Tuesday, 18 March 2014

Brain Cancer Surgery in India with most advance and best surgeons in the country

Brain Tumour had always been a dreaded disease because the chances of recovery and patient living a healthy life after the treatment were low. But with the advancement in technology, brain tumour surgery is no more a dreaded disease. Not only the patient is fully treated, but can lead a healthy life after the brain tumour surgery.

Medical technology in India has advanced over the last few years and the best of technology is now available in India for removal of brain tumours and rehabilitation of the patient after brain tumour surgery in India. Not only the cost is very low, the surgeons are among the best neurosurgeons in the world for brain tumour, the hospitals among the best hospitals for brain tumour surgery in India.

Indian corporate hospitals offer Brain Cancer Surgery in India with most advance and best surgeons in the country. Indian hospitals are comparable to hospitals anywhere in the world. In fact, India offers world-class medical facilities that are comparable with the US or UK. There is already a high concentration of expatriate Indian medical staff working in the US and UK, as well as many other countries. This gives patients confidence in the healthcare offered by India generally as they are already used to the expertise and professionalism of Indian medical staff. This is a major, but often overlooked factor in the growth of medical tourism and Brain Cancer Surgery in India.

If you are a brain cancer patient, you may be informed by your doctor that brain surgery is a necessity. 

Brain tumors have the capability of producing several different uncomfortable symptoms in the individual that has them. In today's medical field, technology is consistently improving and there is a heightened sense of awareness and knowledge when it comes to the biology of the tumors that affect the brain and surrounding regions. If you have brain cancer, or a tumor that has developed and is causing you health complications, you may comfortably look forward to a future filled with hope thanks to the many variations in brain cancer surgery procedures today. It is important to know and understand what happens in Brain Cancer Surgery. They are as follows:

If Surgery helps confirm the abnormality seen in the brain scans. Nature of the tumor and method of removal are also determined at the time of surgery. Surgeons will most probably take a sample of the tumor that needs to be removed.

If A modern method for removal of tumors can be performed without a knife and is called stereotactic surgery. The tumor is removed without opening the skull. MRI and CT scans are used to determine the exact location of the tumor within the brain. Radiation beams are focused on the tumor from different directions. Radiation helps destroy the tumor. This method is also known as 'gamma knife'.
If  Knifeless surgeries have fewer complications. The recovery time, too, is much shorter.


Latest and Advanced Treatment options for Brain Tumor in India

Brain Tumor is no more a scary health condition as modern technology and advanced surgical modalities now offer near perfect clinical outcomes and the patients can soon return to normal life after surgery. 
  • Brain Suite - Intra-operative MR Navigation Microsurgery
  • Trans-Nasal Endoscopic Removal of brain Tumor through the nose
  • Stereotactic Radiosurgery - Gamma Knife & Novalis TX
  • Tumor Embolization using Neuro Interventional Radiology
  • CyberKnife Radiosurgery

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Saturday, 15 March 2014

What are the Risk factors of Small Intestine Cancer?

Small intestinal cancer also known as Small Bowel Cancer refers to the formation of cancerous tumors in parts of the small intestine. Cancer of the Small Intestine is rare as compared to other malignant tumor formations of the gastrointestinal system such as Stomach Cancer and Colorectal Cancer. If left undetected, these tumors have the potential to metastasize and invade other neighboring structures.

The cancer of the small intestine can be divided into three categories based on the location: Duodenal cancer, Cancer of the jejunum and Cancer of the ileum

Apart from these three main categories of small intestine cancer, there exist several subtypes namely: 

Adenocarcinoma, Gastrointestinal stromal tumor, Lymphoma and Ileal carcinoid tumor. Often, non-cancerous tumors and health conditions like the hamartoma and tuberculosis tend to be mistaken for small intestinal cancer.

What are the Risk factors of Small Intestine Cancer?

Several factors may increase the risk of small intestine cancer. In general, it is noticed that the incidence is higher among male than women. Exposure to certain radiations, carcinogenic agents and environmental pollutants may also raise the risk of an individual getting affected by cancer of the small intestine. Also, individuals suffering from 
Celiac Disease, Crohn’s disease and familial adenomatous polyposis are at a much greater risk. Adenocarcinoma, one of the most deadly malignant cancers, occurs more often in industrialized countries as opposed to the developing countries.

