Successful Treatment Of Mesenchymal Tumor In a Three Year Old Child Through Right Hepatectomy Surgery @Chandan Hospital

Tumor can occur at any age and recently at Chandan Hospital, Dr Alankar (Director, Chandan Institute of Gastro-liver & Billary Sciences) diagnosed baby Ananya of three years with Mesenchymal tumor in the right lobe of the liver. It is a rare tumor occurrence in the liver for a child of her age. Typically, the cells grow, divide and replace one another with new cells forming old cells die in a healthy body. When a person has a tumor, it is when several new cells or an accumulation of cells can develop.

Tumor is an abnormal increase in resulting in excess of cell growth into a mass of tissue, which seems like swelling. The official definition of the tumor by the National Cancer Institute is, “an abnormal mass of tissue that results when cells divide more than they should or do not die when they should.”

Let’s understand the kind of tumors that exist, their diagnosis and approach of treatment differ in patients depending on its kind.

Kinds of Tumor:

Tumors appear on the body in numerous sizes ranging from a small nodule to a huge mass depending on the kind of tumor it is. Tumors can occur on any part of the body. Below are mentioned the three kinds of Tumors are found:

  • Benign: The benign tumors are not cancerous, and they do not spread or grow (even if they do that, they do that very slowly). Doctors can easily remove it, and they usually do not return. They might not be harmful but can affect other parts of the body by causing pain, pressing against a blood vessel or a nerve, and triggering overproduction of hormones. Example of benign tumors are adenomas, fibroids, hemangiomas, and lipomas.
  • Premalignant: The premalignant tumors suggest that tumor cells are not yet cancerous but have the capability to become malignant. Therefore, it is required to monitor its growth. Example of premalignant tumors are actinic keratosis, cervical dysplasia, metaplasia of the lung, and leukoplakia.
  • Malignant: The malignant tumors are cancerous as it can grow and spread to other parts of the body. They can grow at a higher rate spreading to other parts, and this process is known as metastasis. It is a life-threatening condition, and they begin to invade other body parts of the body as well. Example of malignant tumors are carcinoma, sarcoma, germ cell tumor and blastoma.

Still, it is never absolutely known the reaction of a tumor as even the benign one can turn into premalignant and then malignant. It becomes essential to check in case there is any growth.

Tumour Diagnosis:

At times a person might feel or see a tumor and a few people have to get it diagnosed through imaging test like MRI & mammogram etc. These tests can only detect a lump if present. Biopsy of the lump becomes essential to find out what kind of lump it is. For the biopsy, the doctor collects a tiny tissue sample and send it to technicians to further examine it with a microscope. The doctor collects the sample during the surgery or at his office. There is a requirement of surgery in cases where the tumor is found to be malignant, or it is pressing a nerve or causing pain.

The above information provides an overview of a tumor, its kinds and diagnosis process. She came to the hospital with persistent pain in her abdominal region and frequent vomiting. She met with Dr Alankar, and after a brief examination, he suggested her to take a few tests. After the test, he concluded that she had a mesenchymal tumor in the right lobe of the liver. The mesenchymal tumor is a benign presenting with numerous clinical signs & symptoms. Its diagnosis can be achieved by radiology and histopathology. For long term satisfaction and in most cases, it is adequate for curative purposes to opt liver resection.

The diagnosis of baby Ananya of having a tumor in the right lobe of the liver at such a tender age required with pain and other symptoms Dr Alankar suggested her parents for right hepatectomy (pediatric) procedure. She was admitted on 27th September for the operation at Chandan Hospital. The team operating her comprised of Dr Alankar as a surgeon, Dr Khalid (Sr Consultant, Chandan Institute of General Surgery) as an assistant surgeon, Dr Himangi (Consultant, Intensivist & Anaesthetist) as a paediatric anaesthetist, Dr Narendra (Director, Chandan Institute of Paediatric & Neonatology) as a Paediatric Intensivist, and Dr Rohit Agarwal as an interventional radiologist.

