Once diagnosed with cancer, what a patient needs is morale support from friends and family to cope with their overwhelming grief, fear and confusion.

ILLUSTRATION: CHOOPONG EAMORAPHAN

“But what they need most is self morale. It’s very unfortunate that many of us died because they gave up too early,” said cancer patient Somsak (not his real name).

After learning that he had advanced liver cancer, Somsak said he broke down, cried and cried.

Somsak knew he had the hepatitis B virus 10 years ago. After that, he noticed he began to experience chronic fatigue and unexplained weight loss. his dark orange-coloured urine also worried him.

In addition, he suffered acute abdominal pain. An ultrasound screening detected an abdominal mass in the upper right area of his body. A CT scan and biopsy later confirmed the diagnosis of liver cancer.

“I was shocked when my doctor told me that the cancer was in advanced stage. And that I might only be able to live six more months.”

Never saying die, Somsak decided to join “the Advanced Liver Cancer Patient Assistance Programme” following his doctor’s suggestion. The programme gives patients cancer oral medicine support.

“I’m lucky because I have responded relatively well to the medication.” he said.

After two years of medication, Somsak continues to fight bravely against the deadly disease despite some adverse side effects from the medication.

“It is as good as it gets,” he said. “Apart from medication, I believe that positive thinking and good emotional health is equally important to fight cancer. we need to be strong and brave if we want to live longer.”

The liver cancer that Somsak has is called hepatocellular carcinoma (HCC), explained Dr Thiravud Khuhaprema, chairman of the National Cancer Institute Foundation. this form of liver cancer is closely linked to chronic hepatitis B and C. it is the most common type of liver cancer that begins in the cells of the liver itself.

“These patients are often found to have a history of viral hepatitis B or C infection. HCC is one of the main cancers that causes death in Thailand and chronic hepatitis B is found in 80% of these cases,” said Dr Thiravud. “The infection can cause continual damage to the liver and develop into cirrhosis and cancer.”

He said the frequency of liver cancer is highest in developing countries and quite rare in developed countries. Each year, it is estimated that there are about 350,000 new cases of liver cancer. And two-thirds of the cases are found in countries in Asia. Mongolia is ranked first and Thailand fifth.

In Thailand, liver cancer is the most common cancer in males. it is the third most frequent cancer in females, but it’s the number one cause of death among female patients. The incidence rate and the mortality rate of liver cancer in Thailand are steadily rising.

Assoc Prof Narin Voravud, an expert in medical oncology from Chulalongkorn University Hospital pointed out that the relative high rates of HCC in Thailand is reflected in the high frequency of hepatitis B infection.

“One person in every 12 people suffers from hepatitis B infection in Thailand,” he said. Meanwhile, the number of people with viral hepatitis C infection has been on the increase.

Heavy drinking is also another important cause of liver cancer in Thailand, he noted. The chance for liver cancer is even higher if the drinkers have snacks that contain alfatoxin, a dangerous mould in foodstuffs commonly found in peanuts, wheat and corns that are stored in a wet or humid environment. It’s odourless, colourless and tasteless.

“Most Thai people drink alcohol paired with peanuts. These combined factors may trigger the development of HCC,” said Dr Narin. 

HCC liver cancer often does not show any symptoms in its early stage. like Somsak, patients with advanced stage may experience fatigue, loss of appetite, weight loss, yellowing of the skin and the eyes, abdominal pain (particularly in the upper right area where the liver is present).

Primary liver cancer that affects just a small part of the liver is often treated with surgery to remove the cancerous tumour and the surrounding liver tissues to preserve the important areas of the liver for normal body function. it is possible for patients to suffer from the recurrence of the disease, however.

“Only 10-20% of HCC can be completely removed using surgery. And the recurrent rate is about 50-60%,” Dr Narin said.

Another treatment option involves inserting particles into the liver artery to block the flow of blood to the tumour. Liver transplants to replace the diseased liver can cure the disease but a living donor graft and matching of organ donors is not easy to find.

It is unfortunate that patients with HCC often suffer from liver cancer, viral hepatitis B infection and cirrhosis of the liver at the same time, he said.

