Dr. J. Leonard Lichtenfeld

CT
CT colonography and Medicare: Are we the enemy?
In this editorial opinion, Dr. Len Lichtenfeld, deputy chief medical officer for the American Cancer Society, outlines his concerns over an editorial in the New England Journal of Medicine praising the decision by the U.S. Centers for Medicare and Medicaid Services not to cover CT colonography -- as well as his objections to the CMS decision itself.
June 23, 2009
2009 06 23 14 37 33 976 Second Opinion Am
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Diagnostic transverse ultrasound image of the left breast in a 64-year-old woman shows irregular hypoechoic nonparallel mass with indistinct margins corresponding to palpable finding, assessed as BI-RADS category 4. Both readers assessed mass as having associated echogenic rind with complete circumferential extent (arrowheads). Ultrasound-guided biopsy of mass yielded diagnosis of invasive ductal carcinoma (intermediate grade, luminal A molecular subtype, no lymphovascular invasion).
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