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AIIMS doctors remove world’s largest goiter weighing 2.91 kg

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New Delhi, (IANS) Doctors at the All India Institute of Medical Sciences (AIIMS) said on Thursday that they have removed a 2.91 kg goiter, said to be the world’s largest, from a 60-year-old woman.

A resident of Moradabad in Uttar Pradesh, Noorjahan had come to the AIIMS with a very large lump in the neck region in May.

The doctors carried out a series of tests including X-ray, CT scan and thyroid functioning tests after which they decided on a surgery which took place on June 8 — but with a different technique.

“Noorjahan was suffering from the problem for the past 20 years. She did not have any major problem in eating, breathing, and was without any pain but it was putting pressure on nearby organs, causing heaviness and breathing problems,” said Pratyusha Priyadarshini, senior resident doctor at the AIIMS’ surgery department.

“In such cases, the patient is usually put on anesthesia and then a tube is inserted in the trachea for airway management. But here we wanted to insert the tube into her trachea while she was awake because of the narrowing of the trachea and then later put on anesthesia,” he told the media.

Calling the surgery a challenging one, S. Chumber, professor, department of surgery, said: “The major problem was that the size of the goiter was very large that compelled us to modify the surgical techniques. The trachea, esophagus, recurrent laryngeal nerve of both sides and the main vessels of the neck were close to the thyroid.”

He further said that to avoid any damage to the trachea, a temporary tracheotomy was done, in which a tube was inserted in the windpipe to assist her in breathing.

Finally, the six-hour surgery was successful and doctors removed the goiter. She remained in observation until she recovered completely.

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Low Cure Rate For Childhood Cancer in India: Experts

On International Childhood Cancer Day, the hospital organised a ‘Sit and Draw competition’ with pediatric patients and rewarded the winner

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Health insurance covers only for hospitalization and doesn’t necessarily cover the medical expenses incurred for the treatment of major illnesses. flickr

Childhood cancer comprises almost 3-5 per cent of the total cancer cases in India, experts said here on Friday, expressing concern over the low cure rate due to lack of available data.

“The disturbing reality is that the cure rate of pediatric cancer is almost 80 per cent in the developed countries. When we see the data from major cancer centres, it actually can match up to the Western standard but this data is not enough,” Haemato-Oncologist Vivek Agarwala said at an awareness programme conducted by Narayana Superspecialty Hospital, Howrah.

According to the Indian Council for Medical Research, cancer in children constitutes approximately 3-5 per cent of the total cancer cases in India.

Agarwala said a large portion of the incidence of childhood cancer in society is still not addressed.

Cancer survivor. Flickr

Also, a large section who don’t have access to premier institutes are often diagnosed late due to financial crunch and that is why the overall treatment rate in India is low.

“Probably, the government and society at large are not considering it a big problem as it is just around 5 per cent. We are always campaigning for breast and cervical cancers,” Agarwala said.

“We must remember this 5 per cent of cancer is majorly curable if given proper treatment,” he said.

Leukaemia and retinoblastoma (a form of cancer where children have a white eye) are the two common forms of cancer in children.

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Talking about awareness and symptoms that parents need to watch out for, he said: “Symptoms are different for different cancers, but children who have cancer have poor growth, poor weight gain and decreased appetite. One must get their children evaluated on seeing these symptoms”.

On International Childhood Cancer Day, the hospital organised a ‘Sit and Draw competition’ with pediatric patients and rewarded the winner. (IANS)