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How to avoid permanent stoma in rectum cancer treatment?

Rectal cancer treatment has evolved significantly, and one of the advancements is the possibility of avoiding a permanent stoma, which can be a major concern, especially for patients with lower rectum cancer. A stoma is an opening created surgically to allow waste to exit the body when the normal route is not available. In the context of rectal cancer, a permanent stoma has traditionally been a common outcome, but advances in modern surgical techniques, better understanding of how cancer spread and treatment strategies offer alternatives. The key to avoiding a permanent stoma lies in early detection and the precise staging of the cancer. For very early-stage, small and very superficial low rectal cancers, Transanal endoscopic microsurgery (TEM) can be done, It is a minimally invasive surgical technique performed through the anus using an endoscope and specialized instruments to remove superficial inner layers of rectum surrounding cancer while preserving the deeper muscle layer. For more advanced cancers, a combination of radiation therapy and chemotherapy (Neoadjuvant Chemoradiotherapy) are administered before surgery to shrink the tumor, which may sometimes allow for sphincter-preserving surgeries. These procedures aim to remove the cancer while maintaining the normal function of the rectum and anus. For these patients with low rectal tumors, a coloanal anastomosis is done. This procedure involves connecting the colon directly to the anus after the cancerous portion of the rectum has been removed. The success of this surgery depends on achieving a safe margin of cancer-free tissue and ensuring a good blood supply to the remaining bowel. Commonly performed Sphincter preserving surgical approaches for low rectum cancer by best colorectal cancer surgeons includes: Low Anterior Resection (LAR): The cancer bearing Segment of rectum with adequate margin of normal tissue around the cancer is removed, along with nearby lymph nodes and other tissues around the rectum. The colon is then reattached to the remaining rectum maintaining normal bowel function. Ultralow Anterior Resection (ULAR): remove the cancer in lower rectum while preserving the anal sphincter. The proximal colon is then reconnected to the anal canal, maintaining normal bowel function. Intersphicteric resection (ISR): In case of very low lying cancer where external anal sphincter (Levator ani muscle) is safe from disease and has adequate tone and normal margin can be taken distally. Proximal colon is anastomosed to anal canal.  Short-term temporary stoma may be made in case of frail patients or difficult anastomosis. The end of the intestine is brought out through a hole in the skin of the abdomen. This gives the rectum time to heal before stool moves through it. Mostly stoma is reversed (the intestines reconnected) after adequate healing. The decision-making process for rectal cancer surgery is complex and highly individualized. Factors such as the tumor’s location, size, and the patient’s overall health and preferences play a crucial role. Surgeons aim to perform a high-quality cancer operation while preserving the patient’s quality of life, which includes avoiding a permanent stoma whenever possible. While a permanent stoma was once a common result of rectal cancer surgery, advancements in surgical techniques have made it possible to avoid it in many cases. Patients should engage in open dialogue with their Oncosurgeon to understand their options and make informed decisions about their treatment plans.

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Food, fruits and vegetables which prevent cancer. What to eat to prevent cancer

Foods That Fight Cancer: 10 Nutrient-Rich Options with Significant Anti-Cancer Properties

Fruits and vegetables are rich in phytochemicals, fibers and antioxidants. Many foods have anti-cancer properties. In this blog we have summarized nutrient rich foods which should be part for your balanced diet.

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Nutrition Supplements and Vitamins for healthy diet, cancer prevention, chemoprevention supplements

Chemoprevention: Supplements, Vitamins and cancer prevention: all you need to know

Are there any such products or supplements which can prevent cancer. Do you really need to have extra supplements. What are the recommendations and how to use them. In this blog we try to simplify this information and advise.

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Symptoms of Cancer

How to detect cancer early? 5 Key points of better malignancy cure.

One of the most common problem in better cancer survival is late diagnosis. most of the early symptoms of cancer are missed. In this blog article we try to highlight the early symptoms of cancer and screening methods.

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1 out of 9 Indian is at risk of developing cancer

Increasing cancer in India, time to act-early: World Cancer Day

Cancer is responsible for nearly 1 in 6 deaths. 1 in 9 Indians is at risk of developing cancer during their lifetime. More than half of cancer in India are in age group 40-65 years which is atleast a decade younger than western population. In this article we try to bring attention on cancer incidence, its causes and various preventive measures.

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causes of gallbladder cancer / gallbladder cancer causes

Gallbladder cancer: Causes and prevention of most deadly cancer.

Gall bladder is considered among most aggressive cancers. In this article we try to make awareness regarding various possible causes of gallbladder cancer. Preventive steps and early detection are also discussed to avoid complications related to this difficult disease.

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Pancreatic cancer awareness

Why pancreas cancer is not detected early? Beware of early signs.

In this blog, it is strongly advised not to disregard any preliminary non-specific symptoms that may be attributed to pancreatic cancer. Effective diagnosis and prompt medical attention are imperative in cases involving symptoms associated with pancreatic cancer. It is vital to follow up timely with a qualified medical practitioner for thorough evaluation and assessments.

