The Fellow on Call: The Heme/Onc Podcast cover image

The Fellow on Call: The Heme/Onc Podcast

New Fellow Bootcamp Series: Metastatic Cancer of “Origin TBD”

Jun 26, 2024
Dive into the intricacies of metastatic cancer with unknown origins, featuring personal insights and the importance of precise biopsy options. Enjoy a case study journey that showcases collaborative oncology consults. Learn about the necessity of advanced imaging techniques, including PET and CT scans, to improve diagnosis. Understand the emotional challenges faced by patients in the interim of diagnosis to treatment planning, highlighting the need for comprehensive care and accurate information in oncology.
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Quick takeaways

  • Identifying the source and stage of metastatic cancer is crucial for tailoring effective patient care and treatment planning.
  • Biopsying easily accessible sites, such as axillary lymph nodes, helps gather vital information regarding cancer spread and informs therapy choices.

Deep dives

Understanding Metastatic Cancer of Origin

Metastatic cancer can be categorized as cancer of origin to be determined (TBD), which differs from carcinoma of unknown primary. This episode emphasizes the necessity of identifying the source of the cancer and determining its stage to tailor appropriate patient care. A specific example highlighted involves a patient with a significant history of tobacco use who presented with a lung mass and subsequent symptoms. The practitioners note the importance of gathering comprehensive clinical data through consultations and biopsies to adequately address such cases.

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