All you need to know about Head and Neck Cancer

Dr Sashikanth Jonnalagadda 
April 14, 2021

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The Head and Neck is a very complex region of the body and consists of several subsites like the Oral Cavity, Oropharynx (Throat), Larynx (voice box), Thyroid, Paranasal Sinuses, and Neck Lymph Nodes. Cancer that occurs in the Oral Cavity (mouth), throat, nose, paranasal sinuses, salivary glands, and other areas of the head and neck are considered Head and Neck cancer.  
  
Squamous cell carcinomas arise in the lining of the mouth, nose, and throat, account for the majority of these cancers.  
  
Because of the widespread use of Tobacco (gutka, pan masala, and betelnut), oral cancers are the most common form of cancer in India and it accounts for roughly 30 percent of all cancers in the body. Oral Cancers and other Head and Neck Cancers are also increased by smoking and alcohol consumption. 
  
Approximately 20 people out of 1,00,000 population are diagnosed with Head and Neck Cancer.  
  
It is very important to pay attention to symptoms such as non-healing ulcers in the mouth or throat, bleeding from mouth or nose, persisting sore throat, breathing or swallowing difficulty, change in voice, and swellings in the neck and face region. 
  
Head and neck tumors affect the patient's ability to chew, swallow, speak and breathe. As a result, early detection of the tumor is critical in order to increase the patient's chances of survival as well as his or her ability to speak and swallow normally during treatment. 
  
Treatment Options 

These symptoms need to be evaluated with a concerned Head and Neck Onco Surgeons who helps patients to make an informed decision about their treatment options.  The first step is to obtain a tissue sample from the affected area, which is done by a biopsy. The type of cancer will be confirmed by Histopathology, which will decide further management. 
 
The next step is staging, which entails deciding how far cancer has spread. It will be obtained by Radiological Imaging such as CT, MRI, and, on rare occasions PET scan. 
 
Cancers can be classified into four stages based on the extent of their spread. Usually, head and neck cancers are treated with surgery followed by adjuvant treatment such as radiation and chemotherapy, if necessary. The tumor and neck nodes are removed during surgery. Plastic surgery procedures are used to reconstruct the shape and function of the removed organ, allowing the patient to appear and function as normally as possible. 
  
After the treatment, the patient is kept on close surveillance for 3 to 5 years with a follow-up with his or her Head and Neck Surgeon. 

 

By Dr. Sashikanth Jonnalagadda is the Consultant - ENT, Head and Neck Oncology at American Oncology Institute

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News Network
January 13,2022

With Covid-19 cases surging in India, clouds have formed over the likelihood of India being the venue for the 2022 Indian Premier League (IPL).

The Board of Control of Cricket in India (BCCI)  is mulling holding the league outside of India amid the ongoing scenario. However, unlike the past two years where the IPL has been partially or fully held in UAE because of the pandemic, the BCCI is now keen to look at other options for the flagship event.

Cricket board officials are considering South Africa and Sri Lanka as their backup options for IPL 2022, according to a report in The Indian Express.

“We can’t be dependent on UAE all the time so we decided to explore more options, South Africa’s time difference also works out well for the players,” a BCCI official told the publication.

South Africa, so far, has hosted two cricket series and has impressed BCCI officials for the way the country handled the Indian players.

“The place where the team was staying for the second Test is spread over several acres. There were walking tracks and even a pond on the property and that has made things easier for the players who for the last couple of years or so have been confined to their rooms on several overseas tours,” an official said.

A BCCI official, recently said that the board is prioritising holding the tournament in India but the decision will be dependent on what the state governments decide.

BCCI had to postpone the upcoming edition of the Ranji Trophy indefinitely due to the rise in Covid cases in the camps. The domestic U19 Behar Trophy was also halted midway for the same reason.

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News Network
January 13,2022

Bengaluru, Jan 13: Karnataka may witness 20,000 to 70,000 daily hospitalisations for Covid by the end of January or February 2.

These are the new projections made by researchers at the Indian Statistical Institute and Indian Institute of Science on Tuesday.

Similarly, projections made by the researchers for ICU bed requirement shows that the state will require 1,000 beds to more than 3,000 beds by February 2.

As per projections made by another group INDSCI-SIM (Indian Scientists’ Response to Covid-19), Karnataka, by January 25, will have 35,000 daily cases and 500 to 5,000 severe cases, based on whether individuals are fully vaccinated or unvaccinated.

Prof Gautam Menon, professor of Physics and Biology, Ashoka University, Haryana, who has worked on several Covid models and is a part of INDSCI-SIM, said, “Across the country, we expect six lakh to nine lakh new Covid cases to be reported at the peak between January 21 and February 10. By March, the curve will flatten. Another common thing with projections from other models is that the number of cases will be larger than the second wave.”

Private Hospitals and Nursing Homes Association (PHANA) president Dr H M Prasanna said, “The state’s private sector does not have 1.4 lakh beds as is being reported. When the second wave started, we checked and there were only 66,000 beds. This is as per the Suvarna Arogya Suraksha Trust portal. We don’t know when it increased. Maybe the government is factoring in medical college hospital beds.”

Estimating the number of beds in private hospitals, he said, there are around 6,500 private hospitals in Karnataka, apart from medical colleges.

“In all, there are 70,000 beds in private hospitals and medical colleges. In both the government and private sector, there may not be more than one lakh beds,” he said.

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News Network
January 13,2022

Benagluru, Jan 13: The Karnataka Congress on Thursday suspended its Mekedatu foot march amid surging Covid-19 cases in the country.

“We are temporarily stalling our foot march. Once the third wave subsides, we will resume our March from Ramanagara,” says Leader of the Opposition Siddaramaiah.

The party was holding a 10-day padayatra or 'Walk for Water' demanding a balancing reservoir across Cauvery river at Mekedatu in Ramanagara district.

Several party leaders, including Leader of Opposition in Rajya Sabha Mallikarjun Kharge, tested positive for Covid-19. 

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