Oncology |

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Medical
oncology is a branch of medicine, which studies tumors (cancer) and deals
with the procedure to understand their development, diagnosis, treatment,
and prevention using medicine, including chemotherapy. An oncologist
generally coordinates the multidisciplinary care of cancer patients that may
involve physiotherapy, counseling, clinical genetics and more. On the other
hand, the oncologist also has to liaise with pathologists on the exact
biological nature of the tumor, which is being treated.
Oncology is concerned with:
- Diagnosis of cancer
- Therapy (e.g. radiation, pediatric hematology, surgery, brain
tumor surgery and more
- Follow-up of cancer patients after successful treatment
- Palliative care of patients with terminal malignancies
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The different techniques available in medical oncology
for the treatment of cancer, include:
- Chemotherapy of solid tumours
- Chemotherapy of haematological malignancies
- Immunotherapy and targeted therapy of solid tumour and
haematological malignancies, which include Interleukin, herceptin,
Avastin & Mabthera
- Diagnostic tests
- Day care chemotherapy
- Chemoport insertion
- Bone marrow & stem cell transplantation
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Radiation Oncology
Radiation oncology is considered to be a local treatment, which means it
treats a specific local area of the body. Radiation oncology treatment is in contrast
to systemic therapies, such as chemotherapy that travel throughout the body.
Radiation oncology therapy can be classified into two types of therapies, namely
- External radiation therapy
- Internal radiation therapy
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External Radiation Therapy
In external radiation therapy, a beam of radiation is directed from outside
the body. Also known as x-ray therapy, cobalt therapy, proton therapy, or
intensity modulated radiation therapy to destroy cancer cells from
reproducing. The treatment is administered using a machine called a linear
accelerator. The treatment is given 5 days a week for several weeks, which
depends on the total final dose of radiation that is planned.
Internal Radiation Therapy
In internal radiation therapy, a source of high energy is placed as close
as possible to the cancer cells inside the body. This can be done by
implanting seeds or by using an reservoir, into which a liquid radioactive
substance is injected. It delivers a highly intense radiation to a small
part of the body, which limits the dose to normal tissue. The treatment
allows the doctor to give a higher dose of radiation in a shorter time than
is possible with external treatment. The typical radioactive substances,
which are generally used in the treatment, include - radium, cesium, iodine,
and phosphorus. Depending on the substance, the implant can be permanent or
temporary, although the effect wears off over time in all cases.
Side Effects of Radiation Therapy
The doses of radiation, which are used to destroy the cancer cells can also
hurt normal cells. Thus the side effects of radiation therapy are directly
related to the area of the body, which is being treated. For instance,
radiation, which includes the abdomen, can cause diarrhea as a result of the
radiation's effect on the wall of the bowel. Generally most of the side
effects are temporary that disappear gradually after therapy is complete and
there are Treatments Offered to deal with them. Some common side effects that may
occur as a result of radiation therapy are:
- Skin reaction
- Hair Loss
- Nutritional problems
- Fatigue
- Neutropenia
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If any side effect become severe, contact your doctor
immediately. It may be possible that your treatment may be put on hold to
allow the tissue time to heal before continuing.
The different techniques available in radiation therapy for the treatment
of cancer are:
- Hydrocephalus
- Craniostenosis
- Spinal dysraphism
- Chiari malformations
- All types of paediatric brain tumors, such as craniopharyngioma,
gliomas, ependymoma, medulloblastoma
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Endoscopic Brain Surgery
Endoscopic brain surgery is a minimally invasive procedure, in which a thin
instrument (endoscope) is used to browse through the fluid filled chambers
of brain. While traditional brain surgery requires opening-up of the skull
to access the brain, the endoscopic approaches require only one or two
dime-sized holes.
The technique can also be used as an alternative to a shunt, in select
patients and provide patients with fewer complications, less pain and faster
recovery than with traditional methods.
The various services, offered by this discipline are:
- Endoscopic transnasal surgery for Pituitary tumors
- Endoscopic third ventriculostomy for hydrocephalus
- Intraventricular tumors -colloid cyst, cysticercus
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