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Wednesday, 22 May 2019 - Imphal Times

Advanced Microwave Ablation techniques can treat liver tumors without incision

Dr. Pradeep Mulley, Head Interventional Radiologist, Fortis Hospital, Vasant Kunj

Cancer seems to have a way of deeply invading the lives of those stricken by the disease. And very often the treatment isn’t much friendlier to patients. But some recent advances in cancer treatment are helping, including some minimally invasive and non surgical procedures, especially in case of Liver tumours.
When liver tumors are small in size and number and have not spread to nearby blood vessels – and no cirrhosis or other liver conditions are present – patients may also be eligible for a liver transplant. But again, not many patients are in condition to go through a liver transplant surgery.
In such circumstances, interventional radiologists have advanced options for performing minimally invasive surgeries like Microwave Ablation, Radio Frequency Ablation, Trans Arterial Chemo Embolization (TACE) and Radio Embolization. These minimally invasive therapies use imaging techniques such as CT, ultrasound, or MRI to guide the delivery of treatments directly to tumor sites.
How is liver tumor treated?
Surgical Interventions
While surgery to remove a liver tumor offers the best chance for a cure, surgery is not an option for more than two-thirds of patients with primary liver tumor which is said to be the fifth most common ailment and the third most common cause of mortality worldwide. Approximately, seventy percent of patients with liver tumor cannot opt for surgery for many reasons, like, the tumours could be too large to be removed or they could be too close to major blood vessels or other organs. And many a times, patients may have many small tumors in the liver, thus making surgery too risky or impractical.
Also liver surgery is a complex procedure because many of the major blood vessels leading to and from the heart pass behind or through the organ. In addition, the liver can tear easily and will bleed profusely if injured.
Minimally invasive procedures
these can significantly reduce recovery time compared with traditional surgery.
1. Radioembolization (Y-90) is a minimally invasive procedure to treat liver tumors, with a combination of embolization and radiation therapy. This therapy is highly beneficial in extending better quality of life for patients with inoperable tumors. Radioactive isotope of Yttrium (Y-90) is placed in the blood vessels of the tumor that blocks the blood supply to the cancer cells and delivering high doses of ionizing radiation to the tumor while keeping the healthy cells intact. Unlike External beam therapy where high energy beam from the equipment is directed towards the tumor site, this therapy involves placing a radioactive material that lodges in the tumor delivering high doses of radiation from within. This technique is used to treat both localized and metastasized tumors (spread to liver from other body parts). Being a palliative treatment it does not completely reverse the condition but helps in restricting further growth and spreading of tumor cells.
2. Trans Arterial chemo Embolization (TACE) is a combination treatment of delivering of chemotherapy along with a procedure known as embolization. It is the most often used procedure for treating liver cancers. The procedure involves injection of anti-cancer drugs along with synthetic agents called embolic agents into the blood stream directed towards the tumor site, to cut-off the blood supply, trapping the anti cancer drugs at the site thereby depriving the required oxygen and nutrients for its growth. This therapy is highly beneficial in preventing the mortality  by preventing further growth/ shrinking the tumor, that potentially preserves the liver functions and improves the quality of life.
3. Microwave ablation(MWA) – It is one of the latest and advanced minimally invasive treatment techniques for cancer that uses image guidance to guide a needle-like probe to the tumor site. Unlike in case of Radiofrequency Ablation where high frequency electric current is passed through an electrode in the needle to generate small region of heat, MWA generates microwave to create heat in the region. This method is highly beneficial and effective for patients unsuitable for surgical resection and if the tumor is less than 4 cm in diameter. This procedure is usually performed on an outpatient basis reducing the hospital stay and is highly safe with minimal risk and higher success rate. Patients make better and quicker recovery. It is also used to treat multiple tumors simultaneously and the chances of recurrence of the tumor are also minimized. The method is not only best suited for treating liver tumors, but also for thyroid nodule, breast nodule, tumors in the kidney and varicose vein.
Also these treatments benefit patients not just by extending their lives but also improves their quality of life, which is of utmost importance in cancer patients.

