Vocal Cord Biopsy Tips

Breast cancer is a form of cancer which develops from the breast tissue. Breast cancer is indicated by signs such as a lump in the breast, changes in breast shape, fluid flowing from the nipple, dimpling of skin, or the development of red scaly patches. Breast cancer is a fatal form of cancer in women and immediate diagnosis is required on observing the symptoms.

Diagnosis of breast cancer
Other than the regular breast screening, the diagnosis of breast cancer involves the following steps and methods:

1. Seeing your general practitioner (GP): It is very important to visit your GP soon after noticing the symptoms of breast cancer. Your GP will examine you properly and in case your symptoms need more assessment, he/she will refer you to a breast cancer clinic.
2. Mammogram and breast ultrasound: You will be required to have a mammogram, as recommended by a specialist breast unit. This is an X-ray of the breasts. An ultrasound scan may also be required. Breast ultrasound should be undertaken only if you are less than 35 years of age. This is because, young women have denser breasts and a mammogram is not as effective as ultrasound in the diagnosis of breast cancer. In ultrasound, high frequency sound waves are used for obtaining an image of your breasts. It is observed to notice any abnormality or lumps. A breast ultrasound is also important for determining whether a lump is solid or contains liquid.
3. Biopsy: In this diagnosis process, a sample of the tissue cells is taken from the breasts and tested under a microscope to find out if it is cancerous. A scan and needle test for the lymph nodes present in your armpit is also done to check whether they have also been affected. A biopsy is undertaken in several ways, depending upon the condition and severity. A needle aspiration biopsy is used for testing a sample of your breast cells without the removal of the tissues. This is the most common form of biopsy and it is also used for draining a small fluid-filled lump or benign cyst. During the process, you will be given a local anesthetic. Usually, a needle biopsy is carried out guided by an X-ray, ultrasound and an MRI scan as well. This helps in distinguishing it from non-invasive changes such as ductal carcinoma in situ.

Another form of biopsy used for the diagnosis of breast cancer is called vacuum assisted biopsy or mammotome biopsy. In this process, a needle gets attached to a suction tube, which helps in obtaining the sample and for clearing the bleeding.

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

Breast cancer is a form of cancer which develops from the breast tissue. Breast cancer is indicated by signs such as a lump in the breast, changes in breast shape, fluid flowing from the nipple, dimpling of skin, or the development of red scaly patches. Breast cancer is a fatal form of cancer in women and immediate diagnosis is required on observing the symptoms.

Diagnosis of breast cancer
Other than the regular breast screening, the diagnosis of breast cancer involves the following steps and methods:

1. Seeing your general practitioner (GP): It is very important to visit your GP soon after noticing the symptoms of breast cancer. Your GP will examine you properly and in case your symptoms need more assessment, he/she will refer you to a breast cancer clinic.
2. Mammogram and breast ultrasound: You will be required to have a mammogram, as recommended by a specialist breast unit. This is an X-ray of the breasts. An ultrasound scan may also be required. Breast ultrasound should be undertaken only if you are less than 35 years of age. This is because, young women have denser breasts and a mammogram is not as effective as ultrasound in the diagnosis of breast cancer. In ultrasound, high frequency sound waves are used for obtaining an image of your breasts. It is observed to notice any abnormality or lumps. A breast ultrasound is also important for determining whether a lump is solid or contains liquid.
3. Biopsy: In this diagnosis process, a sample of the tissue cells is taken from the breasts and tested under a microscope to find out if it is cancerous. A scan and needle test for the lymph nodes present in your armpit is also done to check whether they have also been affected. A biopsy is undertaken in several ways, depending upon the condition and severity. A needle aspiration biopsy is used for testing a sample of your breast cells without the removal of the tissues. This is the most common form of biopsy and it is also used for draining a small fluid-filled lump or benign cyst. During the process, you will be given a local anesthetic. Usually, a needle biopsy is carried out guided by an X-ray, ultrasound and an MRI scan as well. This helps in distinguishing it from non-invasive changes such as ductal carcinoma in situ.

