Lumpectomy is a surgery where a cancerous or benign tumour is removed from a breast along with some surrounding tissues. The amount of tissue removed varies according to the nature of the tumour. It is a form of breast-conserving surgery. It is also called a partial mastectomy.

Lumpectomy is the first option of treatment for women diagnosed with early-stage breast cancer.

What is the goal of lumpectomy?

Lumpectomy aims to remove the cancerous cells from the breast and at the same time maintaining the appearance of the breast. Studies have proved that for early stage breast cancer, lumpectomy is as effective as mastectomy (complete removal of the breast).

Doctors may recommend lumpectomy to remove precancerous cells as well.

Pre lumpectomy measures-

If you are under any other medication or if you suffer from allergies, inform your doctor. Other pre-surgery measures include-

  Stop taking aspirins or any pain relieving medication

  Your doctor will recommend you to not drink or eat anything 8-12 hours prior to the surgery.

The procedure:

A mammogram and a biopsy reveal the exact location of a tumour. Lumpectomy is performed under general anaesthesia. The surgeon makes a small incision over a tumour to extract the cancerous cells and the surrounding tissues. Sometimes doctors have to perform sentinel lymph node surgery or axillary node dissection.

The surgeon then closes the incisions with sutures. The sutures may dissolve over time or may have to be extracted later by a doctor.

If you have undergone lumpectomy and sentinel node biopsy, you will be discharged on the same day as the surgery as soon as your blood pressure stabilizes.

However, after lumpectomy with axillary node extraction, you may have to stay in the hospital for 2-3 days.

Therapy after lumpectomy

Your oncologist will recommend a follow-up radiation therapy to destroy the mutated cells that may have remained in the area where a tumour had developed. Radiation reduces the risk of breast cancer recurrence.

You might also have to undergo hormone therapy. Some types of breast cancer need female hormones like estrogen and progesterone to grow. Hormone therapy inhibits the development of cancerous cells by not allowing these hormones to reach the cells.

Your doctor will advise you to avoid strenuous physical activities for at least a month after the surgery.

Lumpectomy is a safe surgical procedure that can root out tumours or precancerous cells from the breast without deforming the shape of it.

Breast Lumpectomy - All You Should Know!

Pulmonary diseases are some of the most commonly experienced health conditions all over the world. Millions of people suffer due to various causes including genetics, smoking, pollutants and infection. Now lungs are one of the most important and complex organs of the body. They are the apparatus through which oxygen enters and carbon dioxide gets expelled. 

Lungs expand and contract on a constant basis to ensure that we can breathe properly. Let us find out more about lung or pulmonary diseases.

Asthma: This is one of the most common and potentially fatal conditions that affect children and adults. It grips the airways formed by the bronchi which branch off into smaller tubes from the main trachea that holds them. This condition causes inflammation, and even spasms, which can lead to wheezing and breathlessness. The main triggers of asthma attacks include allergies, infections and pollutants that may escape into the airways.
COPD: This is also known as Chronic Obstructive Pulmonary Disorder. It is an umbrella term used for various lung conditions that cause breathing difficulties due to an obstruction of the airways. Chronic bronchitis is one of the conditions that falls under COPD, and is usually characterised by persistent, hacking coughs.
Cystic Fibrosis: This is another condition that affects the airways by causing poor passage of mucus from the bronchial tubes. This condition is a genetic one where the mucus that gathers eventually becomes a lung infection.
Pneumonia: This is a condition that causes an infection in the alveoli, which are the tiny tubes that the airways branch into. These are air sacs that can catch myriad infections like pneumonia.
Tuberculosis: This is also a kind of pneumonia, which is caused by bacteria called Mycobacterium Tuberculosis. This condition usually attacks the air sacs of the lungs and can be a potentially fatal disease if it is not treated on time. The patient will require immediate hospitalisation.
Pulmonary Edema: This condition is caused by fluid leaks from the tiny blood vessels into the surrounding air sacs within the lungs. It can also be caused due to heart failure as well as back pressure which falls on the lungs. Direct injury to the lungs can also lead to this condition.
Lung Cancer: This is a fatal disease which can be found in any part of the lungs. It has many forms and the type as well as the location usually determines the kind of treatment option that will be followed.
Acute Respiratory Distress Syndrome: When the lungs suffer a sudden injury which is usually caused by a bout of serious illness, it is called ARDS. Treatment involves the use of life support ventilation.

All About Pulmonary Diseases

Today is World Cancer Day.

