Friday, January 28, 2011

Asbestosis: History and Treatment

By Seomul Evans

Knowing the exact extent of each patient's asbestosis is necessary so to plan the appropriate management strategy.

Although a histopathologic examination of lung tissue is not necessary in diagnosing asbestosis, this serves a great role in determining the extent of the patient's disease. The American College of Pathologists have put out a grading scheme for these histopathological abnormalities, which runs from Grade 1 through 4. Grade 1 embodies fibrotic changes that are confined to the walls of the respiratory bronchiole without affecting the distal alveoli. Both Grades 2 and 3 label changes that identify a more advanced stage of asbestosis. Finally, Grade 4 represent fibrosis in the alveoli and septum. Honeycombing is also evident in the Grade 4 level of changes.

Asbestos bodies or ferruginous bodies can also be seen in histopathological specimens of lung tissues afflicted with Asbestosis. Ferruginous bodies are simply asbestos fibers that have come to develop a coat. This coating is made up of protein and ferritin (storage form of iron). These asbestos bodies have a characteristic appearance of long beads. Asbestos or ferruginous bodies however are not pathognomonic for asbestosis. Incidental findings of these are found in people who have no history of exposure to asbestos.

Management of asbestosis mainly revolves around the prompt cessation of exposure to asbestos once a diagnosis is reached, and a proper treatment and follow-up plan. Continued exposure to asbestos will enhance the progression of the disease. Although even when cessation of exposure has been established, asbestosis will still progress albeit at a much slower phase. Controlling asbestos exposure in places of work still remains as the most effective prevention. The wearing of respiratory protective gear as mandated by federal law should be done.

Physicians should advise patients who are smokers to quit smoking. These patients should also be referred to smoking cessation clinic to facilitate their quitting the habit. Careful search for any concurrent respiratory infections should be done. Prompt and proper anti-microbial treatment should be given if any are detected. Immunizations against seasonal Influenza virus and Pneumococcal bacteria should also be given. Particular attention must be paid to each individual patient's oxygenation status, both at rest and during exercise. If hypoxemia is detected, supplemental oxygen should be prescribed.

Treatments and follow-up plans should be tailored to each individual patient according to the severity of each patient's asbestosis and the level of functional impairments documented. The frequency of clinic visits, as well as the frequency of imaging studies and pulmonary function tests to be done should also complement the prepared treatment plan. This goes to show that an accurate and precise assessment of each individual patient's disease severity as well as level of functioning must be accomplished.

Provisions for hospice referral and palliative care should also be given appropriately once the disease reaches its terminal stages.

Medical therapy with corticosteroids and immunosuppressant drugs has not been found to alter the course of asbestosis. Although such is the case, these drugs may still be use for symptomatic relief from aggravating symptoms brought about by the various inflammatory, vasculitic and fibrosing processes that are at play.

Treatment of asbestosis revolves around basic symptomatic relief methods and a sound referral plan. Prompt recognition and diagnosis still is absolutely necessary for the apt execution of these plans.

About the Author:

Monday, January 24, 2011

Prostate Cancer Diagnosis and Staging

By Ash Tewari

Prostate cancer is principally recognized through any one of three techniques: 1) Digital Rectal Exam (DRE); 2) PSA (prostate specific antigen) testing; 3) Biopsy testing. The DRE and PSA are looked upon as "screening" tests; that is, tests used to identify patients who might have prostate cancer. The biopsy test is generally conducted only if a patient has unnatural results from a DRE or PSA test.

A DRE is basically a test of an individual's lower rectum in which the doctor will search for any enlargement or irregularities (nodules) of the prostate. The DRE is commonly executed at an annual physical.

The PSA test measures the level of PSA (prostate specific antigen - a protein that is produced in the prostate gland) in the blood. The exam is taken via a small blood sample from the patient. One can not usually figure out whether cancer is present simply through the results of the PSA; that is, if results are found to be irregular, additional tests might be taken (such as the DRE or biopsy) to validate the results.

Lastly, a prostate biopsy includes using a tiny needle to gather tissue samples from the prostate gland and study them for potential evidence of cell abnormalities. Prostate biopsy is regarded as the conclusive test in putting together whether an individual has prostate cancer.