Another form of biopsy used for the diagnosis of breast cancer is called vacuum assisted biopsy or mammotome biopsy. In this process, a needle gets attached to a suction tube, which helps in obtaining the sample and for clearing the bleeding. 

Spinal Tumors are an abnormal mass that grows in the spinal cord or around it. Since these tumors occur in the spinal region, whether spinal cord or column, they came to be known as Spinal tumors. The primary tumor originates in the spine, and secondary tumors may grow in the other areas. They can be benign or malignant. Oncologists classify the spinal tumors according to their location and nature of cancer. They can be cervical, thoracic, lumbar or sacrum.

Causes of Spinal Tumor

The causes of spinal tumors are unknown to this day. Generally, cell growth in the tumors are fast and uncontrollably. This makes it difficult for the removal of cancer completely. There can be some harmful components and agents that cause cancer.

Spinal cord cancer generally attacks and affect lymphocytes which are a type of immune cells. People with compromised or low immunity system are more prone to spinal cord lymphoma. There is also a genetic component that can be a probable cause of cancer in people. This genetic disorder creates benign tumors in the tissue layer of the spinal cord.

Symptoms of Spinal Tumor

The symptoms of early spinal tumors are rarely seen. However, with the growth of spinal tumor progresses, patients may feel different symptoms that may affect their blood vessels, bones, and nerves connected with the spinal cord. The symptoms related to spinal tumors include:

• Back pain

• Senselessness at back

• Difficulty in walking

• Pain at the site of the tumor

• Loss of bowel

• Loss of bladder function

• Weak sensation in the muscles especially in arms and legs

• Pain originating from the back and radiating to other parts as well

Since the grown of the tumor is unknown, the early symptoms only show back pain. Gradually this pain travels to lower back, hips, legs, and arms which worsen with time. Spinal tumors progress at a different rate.

Diagnosis

Since the symptoms of spinal tumors are prevalent, it is generally overlooked by many doctors and patients. Hence, it is necessary that doctor examining you should be aware of your medical history. The diagnosis includes physical and neurological examinations. The following methods can determine spinal tumors:

• MRI Scan: MRI is the most effective way to look into the body organs. It uses a compelling, magnetic field, and radio waves to get the images of the spinal cord without operating the patient. Dye is injected into the spinal cord, and the doctors the determine the tissue mass that is developing in the spine region with the accumulation of dye in the region. It is the most preferred method to detect a tumor in the spine.

• CT Scan: CT scans are a cheaper option than MRI. It is generally used to scan spinal tumor when the patient is claustrophobic or cannot afford for MRI scan. Similar to the MRI scan, the dye is injected in the spinal region of the patient when performing a CT scan.

• Biopsy: This method is used when doctors observe the development of a mass in the spinal cord of the patient. A small piece of the mass is retrieved and diagnosed under a microscope to understand the type and nature of the tissue mass developing in the spine of the patient.

Spinal tumors once detected requires thorough medical treatment and surgeries. Consult with the expert oncologist and get yourself checked. If avoided, it may lead to a severe threat to life.

Any kind of abnormal change in the voice of a person is termed as hoarseness. It is a harsh, strained or raspy voice coupled with a change in the pitch and volume. Hoarseness is often caused by a variety of conditions such as allergies, GERD, smoking and thyroid. It has been noted that that hoarseness is not a medical condition but a symptom of a disease. For you to get a clearer picture of the condition, here are some of the causes and possible treatment measures for the condition. 

