Best Cancer Hospital in India
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Best Cancer Hospital in India
Choosing a cancer center is an unavoidable decision when one is diagnosed with cancer. Poring over numerous statistics, asking for referrals from friends and family, and researching hospitals in the area can be a daunting task. Many patients feel powerless, scared, and defeated. They face an intimidating medical condition and often don't know where to turn for accurate information, help, and comfort.
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Gisele Bundchen Prays for Teenage Cancer Patient Karina Xavier ...

Gisele Bundchen Prays for Teenage Cancer Patient Karina Xavier ... | Best Cancer Hospital in India | Scoop.it
Gisele Bundchen Prays for Teenage Cancer Patient Karina Xavier Gisele Bundchen chats on the phone after making her guest appearance on Late Night With Jimmy Fallon on Monday (January 6) in New York City.
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How can you choose the hospital for Blood Cancer Treatment?

How can you choose the hospital for Blood Cancer Treatment? | Best Cancer Hospital in India | Scoop.it
The human body is made out of blood, flesh, bones, tissues, organs and cells. While all these different elements are equally important, it is the blood that connects each and every one of them and helps them perform most efficiently.
Dharamshila Hospital and Research Centre's insight:
The human body is made out of blood, flesh, bones, tissues, organs and cells. While all these different elements are equally important, it is the blood that connects each and every one of them and helps them perform most efficiently. 

 What happens when the blood itself is plagued? 

This is when serious diseases like blood cancers find themselves building in the human body. Blood cancer, also referred to as leukaemia is basically a group of different blood related diseases. All of these diseases work towards impeding the efficient functions of the blood cells and works at deteriorating them, until the point it is no more effective. 

Blood cancer can be primarily classified into two distinct groups- • Acute Leukaemia, and 
• Chronic Leukaemia Some of the best ways to track these diseases is by sampling blood and urine from a potentially affected person, in order to trace tumour markers. Blood Cancer facts: Blood Cancer today is a more common scenario than it was a decade ago.
• Today almost every hour there are two people in the country who are diagnosed with blood cancer. 
• Three different types of blood cancer have been noticed. They are Leukaemia, Lymphoma and Myeloma. 

Leukaemia is predominantly found in the blood cells and in the bone marrow of human beings. The second variety, i.e. the Lymphoma is noticed to affect the lymphatic system adversely and finally the Myeloma is geared to destroy the plasma cells.

 • There are a number of cancers that are common to the world, and leukaemia stands on the 10th most frequently occurring cancers. These are some of the most common facts about blood cancer that people need to enlighten themselves with. Blood Cancer Reason in India: Instances of blood cancer are readily increasing in India today and are likely to be traced both in adults as well as in kids. There are multiple causes that might lead to the homage of blood cancer in a human body. These causes include- 

• One of the major causes that lead to the formation of cancer cells in our body or in the blood can be a result of the weakened immune system. This can be a result of high doses of different medicines or radiations. This can also be the result of different diseases that have weakened the immune system considerably. 

 • Another potent cause that might lead to the formation of cancer in blood is the exposure to a specific chemical, known as benzene. This chemical is commonly found in solvents worked with in plastic or rubber industry and also in petrol. 

 • Other genetic disorders, including Schwachman-Diamond Syndrome, Fanconi Anemia and Down syndrome may also cause blood cancer. Blood Cancer Treatment option: Thanks to the increasing consciousness amongst medical experts and the all over advancement in medical technology, a number of progressive blood cancer treatments are seen. 

Some of the most effective blood cancer treatments approached in the country today, are- 
• Radio Immuno Therapy 
• Medications for growth factors 
• Palliative Care • Biological Therapy, and 
• Physical and Emotional Support 

Treatment Facility: 

With the evolvement of treatment processes, treatment facilities are also evolving rapidly. There is an increasing number of hospitals in the country that are opening cancer wings and wards in their hospitals and staffing them with experienced and trained professionals, teamed with special therapy equipments. 

There are also new hospitals and nursing homes that specialise in treatment of blood cancer alone. Approaching these treatment facilities will help you treat you or your family member with blood cancer in a more full proof way.

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Cervical Cancer Screening - When to Get Screened? 

Cervical Cancer Screening - When to Get Screened?  | Best Cancer Hospital in India | Scoop.it
Cervical cancer is the most preventable gynaecological cancer with regular screening tests and follow-up. Two screening tests can help to prevent cervical cancer or find it early— Read Here

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Potential Factors For Preventing Cancer Diseases | DHRC

According to International Agency for prevention of cancer, 50% of cancers can be prevented with current knowledge gathered, after decades of
Dharamshila Hospital and Research Centre's insight:
According to International Agency for prevention of cancer, 50% of cancers can be prevented with current knowledge gathered, after decades of Research Availability of lot of information about cancer, on internet, has played a great role in making public aware about cancer. 

But the percentage of net users in India is only about 5%. Therefore we need to make public aware about their risk factors, through print and electronic media. It is an established fact that Tobacco, Diet, Alcohol and Body weight are together responsible for 34% of cancers. We also know that 45% of cancers in men and 40% of cancers in women can be prevented, if 14% known lifestyles and environment risk factors are taken care of. Union for International Cancer Control (UICC) in its 2014 report, on the economics of cancer prevention and control pointed out the following:- http://www.dhrc.in/blog/potential-factors-for-preventing-cancer-diseases/
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Why Package Cost for Oral Cancer Treatment Cannot be Predetermined?

