AllExperts > Oncology (General Cancer) 
Search      
Oncology (General Cancer)
Volunteer
Answers to thousands of questions
 Home · More Oncology (General Cancer) Questions · Question Library  · Free Encyclopedia ·
More Oncology (General Cancer) Answers
Question Library

Ask a question about Oncology (General Cancer)
Volunteer
Experts of the Month
Expert Login

Awards

About Us
Tell friends
Link to Us
Disclaimer

 
 
 
About Juliet Seigle, MD
(Top Expert on this page)

Expertise
I am a fully trained radiation oncologist and can answer many questions about cancer and its treatment. I can't answer questions about specific chemotherapy agents. I have also worked in general medicine and emergency medicine, so I can give advice about these areas as well. I would like to do this based on my very positive experience with one of your experts (real estate).

Experience
I currently am working as a radiation oncologist in the DC metropolitan area. I have done research and given talks on neurooncology (tumors of the nervous system) at national meetings. I have been trained in use of a new technology, the CyberKnife. I was emergency physician at a busy communicty hospital (Calvert Memorial Hospital) in Maryland for 3 years (1989-1991).

Organizations
ASTRO (American Society of Therapeutic Radiation Oncology)

Education/Credentials
Georgetown University Hospital: fellowship radiation oncology 2005-2007 Georgetown University Hospital: residency radiation oncology 1991-1994 Georgetown University Hospital: residency neurosurgery 1984-88

Awards and Honors
Award for best abstract - CyberKnife Users meeting 2005 (topic: chordoma) ASTRO research award $30,000, 1993

   

You are here:  Experts > Health/Fitness > Medical Specialists > Oncology (General Cancer)

Questions Answered By Expert  Juliet Seigle, MD 
In Category  Oncology (General Cancer)

