36 years old female presented with severe abdominal pain with jaundice with weakness being wheelchair bound.Her PETCT showed multiple liver metastasis with liver full of disease.However biopsy and immunohistochemistry confirmed high grade Burkitts lymphoma , her MIBI index was 98 % ,which is very aggresive lymphoma which is rapidly fatal if not treated early.She was urgently started on cytoreductive chemotherapy along with TLS prophylaxis of inj rasburicase ,and later intensive chemotherapy along with targeted therapy ( R- Dose adjusted EPOCH).She had rapid symptomatic relief and all liver lesions resolved and patient had complete resolution after 6 cycles of Chemotherapy.High grade lymphomas like Burkitts lymphoma are very aggressive but at the same time can be extremely responsive to high intensity treatment. What is the benefit of immunotherapy? Immunotherapy is used in the treatment of many types of cancers in various stages. It is generally used in advanced stages of cancer to improve symptoms caused by cancer and increasing the duration of life. At Cancer Therapy Hospitals, we have the best oncologists in India who specialize in surgery, hormone therapy, targeted therapy, radiation therapy, chemotherapy, and immunotherapy for cancers in Bangalore. How is Immunotherapy given? Immunotherapy is generally given as infusions in the vein. They enter the blood circulation and influence the immune cells to attack the cancer cells wherever they are in the body. Immunotherapy treatment requires a daycare admission in an Oncology day care unit, and patients are discharged the same day. Immunotherapy is generally given at regular intervals of 2 to 3 weekly for prolonged duration often for many months until the time it is no longer working. Immunotherapy drug doses are generally calculated based on the patient’s weight or come as standard recommended dosing depending upon the drug. What are the side-effects of immunotherapy? Since immunotherapy can also affect some healthy cells, it can lead to side effects and hence should be taken under the care of doctors who are trained in delivering the treatment safely and do it regularly. Different Immunotherapy drugs have other side-effect profiles, and the patient should discuss it with their cancer specialist in detail before starting the treatment. Since the healthy cells can repair themselves, most of the side-effects will improve or go away with time or by giving medicines that suppress the immune cells. Generally, if the side effects are severe, then the Immunotherapy medicines may be delayed or stopped, and alternative treatment started.

Chemotherapy is a group of drugs or medicines used to treat cancer. They act by killing cells that multiply rapidly, such as cancer cells, and reduce their ability to divide, growth and spread. Different cancers are treated using different chemotherapy drugs either alone or in combination with other chemotherapy drugs, targeted therapy, immunotherapy, or radiotherapy. Cancer specialists in hospitals usually give these medicines. If you are looking for the best chemotherapy center in India, then contact Cancer Therapy India where you will get the best treatment and care. Benefit of Chemotherapy ? Chemotherapy is used in almost all types of cancers in various stages. It can be used in the early stages of Cancer and in some patients, even in advanced stages to cure cancer. If cancer cannot be cured, then chemotherapy is used to improve symptoms caused by cancer and increase the duration of life. Cancer Therapy India offers the best chemotherapy in India and has state-of-the-art facilities and technologies available for patients in need. How is chemotherapy given ? Chemotherapy can be given either as tablets orally or in the vein as injections or infusions. In most of the cases, it is administered as infusions. Sometimes the chemotherapy can also be given in combination of tablets and infusions. Irrespective of its method of delivery, they enter the blood circulation and target the cancer cells wherever they are in the body. Most of the chemotherapy nowadays require a daycare admission in an Oncology day care unit, and patients are discharged the same day. For some chemotherapy regimens, a few days admission may be required to deliver the treatment safely. Chemotherapy is generally given at regular intervals of every week, or 2 to 3 weekly for prolonged duration often over 4 to 6 months and maybe more. Chemotherapy drug doses are generally calculated based on the patient’s height and weight. Occasionally standard dosing may be used depending upon the drug. What are the side effects of chemotherapy? Since chemotherapy can also affect some healthy cells, it can lead to side effects and hence should be taken under the care of doctors who are trained in delivering the treatment safely and do it regularly. Different chemotherapy drugs have different side-effect profiles, and the patient should discuss it with their cancer specialist in detail before starting the treatment. Since the healthy cells can repair themselves, most of the side effects will improve or go away with time. Generally, if the side effects are severe, then the chemotherapy medicines may be delayed, dose reduced or stopped, and alternative treatment started. Some of these side effects can be reduced or treated. Consult Cancer Therapy India, we offer the best chemotherapy in India, if you notice any above side effects in yourself or anyone near you. How to prepare for chemotherapy? Before preparing for chemotherapy, it is essential to confirm your appointment with your doctor or team and ensure the bed is booked. Before starting any chemotherapy, a blood test is usually done the previous day or on the same day before chemotherapy. Chemotherapy is given only if the blood reports are within acceptable limits. If not, then the chemotherapy may be cancelled or delayed. Additional treatment such as blood transfusions or IV fluids may be required to correct any abnormalities. On the morning of chemotherapy, it is best to have a light meal with high fibre content and take all regular medications the patient may be taking for other disease or as advised by your doctor. Wear comfortable and loose-fitting clothes and comfortable footwear. It is essential to come to the hospital with a relative or friend and not come alone. Since the chemotherapy may take a few hours and occasionally the whole or a few days, it is crucial to carry some entertainment or distraction such as books, music or movies with you to keep you occupied. When coming to the hospital, please bring all your previous reposts and medical file with you. Prior to chemotherapy, the patient’s height and weight will be checked, the dose of the chemotherapy calculated and given as per the prescription of your treating doctor. Before chemotherapy, the patient will be asked to sign a consent form, which should be read thoroughly and signed only if happy with its content. If there are any concerns, it should be raised with the treating doctor.

