This document discusses cancer, its causes, symptoms, diagnosis, stages and treatment from a nutritional perspective. It provides key facts about cancer worldwide, noting that lung, liver, colorectal, stomach and breast cancers are the most common causes of cancer death. It describes various types of cancer classified by tissue of origin. Major risk factors include heredity, radiation, chemicals, diet and lifestyle factors like obesity, alcohol consumption and tobacco use. Symptoms vary depending on the cancer type and location in the body. Diagnosis involves tests to determine location, size and spread. Staging evaluates prognosis and guides treatment, which may include surgery, radiation, chemotherapy and palliative care. Dietary management aims to meet increased nutrient needs and alleviate
Nutrition in Cancer Prevention and TreatmentTim Crowe
This presentation will help you to understand the influence that dietary and lifestyle factors play in the prevention and causation of cancer. It outlines the important nutritional considerations for patients undergoing treatment for cancer and reviews procedures to improve patient safety by knowing the risks and benefits of antioxidant supplementation during cancer treatment
Nutrition in Cancer Prevention and TreatmentTim Crowe
This presentation will help you to understand the influence that dietary and lifestyle factors play in the prevention and causation of cancer. It outlines the important nutritional considerations for patients undergoing treatment for cancer and reviews procedures to improve patient safety by knowing the risks and benefits of antioxidant supplementation during cancer treatment
Diet does not substitute drugs but it is considered a complementary therapy.
The goals of dietary advice are:
To prevent or manage some medical conditions
To maintain or improve health through the use of appropriate and healthy food choices
To achieve and maintain optimal metabolic and physiological outcome
DIET THERAPY FOR TREATMENT OF DIFFERENT DISEASES AND MODIFICATION OF DIET . CHANGES IN TEXTURE CALORIES CONTENT VALUES FORMULA DIET
DIFFERENT TYPES OF THERAPEUTIC DIET
Cancer is a degenerative disease that can be prevented and managed by following proper nutritional considerations however the prognosis highly depends on the stage of diagnosis.
Diet does not substitute drugs but it is considered a complementary therapy.
The goals of dietary advice are:
To prevent or manage some medical conditions
To maintain or improve health through the use of appropriate and healthy food choices
To achieve and maintain optimal metabolic and physiological outcome
DIET THERAPY FOR TREATMENT OF DIFFERENT DISEASES AND MODIFICATION OF DIET . CHANGES IN TEXTURE CALORIES CONTENT VALUES FORMULA DIET
DIFFERENT TYPES OF THERAPEUTIC DIET
Cancer is a degenerative disease that can be prevented and managed by following proper nutritional considerations however the prognosis highly depends on the stage of diagnosis.
Nursing management of patients with oncological conditionsANILKUMAR BR
Cancer is a group of diseases characterized by uncontrolled growth and spread of abnormal cells.
Cancer is caused by external factors and internal factors which may act together to initiate or promote carcinogenesis.
External Factors - chemicals, radiation, viruses, and lifestyle.
Internal Factors – hormones, immune condition, and inherited mutations.
Oncology branch of medicine deals with etiology, diagnosis, treatment and prevention of cancer.
Onco - is a Greek word meaning tumor .
Colon cancer is a significant public health concern, but with early detection and advances in treatment, many cases can be effectively managed or cured. Regular screenings and a healthy lifestyle are vital in preventing and addressing colon cancer.
It is all about cancer , risk factors of cancer now days based on strong evidences , it's way of prevention and also includes a new research on melatonin effect on reduction and prevention of many cancers including: Breast, prostate , lung , solid tumor ...etc
Cancer affects one out of every ten individuals in India, and one out of every fifteen people die as a result of it. WHO conducted this investigation. There are nearly thirty-four thousand cases of gastric cancer in India, with a ratio of 1:2 (males: females). Stomach cancer is also commonly known as gastric cancer. It means the unhealthy growth of cells in the stomach region. The stomach is a muscular organ and a loose sack above the abdominal part. Most cancer is present in the body of the stomach. However, it is occasionally found at the gastroesophageal junction, where the food pipe (esophagus) connects to the stomach.