Diagnosis of Oral cancer is hard enough without considering the direct and indirect costs associated with Oral cancer treatment. Beating your cancer is your first priority, but financial worries are often not far behind.  Most Oral cancer patients fail to understand, why package cost for Oral Cancer treatment cannot be predetermined.

Dharamshila Hospital and Research Centre's insight:

Diagnosis of Oral cancer is hard enough without considering the direct and indirect costs associated with Oral cancer treatment. Beating your cancer is your first priority, but financial worries are often not far behind.  Most Oral cancer patients fail to understand, why package cost for Oral Cancer treatment cannot be predetermined.

 

The answer is simple; cost of treating oral cancer can vary from RS. 2 Lacs to 10 Lacs. The cost variation will depend on which part of the oral cavity is involved i.e. Tongue, Gum, Cheek, Jaw (Upper/Lower), Palate, Base of the Tongue, Uvella and Stage of the Disease (Early / locally advanced / metastatic) and modality of treatment required as per National / International treatment guidelines to achieve best treatment outcomes.

 

Before calculating the cost of treating oral cancer the following scenarios have to be considered:-

 

Does the patient require surgery? If yes, what type of surgery will be done? In other words, Will it be simple removal of the tumour with clear margins; Is there need for removal of mandible (lower Jaw or maxilla (upper jaw) followed by reconstruction; Does patient require resection of the neck.

 

Reconstruction of the Jaw (after its removal) – Another small surgery is done. Fibula (Non weight bearing bone of the lower leg) is removed and shaped like the original jaw. It is fixed with a stainless steel plate with screws.

 

Additional cost of removing original teeth, Stainless steel plates to hold the fibular graft to reconstruct the Jaw and parenteral nutrition have to be taken into account for patient requiring jaw removal. Some patients require gastrectomy for feeding the patient, till such time, one can start taking oral feeds.

 

Chemotherapy - Postoperatively patient may / may not require chemotherapy. The cost will also vary depending on what kind of chemo drugs are recommended based on the histology of the tumour. First line of drugs may / may not produce desired results. Second / third line chemo drugs and targeted therapies are more expensive. Some chemo drugs have to be imported and are very expensive. Cost can also go up if patient needs hospitalization for chemotherapy instead of Day care Chemotherapy.

 

Radiotherapy - Most patients postoperatively require radiotherapy. The cost of radiotherapy also varies from patient to patients depending on what application of radiotherapy is involved. If the patient is immobile due to any reason and cannot come daily for OPD Radiotherapy, the cost of hospitalization will add up to the radiotherapy bill. Depending on the category of bed chosen by the patients, cost will be different for different categories of rooms.

 

Supportive Care - Patients with stage IV disease do not require surgery. They are given radiation, chemotherapy and other supportive treatment i.e. Blood / Blood Component Therapy, Parenteral Nutrition etc. The maximum cost is incurred when patient has stage IV disease.

 

In view of the above, patient must undergo a complete diagnostic workup with numerous investigations to confirm the cancer; this is following by staging work up to find out the stage of the disease. After knowing the stage of the disease and modalities of treatment required, one can give the estimated cost of surgery, Radiation, Chemotherapy, Supportive care, rehabilitation etc.


http://dhrc.in/oral-cancer-treatment-hospital-india.html

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Nephron Sparing Surgery in Renal Tumors : A Case Report

Nephron Sparing Surgery in Renal Tumors : A Case Report | Best Cancer Hospital in India | Scoop.it

Renal tumors comprise approximately 3.8% of all new cancers with median age at diagnosis of 64 yrs. It is the third most common urological malignancy.

Dharamshila Hospital and Research Centre's insight:

A 69 yrs old male presented to our OPD with h/o left sided varicocele. A known case of Diabetes, hypertension and bilateral medical renal disease, he underwent MRI abdomen which revealed a large lower pole lesion in left kidney with no renal vein or IVC thrombus. DTPA Scan revealed a 61% function in the affected kidney. Due to his bilateral medical renal disease and poorly functioning contra lateral kidney, he was planned for Nephron Sparing Surgery / partial nephrectomy (L) and DJ Stenting under cold ischaemia. Post op patient initially showed a rise in creatinine levels which gradually settled down to pre operative levels.

 

Before we go into the discussion of partial nephrectomy or nephron sparing surgery (NSS) in RCC, I would like to emphasize on the presenting complaint.  Varicocele in the left side is one of the presentation of Left sided kidney mass, which occurs due to the drainage of the gonadal vein into the renal vein on the left side and generally indicates tumor thrombus in the venous system renal/ IVC, however in this case it was because of compression of left gonadal vein by the renal mass.

 

Renal tumors comprise approximately 3.8% of all new cancers with median age at diagnosis of 64 yrs. It is the third most common urological malignancy. The rate of RCC has increased by 1.6% per year for last 10 yrs, the reason of which is unknown. Majority of them are renal cell carcinomas and 80% of them are clear cell variety.

