top hematologist in gurgaon Archives - Cancer Rounds

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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. 

Posted by, magneto
February 2, 2022

Aplastic Anemia With Emphasis On The Treatment Options

Aplastic anemia occurs when human body stops producing enough new blood cells. The condition leaves the individual fatigued and more prone to infections and uncontrolled bleeding. Aplastic anemia can be short-lived, or it can become chronic. It can be severe and even fatal. It less common and serious condition, which can develop at any age. Aplastic anemia can occur suddenly, or it can come on slowly and worsen over time. Clinically presented as mild or severe.

Aplastic anemia can have no symptoms but if present, signs and symptoms can include:

1. Fatigue

2. Shortness of breath

3. Rapid or irregular heart rate

4. Pale skin

5. Frequent or prolonged infections

6. Unexplained or easy bruising

7. Nosebleeds and bleeding gums

8. Prolonged bleeding from cuts

9. Skin rash

10. Dizziness

11. Headache

12. Fever

The following tests can help diagnose aplastic anemia in the designed diagnostic workup for Aplastic anemia:

Blood tests include complete blood cell count – In aplastic anemia all three of these blood cell levels are low.

Bone marrow biopsy is done by a needle to remove a small sample of bone marrow from a large bone in your body, such as your hipbone. The sample is examined under a microscope to rule out other blood-related diseases. In aplastic anemia, bone marrow contains fewer blood cells than normal.

Treatment provided for aplastic anemia by Top hematologists in Gurgaon is dependent on the severity of condition and demographic details like age.

The treatment options include: observation, blood transfusions, medications, or bone marrow transplantation. Severe aplastic anemia, in which your blood cell counts are extremely low, is life-threatening and requires immediate hospitalization.

Blood transfusions: not cure for aplastic anemia, blood transfusions control bleeding and relieve symptoms by providing blood cells in patient’s bone marrow that isn’t producing. While there’s generally no limit to the number of blood transfusions but complications can sometimes arise with multiple transfusions.

Stem cell transplant: done to rebuild the bone marrow is considered to be the only successful treatment option for people with severe aplastic anemia. A stem cell transplant, also called a bone marrow transplant, is generally the treatment of choice in younger patients.

Immunosuppressants is preferred in cases who can’t undergo a bone marrow transplant or for those whose aplastic anemia is due to an autoimmune disorder. In this the treatment can involve drugs that alter or suppress the immune system (immunosuppressants). Drugs such as cyclosporine (Gengraf, Neoral, Sandimmune) and anti-thymocyte globulin suppress the activity of immune cells that are damaging bone marrow. This helps bone marrow recover and generate new blood cells. Corticosteroids, such as methylprednisolone (Medrol, Solu-Medrol), are often used with these drugs.

Bone marrow stimulants in verities that are including colony-stimulating factors, such as sargramostim (Leukine), filgrastim (Neupogen) and pegfilgrastim (Neulasta), epoetin alfa (Epogen/Procrit), and eltrombopag (Promacta). These drugs help stimulate the bone marrow to produce new blood cells

Antibiotics, antivirals are administered in cases of aplastic anemia. Because the condition has weakens]ed your immune system, which leaves you more prone to infections.

Other treatments for Aplastic anemia caused by radiation and chemotherapy treatments for cancer usually includes follow up observations as it improves after those treatments stop. The same is true for most other drugs that induce aplastic anemia.

For more details please contact Cancer Rounds

Posted by, magneto
February 1, 2022

Suspected for Diagnosis of Cancer – Identify The Symptoms Associated With It

Cancer is most deadly and ironic diagnosis that is becoming one of the leading causes of increase mortality these days. Cancer can be successfully treated if it is detected at an early stage and in certain cases can be cured.

The cancer treatment designing also include palliative care services to recover emotionally and this is of great help for the cancer patients and survivors. The diagnostic work up done for early-stage diagnosis of suspected cancer cases include the screening steps and diagnosing the disease as early as possible is very important for good prognosis. Cancer can be identified by its symptoms at an early stage. There are many symptoms of cancer which are considered easily dismissible that can be caused by benign tumors, injury, illness, and other health issues.

The golden rule to raise an alarm for concern of health is a symptom that is not getting better after a few days or weeks, then you should consult a doctor as soon as possible. This is time to get diagnosed and treated timely if required. The conventional treatment arms include cancer surgery, therapy or any other treatment advised by treating oncologist. Sometimes, you may not experience any kind of pain even if you have cancer as recommended by clinical experience of best oncologist in Gurgaon. Idea is no to waste time waiting for symptoms to grow severe. Get in touch with a doctor at the earliest without underestimating the symptoms and don’t get afraid of the word cancer remember the cancer is group of disease that is treatable.

FEW SYMPTOMS THAT ARE ASSOCIATED WITH CANCER AND RAISE ALARM ARE:

1. Sudden Increase or Decrease in Body Weight- If you have increased or decreased your body weight but you do not know what the reason is, then you should consult your doctor and get diagnosed as soon as possible.

2. Lumps- Any unexplained lumps in your body could be a sign of cancer. A few body parts where you could find lumps are the groin area, testicles, stomach, underarm or neck.

3. Swelling- If you are having any kind of swelling in any part of the body such as groin, stomach, underarm, or neck, then get yourself checked by the doctor for cancer.

4. Changes in the Skin- says that it’s high time you get it checked by a doctor. Here are a few signs that you should look out for.

5. Yellow Skin & White in the Eyes- If you have yellow skin and white in the eyes, then you may have jaundice. Jaundice is one of the symptoms of cancer.

