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Breast cancer emerges as silent killer for Women in reproductive years, warns Kashmir’s leading Oncosurgeon

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Breast cancer remains a significant cause of cancer-related deaths among women in their reproductive years, and approximately one-third of cancer cases are associated with behavioural and lifestyle factors, prominent Oncosurgeon, Dr Shabnam Bashir said in an exclusive interview with news agency KNO.

Also Read: SKIMS to start free of cost HIV Viral Load Testing: MoU signed

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Dr Shabnam, Kashmir’s first female organ-specific Oncosurgeon, who is trained in advanced technologies such as Robotics, CRS with HIPEC, PIPAC therapy, and laser therapy, stressed the importance of timely cancer diagnosis and screening to facilitate appropriate treatment.

She pointed out that cancer has emerged as a modern epidemic, with approximately 2 crore new cases diagnosed worldwide annually and one crore deaths attributed to cancer each year. There is a critical need for awareness because nearly 60 percent of women seek treatment for breast cancer at the third or fourth stage due to a lack of awareness, she said.

Explaining further, Dr Shabnam while quoting the Indian Council of Medical Research (ICMR) said there is a projected 12% increase in cancer cases over the next five years. She cautioned that these numbers are likely underestimations due to the absence of well-maintained, population-based cancer registries across the country.

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“Breast cancer, in particular, has seen a sharp increase and is now the leading cause of cancer-related deaths among women of reproductive age,” she said, adding that approximately 23 lakh new cases occur globally each year, with 10% (2.23 lakh cases) reported in India, resulting in around 1 lakh deaths annually.

She attributed this increase to changes in lifestyle, modernization, pollution, radiation, and stress. However, increased awareness has led to higher diagnosis rates, which contributes to the overall rise in cancer incidence, she added.

The Oncosurgeon stressed that 30-50% of cancer cases are preventable, and the majority of cancer-related deaths occur in low-middle income countries.

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According to the Regional Cancer Registry Kashmir (2014-2016), 5336 new cases of breast cancer were registered at SKIMS, Soura, Dr Shabnam said, adding that this translates to roughly five new cases reported daily in a single hospital in Kashmir.

She said the trend indicates a steady rise in breast cancer, and 1 in every 28 Indian women is at risk of developing breast cancer during her lifetime, with urban women being more vulnerable (1 in 22) than rural women (1 in 60).

“A study at SKIMS (2014-2016) revealed that CRC is most common in the age group of 56-65 (25%), with around 20% of cases occurring in individuals less than 35 years of age. Approximately 50% of cases are diagnosed at Stage 3, and one-third of all cancers are linked to behavioural and lifestyle factors,” she said.

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Dr Shabnam stressed the need to raise awareness about lifestyle modifications to reduce the risk of various cancers. She highlighted the role of tobacco consumption, which is responsible for approximately 2500 deaths per day in India. She also stressed the importance of understanding the role of alcohol, diet, stress, sleep, body weight, radiation exposure, carcinogens, hormonal treatments, and physical activity.

Worryingly, cancers in India are occurring a decade earlier than in Western countries, and many patients present with advanced-stage cancers, reducing survival rates, according to the doctor. She underscored the critical importance of creating mass awareness about the causes of cancer, early detection through screening, seeking medical assistance at the earliest sign of trouble, and adopting preventive measures, including lifestyle changes, to prevent cancer from claiming precious lives within families and society.

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Medical Science

Record 23.7 cm long appendix removed from female patient in Anantnag

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Doctors at Al-hayat Hospital in South Kashmir’s Anantnag district have registered a record by removing the longest appendix ever in the country.

A team of doctors headed by Dr Azad Hussain recently operated a 20-year-old female patient and removed 23.7 centimetres (9 inches) long appendix from her body.

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Dr Azad told Asian News Hub (ANH), that the patient was operated through laparoscopic procedure and was discharged from the hospital in good condition, health.

He said, that the specimen is designated to be preserved at the GMC Pathology museum, serving as an educational resource for future learning endeavors.

Also Read: Man found dead under mysterious circumstances in Sopore

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The average length of the appendix is 4.5 cm in neonates and 9.5 cm in adults, but this may vary between 2 cm to 20 cm. The longest appendix reported in the literature measured 26 cm removed from 72 year old during an autopsy in Croatia in 2006 (Guinness World Records).