Attacking cancer cells more effectively with drugs, targeted therapy has has been found to be highly effective. At Sunrise Oncocare, we aim to provide the latest forms of treatment like targeted therapy to ensure that only the cancer cells are being attacked while minimizing the damage to normal cells.

The body needs to be adequately nourished to ensure it is able to go through the cancer treatment. Our expert nutritionists work with patients & caregivers to facilitate this goal.

At Sunrise, we also provide an alternate approach to Chemotherapy where we give low-dose drugs over a longer period of time in order to reduce side effects and treatment cost.

Our oncology-trained physiotherapists ensure physical fitness of patients during treatment, and post-treatment rehabilitation and help combat some therapy-related physical side effects. For eg: They work with breast cancer patients post-surgery to reduce the swelling due to lymphedema.

In the last stages of cancer when other treatment modalities are unsuccessful, we strive to provide a decent, pain-free quality of life with palliative chemotherapy.

Pain is one of the most unfortunate effects of cancer. We help patients with medical and physical pain management strategies.

Breast cancer is cancer that forms in the cells of the breasts. After skin cancer, breast cancer is the most common cancer diagnosed in women. Breast cancer can occur in both men and women, but it’s far more common in women. Substantial support for breast cancer awareness and research funding has helped created advances in the diagnosis and treatment of breast cancer. Breast cancer survival rates have increased, and the number of deaths associated with this disease is steadily declining, largely due to factors such as earlier detection, a new personalized approach to treatment and a better understanding of the disease. Symptoms A breast lump or thickening that feels different from the surrounding tissue Change in the size, shape or appearance of a breast Changes to the skin over the breast, such as dimpling A newly inverted nipple Peeling, scaling, crusting or flaking of the pigmented area of skin surrounding the nipple or breast skin Redness or pitting of the skin over your breast, like the skin of an orange. Causes Doctors know that breast cancer occurs when some breast cells begin to grow abnormally. These cells divide more rapidly than healthy cells do and continue to accumulate, forming a lump or mass. Cells may spread through your breast to your lymph nodes or to other parts of your body. Breast cancer most often begins with cells in the milk-producing ducts. Breast cancer may also begin in the glandular tissue called lobules or in other cells or tissue within the breast. Researchers have identified hormonal, lifestyle and environmental factors that may increase your risk of breast cancer. But it’s not clear why some people who have no risk factors develop cancer, yet other people with risk factors never do. It’s likely that breast cancer is caused by a complex interaction of your genetic makeup and your environment.

Lung cancer is a type of cancer that begins in the lungs. Your lungs are two spongy organs in your chest that take in oxygen when you inhale and release carbon dioxide when you exhale. Lung cancer is the leading cause of cancer deaths worldwide. People who smoke have the greatest risk of lung cancer, though lung cancer can also occur in people who have never smoked. The risk of lung cancer increases with the length of time and number of cigarettes you’ve smoked. If you quit smoking, even after smoking for many years, you can significantly reduce your chances of developing lung cancer. Symptoms Lung cancer typically doesn’t cause signs and symptoms in its earliest stages. Signs and symptoms of lung cancer typically occur when the disease is advanced. A new cough that doesn’t go away Coughing up blood, even a small amount Shortness of breath Chest pain Hoarseness Losing weight without trying Bone pain Headache Causes Smoking causes the majority of lung cancers both in smokers and in people exposed to secondhand smoke. But lung cancer also occurs in people who never smoked and in those who never had prolonged exposure to secondhand smoke. In these cases, there may be no clear cause of lung cancer.

