Monday, 16 June 2014

World's Moset Advanced Radiation Equipment like Novelis, Gamma Knife and Cyberknife for Treating Uterine Cancer



The most common cancer of a reproductive system of a woman is known as uterine cancer. This cancer starts in cell layers that form the lining of the uterus. This cancer can be detected in its early stage as it causes abnormal vaginal bleeding. The surgical removal of the uterus can cure uterine cancer.


Types of Uterine Cancer :- 

Sarcoma: Sarcoma cancer grows in the supporting tissues of the uterine glands or in the myometrium. This cancer accounts for 2-4% of uterine cancers.

Adenocarcinoma: This cancer is considered as the main type of uterine cancer that grows from the cells in the uterus lining. Endometrial cancer is the other name of this cancer.

  • Unusual Vaginal Bleeding or Discharge
  • Trouble Urinating
  • Pelvic Pain
  • Pain during sexual intercourse
  • Discomfort or pain in the lower abdomen
Diagnosis of Endometrial Cancer (Uterine Cancer)

A pelvic exam is performed by the doctors checking the vagina, uterus, ovaries, bladder, and rectum for Endometrial Cancer (Uterine Cancer). An instrument called a speculum is used to widen the vagina so the doctor can see the upper portion of the vagina and the cervix.

The Pap Smear test is often performed during a pelvic exam Endometrial Cancer (Uterine Cancer). The doctor uses a wooden scraper (spatula) or small brush to collect a sample of cells from the cervix and upper vagina. The cells are then sent to a medical laboratory to be checked for abnormal changes. Because uterine cancer begins inside the uterus, it may not show up on a Pap test, which examines cells from the cervix.

A biopsy may be needed for a definitive diagnosis where the doctor removes a sample of tissue from the uterine lining. In some cases, a woman may require a dilation and curettage (D&C), which is usually a day care procedure. During a D&C, the opening of the cervix is widened and the doctor scrapes tissue from the lining of the uterus. A pathologist examines the tissue to check for cancer cells, hyperplasia, or other conditions.

Common Endometrial Cancer (Uterine Cancer) Symptoms
  •   Abnormal bleeding- heavy bleeding between periods, or heavy bleeding  during irregular periods
  •    Pain during intercourse, pelvic pain or pain in the legs or back
  •    Difficulty urinating or pain during urination
  •    Enlarged uterus , Vaginal discharge and or unexplained weight loss

Surgical Treatment of EndometrialCancer (Uterine Cancer)


Surgery is the best option when Endometrial Cancer (Uterine Cancer) is diagnosed in its very early stages. At this time, the location and the stage of cancer make removal easy. Sometimes patients are treated with a combination of surgery and radiation therapy. Laparoscopy Assisted Vaginal Hysterectomy - involves the minimally invasive or open surgery to remove the uterus. If required teh surgeon may decide to remove both ovaries and the fallopian tubes if there is a risk of Endometrial cancer spread to the ovaries.

In most cases, uterine cancer is an Adenocarcinoma that metastasizes late, usually from the endometrium to the cervix, ovaries, fallopian tubes, and other peritoneal structures. It may spread to distant organs, such as the lungs and the brain, through the blood or the lymphatic system. In such cases advanced tratement post Hystrectomy like Chemotherapy and Radiation are advised

Chemotherapy

Involves modern cancer drugs that are administered intravenously or orally to kill cancer cells and to reduce the chances of the tumour returning elsewhere in the body.


Radiation therapy


India's leading Cancer hospitals now have some of the world's moset advanced radiation equipment like Linac, Novelis, Gamma Knife and Cyberknife for treating Colon rectal Cancers. High technology radiation is used to kill cancer cells without affecting the healthy tissues. Radiation may be used to reduce the tumor prior to surgery or to obviate the symptoms of colorectal cancer such as pain, bleeding, or blockage.

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Friday, 13 June 2014

Brain Tumor Basic Facts - Brain Tumor Treatment

When most normal cells grow old or get damaged, they die, and new cells take their place. Sometimes, this process goes wrong. New cells form when the body doesn't need them, and old or damaged cells don't die as they should. The buildup of extra cells often forms a mass of tissue called a growth or tumor.