 

Smoking and obesity are high risk factors of RCC. Some genetic diseases are also associated with RCC, like Von Hippel Lindau (VHL) disease.

 

 At presentation 25% are locally advanced. More often patient presents with metastatic disease (20%) . Only a few patients present with Virchows Triad – the ‘too late triad’ ( of hematuria, abdominal pain and flank mass). A CT Scan or MRI of the whole abdomen including pelvis clinches the diagnosis. A  NEEDLE  BIOPSY  IS  NOT  NECESSARY  BEFORE  SURGERY  IF  THERE  ARE  CLEAR FINDINGS  IN  IMAGING. It is only required when non surgical intervention is planned or if the patient is planned to be kept under surveillance only.

 

Surgery is the only definitive curative treatment for renal cancer, either in the form of NSS/ Radical Nephrectomy.  Any of the open, laparoscopic or robotic techniques may be employed for either of the two procedures; with each having its own advantages and disadvantages .Types of Partial Nephrectomy are Polar segmental resection, Wedge resection, Major transverse resection and Bench resection & auto transplant.

 

 Indications for Open partial nephrectomy   BOX 1

Solitary kidneyLarge tumourCentral tumourMultiple tumoursRequirement for coolingIschaemia > 30 min

 

Indications for Minimally Invasive techniques   BOX2

Small < 3cmNon central lesion

 

Originally partial nephrectomy (NSS) was indicated only in the clinical settings in which radical nephrectomy would make patient functionally anephric or patient will require dialysis, like RCC in solitary kidney, but now it is becoming more common. The absolute indications are Solitary kidney, bilateral renal masses and Renal Impairment. There are also relative indications like small unilateral tumors and hereditary RCC. Partial nephrectomy has same oncological outcome till the stage 1B tumors, i.e , till a size of 7 cm tumor. Node dissection has no survival advantage and is a staging procedure only. At least 20% RCC cases are suitable for NSS. Cold ischemia is preferred in those cases where we anticipate the operative time following clamping of the renal artery to be prolonged. If we clamp renal artery for more than 60 minutes in warm ischemia, then the recovery is incomplete and 60-70% of the renal function is lost, while the same for 20-30 minutes leads to complete renal recovery, and in cold ischemia we can save the function of the kidney even till 60 minutes.

 

Studies with limited follow up reveal that the oncological outcome for laparoscopic Vs open partial nephrectomy appears to be similar. However, it was shown that operative and post operative complications are fewer in open surgery. Radical nephrectomy should not be employed when partial nephrectomy or NSS can be achieved (1) Pts with partial nephrectomy show better survival than radical nephrectomy. (2,3)

Surgical resection remains an effective therapy for clinically localized RCC, with options including radical nephrectomy (open, laparoscopic, robotic) or nephron sparing surgery. Each of these modalities is associated with its own benefits and risks, the balance of which should optimise long term renal function and expected cancer free survival.

 

References:

 Urology 2010;76:631-637. JAMA 2012 apr 18;307(15):1629-35.J Urology 2008; 179:468-471; discussion472-483

For More information Please visit : http://www.dhrc.in

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Haplo-Identical Bone Marrow Transplantation, “The Glass is Always Half Full” | PressReleasePoint

Haplo-Identical Bone Marrow Transplantation, “The Glass is Always Half Full” | PressReleasePoint | Best Cancer Hospital in India | Scoop.it

A New lease of Life for the patients of blood disorders,who need transplants but cannot find donors, who are a perfect match to them.

Dharamshila Hospital and Research Centre's insight:

A 25 year old IT professional was struck with Hodgkin ’s disease which is one of the most curable cancers. He was treated with standard chemotherapy and the disease went away only to reappear a few months later. This time he received local radiation and Autologous Bone Marrow Transplantation (BMT). However, the response was shortlived and the cancer sprung its ugly head within 6 months.

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What is Image Guided Radiation Therapy or IGRT?

What is Image Guided Radiation Therapy or IGRT? | Best Cancer Hospital in India | Scoop.it

Department of Radiation Oncology at Dharamshila Hospital And Research Centre is one of the busiest department servicing 60-70% of cancer patients. 

Dharamshila Hospital and Research Centre's insight:

Radiation oncologists use image guided radiation therapy, or IGRT, to help better deliver the radiation to the cancer since tumors can move between treatments due to differences in organ filling or movements while breathing. IGRT involves conformal radiation treatment guided by imaging, such as CT, ultrasound or X-rays, taken in the treatment room just before the patient is given the radiation treatment on a daily basis. 

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8 steps which will help you to lay the foundation for the many health-filled years and cancer free life.

