CACANCER-DEATH / DISABILTY / DRUG DEPENDANCE ----ARE THEY ASSOCIATED ?HOW TO FIGHT IT?

Cancer ,word it self fetches us to a very frieghtening and fearful meaning,if ,unfortunately somone in our family or society is being suspected or suffering from it and the word "CANCER" comes beore us in any way ,we start presuming very badly and gets completely shocked and nervous assuming that person concerned is very very seroius and his /her days are almost in counting scale and we became wholly sympathetic for that person forgetting every his/her adversary towards us and try to help the person as far as possibly by money,service or any other means if possible.But in real Biological sense "CANCER" is not that kind of Lion or Tiger that once you face it there is no hope of life and certainly it is not curable and we should be completely depressed and hopeless becauuse many "CANCERS" are now completely curable and life becomes as normal as it was without it ,only thing is that it should be detected as early as possible and treatment should be started as soon as possible.It is commonly believed that once Cancer means we,shall be never cured from this ,we have to take medicine regularly throughout the life,and we donot know when recurrence may occur and again mor discomfort or Death may come to us any time,person has to be in screening throughout the life moving to Hospital or doctor almost off and on throughout the life.Yes,for some persons these lines are true but in many cases these are simple myths ,Cancer once cured,never recurs or recur in so less percentage that one has nothing to worry,even follow up of symptoms noticing is important,that is with every disese once one suffers from cold or cough or diarrhoea one goes to Doctor,same way here one has to go to Doctor,no test or investigations are required and life becmes as normal as it was originally without Cancer,so nothing to worry,be happy,never get depressed or shcoked by this word,cancer, never loose heart face it at first meeting boldly and fight so well that finish it nipped into bud.As the modern science is growing and more and more reaseaches are done and treatment bieng enforced to treat Cancer by means of better chemotherapeutics or medicines with very less sideeffects,Monoclonal Antibodies,different caccines,interferons and Stem cell with development of Gene therapy ,better rays inform of Positron euipped with Ct scan and MRI or Tomography machine,Cyber knief,Brain Suits,or IMRT or Brachytherapy, Stereotactic Radiotherapy beside cobalt ,gamma and X-rt with linear acceletor and modern Surgical removl of cancer using ultrasound,ct scan,Laproscope and modern robotic Surgery with the facility of FNAC, TRUCUT BIOPSY,FROZEN BIOPSY and better detectection and control of micro metastases has made much advancement leading to almost curbing and controlling Cancer denovo.

In Medical Biology Cancer is defined "Uncontrolled Growth of Cells." that is if our finger which is shaped like a finger is constituted by Bone,Many MUscles,Tendon,Nerve and Blood and Lymphatic vessels covered by skin with hairs,sweat glnd and many type of receptors of pain,temperature,touch etc, type of tissues and each of these tissues are made up of many cells,like a brick which forms our house.if one or few cells starts dividing rapidly and excess cells are not destroyed ,first the shape of Finger will be destroyed and then whole finger will be deformed and gradually such growth will spread to hand and will deform and dysfunction it too.Normally in our body there is a check and balance of every Growth,excess and unrequired growth is destroyed or designed sothat a proper shape and function of every organ is established.But once this check and balance is destroyed such growth is called "CANCER" or "TUMOR" which may be localised to the organ where it was orginated or spread to adjoining organs or may spred by Lymph or Blood vessels to differnet distanorgan as cancer of leg spreading to Brain,Liver,Lung etc. and vice versa.if locally organised Tumor these are called "BENIGN CANCER OR GOOD TUMORS' as once excised they are mostly completely curable with use of Surgery or radiotherapy BUT THOSE TUMORS WHICH SPREAD FROM ORIGINATIONG ORGAN TO OTHER ORGANS ARE CALLED "metastatic tumors or bad tumors or growth" as they are once removed from a local place by radio or Surery may recur immediately or after months or years from distant place ,so they are taken care of by using Chemotherapy or Cancer Drugs which also kills normal cell too,so are some time very toxic killing Blood,Hairs,skin and many growing cells bringing so many side effects,some time so much that we have to stop these medicines as patient cannot bear them physically and economically resulting into icreased morbidity and mortality.Newer added Medicines like Interferons,Monoclonal Antibodies,Genetherapy,Stem cells and modern cancer drugs are very very costly being out of reach from many Patients of Developing countries.