Causes of Hoarse Voice 
The conditions which result in hoarse voice as one of their symptoms include: 

1. Laryngitis: This is one of the most common conditions that cause hoarseness. In this condition, the vocal cords become inflamed which is mostly due to a viral infection. This problem is worsened due to other problems like reflux of acid from stomach into the throat and environmental pollution. Strep throat and epiglottitis are specific types of Laryngitis caused by a particular virus or affliction of a particular site in the voice box. 
2. Vocal nodules: In this condition, small nodules develop on the Vocal cords. Also known as Singer’s nodules, these are common in professional singers, teachers and other professionals who overuse their voice. 
3. Vocal Polyps: These are small masses that may develop on the vocal cords and prevent them from vibrating normally resulting in a hoarse voice. They may be a result of repeated episodes of laryngitis or acid reflux. 
4. Myasthenia Gravis: In this condition, the muscles become weak. This is basically a neuromuscular disorder and hoarseness in voice is one of its symptoms. 
5. Vocal cord paralysis: One of the two vocal cords may stop moving and lose its function. This can be due to a variety of conditions like thyroid gland swelling, tuberculosis or tumors. 
6. Throat Cancer: Hoarseness of voice is one of the earliest signs of cancer of the voice box. If caught early this type of cancer can be treated. Smokers beware! 

Treatment of Hoarse Voice 
Some of the treatment measures for hoarse voice are: 

1. Medication – General medication to reduce swelling of the vocal cords, medicines to reduce reflux of acid from stomach into the throat, medicines to reduce pain and strain in the voice box are generally recommend. 
2. Surgery – Certain conditions like Vocal polyps, nodules need to be removed surgically. Micro-laryngeal surgery is used for such type of lesions. Using a microscope with laser and without any external cuts or stitches these problems can be tackled easily. 
3. Phonosurgery – This is a highly specialized type of surgery using which a surgeon can make your voice more like you want it. The pitch of voice can be altered surgically, Meaning that your voice can be made more masculine, more feminine, deeper or more shrill according to your preference. 
4. Cancer treatment – Depending upon the stage of throat cancer the treatment varies and may include surgery or radiotherapy or both. 
5. Voice rest and Vocal hygiene – Along with the primary treatment depending upon the exact cause of hoarseness, measures like voice rest and speech exercises to improve voice may be advised by your doctor. The right cause and the right treatment for your hoarse voice can only be determined by a doctor. So, if you face any problem, you must consult your doctor at once.

A tumor may be defined as an abnormal unwanted growth of tissue in any part of the body. This word need not immediately cause panic because the tumor may or may not cause a health threat. There are three types of tumors:

1. Benign tumor: This is a noncancerous type of tumor. In our body, new cells are formed while the old ones called dead ones are disposed by our immune system. When this disposal of cells does not occur, the remaining dead cells form a lump, which is called a benign tumor. They are not dangerous since, they do not contain harmful fluids and do not spread. A person suffering from a benign tumor in the brain may have frequent headaches.
2. Pre-malignant tumor: It is an initial disorder, or an earlier symptom of cancer manifestation. The inclination of this medical condition is that it will progressively become precarious. This is so because it is capable of conquering neighboring tissues and spreading as well. Leukoplakia is a form of premalignant cancer. They evolve as thick white patches inside the cheeks or on gums below the tongue. These patches are very difficult to be scraped off from the mouth. They are caused mainly due to chewing tobacco and smoking, and ff left untreated can expand.
3. Malignant tumor: These are the cancerous tumors, in which cells multiply abnormally and rapidly. They are unstable and travel along bloodstream, circulatory system and lymphatic system to other parts of the body. Sarcomas and carcinomas are the most common types of malignant tumors. While the former is related to connective tissues the latter is related to organs and glands.

The most common procedure to name the type of cancer is to refer to their site of origin. Adenocarcinoma, refers to cancer in the adenoid glands. Similarly, a benign tumor of fatty tissue is called lipoma, where as a malignant tumor in the same area is referred to as liposarcoma.

What is a biopsy? How does it relate to a tumor?
A Biopsy is a medical procedure practised by qualified medical practitioners. This procedure helps in identifying the type of tumor within a patient. It aids the doctor to conclude the type of treatment to be given to any patient. This procedure is a definite diagnosis to the identification of cancer. A Biopsy is the removal of a sample of the abnormal, unwanted tissue for laboratory examination. Biopsies are of different types, and they may be performed using ultrasound, CT scan or MRI depending on where the tumor is.