Visit Our Website : https://cancerconsultindia.com
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
2. OBJECTIVE
At the end of the presentation, participants will be
able to
Know about the cancer and its progression
Know the epidemiological fact in global regional
and national context
Learn the risk factor of cancer and its symptoms
Know how to cancer can be prevented and its
dietary management
2
4. WHAT IS CANCER?
Cancer is a large group of
diseases (over 200)
characterized by
uncontrolled growth and
spread of abnormal cells.
4
American Cancer Society, Cancer Facts and Figures 2005
5. CANCER ???
Division – uncontrolled cell division
Growth – formation of a lump (tumour) or
large numbers of abnormal white cells in the
blood
Mutation – changes to how the cell is
viewed by the immune system
Spread – ability to move within the body and
survive in another part
5
6. KEY FACTS
Cancer is a leading cause of death worldwide,
accounting for 8.8 million deaths in 2015. The most
common causes of cancer death are consists of:
Lung (1.69 million deaths)
Liver (788 000 deaths)
Colorectal (774 000 deaths)
Stomach (754 000 deaths)
Breast (571 000 deaths)
(WHO)
6
10. CLASSIFICATION OF CANCER
Type Tissue or cell of origin example
carcinoma Endoderm or ectoderm Epithelial lining of gout
(e.g. adenocarcinoma of
colon) or brocnchus (e.g.
squamous cell) or small
cell carcinoma of bronchus
sarcoma mesoderm Osteosarcoma,
fibrosarcoma
leukemia White blood cell Acute lymphoblastic
leukaemia
Lymphoma Monocyte, macrophage Hodgkin’s disease
Adenomas Tumours that come from
glandular tissue
thyroid, the pituitary gland
the adrenal gland. They are
often benign. 10
B.Srilakshi ‘dietetics’)
11. RISK FACTORS
Heredity
Environmental factors
Ionising radiation- X-ray, gamma ray,
radioactive subsatnces
Chemical substances- cause mutation.
Benzene and asbestos, tobacco
Dietary factors- may cause cancer by direct
carcinogens or carcionogens may be produced
by cooking.
11
12. FOOD RELATED CAUSE TO CANCER
Type of cancer Food items
Breast cancer, premenopause Alcoholics drinks
Breast cancer, postmenopause Alcoholics drinks, body fatness,
sedentary living
Colon, rectum cancer, kidney
cancer
Red meat, processed meat,
barbecuing meat, high intake of
fat, body fatness, abdominal
fatness, sedentary living
Lung Arsenic in drinking water
Stomach, liver, mouth, pahrynx,
larynx, oesophagus, pancreas
High intake of alcohol, body
fatness
Prostrate Diet in high calcium
Folate deficiency Cervical cancer
12
B.Srilakshi ‘dietetics’)
13. FOOD RELATED CAUSE TO CANCER
Vitamins and minerals •Low blood carotonoids levels
cause lung cancer
•Low dietary vitamin C cause
oro-phryangeal, stomach and
esophgeal cancer
•Low vitamin E cause lung,
cervix and colorectal cancer
•Selenium and zinc deficiency
may also increase risk of cancer
Nitrates Cause nasophryngeal, stomach
and colorectal cancer
aflatoxins Cause liver cancer
Energy dense foods, sugar drink
fast foods.
Cancer in any part of the body
13
B.Srilakshi ‘dietetics’)
14. ENVIRONMENTAL RISK FACTOR CONTD…
Estrogens- breast and endometrial cancer.
Viruses- hepatitis-B virus in human primary liver
cancer, human papilloma virus and epstein barr
virus are considered oncogenic.