8 steps which will help you to lay the foundation for the many health-filled years and cancer free life. | Best Cancer Hospital in India | Scoop.it
Dharamshila Hospital's has a message for all the cancer survivors that please follow these 8 steps which will help you to lay the foundation for the many health-filled years and cancer free life.
Dharamshila Hospital and Research Centre's insight:

You have heard it before, of course. But, if you smoke, the single best thing you can do as a survivor is stop. It will lower your risk of developing a second cancer as well as heart disease and stroke. Yes it's hard. But not possible. (Tips : Keep trying and join a quit smoking programme)

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Salivary Gland Tumours Cancer Treatment in India

Salivary Gland Tumours Cancer Treatment in India | Best Cancer Hospital in India | Scoop.it
Hospital for Cancer treatment in India
Dharamshila Hospital and Research Centre's insight:

The salivary glands make saliva (spit). This keeps your mouth moist and helps food to slide down the gullet into the stomach. The largest salivary glands are the: 

sublingual glands, which are found underneath the tongue
parotid glands, which are found at the sides of the mouth just in front of the ears
Submandibular glands, which are found under the jawbone."

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Surgical Oncology and Operating Rooms and Endoscopic Suite in DHRC

Surgical Oncology and Operating Rooms and Endoscopic Suite in DHRC | Best Cancer Hospital in India | Scoop.it
Hospital for Cancer treatment in India
Dharamshila Hospital and Research Centre's insight:

Dharamshila Hospital boasts of seven spacious operating rooms with positive pressure air-conditioning, laminar flow and hepa filters. The operating rooms are equipped with state-of-the-art Anaesthesia machines with ventilators. 

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Dharamshila Hospital and Research Center for Bone Marrow Transplant

Dharamshila Hospital and Research Centre's insight:

Autologous bone marrow transplant is a process in which patient uses their own stem cells to fight against diseases. For doing so, the hematopoietic cells are removed only before giving high dosage of chemotherapy or radiation treatments. 

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Can Smoking Cause Breast Cancer? New Study Finds Link ...

Can Smoking Cause Breast Cancer? New Study Finds Link ... | Best Cancer Hospital in India | Scoop.it
A new study shows that young women who smoke may be more likely to develop breast cancer. The study found that women between 20 and 44 years old who had also smoked one pack per day or more for 10 years were ...
Dharamshila Hospital and Research Centre's insight:

The study found that women between 20 and 44 years old who had also smoked one pack per day or more for 10 years were more likely to develop estrogen receptor-positive breast cancer.  The women of this category were not found to be more likely to develop triple-negative breast cancer.

 

“I think there is a growing appreciation that breast cancer is not just one disease and there are many different subtypes.  In this study, we were able to look at the different molecular subtypes and how smoking affects them,” states Dr. Li.

 

Dr. Li conducted his study on information from women who were diagnosed with breast cancer between 2004 and 2010 in the Greater Seattle area.  It was found that 778 were diagnosed with estrogen receptor-positive breast cancer, and 182 were diagnosed with triple-negative breast cancer.  In addition, information from 938 cancer-free women was included as well.


The study found that women who had ever smoked were 30 percent more likely to develop any type of breast cancer.  In addition, women who were recent or current smokers who had smoked for at least 15 years were 50 percent more likely to have estrogen receptor-positive breast cancer.  Those that smoked one pack per day or more were 60 percent more likely to have estrogen receptor-positive breast cancer.

“There are so many different chemicals in cigarette smoke that can have so many kinds of effects,” states Dr. Li.

 

“I think that there is growing evidence that breast cancer is another health hazard associated with smoking,” states Dr. Christopher Li, the study’s lead author.  His study was published in the journal Cancer.

 Can Smoking Cause Breast Cancer?  New Study Finds Link.


Read more at http://americanlivewire.com/2014-02-10-can-smoking-cause-breast-cancer-new-study-finds-link/

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Who needs Bone Marrow Transplantation in India?

Who needs Bone Marrow Transplantation in India? | Best Cancer Hospital in India | Scoop.it
Bone marrow is the sponge like tissue found in the interior of certain bones-contains stem cells, which are the precursors of red blood cells, white blood cells and platelets. These blood cells are vital for normal human body functions.
Dharamshila Hospital and Research Centre's insight:
Bone marrow is the sponge like tissue found in the interior of certain bones-contains stem cells, which are the precursors of red blood cells, white blood cells and platelets. These blood cells are vital for normal human body functions. But because of association of certain diseases, stem cells may produce too many, very few or abnormal blood cells. Also, some medical treatments may destroy these stem cells. Bone marrow transplantation is used to treat severe problems. It involves extracting the bone marrow having normal stem cells from a healthy body and transferring into the affected body. The aim of the bone marrow transplant is to rebuild the affected person’s blood cells and immune system. 

Bone marrow transplantation is used to cure diseases and also certain types of cancer. Bone marrow transplant may also be required when the person has been given high doses of chemotherapy or radiations and because of it, his bone marrow has been permanently damaged or destroyed by the treatment. Bone marrow transplantation can used to replace the diseases bone marrow with the healthy functioning bone marrow. It can also be used to replace the bone marrow, which has been highly affected, and restore its normal body functions. It is also used to replace the bone marrow with genetically healthier bone marrow so as to prevent it from getting further damaged as a result of genetic disorders. 

Some of the diseases that have been cured from bone marrow transplantation include Lymphomas, Leukemia in Children, Aplastic Anemia, Thalassemia and some solid tumors. There are different types of bone marrow transplants depending upon the donor. Autologous bone marrow transplant, allogeneic bone marrow transplant, umbilical cord blood transplant are the different types of bone marrow transplants. 

