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Esophageal Cancer: Risk Factors, Symptoms, Diagnosis & Treatment

Esophageal Cancer Risk Factors

Smoking, alcohol intake, obesity and GERD are common esophageal cancer risk factor. Smoking and alcohol cause squamous cell carcinoma. Obesity and acid reflux are risk factors for adenocarcinoma. Healthy life style can prevent esophagus carcinoma

  • Esophageal Cancer Symptoms

Esophageal CancerThe most common symptom is dysphagia. Initially it is for solid food and gradually to liquid also. Patient can have chest pain/regurgitation. Anorexia and weight loss are common. Advance carcinoma patients can have bony pain, abdomen distension due to ascites, respiratory distress due to pulmonary effusion

  • Esophageal Cancer Diagnosis

Upper GI Endoscopy is done by gastroenterologist and is the investigation of choice. It will show growth or stricture in the esophagus. Biopsy will confirm the diagnosis. Most common type of esophagus carcinoma is adenocarcinoma located in the lower third of esophagus. Squamous cell carcinoma is other type and mainly found in the upper and middle third of esophagus

  • Investigations

CECT Chest and upper abdomen is done.CECT will show the growth in the esophagus, its relation with surrounding structures, any associated lymph nodes, and metastases. It helps in planning of Esophagus Carcinoma  Treatment

  • Treatment

The recommended first line Esophagus Cancer Treatment is surgery if cancer is resectable. For locally advance tumor pre-operative chemotherapy is given.If patient respond to chemotherapy and tumor become resectable surgery is done. For metastatic disease endoscopic esophageal stent is placed for relief of dysphagia. If endoscopic stenting is not possible feeding jejunostomy is done surgically for nutrition

Consult Dr Amit Jain MS MCh (GI Surgery) Senior Consultant Max Hospital Patparganj Delhi and Vaishali Ghaziabad for Esophagus Surgery. Dr Amit is Best Oncosurgeon in Delhi Noida Ghaziabad India. He is Fellow in Advance Laparoscopy Upper GI Surgery.To know recent advance in management of esophagus cancer visit our facebook page Dr Amit Jain Laparoscopic Gastrointestinal and Bariatric Surgeon

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Liver Cancer: Causes, Symptoms, Diagnosis & Prognosis

  • Liver Cancer Causes

In 80% of patients liver cancer develop under the background of chronic liver disease. Most common cause are alcohol intake, Hepatitis B & C infection. Fatty liver due to obesity, diabetes and Liver Cancerhyperlipidemia is emerging as the main cause of liver failure in future. There are certain inherited liver diseases such as hemochromatosis and wilsons disease which increase the risk. Exposure to aflatoxins, poisons produced by molds can also cause liver cancer

  • Liver Cancer Symptom

Most common symptoms are pain right upper abdomen along with anorexia & weight loss. Pain is constant, mild to moderate in intensity, Patients with chronic liver disease when develop liver tumor may have wosen there symptoms such as ascites, jaundice

  • Liver Cancer Diagnosis

USG abdomen is the first investigation done for any abdomen complaint. It will show a space occupying lesion in the liver, echotexture of liver, biliary tract dilatation, any associated abdominal lymphadenpathy, ascites. However triple phase CT abdomen is more specific for liver lesions. alfa-feto protein is tumor marker specific for liver tumor. FNAC is advised for liver lesions in which imaging study is inconclusive

  • Liver Cancer prognosis

It depends on many factors such as tumor size, no of primary lesions, loco-regional or distant spread, Underlying liver disease and general health status of the patient

  • Liver Cancer Survival Rate

Most important factor that decide survival rate is staging. Generally distant metastases cancer has worst prognosis with life span of 6 months with best available treatment, Locally advanced tumor patients survive up to 2 year with best treatment. For localized tumor in cirrhotic patients Liver transplant when done under strict criteria has got very good prognosis with 5 year survival rate of 75%

Consult Dr Amit Jain Best Oncosurgeon in Delhi Max Hospital Patparganj Delhi & Vaishali Ghaziabad for Liver tumor treatment. call us at 7351088686 for your queries

