Andrew Young

There are a number of symptoms that predict mouth cancer. This type of cancer is often related to a history of smoking, tobacco, chewing, and drinking, but it does not need to have one of these habits to cause it. So here are some of the symptoms: Pain during the first phase of swallowing, a sore tongue, any kind of mass in the tongue, lining of the cheeks , hard palate, area of gum behind the last molar, floor of mouse, or the tissue lining the inside of the mouth near where the lips are. Soreness in any one of these areas with an ulcer or hole is also a possible sign of mouth cancer. Having a history of a white coating in the mouth, known as a leukoplakia can also be present before mouth cancer develops If you have any of these symptoms or signs, please seek the attention of your primary care physician, and if something is indeed present, a referral to an a ENT or otolaryngologist will likely be needed. Andrew J. Young, M.D.

I would suggest that you have the lesion looked at by a dermatologist. The increase in size is a concern. Other things we look for are the borders, shape, color, differences, and any changes in the soft tissue around what you have mentioned. In short, I would suggest you Arrange a referral to a dermatologist for a more thorough evaluation

CT scans can be very helpful in identifying cancer if one is suspected in a given part of the body. With the exception of people who have a history of a given cancer or have a long smoking history we typically don’t use CT scans to randomly check areas when we are looking for cancers, what I am trying to say, is if a cancer is suspected in a part of the body, then a CT can be a helpful tool. And patience with a long smoking history. They are sometimes referred for a low-dose CT scan without contrast to look for small potential lung tumors. In patients with a known cancer history, cities can be used for both staging and or follow up surveillance .

The answer to your question is specific to the type of treatment you are receiving for prostate cancer. Apologies for the late response as I only recently began receiving emails with patient questions. If you are being treated with external beam radio therapy, then usually there is no need for anesthesia. If you are undergoing a prostatectomy, whether robotic or otherwise than anesthesia is used local anesthesia is used for high or low dose rate brachytherapy, which is radiation treatment delivered through either implanted seeds that are temporarily radioactive or needles that are placed through which a high dose rate radiation source can be positioned within the prostate in the various locations. In Brachytherapy anesthesia is used.

Dear Sir, The reading of 1.7 ng/mL itself is relative to what your pre-treatment PSA was. In most cases, Lupron brings the PSA value down somewhat quickly however, in some cancers, both Lupron as well as radiation can take more time than three months to bring the PSA down to a lower value. If your pre-treatment, PSA was high i.e. 8 or 10 or even greater, then the value of 1.7 at this time relative to your treatment would not necessarily be considered high. I would like to answer your question in more detail however, more information is needed for me to comment on whether this value in and of itself is meaningful. The first PSA sample approximately 12 weeks after treatment is usually not the lowest value that we see. It should, however point in a direction where it shows a downward trend of some significance. Some cancers take a little longer than others to show response, particularly to radiation. Slower moving cells (in terms of their cell cycle time) do you show more protracted downward trend. Faster, moving cells, i.e. those with higher Gleason scores or other signs of being more aggressive, well have PSAs that tends to reflect a greater downward slope. These points are general and meant to show you that more information is needed to concisely answer your question. 1.) what was your initial PSA prior to treatment along with PSAs obtained prior to the first biopsy, 2.) what was your Gleason score at the time of biopsy? 3.) finally what was your T stage ? This information is part of what I typically use to provide my patients a with a sound understanding of their condition. I hope that this was helpful. Thank you, Dr. Young.