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Old 03-04-2013
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Question Post chemo/radiation therapy for Hodgkins

A 30 year old woman presents to your office for a routine physical examination. She feels well and denies any symptoms. Her past medical history is significant for mediastinal Hodgkin’s lymphoma diagnosed at the age of 18 years. She was treated with chemotherapy and involved field radiation therapy at that time. She has a history of hypothyroidism that was diagnosed 8 years ago and has been on levothyroxine therapy. A Thyroid Stimulating Hormone level 2 months ago was within normal limits. Physical examination reveals normal vitals. There is no palpable goiter. Rest of the physical exam is unremarkable. Routine laboratory investigations and chest x-ray are normal. Which of the following is the most appropriate recommendation for this patient at this time?

A) PET/ CT scan
B) CT scan of Chest, Abdomen and Pelvis
C) Mammogram
D) Cardiac catheterization
E) Anti-microsomal antibodies
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Old 03-04-2013
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mammogram
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Old 03-05-2013
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Default A) PET/ CT scan

A) PET/ CT scan
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Old 03-05-2013
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Quote:
Originally Posted by stfidel View Post
A 30 year old woman presents to your office for a routine physical examination. She feels well and denies any symptoms. Her past medical history is significant for mediastinal Hodgkin’s lymphoma diagnosed at the age of 18 years. She was treated with chemotherapy and involved field radiation therapy at that time. She has a history of hypothyroidism that was diagnosed 8 years ago and has been on levothyroxine therapy. A Thyroid Stimulating Hormone level 2 months ago was within normal limits. Physical examination reveals normal vitals. There is no palpable goiter. Rest of the physical exam is unremarkable. Routine laboratory investigations and chest x-ray are normal. Which of the following is the most appropriate recommendation for this patient at this time?

A) PET/ CT scan
B) CT scan of Chest, Abdomen and Pelvis
C) Mammogram
D) Cardiac catheterization
E) Anti-microsomal antibodies
Nice question- waiting for answer
best guess
C) Mammogram
or
B) CT scan of Chest, Abdomen and Pelvis
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Old 03-05-2013
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C Should be done 5 to 8 years after irradiation therapy.
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Old 03-05-2013
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C) Mammogram

D is close but she doesn't have any symptoms.
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Default Radiation therapy

Radiation therapy uses high energy beam to destroy cancer cells from the body. It uses high range particles to destroy or damage the cancer cells. It can be given alone or can be combined with surgery or chemotherapy also. There are many cancers, which can be cured through radiation therapy. Among those, one is breast cancer radiation Suffolk, which will help to cure cancer at its best.
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