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
July 5,2022

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Hubballai, July 5: Saral Vastu exponent Chandrashekhar Guruji alias Chandrashekhar Angadi was stabbed to death in broad daylight today at a private hotel on Hubballi-Dharwad Road in Karnataka's Hubballi district.

Police sources said two persons — posing as his followers — stabbed him at the reception counter and fled away. The incident is said to have happened around 12 noon.

Police commissioner Labhu Ram, DCP law and order Sahil Bagla, DECP crime and traffic Gopal Byakod, north ACP Vinod Moktedar and other officials have rushed to the spot.

A dog squad was also brought to the hotel. The body was sent to the KIMS Hospital.

Police have informed Chandrashekhar Guruji's family members.

It can be recalled here that his employees had staged a dharna alleging he had not paid salaries for months. Police are looking at all the angles as part of their investigation.

They are also checking CCTV footage of the hotel.

A video grab of the incident shows miscreants touching Guruji's feet and then stabbing him. They also threatened the hotel staff.

Hotel sources said he had arrived in the hotel on July 3 and was staying in room no. 220.

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News Network
July 4,2022

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Mumbai, Jul 4: In an expected blow to Uddhav Thackeray, the most beloved son of Shiv Sena founder Bal Thackeray, Maharashtra Chief Minister Eknath Shinde today proved his government's majority in the Assembly today. This caps two weeks of political surprises that split the Shiv Sena and brought down the Uddhav Thackeray government.

Latest developments

>> Shinde proved his government’s majority on the Assembly floor today following a vote by head count. Shinde’s camp secured 164 votes, crossing the half-way mark of 144 and proving its strength on the floor of the House. The total strength of the House is 288. Meanwhile, Uddhav camp had the support of 99 MLAs.

>> Aaditya Thackeray, son of Shiv Sena chief Uddhav Thackeray, voted against the whip issued by the Shiv Sena chief whip Bharat Gogawale, appointed last night, and may face disqualification proceedings.

>> While Eknath Shinde camp received 164 votes, the Opposition camp got 99. Interestingly, the Opposition got 107 votes in the election for Speaker yesterday. While one switched to the Shinde camp, several MLAs did not show up for the vote.

>> Congress' Vijay Wadettiwar and Zeeshan Siddiqui did not show up today, and former Chief Minister Ashok Chavan reached after the vote. NCP's Sangram Jagtap was missing too. All four were present yesterday.

>> Samajwadi Party's Abu Azmi and Rais Shaikh, and AIMIM's Shah Farukh Anwar abstained from voting.

>> Team Thackeray MLA Santosh Bangar joined the Eknath Shinde camp minutes before the trust vote. The Shinde camp now has a total of 40 Shiv Sena MLAs.

>> The test of strength came a day after BJP's Rahul Narwekar was elected Speaker -- a significant move in view of the Sena's pending legal appeal to disqualify 16 rebel MLAs, including the new Chief Minister.

>> Mr Narwekar last night reinstated Mr Shinde as the Shiv Sena's legislative party leader, and also recognised the appointment of Mr Gogawale as the chief whip of the Sena.

>> Eknath Shinde's rebellion - which erupted on the night of June 20 -- had whittled down the numbers of the Uddhav Thackeray faction. On Wednesday, Mr Thackeray stepped down from the top post after the Supreme Court said he has to prove a majority on the floor of the house, as ordered by the Governor.

>> A day later, Mr Shinde was named the Chief Minister in a shock announcement by the BJP's Devendra Fadnavis. Later in the evening, in a further surprise, Mr Fadnavis -- a former Chief Minister of Maharashtra -- signed up as Mr Shinde's Deputy following pressure from the BJP brass.

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coastaldigest.com news network
June 23,2022

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Mangaluru, June 21: In a coldblooded filicide, a 45-year-old man pushed his wife and three children into a well and jumped into it today at Hosakavery near Kinnigoli on the outskirts of the city.

Local flower vendor Muhammad Nasir, who heard the screams of the family from the well, immediately entered the well and tried to rescue the children and their parents.

Meanwhile, more number of locals and fire fighters reached the spot and joined the rescue operation.

While the parents survived, the children breathed their last without responding to emergency treatment in the hospital. 

The deceased are Rashmitha (13), a Class 8 student, Uday (11), a Class 6 student and Dakshith (4), who was an Anganwadi student. 

Their mother Laxmi (38) and the accused father Hithesh shettigar are survivors. 

The accused was working in the canteen of MRPL in the past. Recently he had quit the job and started a small-time business after borrowing loan from a bank. He was reportedly facing financial crisis. 

The jurisdictional Mulki police arrested the accused and booked a case of murder against him. 

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