25th

Feb 2022

What is The Prognosis and Survival For Lung Cancer?

Lung cancer is the leading cause of death in India with cigarette smoking being the leading cause of lung cancer. People who smoke are 23 times more likely to get lung cancer than non-smokers. Lung cancer is of different types, diagnosed at different stages and each stage has a relative survival rate.

When we get this imperative question on what is the survival rate of people with lung cancer, the answer is subjective to the patient’s condition. The outcome of the treatment depends largely on the stage of cancer and the time it was diagnosed. In simpler words, how big the tumour is and if it has spread to/around other tissues/organs.

What Is The Lung Cancer Survival Rate?

Another way is to study statistics of patients surviving with lung cancer. One trusted source is the data collected by the National Cancer Institute. By the definition, the 5-years stats show the results of the people who were diagnosed with lung cancer five years ago. The 5-year survival rate for all people with all types of lung cancer is 21%- 65% (approx.) These stats highly depend on the relative survival rates by stages and types of cancer.

The relative survival rate for Non-small-cell lung cancer (NSCLC) is the most common kind of lung cancer, accounting for over 90% of cases. The National Cancer Institute’s database categorises diseases based on the extent to which tumours have spread. The average percentages of people who are alive 5 years following diagnosis are used to calculate these relative survival rates. People who died of causes other than lung cancer are not included.

The people with localised cancer (cancer that only affects one lung): 66%

Regional (cancer has migrated to lymph nodes or outside the lung): 33%

Distant (cancer has spread to other parts of the body, such as the brain, lungs, and bones): 6%

All stage cancer: 23%

The relative survival rate for Small-cell lung cancer (SCLC) has is low than other types of lung cancer.

Localized: 29%
Regional: 15%
Distant: 3%
All stages: 6%

Adding on to the stats,

Some doctors use a more detailed prognostic tool based on the tumour, nodes, and metastatic staging system (TNM). These survival rates represent the actual percentage of persons who were alive at 2 and 5 years after being diagnosed with either NSCLC or SCLC.

The relative survival rate depending on the stage of the cancer is:

Stage 1 A: 90%
Stage 1 B: 73%
Stage 2 A: 65%
Stage 2 B: 56%
Stage 3 A: 41%
Stage 3 B: 24%
Stage 3 C: 12%

The survival rate of highly advanced cancers are calculated by considering all types of cancers, such as in

Stage 4 A: 10%
Stage 4 B: 0%

*All the values are subjective to change as and when advances in the research*

Lung cancer affects people differently. Treatments may impact you differently. The good news is that lung cancer deaths in India have been consistently declining. Lung Cancer Treatment In India is showing successful results and the average survival time for those newly diagnosed has increased.

Visit www.cancerrounds.com for more information, queries, to connect with the best oncologists in India and to have a 360-degree overview of how lung cancer treatment works in India.

22nd

Feb 2022

Untreated Mouth Cancer : Can I survive with it?

Mouth cancer interchangeably used with oral cancer is the most common cancer of the neck. The course of the disease is poorly characterized and people are unaware of its growth. The survival rate of people with mouth cancer is poor as they are unaware of growing cancer until it reaches the final stages. Moreover, the survival rate of people with cancer also depends on specific factors like the stage of cancer when it was detected, location of cancer and the age of the person. The survival rate of people with untreated cancer is 30% (approx.) and for a period of five years, whereas the survival rate gets reduced to 12% for people with untreated Stage 4 mouth cancer.

Let’s have a quick glance at the Stages of Mouth Cancer:

Stage 1: The tumor has not spread to the lymph nodes, and the tumor size is less than or equal to 2 cm.

Stage 2: The tumor grows between 2-4 cm but has spread to the lymph nodes

Stage 3: The tumor spreads to one of the lymph nodes, and the size of the tumor grows larger than 4 cm.

Stage 4: The tumor develops of any larger size (more than 4 cm) and gets spread to the lymph nodes and other surrounding organs,

The lips, two-thirds of the tongue, the inner lining of the cheeks, gums, hard palate, soft palate, pharynx, and sinuses are all places where mouth cancer can occur. Head and neck cancers are a subcategory of this type of cancer.

Few common symptoms of mouth cancer:

Lumps or bumps, rough places, eroded areas, swellings, and thickening on gums,
Unusual bleeding from the mouth.
Earache.
Weight loss that is unexplained.
Sores on the neck, mouth, or face that do not heal in two weeks or bleed profusely.
Voice change, hoarseness, and a severe sore throat.
Speaking, moving the tongue or jaw, eating, or swallowing becomes difficult.
Velvety red, white, or red and white patches appear inside the mouth.

