Background: Triple negative breast cancer (TNBC) comprises of approximately 15% of the total breast cancers. There is limited data on treatment outcome of these patients in elderly population. We report our experience with elderly patients with TNBC treated at our tertiary care center. Methods: With IRB approval, the Cleveland Clinic’s database was used to identify [...]

Background: Approximately 15% of women in the United States aged 35-79 year are at high risk for developing breast cancer, however less than 0.2% of these women reported taking chemoprevention to reduce their risk. Objective of the study was to characterize the current utilization of chemoprevention agents among hospitalized women who are at higher risk [...]

Background: Imaging exams performed on hospitalized patients commonly reveal findings representing possible cancer and requiring follow-up. Our objective was to quantify how often indeterminate or suspicious masses are detected on inpatient abdominal and pelvic imaging exams by exam type and organ. Methods: Our health system uses a standardized coding scheme, similar to the Breast Imaging [...]

Background:  By 2026 the number of prostate cancer survivors is expected to reach 4.5 million. Although the mortality from prostate cancer has been steadily decreasing, cancer survivors usually have poor outcomes compared to their peers without cancer. The majority of the cancer survivors are over the age of 70 and have progressive medical comorbidities. Identifying [...]

Case Presentation: A 90-year-old man with a history of left upper lobe pulmonary nodule on prior imaging presented with dark tarry stools, fatigue and syncope. He had not had an EGD or colonoscopy done in about 10 yrs. Five months prior to this presentation, a 2.4 cm left upper lobe pulmonary nodule suspicious for neoplasm [...]

Case Presentation: An 84 year-old man with a history of diet-controlled diabetes, atrial fibrillation, and MGUS was admitted for back pain and 30 pounds of unintentional weightloss over 3 months.  His wife also reported that he had had a mild cognitive decline over this period.  On admission, he was noted to have new thrombocytopenia and [...]

Case Presentation:  A 67-year-old female with a history of hypothyroidism, type II diabetes and hypertension presented with acute on chronic diarrhea.  She reported a 9-month history of profuse watery stools, up to 15 times per day.  Outpatient workup including infectious stool studies, celiac panel, and allergy testing, had been unrevealing. Esophagogastroduodenoscopy and colonoscopy with biopsies [...]

Case Presentation: A 67 year old African American man with extensive stage small cell neuroendocrine lung cancer presented to the ED with one month of shortness of breath. On exam, he was in mild distress requiring 2L nasal cannula (NC). RR 23-37. CXR revealed a large right pleural effusion. A thoracentesis confirmed the effusion to [...]

Case Presentation: 64 year old male with history of stage 4 prostate cancer status post radiosurgery and hormonal therapy in remission for 6 months presented with 1 month of left upper quadrant and epigastric pain associated with nausea, anorexia and unintentional 15 lb weight loss within 8 months. His PSA level was significantly elevated at [...]