It is not uncommon that patients with liver cancer die shortly after the diagnosis. if the cancer cannot be completely removed, the decline is rapid. Patients may usually continue to live only three to six months.

“Treating patients with liver cancer can be very challenging as we have to deal with three conditions simultaneously,” Dr Narin said.

Most chemotherapy drugs are not effective to liver cancer. And chemotherapy has not been shown to help patients live longer, he said. The liver often cannot tolerate radiation which harms healthy liver tissues.

“The good news is that the patients who cannot be treated with surgery can now resort to new liver cancer drugs,” he said. this new medication tackles the cancerous cells and tumour blood vessels directly.

A liver tumour needs new blood vessels for it to grow. since this medication blocks the growth of new blood vessels, the growth of the tumour is then stopped. The possible side effects include diarrhoea, skin rash and high blood pressure.

In clinical trials overseas, the drug succeeded in extending the lives of patients who cannot be treated with surgery and injection by 44 % one year when compared to 33% of those who received a placebo, said Dr Narin.

In Thailand, a clinical trial involving 140 Thai patients with advanced liver cancer showed that the patients continued to live up to 14 months.

“An improvement of survival probability of four months in Thai patients means that the drug is effective with Thai patients,” said Dr Narin.

The bad news is that this new medication is extremely expensive. it costs about 250,000 baht a month for the drugs.

“This is why the patients with advanced liver cancer may consider joining the Advanced Liver Cancer Patient Assistance Programme,” said Dr Thiravud.

The programme which requires participants to pay for the medicine for the first three months before they are accepted, is a collaboration between the National Cancer Institute Foundation and the country’s leading pharmaceutical company. since its inception in 2009, more than 170 patients have participated in the programme.

“But prevention is better than cure,” stressed Dr Thiravut. to keep liver cancer at bay, people should be vaccinated for hepatitis B. Meanwhile, patients with viral hepatitis B should also be periodically monitored for HCC.”

For more on the Advanced Liver Cancer Patient Assistance Programme, call the National Cancer Institute Foundation at 02 354 7025 ext.1221.

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While depression hurts this affects our bodies and head. Depression looks like symptoms which can be really debilitating. A difference regarding desire for food is often a indicator that comes about often occasionally it’s going to slow down desire for food and for example in Atypical depression it can hold the opposite effect and improve desire for food. Accusation in court one example wherever depression hurts.

The groups will need for snooze can be upset and just about all frustrated folks experience a loss of profits regarding snooze. Ought to be truth 80 percent of people suffering from depression experience sleep loss although 15 per cent snooze too much. Fatigue is another criticism a lot of frustrated folks experience. It is usually so severe in which actual physical activity can be difficult and truly visit the total stand still. this kind of becoming yet another illustration of wherever depression hurts.

It is often proven in which depression hurts by impacting on the groups program. Depression can affect the heart a place an individual vulnerable for coronary disease. What’s more , it can boost the chance for those who may well currently have coronary disease. It isn’t known exactly why however scientific study has learned that depression adjusts blood platelets, that is functions are accountable for clotting. this kind of illustration exhibits precisely how depression hurts and may be unsafe.

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Treating your actual physical symptoms due to depression is as essential as spotting this. Depression hurts and to be sure the full healing it is very important get rid of the pain. Persistent pain will keep individuals through operating effectively of their expert and personalized are living increasing the chance for suicide.

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I was diagnosed with my left ovary having a cyst. my primary doc said it is almost the size of my ovary and to have a ob keep an eye on it incase it gets larger cuz I would have to have it removed if it does. however she didnt give me signs to look for if it does get worse. I dont have any insurance right now or I would go to a ob. I need to know symptoms to look for….anyone have symptoms for me?

Signs and symptoms
mayoclinic.com/health/ovarian…
Illustration of female reproductive system Female reproductive system

You can't depend on symptoms alone to tell you if you have an ovarian cyst. in fact, you'll likely have no symptoms at all. Or if you do, the symptoms may be similar to those of other conditions, such as endometriosis, pelvic inflammatory disease, ectopic pregnancy or ovarian cancer. Even appendicitis and diverticulitis can produce signs and symptoms that mimic a ruptured ovarian cyst.