If you see any of the above symptoms, you should see your dentist or a doctor right once. A thorough assessment and treatment are necessary to treat mouth cancer. The mouth cancer treatment cost in India goes somewhere around 2.5 lac INR to 5 lac INR approx.

Risk Factors For Mouth Cancer

Oral cancer risks are twice as high in men as they are in women. Men over the age of 50 are at the greatest risk of having oral cancer. The following are some of the most common mouth cancer risk factors:

People who smoke have a six-times higher chance of getting mouth cancer than those who do not. As a result, the most common causes of mouth cancer are cigarettes or cigars.
Alcoholics are more likely to acquire oral cancer than those who don’t drink.
Chewing tobacco, snuff are more likely to develop mouth cancers such as cheek cancer, gum cancer, and cancer of the lips’ lining.
Human Papillomavirus (HPV) strains are risk factors for Oropharyngeal Squamous Cell Carcinoma.

What Are The Treatment Options For Mouth Cancer?

Oral cancer treatment depends on the location, stage, and kind of cancer.

Surgery: If the oral cancer is still in its early stages, doctors may recommend surgery to remove the tumor and prevent it from spreading to other regions of the body.
Chemotherapy: Chemotherapy kills cancer cells by administering medications orally or through an intravenous (IV) line.
Radiation Therapy: It is a type of treatment that uses radiation beams that are targeted on the tumor once or twice a day. At later stages of cancer, a combination of radiation treatment and chemotherapy are used.
Targeted Treatment: Drugs are used in this therapy to attach to cancer cells’ particular proteins and stop them from growing.

15th

Feb 2022

15 Feb : International Childhood Cancer Day

15th of February is International Childhood Cancer Day. It is celebrated globally to raise awareness about childhood cancer, express gratitude and support for children, cancer survivors and families. Every year, more than 4 lakh children and adolescents under the age of 20 are diagnosed with cancer. In India, around 50,000 children are diagnosed with cancer each year, or one child every 11 minutes. Early detection and specialized, precise treatment is an indispensable solution to fighting this disease.

Cancer Rounds celebrates this day to show immense support, compassion and offer help to children and their families suffering from this dreaded disease.

Symptoms: Some generalized symptoms of cancer in children include unusual swelling, pallor in the child (pale appearance), loss of appetite, loss of weight, etc. Early detection of the cancer is the key to preventing cancer from worsening.

Following are the most common cancers seen in children.

Leukemia: The most prevalent childhood cancer is leukemia, which is a disease of the bone marrow and blood. They account for roughly 28% of all childhood malignancies. Acute lymphocytic leukemia (ALL) and acute myeloid leukemia (AML) are the most frequent forms in children

Brain and spinal cord tumors: These are the second most frequently occurring cancer in children, accounting for around 26% of all cancers in this age group. There are different types of brain and spinal cord cancers, each with its own treatment and prognosis.

Neuroblastoma: This type of cancer develops in the initial stages of nerve cells in a growing embryo or fetus. Neuroblastomas account for about 6% of all juvenile malignancies. This is a malignancy that affects newborns and young children. It is uncommon in children above the age of ten years.

Nephroblastoma (also known as Wilms tumor) is cancer that originates in one or both kidneys. It is most frequent in kids between the ages of 3 and 4, and it is uncommon in older children and adults.

Lymphoma (including both Hodgkin and non-Hodgkin): Lymphomas arise in immune system cells called lymphocytes. The lymph nodes or other lymph tissues, such as the tonsils or thymus, are the most common sites for these cancers to begin.

Bone cancer (includes osteosarcoma and Ewing sarcoma): Bone cancers (primary bone cancers) are most common in older children and teenagers, but they can develop at any age. They are responsible for around 3% of all childhood cancers.

Other less frequent childhood cancers include cancer of the skeletal muscles (Rhabdomyosarcoma) accounting for 3% of childhood cancers and cancer of the eyes (Retinoblastoma) accounting for 2% of the childhood cancers.

Cancer Rounds strikes to bring you the best cancer treatment from the best cancer hospital in Gurgaon and across India, help you connect with the best oncologist and provide a hassle-free experience. Let us all join hands and help the little hearts to fight cancer.

