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: The number of elderly stage IV cancer patients is increasing every year. Various factors need to be considered for systemic cancer treatment in older patients. This study was conducted to examine the difference in clinical features and overall survival between the group that received the best supportive care and the group that received active [...]

Background: Despite advances in pharmacologic care for side effects of Hematopoietic stem cell transplant, patients often suffer from long hospitalizations, multiple side effects including fatigue, insomnia, nausea, anxiety, and poor sleep. Non-pharmacologic treatments for side effects of therapy are attractive adjuncts due to a low side effect profile. Purpose: To develop, implement and evaluate a [...]

Background: Many cancer centers use the hospitalist model in the inpatient setting (1) since hospitalists provide high quality, cost efficient care (2). Our 678-bed quaternary hospital uses oncology hospitalist teams to care for all inpatients with solid tumor malignancies with medical oncology and palliative care consulting as needed. Internal medicine residents and advanced practice fellows [...]

Case Presentation: The patient is a 52-year-old male with a history of HIV (on antiretroviral therapy), ulcerative colitis, untreated hepatitis C who presented to the hospital after several weeks of difficulty passing stools, tenesmus, and rectal pain. This was originally attributed to hemorrhoids several weeks prior to presentation, but after symptoms progressed, the patient presented [...]

Case Presentation: A 68-year-old Caucasian male with a history of stage IV follicular lymphoma treated with rituximab and bendamustine presented with generalized malaise, weakness, and acute encephalopathy of two weeks.He was hypotensive and his exam showed dry mucous membranes and poor skin turgor. Laboratory examination was remarkable for: creatinine 7.6 mg/dL, AST and ALT 691 [...]

Case Presentation: A 28-year-old man with a history of non-seminomatous testicular cancer presents after four cycles of chemotherapy that included bleomycin with three weeks of dyspnea and pleuritic chest pain, worse for the previous week. He reports his chest pain began after his third cycle of chemotherapy. With each cycle of chemotherapy, he experiences several [...]

Case Presentation: 63-year-old woman with 80-pack year smoking history presented with right flank pain for two days and weight loss of 35lbs in 6 months. Chest X-ray as a part of the workup was found to have a mass like opacity in left lung. Subsequent CT scan of chest and abdomen/pelvis showed a left upper [...]

Case Presentation: Patient is a 48-year-old man who presented with dysphagia, weight loss and diffuse skin rash. He reported a large, non-tender lesion on his nose, and similar-appearing lesions on his thorax, extremities, face and mouth. The patient was diagnosed with HIV three years prior to presentation, but had never been treated with antiretroviral therapy [...]

Case Presentation: We present a 69-year-old man with past medical history of well-controlled type 2 diabetes and multiple myeloma status-post chemotherapy (daratumumab, lenalidomide, bortezomib, melphalan) and subsequent bone marrow transplant (BMT) who presented with subacute progressive bilateral numbness and weakness in his upper and lower extremities and was found to have acute inflammatory demyelinating polyneuropathy.His [...]