Though there are no proven ways to prevent cancer, you can do a lot of things reduce your risk of getting the disease. Here are 10 good important ways to do so:

1. Eat a healthy balanced diet
2. Maintain a healthy weight
3. Drink less alcohol
4. Quit smoking
5. Say No to any form of Tobaco including Pan and Gutka
6. Do regular exercise. At least, Walking.
7. Protect your skin from sun damage
8. Cervical smear tests for women every 3-5 years
9. Breast examination for signs of lumps, dimples or puckering
10. Last but not the least, in case of any lump or doubtful mass, consult an Oncologist without delay.

10 Concrete Ways To Minimize Cancer Risk

Developing cancer is either totally your bad luck where you haven t been doing anything wrong in your diet and lifestyle still develop it or it is out of bad lifestyle, eating habits and negative attitude towards life. But death due to cancer is totally due to carelessness in which a person didn t pay attention to initial symptoms and left cancer for thriving in the body. The truth has been said that cancer isn t a killer but delayed diagnosis and wrong or improper treatment is. Awareness, early diagnosis and treatment is the key to survival. Cancer does not always mean death if some earlier signs of cancer are noted and action is taken timely.

In normal conditions our body functions normally, i.e. we eat, pass urine and stool, breath, and drink water. Any alteration from this is abnormal and must be noticed like difficulty in swallowing, difficulty in urinating and defecating, passing blood in urine or stool, long continued severe pain in any part of the body.

The appearance of new moles on the body which keep on growing with an irregular border, painful and bleed.

Hoarseness of voice

Long persisting cough and blood in saliva. Cough lasting more than a month.

Loose stools or any change in bowel habits without any dietary changes lasting more than a few weeks needs to look into.

Presence of blood in stool without any obvious reason like ulcers or hemorrhoids.

Unexplained low blood count, i.e. anemia. Anemia needs to be evaluated unless there is any obvious source of blood loss.

Not all breast lumps are cancerous but all of them should be investigated. Also if there is any bloody discharge or discharge only from one nipple that should also not be ignored at all. Self-examination of the breast daily once a week is necessary and it is easy too. Check for any nodule or discharge from the breast.

Any lump in the testicles should be evaluated thoroughly. Men should also do a self-examination of the testicles, once in a month.

Urinary symptoms like less urine, pain while passing urine, blood or burning in urine, especially in men shouldn t be ignored. It can be a sign of bladder or pelvic cancer

Hoarseness without any respiratory infection or persistent for more than 3-4 weeks.

Normally lymph nodes swell due to any surrounding infection and then shrink eventually when the infection goes away. If it remains for a longer time and without any infection in the body, should be investigated.

A mole that is multicoloured with irregular borders, bleeding can be cancerous. Especially which is growing rapidly and is painful shouldn t be avoided at all.

Long continued heartburn and difficulty in swallowing even after using over the counter antacids. This can be a sign of esophageal cancer.

Bloody discharge or bleeding from the vagina which is unusual or after menopause can be due to cancer of the uterus or cervix.

Unobvious or unexplained weight loss, fever or night sweats can be an early sign of different types of cancer.

Continuous itching in the genital or anal area, non-healing sores and pain in back, head, bloating and indigestion which is there for a long time without any cause, should be inspected.

Cancer can be horrifying and debilitating but if diagnosed early by giving attention to the symptoms mentioned above and treated properly can fight off. Cancer is no more incurable if treated early. In cases where this disease is out of carelessness if some points are kept in mind and followed, prove to be preventive. If not preventive then definitely reduce the risk of developing it at least.

Do not overuse the birth control pills. Using them randomly can increase the chances of cancer.

Excessive consumption of alcohol shouldn t be done as it irritates the gastric mucosa and increases the incidences of malignancy. However, an occasional glass is fine and does no harm.

Avoid using pesticides around you or having things on which they are sprayed as many of them are definitely carcinogen.

Say no to smoking as tobacco in any form is an invitation to death. Smoking for a long time like 10-30 years can make you pay a heavy price for that.

Long continued anxiety and stress create havoc in the hormonal system of the body which ultimately results in diseases. Try to keep yourself more optimistic and relax in daily life.

Prefer organic vegetables and fruits as other ones have pesticides used while growing them which are definitely a source of getting carcinogens in the body.

Limit intake of processed and packaged food as they increase the risk or certain types of cancer. 

Stay active and try to maintain healthy weight.

Cancer can be the biggest slayer of the health but one can fight it and keep it at bay if mentioned tips are read and implement. Early diagnosis can prevent many lives. So spread awareness and let more people know about it. 

Cancer - A Misfortune Or Carelessness!

