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 19,2021

Kolkata, July 19: Thirteen years after their small car project was forced out of West Bengal following the anti-land acquisition movement in Singur, Industry and IT Minister Partha Chatterjee has said talks are on with the Tatas for big-ticket investments in the state.

Underscoring job creation as the TMC government's top priority, Chatterjee also said incentives to companies will depend on their ability to generate employment.

He said the Mamata Banerjee dispensation wants two large manufacturing units to be set up by any prominent industrial house at the earliest.

"We never had any enmity with the Tatas, neither we fought against them. They are one of the most respected and biggest business houses of this country and also abroad. You can't blame the Tatas (for the Singur fiasco).

"The problem was with the Left Front government and its forcible land acquisition policy. Tata group is always most welcome to come and invest in Bengal," Chatterjee, also the ruling TMC's secretary general, told PTI in an interview.

Chatterjee said the salt to steel business conglomerate has shown interest in setting up another Tata Centre in Kolkata to house its offices.

"We already have the presence of Tata Metaliks, one Tata Centre besides the TCS here. But if they are willing to come up with big-ticket investments in manufacturing or other sectors, there is no problem. Our IT secretary recently told me they had shown interest in setting up a Tata Centre here," he said.

When asked whether the state government will go the extra mile to reach out to the Tatas, Chatterjee said he is already in touch with group officials to attract investment.

Singur, once known for multiple crop farming, hogged media limelight after Tata Motors set its sight on the land to build its cheapest car Nano in 2006. The Left Front government acquired 997.11 acres along the National Highway 2 and handed it over to the company.

Mamata Banerjee, then in the opposition, called a 26- day hunger strike demanding the return of 347 acres of farmland that was "forcibly" acquired.

Despite several rounds of meetings between the TMC and the Left Front government, the issue could not be resolved and the Tatas eventually moved out of Singur to Sanand in Gujarat in 2008. The land acquired for the project was subsequently returned to farmers in 2016.

When asked whether the government will invite the Tatas to set up a manufacturing unit at Singur once again, the minister said, "Why would Tatas want to return to Singur? The land has already been given back to farmers. We are planning to come up with agro-based industries there as the area's economy is based on agriculture."

Speaking about the government's priority areas for rapid industrialisation and employment generation, Chatterjee said setting up two major manufacturing units, specifically in the iron and steel sector, topped the list.

"Industrialisation and job creation have been the focus areas in our party manifesto. No doubt it's a challenge as the situation across the globe is not conducive due to the Covid situation.

"Our priority right now would be to bring two big manufacturing companies which are job creators. I am speaking to various stakeholders, industry captains and officials about it. We are on the job," he said.

Chatterjee said although information technology does not fall in the category of manufacturing sector, the government is looking for more investments there too.

The minister assured the issue of delay in land acquisition and related approvals, and incentives sought by industry for setting up their units will be addressed promptly.

"We will simplify the process of clearances required for land needed for setting up industries. I will discuss the matter with our chief minister. There will be promptness so that industries don't have any complaints about delay," he said.

"Second is the incentive part. We earlier had an incentive scheme, but we did away with it as the incentives companies were seeking and offers they had for us in terms of job creation and revenue generation, did not balance out. Now incentives will be decided depending on their proposals and the scale of jobs that will be created," he said.

Chatterjee, however, emphatically noted that there won't be any change in the government's land policy of "no forcible acquisition".

The industry, he said, will have to acquire land on its own or from the government's notified land bank and industrial parks.

"It is our stated stand that there will be no forcible land acquisition," he said, adding West Bengal has good connectivity, infrastructure, and law and order conducive for industries. The labour is skilled and inexpensive, he said.

Chatterjee rejected suggestions that the anti-land acquisition agitations in Singur and Nandigram had given the TMC an anti-industry image. "Had it been the case, the party won't have won three consecutive terms in office with a resounding mandate," he asserted.

The minister replied in the negative to a question about whether the constant bickering between the state and the Centre will pose a hurdle in bringing in new investments, but advised the BJP-led government to follow the spirit of federalism. 

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News Network
July 14,2021

Dubai, July 14: An Indian seaman has become the latest winner of $1 million (approximately Rs 7.46 crore) at the Dubai Duty Free raffle.

Ganesh Shinde, a resident of Thane, India, won the jackpot with ticket number 0207 in Millennium Millionaire Series 363.

The 36-year-old father of one is currently on vacation while waiting for his deployment in Brazil where he works.

"This is such a great opportunity. I'm very happy and thankful to Dubai Duty Free," he said.

Shinde is the 181st Indian national to have won $1 million since the start of the Millennium Millionaire promotion in 1999. Indian nationals make up the highest number of Dubai Duty Free Millennium Millionaire ticket buyers.

Following the Millennium Millionaire draw, the Finest Surprise draw was conducted for two luxury vehicles.

Justin French, a 52-year-old Australian national based in Dubai, won a Range Rover Sport HSE Dynamic 5.0 (Silicon Silver) car with ticket number 0222 in Finest Surprise Series 1778, which he purchased online on July 2.

Rohit Mote, a 30-year-old Nepalese based in Abu Dhabi won a BMW R nineT Scrambler (Black Storm Metallic/Racing Red) motorbike with ticket number 0575 in Finest Surprise Series 461, which he purchased online on July 1.

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News Network
July 12,2021

In a major tragedy, 19 people, including seven children, were killed in separate incidents of lightning in Rajasthan's Jaipur, Kota, Jhalawar and Dholpur districts. Twenty-one people, including six children, were also injured in lightning incidents in separate villages in the state, they said.

Chief Whip in the Rajasthan assembly Mahesh Joshi and MLA Amin Kagzi went to the SMS hospital to meet the injured. They gave necessary direction for their treatment.

Eleven persons, mostly youths, were killed and eight others injured when lightning struck them on a hill near the Amber Fort, officials said. Some of them were taking selfies on a watch tower while the others were on the hill.

Those on the watch tower fell when lightning struck late in the evening, they said.

"Eleven persons have died and eight are injured,” Jaipur Police Commissioner Anand Srivastava said.

He said that a rescue operation is on to look for other injured people.

In Kota's Garda village that falls under the Kanwas police station, Radhe Banjara alias Bawla (12), Pukhraj Banjara (16), Vikram (16) and his brother Akhraj (13) died on the spot after lightning struck a tree under which they were taking shelter with their cattle, Station House Officer Mukesh Tyagi said, adding that about 10 goats and a cow were also killed in the tragedy.

The injured children -- Rahul, Vikram, Rakesh and Man Singh and a 40-year-old-woman, identified as Phulibai, are under treatment at a hospital and their condition has been stated to be out of danger, the SHO said.

In a similar incident in Jhalawar's Lalgaon village that falls under the Sunel police station, a 23-year-old shepherd, identified as Tara Singh Bheel, was killed on the spot after a bolt of lightning struck him. Two buffaloes were also killed in the incident, police said.

In Chachana village within the jurisdiction of Sunel police station, two girls were injured.

In Dholpur district's Kudinna village in the Badi area, three children, identified as Lavkush (15), Vipin (10) and Bholu (8), were killed after lightning struck them.

Rajasthan Chief Minister Ashok Gehlot and Governor Kalraj Mishra expressed grief over the loss of lives in the tragedies.

“The loss of lives due to lightning strikes in Kota, Dholpur, Jhalawar, Jaipur and Baran today is very sad and unfortunate,” Gehlot tweeted.

He said that instructions have been given to the officials to provide immediate assistance to the families of the victims.

Mishra appealed to the people to be cautious during the rainy season. 

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