Still, it's important to be watchful of any symptoms or changes in your body and to know which symptoms are serious. if you have an ovarian cyst, you may experience the following signs and symptoms:

* Menstrual irregularities
* Pelvic pain — a constant or intermittent dull ache that may radiate to your lower back and thighs
* Pelvic pain shortly before your period begins or just before it ends
* Pelvic pain during intercourse (dyspareunia)
* Pain during bowel movements or pressure on your bowels
* Nausea, vomiting or breast tenderness similar to that experienced during pregnancy
* Fullness or heaviness in your abdomen
* Pressure on your rectum or bladder — difficulty emptying your bladder completely

The signs and symptoms that signal the need for immediate medical attention include:

* Sudden, severe abdominal or pelvic pain
* Pain accompanied by fever or vomiting

Country Doctor 5000 for not informing patients of the doctor incomplete Colon Cancer Test Country Results 5000 for not informing patients of colon cancer test results incomplete Free Online Articles Directory Why submit articles? top Authors top Articles FAQ Answers AB Publish Article 0 & & $). browser.msie) {var ie_version = parseInt (; $. browser.version if (ie_version Hello Guest Login Login via
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some people are vulnerable to have or to obtain certain types of cancer. With colon cancer, as an illustration, people with certain conditions, symptoms, or with family members who have had colon cancer (especially parents) are at risk. The main procedure used by doctors to detect colon cancer, if a patient has a family history or reports a symptom, such as blood in stool, colonoscopy is. With this method doctors can see inside the colon for the presence of anomalies (and possibly cancerous). Generally, doctors recommend that even those who are not also at higher risk to get tested at the age of 50 years.

In cases where the doctor performing the colonoscopy is unable to verify the length of the colon, it is possible that there may be present in the areas of cancer unvisualized. One of the reasons why a doctor can not complete colonoscopy is inadequate preparation prior to viewing inappropriate or presence of an obstacle that makes it impossible to pass the scope beyond the vicinity of the obstruction. If such circumstances occur the doctor should inform the patient and suggest that patients either have an alternative procedure or repeat colonoscopy. where the doctor does not give the patient the colonoscopy was not completed or there was poor visibility and propose appropriate follow too much time could elapse before the patient begins to show symptoms or gets another screening procedure.

this is what happened in a case involving a documented 54 year old woman who died of advanced colon cancer. The first risk factor that physicians in this woman knew she had a family history of colon cancer. she had 3 colonoscopies over 6 years. At this time, she reported that she observed rectal bleeding and abdominal pain frequently. At a minimum, once the blood tests of women also noted that she was anemic. 3 are possible symptoms of colon cancer.

In this case, the doctor who performed the colonoscopies actually documented in respect of two of them, that visualization was incomplete in the ascending colon and cecum. The doctor also established that such was the situation because there was a problem in passing the scope beyond the transverse colon. nevertheless, the physician who performed the colonoscopies and monitoring of women throughout this period continued the woman said that her problems were due to hemorrhoids.

she was eventually diagnosed with colon cancer when the tumor was discovered while she was undergoing exploratory surgery as a means of understanding the reson of his condition. The cancer had grown and spread so far that the patient needed a considerable part of his intestines removed and then also necessary to withstand the chemotherapy. unfortunately, even with treatment, she died of cancer. His family filed a wrongful death lawsuit against the doctor failed to detect her cancer and to say that the results of colonoscopy are not final. The law firm representing the family in this trial was able to report they were able to secure a resumption of the family of an amount of 5,000

Doctors use diagnostic tests to detect or exclude specific diseases. For example, colonoscopy is used to locate or exclude colon cancer, but the test result is only as good as the accuracy with which the test was performed. A colonoscopy uses a field of view inside the colon, to see if there are polyps or tumors in the colon

If the colon is not fully displayed, as in the above case, a doctor should not be relied upon to exclude cancer. when the patient does have cancer it could lead to delayed diagnosis, which allows time for cancer to grow and progress to an incurable stage. In such circumstances the doctor who has relied on a partial procedure may be responsible.

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Joseph Hernandez is an attorney accept medical malpractice cases and cases of suspicious death. you can learn more about the case of com / “> colon cancer and cancer issues, including other metastatic breast cancer by visiting the website

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