Primary brain tumors can be benign or malignant:
Benign brain tumors do not contain cancer cells:
- Usually, benign tumors can be removed, and they seldom grow back.
- Benign brain tumors usually have an obvious border or edge. Cells from benign tumors rarely invade tissues around them. They don't spread to other parts of the body. However, benign tumors can press on sensitive areas of the brain and cause serious health problems.
- Unlike benign tumors in most other parts of the body, benign brain tumors are sometimes life threatening.
- Benign brain tumors may become malignant.
Malignant brain tumors (also called brain cancer) contain cancer cells:
- Malignant brain tumors are generally more serious and often are a threat to life.
- They are likely to grow rapidly and crowd or invade the nearby healthy brain tissue.
- Cancer cells may break away from malignant brain tumors and spread to other parts of the brain or to the spinal cord.
- They rarely spread to other parts of the body.
Tumor Grade
Doctors group brain tumors by grade. The grade of a tumor refers to the way the cells look under a microscope:
- Grade I: The tissue is benign. The cells look nearly like normal brain cells, and they grow slowly.
- Grade II: The tissue is malignant. The cells look less like normal cells than do the cells in a Grade I tumor.
- Grade III: The malignant tissue has cells that look very different from normal cells. The abnormal cells are actively growing (anaplastic).
- Grade IV: The malignant tissue has cells that look most abnormal and tend to grow quickly.
Cells from low-grade tumors (grades I and II) look more normal and generally grow more slowly than cells from high-grade tumors (grades III and IV).
Over time, a low-grade tumor may become a highgrade tumor. However, the change to a high-grade tumor happens more often among adults than children.
There are many types of primary brain tumors. Primary brain tumors are named according to the type of cells or the part of the brain in which they begin. For example, most primary brain tumors begin in glial cells. This type of tumor is called aglioma.
Among adults, the most common types are:
Astrocytoma: The tumor arises from star-shaped glial cells called astrocytes. It can be any grade. In adults, an astrocytoma most often arises in the cerebrum.
- Grade I or II astrocytoma: It may be called a low-grade glioma.
- Grade III astrocytoma: It's sometimes called a high-grade or an anaplastic astrocytoma.
- Grade IV astrocytoma: It may be called a glioblastoma or malignant astrocytic glioma.

Meningioma: The tumor arises in the meninges. It can be grade I, II, or III. It's usually benign (grade I) and grows slowly.

Oligodendroglioma: The tumor arises from cells that make the fatty substance that covers and protects nerves. It usually occurs in the cerebrum. It's most common in middle-aged adults. It can be grade II or III.
Among children, the most common types are:
Medulloblastoma: The tumor usually arises in the cerebellum. It's sometimes called a primitive neuroectodermal tumor. It is grade IV.

Grade I or II astrocytoma: In children, this lowgrade tumor occurs anywhere in the brain. The most common astrocytoma among children is juvenile pilocytic astrocytoma. It's grade I.

Ependymoma: The tumor arises from cells that line the ventricles or the central canal of the spinal cord. It's most commonly found in children and young adults. It can be grade I, II, or III.
Brain stem glioma: The tumor occurs in the lowest part of the brain. It can be a low-grade or high-grade tumor. The most common type is diffuse intrinsic pontine glioma.

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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Tuesday, 10 June 2014

Unbeatable Advantages of Robotic Prostate Surgery over the Conventional Prostate Cancer Surgery


A boon for Prostate Cancer patients - Advanced Robotic Prostate Surgery is now preferred choice for Prostate Cancer patients due to following Unmatched advantages
  • Minimal Bleeding
  • Much quicker recovery
  • Reduced hospital stay
  • Lesser pain killer requirements
  • Lower blood transfusion rates
  • Improved preservation of physical appearance
  • Three (3) D vision enables surgeon to perform Prostate excision with Cancer
  • Control without risk of Post Surgery Continence (control over urinary and
  • fecal discharge) and causing Impotency

What is Da Vinci master slave Robotic System?
Da Vinci master slave robotic system is used to completely eradicate cancer with minimal side effects for treating Prostate Cancer. Through this system a minimally invasive robot assisted radical prostatectomy technique has been developed in which doctors evolved a unique sequence of surgical steps.

The Da Vinci is a sophisticated master-slave robot that incorporates 3-D high definition visualization, scaling of movement, and wristed instrumentation. The operations with the Da Vinci System are performed with no direct mechanical connection between the surgeon and the patient. The surgeon is working a few feet away from the operating table, while seated at a computer console with a three-dimensional view of the operating field.

 How it is  performed ?

