Oncology

  • Personalizing guideline-driven cancer screening
    Gautam Mankaney, MD and Carol A. Burke, MD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 228-230; DOI: https://doi.org/10.3949/ccjm.86a.19037

    Screening can lead to early diagnosis and prevent death from cancer, but the topic provokes controversy.

  • Cancer screening: A modest proposal for prevention
    Myung S. Kim, MD, Go Nishikawa, MD and Vinay Prasad, MD, MPH
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 157-160; DOI: https://doi.org/10.3949/ccjm.86a.18092

    Large-scale cancer screening programs have the unintended consequences of false-positive results and overdiagnosis.

  • Human papillomavirus in 2019: An update on cervical cancer prevention and screening guidelines
    Human papillomavirus in 2019: An update on cervical cancer prevention and screening guidelines
    Salina Zhang, BS and Pelin Batur, MD, NCMP, CCD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 173-178; DOI: https://doi.org/10.3949/ccjm.86a.18018

    Recommendations on counseling, vaccination, screening, and follow-up for abnormal screening results.

  • Assessing liver fibrosis without biopsy in patients with HCV or NAFLD
    Tavankit Singh, MD, Daniela S. Allende, MD and Arthur J. McCullough, MD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 179-186; DOI: https://doi.org/10.3949/ccjm.86a.17118

    Biopsy is still the gold standard, but methods based on clinical information and on imaging are emerging.

  • A paraneoplastic potassium and acid-base disturbance
    Samuel P. Wiles, MD, Matthew Kiczek, DO and Gregory W. Rutecki, MD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 187-197; DOI: https://doi.org/10.3949/ccjm.86a.18014

    A 55-year-old smoker with COPD presents with malaise, paresthesias, and severe hypertension. What is the cause?

  • Breast augmentation surgery: Clinical considerations
    Breast augmentation surgery: Clinical considerations
    Demetrius M. Coombs, MD, Ritwik Grover, MD, Alexandre Prassinos, MD and Raffi Gurunluoglu, MD, PhD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 111-122; DOI: https://doi.org/10.3949/ccjm.86a.18017

    The evolution of breast implants, their complications, and key considerations with regard to aesthetic breast surgery.

  • Aleukemic leukemia cutis
    Tuyet Nguyen Abraham, MD, MSC, Peter Morawiecki, MD, Amy Flischel, MD and Bharata Agrawal, MD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 85-86; DOI: https://doi.org/10.3949/ccjm.86a.18057

    An 85-year-old man presented with rapidly progressive nodules on the scalp, neck, trunk, and extremities.

  • Managing malignant pleural effusion
    Ali Saeed Wahla, MBBS, Mateen Uzbeck, MBBS, Yaser Abu El Sameed, MBBS and Zaid Zoumot, MBBS, MRCP, MSC, PHD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 95-99; DOI: https://doi.org/10.3949/ccjm.86a.17095

    Depending on the circumstances, options are observation, thoracentesis, an indwelling catheter, and chemical pleurodesis.

  • Monoclonal gammopathy of undetermined significance: A primary care guide
    Monoclonal gammopathy of undetermined significance: A primary care guide
    Jack Khouri, MD, Christy Samaras, DO, Jason Valent, MD, Alex Mejia Garcia, MD, Beth Faiman, PhD, CNP, Saveta Mathur, CNP, Kim Hamilton, CNP, Megan Nakashima, MD and Matt Kalaycio, MD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 39-46; DOI: https://doi.org/10.3949/ccjm.86a.17133

    Low-risk MGUS may not require subspecialty referral and can be followed by the outpatient provider.

  • MGUS: It’s about the protein, not just the marrow
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 4-5; DOI: https://doi.org/10.3949/ccjm.86b.01019

    What is a cause of a high erythrocyte sedimentation rate with a normal C-reactive protein and a low anion gap?

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