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What is "dead" cancer, how is it different than normal neoplasm?

on an MRI image, neoplasm is still detected but it could be "dead" cancer versus regular neoplasm, what is the allotted amount of time to wait? how often should one be screened to know if there are changes? The type of neoplasm is chondrosarcoma on the bone not of the bone behind the ear.
asked Aug 23, 2009 at 09:37PM in Oncology/Cancer
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    answered Aug 31, 2009 at 04:05AM
    dear mrs Parisher, '
    "dead cancer"is not a very normal term in medicine. Most likely it refers to visible remants of a tumour that seem to be without living tumorcells; one might think of fibrotic femains. The problem with medical diagnostic accuracy is that it is impossible to proof the absence of living cancer cells. I presume yo have been treated by an oncologist with experience in chondrosarcomas. He, and his radiologist, probably can male statements like: 'with such an image, it is our experience that such and such percentage of patients remains disease free. Als, thay are the ones to advise you about follow up schedules. Not infrequently, they will adhere to nationally or internationally established guidelines.

    To my knowledge, with chondrosarcoma there is no possibility to follup tumor markers; as one often can do with breast-, colon- or ovarian tumours. There are some markers for diagnostic purposes in chonrosarcoma, but that is a different matter.

    Though unusual and not currently embodied in the texts and framework of medicine, there have been some reports about patients having dreams at night, that turned out to accurately reflect their physical condition. Dreams may, also, reflect coping processes, fears etc., but they may be indicative of a physical problem. Sometimes they suggest activities that are relevant to the problem. So, in my view, I would watch this sort of images and information as well.

    Sincerely,
    Johannes N. Schilder, MD, PhD
    Psychodramatherapist NVGP
    www.thedutchdoctor.nl
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    answered Mar 03, 2010 at 12:48PM
    Ms Parisher,
    I agree with Dr Schilder. "Dead cancer" is not recognized medical nomenclature. Cancer cells are living cells. They are growing randomly and without checks and balances from the body's natural defense mechanism, but they still need nutrients and a blood supply. If a tumor's blood supply is eliminated, then the tumor dies. It may remain in the body as necrotic (dead) tissue, but it has ceased to grow and is no longer vital tissue
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