Whereas, the occurrence of lymphomas are more common in developing countries. Also, exposure over a prolonged duration of time to some substances such as Alcohol, sugar, salted or smoked meats and fishes can significantly increase the risk of different types of small intestinal cancers.
 
How can we Diagnose Small Intestine Cancer? 

An endoscopy of the upper gastrointestinal tract can help detect cancerous formations in the region. A barium contrast study of the small intestine, also known as the small bowel series, may also help in the diagnosis. Other diagnostic tools include an abdominal ultrasound, a CT scan of the abdomen and a 
Colonoscopy. 


How can Small Intestine Cancer be Treated? 

Surgical removal of the tumor is the primary treatment. In case the tumor has metastasized and is not localized to one area then 
Chemotherapy may be helpful. On the other hand, radiation therapy may help destroy cancerous tumors localized to a particular area.


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Thursday, 13 March 2014

Bladder Cancer Symptoms and Treatment - Advanced Treatment for Bladder Cancer in India

Approximately 70 to 80 percent of patients newly diagnosed with bladder cancer have superficial, noninvasive bladder cancer. If the cancer spreads further into the muscle wall of the bladder or to nearby lymph nodes and organs, it is called invasive bladder cancer. Bladder cancer occurs more frequently among older men, with the median age of diagnosis being 58 and the media age of death being 65, based on data collected from 2010 to 214.

Smoking is the greatest risk factor for bladder cancer, according to the Centers for Disease Control and Prevention, causing approximately 20 to 30 percent of bladder cancers among women and 50 to 65 percent of bladder cancer among men.
It is characterized by urine that may appear dark yellow, bright red or cola colored, However hematouria can be intermittent, even when caused by serious disease, and its severity is not correlated to the severity of the underlying cancer. Other symptoms of bladder cancer may also include frequent urination, painful urination, urinary tract infection and lower back pain, according to the National Institutes of Health.

Diagnosis & Tests

Initial physically examination usually involves the doctor inserting gloved fingers into the vagina and/or rectum to feel for lumps and abnormal growth, according to the National Cancer Institute. This is usually followed with blood tests, urine tests and cystoscopy. Flexible cystoscopy uses a thin tube with a light at the end (called a cystoscope) to look inside the bladder. It is a low-risk procedure that is generally conducted in the physician's office under local anesthesia, However inflammations and bleeding can result in poor visualization and reduced accuracy. Hence additional tests are usually needed.
If invasive bladder cancer is suspected, the doctor may also order MRIs, CT scans and X-rays in order to determine if the cancer has spread to the kidneys, ureters and other internal organs.

Treatment of Bladder Cancer in India

Bladder Sparing Surgery

This involves using a combination of chemotherapy and radiotherapy to destroy the cancer cells locally and also if they have spread to other parts of the body. Transurethral resection of bladder tumour and partial removal of bladder are also types of bladder sparing surgeries which are used when the tumor is superficial or minimally invasive. These treatment techniques can be used in combination with each other.

Neobladder or Urine diversion techniques

Neobladder or Urine diversion techniques : This is required after radical cystectomy or complete removal of bladder in cases where the tumor has penetrated the bladder wall and spread beyond it

Radical Cystectomy :

If the cancer is larger or is in more than one part of the bladder, a radical cystectomy or complete removal of the bladder is needed. This operation removes the entire bladder and nearby lymph nodes. In men, the prostate is also removed. In women, the ovaries, fallopian tubes (tubes that connect the ovaries and uterus), the uterus (womb) and a small portion of the vagina are often removed along with the bladder. These surgeries are typically done through a cut (incision) into the abdomen while the patient is placed under general anesthesia. The patient needs to stay in the hospital for about a week after the surgery. The patient can usually go back to his normal activities in 4 to 6 weeks.

Laparoscopic Radical Cystectomy :

In some cases, the surgeon may operate through several smaller incisions using special long, thin instruments, one of which has a tiny video camera on the end to see inside the pelvis. This is known as laparoscopic, or “keyhole” surgery. The surgeon may either hold the instruments directly or may sit at a control panel in the operating room and maneuver robotic arms to do the surgery. If it can be done, laparoscopic surgery may result in less pain and quicker recovery after the operation (due to the smaller incisions). But it has not been around as long as the standard type of surgery and it’s not yet clear if it is equally as effective. This technique is still in its infancy and is not practiced very commonly.