In autologous bone marrow transplant, the donor is the child himself or herself. Stem cells are taken from the infected body, and then are given back after the treatment. 

In allogeneic bone marrow transplant, the donor is genetically elated to the recipient. In umbilical cord bone marrow transplant, the stem cells are taken from the umbilical cord directly after the delivery of the child. Those stem cells are then tested, typed, counted and frozen until they are required for the transplant. 

The typing of the HLA tissue determines the matching of the bone marrow transplant donor and the recipient. The antigens, which are present on the surface of the white blood cells, determine the genetic make up of the immune system. Though there are several antigens present, but there are a few major antigens, which determine the matching of the donor and the recipient. The more the number of antigens matches; the better is the engraftment of donated marrow. 

As with the other procedures, such as bone marrow transplant, prognosis and long term survival depends upon person to person. The amount of transplants occurring for an increased number of diseases and medical developments has greatly improved the outcome for bone marrow transplant in children and adults.
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Do you know “Lymphedema” ?‪

Do you know “Lymphedema” ?‪ | Best Cancer Hospital in India | Scoop.it
‪‎Lymphedema‬ is a health condition that can result from the surgical removal of lymph nodes from the underarm area or radiation treatment to this area. When lymph nodes are removed or damaged, the ‪‎lymphatic‬ system is unable to work as effectively in that area and lymph fluid can build up, causing swelling in the arm, hand or chest area.
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VMAT (Volumetric ARC Modulated Therapy) Technology In Radiotherapy: Benefits | DHRC

VMAT (Volumetric ARC Modulated Therapy) Technology In Radiotherapy: Benefits | DHRC | Best Cancer Hospital in India | Scoop.it
Intensity modulated radiotherapy (IMRT) in head and neck cancers (HNC) has been in use for around two decades. It has clearly been seen that IMRT results not
Dharamshila Hospital and Research Centre's insight:
Intensity modulated radiotherapy (IMRT) in head and neck cancers (HNC) has been in use for around two decades. It has clearly been seen that IMRT results not only in a better dose distribution profile to organs at risk (OAR) when compared to 3 dimensional conformal planning , but also in an improved overall survival, progression free survival , locoregional control and quality of life. IMRT has the unique capability of producing inhomogeneous dose distributions, allowing simultaneous delivery of different doses per fraction to different areas within the treatment field.
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Research And Discoveries In Cancer | DHRC

From the beginning of this century, cancer research has been focussing on Biological Information for every single tumour, to know why some people with same genetic predisposition and living in the same environment, get cancer and others do not. The focus has also been to discover therapeutic interventions to treat cancer. Research has made a large data available for practically every cancer type and many histological subtypes. However, decades of Research has not reduced the cancer burden globally.

Dharamshila Hospital and Research Centre's insight:
From the beginning of this century, cancer research has been focussing on Biological Information for every single tumour, to know why some people with same genetic predisposition and living in the same environment, get cancer and others do not. The focus has also been to discover therapeutic interventions to treat cancer. Research has made a large data available for practically every cancer type and many histological subtypes. However, decades of Research has not reduced the cancer burden globally. 

Genome project was started with great enthusiasm and passion, with the objective of sequencing and identifying 3 billion genes in the Human Genome, so that the genetic roots of the disease can be found and specific treatment options could be developed. Human Genome was decoded at the end of the century. The entire Genome of 1000 people from all over the world was studied. The findings revealed that 1% of the Genome of every individual is unique but balance 99% is identical. The scientists are still doing research on what are the differences in this 1%, which can prove to be highly critical. Almost 800 genetic variations have been identified in the individual Genome, which are responsible for major diseases including cancer. 

To evaluate these genetic variations, scientists are looking for biological markers associated with cancer. We need 8000 biomarkers, but as of today, only 2 are available. We are still not able to predict which pre-malignant oral lesions will become malignant. Sequencing and analysis of the human Genome shows that there are more than 20,000 genes in tens of tumours. Mutations in these genes are responsible for initiating the cancer. Detected mutations do not include chromosomal rearrangement Role of sequencing of genes is becoming harder to define. No. of mutations in each gene are much higher than expected. Out of these 20,000 genes, function of even 100 genes is not clear. These mutations are triggered by several environmental factors within our body. Research on oncogenes, tumour suppressor genes, genotyping of tumours has been carried out to find out different mutations. Impairment of DNA and mutation of 7p53 induces loss of DNA methylation and amplification of 7ROPI gene which leads to cancer, but we are still not able to predict, who will get cancer.
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Breast Cancer Surgery Package "Can we Predetermine the Cost"

Diagnosis of Breast cancer is hard enough, without considering the direct and indirect costs associated with breast cancer treatment. Beating your cancer is patient’s first priority, but financial worries are often not far behind. Most breast cancer patients fail to understand, why package cost for breast treatment cannot be predetermine.

Dharamshila Hospital and Research Centre's insight:

Diagnosis of Breast cancer is hard enough, without considering the direct and indirect costs associated with breast cancer treatment. Beating your cancer is patient’s first priority, but financial worries are often not far behind. Most breast cancer patients fail to understand, why package cost for breast treatment cannot be predetermine.