SubjectDate Asked

Slow growing lymphoma?1/3/2009
  Q: I'm a 23 year old male. I have several lymph nodes that I got looked at not too long ago (about a ...
  A: It appears to me that, based on your description, that your lymph nodes are behaving like normal ...
Mouth lesion11/21/2008
  Q: I mentioned a small sore on my upper right palate, near my teeth (not visible to me) to my dentist ...
  A: Maribeth, A low grade mucoepidermoid tumor which is completely removed surgically, with adequate ...
painful swollen lymphnode under arm11/12/2008
  Q: On Monday I went to the Dr. for a sinus infection. While I was there I asked my Dr. about some ...
  A: Darlene, It is normal to feel small, oval, moveable lymph nodes in the armpits. As your doctor ...
Stomach Cancer, stage 411/11/2008
  Q: What is stage 4?
  A: Danie, Stage IV stomach cancer, in its broadest sense, means that the cancer is very extensive. ...
Cancer Survivor 11 Years11/5/2008
  Q: I was diagnosed with Breast Cancer 11 1/2 years ago. I have been cancer free since my treatment of ...
  A: Shirline, I am sorry you are having these difficulties. I suggest a chest CT as a starting point. ...
swollen lymph node11/4/2008
  Q: My guy friend was diagnosed with a melanoma on his right leg last year - it required extensive ...
  A: Andrea, An enlarged inguinal node that appears as you have described is very worrisome and may be ...
Is this fast growing?11/3/2008
  Q: Dad: 82-yr-old (quit smoking 30 years ago) (refuses biopsy and treatments-adamant about this) His ...
  A: Sharon, I don't think the incident was related to the situation I was describing, which does not go ...
Is this fast growing?10/31/2008
  Q: Dad: 82-yr-old (quit smoking 30 years ago) (refuses biopsy and treatments-adamant about this) His ...
  A: I gather that what you are getting at is: will he develop symptoms/problems from this tumor if he ...
Lump On Neck10/30/2008
  Q: Recently I have had a series of nuclear medical tests including a white cell scan. bone scan, and ...
  A: Leslie, The information you have provided is not sufficient for me to be very specific, but many ...
Denial of cancer surgery due to Diabetes10/27/2008
  Q: My father was diagnosed with Esophageal cancer last week. After initial discovery during a yearly ...
  A: Tim, If the surgeon is an experienced cancer surgeon, I would accept his/her recommendation against ...
hypermetabolic activity in left ankle10/24/2008
  Q: in the last 12 months I have been diagnosed and treated for breast cancer, melanoma and papillary ...
  A: Mary, This is a complex question, as you have had three cancers. If you have had an early (stage ...
meningioma in cavernous sinus10/23/2008
  Q: I saw an earlier post about this subject and would like to know more about it. My son was suspected ...
  A: David, Even if the blood tests are normal, this can still be coming from the pituitary gland. Not ...
meningioma in cavernous sinus10/22/2008
  Q: I saw an earlier post about this subject and would like to know more about it. My son was suspected ...
  A: David, How old is your son? Many meningiomas can be reasonably accurately diagnosed based on ...
lung nodule10/21/2008
  Q: Recently my GP had me do a ct scan for pain in my abdomen.The found a 3.5mm spot on my lung.My ...
  A: Very small spots (3.5 mm) in the lungs are quite common. They usually are NOT cancer-related. But, ...
Odd bumps10/19/2008
  Q: I'm a 20 year old male. I've noticed two odd bumps on my body lately. One is on my chest, and one ...
  A: Patrick, What you are describing does NOT sound like cancer. Many things come and go - if these ...
Question about lung cancer - is it?10/17/2008
  Q: My father is a 46 year old male, smoked for a total of 20 years (moderate smoker not heavy) and quit ...
  A: Jay, Your father should have a chest CT. This is better at picking up any problem which could be ...
bowel and lung cancer10/9/2008
  Q: the operation was a success, however 2 weeks later she had to undergo a bowel operation and was told ...
  A: Sheikela, In medicine and health (as in life in general), there are no guarantees - though it is ...
left apical nodule10/9/2008
  Q: I just had a chest xray done in the Er and got a call from my DR and she said the report said:The ...
  A: Sara, Repeating the xray and/or clarification with a CT scan of the lungs/chest will shed a lot of ...
Testicular cancer / possible lung cancer10/8/2008
  Q: Seigle, Thanks for allowing me to ask you a couple of questions. My 74 year old father was ...
  A: BeverlyAnn, When there are multiple suspicious lung nodules, it is very possible that the cancer ...
Father Diagnosed w/non-small cell lung cancer10/7/2008
