expert type icon EXPERT

Mr. Michael J. Dattoli

Oncologist

Dr. Michael Dattoli is an oncologist practicing in Sarasota, Florida. Dr. Dattoli specializes in the care and treatment of patients with cancer. As an oncologist, Dr. Dattoli manages and oversees the treatment of a cancer patient after he or she has been diagnosed with the disease. Oncologists will care for their patients throughout the course of the disease. Types of oncologists include medical oncologists, surgical oncologists, radiation oncologists, gynecologic oncologists, pediatric oncologists and hematologist oncologists.
34 years Experience
Mr. Michael J. Dattoli
  • Sarasota, Florida
  • Mount Sinai School of Medicine, NYC
  • Accepting new patients

Are steroids given as a part of cancer treatment?

Steroids are often used in conjunction with anti -cancer medications. Sometimes they are necessary, for example, men having prostate cancer are often put on medications that reduce READ MORE
Steroids are often used in conjunction with anti -cancer medications. Sometimes they are necessary, for example, men having prostate cancer are often put on medications that reduce testosterone by shutting down the adrenal glands (above the kidneys). The problem is that the adrenal glands are also responsible for producing corticosteroids (steroids). In this situation, patients must take steroids to avoid an ADRENAL CRISIS. Interestingly, steroids alone have anti-cancer properties.

How will my treatment ensure that my prostrate cancer doesn’t progress?

I assume that you are being treated with radiation? Do you know the stage and aggressiveness of your cancer (as this is important as it relates to "monitoring")? Generally speaking, READ MORE
I assume that you are being treated with radiation? Do you know the stage and aggressiveness of your cancer (as this is important as it relates to "monitoring")? Generally speaking, for unfavorable or high-risk prostate cancer, I recommend quarterly PSA tests for 2 years and then twice annually thereafter.

What is non necrotic lymph node?

A necrotic lymph node is typically a node that is filled with cancer and has outgrown its own blood supply.
 

With a history of cancer, how often should I undergo a test to be sure there are no cancer cells in my body?

You should visit your Oncologist every 6 months and undergo whatever testing he or she recommends.

Can cancer cause short-term memory loss?

Chemotherapy and especially hormonal therapies are often linked to a decline in cognitive function, amongst many other side effects. The longer the duration of the insulting drug, READ MORE
Chemotherapy and especially hormonal therapies are often linked to a decline in cognitive function, amongst many other side effects. The longer the duration of the insulting drug, the worse it becomes. He needs to inform his oncologist. Prevagen can help, as can creatine 750mg twice daily.

Is surgery the only way to treat prostrate cancer?

All too often, a younger man is recommended surgery for prostate cancer and not radiation. The most common talking point among Urologic Surgeons is "your too young and you should READ MORE
All too often, a younger man is recommended surgery for prostate cancer and not radiation. The most common talking point among Urologic Surgeons is "your too young and you should have surgery...if you have radiation you cannot have surgery and you will have burned your bridges". This is pure nonsense, a scare tactic and unsubstantiated by mountains of data. The rates of incontinence and erectile dysfunction is relatively high with surgery and using the Davinci Robotic surgery, even within the hands of the top 2 surgeons is complicated by incontinence, ED and most importantly recurrence. Understand that when surgery is performed, prostate tissue is always left behind (leaving cancer) and blood is spilled into the cancer arena co-mingling the cancer with your normal blood which can spread the cancer. This is not the case with state of the art radiation. Most will agree that over time (2-5 years), patients develop gradual ED with "full course radiation' i.e 8-10 weeks. This is not the case, however, with combining radiation with seeding aka brachytherapy whereby you get a little bit of each rather than a lot of both. A meta-analysis in Br J Urol 2012 looked at 15,000 studies comparing ALL prostate treatments and the most curative with the least side effects was indeed combining radiation with seeding and irrespective of age. Moreover, the local control rates are > 95% and so surgery will never likely be necessary (but could be if necessary...the Urologist will then say "no problem"). Please do your homework and don't be fooled by scare tactics!