Sputum 
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 Sputum

Yesterday, I dropped off 3 days of morning sputum to check for fungi and
cancer.
If there is sometimes cancer cells in sputum, can this be spread if
accidently swallowed?

Frank



Wed, 27 Dec 2000 03:00:00 GMT
 Sputum

Quote:

> Yesterday, I dropped off 3 days of morning sputum to check for fungi
> and
> cancer.
> If there is sometimes cancer cells in sputum, can this be spread if
> accidently swallowed?

> Frank

I guess anything is possible, but I've never seen a case of lung cancer
spread to the digestive tract by swallowing. I suspect two reasons for
this --1. Predominately cells that are no longer viable are shed into
the sputem
2. Even if the cells weren't dieing -- the gastric acidity would prove
toxic.

DISCLAIMER:

Please note that all contents of this message, including any advice,
suggestions,  and/or recommendations has NOT been generated as part of
any professional
evaluation. No patient has been examined prior to making these comments;
no professional fee has been charged by or paid to myself. The reader is
advised to
discuss these comments with his/her personal physicians and to only act
upon the advice of his/her personal physician.

Note that in answering an electronicly posted question, I am NOT
creating a physician -- patient relationship. Medical recommendations &
advise can only be
generated after a complete (in person) physical examination and review
of the patients history.

As I can not control the media, I can not take responsibility for any
breaches of confidentiality that may occur in responding to any
electronic question.

Finally, the material produced by myself may be reproduced for personal
use, provided that appropriate credit is given; but this material may
not be reprinted
or reproduced in any format for any other purpose.

Paul I. Roda, M.D., F.A.C.P.
http://www.DoctorsOffice.org/



Thu, 28 Dec 2000 03:00:00 GMT
 Sputum
Why are you doing this??? Is it follow-up to a treatment or part of diag. of ?
Have friend & relative with lung cancer...and they never do this.
Pls explain for the lay person...tnx
Pudge


Thu, 28 Dec 2000 03:00:00 GMT
 Sputum

Quote:

> Why are you doing this??? Is it follow-up to a treatment or part of
> diag. of ?
> Have friend & relative with lung cancer...and they never do this.
> Pls explain for the lay person...tnx
> Pudge

Collecting sputem samples to look for malignant cells, bacteria, etc. is
part of the evaluation of most patients with a lung mass or persistant
infiltration on Xray. If the sputem contains cancerous cells, then it
usually isn't neccessary to do a bronchoscopy.

DISCLAIMER:

Please note that all contents of this message, including any advice,
suggestions,  and/or recommendations has NOT been generated as part of
any professional
evaluation. No patient has been examined prior to making these comments;
no professional fee has been charged by or paid to myself. The reader is
advised to
discuss these comments with his/her personal physicians and to only act
upon the advice of his/her personal physician.

Note that in answering an electronicly posted question, I am NOT
creating a physician -- patient relationship. Medical recommendations &
advise can only be
generated after a complete (in person) physical examination and review
of the patients history.

As I can not control the media, I can not take responsibility for any
breaches of confidentiality that may occur in responding to any
electronic question.

Finally, the material produced by myself may be reproduced for personal
use, provided that appropriate credit is given; but this material may
not be reprinted
or reproduced in any format for any other purpose.

Paul I. Roda, M.D., F.A.C.P.
http://www.DoctorsOffice.org/



Thu, 28 Dec 2000 03:00:00 GMT
 Sputum

Quote:

>Yesterday, I dropped off 3 days of morning sputum to check for fungi and
>cancer.
>If there is sometimes cancer cells in sputum, can this be spread if
>accidently swallowed?

>Frank

no,  gastric juices kill it.  H2


Fri, 29 Dec 2000 03:00:00 GMT
 Sputum

Quote:

>Why are you doing this??? Is it follow-up to a treatment or part of diag. of ?
>Have friend & relative with lung cancer...and they never do this.
>Pls explain for the lay person...tnx
>Pudge

Pudge,  Sputum cytology is done before the diagnosis of lung cancer is
made, not after.  The purpose is to identify if cancer is present with
the least invasive method, if possible.  If sputum cytology is
negative, it doesn't mean that cancer isn't present, but that
something else will be needed to establish the true diagnosis.  Often,
a bronchoscopy or percutaneous, CT-guided needle biopsy is next.
Sometimes it is necessary to actually do chest surgery to remove the
suspicious area, so it can be examined under the microscope.  If a
sputum cytology is positive, then surgery may or may not be
appropriate depending upon whether the cancer is small cell type or
non-small cell type.  H2


Fri, 29 Dec 2000 03:00:00 GMT
 
 [ 6 post ] 

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