  Q: My father was diagnosed on August 25 w/ non-small cell lung cancer stage IIIB,IV. He was in the ...
  A: Kristina, Everything you have described sounds very much in keeping with standard, good care. Yes, ...
Accuracy of ultrasound diagnosis of bladder cancer10/6/2008
  Q: My mother-in-law was just diagnosed with bladder cancer after seeing a doctor about blood in her ...
  A: Russell, A biopsy is necessary for a cancer diagnosis. In general, it is quite simple to biopsy a ...
dads report10/3/2008
  Q: As a radiation oncologist I am sure you see many MRI reports. I understand fully about ring ...
  A: I do see many MRI scans and reports. You are giving me exerpts without a context - these phrases ...
breast cancer and lymph nodes10/2/2008
  Q: ..I'll try and keep this short and to the point. Yesterday my wife..age 52...had a lump removed from ...
  A: David, Lymph nodes can be enlarged for a variety of reasons, the usual one being infection; ...
Pain and Mass in Neck Post-Thyroidectomy9/29/2008
  Q: Dr. Seigle, I appreciate your willingness to answer cancer-related questions! I had a total ...
  A: Jennifer, While I cannot determine what the lump is likely to be without examining you, I do think, ...
dads tumor9/29/2008
  Q: My dad had an MRI that showed a brain tumor that crossed the corpus calsium. They called it a ...
  A: Marie, It sounds like there was not enough tissue for a definite diagnosis. This means you cannot ...
cancer question9/27/2008
  Q: Should you know what type of cancer you have before you have Chemo. I have a sister in law and she ...
  A: Rosemary, It is very hard to believe that they would not tell her the type of cancer she has - this ...
Breast cancer9/26/2008
  Q: I have a malignant tumor in my breast. The doctor says it has calcifications. What does that mean? ...
  A: There are a number of types of calcifications. The kind that are tiny and grouped together ...
Risk for Cancer9/18/2008
  Q: Mine is a very generic question, though one I would like to get cleared at the earliest. My maternal ...
  A: Marie, This is a complex issue. In general, if there is a family history of breast cancer (which ...
Recurrence of Small Cell Lung Cancer9/16/2008
  Q: My Mom was treated with Radiation and Chemo for stage III small cell lung cancer from December 06 to ...
  A: Dina, Once small cell lung cancer is spread throughout the body (which is what usually happens ...
bowel cancer4/23/2008
  Q: Do you think its too late to operate on him? Do you recommend chemo or RFA? Do you think he has long ...
  A: Lilian, Once the cancer has spread from the area it started (bowel to lung),as it has in your ...
Stage IV - lung cancer4/18/2008
  Q: My husband was recently diagnosed with stage 4 lung cancer. A tumor in each lung, cancer in his ...
  A: Kris, It seems to me that, if he is having a lot of trouble breathing, is very congested, and is on ...
lung cancer4/17/2008
  Q: we have been to 2 specialists and they only reccommend chemo to improve his quality of life. do you ...
  A: Lilian, I don't have enough details to really advise you about this except in very general terms. ...
Lump?4/17/2008
  Q: This morning I felt the back of my head and felt a hard bone-like lump. It is above the natural ...
  A: RainieB, Yes, this can be completely normal and simply something you didn't notice before. We all ...
Radiation therapy post chemotherapy for stage 4 NSCLC4/16/2008
  Q: My husband has had 4 rounds of platinum combi chemotherapy and responded well enough that he is to ...
  A: Catherine, This is a complicated question. I am assuming the radiation offered is going to be ...
cancer recurrence4/9/2008
  Q: If cervical cancer reoccurs in the liver (after 5 years of being in remission from the cervical ...
  A: Jennifer, When cancer has spread to a separate site like the liver, it is usually not curable. ...
Prostate Cancer4/7/2008
  Q: Husband--63 diagnosed in Feb 08 with Prostate Cancer--gleason 6 T1 psa 8.7 --would like information ...
  A: Kathy, This is a complex question, and you need a consultation with a radiation oncologist for ...
my sister4/5/2008
  Q: 3 weeks ago my sister noticed an enarged lymph node on her neck. (painful) So painful she said the ...
  A: Bon, Enlarged lymph nodes containing cancer (lymphoma is a type of cancer of the lymph system) ...
Post Cancer health4/3/2008
  Q: Hey there, I have a friend that had cancer, she doesn't say what kind of cancer so I don't know. ...
  A: a lot depends on the kind of cancer she had. Some are curable - that is, the chance of the cancer ...
My father's intestinal/liver cancer3/31/2008
