FAQ - Kidney Papillary Necrosis
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To a Nephrologist: What is the prognosis of a young and healthy person with papillary necrosis?


How does this happen to a "healthy" person who doesn't abuse any drugs, doesn't have sickle cell anemia, hypertension, diabetes etc. It seems to have been caught in the early stages, can you shed any light on the prognosis, in your opinion. Thank you.
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Call this number : (770) 991-2510...Southern Crescent Nephrology (in Atlanta, GA). Ask whoever answers the phone to have the nurse or possibly the doctor to return your call because you have questions about Papillary Necrosis. They should be able to help you. They're a very good group of Nephrologists. My Great Aunt was a patient there. Good Luck.  (+ info)

What is a differance between kidney nephrosis & kidney necrosis?


Type the following into the Search Box at the top of the page:

define nephrosis
define necrosis

and you'll see:

American Heritage® Dictionary: Definition of nephrosis
NOUN: A disease of the kidneys marked by degenerative lesions, especially of the winding uriniferous tubules. OTHER FORMS: nephrotic (-frtk) , pl. nephroses (-sz).



American Heritage® Dictionary: Definition of necrosis
NOUN: Death of cells or tissues through injury or disease, especially in a localized area of the body. OTHER FORMS: necrotic (-krtk) , pl. necroses (-sz).  (+ info)

Prognosis GI Bleed, tracheostomy, Kidney Failure, Sepsis, Necrosis 52 year old man smoker?


Thank you for your answer Lisa C. He is S/P GI Bleed Ulcer surgery but had hg of 4, needed blood transfusion w/ cx ARF receiving dialysisno, low blood pressure needed Levoped hence necrotic toes, Jtube inserted a week ago for nutrition,liver mass present, pelvic fluids building as we speak a catheter to drain pelvic fluid placed this am; no brain damage, heart still strong Central line R neck, jugular vein portal hole, non healing surgical wound, on pain meds/ on/off on levoped; no spleen
a great friend and a great father.
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Wow, this is quite a list of health problems. I'm sorry for whomever is suffering from all these conditions. Bleeding in the gastrointestinal tract is dangerous and often treated with medications and blood transfusions. Sepsis requires antibiotics, and I don't know what area is necrotic, but that's dead tissue. Kidney failure can be treated with dialysis, but not indefinitely. 52 is very young in terms of years, but smoking can age people a lot. I'm guessing cancer due to smoking lead to the tracheostomy? Chances are Nobody can give you the exact life expectancy, but these health issues are all quite serious. Good luck to you and this very ill gentleman.  (+ info)

How common is Giant Papillary Conjunctivitis in patients who have never worn contacts?


I was diagnosed with Giant Papillary Conjunctivitis a week and a half ago. Symptoms began a couple weeks before that. I have never ever worn contact lenses. I'm just wondering how common this is among non-contact-wearers?
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A similar condition can be seen in severe atopic conjunctivitis.
GPC is a reaction to protein deposits on foreign objects on the eye. Besides soft lenses, rigid lenses and hard lenses one can see it from prosthetic eyes ("glass eyes"-really plastic) and foreign bodies such as sutures following eye surgery.
Another possibility is you were misdiagnosed when in fact you might have an infectious conjunctivitis with a lot of lid conjunctival reaction.  (+ info)

what are the next steps in papillary thyroid cancer reoccurance?


i had papillary thyroid cancer 2 years ago. it was removed with a total thyroidectomy. i had radioactive iodine treatment after surgery and i've been tested here and there since. i just had a routine ultrasound where they found a suspicious lymph node. i'm scheduled for a FNA (fine needle) my question is, if the results come back positive for a reoccurance, what will ne my next step? more surgery? more RAI? chemo?
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When I had a recurrence in my lymph nodes I did a low dose RAI followed by a body scan to see where it traveled to and since it was only in 4 of my lymph nodes they removed 11 and then I went off my meds for awhile did another small dose body scan followed by a high dose RAI and body scan but im sure every doctor does things different but that was my experience with it and now I am cancer free again.
I dont think chemo is the treatment of choice because the iodine is move effective on the thyroid and its safer i believe  (+ info)

Why would a thyroid tumor have both papillary and follicular cells?


