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
May 12,2024

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Israeli military tanks have started to go deeper into the Jabalia refugee camp in northern Gaza as part of a ground offensive months after claiming Hamas had been “dismantled” in the area.

Israeli forces are “carpet-bombing” the eastern areas of Jabalia refugee camp in the northern Gaza Strip, killing and wounding several Palestinians, Al-Jazeara reported citing local sources on Sunday.

Israeli military tanks have advanced further into the Jabalia refugee camp, crossing Salah al-Din Street amidst ongoing battles with Hamas fighters, reports added.

Media quoted eyewitnesses as saying that the tanks are surrounding evacuation centers and residential buildings in the densely populated area, leading to mass evacuations and displacement towards the western part of Gaza City.

Also, Israeli drones targeted ambulances near the clinic run by the United Nations Relief and Works Agency for Palestine Refugees (UNRWA) in Jabalia, according to Mahmoud Basal, the spokesperson for the civil defense directorate in Gaza.

Basal stated that emergency crews in Rafah, al-Zaytounm, al-Sabra, and Jabalia have been inundated with distress calls, confirming that these areas were subjected to overnight bombardment.

Shortage of oxygen for patients

Imad Abu Zayda, an emergency doctor in Jabalia, warned of the critical conditions prevailing there due to the recent Israeli aggression in the area.  

“No light due to the lack of fuel and there’s no medical supplement available as Israel has expanded their operation in the area. We have no oxygen to give to patients,” he said.

He added that the majority of those injured are children and women, and the medical team is grappling with limited resources to provide essential care.

All hospitals in the northern Gaza Strip are now out of service, following a warning from the UN about the risk of running out of fuel in hospitals across the region.

Israel’s closure of the Rafah crossing has also prevented aid trucks from entering the area since May 5.

The Jabalia refugee camp, established in 1948 to accommodate Palestinians who were displaced after the Nakba, or catastrophe, which refers to the ethnic cleansing of Palestine in 1948, has become the most densely populated refugee camp in the Gaza Strip.

With over 750,000 Palestinians forcefully displaced, this camp stands as a testament to the birth of Israel in 1948.

Since the start of the Israeli war on the Gaza Strip on October 7, Israeli forces carried out several attacks on Jabilia camp, leaving it in ruins by intense bombardment.

In early February, Israeli forces withdrew from the camp claiming it had destroyed Hamas as a fighting force in the northern areas.

On Saturday, the Israeli military ordered residents of the Jabalia Refugee Camp to evacuate “immediately”, as it prepares to launch military operations against Hamas.

However, the displaced residents have no place to seek refuge, as the UN reports a severe famine in the region.

Since the start of the offensive, the Tel Aviv regime has killed more than 34,971 Palestinians and injured more than 78,641 others, mostly women and children.

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News Network
May 11,2024

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Madikeri, May 11: Kodagu police have apprehended the man allegedly responsible for the brutal murder of a minor girl within the confines of Kumbaragadige village in Karnataka's Somwarpet taluk. 

Kodagu Superintendent of Police, K Ramarajan, disclosed that the arrested individual is Prakash (32) from Hammiyala village in Somwarpet taluk. However, authorities are still in the process of recovering the severed head of the victim. The perpetrator had absconded with the victim's severed head after committing the crime. 

Search operations for the suspect commenced late on Thursday night (May 9), with officials diligently pursuing leads. Acting on information suggesting the suspect's presence in a forested area near the village, the police swiftly moved in and apprehended him.

The victim US Meena, 15, a student of Surlabbi High School, had passed the SSLC examinations, the results of which were announced on May. One same day, she was murdered. 

Reportedly, the engagement of the minor girl with the suspect was thwarted by officials from the Women and Child Development department. Subsequently, officials persuaded the girl's parents against proceeding with the marriage. 

However, despite these interventions, the suspect forcibly entered her residence during the night, purportedly abducted her, and later perpetrated the heinous crime in a wooded area on the outskirts of the forest, before absconding with her severed head.

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News Network
May 14,2024

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Mangaluru, May 14: The Met department has sounded a yellow alert in 13 districts of Karnataka including the three coastal districts of Udupi, Dakshina Kannada and Uttara Kannada for next four days. 

The other districts are Belagavi, Dharwad, Haveri, Chikkamagalur, Chitradurga, Hassan, Kodagu, Mandya, Ramanagara, Shivamogga. These districts are expected to received 6-11 cm of rain, the department said.

On Monday Dakshina Kannada and Udupi experienced a monsoon-like atmosphere. Rain, accompanied by thunder and lightning, began in most parts on Sunday evening. In Udupi, rain showered in the early hours of Monday. While Kundapur and Udupi received moderate rains, Karkala experienced a heavy downpour.

The showers lowered the daytime temperature in both districts. Light rain fell in Mangaluru and its outskirts early Monday morning. Mangaluru city recorded a maximum temperature of 33.4°C and a minimum of 23.2°C on Monday. This is expected to decrease by two to four degrees in the next four days, according to the weather department. 

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