1. Excisional biopsy: In this method the entire lump of excess tissue is removed.
2. Incisional biopsy: Here a sample of the abnormal tissue is removed surgically.
3. Needle aspiration biopsy: Here the sample is extracted with the help of a needle.

After extraction, the tissue layers are sent to pathological departments to check their composition, and cause of disease.

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

A tumor may be defined as an abnormal unwanted growth of tissue in any part of the body. This word need not immediately cause panic because the tumor may or may not cause a health threat.

There are three types of tumors:

1. Benign tumor: This is a noncancerous type of tumor. In our body, new cells are formed while the old ones called dead ones are disposed by our immune system. When this disposal of cells does not occur, the remaining dead cells form a lump, which is called a benign tumor. They are not dangerous since, they do not contain harmful fluids and do not spread. A person suffering from a benign tumor in the brain may have frequent headaches.
2. Pre-malignant tumor: It is an initial disorder, or an earlier symptom of cancer manifestation. The inclination of this medical condition is that it will progressively become precarious. This is so because it is capable of conquering neighboring tissues and spreading as well. Leukoplakia is a form of premalignant cancer. They evolve as thick white patches inside the cheeks or on gums below the tongue. These patches are very difficult to be scraped off from the mouth. They are caused mainly due to chewing tobacco and smoking, and ff left untreated can expand.
3. Malignant tumor: These are the cancerous tumors, in which cells multiply abnormally and rapidly. They are unstable and travel along bloodstream, circulatory system and lymphatic system to other parts of the body. Sarcomas and carcinomas are the most common types of malignant tumors. While the former is related to connective tissues the latter is related to organs and glands.

The most common procedure to name the type of cancer is to refer to their site of origin. Adenocarcinoma, refers to cancer in the adenoid glands. Similarly, a benign tumor of fatty tissue is called lipoma, where as a malignant tumor in the same area is referred to as liposarcoma.

What is a biopsy? How does it relate to a tumor?

A Biopsy is a medical procedure practised by qualified medical practitioners. This procedure helps in identifying the type of tumor within a patient. It aids the doctor to conclude the type of treatment to be given to any patient. This procedure is a definite diagnosis to the identification of cancer. A Biopsy is the removal of a sample of the abnormal, unwanted tissue for laboratory examination. Biopsies are of different types, and they may be performed using ultrasound, CT scan or MRI depending on where the tumor is.

1. Excisional biopsy: In this method the entire lump of excess tissue is removed.
2. Incisional biopsy: Here a sample of the abnormal tissue is removed surgically.
3. Needle aspiration biopsy: Here the sample is extracted with the help of a needle.

After extraction, the tissue layers are sent to pathological departments to check their composition, and cause of disease.

A tumor may be defined as an abnormal unwanted growth of tissue in any part of the body. This word need not immediately cause panic because the tumor may or may not cause a health threat.

There are three types of tumors:

1. Benign tumor: This is a noncancerous type of tumor. In our body, new cells are formed while the old ones called dead ones are disposed by our immune system. When this disposal of cells does not occur, the remaining dead cells form a lump, which is called a benign tumor. They are not dangerous since, they do not contain harmful fluids and do not spread. A person suffering from a benign tumor in the brain may have frequent headaches.
2. Pre-malignant tumor: It is an initial disorder, or an earlier symptom of cancer manifestation. The inclination of this medical condition is that it will progressively become precarious. This is so because it is capable of conquering neighboring tissues and spreading as well. Leukoplakia is a form of premalignant cancer. They evolve as thick white patches inside the cheeks or on gums below the tongue. These patches are very difficult to be scraped off from the mouth. They are caused mainly due to chewing tobacco and smoking, and ff left untreated can expand.
3. Malignant tumor: These are the cancerous tumors, in which cells multiply abnormally and rapidly. They are unstable and travel along bloodstream, circulatory system and lymphatic system to other parts of the body. Sarcomas and carcinomas are the most common types of malignant tumors. While the former is related to connective tissues the latter is related to organs and glands.

