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Coordinated Approach Required to Provide Optimal Care to Cancer Patients

 

"Optimal Cancer Care requires involvement of skilled surgeons (surgical oncologists), doctors who give cancer medications (medical oncologists), and those who treat the cancer with high doses of rays (radiation oncologists). Thus a coordinated approach is necessary", informed Dr. Amyn Alidina, Consultant Oncologist, Assistant Professor of Medicine, and Acting Chief of the Section of Oncology at Aga Khan University Hospital. He was giving a presentation on "Cancer Care - Prevention and Early Detection" at 'Signs, Symptoms and Care', a monthly health awareness programme, on September 6, 2003.

(L to R): Dr. Fayyaz Hussain, Dr. Amyn Alidina and Dr. Aliya B. Aziz at at 'Signs, Symptoms and Care', a monthly health awareness programme.

"Although care for cancers at advanced stages is available, the best chance of cure is when the cancers are detected early. Screening for breast cancer with breast examination and mammography has proven to have saved lives", added Dr. Alidina.

He said that tobacco use could lead to the development of cancers of the head and neck, lung, oesophagus, bladder, pancreas, kidney, cervix, stomach, and leukaemia. Cessation of tobacco use remains to be the mainstay of cancer care. For those who chew tobacco, regular ENT examination by trained specialists can prove useful.

"Cancer of the cervix, a common cancer in our women, can be picked up in its pre-malignant stage, by regular pap smears", explained Dr. Alidina.

People with Hepatitis B and C can get cancer of the liver. They require regular ultrasound to diagnose this cancer early. Prevention of Hepatitis B with vaccination and treatment of Hepatitis B and C with interferon are important aspects of cancer care. In men, screening for prostate cancer with PSA and prostate examination can lead to early detection. Regular self-examination of testicles for lumps, especially in younger men, can help detect testicular cancer early.

Although cancers can present themselves in an unusual manner, symptoms like blood in the stools, lump in the breast, ulcer or a growth in the mouth, especially for those who chew tobacco; blood in urination, persistently enlarged lymph nodes or vaginal bleeding after coitus or after menopause should be evaluated. In those who smoke, persistent cough, breathing difficulty, weight loss, difficulty swallowing or change in voice should be taken seriously, he suggested.

Dr. Aliya B. Aziz and Dr. Fayyaz Hussain participated in the question and answer session at the end of the programme.

 

 

 

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