The Three Stages of Prostate Cancer

There are three various stages of prostate cancer: 1) early stage localized disease; 2) local advanced disease; 3) metastatic. In the first-stage of local disease, the cancer is constrained to the prostate alone. As the cancer grows, it spreads to nearby tissues bordering the prostate such as the seminal vesicles. Lastly, the cancer may spread (or "metastasize") throughout other areas of the system into the bones, lungs, or liver.

The major risk factors for getting prostate cancer are:

Age - An individual's likelihood of obtaining prostate cancer increases with age; the chance of getting prostate cancer increases rapidly after age 50 and persists on until death.

Race/Ethnicity- African-American males have a higher risk profile for prostate cancer than males of other backrounds. Overall, African American males are more likely to die of prostate cancer than Caucasians, Asian-Americans, or Latino-Americans. Male Descendents of Afro-Caribbean parents are regarded as being particularly at risk.

Family History - Research implies that individuals who have a genealogy and family history of prostate cancer may have a greater risk of obtaining prostate cancer.

Who should get screened?

- Guys aged 50 years and above whose life expectancy could very well extend further than a decade.

- High-risk individuals including African American men and those who have a biological dad, sibling, or son clinically determined to have prostate cancer before the age of sixty-five.

About the Author:

Tuesday, October 5, 2010

7 Oral Cancer Symptoms And Ways To Prevent It

Cancer is one of the top causes of deaths anywhere in the world and just to let you know, our mouths are not safe from this dreaded disease. Learn about the oral cancer symptoms and the ways on how you can prevent it.

It is often hard to maintain a very healthy lifestyle and most of us are struggling just to get enough exercise each day and eat the right kinds of food. But there is a big part of our population who are smoking heavily. And it is about time that they should stop this nasty habit because smoking has been linked to oral cancer.

The following are 7 of the common oral cancer symptoms. Always be on the look out for these symptoms and once in a while you should conduct your own self-examination just to be safe.

1. Too much bleeding of the gums without clear explanation as to the cause.

2. Any lumps on the gums and the lips.

3. Chronic sore throat.

4. Unexplained weight loss.

5. Unexplained pain in the mouth area.

6. Hoarseness or sudden change in the voice.

7. Sores in the face and the mouth's area that do not heal after more than 2 weeks.

These are just some of the symptoms that you should be looking out for just to be on the safe side. Most especially if you admit that you are a heavy smoker.

Now that you know the oral cancer symptoms, let us discuss some of the ways that you can prevent these from occurring.

First and foremost, stop smoking if you are into that habit. As stated earlier, smoking has been proven to be one of the major causes of oral cancer. And for most people, just by stopping it can greatly lower their risk from acquiring this dreaded disease.

Cigarettes are not just the culprit when it comes to smoking. If you are using other types of tobacco products you should stop using those too. And not only tobacco but also alcohol. When it comes to alcohol just drink in moderation and you should have no problem with it.

Another way to prevent getting cancer is by limiting your exposure to the sun. Too much exposure to UV rays can harm the cells in your lips which might eventually turn into cancer. If you really have to be out under the sun for prolonged period of time, put sunscreen.

You should also eat a healthy and balanced diet. Eat foods that are rich in antioxidants which help fight off free radicals and other elements that can cause cancer. One way to do this is by making sure your meals are colorful. What this means is you should eat green leafy vegetable, a variety of fruits, and foods that are less fatty.

And lastly, the best prevention that you can do to avoid seeing oral cancer symptoms is by regularly visiting your dentist and asking for a full dental check up. Your dentist will then be able to see any signs of problems that might have started to occur and therefore can prescribe the best treatment for you.

Find Out How Dentists Prahran Can Help With Your Oral Care. Visit: http://www.thedentists.com.au

Saturday, August 28, 2010

Information On Types Of Skin Cancer

Cancer is considered as a disease that causes uncontrolled build up of cell in the human body caused by abnormalities in the system genetic make up. These abnormalities are formed from substances, radiation and/or other contagious agents. This growth of the cells then turns into what is considered a cancer that can spread throughout the body, although not every cancer are tumor based.

Skin cancers known to be the most commonly diagnosed cancer and can be identified by their malignant growth that can normally be found anywhere over the upper coating of the skin surface which makes it one of the easiest cancers to detect. The three main categories of skin cancers are malignant melanoma, non-melanoma skin cancers, Squamous cell carcinoma and Basal cell carcinoma being the most common but least fatal.