Typically, experienced surgeons perform liver resections as it is a high-risk procedure. With the advancement in the field of medicine, the experts assure enhanced care during the surgery, understand the anatomy of the liver entirely, and the technological progress has advanced the patient care aspect. Without prior liver mobilization, the anterior approach of right hepatectomy is a trusted technique. Although, in hepatectomy procedure, blood loss control is essential as exorbitant loss of blood and transfusion of blood in patients are correlated to postoperative risen rates of mortality and endangered to prolonged oncological consequences. The team performed the procedure of right hepatectomy on baby Ananya keeping all the above points into consideration. Her surgery was a success with minimal blood loss. She was discharged after observing her recover swiftly on the fifth day after the surgery on 1st October.

Patient Testimonial:

I was in a lot of pain, and my parents were worried about me. They took me to Chandan hospital Lucknow, and Dr Alankar operated me. After the discharge, my health started recovering, and the pain subsided in the abdominal region. I am thankful to the doctors and team Chandan for taking care of me.

Doctors Assessment:

The patient came in here with an issue of persisting pain in the abdominal region, vomiting and low body weight. She was of merely three years old, and after a few tests, it was clear that she had a mesenchymal tumor in the right lobe of her liver. I advised her parents for her to go through the right hepatectomy procedure. This procedure would relieve her of the constant pain. During her follow up after the surgery, she had gained a little weight and was looking better after the checkup.

ADHD: Do You Really Understand It? Help People Close to You By Knowing More About Its Causes, Facts & Symptoms!

Understanding ADHD

What is it?

ADHD (Attention deficit hyperactivity disorder) is a complicated disorder of the brain affecting children and adults throughout the world. In this condition, the brain’ s executive functionalities are impaired. Executive functions refer to the collection of cognitive process, which is the ability of a human being to acquire and process the knowledge from experience, senses and vision. People suffering from ADHD have difficulty focusing, controlling their impulses and systemization.

There are numerous misunderstandings related to ADHD among people as they consider it as a mental illness. This assumption is absolutely incorrect.Through brain imaging, clinical research and neuroscience, it is proved that it is neither a disorder of behaviour nor a mental illness. You might be intrigued to know that it is not a particular disability of learning also. It is basically a developmental impairment of the brain’s system of self-management.

Facts

Below are mentioned a few facts related to ADHD that might clarify the myths among people:

  • According to the National Institute of Mental Health, males are three times more prone to be diagnosed with ADHD than females.
  • The most secure age in identifying the ADHD condition in a child is of 7 years.
  • Eating too much sugar does not causes ADHD.
  • The cause of ADHD is not due to bad parenting, too much TV, bad teachers, family issues, moral failure, bad schools, or food allergies. Research unveiled the fact that it caused due to highly genetic or brain-based disorder. At times both factors can cause it.
  • The onset of ADHD symptoms generally can be observed from 3 to 6 years of age.
  • ADHD is not a phase that can affect children, but it also increases with age to your adulthood.
  • It can also cause hyperfocus. It means a person with this condition if given a task will focus on it and ignore the rest of the world.
  • Having ADHD does not increase your chances of attracting other diseases or conditions. However, few children suffer from an array of disabilities.
  • Symptoms in cases of women and girls are different from those in men & boys at many times. You can overlook them easily.
  • Adult ADHD in adults might result in a flow of creativity that will enable to think distinctly than most people perceive the same thing or concept.
  • A study conducted by researchers at the Barcelona Institute for Global Health (ISGlobal) shows that a rich diet of omega 6 & omega 3 during pregnancy can increase the chances of your child to have ADHD
  • People suffering from ADHD have higher chances to have Parkinson’s disease
  • Women with ADHD condition suffer from anxiety issues

Causes Of ADHD

There is no apparent reason as to why in ADHD brain differs. The most definite proof is that it is obtained genetically in most cases. Majorly children get it either from their parents or relatives. Below are the causes of ADHD:

