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Ewing Sarcoma Treatment in India

Ewing Sarcoma: Key Information

Ewing sarcoma is a rare and aggressive malignancy that primarily affects bones and the surrounding soft tissues. Although it can strike people of any age, it is most commonly found in adolescents and teenagers. This form of cancer originates in the bones of the legs and pelvis but can develop in any bone or soft tissue in the body.

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    Causes and Symptoms

    Ewing sarcoma is believed to result from changes in the DNA of specific cells. These genetic alterations cause healthy cells to grow abnormally and form a mass of cancerous cells that attack healthy tissue. While the exact causes are unknown, some possible risk factors include genetic rearrangements, fractures, high-level radiation exposure, or congenital defects.

    The symptoms of Ewing sarcoma can vary depending on its location and size. Common signs and symptoms to watch for include:

    • Pain, swelling, or stiffness in the area near the tumor (e.g., hand, arm, chest, back, or pelvis)
    • A lump near the skin that feels warm and smooth to the touch
    • Limping
    • Unexplained weight loss
    • Bone pain that worsens at night or with physical activity
    • Increased risk of fractures
    • Fatigue
    • High fever
    • Paralysis (if the tumor affects the spinal cord)
    • Numbness
    • Breathing difficulties (if the tumor is on the chest wall)

    Diagnosis and Staging

    Before starting treatment, it’s crucial to determine if the cancer has spread to other parts of the body. Diagnosis and staging of Ewing sarcoma involve various tests and procedures:

    • Physical examination and family history
    • MRI, CT, and PET scans
    • Bone scan
    • Bone marrow aspiration and biopsy
    • X-rays
    • Complete blood counts

    Additional tests, such as cytogenetic analysis, immunohistochemistry, and flow cytometry, may be performed to further understand the cancer’s characteristics.

    Treatment Options for Ewing Sarcoma

    The treatment approach for Ewing sarcoma depends on the cancer’s stage and may include:

    Chemotherapy: The use of anti-cancer medications delivered intravenously or orally to target cancer cells throughout the body.

    Surgery: Surgical removal of the tumor with the aim of preserving as much healthy tissue as possible. This may involve bone reconstruction or transplantation, depending on the tumor’s location.

    Radiation Therapy: The use of high-energy X-rays to halt the growth and spread of cancer cells, particularly effective when cancer is localized.

    Prognosis and Follow-Up Care

    The prognosis for Ewing sarcoma varies based on several factors, including tumor size, response to treatment, and the extent of disease spread. Currently, approximately 75% of children under 15 and 68% of teenagers aged 15 to 19 treated for Ewing sarcoma are alive five years after diagnosis.

    Patients require regular follow-up appointments to monitor their progress and assess any potential long-term side effects of chemotherapy and radiation therapy. These side effects can manifest months or years after treatment completion and may include physical and emotional challenges. Support from healthcare professionals and support groups can aid in coping with these issues.

    Ewing’s Sarcoma Treatment in India

    Ewing’s sarcoma is a rare type of bone cancer primarily affecting children and adolescents. While it is a rare condition, it is the second most common bone cancer in this age group.

    Prognosis: Prognosis depends on factors like tumor size and response to treatment. Standard treatment offers a 5-year survival rate of over 65-70% for patients without disease spread.

    Alternative Therapies: While some may claim alternative therapies for Ewing’s sarcoma, there’s no scientific evidence supporting their effectiveness. Delaying evidence-based treatment can be detrimental.

    Consultation: It’s crucial to consult an experienced Orthopaedic Oncologist when Ewing’s sarcoma is diagnosed or suspected. Bone Cancer Clinic in Chandigarh specializes in the management of bone tumors.

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      frequently asked questions (FAQs) 

      1. What is Ewing Sarcoma?

      A.Ewing Sarcoma is a rare type of cancer that primarily affects the bones and soft tissues. It usually starts in the bones of the legs, pelvis, chest, or other areas of the body.

      1. Who is at risk of developing Ewing Sarcoma?

      A.While it can affect people of all ages, Ewing Sarcoma is more commonly diagnosed in adolescents and teenagers. It is also slightly more prevalent in males than females.

