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My husband and I had to visit RGCIRC to get medical assistance for my thyroid gland. I was weak and was having difficulty to keep up with the formalities. The doctors and the staff were caring and made special arrangements for me to relax and complete the proceedings comfortably. The ambiance of the institution is a bit noisy and crowded. It can be a turnoff for many, but I think it is an indication of the trust people have on RGCIRC. I wanted my husband to post this piece in the Rajiv Gandhi Cancer Institute Doctors Review section so that people might have a clear outlook of the institution.
My prostate is 3.5*4.5*4.2 cm Vol: 35 ml, PVRV 100 ml (Prostatomegaly) ,This is my to days scan report. IT is which grade? Is it need to surgery? Already I am taking URIMAX 0.4, Now doctor recommended URIMAX -D.
Ovarian cancer is a broad term used to describe cluster of different types of cancers occurring in a single organ i.e. ovary. It can occur at any age- from infancy till old age , even though ovarian carcinoma in younger/childhood comprises only 20% of all ovarian cancers. Majority of ovarian cancers are epithelial - arising from the covering from ovary or from the fallopian tube or the lining of the peritoneum of the abdominal cavity.
The Silent Killer:
Ovarian cancer is called a silent killer as majority of patients report any symptoms when the disease is in the advance stage. Hardly 2-3% of all ovarian cancers cause bleeding or hirsutism, thereby seeking prompt treatment. Majority of ovarian cancer occurs in peri/postmenopausal women which reflect change in interior milieu in terms of hormones.
Since the symptoms are non-specific, women tend to ignore them due to growing age/menopause. Also, mostly women normally don't consult physicians for such non-gynecological complaints, thereby further delaying the diagnosis. It is recommended that women remain involved in their overall health and keep themselves updated to report any abnormality immediately to a specialist.
The main symptoms associated with Ovarian Cancer are:
Bloating sensation especially after heavy meals.
Increasing abdominal girth (especially if no change in diet or if regularly exercising).
Increasing heaviness (fullness) in lower abdomen.
Persistent Gastritis, if previously absent.
Inability to eat proper meal.
Increased frequency of urination.
Further, if there is family history of breast/uterine/ovarian cancer in first and second degree relatives, this increases the risk of developing ovarian and breast cancer. Such females should remain vigilant for above-mentioned symptoms and should report promptly. If you wish to discuss about any specific problem, you can ask a free question.
More and more cancer types are being linked to air pollution. While the linkage is quite easily understandable between air pollution and lung cancer, the damage does not stop there. It is far more harmful, and whether or not it is part of the respiratory system, most cancers are linked to air pollution. The World Health Organization (WHO) has classified air pollution as carcinogenic to humans.
The amount of particulate matter in the air, especially in developing countries like China and India, are loaded with carcinogenic material. This is due to increased transport overload, power generation, industrial emissions, residential heating etc. The exact composition of the air can vary depending on the time of the year, the location, weather, etc. The International Agency for Research on Cancer (IARC) also is spending a lot of time and money to find out the connection between these two. Establishing the link can help in preventing cancer.
Read on to understand the correlation between factors affecting air pollution and cancer incidence.
- Air pollution is not uniform and varies across the globe, depending on how some of the above mentioned factors are affected.
- Developing countries have more pollution levels, especially from vehicular fuel exhaust, metals, dust, and chemical solvents. These contaminate the air, making it carcinogenic.
- There is also lead, which is another “probable human carcinogen,” causing cancer of the liver, brain, and kidney.
- The other chemicals in polluted air include sulfur dioxide, nitrogen oxide, carbon monoxide and ozone.
- Also there are various compounds like volatile organic compounds, outdoor air pollutants, and other particulate matter, which are present in greater numbers in polluted areas.
- Paint thinners, dry cleaning agents, and other metals also contribute to increased air pollution. This, when inhaled, induces chronic inflammation in the tissues, making them react to the inflammation.
- Both outdoor and indoor agents cause pollution, and increases risk of developing cancer.
- Second hand smoke is a lot more dangerous than imaginable in inducing cancer.
Mechanism: Cancer is a result of chronic inflammation, which induces uncontrolled proliferation of the cells. A combination of the above mentioned compounds along with a strong predisposition (family history, for instance) puts the person at a very high risk to develop cancer. The symptoms may takes years, sometimes decades, to develop, but the onset starts off with continued exposure to these agents. So, if you are predisposed to developing cancer, ensure your exposure to the above pollutants is reduced, even if it cannot be completely avoided. If you wish to discuss about any specific problem, you can consult an Oncologist.
Renal cell carcinoma is the most common type of kidney cancer and accounts for 90 percent of all kidney cancers. Young children can develop another kind of kidney cancer termed as Wilms’ tumour. According to a study conducted by the World Health Organization (WHO), 20qw revealed that renal cell carcinoma has increased manifold over the past decade. The primary reason is the improvement of imaging techniques and the lack of healthy lifestyle practices by most adults.
Possible Causes of Renal Cell Carcinoma
There is still no conclusive evidence reported by any scientist about the exact cause of renal cell carcinoma. What doctors do know is the fact the introduction of renal cell carcinoma triggers when few cells of the kidney acquire a mutation in the DNA of a person. Mutation communicates the cell to divide and grow uncontrollably. This leads to an accumulation of cells that eventually forms one or multiple tumours and grows beyond the kidney.
Risk Factors For Renal Cell Carcinoma
Some of the common risk factors for renal cell carcinoma include the following:
- Old age
- Persistent smoking
- Exposure to substances such as herbicide, cadmium etc.
- A family history of renal carcinoma
- Inherited syndrome such as Hippel-Lindau disease, tuberous sclerosis complex, Birt-Hogg-Dube syndrome etc.
- An existing case of kidney failure
Typical Symptoms of Renal Cell Carcinoma
Renal cell carcinoma is hard to detect in its early stages. There is no routine test either that can readily diagnose this condition. However, certain symptoms such as blood in urine, fatigue, sudden loss of appetite, fluctuation of fever, pain in the shoulder or back area, sudden weight loss etc. can indicate renal cell carcinoma.
Feasible Treatment Options for Renal Cell Carcinoma
Most renal cell carcinoma is treated with surgery. There are several types of surgeries, and depending on the stage and spread of cancer, one of the types is opted for.
- Nephrectomy- This is a type of surgery that involves removing the entire kidney, some healthy tissues at the border, and other tissues such as adrenal gland, lymph nodes etc. The surgeon might perform an open or laparoscopic nephrectomy.
- Partial nephrectomy– Under this type of surgery, the surgeon removes a tumour and a part of the healthy tissue from the border of the kidney. This form of surgery can be done via a robotic, laparoscopic or open procedure.
- Cryoablation- This is a non-surgical method of treating renal cell carcinoma. Here, a needle is inserted into the kidney using image guidance, ultrasound, and cold gas. It freezes the cancer cells and limits their growth.
Apart from these, some other methods to counter advanced or recurring kidney cancer include targeted therapy, radiation therapy, biological therapy, partial surgery of the kidney, clinical trials etc.
In case you have a concern or query you can always consult an expert & get answers to your questions!