6. Non-Healing Soreness in your body and it is not healing for a long time, then it might be a sign of cancer.

7. If recently any new mole in your body or you can find any change in an already existing mole, then check yourself for the symptoms of cancer.

8. Bleeding or Scaly Lump on the body, which is in flesh colour and is bleeding or turning scaly, it could be a symptom of cancer.

9. Problems in Neurological Systems like face drooping, changes in hearing, changes in vision or eyesight, seizures or headache, all these neurological symptoms could be a sign of cancer.

10. Changes of Mouth- which could indicate an underlying cancer disease:

Numbness, pain or bleeding in mouth or lip, Red or white Patch in the mouth or on the tongue, Blood in saliva, Night Sweating

11. Changes in Bowel habits or abnormal bowel movements for a long time, it’s a cancer symptom that you need to watch out for. Pencil-thin stool or bloody stools are also cancer symptoms related to colon cancer.

12. Changes in Bladder could be related to bladder cancer or pelvic tumour. These symptoms include blood in urine, pain while urinating, slow flow of urine, high-frequency urination, irritation and small amount of urine.

13. Changes in Breast could be an indication of breast cancer. You can perform a self-examination and check for the signs: for instance, Puckered, dimpled, scaly, red, itchy breast skin, Discharge or changes in nipple, Bloody discharge from nipple, change in size of breast or nipple, Breast feels different

In case you or your loved being is suspected by any above-mentioned signs or symptoms- consult your healthcare provider. The same is advocated by best oncologists in cancer hospital in Gurgaon, for early diagnosis of cancer.

And for second opinion you Can also consult the virtual hospital of cancer rounds.

Posted by, magneto

OPTIMAL DIET FOR CANCER PATIENTS AND SURVIVORS- ANTI-INFLAMMATORY DIET

In the world of cancer, hematologist, oncologists focus on ways to reduce inflammation. The key to the lock lies not in the treatment regimen, but in the optimal diet.

Yes, the optimal diet for cancer patients and survivors is an anti-inflammatory diet. As it allows your body to fight off the inflammation that is able to damage your body’s healthy cells.

The mechanism of action by which an anti-inflammatory diet plan helps cancer patients and survivors:

First, let us discuss Inflammation: Biological immune response is activated when your body recognizes anything that is a foreign substance—such as an invading microbe, plant pollen, or chemical. This response triggers the cascade of inflammation.  This natural process protects the human body as a defense but sometimes persisting inflammation even in absence of threatened foreign invaders is not normal.

Relating this most of the diseases/disorders including cancer, diabetes, arthritis, heart disease—have been linked to persistent or chronic inflammation.

And among the effective tools for battling chronic inflammation, comes from the grocery store.

Yes, in literature database trials and experimental studies have proven “components of nutrition with anti-inflammatory effects helps the body fight illness like cancer and can protect it from harm.

The anti-inflammatory diet- optimal diet for cancer patients and survivors includes prebiotics, fiber, omega-3s, and antioxidants.

Ideally, an optimal diet to fight inflammation in your body is required to be enriched with vegetables, fruits, grains, legumes, and/or fatty fish.

Best hematologists in India and best oncologists are always in favor of natural Anti-Inflammatories to be incorporated into the diet to fight against cancer or reduce the risk of cancer.

We know you are looking to understand more about natural anti-inflammatories but it may require changing your eating habits as well.

As during treatment of cancer, the role of medication along with other treatments are important, -similarly, an anti-inflammatory diet is a must. And same is foundation for designing diet plan for oncology patients at cancer hospital in Gurgaon.

Just! changing what’s on your plate is a miraculous cure as this lessens the number of flare-ups and lowers down a few notches of having other problems as well.

If you or your loved being is diagnosed with cancer – we suggest that the mainstream nutrition is to eat anti-inflammatory foods.

The next questions you might be worried about is –

How protein requirement of the body will be fulfilled? – The quick fix to this is plant-based proteins (like beans and nuts).

The main outlook in an optimal diet plan for the anti-inflammatory diet of cancer patients or survivors is to avoid highly processed, overly greasy, or super sweet food.

Our specialized team of well-known and best oncologist, hematologist hereby support optimal diet/ anti-inflammatory meal plan helping to keep inflammation under control.

Anti-inflammatory recipes that can help you to make an optimal diet plan delicious are mentioned here:

  1. Oat porridge garnished with berries is a tasty meal to start a day that assure high doses of prebiotics, antioxidants, and fiber.
  2. For gluten-free options we can opt buckwheat and chia seed porridge. It will be able to boost omega-3 content, fiber, and protein.
  3. Turmeric in Scrambled eggs is surely an excellent source of protein, and vitamin D- with an extra anti-inflammatory boost. Since, Turmeric is rich in a compound called curcumin, responsible for managing oxidative and inflammatory conditions.
  4. Pineapple smoothie- another kick to start a day that is full of fiber and protein. The high levels of bromelain, which has anti-inflammatory is in Pineapple.
  5. Spinach tortilla that may be accompanied with a salad of green leafy vegetables, and broccoli, is a rich source of two polyphenols called quercetin and coenzyme Q10 and this reduces inflammation.
  6. Quinoa and citrus fruit salad contain lots of protein and nutrients with an antioxidant boost.
  7. Grape and apple slaw is a fun side dish that is a good source of another anti-inflammatory polyphenol called anthocyanins, resveratrol that helps to reduce inflammation.

We mention here that ingredients in food provide healthful benefits, but it’s still very essential to include a wide variety of whole food in the diet. The idea of the optimal diet with anti-inflammatory properties is to maintain balance.

Posted by, Medical Team, Cancer Rounds
January 10, 2022

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