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Oncology

Cancer Treatment

            Medical Oncology provides comprehensive cancer care with a multi-disciplinarytreatment approach to all types of cancer (solid tumours and blood cancers). Medical oncology is the treatment of cancer using chemotherapeutic drugs. When cancer is diagnosed at an early stage, chemotherapy supplements the benefits of cure provided bysurgery. In advanced stages it improves quality of life and prolongs survival. Chemotherapy plays a curative role these include lymphomas, leukaemia and germ cell tumours. Contact Shalby Hospital for Oncology Hospital, Treatment, Bone Cancer, Breast Cancer Surgery, Anal Cancer, Cancer Treatment, Cancer Surgery, Cancer Hospital  in Ahmedabad, Gujarat, India.

Medical Oncology is concerned with:

• Cancer Screening: Breast cancer, Colon cancer, Cervical cancer, Prostate cancer

• The diagnosis of any cancer.

• Therapy (e.g. chemotherapy, Hormonal therapy, immunotherapy and monoclonal   antibodies).

• Follow-up of cancer patients after successful treatment.

• Palliative care of patients with terminal malignancies.

• Pain management.

            The aim of cancer treatment is to relieve symptoms, cure the patient and prolong or save life. All these aims may not be met in every case. When cancer is detected early, treatment is very effective and patients are usually cured.

            In patients who present with advanced disease, complete cure may not be possible, and treatment aims to control the disease, improve quality of life and to keep the patient normal and comfortable as long as possible. The treatment of each patient is designed to suit an individual and depends on the age of the patient, general condition, type of cancer and stage of disease. There may be only one treatment or combination of treatments.

There are five main modalities of treatment for cancer

              Surgery and radiotherapy eradicate the disease at the primary site (site of origin) of cancer.Chemotherapy, hormonal therapy and immunotherapy deal with disease which may have spread outside the site of origin of cancer.

Chemotherapy

             Chemotherapy is the treatment of cancer with one or more cytotoxic anti-neoplastic drugs (chemotherapeutic agents) as part of a standardized regimen. Chemotherapy may be given with a curative intent or it may aim to prolong life or to palliate symptoms. It is often used in conjunction with other cancer treatments, such as radiation therapy, surgery, and/or hyperthermia therapy. Certain chemotherapeutic agents also have a role in the treatment of other conditions, including ankylosing spondylitis, multiple sclerosis, Crohn's disease, psoriasis, psoriatic arthritis, systemic lupus erythematosus, rheumatoid arthritis, and scleroderma.

             Our trained and empathetic chemo nurses use their expertise and the latest chemo delivery devices to make treatment easier. This helps patients complete planned drug cycles and prepares them for the next line of treatment, putting them on the path to recovery. The drugs are prepared under an infection-free Laminar hood which maintains effectiveness. Chemotherapy can be administered in day care basis and also indoor basis.

             Traditional chemotherapeutic agents act by killing cells that divide rapidly, one of the main properties of most cancer cells. This means that chemotherapy also harms cells that divide rapidly under normal circumstances: cells in the bone marrow, digestive tract, and hair follicles. This results in the most common side-effects of chemotherapy: myelosuppression (decreased production of blood cells, hence also immunosuppression), mucositis (inflammation of the lining of the digestive tract), and alopecia (hair loss). G-CSF and pegylated G-CSF can be given to recover my elosupression.

            Chemotherapy may use one drug at a time (single-agent chemotherapy) or several drugs at once (combination chemotherapy or polychemotherapy). The combination of chemotherapy and radiotherapy is chemoradiotherapy. Chemotherapy using drugs that convert to cytotoxic activity only upon light exposure is called photochemotherapy or photodynamic therapy.

Hormone therapy

            Hormone therapy has limited use in cancer treatment since only minority of tumours are hormone sensitive e.g. breast and prostate cancer. This therapy provides systemic means of treatment, i.e. to the whole body, but without the side effects of chemotherapy.

Immunotherapy

             Immunotherapy is a form of treatment which stimulates the body’s immune system to destroy cancer cells. It is expensive.

Monoclonal antibody therapy.

            It is the use of monoclonal antibodies (or mAb) to specifically target cells. The main objective is stimulating the patient's immune system to attack the malignant tumour cells and the prevention of tumour growth by blocking specific cell receptors.

Dr. Kajal M. Shah
MD

Designation : 
Onco Physician
Department : 
Oncology
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