Human body is made up of 60 trillion cells and different type of Tissues which after combinig form differnt organs and Organs form the Body .Till date if these Organs are working synchronically or working in order from each organ to another organ ,Life exists as their chronological or systemic or disciplined working toghther is hampered or this cycle is stopped by any meber organ of cycle ,all organs stars failig one after another and we say Death occured,we donot know which is starting point and which is end point,some say Brain,Some Say Heart but in real sense it is their working togher with each other mattrers,no one is superior,no one is inferior. Most of the cells except the cells in the brain re-live by the process of division and replacement. It can be simply understood that after a given time the old cell is replaced by new cell, exact replica of its predecessor. The renewal of the cells after a given time is a natural process but uncontrolled growth of cells is not natural.Even some cells grow abnormally ,to start with these are killed by Body Immunity as checking mechanism but if growth is excessive or Immunity is not reacting ,these became permanent and called Cancer.This is the reason that cancer is not recognised as an abnormal activity by the immune system of the body and therefore, cancer detection is very difficult unless it affects the performance of an organ or organs,symptoms or signs are attributed to the organ concerned if Eye means loss of vission,if Larynx means loss of voice etc.,but Cancer in itself does not have any symptoms. The first question which comes to anyone's mind is –If it is not a natural process then why does a cell start uncontrolled growth? The exact answer for this question is not yet known to humanity. The answer to this question lies in identifying the part of the cell, which is responsible for initiating the process of self replication and excessive reproduction. Presumably, it may be some section in the DNA, cell membrane or may be anything else either being stimulated by some external things like sunlight in cancer of skin Melanoma or heat,or application of some chemicals used locally or ingested inside but many times cause is not exactly known,some cancer runs in family and strong genetic basis is present for every Cancer either coming as sporidally mutation of gene in an Individual or by hereditary in family.Here lies the success of stem therapy or gene Modulation or therapy to treat cancer.

Surgery is the basic of treating most cancers of Abdominal organs,Hand,leg or extremities,lung,brain,breast and chest wall ,skin etc but surgery completely cannot remove the whole tumor as tumor might have spread to important organ completely as to Liver or pancreas ,we cannot completely remove these organs so after a good chunk removal we use radiotherapy to remove these cells or we can use radiotherapy initially to control thest tumors and then can resect them once their size is less or can use with surgery or after it to rmove any remaining tumor unvisiblt that time or because of important organ not removed in first chance.Some time for mouth ,tongue,cervix,breast cancer we use Raditherapy to burn these tumor in first instance and donot use surgery at all but may use surgey if tumor remains after 8-10 wks of radiotherapy or if tumor recurs at this site .Similiarly for cancer of Blood and connective tissue crmotherapy or Medicines are only needed no sugery or Raditherapy is needed,some time to make tumor resectable we use cheotherapy first but mostly we use it after surgery or radiotherapy to remove tumor completely from originationg sit and then removing any micro spread which occured to ant distant organ either dtectable or undeteable in first phase or recurrence phase.

Overall the subject is very vast and many reasearches are going on making Human life more safe and precious ,the days will come soon when Man will win over this demon completely and even today our victory should not be ubderestimated because we can completely overcome Cancer if it is detected and treated in early stage by present modern gadgets of Surgery,Chemotherapy and radiotherapy,many Ayush and otherwise natural healers and therapist claim many medicnes to cure them completely by showing or claiming their personal cases and experiences,in this regard this is advisable that please expose first your claim internationally by publishing papers in good modern Journals of modern Medicines or of your subject or therapy,simple assertions and personal claim may not be hold good for many other patients as aberrations are known in medical science so,please refer the patient to good medicl college or centre when you see any cancer patient,donot keep patient in your clutch only,allow them to get detected the Disease or cancer completely and then get started the therapy ,with this therapy you may add your medicines too if you are very confident or qualified otherwise for earning money if some false promises or trials are done on some patients of villages or slum or from poor uneducated class of our country by so many self claimed healers or doctors using any therapy is a heinous crime on the earth and please restrain from this and help the society to curb this fatal disease completely and in first instance.

Dr.d.r.Nakipuria

Ambika chikitshalya

29 agrasen road

siliguri-734005