Stress- influence the integrity of the immune
system and nutritional status
Age- developing colorectal cancer increase with
age
14
16. SYMPTOMS OF CANCER
Oral cancer Ulcers, white or red patches inside the oral
cavity or difficulty in swallowing
Lung/throat cancer Persistent cough, chest pain, blood in sputum,
shortness of breath, weight loss, loss of
appetite, hoarseness
Stomach cancer Indigestion, heartburn, abdominal pain, bloating
of stomach, loss of appetite, tiredness,
diarrhoea. Constipation
Colon cancer Change in bowel habits, malena
Breast cancer A lump in the breast or under arm area, change
in shape size, color of breast, discharge from
the nipple
Cervical/uterine cancer Unusual vaginal discharge, pain in pelvic area
Kidney cancer Hematuria, fevers, weight loss, pain in left loin,
anemia, high BP
Bladder cancer Frequent and painfulurine,
Prostrate cancer Urination problem
Melanoma Change in size, shape or color of a wart
16
17. MANAGEMENT OF CANCER
1. Prevention:
Measures known to reduce the risk of cancer:
Avoiding smoking or exposure to tobacco smoke
Avoiding occupational carcinogens (for example,
asbestos)
Avoiding prolonged exposure to sunlight without
sunscreen protection
Avoiding excessive alcohol intake
Avoiding use of hormone therapy (for example-
estrogen and progesterone ) for symptoms of
menopause
17
18. MANAGEMENT OF CANCER..
Measures that may reduce the risk of cancer:
Limiting intake of high-fat foods, particularly
from animal sources (for example, high-fat
meats and whole-fat dairy products)
Limiting intake of processed meat
Increasing intake of fruits and vegetables
Increasing intake of whole-grain foods
Being physically active
Keeping weight below the obese level
18
19. DIETARY MANAGEMENT
Objective of nutritional therapy
To meet the increased metabolic demands of the
disease and disease and prevent catabolism as
much as possible
To alleviate symptoms resulting from the disease
and its treatment through adaptation of food and
the feeding process.
19
20. ENERGY
Calorie requirements are
20-25kcal/kg for non ambulatory or sedentary
patient
30-35kcal/kg for slightly hypermetabolic, weight
gain/anabolism
40-45kcal/kg for hypermetabolic or severly
stressed patient, signicicant malabsorption.
20
21. PROTEIN
Additional protein is required for regenaeration,
healing and rehabilitation.
0.8-1.0g/kg- normal maintenance level
1.5-2.5g/kg if increased protein demands exist. E.g.
protein losing enteropathy, hyper metabolism or
extreme wasting
21
22. VITAMINS AND MINERALS
Optimal intake of vitamins and minerals are
recommended
Vitamin D(400-800IU) helps to protect against
several types of cancer including breast cancer.
22
23. VITAMINS AND MINERALS
Optimal intake of vitamins and minerals are
recommended
Vitamin D(400-800IU) helps to protect against
several types of cancer including breast cancer.
23
24. BENEFICIAL EFFECTS OF NUTRIENT
ANTIOXIDANTS
Nutrient Beneficial effect
Beta carotene Reduced risk of various cancers
especially lung cancer and also
stomach, cervix, oesophageal
Vitamin C Reduced risk of upper GI tarct,
cervix cancer, cardiovascular
disease.
Vitamin E Significant decreases in the risk of
oral and pharyngeal cancer, CVS
Selenium Reduced risk of esophageal and
stomach cancer
24
25. MANAGEMENT OF CANCER CONTD…
2. Screening , self examination and medical
history:
Some types of cancer -- such as those of the
skin, breast, mouth, testicles, prostate, and
rectum -- may be detected by routine self-exam
or other screening measures before the
symptoms become serious.
Laboratory studies of blood, urine, and stool can
detect abnormalities that may indicate cancer
25
26. MANAGEMENT OF CANCER CONTD…
3. Diagnosis, staging and
Treatment
When a tumor is suspected, imaging tests such as
X-rays, computed tomography (CT),magnetic
resonance imaging (MRI), ultrasound, and fiber-
optic endoscopy examinations help doctors
determine the cancer's location and size
26
27. DIAGNOSIS…
To confirm the diagnosis of most cancers ,
a biopsy needs to be performed in which a tissue
sample is removed from the suspected tumor and
studied under a microscope to check for cancer
cells.
27
28. STAGING
If the diagnosis is positive (cancer is present), other
histopathological tests are performed to provide
specific information about the cancer.