The most common procedure to name the type of cancer is to refer to their site of origin. Adenocarcinoma, refers to cancer in the adenoid glands. Similarly, a benign tumor of fatty tissue is called lipoma, where as a malignant tumor in the same area is referred to as liposarcoma.

What is a biopsy? How does it relate to a tumor?

A Biopsy is a medical procedure practised by qualified medical practitioners. This procedure helps in identifying the type of tumor within a patient. It aids the doctor to conclude the type of treatment to be given to any patient. This procedure is a definite diagnosis to the identification of cancer. A Biopsy is the removal of a sample of the abnormal, unwanted tissue for laboratory examination. Biopsies are of different types, and they may be performed using ultrasound, CT scan or MRI depending on where the tumor is.

1. Excisional biopsy: In this method the entire lump of excess tissue is removed.
2. Incisional biopsy: Here a sample of the abnormal tissue is removed surgically.
3. Needle aspiration biopsy: Here the sample is extracted with the help of a needle.

After extraction, the tissue layers are sent to pathological departments to check their composition, and cause of disease.

A tumor may be defined as an abnormal unwanted growth of tissue in any part of the body. This word need not immediately cause panic because the tumor may or may not cause a health threat. There are three types of tumors:

1. Benign tumor: This is a noncancerous type of tumor. In our body, new cells are formed while the old ones called dead ones are disposed by our immune system. When this disposal of cells does not occur, the remaining dead cells form a lump, which is called a benign tumor. They are not dangerous since, they do not contain harmful fluids and do not spread. A person suffering from a benign tumor in the brain may have frequent headaches.
2. Pre-malignant tumor: It is an initial disorder, or an earlier symptom of cancer manifestation. The inclination of this medical condition is that it will progressively become precarious. This is so because it is capable of conquering neighboring tissues and spreading as well. Leukoplakia is a form of premalignant cancer. They evolve as thick white patches inside the cheeks or on gums below the tongue. These patches are very difficult to be scraped off from the mouth. They are caused mainly due to chewing tobacco and smoking, and ff left untreated can expand.
3. Malignant tumor: These are the cancerous tumors, in which cells multiply abnormally and rapidly. They are unstable and travel along bloodstream, circulatory system and lymphatic system to other parts of the body. Sarcomas and carcinomas are the most common types of malignant tumors. While the former is related to connective tissues the latter is related to organs and glands.

The most common procedure to name the type of cancer is to refer to their site of origin. Adenocarcinoma, refers to cancer in the adenoid glands. Similarly, a benign tumor of fatty tissue is called lipoma, where as a malignant tumor in the same area is referred to as liposarcoma.

What is a biopsy? How does it relate to a tumor?
A Biopsy is a medical procedure practised by qualified medical practitioners. This procedure helps in identifying the type of tumor within a patient. It aids the doctor to conclude the type of treatment to be given to any patient. This procedure is a definite diagnosis to the identification of cancer. A Biopsy is the removal of a sample of the abnormal, unwanted tissue for laboratory examination. Biopsies are of different types, and they may be performed using ultrasound, CT scan or MRI depending on where the tumor is.

1. Excisional biopsy: In this method the entire lump of excess tissue is removed.
2. Incisional biopsy: Here a sample of the abnormal tissue is removed surgically.
3. Needle aspiration biopsy: Here the sample is extracted with the help of a needle.

After extraction, the tissue layers are sent to pathological departments to check their composition, and cause of disease.

Hoarseness in the simplest sense means, 'hoarse voice'. It may be defined as an abnormal voice change. It is experienced in the form of strained, rough, thick, harsh and grating voice. Variations can be felt even in the loudness and pitch of the voice.

Hoarseness is a temporary infection associated with the larynx, which is also known as the voice box in animals as well as humans. Vocal cords are present inside the voice box. Depending on the vibration of the vocal cord, different sounds are produced.

What are the general causes of hoarseness?

Hoarseness may be caused by common cold, viral infection, cough, irritation due to screaming, smoking, allergy, thyroid problem, acute laryngitis and benign tumor. In adults, the stomach asset comes up to the throat causing hoarseness. Heartburn can also be one of the causes.