Medworld India offers comprehensive care for patients with Bladder Cancer  including advanced diagnosis, best treatment options . A team of Surgical Oncologists, Radiation Oncologists, Medical Oncologists, Urologists, Rehabilitation team and other medical specialties work together to treat each Bladder Cancer patient We consider each patient's type and extent of Bladder Cancer to recommend the most appropriate treatment plan. They also carefully consider and select the treatment option that will allow the patient to maintain quality of life with good survival rate.

Why should you choose to get Indian hospitals offer the Best Cancer Treatment in India at affordable prices. MedWorld india associated Best Cancer Treatment Hospitals in India have the latest technology and infrastructure to offer the Most Advanced Cancer Treatment at low cost.

At MedWorld India Affiliated Best Cancer Hospitals are to deliver highest quality and advanced oncology care in a supportive and compassionate environment to all our patients, and to advance the treatment and prevention of cancers through innovative research.

MedWorld India Affiliated Best Cancer Hospitals in India offer:

  • World class results for Cancer Treatment
  • World Class equipment for investigations, radiotherapy and surgery
  • Cancer specialists with great qualifications and experience
  • India has many super specialists ( specialization in one particular area: Breast Cancers, Stomach Cancers, Prostate Cancers, etc)
  • Low cost of cancer treatment
  • India offers the perfect combination of expertise and economical costs

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Tuesday, 11 March 2014

What You Should Know About Treating Prostate Cancer-Treating Prostate Cancer in India

Knowing the various treatments for prostate cancer available and what the risks associated with each are is the first step in being informed about what will be one of the most important decisions of your life. The potential side effects of some of the treatments are too life altering to leave this decision to chance.

Have a discussion with your doctor. Ask questions about any side effects you need to be aware of. While your treatment options become less viable if your cancer has progressed beyond your prostate gland, it is important to be aware of what to expect after the treatment has been completed.

Here are some of the options open to you.

Surgery

Surgical options available are as follows.
A complete prostatectomy where your entire prostate gland is removed     A lymph node dissection where only the nodes surrounding the urethra are removed     A transurethral resection is done in which small pieces of your prostate are removed

Each of the above procedures requires a hospital stay and you would be anesthetized and put under. They are effective in most cases although cancers have been known to return weeks or months afterward. As well, side effects can include urinary incontinence, impotence and infertility.

Radiotherapy

There are 2 common approaches to radiation therapy in treating prostate cancer, external beam radiotherapy and brachytherapy.

External beam radiotherapy is a procedure where a high energy radioactive source is used to project a beam at your prostate from a short distance outside your pelvic area. There is no anesthesia required and it is done on an out-patient basis. It is typically done on 5 consecutive days over a period of about 5 to 7 weeks.

Brachytherapy is the usage of about 100 to 150 small radioactive pellets or seeds. They are placed directly into your prostate with a syringe a few at a time; it usually takes up to 40 injections to implant them all. This procedure is painful and requires a general anesthetic.

These two procedures use radioactivity to burn away cancerous cells. Side effects include impotence, inflammation of the bladder and rectum and cancers have been known to return.

Chemotherapy

Drugs known to be toxic to cancerous cells are introduced to your body. It is used to slow cancerous growths and relieve pain. It is not a cure but it can be used to help patients where cures through other means are not possible.


High Intensity Focused Ultrasound (HIFU)

HIFU is a procedure that uses sound waves to destroy cancerous cells. A focused ultrasound beam is aimed only at the regions of the prostate that are diseased with cancer. The cells targeted are destroyed using heat. Surrounding tissue is not affected by the beam and remains undamaged.
The entire prostate can be exposed to the ultrasound beam in about three hours. The procedure is done quickly and is effective in eradicating prostate cancer in over 90% of patients treated. Side effects are minimal resulting in urinary incontinence in only 5% of patients. Only 8% suffered urethral blockage and about 40% suffered sexual impotence. Impotence drops to 20% in patients whose cancer does not affect the prostate nerve.

These reasons alone make HIFU the choice you should make when thinking about prostate cancer treatment options.


