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Surgery 1 - Third Year BHMS

Contents

Surgery 1 - Third Year BHMS

Contents

CoursesBHMSSurgery 1 - Third Year BHMSTUMOURS

TUMOURS

Content

TUMOURS

Definition of Tumour A tumour is an abnormal growth of tissue that can be either benign or malignant.

Benign and Malignant Tumours

  • Benign Tumours: Benign tumours are non-cancerous growths that do not invade surrounding tissues and do not metastasize. Examples include naevus, fibroma, and lipoma.
  • Malignant Tumours: Malignant tumours are cancerous growths that can invade surrounding tissues and metastasize to other parts of the body. Examples include carcinoma, sarcoma, and melanoma.

Types of Tumours

  • Carcinoma: Carcinomas are malignant tumours that arise from epithelial tissues. Examples include breast cancer, lung cancer, and colon cancer.
  • Sarcoma: Sarcomas are malignant tumours that arise from mesenchymal tissues, such as bone, cartilage, and fat.
  • Lymphoma: Lymphomas are malignant tumours that arise from lymphatic tissues, such as lymph nodes and spleen.
  • Leukaemia: Leukaemias are malignant tumours that arise from blood-forming tissues, such as bone marrow.
  • Glioma: Gliomas are malignant tumours that arise from glial cells, which are a type of supporting cell in the brain and spinal cord.
  • Melanoma: Melanomas are malignant tumours that arise from melanocytes, which are the cells that produce pigment in the skin.

Homoeopathic Therapeutic Approach

  • Sulphur: Indicated for skin cancers, such as melanoma and basal cell carcinoma.
  • Arsenic: Indicated for cancerous growths, such as sarcoma and carcinoma.
  • Carbolic acid: Indicated for cancerous growths, such as lymphoma and leukaemia.
  • Belladonna: Indicated for headaches and fever associated with cancer.
  • Calendula: Indicated for skin ulcers and wounds associated with cancer.
  • Aconitum: Indicated for pain and anxiety associated with cancer.

Clinical Features of Tumours

  • Size: Tumours can range in size from small to large, depending on the type and location.
  • Shape: Tumours can be round, oval, or irregular in shape.
  • Consistency: Tumours can be firm, soft, or hard in consistency.
  • Mobility: Tumours can be fixed or mobile, depending on the location and attachment to surrounding tissues.
  • Surface: Tumours can have a smooth or irregular surface.
  • Colour: Tumours can be pink, red, purple, or black in colour, depending on the type and location.

Investigations for Tumours

  • Imaging studies: X-rays, CT scans, MRI scans, and PET scans can be used to visualize the tumour and surrounding tissues.
  • Biopsy: A biopsy can be performed to obtain a sample of the tumour tissue for histopathological examination.
  • Blood tests: Blood tests can be performed to check for tumour markers, such as CA 125 and PSA.

Complications of Tumours

  • Metastasis: Tumours can metastasize to other parts of the body, leading to widespread disease.
  • Infection: Tumours can become infected, leading to abscesses and sepsis.
  • Bleeding: Tumours can bleed, leading to anaemia and shock.
  • Nerve damage: Tumours can compress or invade nerves, leading to pain, weakness, and numbness.

Management and Treatment of Tumours

  • Surgery: Surgical excision of the tumour can be curative in some cases.
  • Chemotherapy: Chemotherapy can be used to kill cancer cells and shrink tumours.
  • Radiation therapy: Radiation therapy can be used to kill cancer cells and shrink tumours.
  • Targeted therapy: Targeted therapy can be used to kill cancer cells and shrink tumours.
  • Immunotherapy: Immunotherapy can be used to stimulate the immune system to attack cancer cells.