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TESTICULAR CANCER INR   0 INR  0
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TESTICULAR CANCER

Testicular cancer occurs in the testicles (testes), which are located inside the scrotum, a loose bag of skin underneath the penis. The testicles produce male sex hormones and sperm for reproduction. Testicular cancer is highly treatable, even when cancer has spread beyond the testicle. Depending on the type and stage of testicular cancer, you may receive one of several treatments, or a combination. Symptoms • A n enlarged testicle or a small lump or area of hardness are the first signs of testicular cancer • A feeling of heaviness in the scrotum • A dull ache in the abdomen or groin • A sudden collection of fluid in the scrotum • Pain or discomfort in a testicle or the scrotum • Enlargement or tenderness of the breasts • Back pain Cancer usually affects only one testicle. Causes It's not clear what causes testicular cancer in most cases. Doctors know that testicular cancer occurs when healthy cells in a testicle become altered. Healthy cells grow and divide in an orderly way to keep your body functioning normally. But sometimes some cells develop abnormalities, causing this growth to get out of control — these cancer cells continue dividing even when new cells aren't needed. The accumulating cells form a mass in the testicle. Nearly all testicular cancers begin in the germ cells — the cells in the testicles that produce immature sperm. What causes germ cells to become abnormal and develop into cancer isn't known. Risk factors Factors that may increase your risk of testicular cancer include: • An undescended testicle (cryptorchidism). The testes form in the abdominal area during fetal development and usually descend into the scrotum before birth. Men who have a testicle that never descended are at greater risk of testicular cancer than are men whose testicles descended normally. • Abnormal testicle development. Conditions that cause testicles to develop abnormally, such as Klinefelter syndrome, may increase your risk of testicular cancer. • Family history. If family members have had testicular cancer, you may have an increased risk. • Age. Testicular cancer affects teens and younger men, particularly those between ages 15 and 35. However, it can occur at any age. • Race. Testicular cancer is more common in white men than in black men. Prevention There's no way to prevent testicular cancer. Self-examinations to identify testicular cancer at its earliest stage. Diagnosis In some cases men discover testicular cancer themselves, either unintentionally or while doing a testicular self-examination to check for lumps. In other cases, your doctor may detect a lump during a routine physical exam. To determine whether a lump is testicular cancer, your doctor may recommend: • Ultrasound. An ultrasound test can help your doctor determine the nature of any testicular lumps, such as whether the lumps are solid or fluid-filled. An ultrasound also tells your doctor whether lumps are inside or outside of the testicle. • Blood tests Type of cancer Your extracted testicle will be analyzed to determine the type of testicular cancer. The type of testicular cancer you have determines your treatment and your prognosis. In general, there are two types of testicular cancer: • Seminoma. Seminoma tumors occur in all age groups, but if an older man develops testicular cancer, it is more likely to be seminoma. Seminomas, in general, aren't as aggressive as nonseminomas. • Nonseminoma. Nonseminoma tumors tend to develop earlier in life and grow and spread rapidly. Several different types of nonseminoma tumors exist, including choriocarcinoma, embryonal carcinoma, teratoma and yolk sac tumor. Staging the cancer Once your doctor confirms your diagnosis, the next step is to determine the extent (stage) of the cancer. To determine whether cancer has spread outside of your testicle, you may undergo: • Computerized tomography (CT) scan • Blood tests. After these tests, your testicular cancer is assigned a stage. The stage helps determine what treatments are best for you. The stages of testicular cancer are indicated by Roman numerals that range from 0 to III, with the lowest stages indicating cancer that is limited to the area around the testicle. By stage III, the cancer is considered advanced and may have spread to other areas of the body, such as the lungs. Treatment The options for treating testicular cancer depend on several factors, including the type and stage of cancer, overall health. • Surgery to remove your testicle (radical inguinal orchiectomy) is the primary treatment for nearly all stages and types of testicular cancer. • Surgery to remove nearby lymph nodes (retroperitoneal lymph node dissection) • Radiation therapy: Radiation therapy uses high-powered energy beams, such as X-rays, to kill cancer cells. Radiation therapy is a treatment option that's sometimes used in people who have the seminoma type of testicular cancer. • Chemotherapy treatment uses drugs to kill cancer cells. Chemotherapy drugs travel throughout your body to kill cancer cells that may have migrated from the original tumor. Side effects of chemotherapy are depend on the specific drugs being used. Ask your doctor what to expect. Common side effects include • Fatigue, nausea, hair loss and an increased risk of infection. There are medications and treatments available that reduce some of the side effects of chemotherapy. • Chemotherapy may also lead to infertility in some men, which can be permanent in some cases. Talk to your doctor about your options for preserving your sperm before beginning chemotherapy. TESTICULAR CANCER TREATMENT IN JALANDHAR