  Q: Dr. Seigle, thank you for making yourself available to our questions. My father was diagnosed with ...
  A: Varda, Once cancer has spread from the intestine to the liver, it is considered metastatic and ...
autistic son3/26/2008
  Q: I have been told all my life everyone in my family on my moms side has died of cancer. I have a 16 ...
  A: Terri, It is worrisome that your son has lost so much weight. This definitely needs to be looked ...
clarification of3/25/2008
  Q: When the phrase "5-year survival rate is 90%" is used, does this mean that the person has a 90% ...
  A: Kim, It depends enormously on the type of cancer. For a certain type of cancer of the testicle in ...
HDR vaginal brachytherapy3/24/2008
  Q: I had hdr vaginal brachytherapy a little over a year ago. I had one treatment per week. Three days ...
  A: Krista, What did the clinic that did the radiation think was causing the bleeding? Did they offer ...
pheochromocytoma.3/21/2008
  Q: I am a healthy 35 year-old male and have been having anxiety attacks like crazy. After I exercise I ...
  A: Greg, Your symptoms are concerning. As you probably know, pheochromocytoma is quite rare and, ...
BONE CANCER SECONDARY TO PROSTATE3/21/2008
  Q: MY 79 YEAR OLD GRANDFATHER WAS TOLD HE HAD PROSTATE CANCER 5 YEARS AGO. HE REFUSED TREATMENT. ...
  A: Angie, The reason many people are reluctant to make such predictions is that life expectancy in a ...
Lung Cancer3/19/2008
  Q: My mother is in the UK and has just been diagnosed with lung cancer after finding fluid with blood ...
  A: Mike, Your description of "finding fluid with blood" and "spread to the sac" suggests that there ...
Radiation treatment for testicular cancer3/17/2008
  Q: Dr. Seigle, Thank you in advance for making yourself available in this forum. My question involves a ...
  A: How many kidneys do you have? Some people have a single centrally located kidney, often called a ...
neurological late effects of radiation3/16/2008
  Q: I was diagnosed with late effect radiation-induced lumbosacral plexopathy eight years after ...
  A: Gen, I definitely think you should see a radiation oncologist! If you do, bring all of your ...
breast cancer mets in supraclavicular nodes3/15/2008
  Q: I have stage 4 breast cancer in my supraclavicular nodes.Im er/pr/her2 neg and I have done a few ...
  A: Dawn, The problem is that in stage IV breast cancer, cancer cells have been released into the blood ...
Post radiation side effects3/9/2008
  Q: Seigle: My husband was treated 3 years ago with post operative radiation for rectal cancer. About a ...
  A: Patricia, I agree with your husband's orthopedist. In my opinion, degenerative/arthritic changes ...
Tightness in rectum3/6/2008
  Q: Hey I'm a 17 years old male and For the past month I've been feeling a discomfort in the sort of ...
  A: What you describe does NOT sound like cancer. It may, in fact, be related to the infection you had. ...
Cancer?3/4/2008
  Q: Ive had some major physically pain problems for the last 5 years. I started in my (felt like my ...
  A: Melissa Ann, The symptoms you describe do not sound like cancer. It is much more likely that your ...
Pain after radiation3/4/2008
  Q: About 1 year ago I had localized radiation treatment for some tumors that grew as a result of not ...
  A: Darrel, When a person has a kidney stone, the pain is generally located in the flank, which is ...
headache3/4/2008
  Q: I am in school and I am trying to do a case study. I need help. A 62 yr old man complained of ...
  A: Brandi, I hope you are allowed to ask for help with this! A hematocrit (hct) of 58% if way too ...
chemo related neuropathy3/3/2008
  Q: he just finished his 8 cycles today. He has neuropathy in both hands and both feet. He also has ...
  A: Patti, Xeloda causes hand-foot syndrome in a majority of patients who take it for three cycles or ...
possible kidney cancer?3/2/2008
  Q: I am waiting on more tests, but so far had a CT scan which showed scattered high attenuation foci in ...
  A: Mary, If there is clearly a mass in the kidney, you may need a biopsy. This is a relatively simple ...
bladder cancer3/2/2008
  Q: what I want to ask is why to epithial cells that are very high that come out in the urine form ...
  A: Leanne, I do not why you have the itchiness. Your own doctors who know you and your situation in ...
bladder cancer3/1/2008
  Q: what I want to ask is why to epithial cells that are very high that come out in the urine form ...
  A: Leanne, With bladder cancer, there often are several areas of cancer, not just one, which are on ...
bladder cancer2/29/2008
  Q: what I want to ask is why to epithial cells that are very high that come out in the urine form ...