 

The answer is simple cost of treating breast cancer can vary from Rs. 1Lac to Rs. 10 Lacs.  Cost Variation depends on the Stage of the Disease (Early / locally advanced / metastatic), Nutritional Status of the Patient, Individual Body and Immune Responses, Other Associated Diseases of any Organ of the Body (heart, lung, liver, kidney, diabetics, high blood pressure etc.), Modality(ies) of treatment required and best suited treatment plan as per National and International guidelines recommended during Tumour Board evaluation.

 

One has to consider the following scenarios.

 

Does the Patient require SURGERY?  If yes,

 

Whether only lump will be removed / entire breast will be removed?Will removal of breast be followed by reconstruction of breast?What kind of breast reconstruction is preferred by the patient?Will patient require breast prosthesis or not?

 

Following surgery, will the patient require Chemotherapy? If yes,

 

What drugs will be used?Will the patient get chemotherapy in day care or will be hospitalization?

 

The cost will also depend on what kind of chemo drugs are recommended, based on the histology of the tumour. Some chemo drugs have to be imported and are very expensive.

 

First line of drugs may / may not produce desired results second / third line chemo drugs and targeted therapies are more expensive.

 

Radiation therapy may / may not be required. If it is required, is the patient mobile to come to hospital on OPD basis. If the patient is immobile additional cost of 6 weeks of hospitalization will be required. Depending on the category of room chosen by the patient, cost will be different for different categories of rooms.

 

If these patients also have other associated diseases e.g. Diabetes, High Blood Pressure Heart Disease,, Asthma, Bronchitis, Bronchiectasis , Liver Disease, Kidney Disease requiring dialysis or any other disease, the cost of repeated investigations, drugs, disposables minor medical or surgical procedures gets added to the treatment cost.

 

Patients of stage IV breast cancer do not require surgery (except cosmetic surgery in fungating ulcers of the breast) However, they do require long term supportive chemotherapy. If they do not respond to first line of drugs 2nd or 3rd line of drugs are also tried to control the disease.

 

In addition to chemotherapy they may need Blood / Blood Component Therapy, Parenteral Nutrition Therapy, Treatment of Metastatic Fractures Rehabilitation of the Patient etc.

 

In view of the above, patient must undergo a complete diagnostic workup with numerous investigations to confirm the cancer; this is followed by staging work up to find out the stage of the disease. After knowing the stage of the disease and modalities of treatment require done can give the estimated cost of surgery, Radiation, Chemotherapy, Supportive care, rehabilitation etc.

 

http://dhrc.in/breast-cancer-treatment-hospital-india.html

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Advancement in Stereotactic Radiosurgery and Benefits to Cancer Patients in India

Stereotactic radiosurgery (SRS) is a form of radiation therapy that focuses high-power energy (X-rays) on a small area of the body. 

Dharamshila Hospital and Research Centre's insight:

Stereotactic radiosurgery (SRS) is a form of radiation therapy that focuses high-power energy (X-rays) on a small area of the body. The term radiosurgery is truly a misnomer .It is not a surgical procedure and is rather a technique of radiation therapy.Some patients receive more than one treatment session, but usually no more than five sessions then the process is termed as stereotactic radiotherapy (SRT).and when it is performed for tumours outside skull it is called Stereotactic body radiation therapy (SBRT).

 

SRS targets and treats an abnormal area without damaging nearby healthy tissue. SRS is more likely to be recommended for patients who are too high risk for surgery. This may be due to age or other comorbidities. The aim of stereotactic radiosurgery is to destroy target tissue while preserving adjacent normal tissue, where fractionated radiotherapy relies on a different sensitivity of the target and the surrounding normal tissue to the total accumulated radiation dose.

 

SRS is often used to impede the growth of small, deep seated brain tumors that are not amenable to surgery. These includespinal cord tumors,pituitary tumors, acoustic neuromaand brain metastasis. There are many noncancerous conditions which can also be treated with SRS like such as arteriovenous malformations ,Parkinson disease, trigeminal neuralgia and epilepsy.

 

There are many types of radiation therapy machines which can be used to perform radiosurgery namelylinear accelerator, Gamma knife,and Cyberknife. Not all Linear accelerators are competent to perform SRS.The prerequisite is to havemicro multileaf collimators which has a submilimetric precision capability. Inaddition there should be an inbuilt online imaging system to guide the treatment.

 

Modern stereotactic planning systems are computer based.The stereotactic method has continued to evolve ever since it was first started by Prof Leksell in 1949. At present an elaborate amalgam of image-guided surgery that uses computed tomography, magnetic resonance imaging and stereotactic localization is employed.Stereotaxy makes use of a three-dimensional coordinate system to locate small targets inside the body and to performa procedure, a stereotactic planning system, including atlas, multimodality image matching tools, coordinates calculator, a stereotactic device or apparatus and stereotactic localization and placement procedure.

 

During treatment the patient is on the treatment table with an appropriate immobilisation. The immobilisation includes masks and cushions.The treatment table slides into a machine that delivers radiation: The patient is under constant supervision by means of real time cameras. Patient can also communicate on microphones in case of any discomfort. If need arises then treatment can be interrupted and later resumed.