Robotic Prostatectomy, also known as Robotic surgery for prostate cancer or da Vinci Prostatectomy is a minimally invasive surgery that is now the preferred approach for removal of the prostate in those diagnosed with organ-confined prostate cancer. The da Vinci Prostatectomy may be the most effective, least invasive prostate surgery performed today. Though any diagnosis of cancer can be traumatic, the good news is that if your doctor recommends prostate surgery, the cancer was probably caught early. And, with da Vinci Prostatectomy, the likelihood of a complete recovery from prostate cancer without long-term side effects is, for most patients, better than it has ever been.

The operation is performed using the daVinci Surgical system and 3-D endoscopic and wristed instruments inserted through 5-6 small incisions across the mid-abdomen

UnbeatableAdvantages of Robotic Prostate Surgery over the Conventional Prostate Cancer Surgery

1) Usually in conventional approach, surgeons make decisions using tactile and visual cues to identify a phenomenon, which is actually microscopic which is likely to damage nerves or to leave cancer behind. In the Advanced Robotic Technique (ART) surgeons uses a sophisticated mastr slave robot that incorporates 3-D high definition vision, scaling of movement and wristed instrumentation that gives him the ability to perform Prostate excision with minimal risk of leaving the cancer behind and also minimal bleeding and post operative risk of incontinence and impotence.

2) Neither clinical nor imaging tests are sensitive enough to capture a tumour at T3 stage where it has become locally advanced and a risk for spreading to other body parts. Sometimes it is difficult for surgeons to find a precise plane between the cancer and urinary sphincter or the nerves and err on the side of cancer safety leading to incontinence or Impotence Da vinci robot system minimizes side effects thereby greater control for the patient over urinary discharge i.e. continence and return to normal sexual function after the surgery.


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The Treatment of Ovarian Cancer Depends on the Stage of the Cancer- Advanced Ovarian Cancer Treatment in India

As with all other cancers, the decision to pursue a particular avenue of ovarian cancer treatment depends largely on the stage of the cancer at diagnoses. Additionally, any ovarian cancer treatment decision should take place through close and open lines of communication between both the oncologist and patient

  • The difficulty in diagnosing ovarian cancer in the early stages is due to the lack of specific symptoms. Early-stage ovarian cancer does not cause obvious symptoms. By the time symptoms become noticeable, the cancer has grown and metastasized. The symptoms of ovarian cancer are often overlooked or attributed to other conditions such as depression or irritable bowel syndrome. Symptoms commonly include abdominal pressure, bloating or swelling, discomfort or pain in the pelvis, or urinary urgency. Additional symptoms may include indigestion, flatulence, nausea, appetite loss, changes in bowel or bladder habits, pain during intercourse, lack of energy, low-back pain and menstrual changes. Symptoms caused by ovarian cancer persist longer than two weeks and are unresponsive to antibiotics or other treatments.

Risk factors and causes


·         Scientists continue to study the genes responsible for familial ovarian cancer. This research is beginning to yield clues about how these genes normally work and how disrupting their action can lead to cancer. This information eventually is expected to lead to new drugs for preventing and treating familial ovarian cancer. Research in this area has already led to better ways to detect high-risk genes and assess a woman's ovarian cancer risk. A better understanding of how genetic and hormonal factors (such as oral contraceptive use) interact may also lead to better ways to prevent ovarian cancer.

Surgery
Three types of surgeries are involved in treating ovarian cancer such as :–
Chemotherapy
After surgery, you'll most likely be treated with chemotherapy - drugs designed to kill any remaining cancer cells. Chemotherapy may also be used as the initial treatment in some women with advanced ovarian cancer. Chemotherapy drugs can be administered in a vein (intravenously) or injected directly into the abdominal cavity, or both methods of administering the drugs can be used. Chemotherapy drugs can be given alone or in combination.
Radiation therapy
Radiation therapy uses high-energy beams to kill cancer cells. The use of radiation therapy to treat ovarian cancer has declined in recent years, but Gyneconcologist use it in certain cases, such as when patient have a recurrence of cancer at the original site or if she can't tolerate chemotherapy. Gyneconcologist may use whole abdominal radiation to treat ovarian cancer that remains or recurs in the abdomen.                                                                                                                                                                                                                              For more information visit:          http://www.medworldindia.com                                  https://www.facebook.com/medworld.india                                                                                                                                                         Please scan and email your medical reports  to us at care@medworldindia.com and we shall get you a Free Medical Opinion from India’s Best Doctors.

