Short info


WHAT IS HOT CHEMOTHERAPY? IN WHICH SITUATIONS IS IT APPLIED?

WHAT IS IT?
It is a form of chemotherapy that is applied surgically into the abdomen.

TO WHOM IS IT APPLIED?
It is applied in locally advanced cancers with intra-abdominal spread and peritoneal cancer of some organs in the abdomen that do not have distant organ spread.

WHAT IS THE OBJECTIVE?
- As a precaution to prevent recurrence of cancer in the abdomen after surgery,
-For treatment in cancers with limited spread in the abdomen or originating from the peritoneum
It is applied to prevent or treat fluid formation in the abdomen due to cancer.

HOW TO DO?
Before the application, the diseased area in the organ or tissue where the cancer originated is removed, then the spreads in the abdomen are cleaned (Cytoreductive Surgery).
After these surgeries, the abdominal cavity is treated with a liquid containing anti-cancer drug at a temperature of 41-42 degrees with the help of a special device. This application continues between 0.5 and 2 hours.
Thus, cancer patients can be given too high a dose to be administered systemically.

EFFECT MECHANISM

The properties of hot application that kill cancer cells and increase the effect of chemotherapy are utilized.

It is widely used in appendix mucinous cancers, ovarian cancers, colon cancers and peritoneal membrane cancer (mesothelioma). Promising results have been reported in suitable gastric cancer patients, although they have not yet undergone standard treatment.


TREATMENT OF BREAST CANCER IN PREGNANCY

Today, the incidence of breast cancer in pregnancy is increasing due to the increase in the average gestational age. The treatment principles in these patients are the same as those of non-pregnant women and are multidisciplinary. The treatment plan is made by considering the health of the baby and the mother together. Since the first three months of pregnancy are the formation period of the baby's organs, no treatment is applied during this period unless it is necessary. The optimal treatment interval is between the fourth and eighth months of pregnancy. Surgical application does not have to be in the form of removal of the entire breast, breast-conserving surgery can be safely applied in pregnant women. Chemotherapy can be applied with appropriate drug selection in patients deemed necessary. The stage of the disease determines the survival of the patient. Pregnancy alone has no negative effects. Termination of pregnancy has no effect on survival. Breast changes that are noticed or suspected in advanced age pregnancies should not be neglected.

LIFE AFTER LAPAROSCOPIC CHOLECYSTECTOMY

After laparoscopic (closed) gallbladder surgery, the patient is followed in the hospital for one night and discharged the next day. Postoperative pain is controlled with simple oral pain relievers. The patient usually returns to his old life within 3-5 days. There is no need for the dietary practices recommended before the surgery. It can be fed normally and balanced. Since the gallbladder is completely removed, there is no possibility of recurrence of the stone in the gallbladder.

WHAT IS CANCER?

Cancer is one of the most important health problems of today. It is a situation where a group of cells in the body goes out of control. These cells multiply uncontrollably and form masses in the organs. In addition, they leave the place where they are and disperse throughout the body. They invade the body by settling and multiplying elsewhere. And they cause the bankruptcy of the organism. Early diagnosis is the most important factor affecting survival and treatment. For this reason, periodic health checks after the age of 40 are very important.

SHOULD SILENT GALLBLADER STONES BE TREATED?

Gallstones that cannot cause complaints are called silent stones. Every year, 5-10% of them start to complain. Sometimes this complaint occurs as a complication. They can cause very distressing conditions such as acute cholecystitis, acute pancreatitis, cholangitis. In these cases, the surgery becomes difficult and may not be performed in a closed (laparoscopic) way, additional interventions such as ERCP+EST (removal of stones falling into the bile ducts) may be needed. Without taking these risks, it would be appropriate for these patients to undergo surgery while everything is under control.

WHAT IS LAPAROSCOPY SURGERY?

It is the general name given to surgeries performed through specially designed pipes placed through small incisions on the abdominal wall. These surgeries are performed by projecting the image of the inside of the abdomen onto the television screen. It is performed with specially designed long tools. Many surgeries can now be performed with this method (gall bladder, colon verectum, inguinal hernia operations, etc.)
Thus, the postoperative period is more comfortable. The patient recovers in a shorter time and can return to work.

WHEN SHOULD BREAST CANCER FOLLOW-UP START AND WITH WHICH FREQUENCY IT SHOULD CONTINUE?