 

SRS/SRT where it stands in Indian Scenario: It providesasafe, and minimal invasive and efficacious treatment alternative for patients diagnosed with malignant, benign and functional indications in the brain and spine.Indications include not only to primary and secondary brain tumours but also meningiomas, schwannomas, pituitary adenomas, arteriovenous malformations, and trigeminal neuralgia.More recent evolution extrapolates the original concept of stereotactic radiosurgery to extra-cranial targets, most notably in the lung, liver, pancreas, and prostate.


If the effectiveness is valued in Indian context Stereotactic radiation therapy techniques are very cost effective as theyensure shortened treatment time and lesser number of visits to the hospital. Since it is an outpatient treatment the cost of hospitalisation further decreases.


Since the availability of state of the art radiation therapy facility is very sparse and mainly confined to metropolitan cities patients have to travel from far flung areas and spend at times many months for availing these facilities. Hypo-fractionation as achieved by SRS and SRT decreases the patient and family members stay for the treatment .The results are rewarding in terms of outcome of the carefully selected patients as all patients may not be the suitable candidates for this form of therapy.

 

For More information Please visit : http://www.dhrc.in

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What is cancer of cervix and how it occurs?

In India more women die because of cancer of cervix than by any other disease. This happens despite the fact it is easily preventable and curable.
Dharamshila Hospital and Research Centre's insight:
What is cancer of cervix and how it occurs? Cancer of the cervix, also the mouth of uterus or the lower most part of womb (where baby grows), Is easily accessible for examination by the gynecologist per vaginal examination. Cancer of cervix is probably caused by high risk strains of the human papilloma-virus (16,18,31,45 etc), a common sexually transmitted infection. In more than 90 percent of the infections, HPV clears up on its own, but in 10 percent of cases either cancer or genital warts develops. Multiple sex partners increases risk of HPV infection and the more partners the current partner has had, the higher is the risk that he will transmit HPV. Sexual and reproductive factors, socio-economic factors (education and income), viruses e.g., herpes simplex virus (HSV), human immunodeficiency virus (HIV) and other factors like smoking, diet, oral contraceptives are other important high risk cofactors in cervical carcinogenesis. Early age of marriage and early child bearing are contributing factor in our country. The HPV virus causes cervix cancer was established by the research work of Nobel laureate Professor Herald Har Hassen, and this led to development of a vaccine for it . The HPV vaccine can prevent 70 percent of cancer cervix and current guildlines recommend immunization all girls is adolescent age groups i.e. before sexual exposure with 3 doses of HPV vaccine. During cancer development, the HPV viral particles get integrated with DNA of human nucleus resulting in mutation and rapid cancerous proliferation. This process cervical takes a few decades, for precancerous or cancerous changes to occur in cells. What are the aims of cervical cancer screening and the available methods for it? Screening aims are to detect cancer cervix the precancerous or early stages , when it is treatable. The Pap smear is the most widely available and effective method for this. Efforts are going on to develop an alternative cost effective method to suite low resource setting, to cater the vast population of developing poor countries. For this VILI /VIA/Low cost HPV DNA testing are being investigated in various research trials. What is Pap smear? For a PAP smear of vaginal secretions and spreading on slide which is then ….. in the pathology laboratory and examined under the microscope by a trained pathologist to detect precancerous changes in the cells. It is well recognized , that widespread use of Pap smear can reduce cancer rate by more than 50 percent sd precancerous lesions are picked up and treated . What to do, if one a precancerous lesions & role of Colposcopy? :If an abnormality is detected on a Pap smear one should immediately seek expert advice from a Gynecology oncologist . Further evaluation is by colposcopy is required and close follow up must be done, as about 30-50 percent of severe dysplasias may transform into cancer. Colposcopic evaluation visualizes the precancerous lesion in a magnified way, to help the gynecologist in taking a biopsy from the most affected area. After a colposcopy and biopsy reports, a patient may just require close observations with frequent Pap smears or wider local excision of cervix with LEEP ( Loop Electric Excision Procedures ) or cold knife conization of the lesion. Wherever facilities are available and affordable, triage HPV DNA testing can be done . in a few cases the Pap Smear/ Biopsy may reveal cancer. What are the sign and symptoms of cancer of the cervix? • Persistent white discharge or foul smelling discharge • Bleeding per vagina (Post-coital, Post-menaupausal or irregular menstruation) • Vomiting with decreased urination or pain in pelvis or sacral areas. • Incontinence of urine or faces may be signs of advances stages of cancer cervix Stages of cervical cancer are • Precancerous stage CIN(Mild/Moderate/Severe Dysplasia) • Stage 0 carcinoma in situ • Stage I disease is localized to cervix • Stage II spread to adjacent parts in the pelvic • Stage III: spread upto pelvic walls or into lymph glands • StageIV: spread to distant organs Treatment of precancerous and Cancer of Cervix Precancerous dysplasias are treated either with local destructive procedures ( cyro or electric cauterization) or local excision ( LEEP or cold knife excision). Early cervical cancers are best treated surgically with radical cancer surgeries, while in advanced cases killing the cancer cells with radiation is more suitable. Such radical surgeries are best and safely done by doctors with specialized training in Gynec cancer surgeries. Facilities available to treat cancer of cervix at Dharamshila Cancer Hospital, Vasundhara Enclave, Delhi Dedicated cancer hospitals like Dharamshila Cancer Hospital and Research Center have a well knit Gynecology Oncology department to deal with gynecological malignancies with highly sophisticated trained doctors who have the technical know ow to provide most advanced and ultimate comprehensive preventive ,curative and rehabilitative treatment with multidisciplinary approach. Each and every case is discussed on individual basis in tumor board with a team consisting of Gynecology oncologist, medical and Radiation Oncologist; to decide most suitable and appropriate treatment. Besides facilities of preventive aspects (Pap’s smear, HPV DNA test, Colposcopy, LEEP, Cryo, Cone Biopsy), the hospital surgical facilities are of international standard backed by NABL accredited laboratory facilities. Radiotherapy is delivered with most advanced linear accelerator Electra Synergy (IGRT /IMRT). How to win over cancer cervix & to aim for cancer cervix free India? It is achievable through regular Pap’s smears along with immunization (of adolescent uninfected girls). It requires political will power with social commitment. Empowerment of women and to educate them about health needs are other essential aspects, to win over cancer cervix. The non governmental organization can contribute a lot, by organizing screening camps and in facilitation of follow up of suspicious cases for colposcopy at higher centers. Not only that, they can provide immense support at time of need, when a mother of young children is detected with cervix cancer. They can help in clearing many doubts and myths about the disease and treatments. Identification of individual hindrances in receiving unrestricted complete treatments and resolving the issues need special attention in Indian scenario.
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What is Breast Self Exam Correct Technique?