This essential follow-up phase of diagnosis is called
staging
It helps the doctors to evaluate the prognosis of the
patient and to choose the appropriate treatment .
28
29. STAGING...
Cancer staging is carried out on the basis of....
Size of tumor
Invasion
Lymph nodes
Metastasis
29
30. STAGES OF CANCER ( EG. BOWEL)
30
Stage 0: cancer cells - within the bowel lining. little risk of
spread ( carcinoma in situ)
Stage I: cancer grown through the inner lining up to
muscle wall, but no further.
Stage II: cancer has grown through the outer covering
of the bowel wall
Stage III: Cancer has spread to the lymph nodes
Stage IV: Cancer that has spread to other organs such as
lung, liver.
31. TNM STAGING
T ((0),1-4): size or direct extent of the primary tumour
N (0-3): degree of spread to regional lymph nodes
N0: tumour cells absent from regional lymph nodes
N1(1 to 3 lymph nodes), N2 (4 or more)
M (0/1): presence of metastasis
M0: no distant metastasis
M1: metastasis to distant organs (beyond regional lymph nodes)
31
32. MANAGEMENT OF CANCER CONTD…
4. Treatment and cure:
Surgery
Radiation therapy
Chemotherapy:
General complications:
GI effects - Nausea , vomiting
Bone marrow effects - Reduced RBC, WBC and
Platelets
Hair follicle effects - Hair loss(Hormone therapy,
Immunotherapy, etc also are carried out acc. to need)
32
33. MANAGEMENT OF CANCER CONTD…
5. Palliative care :
It includes action to reduce the physical,
emotional, spiritual and psychosocial distress
experienced by people with cancer.
Primary goal _ to improve the person’s quality
of life.
People at all stages of cancer treatment - to
provide comfort
33
34. A 25 years old male patient has presented with a
known diagnosed case of Ca.nasopharynx in
TUTH dietetics OPD for diet consultation. He is
5 feet 2 inch tall and 45kg weight. What kind of
diet plan will you adopt ?
Patients weight = 45kg
Height = 5’.2” i.e.157.8cm
IBW= 51.82kg
BMI = 18.21
Energy requirement= 35 * 51= 1785kcal
34
35. MENU PLANNING FOR 1800KCAL
Nutrient distribution
Carbohydrate = 280gm (62%)
Protein = 67.5gm(15%)
Fat = 47gm(23%)
Serving distribution
Total serving = 23
Carbohydrate =11.5
Protein = 8
Fat = 2
Vitamins/minerals= 1.5 35
36. Food
groups
List Unit Protein fat Carbohydr
ate
CHO 1 10 20 - 180
2 1.5 - - 27
protein 3 2 18 12 -
4 3 12 15 18
5 3 18 3 39
fats 6 2 - 18 -
Vitamins/mi
nerals
7 1.5 7.5 1.5 19.5
36
38. Mid afternoon (01:00-02:00pm)
Fruits 1 medium
Snacks (03:00-04:00pm)
Pulses/legumes 1 glass and egg white 1 pcs
Bread 1pcs and vegetables 1/2 glass
Dinner (07:00-08:00pm)
Bread 3 slice or rice 1 and half glass
Dal 1 glass
Vegetables 1 glass
Yoghurt/milk 1 glass
Meat 3-4 pcs
Green salad few 38
39. CONCLUSION
Cancer is a disease of Division, growth and spread
It has a number of causes many of them are
preventable
The survival of the patient is determined by the
stage of the disease, the earlier the detection or the
smaller the tumour the better the survival
39
40. 10 Rules to Avoid Cancer
2. Don’t smoke.
3. Don’t smoke.
4. Avoid exposure to other known carcinogens,
including aflatoxin, asbestos and UV light.
6. Eat fresh fruit and vegetables several times a day.
7. Be physically active and avoid obesity.
8. Have vaccination against, or early detection/treatment
of, cancer causing chronic infections.
9. Have the right genes.
10. Have good luck !!!!!
5. Enjoy a healthy diet, moderate in calories,
salt and fat, and low in alcohol.
1. Don’t smoke
40