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Breast Cancer

Cancer has always been considered a disease which strikes you at later stages of your life. This holds true to a certain extent, but if we look at breast cancer, the age at which women develop breast cancer has undergone a sea change in the last two decades. An increasing number of breast cancers are detected in the 25-40 years age group. The age where one settles down, plans to have a family and is busy with raising children. India is now witnessing more and more numbers of patients being diagnosed with breast cancer to be in the younger age groups. What every woman should know Breast cancer is the most common non-skin cancer among American women. One in eight women will develop invasive breast cancer during her lifetime. But advances in breast cancer treatment mean many women can expect to beat the disease and maintain their physical appearance. Strand Center studied genes that may increase a women’s risk of suffering from breast cancer. Our scientists have identified 50 mutations (variants of a gene) in genes that are present in the Indian population, which can cause breast cancer. Some of these gene mutations have been identified earlier. Our analysis showed that there are 19 new mutations that have not been identified by other researchers. So, all in all, these gene variations have increased the chances of breast cancer amongst Indian women. Symptoms A lump in the breast Pain in armpits or breast that does not seem to be related to the woman’s menstrual period Pitting or redness of the skin of the breast A rash around (or on) one of the nipples A swelling (lump) in one of the armpits An area of thickened tissue in a breast One of the nipples has a discharge; sometimes it may contain blood The nipple changes in appearance; it may become sunken or inverted The size or the shape of the breast changes The nipple-skin or breast-skin may have started to peel, scale or flake news A successful treatment of cancer is possible, if detected at an early stage. Breast Cancer Specialist in Jalandhar Breast Cancer Treatment in Jalandhar

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Normal Delivery

A vaginal delivery is childbirth that happens when the baby is pushed down the birth canal and delivered through the vagina. Every labor and delivery is different. How long labor and delivery lasts and how it progresses varies depending on previous births, the position of the baby's head, and the size of the baby and the birth canal. There are, however, general stages of labor and delivery that a healthcare provider uses to decide whether it is progressing normally for a vaginal delivery. The 3 stages of labor are: First stage: The cervix opens and thins to full dilation. The average woman in her first labor may dilate about 1 cm per hour during the active phase of labor. If you have had a baby before, the cervix usually dilates faster. Second stage: The baby moves through the birth canal and is born. This stage of labor usually lasts 15 to 75 minutes but may last as long as 2 or 3 hours. Third stage: The placenta (afterbirth) passes through the birth canal and is delivered. This usually happens within 30 minutes after the birth of the baby. Painless delivery gyne hospital in Jalandhar Painless delivery of baby in Jalandhar

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Lung cancer facts

• Lung cancer is the number one cause of cancer deaths in both men and women in the India and worldwide. • Cigarette smoking is the principal risk factor for development of lung cancer. • Passive exposure to tobacco smoke also can cause lung cancer. • The two types of lung cancer, which grow and spread differently, are small cell lung cancers (SCLC) and non-small cell lung cancers (NSCLC). • The stage of lung cancer refers to the extent to which the cancer has spread in the body. •Treatment of lung cancer can involve a combination of surgery, chemotherapy, and radiation therapy as well as newer experimental methods. The general prognosis of lung cancer is poor because doctors tend not to find the disease until it is at an advanced stage. Five-year survival is around 54% for early stage lung cancer that is localized to the lungs, but only around 4% in advanced, inoperable lung cancer. • • Smoking cessation is the most important measure that can prevent the development of lung cancer. Lung cancer doctor in Jalandhar • Cancer of the lung, like all cancers, results from an abnormality in the body's basic unit of life, the cell. Normally, the body maintains a system of checks and balances on cell growth so that cells divide to produce new cells only when new cells are needed. Disruption of this system of checks and balances on cell growth results in an uncontrolled division and proliferation of cells that eventually forms a mass known as a tumor. • Tumors can be benign or malignant; when we speak of APR 25, 2018 Lung cancer facts • Lung cancer is the number one cause of cancer deaths in both men and women in the India and worldwide. • Cigarette smoking is the principal risk factor for development of lung cancer. • Passive exposure to tobacco smoke also can cause lung cancer. • The two types of lung cancer, which grow and spread differently, are small cell lung cancers (SCLC) and non-small cell lung cancers (NSCLC). • The stage of lung cancer refers to the extent to which the cancer has spread in the body. •Treatment of lung cancer can involve a combination of surgery, chemotherapy, and radiation therapy as well as newer experimental methods. The general prognosis of lung cancer is poor because doctors tend not to find the disease until it is at an advanced stage. Five-year survival is around 54% for early stage lung cancer that is localized to the lungs, but only around 4% in advanced, inoperable lung cancer. • • Smoking cessation is the most important measure that can prevent the development of lung cancer. Lung cancer doctor in Jalandhar • Cancer of the lung, like all cancers, results from an abnormality in the body's basic unit of life, the cell. Normally, the body maintains a system of checks and balances on cell growth so that cells divide to produce new cells only when new cells are needed. Disruption of this system of checks and balances on cell growth results in an uncontrolled division and proliferation of cells that eventually forms a mass known as a tumor. • Tumors can be benign or malignant; when we speak of "cancer, " we are referring to those tumors that are malignant. Benign tumors usually can be removed and do not spread to other parts of the body. Lung cancer Treatment in Jalandhar