In average risk women; From the age of 25, it is recommended to perform breast self-examination once a month after the menstrual period. After the age of 40: once a year, a doctor's examination and mammography, and if necessary, additional evaluation is made with ultrasonography and MRI. In those in the high-risk group, controls are started earlier and done more frequently. Control and follow-up intervals are set by the doctor according to the results of the examination and examination.

WHAT ARE THE SURGERY OPTIONS IN EARLY STAGE BREAST CANCER?

Breast cancer can be roughly classified as early stage cancer, locally advanced cancer and advanced stage cancer. In early stage cancers, which make up the majority of patients, treatment begins with surgery. Generally, three types of surgery can be applied to the patients in this group: the entire diseased breast can be removed, the breast can be reconstructed simultaneously with the implant after the breast is removed while preserving the breast skin, or the breast can only be removed with the diseased breast.
part can be removed. In addition, each patient is evaluated for axillary extension. Sentinel lymph node biopsy and, if necessary, axillary dissection is performed.
Before the surgery, the patient and the physician discuss the alternatives and decide on the appropriate option.
Early-stage breast cancer is a generally treatable disease. Please do not neglect your controls!

WHAT DOES THE STAGE OF CANCER MEAN/WHAT IS THE IMPORTANCE?

It is an evaluation that expresses the progress of the cancer in the organ/tissue where it occurs and its spread in the body. Cancer is staged by preoperative examination and imaging tools and by pathological examination of the removed tissues after surgery. Organ and tissue cancers are roughly classified between 0 and 4. Stage 4 is the disease that has spread throughout the body. Stage 0 indicates very early disease. This classification provides a standardization in clinical practice. It helps to decide on the treatment to be chosen. It gives an idea about the expected survival.
THE EARLIER THE DISEASE IS DETECTED, THE MUCH SUCCESSFUL TREATMENT IS. PLEASE DON'T IGNORE HEALTH CHECKS AFTER 40 YEARS OLD

WHAT IS DESIRED TO BE DONE THROUGH SURGERY IN ORGAN AND TISSUE CANCERS?

Cancer: It is a cell disease that starts from the cell in the organs and tissues, forms a mass where it is formed, can progress to the neighboring healthy tissues and organs, and can spread to other parts of the body. Treatment in these patients is multidisciplinary. Surgery has an important place in the treatment of organ and tissue cancers. The main purpose here is to remove the cancerous tissue from the body along with some adjacent healthy tissue and to clear the regional spread areas from the disease. Some advanced patients may also require palliative (relaxing) surgery. The most effective treatment can be applied to cancers that are detected early. Please do not neglect your complaints and have your cancer screenings done.

THYROID NODULE, IS IT IMPORTANT?

Masses formed in the thyroid gland are called thyroid nodules. Sometimes they are large enough to be arched from the outside. They are usually benign. Sometimes they can occur due to thyroid cancer. Nodules that form at an early age or later in life are more likely to become cancerous. Nodules that are suspicious in ultrasonography or clinical examination should be examined by fine needle biopsy.
Nodules that cause cosmetic discomfort or are hyperfunctional (out of control and constantly secreting hormones) require surgery. It is sufficient to follow up other patients once a year for a while, then at rare intervals.

SHOULD SILENT GALLBLADER STONES BE TREATED?

Gallstones that cannot cause complaints are called silent stones. Every year, 5-10% of them start to complain. Sometimes this complaint occurs as a complication. They can cause very distressing conditions such as acute cholecystitis, acute pancreatitis, cholangitis. In these cases, the surgery becomes difficult and may not be performed in a closed (laparoscopic) way, additional interventions such as ERCP+EST (removal of stones falling into the bile ducts) may be needed. Without taking these risks, it would be appropriate for these patients to undergo surgery while everything is under control.

SURGICAL TREATMENT OF CANCER OF THE LARGE INTESTINES (COLON)

Colon cancer is one of the most common cancers in the community. It originates from the cell layer lining the inner surface of the large intestine. It can occur in different parts of the colon. The part of the intestine to be removed changes depending on where it occurs. Surgical applications that express the removal of different parts of the large intestine such as right hemicolectomy, transverse colectomy, left hemicolectomy, sigmoid colectomy are performed. In each of these, a piece of large intestine of about 30-40 cm is removed and the remaining intestinal ends are stitched together again to ensure continuity. The purpose of the surgery is to remove the diseased intestinal part and regional spreading areas from the body. These surgeries can also be performed laparoscopically (closed) depending on the suitability of the patient and the disease.