Case Studies

A Princeton Longevity Center Comprehensive Exam can find the earliest signs of diseases that other physical exams can miss. 

Below are just a few examples of life-saving findings from our patients.

Case Study 1:

Asymptomatic Renal Cancer

A 45 year old male was seen for a Comprehensive Exam. The patient did not report any abdominal pain, blood in the urine or urinary tract symptoms. All laboratory tests, including urinalysis, were completely normal.  A Full Body CT Scan showed a 2.5 cm low density mass in the mid portion of the right kidney. This mass could represent either a benign cyst or an early tumor.

Body Scan with Renal Mass

A CT Scan with IV Dye was obtained at the same visit.

Renal Scan with Dye

This scan indicated this was a 2.5 cm cancer of the right kidney.  The patient underwent surgery with removal of a portion of the kidney. The tumor was completely encapsulated and there has been no evidence of spread or recurrence of the tumor.

Kidney cancer is often advanced disease by the time it is discovered. The initial symptoms often include blood in the urine, flank pain, weight loss, fever, high blood pressure or night sweats. When it metastasises, it most commonly spreads to the lymph nodes, lungs, liver, brain or bones. Once it has spread, the prognosis for cure dramatically decreases.

Case Study 2:

Asymptomatic Lung Tumor

A 54 year old female was seen for a Comprehensive Exam. The patient did not report any chest pain, cough, shortness of breath, wheezing or any other unusual chest symptoms. The patient had never been a smoker and did not have any other known risk factors for lung cancer.  The Full Body CT Scan showed a 2.5 cm mass in the upper portion of the right lung.

Lung Tumor

The tumor was removed and the pathology report confirmed that this was a Carcinoid Tumor.  Fewer than 5% of lung cancers are Carcinoids. Unlike other types of lung cancer, lung carcinoid tumor is not strongly linked to tobacco use. Overall, when this type of tumor is found before it has spread, the long-term survival rate is better than 90%. If not found early and it has spread, survival rates drop dramatically.

Follow up imaging studies for this patient have not revealed any evidence of recurrence of the tumor.

Case Study 3:

Obstructive Coronary Artery Disease

A 48 year old male was seen for a Comprehensive Exam.  The patient has no cardiac risk factors other than mildly elevated cholesterol which he has been treating with diet and exercise. His Total Cholesterol is 205 with HDL 46 and LDL 140.  He reported having 20 minutes of chest pain 2 weeks prior while biking.  A Cardiac CT Angiography showed Calcified plaque in the Left Anterior Artery with greater than 90% narrowing in the distal portion of the artery.

He was referred for Cardiac Catheterization which revealed an 95% narrowing in the Left Anterior Descending Artery and a stent was placed.

He was started on Lipitor and daily Aspirin.  He has remained pain free and is able to exercise without limitation.

Case Study 4:

Obstructive Coronary Artery Disease

A 48 year old male was seen for a Comprehensive Exam. The patient has a history of mild hypertension which has been well controlled with medication. His Total Cholesterol is 220 with HDL 42 and LDL 165. He has been advised by his primary care doctor to take Crestor but declined to do so.   He has no chest pain with exertion. His Treadmill Stress Test was normal.

Cardiac CT Angiography showed Non-Calcified and Calcified plaque in the Left Anterior Descending and Circumflex arteries. The plaque in the Left Anterior Descending Artery appears to be causing significant narrowing of the lumen.

His Heart Scan and Coronary Calcium Score showed him to be at high cardiovascular risk.  With these results he agreed to start taking Crestor and Aspirin daily.  He was referred for Cardiac Catheterization which revealed an 80% narrowing in the Left Anterior Descending Artery and a stent was placed.  He has remained well since then.

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