Cancer like most other diseases has the best rates of recovery with early detection and intervention. As there are no regular health screenings for blood cancer, only the awareness about the early warning signs can save your life. November is designated as the Lung Cancer Awareness Month, to ensure every individual is equipped to fight against lung cancer right from the start. Here are 4 vital facts you must know to win your fight against blood cancer.
Lung cancer is also known as pulmonary carcinoma or cancer of the lung. It occurs when DNA mutations develop in the cells/ tissues of the lungs leading up to uncontrolled growth in the tissues of the lung. By far, it is known to be the most common cancer in Asia.

1. Type: lung cancers can present as one of the following types: 

Non-Small Cell Lung Cancer (NSCLC): Most common type of lung cancer and constitutes nearly 85% of all lung cancers. The sub-types of NSCLC are as follows:
Large cell carcinoma
Squamous cell carcinoma (SqCC) (Epidermoid)
Adenocarcinoma   accounts for majority of the NSCLC.
Small Cell Lung Cancer (SCLC): It is also known as oat meal cancer and tends to spread (metastasize) quickly. This constitutes about 15% of the lung cancers.
Mesothelioma: It is a rare cancer that develops in the mesothelial cells of the pleural or peritoneal surfaces. It usually arises in the pleural membrane lining the lungs, known as pleural mesothelioma. One that arises from the peritoneum is called the peritoneal mesothelioma and the one that arises from the pericardium is known as pericardial mesothelioma. Lastly, it can also arise from the tunica vaginalis known as testicular mesothelioma. People working with or prior exposure to asbestos are mostly at risk of developing mesothelioma. The latency period between time of exposure and development of mesothelioma can be somewhere between 20 to 40 years. Maximum of the patients who develop mesothelioma are men.
2. Gender: It affects the male populace predominantly. It is more common in men than in women and in those of lower economic status. However, the incidence of lung cancer, in women too, is on the rise of late.

3. Etiology: Cigarette/ Tobacco smoking remains the most important cause of lung cancer accounting for 85   90% of the cases. Incidence/ risk is proportionate to the number of cigarettes smoked irrespective of the age. Also, environmental toxins including smoke from burning black tar, exhaust gases from automobiles etc. too contribute actively to various lung diseases including cancer. People working in asbestos manufacturing factories who are exposed to asbestos dust are also likely to get lung cancer. Tuberculosis too is an additive risk factor. Again, people who have received ionizing radiation especially to treat Hodgkin Lymphoma or other malignancies also run the risk of developing lung cancer. Above-mentioned causes apart, genetic factors may also play a role.

4. Features: Lung cancer clinically presents in the following ways mainly. Signs & symptoms of malignant mesothelioma are as enumerated below

Difficult/ labored breathing (Dyspnea)
Chest pain
Palpable chest wall mass
Discordant chest wall expansion
Weight loss (Cachexia)
Loss of appetite (Anorexia)
Night sweats
Signs & symptoms of non-small cell lung cancer (NSCLC) are as enumerated below. Majority of patients are symptomatic at diagnosis

Chronic cough
Difficult/ labored breathing (Dyspnea)
Chest pain
Blood stained sputum (Hemoptysis)
Hoarseness
Weight loss (Cachexia)
Loss of appetite (Anorexia)
Weakness
Bone pain
Pleural or pericardial effusion
Superior vena cava syndrome
Brachial plexopathy
Neurologic pain
Hypercalcemia of malignancy
Signs & symptoms of small cell lung cancer (SCLC) are as enumerated below

Symptoms as per the points 8   18 depicted above for NSCLC are applicable for SCLC as well. Additionally, patients suffering from SCLC may have:

Fever associated with chest infections like bronchitis/ pneumonia that refuse to go away or keep coming back
Horner syndrome
Paraneoplastic syndromes including encephalitis/ sub-acute sensory neuropathy, hyponatremia, acromegaly, cancer associated retinopathy, ectopic corticotropic syndrome etc all.
5. Screening: is generally recommended for asymptomatic/ symptomatic populations as surveillance for high-risk individuals   who are either current or former smokers (quit smoking within the last 15 years) have at least a 30 pack-year smoking history and those who do not have any prior history of lung cancer. The goal of screening, as usual, is to be able to detect & diagnose lung cancer at an early stage which is potentially curable. It is mostly radiologic with a low dose helical computed tomography (CT) scan being more effective in detecting early-stage lung cancer than a chest radiograph can.