Malignant melanoma is the least common of the three skin cancers but is the most fatal once it begins to spread. On average It is responsible for about 3 out of every 4 every skin cancer related casualty and WHO (World Health Organization) reports about 48,000 Malignant melanoma related fatalities worldwide per annum. It is frequently found in Caucasian men who dwell within very sunny geographic locations. The remedy for this skin cancer is usually done through radiation treatment, chemo and immunotherapy or surgical removal of the skin tumor.

Non-melanoma is a very rare case of skin cancer that probably noted for maybe 1% of individuals diagnosed in the UK. They are Sarcoma, Kaposi's sarcoma, T Cell lymphoma of the skin and Merkel cell carcinoma than can be treated in different ways from the other three most common skin cancers. Non-melanoma cancers can also develop from a mole.
The Squamous cell skin cancer are more popular than malignant melanoma and metastasize more than the Basal cell cancer.

It is formed on skin cells called keratinocytes seen in the upper coating of the epidermis and can also spread to deeper layers of the skin and into the lymph nodes and other organs which can trigger secondary cancers such as sarcoma, Merkel cell carcinoma and T cell lymphoma of the skin. The Squamous skin cancer can also be formed from scars, burns, or ulcerations of the skin that were inflicted earlier on in life. This skin cancer accounts for approximately 1 in 5 skin cancer cases.

The basal cell cancer mostly affects the areas of the skin that is more commonly exposed to sunlight like the face and hands but can also spread to other areas of the skin such as the back and lower leg areas of the skin even though this rarely occur(s). The Basal cell cancer is in most cases diagnosed when a person is in the middle or old age of an individual's life however, it is the easiest skin cancer to treat through surgery or radiation methods.

If this skin cancer is left untreated it can develop into a rodent ulcer which is a deep ulcer in the skin that expands into and devour the skin tissues that surround it. Having the Basal cell cancer in the past increases a person's chances of getting the cancer another time.

Please visit this link for more information on Types Of Skin Cancer : http://www.typesofskincancer.net/ and this link for information on Different Skin Cancers : http://www.typesofskincancer.org/

Friday, August 27, 2010

Know Information About Signs Of Cancer

Cancer is a group of sickness that can affect almost any and everywhere on the human body, either internally and externally so it is very difficult to pinpoint any specific symptoms. However there are one or more changes that can be seen in the body which can make you suspicious in order to seek medical attention.

In a lot of cases cancers are hard to suspect and may only show signs within the serious state of its growth when most of the damage is already done. One of the most common signs of cancer can be an unusual growth in a cell anywhere in or on the body called a tumor. The tumor may push out on its own or up against blood vessels, organs and nerves.

When individuals experience fever or unexplainable weightloss, it may be a signal that a cancer is at work. Almost all persons with cancer will get fever at sometime; the fever also makes it harder for the body to fight the cancer.

Sudden feelings of extreme tiredness, are a huge symptoms for cancer. Cancer cells use up a lot of the body's energy resources as it grows, so these symptoms take place. The cancer also has the ability to reconstruct the way in which the body creates energy from food to cause excessive tiredness. Cancer can cause extreme and consistent pain in the body, this can also be a signal that the disease is worsening.

Various cancers lead to changes in the color of the skin which is a trait of sickness such as erythema, jaundice, hyperpigmentation and pruritis. Erythema is responsible for making the skin reddened, Jaundice changes the skin and eye colors to a yellowish shade and hyperpigmentation creates a darker looking skin. Pruritis on the other hand causes the skin to itch. Extreme hair growth can also be linked to the growth of cancer cells.

Cancer spread can also change the color and volume of a person's urine and stool. This can lead to diarrhea, constipation. Dizziness, nasseau. Cancer cells are capable of releasing substances into the bloodstream that result in blood clots at various parts in the body. If there are also sores anywhere on the body that don't get better, that may also be a signal for cancer.

There are other cancers that can be felt through the skin. Finding a growth on the breast, lymph nodes, testicles or any soft tissue on the body may be reason for suspicion that cancer might be a threat. It is wise to check for changes in a mole, wart or freckle that changes in size, color or shape. All these symptoms are good enough reasons to get a check up from a doctor.

Please visit this link for more information on Signs Of Cancer : http://www.signsofcancer.net/ and this link for information on Cancer Signs : http://www.cancersigns.net/