7th

Feb 2022

BRAIN TUMOR And TREATMENT Associated FREQUENTLY ASKED QUESTIONS (FAQ) -by Patients, a Checklist

Hi, in cases when you or your loved being face the diagnosis of brain tumor. Certain common questions give dilemma. And hereby we are opting some of them that the patient of brain tumor or his/her relatives shall ask to the concerned healthcare team. This definitely help the patient to understand the diagnosis and treatment plan with overall care.

It is necessity to communicate freely and oftenly to your treating oncologists and the health care team in order to approach at best treatment regimen which will be based on informed decisions.

These frequently asked questions also encouraged to arrive at platform where the patient is cooperative in different stages of disease and treatment phases.

Some of the frequently asked questions to ask after getting a diagnosis of brain tumor are enlisted here:

What type of brain tumor is diagnosed?

What is the location of tumor with in the brain?

Is the tumor benign or malignant (cancerous)?

What is meaning of tumor grade?

What is the tumor’s grade and how is it going to affect brain tumor treatment plan in the concerned case?

Who is neuropathologist and will my diagnosis is re-opiniated with a specialist?

Who will be my consultant during my treatment and who will perform the leading role in overall treatment?

Where will the patient get multidisciplinary care? What does this mean?

What is going to be overall cost of treatment including post-care, and who can guide me?

As the patient and the relatives find satisfactory answer to these questions then comes the turn for the frequently asked questions about the choices available in brain tumor treatment regimen followed by the solutions for tackling associated side effects.

What are my treatment options?

What clinical trials are available?

How ot enrol in clinical trial if the case fit in?

How many brain tumors do you treat each year?

What treatment plan do you recommend? Why?

What is the goal of brain tumor treatment plan decided?

What are the possible side effects of brain tumor treatment?

When treatment can be started?

How long will it take with this strategy of treatment?

Then comes the list of queries related to planning follow-up care:

What is the chance that the tumor will come back?

After treatment, what follow-up tests will I need, and what cost does it offers ?

Who will be leading my follow-up care?

IMPORTANT NOTE: IF YOU OR YOUR LOVED BEING IS DIAGNOSED WITH BRAIN TUMOR AND WANT ANSWER TO ANY OF THE ABOVE-MENTIONED CONCERNS OR NEW QUERIES;

PLEASE CONTACT CANCER ROUNDS– INDIA’S FIRST COMPREHENSIVE VIRTUAL CANCER HOSPITAL

3rd

Feb 2022

ONCOPLASTIC BREAST SURGERY OR THE PERSPECTIVES FOR BREAST-CONSERVATION SURGERY (BCS)

Breast-conservation surgery (BCS) and Oncoplastic breast surgery is a safe option for most female with early breast cancer.

Yes, its recently, innovations in stream of oncoplastic techniques that have aided the cancer patients with reduced surgical trauma and a conservative approach that again is capable of preserving the breast.

In spite of the most apt managing options of primary closure, the oncoplastic breast surgery or BCS defects are encountered with the aesthetic outcome – that may be unpredictable.

In this lieu the oncology team of patient approaches the arm of Oncoplastic reconstruction. The oncoplastic reconstruction can itself be begin at the time of BCS (immediate). Or oncoplastic surgery can also be followed by oncoplastic reconstitution that is done in weeks (delayed-immediate) or months to years afterwards (delayed).

It is essential here to mention that in the cases where immediate reconstruction is done, the surgical process is smooth as the steps are associated in one operative setting.

As per the data reported by best oncologists offering best breast cancer treatment in India enlist that the 5-year survival of BCS with radiation is not statistically different in contrast to mastectomy offered alone as conventional treatment in patients with Stage I or II breast cancer.

Statistical scoops also alarm that about 10% to 30% of patients submitted to BCS are not satisfied with the aesthetic outcome that include the clinical aspects related to skin pigmentation changes, telangiectasia, and skin fibrosis. In the glandular tissue, local radiation causes fibrosis and retraction.

Talking about the raising attention to oncoplastic procedures – that offers the immediate application of plastic breast surgery techniques that provide a wider local excision allows to achieve the goals of a better breast shape and symmetry

It is well accepted that oncoplastic breast surgery referred as the modern oncoplastic breast surgery combines principles of oncologic and plastic surgery techniques. This combination of principles of oncology and plastic surgery allowed the doctors to obtain oncologic ally sound and aesthetically pleasing results.

What the oncoplastic techniques are related to? – the oncoplastic technique are related to volume displacement or replacement procedures.