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Sunday, 8 June 2014

PROSTATE CANCER: NO MORE A DEADLY DISEASE FOR MEN

The prostate is a walnut-sized gland in the male reproductive system that helps in formation and storage of seminal fluid. The prostate gland in a male body is located in pelvis under the urinary bladder  and in front of the rectum. In simple words we can define and understand Prostate cancer as one which is mainly associated with urinary dysfunction

Prostate cancer tends to develop in men over the age of fifty and very uncommon in men younger than 45 but becomes often common with the men of advancing age. As of 2011, prostate cancer is the second most frequently diagnosed cancer and the sixth leading cause of cancer death in males worldwide.

 Early prostate cancer usually causes no symptoms because most of the prostate cancers are slow growing however, there are cases of aggressive prostate cancers with following symptoms:-

·         Frequent urination,

·         Nocturia (increased urination at night)

·         Hematuria (blood in the urine)

·         Dysuria (painful urination)

·         Difficulty in starting and maintaining a steady stream of urine

·         Loss of weight and appetite, fatigue, nausea, or vomiting

·         Weakness or paralysis in the lower limbs

   
Diagnosis:-

    Treatment for Prostate Cancer :-

·         Active surveillance:- It refers to the process of observation and regular monitoring and it               can be used effectively when prostate cancer is suspected in its early stage. It includes PSA blood tests and prostate biopsies.   

·         Surgery:- prostatectomy i.e Surgical removal of the prostate. It is most common mode of treatment either for early stage prostate cancer or for aggressive prostate cancer cases. It involves the two major kinds of radical prostatectomy those are radical perineal prostatectomy, and radical retropubic prostatectomy.       

·         Cryosurgery:- It is yet another method of the  treatment of prostate  cancer in which the prostate gland is exposed to freezing temperatures.

·         Radiation therapy:- It is also known as radiotherapy which is used  in the treatment of all  stages of  prostate cancer patients. There are two different kinds of radiation therapy used: external beam radiation therapy and brachytherapy . Brachytherapy involves the surgical placement of radioactive seeds or implants directly into the cancerous portions of the prostate where the radiation kills the available cancerous cells.


·   Advanced Robotic Prostate Surgery  is now preferred choice for Prostate Cancer patients due to following unmatched advantages:-
  •  Minimal Bleeding
  • Much quicker recovery
  • Reduced hospital stay
  • Lesser pain killer requirements
  • Improved preservation of physical appearance
  • Three (3) D vision enables surgeon to perform Prostate excision with Cancer
  • Control without risk of Post Surgery Continence (control over urinary and fecal discharge) and causing Impotency

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Friday, 6 June 2014

All Information about Esophageal Cancer Treatment - Esophageal Cancer Treatment in India


Cancer that begins in the esophagus (also called esophageal cancer) is divided into two major types, squamous cell carcinoma and adenocarcinoma, depending on the type of cells that are malignant. Squamous cell carcinomas arise in squamous cells that line the esophagus. These cancers usually occur in the upper and middle part of the esophagus. Adenocarcinomas usually develop in the glandular tissue in the lower part of the esophagus. The treatment is similar for both types of esophageal cancer. If the cancer spreads outside the esophagus, it often goes to the lymph nodes first. (Lymph nodes are small, bean-shaped structures that are part of the body's immune system.) Esophageal cancer can also spread to almost any other part of the body, including the liver, lungs, brain, and bones.




Diagnosis Of Esophageal Cancer
Barium Swallow or Upper Gastrointestinal (GI) X-rays

Barium in liquid form is used to coat the esophagus wall and then a digital x-ray is taken so that the condition of the esophagus can be clearly seen.

Upper Endoscopy for Esophageal Cancer

Endoscope is a flexible, very narrow tube with a video camera and light on the end. The patient is sedated to allow for this tube to pass through into the esophagus and stomach. The doctor can see on a compute monitor the abnormalities in the wall of the esophagus clearly.

Endoscopic Ultrasound for Esophageal Cancer

An endoscope with a small ultrasound probe attached to its sends very sensitive sound waves that penetrate deep into tissues. The sound waves bounce off the normal tissues images convey how deeply the tumor has invaded into the esopha
Bronchoscopy for Esophageal Cancer

The physician looks into the trachea (windpipe) and bronchi (tubes leading from the trachea to the lung).



