The Experts Say - Cancer

 

Cancer: Dangerous Growths, Know It, Treat It

Article contributed by:

Raffles Medical Group

 

Cancer is not a new disease.  Worldwide, 13% of deaths are caused by cancer.  In Singapore, one in three persons will contract cancer in their lifetime.  Most of us would have had a close friend or relative who had cancer.  Yet many may not have an understanding of what it is and what it does to the body.  Explained Dr Gilberto Lopes, Medical Oncologist at Raffles Cancer Centre, "Cancer is a group of 100 different diseases characterised by the uncontrolled, abnormal growth of cells.  These cells form a lump or a tumour although some, such as blood cancers, do not form tumours.”

 


8 Signs That May Scream Cancer

 

Tumours can be benign (non-cancerous) or malignant (cancerous). Benign tumours may grow, but they do not spread to other parts of the body and are usually not life threatening.  Malignant tumours grow and invade other tissues in the body.  Sometimes cancer will spread to the lymph nodes.  A lymph node is a tiny, bean-shaped organ that filters the flow of lymph, the clear fluid that plays a role in the body’s immune where it started (e.g.: if breast cancer spreads to the lungs, it is called metastatic breast cancer, not lung cancer).  Cancer can start anywhere in the body.  It can affect people of all ages but the risk for most cancers increases with age.

 

Cancer Is Not Death Penalty

Rather than to think that cancer spells the end of life, it is important to know that cancer can be treated.  In cancer treatment, the aim is to remove or destroy the cancer cells.  The three ways by which this can be done are surgery, chemotherapy and radiotherapy.  Depending on the type and stage of the cancer and the age and health of the patient, treatment is administered. Sometimes, a complement of two or more treatments is used.  Certain cancer treatments may cause side effects as they affect the normal cells as well.

 

Surgery

In surgery, the tumour is removed together with some of the surrounding tissue that may contain invading cells.  It is most effective for cancers that are small, found in only one area of the body and located in parts of the body from which they can be easily removed.

 

Chemotherapy

Chemotherapy uses medicine to destroy cancer cells by interfering with their ability to grow and multiply.  Different types of medicine are used for different cancers.  Some medicines are oral (take by mouth).  Others work better when injected into the blood vessels.

 

Chemotherapy works mainly on cancer cells but it also affects normal cells that grow rapidly, like hair cells or cells lining the gut.  As a result, patients receiving chemotherapy may experience side effects such as hair loss, nausea and vomiting.  They are also more prone to infections.

 

Radiotherapy

Radiotherapy uses radiation to kill cancer cells.  This radiation may come in the form of:

 

High-dose x-rays which are directed at the tumour

 

Some radioactive material that is surgically implanted into the tumour

 

Radiotherapy may be used before surgery to reduce the size of a tumour, or after surgery to destroy any remaining cancer cells in that area.  Side effects from radiotherapy include tiredness and skin rashes over the treated area.

 

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Understanding Staging

A common term used when we talk about cancer is cancer stages.  Simply put, the higher the stage, the more advanced the cancer.  Cancers caught at an earlier stage have a higher chance of recovery while those at a later stage would be far more life-threatening.

 

“Still, although cancers are easier to treat at an earlier stage,” said Dr Lopes, “you should seek treatment; no matter how advanced the cancer is, as soon as possible, to contain the disease.”

 

Stage

Description

0

Cancer in situ (in place), meaning that cancer has not become invasive and does not have the capacity to spread. These cancers are highly curable.


I

Generally indicates a cancer that is small, has not invaded deeply into the surrounding tissues, and has not spread either to lymph nodes or other parts of the body.


II/ III

Stage II and III cancers have increasing degrees of size, invasion , and spread to lymph nodes, but have not spread in amounts that can be detected in other parts of the body.


IV

Stage IV means that the cancer has spread to the other organs or parts of the body, and may be referred to as advanced cancer.


 

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8 Signs That May Scream Cancer

1.  Sores that do not heal

2.  A lump in breast or other parts of the body

3.  Unusual bleeding

4.  Change in bowel habits or bladder function

5. Recent change in a wart or mole

6.  Indigestion or difficulty in swallowing

7.  Nagging cough or hoarseness

8.  Unexplained weight loss or fever

 

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Article contributed by:
Raffles Medical Group

Dated: June 2011

 

Raffles Medical Group is a leading medical group and the largest private group practice in Singapore.  As a fully integrated healthcare organisation, the Group owns and operates a network of family medicine clinics, a tertiary care private hospital, insurance services and a consumer healthcare division.  Patients of the Group enjoy a continuum of care, from having their most basic healthcare needs met through the Group’s islandwide network of Raffles Medical clinics, to specialist and tertiary care at Raffles Hospital.

 

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