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Vaccination, Screening and Early treatment are effective ways to eradicate cervix cancer

Steps to Eradicate Cervix Cancer the 3rd most common cause of cancer mortality

The Problem: Present Scenario Cervix cancer is a preventable and curable disease, but it still affects millions of women around the world, especially in low- and middle-income countries. According to the World Health Organization (WHO), cervix cancer is the fourth most common form of cancer among women worldwide In India, cervix cancer is the second most common cancer among women. It accounts for about 17% of all cancer deaths. Globally 21% of all cases and 23% of all deaths related to cervix cancer occur in India. Study Link This accounts for highest no of cervix cancer cases in India. News Link This also accounts that India records 1 in 5 cases of carcinoma cervix. News Link Is is possible to eradicate cervix cancer from the world? Cervix cancer is cancer which can be eliminated largely from world. There are hopes of eliminating this cancer because in >90% of cases it is caused by a virus called human papilloma virus (HPV). It is a sexually transmitted virus and grow more rapidly in unhygienic conditions and when body immunity is low. It may take upto 5 years to develop precancer changes in cervix cancer cells infected by HPV and around 10-15 years to develop cancer. So there is a lot of time to adopt right screening and right treatment even before development of cancer. “Cervical Cancer, a Prevention Success Story” by DES Daughter is licensed under CC BY-NC-SA 2.0 Step 1: HPV Vaccination Vaccine is available to prevent cervix cancer and this vaccine develop immunity against human papilloma virus.  WHO advise to vaccinate > 90% girls before 15 years. It is advisable to take two doses of cervix cancer vaccine between age 9-14 years and three doses between age 15-26 years This vaccination strategy is effective in prevention of cervical cancer precancer changes in >95% cases. Step 2: Pap/ Pap HPV cervix cancer screening Most affordable method and has shown decrease in mortality rate of cervix cancer by >30%. Despite of available of cost effective method there is significant underutilization. Starting from 21 or 30 years and upto 65 years, every healthy female should do their screening test. Conventional pap smear cost around 300-500 INR and is done every 3 years. Pap with HPV DNA costs around 3000-4000 INR and is done every 5 years. Apart from this; one even more affordable method is Visual Inspection under Acetic acid. WHO advise to screen >70% females by age of 35 years and again by 45 years of age using high performing test.                           “every healthy female and family should be aware that with an easily affordable test lacs of treatment cost can be avoided.” “Prevent Cervical Cancer Infographic” by DES Daughter is licensed under CC BY-NC-SA 2.0 Step 3: Early treatment is best cure Women detected with precancer lesions should undergo appropriate surgical treatment. It does not mean than every time they should undergo removal of uterus. In many cases it is possible to save uterus also and so adequate treatment of precancer changes depending upon their grade. Every attempt should be made to detect cervix cancer in early stages. Surgery in early stage translated into better cure. Advance case should also receive appropriated treatment. Contributing factors:                           “With these three strong pillars and advised strategy of 90–70–90 by WHO, it is possible to eliminate the cervical cancer.” Cervix cancer is not inevitable. It can be prevented, detected early, and treated effectively. Together, we can make history and eliminate cervix cancer as a public health problem.  To know about WHO initiatives for cervix cancer elimination: https://www.who.int/initiatives/cervical-cancer-elimination-initiative     To Know more about cervix cancer: Click here Link to article on the health site Read here Related Video

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Lung Cancer: How to prevent no.1 killer cancer

The Problem: Present Scenario Lung cancer is most common cause of cancer related deaths, and it is the second most commonly diagnosed cancer worldwide with approximately 22 lakh new cases and 17.9 lakh deaths in 2020. Lung cancer is no 1 cause of cancer mortality, yet it is largely possible to prevent and eradicate lung cancer. Can We do That? Contributing factors: Smoking is by far the leading cause of lung cancer, accounting for approximately 80% to 90% of cases. There is 20-fold increase in lung cancer risk in smokers compared to nonsmokers. Environmental tobacco smoke (ETS), also known as second-hand smoking: The risk for lung cancer is increased in nonsmokers who live with smokers, and it has been estimated that approximately 17% of lung cancers among never-smokers may be attributed to high levels of ETS during childhood and adolescence. Radon gas/ Indoor air pollution: Do you know that gas inside your home can be a risk factor for lung cancer development. Western data suggests Radon Gas as second leading cause of lung cancer. Radon is a gas formed from decaying of soil. It is present in buildings and is a contributor of indoor air pollution. Pollution: In India we don’t have data on radon indoor pollution, but we have an increasing and rising problem of Air Pollution. PM 2.5 is particulate matter in environmental air less than 2.5 micrometer. PM 2.5 excess can promote lung cancer. Sources includes construction sites, unpaved roads, fields fires, pollutants emitted from thermal power plants, industries and automobiles.             Pollution is contributor of 1 in 10 cases of lung cancer.  air pollution includes combustion coal and wood for heating and cooking. Occupations with exposure to asbestos. Exposure to high doses of ionizing radiation. Prevention: What can we do? We have understood that most causes of lung cancer are related to the environment around us, so it is possible to decrease these causes and it requires effort at Individual, Society and National level.  Avoid tobacco in any form, smoking/ chewing gutka/ hukka. Take every step to decrease air pollution. Increase green cover. Seal the cracks in building, open windows for cross ventilation, use indoor plants and air purifiers when required. Screening- Low Dose CT scan: Despite promising result and easy availability; acceptance for screening of lung cancer is very low around 2%. Early dtection is best cure and best prevention when it is in regard to cancer.                         “Till we regularize policy for tobacco, till we regularize policies for construction and building, till we regularize policies for pollution, its not possible to eradicate lung cancer” In short,                           “ When a human first think that his action is not harming mother earth. When he thinks that his actions are not harming another human, only then it is possible to eliminate this fatal disease.” To Know more about Lung Cancer: Click here

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