  A: Leanne, I understood parts of your question but not other parts. I will answer what I can. Most ...
cancer2/23/2008
  Q: my daughterinlaws father was diagnosed with lung cancer, after many extensive tests and a course in ...
  A: Helen, I cannot understand a lot of the report that you sent. What I think I can communicate, ...
Intestine tumor - high leve of CEA (Poland)2/22/2008
  Q: Dir Sir My grondmother (66) had the surgery of removing intestine tumor 1,5 year ago. It was removed ...
  A: Kate, The CEA is a little higher now than before - but it is still quite low. It has not risen ...
nasopharangyeal carcinoma2/21/2008
  Q: My son was recently diagnosed with nasopharangyeal carcinoma and a secondary cancer in his neck ...
  A: Mary, The prognosis is very good. Cancer of the nasopharynx is a type of cancer where a lot of ...
Cancer spread...2/19/2008
  Q: My Sister-in-law's husband has a Mom that was diagnosed with a cancerous lump in/on her lung about 1 ...
  A: Mike, Cards, flowers and phone calls (and visits in person if you can possibly do it) are of much ...
pancreatic cancer2/14/2008
  Q: Since Sept I started losing a lot of weight even though I didn't change eating habits. I went to ...
  A: Don, First things first. You must get the CT scan and see if it shows a mass in the pancreas. If ...
Gynecological2/12/2008
  Q: I am 46 yr. old going through peri menopause. I had a hysteroscopy and a D & C done last wk. for a ...
  A: Carol, To me, that term doesn't have any specific meaning other than there appears to be soft ...
Gynecological2/11/2008
  Q: I am 46 yr. old going through peri menopause. I had a hysteroscopy and a D & C done last wk. for a ...
  A: Carol, The kinds of changes you describe are more commonnly caused by benign conditions than by ...
my mother has metatastic breast cancer2/7/2008
  Q: my mother was diagnosed with metatastic breast cancer (inflammatory) almost exactly 3 years ago. ...
  A: Jennifer, I am not sure what your question is. I can't tell you whether the brain tumor is ...
Lump near knee and lymphadenopathy1/31/2008
  Q: You stated you're equally familiar with general medicine. Long story short: I was stricken with a ...
  A: Karen, Going to an emergency room will not necessarily lead to a biopsy sooner. I would not ...
Lump near knee and lymphadenopathy1/30/2008
  Q: You stated you're equally familiar with general medicine. Long story short: I was stricken with a ...
  A: Karen, Yes, a biopsy should be done as a first step. Once you have this information, it will be ...
skin cancer1/29/2008
  Q: I had a small tumor removed from my arm, and it was diagnosed a SCC - KA. The dermotologist said I ...
  A: Lauren, When the dermatologist removes the tumor, it is sent to a pathologist, who is a specially ...
CT Scan result1/22/2008
  Q: I have been suffering with asthma for about 7 years now. I am being treated by an asthma ...
  A: Maria, In general, enlarged lymph nodes can be caused by a number of things which are not cancer. ...
stomach pain1/21/2008
  Q: I am a 22 yr old male. 6 ft tall and weight 180. I've been having these stomach problems for about 2 ...
  A: Michael, Your problems do not sound like esophageal or stomach cancer. These usually occur in much ...
high red blood cells count1/20/2008
  Q: My 35-year old son just had bloodwork done because he is on Lipitor for high cholesterol and needs ...
  A: A hematologist/oncologist does not only deal with cancer. The 'hematology' part of the specialty ...
METATASTIC MELANOMA1/17/2008
  Q: Dr. a 'lifelong friend ' of mine recently had a stroke. It occured in the rear part of the brain ...
  A: Yes, he has stage IV. The statistics you cite give the averages. However, to arrive at any ...
METATASTIC MELANOMA1/16/2008
  Q: Dr. a 'lifelong friend ' of mine recently had a stroke. It occured in the rear part of the brain ...
  A: I am so sorry - your friend's situation is very, very serious. It probably started in the skin and ...
Complex Ovarian Cyst on Ultrasound1/16/2008
  Q: A month ago I had an ultrasound done and this was the finding: "The left ovary is enlarged, ...
  A: Jennifer, Did you ever have an imaging study in the past which included the ovaries (such as prior ...
ovca1/15/2008
  Q: 3 months ago i woke up with horrid lower back pain which radiated into my pelvis the tops of my legs ...
  A: Gas, diarrhea and weight gain are not usually signs of ovarian cancer (or other gynecologic cancer). ...
meningioma1/15/2008
  Q: My husband has a meningioma in the cavernous sinus. It is pushing on the optic nerve. He does not ...
  A: Melissa: I suggest going to a center which has a CyberKnife. The two institutions with the most ...