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Monday, 3 March 2014

Ovarian Cancer Treatment in India: A woman's lifetime risk of dying from ovarian cancer is 2.1 per cent.

Ovarian cancer is a type of cancer that begins in the ovaries. Women have two ovaries, one on each side of the uterus. The ovaries - each about the size of an almond - produce eggs (ova) as well as the hormones estrogen, progesterone. Ovarian cancer often goes undetected until it has spread within the pelvis and abdomen. At this late stage, ovarian cancer is difficult to treat and is often fatal. 

Ovarian cancer is a type of cancer that begins in the ovaries. Women have two ovaries, one on each side of the uterus. The ovaries — each about the size of an almond — produce eggs (ova) as well as the hormones estrogen, progesterone and testosterone. Ovarian cancer often goes undetected until it has spread within the pelvis and abdomen. At this late stage, ovarian cancer is difficult to treat and is often fatal.


What are the symptoms?

Symptoms of ovarian cancer are not specific to the disease, and they often mimic those of many other more-common conditions, including digestive and bladder problems. When ovarian cancer symptoms are present, they tend to be persistent and worsen with time.

Ovarian Cancer  Treatment in India: A woman's lifetime risk of dying from ovarian cancer is 2.1 per cent.

It is one of the most common cancers in women after breast and cervix cancer. It is called a 'silent killer' as it is asymptomatic in early stages and 85 per cent of cases are diagnosed in the advanced stage. A woman's lifetime risk of dying from ovarian cancer is 2.1 percent.

What constitutes ovarian cancer?

It largely means tumours of epithelial origin, but it can also arise from other elements namely germ cells and stroma. Epithelial ovarian cancers typically occur in postmenopausal women and are in advanced stage at the time of diagnosis, whereas germ cell tumours occur at a young age, are detected in the early stages and are completely curable.




How is it diagnosed?
  • Exploratory Surgery : This surgery is performed for confirming the diagnosis of ovarian cancer.
  • Ultrasound : High-frequency sound waves are produced in order to get precise images of the structures inside the body.
  • Blood Tests : CA 125 blood test is performed for those women who are suspected of having ovarian cancer or previously had ovarian cancer. This blood test helps in detecting a protein antigen that can be found at abnormally high levels in the blood serum of those women who have ovarian cancer.
  • Positron Emission Tomographic Scan (PET) : This test helps in defining those areas that altered blood supply and also helps in identifying cancer.
  • Upper G.I. and Lower G.I. Scopy : It helps in ruling out the primary cancer present in G.I. tract.
  • CT scan :This helps in generating two dimensional images of the body that may show whether the cancer has spread.
  • Mammography : Metastatic tumors can be ruled out with this test.
  • Magnetic Resonance Imaging (MRI) : Magnetic energy is used for generating highly detailed images of the anatomy such as tumors.
Are all ovarian masses cancers?

All masses in the ovary are not cancers. TVU helps distinguish benign from malignant ovarian cysts. Complex cysts, defined as cysts with both solid and cystic components, septations and echogenicity, are malignant and require exploration. In contrast simple cysts that are thin walled, less than 5-10 cm and without septations are usually benign.

Can we detect  early?

Screening for ovarian cancer has not been successful as natural history of ovarian cancer is not well understood. There is no well-defined precursor lesion and the length of time from localised tumour to dissemination is unknown. Multiple efforts are underway to develop effective screening methods. Pelvic examination, CA 125, and TVU with Doppler are studied as screening methods in high-risk individuals.

Is ovarian cancer genetic?

Around 5-10 per cent of patients carry germline mutation. Breast-ovarian cancer syndrome accounts for approximately 90 per cent of hereditary ovarian cancer and is suspected whenever there are multiple affected family members with , bilateral or early onset breast cancer, both breast and ovarian cancer in the same individual, or a male relative with breast cancer.


What are the treatment of Ovarian Cancer modalities?

Ovarian Cancer Treatment depends on the age, stage, tumour type and the desire to preserve fertility. Surgery and chemotherapy is the mainstay of treatment.


How do I prevent?

Chemoprevention is by oral contraceptives. Surgical prevention is by bilateral oophorectomy, tubal ligation and hysterectomy. Risk-reducing bilateral  oophorectomy is strongly recommended in women who carry germline mutation for hereditary ovarian cancer, because of high mortality of ovarian cancer and lack of effective screening and preventive approaches. 