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Cancer: Causes, Symptoms, Stages, Treatment & Prevention

  • What is Cancer

A collection of related diseases is termed as cancer in which body cells start to divide without stopping and slowly spreads into whole body. It can develop almost anywhere in our body

  • Types of Cancer

Cancer

Carcinomas: Most common type and begins from the tissue that covers the surface of internal organs and glands. Examples include colorectal & pancreatic malignancy
Sarcomas: These begins from the tissues that support and connect the body. It can develop in nerves, muscles, fat
Leukemias: Blood cancer is leukemia in which healthy blood cells grow uncontrollably
Lymphomas: It starts from the lymphatic system

  • What Causes Cancer

Cells are building blocks of our body. Cells grow and divide to make new cells when old cells die or damaged. This process of division is controlled genetically and take place in a orderly process. In Cancer, control on cell division is lost and cells start to grow uncontrollably.

  • Symptoms

There are few symptoms which are common in all types such as anorexia and weight loss. Other symptoms are specific to which organ is involved such as dysphagia in esophageal malignancy

  • Prevention

Prevention is always better than cure.Vaccines are available for prevention of few cancers such as Hepatitis B Vaccine for prevention of liver tumor. Risk can be reduced if factors such as alcohol, smoking, tobacco chewing are eliminated

  • Stages 

It is a process to determine the extent of tumor spread. Stages 1 to 4 are usually given as the Roman numerals I, II, III and IV. The higher the number, more it has spread

  • Treatment

Treatment options are chemo-radiotherapy and surgery

  • Cancer Specialist

It is the team work of Medical Oncologist and Oncosurgeon

Consult Dr Amit Jain Best Oncologist in Delhi for GI malignancy. He is Best Laparoscopic Surgeon in Delhi NCR for Advance Laparoscopic Gastrointestinal Malignancy

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Liver Cancer Treatment

Liver Cancer Treatment
Liver Cancer Treatment

Liver Cancer Treatment depends whether liver cancer develops under the background of normal or diseased liver. Chronic liver disease is risk factor for liver cancer. The main cause of chronic liver disease is alcohol intake, Hepatitis B & C infection, Fatty liver disease. These patients have a very high recurrence rate after liver resection and liver transplant is preferred in these patients if donor is available. Various local ablative procedures are available if patient is not fit for surgery or as palliative treatment for advance cancer

  • Liver Resection as Liver Cancer Treatment

Liver resection is first line of treatment if cancer occur in normal liver and after resection adequate amount of liver volume can be saved for normal liver function. It is said that about 30% of normal liver volume should be left after resection for adequate liver function

  • Liver Transplant as Liver Cancer Treatment

In patients of chronic liver disease who develop liver cancer, transplant is preferred if fulfills the criteria for transplant and donor is available. If there is long waiting list for donor meanwhile liver resection or local ablative procedure can be done
Milan criteria for liver transplant in liver cancer patients is associated with 70% 5 year survival rate. These criteria include a single tumor wth size 5 cm or less, maximum three tumors with size 3 cm or less and without evidence of vascular invasion. If tranplant is done beyond these criteria long term survival rate may not be good

  • Local Ablative Procedures as Liver Cancer Treatment

Ablation means tissue destruction without removing them. This technique is used in liver cancer when there are few small tumors and surgery is not a good option because of poor liver function/ poor health status of patient/ long waiting list for liver transplant. Various ablative procedures available are Radiofrequency ablation (RFA), Microwave ablation (MWA), Cryoablation (Cryotherapy), Ethanol (Alcohol) ablation

Consult Dr Amit Jain Best Oncosurgeon in Delhi Noida Ghaziabad NCR India for Liver Cancer. Call us at 7351088686 for your queries

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Treatment of Stomach Cancer: Know by Specialist

The treatment of stomach cancer is successfull if diagnosed and treated at early stage. However more than 50% of stomach cancer when proceed for surgery are found to be metastatic. Most of the early stomach cancer symptoms or gastric cancer are non-specific and are overlooked. Chemotherapy is given by medical oncologist in advance cancer