What is Breast Self Exam Correct Technique? | Best Cancer Hospital in India | Scoop.it
Correct Technique of Breast Self Exam Test, Five Steps of Breast Self Exam, Breast Cancer Diagnosis in India
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The Breast Self Examination is something you can do yourself, by getting to know how your breasts normally look and feel, BSE is a skill you can use throughout your life to help ensure good breast health. The earlier breast cancer is found, the easier it is to treat.

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Dharamshila Hospital And Research Centre #Map Direction

Dharamshila Hospital And Research Centre #Map Direction | Best Cancer Hospital in India | Scoop.it

Dharamshila #Hospital and Research Centre, Delhi is situated in Vasundhara Enclave, Near New Ashok Nagar Metro Station, Delhi - 110096. 

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Further connectivity is provided by two arterial #roads, which provide easy access to neighbouring zones. Key destinations such as central Delhi, South #Delhi,#Noida, Greater #Noida and #Ghaziabad can be reached by the DND expressway and Noida link roads. And for journeys further afield, the nearby #Metrostation is just another reason why Dharamshila Hospital New Delhi's location is so enviable.

http://www.cancerhospitalindia.com/Maps-Directions.html

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Facilities Available in Dharamshila Hospital and Research Centre

Facilities Available in Dharamshila Hospital and Research Centre | Best Cancer Hospital in India | Scoop.it
Hospital for Cancer treatment in India
Dharamshila Hospital and Research Centre's insight:
ONCOLOGY OPDsCANCER SCREENINGHEALTH CHECKUP PACKAGESCARDIOPULMONARY LABLAB INVESTIGATIONSRADIOTHERAPYSURGERYCHEMOTHERAPYPHARMACYBLOOD BANKPHYSIOTHERAPY

 

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Dharamshila #Multispeciality #Centre Organizing a Mega Event from 1st March 2014 - 31st March 2014 for the well being of the community health and offering following benefits.

Dharamshila #Multispeciality #Centre Organizing a Mega Event from 1st March 2014 - 31st March 2014 for the well being of the community health and offering following benefits. | Best Cancer Hospital in India | Scoop.it

Free CANCER SCREENING for Male and Female above 30 Years

Dharamshila Hospital and Research Centre's insight:

Organizing a Mega Event from 1st March 2014 - 31st March 2014 for the well being of the community health and offering following benefits.

Free Registration and #OPD Consultations

Free Clinical Examination

20% Discount on Investigations*

20% Discount on Surgical Procedures*

Multi Speciality OPD Helpline No. 9958248298
Please "Like " our page and fill up the Registration Form below to avail above Discounts

Registration Form

https://www.facebook.com/dharamshilacancerhospital/app_203351739677351

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Emergency Services at Dharamshila Hospital And Research Centre

Emergency Services at Dharamshila Hospital And Research Centre | Best Cancer Hospital in India | Scoop.it
Hospital for Cancer treatment in India
Dharamshila Hospital and Research Centre's insight:

Emergency Department is committed to provide round the clock high standard care to the patients in a clean environment. It caters to patients of all ages who require emergency care. It involves well trained doctors and nurses who are dedicated to their profession.

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Amanda Knox Compares Her Second Conviction To Cancer! See ...

Amanda Knox Compares Her Second Conviction To Cancer! See ... | Best Cancer Hospital in India | Scoop.it
People have been quiet and respectful, but it's like I've just been diagnosed with cancer. There's nowhere I can go where there's not this knowledge that I'm this girl who is convicted again. I'm never going to be OK with the ...
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