What is Performance Status?
What is Performance Status?
It is a score of a person’s Functional State. There are two commonly used scales.
The Karnofsky scale which goes from 0 to 100, where the person who is completely asymptomatic and fully functional scores a 100, and loses points for the onset of pain, mobility, weakness, or other difficulties, which lead to an impairment of function.
What is Grade and Differentiation?
Additional tests you will see on the Pathology report:
Grade: describes the activity of the nucleus. A normal cell has normal activity of the nucleus. A cancer cell nucleus looks different. A grade 1 nucleus is less in disarray than a Grade 3 nucleus. The higher the grade, the worse the cell behaves.
Differentiation: is a measurement of how closely the cancer cell resembles the parent cell or the cell of origin.
What is Cancer Staging?
Cancer Staging:
The next step is to stage the disease. The classical way of staging the disease depends on T (tumor size) N (number of lymph nodes involved with cancer) and M (presence of distant disease). This TNM classification provides the basis of the staging system. The bigger the T, the greater the number of involved lymph nodes, the presence of metastatic disease increases the stage from the lowest (and best) of 1 to the highest (worst) of 4.
Introduction
I am Dr Gauri Bhide, a practicing Oncologist in the Greater Boston area. I have been in practice for almost 20 years and feel very privileged to be able to be able to help people through the biggest challenge they will face. I grew up in Mumbai, India, went to medical school at one of the premier medical schools there, and moved to the US, where I trained in Internal Medicine, then Hematology/ Oncology. With my training and exposure to both Third World and American medicine, I feel I contribute a state of the art knowledge of modern medicine with strong doses of compassion and patience, clinical judgment and a feel for people’s life situations and resources.
I am starting this blog to be able to explain cancer management