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Book Clinic Appointment with Dr. Amish D Vora
Treatment of Breast Cancer
Treatment of Tumors
Treatment of Testicular Cancer
Treatment of Blood Cancer
Treatment of Brain Tumor
Treatment of Lung Cancer
Treatment of Colon Cancer
Treatment of Cancer Pain
Treatment of Oral Cancer
Treatment of Prostate Cancer
Treatment of Throat Cancer
Treatment of Gastric Cancer
Treatment of Acute Lymphoblastic Leukemia
Treatment of Lymphoma
Treatment of Cervical Cancer
Treatment of Bone Tumors
Treatment of Leukemia
Treatment of Renal Cell Carcinoma
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Its an urgency. please tell me how many biopsy shld I go for to confirm cancer? And which hospital's biopsy report is treatable? please help me.
Dear Dr. My sister whose age is 27 years, in her head there is a small ball which is soft like a balloon filed with water, but there is no any pain, the ball is minimum 2 to 3 years old, shes body is too slim, please suggest me what to do ?
I am 40 years old. I am female. I have suffer from breast cancer from last 1 and 1/2 years. I have took surgery chemotherapy and radiation therapy from rcc, trivandrum. Please given any preventive method,
My sister has lump in underarms recently which looks like a tumour, its very painful. Sometym its becoms smaller but recently its getting too painfull. Whats the remedy, please suggest.
Sir I have breast cancer a doctor suggest me to do sex with her nd he says he will press my boobs soo hard this will remove my cancer is it true.
What does cervical lymph nodes signify? Is that a indication of cancer and what is reactive lymph node hyperplasia?
The term bone marrow transplant is actually a misnomer in the present context as a vast majority of transplants are now conducted by harvesting stem cells from the blood of the donor.
So the correct and logical term now is peripheral blood stem cell transplant. This is just like a blood donation for the donor and poses no risk at all to the donor. The term blood cancer is generally used for leukemias, these can be of two types - acute and chronic.
For the chronic leukemias, especially chronic myeloid leukemia, stem cell transplant is now generally not required as drugs like imatinib, dasatinib and nilotinib are extremely effective. For chronic lymphocytic leukemia transplant is rarely done these days and is generally reserved for relatively younger patients. Even in the imatinib era transplant is an effective procedure and can cure patients with CML (chronic myeloid leukemia) who do not respond to imatinib and other tyrosine kinase inhibitors.
For acute myeloid leukemias stem cell transplant is recommended for all cases except the low risk cases, after completion of chemotherapy. Risk is defined based on kind of genetic mutations in the leukemic cells for acute lymphoblastic leukemia transplant is generally done at relapse, but certain genetic mutations necessitate an earlier transplant, so does presence of or increase in minimal residual disease, which signifies cancer cells not visible to the human eye under the microscope.
Procedure of stem cell transplant HLA matching is done between patient and siblings. Best match is selected as a donor. Matched sibling is the most commonly used donor in blood cancers. In many cases a match is not available, for such cases matched unrelated donor, cord blood, or a partially matched donor (haploidentical donor) is sometimes selected. Donor is given growth factor injection subcutaneously to bring out the stem cells from the bone marrow to bloodstream, twice daily for 5 days. After that the stem cells are collected and stored. Patient is given high dose chemotherapy to kill cancer cells as well as his normal marrow. After chemotherapy, donor stem cells are injected into the body of patient from a vein. After approximately 11-14 days the donor cells get engrafted in the patient's marrow and start producing normal blood cells. The donor cells also kill the cancer cells and prevent cancer from coming back.
Overall depending on whether the patients cancer is controlled or not before transplant the cure rate after transplant can vary from 60 % for patients who have a good control and less aggressive disease biology, to less then 20 % in patients with uncontrolled disease before transplant. Overall, approximately 40 % patients get cured with a transplant. Upto 40 % patients can develop complications, and half of these may be very severe and life threatening. This figure is more in mismatched transplants. Apart from complications, there is still a risk of relapse and these patients need close monitoring in the first few years after transplant.