2.

  • Eruptive seborrheic keratosis: A perilous clue
    Akanksha Kaushik, MD, Soufila KT, MD, Manju Daroach, MD, Divya Aggarwal, MD, Pulkit Rastogi, MD, DM and Muthu Sendhil Kumaran, MD, DNB
    Cleveland Clinic Journal of Medicine August 2021, 88 (8) 428-430; DOI: https://doi.org/10.3949/ccjm.88a.20124

    An abrupt increase in seborrheic keratoses in patients with an underlying malignancy is called the Leser-Trélat sign.

  • Tuberous sclerosis complex
    Jesica Martín Carmona, MD, Elisabeth Gómez Moyano, MD, PhD, Ana Raquel de Castro Almeida, MD and Leandro Martínez Pilar, MD, PhD
    Cleveland Clinic Journal of Medicine July 2021, 88 (7) 367-368; DOI: https://doi.org/10.3949/ccjm.88a.20075

    A rare disorder caused by mutations of tumor-suppressor genes.

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