Fortunately, risk of ovarian cancer does not rise dramatically until the late 30s in women with germline mutation, so women have the opportunity to complete their family prior to surgery. Since ovarian cancer is one of the common cancers in women and there are no effective population screening methods, high index of suspicion is necessary for early diagnosis. With the new trends in chemotherapy, survival is increasing in ovarian cancer patients and awareness is necessary among the public for seeking early medical attention.

Latest and Advanced Minimally Invasive Surgery for Ovarian Cancer in India

Indian Hospitals gives women with ovarian cancer access to the latest in cancer treatment. For example, Indian surgeons use fertility-sparing surgery, minimally and robotic surgery in select cases, when app minimally invasive surgery — also called laparoscopic surgery — for several conditions. In minimally invasive procedures, your doctor makes one or more incisions, each about a half-inch long, to insert a tube. The number of incisions depends on the type of surgery. The tube or tubes let the doctor slip in tiny video cameras and specially designed surgical instruments to perform the procedure.

When you have minimally invasive surgery, you're likely to lose less blood and have less postoperative pain, fewer and smaller scars, and a faster recovery than you would after open surgery. Depending on your condition, you may need only a short hospital stay. For some conditions, your doctor may recommend robotic surgery. That technology gives your doctor great precision, flexibility and control by providing a magnified, 3-D view of the surgical site.


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Monday, 24 February 2014

Gamma Knife RadioSurgery in India – Most Advanced Treatment for Brain Tumors in India

Gamma knife is now the most accepted and widely used radio surgery treatment in the world for brain tumours. About half a million people have been treated with Gamma knife surgery, and it's the only Radiation Therapy System cleared by the FDA for irradiating brain metastases. Gamma knife surgery, despite the name, there is no blade or knife - it's called Gamma knife because radio surgery (one-session treatment) has such a dramatic and precise effect in the target zone that the changes are considered 'surgical.' So there's no incision or blood, and minimal risk of complications. 

The device aims gamma radiation through a target point in the patient's brain. The patient wears a specialized helmet that is surgically fixed to the skull, so that the brain tumor remains stationary at the target point of the gamma rays. An ablative dose of radiation is thereby sent through the tumor in one treatment session, while surrounding brain tissues are relatively spared.

 Radiosurgery uses high doses of radiation to kill cancer cells and shrink tumors, delivered precisely to avoid damaging healthy brain tissue. Gamma Knife radiosurgery is able to accurately focus many beams of high-intensity gamma radiation to converge on one or more tumors. Each individual beam is of relatively low intensity, so the radiation has little effect on intervening brain tissue and is concentrated only at the tumor itself.

Gamma Knife radiosurgery has proven effective for patients with benign or malignant brain tumors up to 4 centimeters in size, vascular malformations such as an arteriovenous malformation (AVM), pain or other functional problems.

The risks of gamma knife radiosurgery treatment are very low, and complications are related to the condition being treated. Gamma-Ray Stereotactic Treatment System. The Gamma Knife instrument put many gamma-ray beams from different angles and directions irradiate to body, making them all together to form the focus point. Since each dose of radiation beam is very small, it basically does not cause damage to human tissues which it through. As long as the ray focuses on the lesion, it can be as precise as a scalpel to destroy the lesion, with no trauma, no hemorrhage, no infection, no pain, and also reach rapid, safe, reliable magical effect.


What can Gamma Knife Radiosurgery Treat ?

 • Arteriovenous Malformations.
 • Functional disorders such as Trigeminal neuralgia and Epilepsy.
  • Meningioma
  • Neurinoma of Trigeminal and Either Cranial Nerves
• Pituitary Adenoma
• Single and multiple metastases of brain cancer



  • Gamma Knife is a neurosurgical tool designed exclusively for the treatment of brain disorders.
  • No incisions, No general anesthesia.
  • The lesion being treated receives a high dose of radiation with minimum risk to nearby tissue and structures..
  • The absence of an incision eliminates the risk of haemorrhage and infection.
  • A secure head frame ensures safety and accuracy within half a millimeter
  • Hospitalization is short, typically an overnight stay or an outpatient surgical procedure. Patients can immediately resume their previous activities.
  • Patients go home usually on the same day (time lost from employment is minimal)
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