My friend was just dx'd w/ thyroid cancer. She had surgery to remove the 1.2 centimeter tumor in the middle of her thyroid. 3 of the 6 lymph nodes that were taken were found to also have cancer. Why would her tumor be both papillary AND follicular? What does that mean for her?
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Thyroid cancer is not rare. It's the easiest to cure. I am surprised they did not take all the thyroid. All this means is the thyroid cancer went into the nodes. I had thyroid cancer the same kind with lymph nodes also cancer seeded with thyroid. I was given after surgery, radio-active iodine in large doses to get rid of all thyroid cancer several times. And yes you are radio-active to others. You stay away from children, women who are prego. It's not as bad as you think I am still here and trust my doctor to do his best for me. I sure will be praying for your friend. Now smile people do care.  (+ info)

Which is the place to get treatment for papillary thyroid cancer in India?


Hello,

I am male, 30 years old. Which is the place to get treatment for papillary thyroid cancer in India and How much it cost?

Kindly Reply,
Cancer Fighter.
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I don't have an answer, but I do have a site with more info and maybe they can help. www.thyca.org (thyroid cancer survivors for america)  (+ info)

Can anyone please share their experience or advice regarding papillary carcinoma?


My mother, aged 69, had a 2 centimeter invasive papillary carcinoma removed in a lumpectomy recently. Thankfully, there was no evidence of any of the lymph nodes involved.

Of course, we are very concerned, and would like to know what are the experiences of those who have been diagnosed with papillary carcinoma. What treatments did you undergo? For how long? What were the side effects/possible contraindications and outcome of your treatments? How did you choose your oncologist?

Any advice or details you could give us would be sincerely appreciated.
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I don’t know how many responses you are going to get, as papillary carcinoma of the breast is fairly rare and the information you provide is a little vague. Breast cancer treatment depends on the stage of the disease, the grade and if the hormone receptors are negative or positive none of which you mention. From what you stated your mom is a stage I, right at the edge of a stage IIA.

She is very luck that it was caught this early as they grow more rapidly than others and when found the tumors are often larger than your mother’s. The lymph nodes are usually negative, but hopefully a sentinel node biopsy was done to be sure. This type of cancer tends to happen most often in black women. For some reason we do not yet understand cancer in general is more aggressive in black patients, so if your mother is black I would have this treated as aggressively as possible to be on the safe side.

I firmly believe when faced with a significant medical decision you should get at least 2 opinions. If your mom lives in a less populated area she may want to get an opinion from the closest teaching facility as they tend to be involved in the most unusual cases and the cutting edge treatment. It may be too far to travel for treatment, but they can create a treatment plan that can be followed locally. Hope this helps. Best wishes to you both.




  (+ info)

is thyroidectomy the ONLY way to determine if a papillary lesion / follicular neoplasm is benign or malignant?


My wife recently underwent FNAB for the thyroid gland and the findings were:
1. PAPILLARY LESION
2. FOLLICULAR NEOPLASM.
Suggest thyroidectomy for a definitive diagnosis.
Microscopic Description:
Smears disclose a fairly cellular aspirate composed of cohesive clusters of follicular cells, in attempt to form acini and short papillary fronds. The cells show vesicular nuclei, with focal areas of pleomorphism. The background is hemorrhagic containing thin colloid materials and few mixed leukocytes.

I really would like to know if the it is benign or malignant but is there any other way besides invasive surgery? Thanks a lot in advance for all the answers and help.
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If FNAB demonstrate follicular neoplasm , we must perform thyroid lobectomy for determining if it's malignant or not , and regarding to this , we will design the further definite and main operation .

There is no way other than this yet .

In some situations , we can perform total thyroidectomy as a plan to determine the permanent pathology at first ( there is several indications : old patients , mass more than 4 cm , ... ) .

But about Papillary neoplasm it's somewhat different : we can plan for a definite operation , also with a FNAB .  (+ info)

How does skin necrosis from a spider bite takes place? Will it happen from the inside of the skin out?


About 4 or five days ago I noticed a large red pimple on my right thigh that frlt hot to the touch and it has been growing since. Have a little fever that always starts late in the afternoon through midnight. 2 days ago I went to the hosp but they didn't think much of it and prescribed a wide-spectrum antibiotic and Ibuprofen. Today, early evening, I has REALLY grown, very hot to the touch, still feverish, headache, rash on both legs and area closest to the center dot of inflammation is starting to turn very dark red specially under the skin. So, is this how skin necrosis starts, from the inside out? Answer appreciated.
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Necrosis is a depression rather than a bulge, it's an ulceration of underlying tissue, bites from a brown recluse are a common cause of necrosis. if it doesn't sink in and turn black i don't believe it can be called necrosis.Everthing else you mention is characteristic of a reluse bit except the pimple.  (+ info)

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Last update: September 2014
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