  • Hereditary: In case any relative or their parents have ADHD, increases the chances of the baby to have ADHD. Sometimes, this condition runs in the family, and the child inherits this condition.
  • Pregnancy: Few types of research on ADHD has been proved that diet taken during the pregnancy effects this condition. The food intake during pregnancy should not have omega 3 & omega 6, it can increase the chances of a child to have ADHD.
  • Brain Damage: Either the child or an adult has suffered a head injury causing ADHD. The child can also incur the head injury while in womb increasing his chances of having ADHD.
  • Brain structure & functionality: It is found in brain scans that there is a difference in the size of a few areas of the brain structure of people affected with ADHD and a few areas larger in comparison to a brain scan of other people.One more reason might be that the neurotransmitters are not working as it should or there is an imbalance.
  • Epilepsy: People having epilepsy also have higher chances of ADHD.

Symptoms

Symptoms In Children

Below are mentioned a few symptoms that you might find in children suffering from ADHD:

  • Trouble understanding the needs of others
  • Get easily distracted
  • Unable to follow any rules or leave projects unfinished
  • Remain self-involved, ignoring people around them
  • Unable to follow a schedule
  • Trouble managing daily assignments
  • Intrude in conversations without letting others finish or unable to wait for their turn to speak up
  • Might have temper tantrums as they won’t be able to manage their emotions and have frequent outbursts
  • They will not be able to sit still as they have a habit of fidgeting
  • Children will tend to daydream and completely shun the world around them
  • Often lose their belongings
  • Lack of focus in an activity for long
  • They might make simple mistakes; however, it doesn’t imply that they are not intelligent or that they are lazy

Hyperactivity: In an ADHD child

  • They will fidget, squirm or bounce while sitting
  • Unable to sit in one place for a long time
  • Difficulty to play quietly
  • Remain restless by constantly moving, climbing on something or running.
  • Can be excessively talkative
  • Remain continuously active or busy throughout the day without a minute’s rest

Impulsivity: In an ADHD child

  • Have difficulty in waiting for their turn
  • They abruptly start talking or cannot wait to answer
  • Hinder others in the midst when others are speaking

Symptoms In Adults

Adults symptoms of ADHD are mentioned below:

  • They suffer from anxiety
  • They are persistently late or have long-term forgetfulness
  • They have low self-esteem
  • Face constant issues at work front
  • Face problems managing their anger
  • They give reactions impulsively without thinking ahead of the consequences
  • In a few cases, they abuse substances or are addicted to them
  • They are disorganised
  • They linger on making a decision or doing a task
  • They tend to get frustrated very easily
  • They also tend to get very bored very soon
  • Face problems focussing while reading
  • Have mood swings
  • Feel severe self-doubt, become gloomy and suffer through depression
  • Have relationship issues

Symptoms In Women

Things for women become difficult with ADHD due to the set expectation in our society or their role they generally take up in a family. They are seen as a primary caretaker, organizing everything, keeping affairs of the house in order, remembering birthdays etc. Often women with ADHD feel that their lives are out of control or in chaos, and daily tasks may seem difficult to manage. She may have difficulty in managing these tasks as she is having trouble managing her own life, so it becomes impossible for her. Such expectation takes a toll on women as it increases the feeling of being inadequate.

There are a few similarities in symptoms of women and men as they both feel overwhelmed, exhausted, low self-esteem, psychological distress, and severe stress. Women often feel that their life is getting out of their control, and everything seems chaotic and everyday responsibilities seems to unmanageable.

Below are a few instances that might help you understand how they manifest in Women suffering from ADHD:

