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Cancer Care and Surgery | Dr. Unmesh V. Takalkar | General & Endoscopic Surgeon

Get expert cancer care and surgical treatment from Dr. Unmesh V. Takalkar, a renowned cancer surgeon. Learn about common cancer problems, recent advances, and care for terminal stages of cancer.

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Cancer Care and Surgery | Dr. Unmesh V. Takalkar | General & Endoscopic Surgeon

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  1. Dr.Unmesh V Takalkar Cancer, General & Endoscopic Surgeon M.S. (Gen.Surg.) M.E.D.S ,FUICC (SWITZERLAND). MSSAT (USA),F.A.I.S. Fellow Johns Hopkins (USA) CHAIRMAN, Kodlikeri Hospital and Trust.

  2. Introduction to cancer Common cancer problems Recent advances Care of terminal stage of cancer

  3. Problems 1) Head / Neck / Face * Surgery first line * Assessment * Types : - Buccal mucosa - Alveolus - Tongue / Maxilla - Eyeball - Thyroid - Larynx - Surgery

  4. BUCCAL MUCOSA

  5. LEUKOPLAKIA OF TOUNGUE

  6. FNAC / FNAB * Accuracy * Not substitute for Bx * Possibilities : 1) Suggestive of : - TB - Malignancy 2) Round cell lesion 3) Secondaries from Sq. cell / Adeno Ca. 4) Lymphoma / Leukaemias

  7. Avoid cancer Detect early cancer Save life

  8. Diet & Cancer More fat - Breast / Colon / Prostate fiber Avoid - Stored food / salted fish / smoked meat / coffee - Eat fresh vegetables - Avoid stored food - Eat more fiber - Keep yourself fit

  9. 1) Cough 2) Gangrene 3) Blood pressure 4) Heart Attack 5) Lung infection 6) D.M. 7) Ulcer / constipation

  10. GANGRENE OF INTESTINE

  11. Screening for Breast Cancer Objective of screening is to reduce mortality due to breast cancer 1. Breast self examination (BSE) 2. Mammography Age for screening - > 50 yrs. Frequency - Once in 3 years At least 2 views

  12. Genitourinary Cancer Kidney Bladder : - Non-invasive - Invasive Prostate : Options Penis Advances

  13. KIDNEY

  14. CA- PENIS

  15. Breast Cancer • Systemic disease • Surgery for excellent local control • Auxillary clearence must • Specific indication for radiotherapy • Recent advances : - Conservation - Genes

  16. CA- BREAST

  17. Colonic Cancer • Surgery even with liver mets. • Palliative procedures • Total mesorectal excision • Stepllers • Liver resection

  18. CA -COLON

  19. Upper GI Cancer • Multimodality T/t for oesophagus - M/3 - L/3 - U/3 • Stomach and liver cancer • Gall bladder and pancreas

  20. CA- STOMACH

  21. Solar Radiation Factory Workers Medication - Oral contraceptive

  22. Smoking • 1 Cigarette = 3 minutes • Mouth / Voice box / Lung Oesophagus cancer Problems of smoking other than cancer

  23. IO Commandments • Good preparation • Vascularity • No tension • No contamination • Total mesosacral Contd...

  24. Dangerous Problem • Definition • Each day 4-5 cases • Preventable factors

  25. Defunctioning Colostomy • Very low anastomosis • Unsatisfactory anastomosis • Poor preparation

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