6. Diagnosis: Abnormal blood test results may be indicative of malignancy, but a follow-up imaging/ biopsy is always the gold standard for an accurate diagnosis. Following are the diagnostics employed mainly:

Blood: Hb may be low, TLC, ESR and polymorphs increased. Adenocarcinomas are likely to express thyroid transcription factor 1 (TTF-1) or carcinoembryonic antigen (CEA). On the other hand, mesotheliomas are likely to express Wilms Tumor -1 (WT-1) protein and Calretinin.
Imaging: Thoracoscopy, Bronchoscopy, X-Ray, CT Scan etc all. Positron Emission Tomography (PET) / CT scan and Magnetic Resonance Imaging (MRI) scan help detect metastasis if any.
Biopsy: It clinches the histologic diagnosis and the nature of the disease.
7. Treatment: Conventional treatment includes surgery, chemotherapy and radiotherapy as contextually appropriate. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical outcomes and facilitate recovery as would be feasible contextually.

8. Prognosis: Preventive measures, earlier diagnosis and right early treatment are key for effective therapeutic management & better prognosis. Like most other cancers, the chances of cure for early-stage lung cancer are more. The cure/ recovery chances are influenced by the grade, stage of cancer, recurrence and the patient s general health & vitality etc all. The primary determinant of prognosis in NSCLC is the stage at which the cancer is diagnosed. For non-metastatic cancers, however, it is the nodal status that determines the stage and hence the prognosis.

9. Prevention: Rightly said, prevention is always a better choice. Cigarette smoking is to be avoided by all means as it is the single major cause of lung cancer. Even exposure to cigarette smoke (passive or secondhand) is also an established cause of lung cancer and is known to increase the risk of lung cancer in non-smokers as well. Preventing exposure to secondhand smoke can be helpful in decreasing the incidence and mortality of primary lung cancers. Above-mentioned apart, other important risk factors such as exposure to ionizing radiation, environmental carcinogens like smoke from burning black tar, exhaust gases from automobiles, outdoor air pollution, and occupational exposure to asbestos, arsenic, beryllium, nickel, cadmium, chromium etc all too are known to increase the risk for lung cancer and mortality thereof. In fact, cigarette smoking is known to potentiate the effect and hence the lung cancer risk of many of the above-mentioned carcinogens, multi-fold, in smokers. Thus, either eliminating or reducing the exposure to the above-mentioned carcinogens can lead to a decrease in the risk of lung cancer and incidences thereof. Furthermore, randomized clinical trials indicate that high-intensity smokers (only) who take supplementation of beta-carotene have an increased risk/ incidence of lung cancer. Vitamin E supplementation, on the other hand, does not affect the risk of lung cancer as indicated by the trials. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

Lung Cancer Awareness Month - Lung Cancer In Nutshell!

Science has advanced a lot through the ages. Doctors have also succeeded in curing many diseases in this time. But even with one of the most advanced technologies, they still haven t found a fool proof way to cure cancer. Even out of the many types of cancer, blood cancer is the worst among them. You surely wouldn t want to get into such a situation. Would you? The best way out of blood cancer is never to get one. To prevent it you can take care of a few things:

Maintaining proper body weight: Although you can t do much to prevent cancer, you must ensure that you maintain a healthy body weight. This implied that your BMI should be normal (healthy weight) so that you have a good chance of fighting it. It has been said by many leading institutions worldwide as the best way to prevent cancer. One can maintain proper body weight by making sure they exercise every day for at least 30 minutes and also maintain a well-balanced diet. This would help you maintain a healthy body weight.
Reduction in the consumption of calorie dense food: Not only because calorie dense foods like cold drinks increase your weight, the sugar mixes with your blood and thus is difficult to transport through the body. Thus they add a lot of impurities to the body and must be avoided for the best interests in your effort to fight cancer. The worst fact about calorie dense foods is that you can easily consume 1000   2000 calories long before you can satisfy your hunger. Thus, it also defeats your first preventive measure to avoid cancer.
Staying away from harmful chemicals like pesticides: You might not know it and be happily spraying pest control sprays everywhere without a proper mask thinking you will make the pests go away. What you don t know is that those pesticides are harmful for your blood and one should avoid them. To increase the probability of winning against blood cancer, it s vital to keep this in mind.
Consulting a doctor from time to time: One should always go and visit a medical practitioner from time to time so that they can maintain proper health. Furthermore, if you see symptoms like fever, frequent infections, night sweating, swollen liver with abdomen pain, enlarged lymph nodes (they are usually painless), then be sure to go to a medical practitioner. Always remember that prevention is better than cure. Thus one should try to prevent blood cancer not cure it.

Blood Cancer - How To Prevent It? 

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