  • For instance, the clothes and other things in your home are unmanaged. No matter how much you try, still, are unable to tidy your house for more than one or two days.
  • When working in an office, you are bothered by the noises around you and prefer to work after the office hours as it is quieter.
  • You try to look normal all the time so that nobody can understand the real you.
  • You feel being overwhelmed or unable to cope up with situations around you. It seems you are in a bad place and things are slipping out of your hand.
  • You feel overwhelmed and reserved, so you avoid going to parties and other social gatherings
  • You are only interested in talking when you are speaking or about the things or topic of your interest other than that your mind strays
  • You feel that you are unable to manage your friendship due to complex social rules.
  • You are more talkative than anyone else.
  • You were known as a tomboy during your childhood years and were more energetic
  • You feel that you are unable to manage money and cannot pay bills on time
  • You tend to overspend when you in emotional turmoil or facing issues. For instance, you feeling inadequate in a relationship and you buy yourself lipsticks or clothes to make you feel good about yourself.
  • While shopping you feel happy or it lifts your spirit, however, you feel concerned after overspending
  • You try to more organized and to do so you invest a lot of times, money and analysis on the product but end up not using them.
  • When people visit your home, you feel embarrassed as your house is not in order
  • You hope that you become a better life partner, friend, or mother. You might also feel to do things as other people are doing, such as others can keep your house in order, always able to make new dishes and be punctual.
  • People might perceive that you do not bother when you are unable to do things that women are expected in our society to do.
  • You take a longer time than other people to decide what to purchase in a grocery store.
  • You feel that your life is standing still only trying to dodging failure and countering the situations. You are unable to move forward with your goals.
  • You have an overwhelming inbuilt frustration and that you have not achieved success as your potential.
  • Even the littlest things can set you off, making you very emotional.
  • You are unable to unwind and decompress due to continuing fixation on something.

Numerous women are comforted when they came to know that the struggle with their behaviour is due to ADHD.

Conclusion

ADHD is a complex developmental impairment which causes the children, men & women to behave in the manner they do. By understanding the reason affecting their behaviour will prepare you how to work as a support system for that person. Understanding is a bridge that will make you feel closer to them and not resenting their behaviour. It is a lot work for the family handling people suffering with ADHD and might also need support. Always look out for help when needed and do not get crushed by the increasing responsibility. It is the emotional & mental support that will help the person suffering from ADHD overcome their obstacles.

Renal Cancer Surgery Doesn’t Have To Be Hard. Visit Chandan Hospital

Renal Cancer Surgery in Lucknow - Chandan Hospital
Renal Cancer Surgery in Lucknow – Chandan Hospital

Introduction

Renal Cancer is known to people with various terms such as hypernephroma, renal adenocarcinoma, renal cell carcinoma (RCC) or kidney cancer. It is one of the most commonly found cancer in the kidney in adults. The basic functionality of kidneys in our body is to regulate fluid balance and helps us eliminate the waste from the body. There are small tubes in the kidneys which assist filter the blood, helps in elimination of waste through excretion and urine creation. These small tubes are also known as tubules. Renal Cancer occurs due to rapid and uncontrollable growth of cancer cells in the lining of the tubules of the kidney.

When Renal Cancer is in its early stages, patients may be symptom-free. As the disease progresses, symptoms may include:

  • A lump in the abdomen
  • Blood in the urine
  • Unexplained weight loss
  • Loss of appetite
  • Fatigue
  • Vision problems
  • Persistent pain in the side
  • Excessive hair growth (in women)

Renal Cancer is fast-growing cancer and often spreads to the lungs and surrounding organs.

Management

Here we present a case of renal cancer successfully treated at Chandan Hospital, Lucknow. The patient was admitted to the hospital with a complaint of bleeding while urination. Extensive and invasive studies were performed to identify Hematuria in the patient.

A standard procedure of Laparoscopic radical nephrectomy was performed by Dr Manmeet Singh to treat the condition of Hematuria. There is conclusive evidence showing that the long-term cancer control afforded by this procedure is similar to that of open surgical procedures. Oral feeding was initiated on postoperative day 1, and the drain was removed on postoperative day 2. Immediately after the operation, radiofrequency ablation was performed. No complications were observed at the follow-up examination conducted, and the patient fully recovered & was discharged with a small incision. Best Cancer Treatment in Lucknow.

Testimony

“I am very much thankful to Chandan Hospital and Dr Manmeet Singh for giving me an excellent course of stay. During my hospitalization, all the staff was very much courteous. I received timely care, medication and staff attention, and I am very much thankful to everyone for giving me satisfactory treatment.”

~ Patient