Positron Emission Tomography (PET SCAN ) for Esophageal Cancer

In this test, the patient is administered radioactive isotope glucose and since the cancers use sugar much faster than normal tissues, the cancerous tissue takes up the radioactive material. A PET scanner can spot the radioactive deposits.


Treatmentof Esophageal Cancer
The stage of cancer is determined first of all by analysing the size of the tumour and the number and location of enlarged lymph nodes. Accurate staging helps tailor treatment to the patient's specific needs. Staging can be done with CT scan, biopsy, esophageal ultrasound and PET scan.

Radiation Therapy


Radiation therapy is first deployed to shrink the tumor with carefully directed radiation at the tumor. This helps destroy or reduce the tumor, because cancer cells divide and grow faster than normal cells. Normal cells usually recover successfully from new age radiation like Linac, Gamma Knife, Novelis or Cyberknife. Radiation therapy is given as an outpatient for 5 minutes for 5 to 6 weeks.

Chemotherapy

Chemotherapy is used to help shrink the tumor and kill any cancer cells in the lymph nodes. There are several chemotherapy medications that work to kill lung cancer and often a combination of 2 of these medications is prescribed. The specific medication or combination of medications you receive will be selected based on your tumor type and your medical history. Chemotherapy will be given as an inpatient for 4-5 day sessions twice during your treatment. Other medications before and during chemotherapy are prescribed which are designed to minimize and relieve the side effects.

Re-staging

Approximately 4-6 weeks after your last treatments you will undergo several tests to determine the success of therapy. You may be required to undergo another set of tests like CT scan of the chest and upper abdomen and Upper endoscopy and esophageal ultrasound.

Surgical Resection

If you have had chemotherapy and radiation therapy, surgical resection of the esophagus will occur approximately 5-6 weeks after your last radiation treatment.



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Monday, 2 June 2014

Low Cost Bone Marrow Transplant (BMT) in India - All about Bone Marrow Transplant (BMT)



A Bone Marrow Transplant is a non surgical procedure in which damaged or diseased bone marrow is replaced with healthy bone marrow stem cells. This complex procedure is performed at many of India's leading hospitals. The success rate for bone marrow transplants in India is on par with international benchmarks.

A bone marrow transplant is usually offered as a solution for certain kinds of cancers as well as some diseases which affect the production of blood cells. Hospitals which perform bone marrow transplants in India have the requisite infrastructure as well as highly experienced haematologists and haemaeto-oncologists to perform the procedure successfully. 

BMT is generally performed in the following cases
  • Certain cancers, such as leukaemia, lymphoma, and multiple myeloma
  • In case of illnesses such as sickle cell anemia, aplastic anemia, Thalessemia, Congenital Neutropenia etc.
  • In case of destruction of the cells due to Chemotherapy or Radiation.
Types of Bone Marrow Transplants
  1. Autologus BMT- Patient's own cells are taken and put back again in order to protect the cells from being destroyed by chemotherapy or radiation.
  2. Allogenic BMT- The cells of the patient are replaced with the cells of other person called Donor after doing blood matching.
  3. Umbilical Cord BMT- In this case the stem cells from umbilical cord is used for the transplantation. These cells are preserved from the time of birth of the patient.

The first step in BMT is the harvesting of bone marrow from the donor. The procedure of harvesting involves the extraction of sufficient amount of bone marrow cells from the donor by making few punctures using a special needle or syringe. Harvesting is done under general anaesthesia and discomfort is usually minimal afterwards. Bone marrow is drawn from the iliac crest (the part of the hip bone to either side of the lower back) .The donor remains at the hospital for 24-48 hours and can resume normal activities within a few days.

 If the bone marrow is meant for an autologous transplant then it is stored at very low temperature and it is used when required. The bone marrow is administered to the recipient via a catheter (a narrow, flexible tube) inserted into a large vein in the chest. From the bloodstream, it migrates to the cavities within the bones where bone marrow is normally stored. If the transplant is successful, the bone marrow begins to produce normal blood cells once it is in place, or engrafted.

Associated Risks

There are risks associated with Bone Marrow Transplant and the level of risk involved depends on various factors such as age, donor matching, type of transplant, treatment, general health, disease etc. Before considering BMT procedure for a patient , tor doctors thoroughly analyze these risk factors.

 Moreover they help the patient to face the rigour of the Transplant procedure. The patient may have to face complications such as bleeding , anemia, nausea, diarrhea, vomiting, cataract graft failure etc.

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