When hoarseness arises due to common cold and cough, it will last for 2 to 3 days and will subside using cough suppressant and home remedies like salt water gargling, drinking hot milk with turmeric and pepper powder. As cough or cold suppress, hoarseness will also reduce.

When to see an Otolaryngologist (ENT specialist)?

ENT stands for ear, nose, throat. Serious infections in these areas are treated by an otolaryngologist. It is very essential to consult this specialist if hoarseness lasts for more than 2 to 3 weeks; pain in ENT is not due to cold or flu, coughing up blood, lump in the neck.

Evaluation

The medical specialist starts his diagnosis by physically examining the vocal cord. Flexible lightweight fiber optic tube scope is also used to visually examine the larynx area. Videotaping, acoustic analysis is also done to study voice irregularities, airflow to guide treatment.

How can hoarseness be treated?

The mode of treatments depends on underlying the cause of the problem. The patient may be advised:

1. In most cases, hoarseness can be treated just by resting your throat or modifying the use of your voice.
2. To avoid smoking or passive smoking
3. Referred to a speech therapist to improve the sound of voice.
4. In the case of benign tumor, the nodule or polyp is removed by surgery.

How can you prevent hoarseness?

We've all heard the phrase, 'prevention is better than cure'. Alas, it is. Preventing hoarse voice and throat is a much better option than treating it. Here are some tips on how to prevent hoarseness:

• Avoid smoking
• Avoid overconsumption of caffeine and alcohol.
• Consume plenty of water
• Avoid eating spicy food.
• Avoid speaking loudly for long intervals of time.

Vertebroplasty means shaping the backbone i.e. vertebra for backbone and plasty is related to shape. This is an outpatient procedure done to treat compression fractures of the spinal cord. The backbone is made up of multiple small bones which are stacked one on top of the other with a filling material in between that is known as vertebrae. The stack of bones are held in place by the soft, elastic vertebral material.

Vertebroplasty & similar procedure called kyphoplasty is a non-surgical procedure where collapsed vertebrae is brought back to shape by injecting medical bone cement under fluroscopy / image intensifier in OT, thereby relieving pressure on the spinal cord or spinal nerves with special canula directed to the core of vertebral body. Indicated in osteoporotic vertebrae, spinal fracture, metastatic tumour or primary tumour of spine. This technique has replaced major surgery done earlier to reshape & fix vertabrae.

Technique: Bone cement, in a semisolid state, is injected into the weakened or fractured bone space. Once this solidifies, it provides additional support to the spine, enabling normal movement. It also helps in reducing the pain significantly and improves overall mobility.

Procedure:

In what takes about an hour, the following steps are done. Earlier, a few decades ago, this would be an open surgical procedure. However, with advance technology, now it is done using a small incision

• Local anesthesia is given in the area that needs to be operated
• A biopsy needle is inserted into the fractured space with the help of an X-ray
• The acrylic bone cement is injected into the bone space with a needle to fill up the space, once it solidifies, it stabilizes the vertebral space
• The needle is removed and the incision is covered with a bandage
• Usually, the patient is sent home in an hour’s time unless the overall condition is really bad
• There could be some soreness at the site where injection is given, but one can notice a significant reduction in pain from the day of the procedure
• There is also an improvement in mobility while doing daily chores
• The pain relief can last up to 3 years after the procedure
• Returning back to normal activities takes about 3 to 4 days after the procedure

When to use this procedure?

Vertebroplasty is usually done in case of non-radicular pain that is intractable. In most cases, they do not respond to traditional therapies including physiotherapy, pain medications and even surgery. The pain could be due to:

• Osteoporosis
• Cancer metastasis
• Myeloma
• Spinal hemangiomas
• Traumatic fractures

Benefits of using vertebroplasty for managing pain 

1. Minimally invasive
2. Effective way to get relief
3. Improves mobility
4. Cost-effective
5. Reduces need for long-term use of painkillers
6. Stabilizes the spine and prevents further collapse