Pulmonary nodule1/14/2008
  Q: I recently had a CT done for c/o abd. pain and it showed that I have a 2 mm non-calcified RLL ...
  A: Small lung nodules are fairly common. A 2 mm lesion typically is too small to be biopsied (sampled ...
Cancer-causing drug in coffee1/10/2008
  Q: Seigle, I read that there is Arylamine a cancer-causing drug in brewed coffee. Would it be harmful ...
  A: One reads all sorts of things about many foods and additives, including coffee. Some articles have ...
precancerous cells of the uterus1/8/2008
  Q: I am a 44 yr. old woman, who has lost her left breast to DCIS after a 8yr. battle including ...
  A: Edith, DCIS is cancer, not 'precancer.' Precancerous cells do not necessarily progress to cancer - ...
Blood Test Results and Kidney Cancer12/15/2007
  Q: My husband had a full open nephrectomy back in October after having a kidney stone. That is how it ...
  A: Maryann, The sed rate is VERY nonspecific - that is to say, many, many things can lead to an ...
Pancreatic Cancer12/13/2007
  Q: my father was just told Tuesday that he has advance pancreatic cancer with life expectancy of ...
  A: Jennifer, In order to know whether your father has cancer, a biopsy (removing a piece of the mass ...
lymphoma12/12/2007
  Q: my question is about lymphoma. for the past 6 months i have been to several docs about cold and ...
  A: Tiffany, I am sorry I cannot give you a specific answer here - that is, tell you what you do have - ...
Cancerous lump12/12/2007
  Q: Dr. Seigle, I am a fellow expert(retirement planning) and have a question for you. My father 84 ...
  A: Dave, Yes, cancer can and does show up like this. You will need to find out what kind of cancer it ...
Stage 4 Lung Cancer12/5/2007
  Q: My Dad has stage 4 lung cancer.He has had surgery to shrink the lesions on his brain about 6 months ...
  A: Radiation is very good at reducing pain in the bones from cancer. Is his pain in his back? Do you ...
chance of developing breast cancer12/5/2007
  Q: My mother was first diagnosed with breast cancer back in 2000. This past March(2007), she was ...
  A: Jamie, Having a mother with breast cancer does increase your risk of getting breast cancer. Just ...
Armpit Lump size increasing12/4/2007
  Q: I noticed a lump about grape size in armpit couple months ago. I have been dealing w/GI & possible ...
  A: You did not state your age, which is important. Are you over 40? Have you had a breast examination ...
Black dots found11/29/2007
  Q: I've found small black dot(s), on both sides of my breasts on the areola area-could this be the ...
  A: You do not specify how old you are, how large the 'dots' are, whether they are associated with a ...
swollen groin lymph node11/28/2007
  Q: i am 45 yr old male. i have noticed a swollen groin lymph node. i've had it 6 mths maybe and have ...
  A: Even normal lymph nodes can be felt in some people. Normal nodes are generally about 1 cm (about ...
Recurrent small cell lung cancer (metastatic)11/27/2007
  Q: My stepfather has been diagnosed with recurrent sclc three months after being clean at the end of ...
  A: I can give general answers only since I have limited information with which to assess your ...
thyroid tumour surgery11/22/2007
  Q: I have a right thyroid tumor about the size of a satsuma, following two fine needle biopsies the ...
  A: Yes, you will need various radiographic studies if the tumor is malignant. Obtaining a diagnosis is ...
esophageal cancer and radiation11/21/2007
  Q: My brother has been undergoing external radiation for an esophageal tumor (10cm) that is in the mid ...
  A: The effects of radiation are not necessarily seen immediately. Even though he might not yet be able ...
lymph nodes11/21/2007
  Q: This past March I noticed I had an enlarged lymph node in my neck. From that time till now, I ...
  A: Lymph nodes often can be felt in normal people in response to the ordinary infectious agents that ...
wound11/20/2007
  Q: 8 weeks ago, my 68 year old mother scratched her leg. It was a minor scratch. She cleaned it, put ...
  A: You are correct - she needs immediate attention! A nonhealing "scratch" can be malignant (cancer), ...
please help, high grade carcinoma11/19/2007
  Q: My Mom has a very large tumor under her arm (larger then a grapefruit with a plum on it). It was ...
  A: It is impossible for me to determine how much time your mother has - as I have never seen her nor do ...

All Questions in This Category

Email this page
     
User Agreement | Privacy Policy | Kids' Privacy Policy | Help
Copyright  © 2006 About, Inc. AllExperts, AllExperts.com, and About.com are registered trademarks of About, Inc. All rights reserved.