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Types of Breast Cancer

Breast cancer occurs when breast cells divide and grow without control, sometimes invading surrounding tissue. In some cases, the cancer may grow very slowly while in others, it develops more rapidly. Most breast cancers start in the ducts while a small number start in the milk sacs or lobes. Breast cancer treatment in Jalandhar Breast cancer can be classified generally as follows : >Non-Invasive Breast Cancer Cancer that is confined to the ducts (Ductal Carcinoma In Situ or DCIS) or lobules (Lobular Carcinoma In Situ or LCIS). DCIS is considered a precancerous condition while LCIS is a risk factor for invasive cancer. >Invasive Cancer Cancer that has spread beyond the ducts or lobes to the surrounding breast tissue. Generally most treatable in the early stage when the tumor is relatively small and has not spread to the lymph nodes. >Metastatic Breast Cancer Cancer that has spread outside the breast to other parts of the body. If cancer cells are detected in the lymph nodes under the arm, it may mean that it has spread to other lymph nodes and organs such as the bones, liver or lungs. Breast Cancer specialist in Jalandhar

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THYROID SURGERY (Thyroidectomy)

Thyroidectomy is the removal of all or part of your thyroid gland. Your thyroid is a bilobed gland located in front of your neck. It produces hormones that regulate metabolism, from your heart rate to how quickly you burn calories. Thyroidectomy is operation to treat thyroid disorders, such as cancer, noncancerous enlargement of the thyroid (goiter) and overactive thyroid (hyperthyroidism). How much of your thyroid gland is removed during thyroidectomy depends on the reason for surgery. If only a portion is removed (partial thyroidectomy), your thyroid may be able to function normally after surgery. If your entire thyroid is removed (total thyroidectomy), you need daily treatment with thyroid hormone. Why it's done? A thyroidectomy may be recommended for conditions such as: Thyroid cancer. Cancer is the most common reason for thyroidectomy. If you have thyroid cancer, removing most, if not all, of your thyroid will likely be a treatment option. Goitre (Noncancerous enlargement of the thyroid Removing all or part of your thyroid gland is an option if you have a large goitre that is uncomfortable or causes difficulty breathing or swallowing or, in some cases, if the goitre is causing hyperthyroidism. Overactive thyroid (hyperthyroidism).Hyperthyroidism is a condition in which your thyroid gland produces too much of the hormone thyroxine. If you have problems with anti-thyroid drugs and don't want radioactive iodine therapy, thyroidectomy may be an option. Risks Thyroidectomy is generally a safe procedure. But as with any surgery, thyroidectomy carries a risk of complications. Potential complications include: Bleeding Infection Airway obstruction caused by bleeding Permanent hoarse or weak voice due to nerve damage Damage to the four small glands located behind your thyroid (parathyroid glands), which can lead to hypoparathyroidism, resulting in abnormally low calcium levels and an increased amount of phosphorus in your blood. What you can expect Before the procedure Surgeons perform thyroidectomy during general anaesthesia. You may have a drain under the incision in your neck. This drain is usually removed the morning after surgery. After a thyroidectomy, you may experience neck pain and temporarily hoarse or weak voice. You'll be able to eat and drink as usual after surgery. Depending on the type of surgery you had, you may be able to go home the day of your procedure or your doctor may recommend you stay overnight in the hospital. When you go home, you can usually return to your regular activities. Wait at least 10 days to two weeks before doing anything vigorous. Results The long-term effects of thyroidectomy depend on how much of the thyroid is removed. Partial thyroidectomy If only part of your thyroid is removed, the remaining portion typically takes over the function of the entire thyroid gland, and you might not need thyroid hormone therapy. Total thyroidectomy If your entire thyroid is removed,you'll need to take a pill every day that contains the synthetic thyroid hormone levothyroxine (Levoxyl, Synthroid, Unithroid). This hormone replacement is identical to the hormone normally made by your thyroid gland and performs all of the same functions. Dr Rupinder Bhargava Surgical Oncologist BHARGAVA ADVANCED GYNE SURGERY CANCER CENTRE

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Ovarian cancer

A cancer that begins in the female organs that produce eggs (ovaries). Ovarian cancer often goes undetected until it has spread within the pelvis and stomach. At this late stage, ovarian cancer is more difficult to treat and can be fatal. Ovarian cancer often has no symptoms in the early stages. Later stages are associated with symptoms, but they can be non-specific, such as loss of appetite and weight loss. Surgery and chemotherapy are generally used to treat ovarian cancer.

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