Yes, oncoplastic approach can be started at the time of BCS (immediate), weeks (delayed-immediate) or months to years afterwards (delayed) as well. The main advantages of the technique utilized should include reproducibility and patient satisfaction.

This surely includes the main goal of low interference with the oncologic treatment and long-term results.

Another aspect of oncoplastic breast surgery being preferred is the possibility of accomplishing negative resection margin. As the immediate reconstruction allows for wider local tumor excision, potentially reducing the incidence of margin involvement and this idea emphasize on permitting larger resections, with a superior mean volume of the specimen and negative margins.

Possibly an ideal procedure or recommended guidelines does not exist and each case should be planned individually. As any surgical technique, all these goals are probably not met by any single procedure as each case with individual technique presents particular advantages for their indications, tumor location limitations, vascular pedicle, additional skin and glandular resections due to compromised margins, and resultant scar.

Clinical results of oncoplastic breast surgery- are better and we also cannot neglect that immediate BCS reconstruction is challenging for oncological and plastic surgeons. The data recently supports that the oncoplastic approach associated with BCS can be considered as safe as mastectomy in tumours less than 2 cm and possibly safer than the BCS. Another important issue in limitations associated is related to the complication rates and the timing of reconstruction; as in BCS with delayed reconstruction complication rates have been shown to be higher than immediate reconstruction.

For more details and second opinion on breast cancer treatment – please contact Cancer Rounds.

2nd

Feb 2022

Options to Preserve Fertility In Female Cancer Survivors

For cancer survivors to preserve fertility is the first physiological need these days. And fertility preservation thus is becoming increasingly significant to improve the quality of life in cancer survivors. The ability to have children is called fertility. Best hematologist in India and oncology team of the best cancer hospital in Gurgaon collectively advocate the recommended guidelines suggesting that discussion of fertility preservation should be done prior to starting cancer therapies.

Globally there is a lack of implementation in this area but India is leading with the solution as the oncologist team has session of counselling for patient in lieu of cryopreservation and fertility preservation.

To briefly introduce, with the research and innovations in the are there are number of techniques available for fertility preservation, and they can be used individually or together in the same patient to maximize efficiency.

Adding to this, Oocyte and embryo cryopreservation are now established techniques. The cryopreservations have their limitations but every lock has key. Ovarian tissue cryopreservation is a wider clinical application with the advantage of keeping the fertility window open for a longer time. Both the conventional arms of treatment, chemotherapy and radiotherapy have a major impact on reproductive potential. This is indicative of fertility preservation procedures – that should be carried out prior to these treatments.

Cancer in females of reproductive age accounts for nearly 10% of new cancer diagnoses. Most common cancers presenting in this group of youth affecting female include breast, thyroid, cervical, uterine, melanoma, lymphoma, and colon cancer. Over the past four decades, advances in surgery and adjuvant therapy have led to improved 5-year survival rates for breast (85.5%), endometrial (91%), cervical (83.2%), and ovarian cancers (79.5%). These improved outcomes have resulted in an increased number of cancer survivors but many therapies are harmful to the ovaries and put women at risk of premature ovarian failure and infertility. This is significant as nearly 25% of today’s cancer survivors are reproductive-aged woman who may wish to have children. Embryo cryopreservation is a widely established method for preserving reproductive capacity and due to its high pregnancy rates, it is considered the “gold standard” fertility preservation option. This procedure is offering the best chances of a live birth in the future as well. This solution also works in cases of male, that means the male cancer patient may store his sperm before treatment. Doing this is a way of preserving fertility.

But, in case you have undergone chemotherapy treatment then still no need to worry. After cancer treatment also, the ovarian tissue can be thawed and placed in the pelvis (transplanted). Once the transplanted tissue starts to function again, the eggs can be collected and attempts to fertilize them can be done in the lab. A man may have no sperm in his semen after cancer treatment. But he may still have healthy sperm in his testicles. During a testicular sperm extraction, the doctor removes small pieces of testicular tissue. Any healthy sperm cells found in this tissue can be used to make a baby.

The need for fertility preservation has not yet weighed against morbidity and mortality associated with cancer. Thus, a multidisciplinary collaboration between oncologists and reproductive specialists to improve awareness and availability is a necessity.

What Is The Lung Cancer Survival Rate?

Few common symptoms of mouth cancer:

Risk Factors For Mouth Cancer

What Are The Treatment Options For Mouth Cancer?

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