Background: Primary Metastatic penile cancer (PMPC) is a rare condition, accounts for less than 1 percent of all men cancers in the United States. This review aims to investigate the clinical characteristics, treatment, and outcomes of Advanced-stage PMPC. Methods: PubMed, Medline, Scopus, and ScienceDirect databases were reviewed for the published case reports on “primary penile [...]

Background: Although Hospice has been associated with improved symptom management, quality of life, lower costs and length of survival in terminally ill patients, it is underutilized. The primary outcome of this study was to examine the relationship between hospice enrollment status and hospital readmissions in elderly patients with solid tumors. Secondary outcomes were length of [...]

Case Presentation: A 78-year-old dialysis-dependent man with a history of end stage renal disease, hypertension and cerebrovascular accident was evaluated for diffuse abdominal pain and altered mental status for one day. The examination was pertinent for generalized weakness and altered sensorium. Laboratory tests revealed transaminitis and leukocytosis. Computed tomography (CT) of the abdomen and pelvis [...]

Case Presentation: A 63 year-old man with a history of tobacco abuse presented with progressive left-sided neck pain radiating down the left arm with associated weakness, neck swelling, low-grade fevers, and unintentional weight loss. Nine months prior to this presentation, the patient had a C3-5 anterior cervical decompression and fusion (ACDF) to address similar symptoms. [...]

Case Presentation: Immunotherapy is an emerging therapeutic option in the field of oncology. Dermatological toxicities are the most prevalent immune-related adverse events associated with immunotherapy. Herein, we report a case of a 60-year-old male who developed localized bullous pemphigoid after nearly a year of treatment with a PD-1 inhibitor, nivolumab, for metastatic renal cell carcinoma. [...]

Case Presentation: An 82-year-old, Samoan male with history of poorly controlled diabetes, hypertension, COPD, and pulmonary coccidioidomycosis on fluconazole therapy (400 mg/day) was referred to the hospital by his primary doctor for treatment of a left ankle ulcer and cellulitis that had not responded to ten days of outpatient amoxicillin-clavulanate therapy. He had no constitutional [...]

Case Presentation: 69 year old female with a history of untreated hepatitis B presented with leg pain, fatigue, and a 13-pound unintended weight loss over 5 months. She had no family history of cancer and had unremarkable age-appropriate cancer screenings. On exam, she had normal vitals, bilateral paraspinal and hip tenderness and positive straight leg [...]

Case Presentation: A 79-year-old male with metastatic prostate cancer status post multiple systemic agents presented with recurrent episodes of epistaxis with associated anemia and fatigue. The patient had a pertinent history of multifactorial CKD stage III. He was diagnosed with a left nasal polyp which required polypectomy. Despite removal of the polyp, the patient continued [...]

Case Presentation: Insulinoma is a rare tumor that originates in the beta cells of the pancreas with an incidence of 1-4 cases/million persons/year. Less than 10% of insulinomas are malignant and represent a treatment challenge despite the development of new therapeutic approaches in the last decade. A 28 year old female with no past medical [...]

Case Presentation: A 55-year-old female who is G2P2 with past medical history of diabetes mellitus and who experienced menopause at 50, presented to an outside outpatient care facility with a one-month history of intermittent abdominal pain. The patient was sent home with the assumption that it was a case of left sided diverticulitis and was [...]