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
April 11,2024

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BJP MLA Arabail Shivaram Hebbar’s son Vivek Hebbar on Thursday, 11 April, joined the Congress party along with his supporters at Banavasi in Uttara Kannada district.

After quitting the BJP, Vivek Hebbar joined the party in the presence of state Congress vice president and former MLC Ivan D’Souza and other local party leaders.

Speculations have been rife about his father Shivaram Hebbar, an MLA from the Yellapur Assembly segment, also planning to join the Congress, ever since he did not turn up for voting during the polls to four seats of the Rajya Sabha from Karnataka held on 27 February.

The senior Hebbar’s absence from voting, despite a party whip, had caused embarrassment to the BJP. He had, however, later attributed his absence to poor health.

The BJP had also issued notice to him, which he responded to.

Shivaram Hebbar had recently met Deputy Chief Minister and state Congress chief DK Shivakumar but claimed that the meeting was about water issues in his Assembly segment.

The senior BJP leader was earlier with the Congress. He was among 17 Congress-JD(S) legislators, who had quit from their parties, which ultimately led to the collapse of the then HD Kumaraswamy-led coalition government in July 2019.

Shivaram Hebbar had subsequently won the by-poll on a BJP ticket and served as a minister in the then government of the saffron party.

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News Network
April 17,2024

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Dubai: Dubai was slapped by heavy floods as the United Arab Emirates (UAE) was hit by extremely heavy rains on Tuesday. The desert city received over a year and a half's worth of rain in just a day even as heavy thunderstorms lashed other parts of the UAE.

Roads turned into rivers as they were filled up with water. Shopping centres like Dubai Mall and Mall of the Emirates were also seen flooding.

Schools across the UAE have been shut and are expected to remain closed on today as well.

According to a report by India Today, Dubai airport received about 100 mm of rain in just 12 hours on Tuesday and a total of 160 mm in the last 24 hours.

On average, Dubai receives about 88.9 mm of rain in a year, which concludes that the city received more than a year's rain in a day.

Dubai International Airport said on Wednesday it was experiencing significant disruption due to bad weather and was working to restore normal operations as quickly as possible.

Flights have been delayed or diverted and impacted by displaced crew, the airport said in a statement, adding that recovery would take some time.

Dubai's Emirates airline said that it was suspending check-in for passengers departing the airport from 8 am (0400 GMT) on Wednesday until midnight due to operational challenges caused by the bad weather and road conditions.

Dubai International was temporarily diverting arriving flights on Tuesday evening because of a storm, and operations were suspended for 25 minutes earlier in the day.

According to India Today, the airport stopped flight operations and issued a warning earlier today on X.

The Dubai International Airport requested the passengers to check their flight status.

Employees in Dubai have been told to work from home.

The UAE Government took to X and said, "Based on the directives of the Council of Ministers, it was decided to extend remote work until tomorrow, Wednesday, April 17, for all federal government employees, with the exception of jobs that require presence at the workplace, taking into account the weather condition that the country is going through."

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News Network
April 15,2024

New Delhi: India is likely to experience above-normal cumulative rainfall in the 2024 monsoon season with La Nina conditions likely to set in by August-September, the IMD has said on Monday.

However, normal cumulative rainfall does not guarantee uniform temporal and spatial distribution of rain across the country, with climate change further increasing the variability of the rain-bearing system.

Climate scientists say the number of rainy days is declining while heavy rain events (more rain over a short period) are increasing, leading to frequent droughts and floods.

Based on data between 1951-2023, India experienced above-normal rainfall in the monsoon season on nine occasions when La Nina followed an El Nino event, India Meteorological Department chief Mrutyunjay Mohapatra told a press conference here.

Positive Indian Ocean Dipole conditions are predicted during the monsoon season. Also, the snow cover in the Northern Hemisphere is low. These conditions are favourable for the Indian southwest monsoon, he said.

Moderate El Nino conditions are prevailing at present. It is predicted to turn neutral by the time monsoon season commences. Thereafter, models suggest, La Lina conditions may set in by August-September, Mohapatra said.

India received "below-average" cumulative rainfall -- 820 mm compared to the long-period average of 868.6 mm -- in 2023, an El Nino year. Before 2023, India recorded "normal" and "above-normal" rainfall in the monsoon season for four years in a row.

El Nino conditions -- periodic warming of surface waters in the central Pacific Ocean -- are associated with weaker monsoon winds and drier conditions in India.

Three large-scale climatic phenomena are considered for forecasting monsoon season rainfall.

The first is El Nino, the second is the Indian Ocean Dipole (IOD), which occurs due to differential warming of the western and eastern sides of the equatorial Indian Ocean, and the third is the snow cover over the northern Himalayas and the Eurasian landmass, which also has an impact on the Indian monsoon through the differential heating of the landmass.

The southwest monsoon delivers about 70 percent of India's annual rainfall, which is critical for the agriculture sector. Agriculture accounts for about 14 percent of the country's GDP.

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