Assam Rifles conducts free medical checkup of ex-servicemen

IT News

Imphal May 22,

Continuing with its larger aim to serve veterans and their families, Kakching Battalion of 28 Sector Assam Rifles under the aegis of IGAR (South) conducted a medical camp for ex-servicemen and their families at Salluk Company Operating Base on Yesterday.

Kakching Battalion Assam Rifles medical staff provided medical treatment to  ex-servicemen, their families, veer naries and children. Apart from providing necessary medical assistance, basic knowledge on health education, hygiene and sanitation were also imparted.   

The medical checkup shows Assam Rifles resolve to serve those who served the nation. The ex-servicemen of Salluk thanked the Kakching battalion and assured their full co-operation in spreading message of peace and harmony.

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Assam Rifles Observes National Anti Terrorism Day

IT News
ImphalMay 22,

Keithelmanbi Battalion of 9 Sector Assam Rifles under the aegis of IGAR (South) observed “National Anti Terrorism Day” by organizing an awareness programme at Lilong Higher Secondary Madrassa on Yesterday2019.   
With an aim to spread the message of global peace and non violence and stop the youth from being misguided, an awareness programme was organised by Lilong Company Operating Base (COB) for the students of Lilong Higher Secondary Madrassa. The awareness programme witnessed an attendance of over 200 students and teachers of the school.
The awareness programme commenced with a lecture by the school principal followed by an educative and motivating lecture by Lilong COB Commander on the “Importance to National Anti terrorism Day”. As part of the lecture, students were given insight on the effect of terrorism and violence on people, society and nation as a whole.
The students were also informed on the sacrifices made by thousands of soldiers who have fought against terrorism. The students also took a pledge to have abiding faith in the country’s tradition of peace, non-violence and tolerance and oppose all forms of terrorism and violence.  The lecture was followed by an interactive session during which various queries of the students were answered.
The entire school staff along with students expressed profound gratitude to Assam Rifles in efforts to uphold and promote peace, social harmony, and fight the forces of disruption threatening human lives and values.

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Assam Rifles Conducts Friendly Volleyball Matches

IT News

Imphal May 22,

Kakching Battalion and Mantripukhri Battalion of 28 Sector and 9 Sector Assam Rifles under the aegis of IGAR (South) organised friendly volleyball matches on Yesterday.

While the first match was played by team of Kakching Battalion Assam Rifles and Volleyball team of Keithalmambi Youth Club, the second volleyball match was played between the teams of Khamran Village Youth Club and troops of Koirengei COB.

 All the four teams played with great zeal and enthusiasm and displayed great sportsmanship during the course of the match. The match was followed by tea and refreshments for all.

The players and the locals appreciated the efforts of Assam Rifles for organising the sports event and recurrently taking such initiatives for maintaining healthy environment. They also requested to conduct more such events for promoting sports in future as well.

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DFI Condemns allegations against the Father of Catholic School Canchipur

The Diocesan Fraternity of Imphal (DFI), the fraternity of diocesan priests working in the Archdiocese of Imphal, is shocked to learn of the allegations of child abuse levelled by the armed outfit KCP-MC against the Father (priest) of Catholic School, Canchipur through some local dailies namely, Imphal Times (evening daily, 15 May edition), Pandam (Manipuri edition, May 15), etc.
The allegations are of very serious nature and the DFI takes very strong exception to this issue. If the accusation is found to be true, as claimed in the news item, befitting punishment as per the law of the land should be meted out to the culprit in the interest of justice. However, the DFI is surprised that the allegations have surfaced from the revolutionary armed outfit KCP-MC, with no specific complaint from the part of the alleged victims- either written or verbal- to the school authorities or before a lawful authority. The DFI on its internal and independent enquiry found no rational basis to believe in this allegation. It believes that such rumours without any rational justification is aimed at tarnishing not just the name and reputation of the individual alleged, but also the institution at large. The DFI appeals to those concerned to desist from such propaganda. It also reiterates its commitment to cooperate with any lawful investigation on the matter and to stand for justice at all times.

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