Curative Surgical Treatment of Stomach Cancer

The standard curative treatment of stomach cancer is surgery if patient if fit for surgery and cancer is resectable. Patients factors which are responsible for good recovery in the post-op period include nutrition and ambulatory level. Patient nutrition and chest functions are good recovery is easy.
Staging laparoscopy is the first step in the surgery before definitive curative surgery is planned in case of open surgery. Staging laparoscopy helps in identification of metastases which are missed on CT Scan and PET Scan. No resection is done in case of metastatic disease unless tumor is bleeding. Radical gastrectomy is done. Depending on the location of tumor radical distal gastrectomy or radical sub-total gastrectomy or radical total gastrectomy is done. At least 12 lymph nodes should be dissected in the resected specimen for completeness of lymphadenectomy

Laproscopic Radical Gastrectomy

Radical gastrectomy can be done laparoscopically. Today we have enough evidence in the literature which support laparoscopic surgery in the abdominal malignancy. Laparoscopy surgery has the advantage of less pain and early recovery

Treatment of Stomach CancerPalliative Surgical Treatment of Stomach Cancer

If the stomach cancer is unresectable because either it is locally advance involving major blood vessels or it is metastatic then patient require some definitive therapy for palliation of there symptoms. If the tumor is bleeding and not controlled endoscopically or radiologically then palliative resection is done

Palliative Endoscopic Treatment of Stomach Cancer

If the stomach cancer is metastatic best method for palliation of symptoms is by means of endoscopy. The most common symptom that require palliation is vomitting, Endoscopically metallic stent is placed across the site of obstruction by Gastroenterologist

Consult Dr Amit Jain MCh (GI Surgery) Best Surgical Oncologist in Delhi Noida Ghaziabad India for Treatment of Stomach Cancer

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Colon Cancer Treatment: Whats New

The recommended colon cancer treatment or intestinal cancer is surgery. Colon cancer is one of the gastrointestinal cancer in which surgery carries a very good prognosis. Patient should be fit for surgery and cancer should be resectable. Recent studies suggest that no bowel preparation is required before surgery.Patient should be on clear liquid diet one day prior to surgery

  • Colon Cancer Treatment: Curative

The standard surgical treatment of colon cancer is radical colectomy. Colon is divided into four parts, ascending or right colon, transverse colon, descending or left colon and sigmoid colon. Depending on location of cancer respective colectomy is done. After colonic resection depending on patient nutrition status and tumor burden either anastomosis is done or stoma is created. Minimal 12 lymph nodes is the criteria for adequate lymadenectomy for colon cancer has been recommended. If the number of lymph nodes resected is less than 12 then the patient need adjuvant chemotherapy irrespective of staging on histopathology report

  • Laparoscopic Colon Cancer Surgery

Colon cancers are being operated more frequently laparoscopically by Laparoscopic colo-rectal surgeon. The length of incision in laparoscopic surgery is very minimum as compared to open surgery. Minimal incision cause less pain in the post-op period, allow early mobilization of patient and early recovery

Colon Cancer Treatment
Treatment of Colon Cancer
  • Colon Cancer Treatment: Palliative

Palliative surgery is done for multiple site metastatic disease.The two most common symptoms for which palliation is required is large bowel obstruction and bleeding. Right or ascending colon have a tendency to bleed. Left or descending colon because diameter is less compared to right colon causes obstruction. For patients who present with large bowel obstruction depending on tumor burden and patient nutrition status either bypass is done or stoma is created. For bleeding tumors resection is done and attendants are counselled for high risk surgery

  •  Colon Cancer Treatment: Role of Chemo-Radiotherapy

Colon cancer are less sensitive to chemo-radiotherapy thats why its role is minimal in the management of colon cancer

Consult Dr Amit Jain MS MCh (GI Surgery) Best ColoRectal Surgeon in India Delhi for Treatment of Colon Cancer.Fellow in Advance Laparoscopic ColoRectal Surgery

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