- Breast Lesions and Carcinomas
- Breast Cancer Treatment Studies
- Anesthesia and Sedative Agents
- Cancer Genomics and Diagnostics
- MRI in cancer diagnosis
- Patient-Provider Communication in Healthcare
- Esophageal and GI Pathology
- Cancer Cells and Metastasis
- Cancer-related Molecular Pathways
- Colorectal Cancer Screening and Detection
- Global Cancer Incidence and Screening
- Esophageal Cancer Research and Treatment
- Lung Cancer Research Studies
- Neuroendocrine Tumor Research Advances
- Advanced Radiotherapy Techniques
- Molecular Biology Techniques and Applications
- Management of metastatic bone disease
- Soft tissue tumor case studies
- AI in cancer detection
- Congenital Diaphragmatic Hernia Studies
- Intestinal and Peritoneal Adhesions
- Economic and Financial Impacts of Cancer
- Cancer Diagnosis and Treatment
- Polyomavirus and related diseases
- Nausea and vomiting management
University of Southern California
2014-2024
John H. Stroger, Jr. Hospital of Cook County
2023-2024
Cook County Health and Hospitals System
2021
LAC+USC Medical Center
2020
USC Norris Comprehensive Cancer Center
2014-2018
Los Angeles County Department of Health Services
2018
Southern California University for Professional Studies
2015
The introduction of new sedative agents as well a desire for improved patient satisfaction and greater efficiency has changed the practice endoscopic sedation. This survey was designed to provide national regional data on sedation monitoring practices within United States.A 22-item regarding current endoscopy mailed 5,000 American College Gastroenterology physician members nationwide.A total 1,353 questionnaires (27.1%) were returned. Respondents performed an average 12.3...
Background Patient selection for liver transplantation metastatic neuroendocrine tumors remains a topic of debate. There is no established MELD exception, making it difficult to obtain donor organs. Methods A multicenter database was created assessing outcomes and multivisceral identifying prognostic factors survival. Demographic, transplant, primary tumor site management, pathology, recurrent disease survival data were collected analyzed. Survival probabilities calculated using the...
Abstract Breast cancer is the most diagnosed in women worldwide. The predominant cause of breast mortality metastatic disease with bone, lung, liver and brain being common sites metastasis. After melanoma, to have cutaneous this presentation represents half all metastases. We are presenting a case 70-year-old female distant recurrence left thigh. A presented clinic palpable mass noted July 2022. Her medical history was notable for right sided upper lobe stage IIIB squamous cell lung 2013...
Abstract Background The use of preoperative magnetic resonance imaging (MRI) for newly diagnosed breast cancer remains controversial. We examined factors associated with detection occult multicentric, multifocal, and contralateral malignant lesions only seen by MRI. Methods performed a retrospective analysis consecutive patients undergoing MRI cancer. Clinicopathologic data were assessed regarding the findings multifocality, multicentricity, presence lesions. analyzed association these on...
Abstract Introduction: Neoadjuvant chemotherapy (NAC) can be given with the intent of downstaging breast cancer or to provide prognostic information prior any surgical intervention in both node negative (N0) and positive patients (pts). Residual nodal disease following neoadjuvant generally indicates poorer overall prognosis relative those who are negative. Several risk factors have been postulated predict presence occult lymph metastasis: age at diagnosis, tumor size, status estrogen...
Abstract Gastric surgery may result in internal herniation of bowel, weeks to years after the initial and can rapid onset death if not promptly treated. We present a case which patient with this complication underwent despite his clear refusal surgery. The had remote history gastrectomy for malignancy. Several later, he presented feared an local hospital. surgeon recommended urgent operation correct this. However, refused. When became comatose, performed surgery, but patient’s condition...
Background. Evidence on the management of inflammatory breast cancer (IBC) is limited. This study investigated factors influencing IBC treatment outcomes such as event-free survival (EFS) and overall (OS). Materials Methods: Data were collected from 173 patients with stage III non-IBC 17 diagnosed at Keck Medical Center Los Angeles County University Southern California (LAC+USC) Center. Cox proportional hazard regression evaluated associations between variables significant for EFS OS....
6520 Background: Increased patient engagement in decision making may mitigate disparities breast cancer surgical care. Socioeconomically disadvantaged patients disproportionately experience barriers to engagement. Decision aids (DA) increase by providing information, establishing role expectations during the consult, and increasing confidence surgeon interactions. The objective was test effectiveness of a web-based DA among clinics that care for high proportion socioeconomically patients....
314 Background: In a recent trial, we observed no statistically significant increase in engagement after web-based decision aid (DA) was delivered to breast cancer patients prior surgical consult. However, minority of the intervention group (44%) reviewed DA. The objective is assess effect DA on for cohort who it. Methods: A stepped wedge trial conducted with 10 NCI Community Oncology Research Program clinics that care high proportion socioeconomically disadvantaged (6/2019-12/2021). Clinics...
Purpose: Compared to the combination of a narcotic and benzodiazepine, use propofol for endoscopic sedation is associated with faster induction, reduced procedural awareness, shortened recovery. In order assess potential impact on patient satisfaction, we surveyed patients about their expectations attitudes toward colonoscopy. Methods: Five hundred consecutive undergoing routine colonoscopy were prospectively requested anonymously complete questionnaire. Patient demographics as well...
Purpose: Recent evidence indicates that normalization of esophageal acid exposure in Barrett's esophagus (BE) may reduce the risk neoplasia. The aims this study were (1) assess adequacy PPI therapy on patients with BE, and (2) evaluate safety patient tolerance wireless pH-metry performed conjunction surveillance endoscopy biopsy. Methods: We enrolled 30 BE presenting for endoscopy. Subjects maintained their usual dose PPI. EGD biopsies completed according to protocol. A pH capsule (Bravo...
Abstract Background: The Affordable Care Act (ACA) was signed into law March 31, 2010 and effective from January 1, 2014. Among several key provisions it allowed for expanded access to insurance coverage as well emphasis upon prevention wellness. We wanted examine the impact of ACA on stage at presentation other demographics breast cancer patients (pts) diagnosed and/or treated a large urban public hospital. Methods: assessed tumor registry data large, safety-net hospital pre-ACA 2012-2014...