Colon cancer is a type of cancer that begins in the large intestine. The colon is the final part of the digestive tract. Colon cancer typically affects older adults, though it can happen at any age. It usually begins as small, noncancerous clumps of cells called polyps that form on the inside of the colon. Over time some of these polyps can become colon cancers. Polyps may be small and produce few, if any, symptoms. For this reason, doctors recommend regular screening tests to help prevent colon cancer by identifying and removing polyps before they turn into cancer. If colon cancer develops, many treatments are available to help control it, including surgery, radiation therapy and drug treatments, such as chemotherapy, targeted therapy and immunotherapy. Colon cancer is sometimes called colorectal cancer, which is a term that combines colon cancer and rectal cancer, which begins in the rectum. Symptoms A persistent change in your bowel habits, including diarrhea or constipation or a change in the consistency of your stool Rectal bleeding or blood in your stool Persistent abdominal discomfort, such as cramps, gas or pain A feeling that your bowel doesn’t empty completely Weakness or fatigue Unexplained weight loss Causes In general, colon cancer begins when healthy cells in the colon develop changes in their DNA. A cell’s DNA contains a set of instructions that tell a cell what to do. Healthy cells grow and divide in an orderly way to keep your body functioning normally. But when a cell’s DNA is damaged and becomes cancerous, cells continue to divide even when new cells aren’t needed. As the cells accumulate, they form a tumor. With time, the cancer cells can grow to invade and destroy normal tissue nearby and cancerous cells can travel to other parts of the body to form deposits there.

Prostate cancer is cancer that occurs in the prostate. The prostate is a small walnut-shaped gland in males that produces the seminal fluid that nourishes and transports sperm. Prostate cancer is one of the most common types of cancer. Many prostate cancers grow slowly and are confined to the prostate gland, where they may not cause serious harm. However, while some types of prostate cancer grow slowly and may need minimal or even no treatment, other types are aggressive and can spread quickly. Prostate cancer that’s detected early when it’s still confined to the prostate gland has the best chance for successful treatment. Symptoms Prostate cancer may cause no signs or symptoms in its early stages. Trouble urinating Decreased force in the stream of urine Blood in the urine Blood in the semen Bone pain Losing weight without trying Erectile dysfunction Causes Doctors know that prostate cancer begins when cells in the prostate develop changes in their DNA. A cell’s DNA contains the instructions that tell a cell what to do. The changes tell the cells to grow and divide more rapidly than normal cells do. The abnormal cells continue living, when other cells would die. The accumulating abnormal cells form a tumor that can grow to invade nearby tissue. In time, some abnormal cells can break away and spread to other parts of the body.

Gastro-Intestinal Oncology & HPB DMG deals with malignancies related to the Gut/Intestine, Liver, Stomach, Pancreas, Gall Bladder, Oesophagus, Colon, Rectum, Anus, Bile Duct etc. The cancer can form a mass or ulcer within the stomach or it can spread diffusely throughout the entire wall of the stomach. Stomach cancer is also called gastric cancer. Stomach cancer is commonly found in people aged between 50 and 70 years of age. It is more common in men. Treatment options that are available for treating gastrointestinal cancers are Surgery, Radiotherapy, and Chemotherapy. Symptoms Symptoms of gastrointestinal cancer vary, depending on the type of cancer. Symptoms may include: Abdominal pain and discomfort Change in bowel habits Rectal bleeding Bloating Loss of appetite Nausea and vomiting Unusual weight loss Causes Smoking Too much alcohol consumption Age High animal fat diet High amount of salt intake Chronic pancreatitis Obesity

Lymphoma is a type of blood cancer wherein there is an unregulated production of a kind of white blood cells called lymphocytes. These abnormal lymphocytes, instead of undergoing destruction by the body’s auto-correct mechanisms, persist in the body and are deposited in glands called lymph nodes in various parts of the body. What are the types of Lymphoma? Although there are more than 200 sub-types of Lymphoma, the standard way of classifying Lymphoma depends on the actual type of white blood cell, which is overproduced. The first subtype that needs to be determined in Lymphoma is whether it is a Hodgkins or a Non-Hodgkins Lymphoma (NHL). NHL is further subdivided into B or T sub-type and low-grade activity or high-grade activity. The reason for such extensive subtyping is that the treatment protocol, use of targeted therapies and prognosis depends on the exact subtype allowing the oncologist to personalize treatment. What are the symptoms of Lymphoma? Lymphoma is a type of cancer which evolves over a few weeks to months. So the patient’s with Lymphoma usually present with non-specific complaints like weakness, unintentional weight loss (>10% body weight over six months), loss of appetite, evening rise of temperature. Another common presentation is unexplained lumps in the neck, under the armpit region and groin region.