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Medical Science

DH Shopian performs first advanced laparoscopic procedure

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A first of its kind, Laparoscopic, Trans-abdominal Preperitoneal (TAPP) Meshplasty for inguinal indirect hernia was today performed at District Hospital, Shopian.

The procedure was done by a team consisting of Consultant Surgeons, Dr.Mohamad Shafi, Dr. Taj-din assisted by OT technicians. The Anaesthesia team consisted of Dr. Atif, Dr. Irfan and D. Shabir.

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Also Read: KPDCL intensifies inspection drive: Rs 7.84 lakh fine imposed on consumers found hooking wires

Based on clinical examination and relevant investigations, TAPP was planned and successfully done and the patient was discharged on the 2nd post operative day, informed the MS DH.

All logistic support was provided by MS District Hospital Shopian, Dr Rubeena Maqbool.

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The procedure including medicine was done free of cost under the scheme of AB- PMJAY.

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Ilizarov technique at B&J hospital Srinagar transformes lives

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Ilizarov, a Russian technique established at bone and joint hospital by Dr Altaf Ahmad Kawoosa Head of Department, is proving to be a boon for orthopaedic patients as this technique has been transforming lives of people having no hopes of successful treatment.

Several patients who spoke to news agency—KNO said that they came raw and hopeless from Delhi, Chandigarh and other areas but at B&J hospital Srinagar, they were treated successfully.

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Feroz Ahmad (name changed) one of such patients from Pampore area of Pulwama told that he had fractured his leg in his childhood but after years long treatment locally and even outside J&K for treatment worsened condition and remained disabled for nearly 25 years.

“I was hopeless as I wasn’t able to walk for a long time and after that one of our relatives told me to visit B&J hospital Srinagar,” he said, adding, Dr Altaf at first sight advised me to be patient and that I would be fine very soon.

Feroz said he was unable to even walk or stand well but with Dr Altaf’s treatment, he is 95 percent fit and has been doing all the work now like normal people do.

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Dr Altaf treated me for around 17 consecutive months at the hospital and finally my treatment was successful.

Mashooq Ahmad (name changed) another patient from DH Pora Kulgam told that he had fractured his leg during childhood and due to infection, one bone was removed from the leg.

“Due to removing one bone, my affected leg was at least 9 inch shorter than the other and I even went to Delhi for treatment for around two years but there was no improvement,” he said.

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“I wasn’t able to walk without support and then suddenly there was pain in my other leg and I went to B&J hospital for treatment,” he said.

“Dr Altaf’s sight fell on me and he came to me and enquired all about my leg that was around 1 feet shorter than other leg but I tried to neglect him as I was hopeless as even I didn’t see any improvement when I was treated at AIIMS,” he said.

“Dr Altaf at first sight told me that he will lengthen my short leg and treat other associated deformities. I hadn’t even thought in my dream that I could walk without support,” he said.

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“He treated me for around two years and my leg is now only one inch shorter now and I have been doing all the work without any support and all credit goes to Dr Altaf,” he said.

Parents of other patients from the Pahalgam area said their child had feet backwards and were successfully treated at B&J hospital at Srinagar by Dr Altaf Kawoosa.

They said that one of his feet is 100 percent fit while the other has already recovered 80 percent and it is expected that his feet will also become fit in the coming months.

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Other patients also said that they came raw from other states after year long treatments but were treated successfully through Ilizarov technique at Bone and Joint hospital by Dr Altaf. More than 1300 patients with such severe deformities due to fractures, non unions. Congenital anomalies like difficult club feet and neglected congenital dislocations, cerebral palsy and poliomyelitis have been successfully dealt with at bone and Joint surgery Hospital.

Notably, Ilizarov technique is a surgery involving an orthopedic external fixator applied to the limb to reconstruct, reshape or lengthen bones (usually of the limb).

External fixation is a surgical treatment where wires are passed through an incision into the affected bone and attached to a stabilizing frame encircling the affected limb.

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Ilizarov surgery involves the use of a special device called an ‘Ilizarov apparatus or Ilizarov fixator’. It is recommended in difficult cases that are not amenable to conventional reconstruction techniques.

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