Multiple myeloma is a cancer that forms in a type of white blood cell called a plasma cell. Healthy plasma cells help you fight infections by making antibodies that recognize and attack germs. In multiple myeloma, cancerous plasma cells accumulate in the bone marrow and crowd out healthy blood cells. Rather than produce helpful antibodies, the cancer cells produce abnormal proteins that can cause complications. Treatment for multiple myeloma isn’t always necessary right away. If the multiple myeloma is slow growing and isn’t causing signs and symptoms, your doctor may recommend close monitoring instead of immediate treatment. For people with multiple myeloma who require treatment, a number of options are available to help control the disease. Symptoms Signs and symptoms of multiple myeloma can vary and, early in the disease, there may be none. Bone pain, especially in your spine or chest Nausea Constipation Loss of appetite Mental fogginess or confusion Fatigue Frequent infections Weight loss Weakness or numbness in your legs Causes Doctors know that myeloma begins with one abnormal plasma cell in your bone marrow the soft, blood-producing tissue that fills in the center of most of your bones. The abnormal cell multiplies rapidly. Because cancer cells don’t mature and then die as normal cells do, they accumulate, eventually overwhelming the production of healthy cells. In the bone marrow, myeloma cells crowd out healthy blood cells, leading to fatigue and an inability to fight infections. The myeloma cells continue trying to produce antibodies, as healthy plasma cells do, but the myeloma cells produce abnormal antibodies that the body can’t use. Instead, the abnormal antibodies build up in the body and cause problems such as damage to the kidneys. Cancer cells can also cause damage to the bones that increases the risk of broken bones.

Acute lymphocytic leukemia (ALL) is a type of cancer of the blood and bone marrow the spongy tissue inside bones where blood cells are made. The word “acute” in acute lymphocytic leukemia comes from the fact that the disease progresses rapidly and creates immature blood cells, rather than mature ones. The word “lymphocytic” in acute lymphocytic leukemia refers to the white blood cells called lymphocytes, which all affects. Acute lymphocytic leukemia is also known as acute lymphoblastic leukemia. Acute lymphocytic leukemia is the most common type of cancer in children, and treatments result in a good chance for a cure. Acute lymphocytic leukemia can also occur in adults, though the chance of a cure is greatly reduced. Symptoms Bleeding from the gums Bone pain Fever Frequent infections Frequent or severe nosebleeds Lumps caused by swollen lymph nodes in and around the neck, armpits, abdomen or groin Pale skin Shortness of breath Weakness, fatigue or a general decrease in energy Causes Acute lymphocytic leukemia occurs when a bone marrow cell develops changes in its genetic material or DNA. A cell’s DNA contains the instructions that tell a cell what to do. Normally, the DNA tells the cell to grow at a set rate and to die at a set time. In acute lymphocytic leukemia, the mutations tell the bone marrow cell to continue growing and dividing. When this happens, blood cell production becomes out of control. The bone marrow produces immature cells that develop into leukemic white blood cells called lymphoblasts. These abnormal cells are unable to function properly, and they can build up and crowd out healthy cells. It’s not clear what causes the DNA mutations that can lead to acute lymphocytic leukemia.

Lymphocytes, which are immune system cells that fight infection, are where lymphoma, a type of cancer, first arises. These cells can be discovered in the bone marrow, lymph nodes, spleen, thymus, and other organs. Lymphocytes alter and overgrow when you have lymphoma.Doctor Avinash Talele who is best doctor for lymphoma treatment in dombivli and kalyan. The outlook for lymphoma varies based on the type and stage of the disease, and it is very curable. Your doctor can help you figure out the best course of action given the kind and stage of your condition. Symptoms Fever Often painless, swollen glands can be found in the neck, armpit, or groyne. Cough Breathing difficulty Sweats at night Fatigue Loss of weight Itching Prognosis for lymphoma: Your specific prognosis relies on the type of lymphoma you have, the treatment you can receive, as well as other factors including general fitness. People regularly ask about lymphoma survival rates. Statistics on survival rates indicate how many people in a large group outlive lymphoma for a specific amount of time. Many individuals find it useless to focus on these statistics because they are simply averages and cannot predict what will occur to you personally. Our Doctor Avinash Talele who is the best doctor for lymphoma treatment in dombivli and kalyan defined these lymphoma prognosis.