      1. What are the common symptoms of Ewing Sarcoma?

      A.Common symptoms include pain, swelling, or stiffness around the tumor site, a lump near the skin, limping, unexplained weight loss, bone pain (often worsening at night), fatigue, and in some cases, high fever.

      1. How is Ewing Sarcoma diagnosed?

      A.Diagnosis involves a combination of physical exams, imaging tests (MRI, CT, PET scans), biopsies, bone marrow aspiration, X-rays, and blood tests to confirm the presence of Ewing Sarcoma and determine its stage.

      1. What treatment options are available for Ewing Sarcoma?

      A.The main treatment options for Ewing Sarcoma include chemotherapy, surgery to remove the tumor, and radiation therapy. The specific treatment plan depends on the stage and location of the cancer.

      1. What is the prognosis for Ewing Sarcoma?

      A.Prognosis varies depending on factors such as the size of the tumor and the response to treatment. On average, the 5-year survival rate for Ewing Sarcoma is around 65-70% with standard treatment.

      1. Are there long-term side effects of Ewing Sarcoma treatment?

      A.Yes, some patients may experience long-term side effects, both physical and emotional, after Ewing Sarcoma treatment. These effects can manifest months or years later and may require ongoing monitoring and support.

      1. Are there any alternative therapies for Ewing Sarcoma?

      A.While some alternative therapies may be suggested, it’s crucial to rely on evidence-based treatments like chemotherapy, surgery, and radiation therapy. Alternative therapies should not replace standard medical care, as they may delay effective treatment.

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        fortis-escorts-hospital

        Fortis Escorts Hospital New Delhi

        Number of beds:  310
        ICU Beds:                 158
        Airport Distance: 19 KMs

        Brief About:

        • It was established in 1988 and is JCI accredited.
        • Fortis Escorts Heart Institute is a premier multi-disciplinary hospital providing tertiary care and is recognized worldwide for its clinical excellence in cardiac care.
        • The 310-beded hospital is a globally renowned centre boasting admirable outcomes for interventions like Cardiac Bypass Surgery, Minimally Invasive Surgery, Interventional Cardiology, Non-invasive Cardiology, Paediatric Cardiology and Paediatric Cardiac Surgery.

        Medanta-Hospital-Gurgaon

        Medanta The Medicity Hospital

        Number of beds:  1250
        ICU Beds:                300
        Airport Distance: 18 KMs

        Brief About:

        • Medanta – The Medicity is amongst India’s largest and most renowned multi-super speciality healthcare centre with 1250 beds, 29 super speciality units and more than 800 accomplished doctors.
        • Supported by state-of-art infrastructure, all the departments in the hospital are fully equipped with cutting-edge technology, modular Operation Theatre and modernized monitoring systems in ICUs.
        • The panel of doctors from Medanta, headed by A.S.Soin performed the first successful intestinal transplant in India.

        Max Hospital Saket

        Max Super Specialist Hospital Saket

        Number of beds:   500
        ICU Beds:                 267
        Airport Distance: 13 KM

        Brief About:

        • Max Super Speciality Hospital at Saket is one of the topmost healthcare service
        • Providers in India. The multi-super speciality hospital has a capacity of over 500 beds, 250 functional beds. It is equipped with state-of-the-art facilities, advanced technologies.
        • With the help of over 300 leading specialist Doctors, strong nursing staff, and state-of-the-art innovative medical tools.

        BLK_Super_Specialty_Hospital

        BLK-Max Super Speciality Hospital

        Number of beds: 700
        ICU Beds:               175
        Airport Distance: 13 Km

        Brief About:

        • BLK Super Speciality Hospital was established by Dr. B.L. Kapur  in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
        • BLK Super Speciality Hospital was established by Dr. B.L. Kapur  in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
        • BLK has a unique combination of the best in class technology, put to use by the best names in the professional circles to ensure world-class health care to all patients.

        Artemis Hospital

        Artemis Hospital Gurgaon

        Number of beds:  600
        ICU Beds:                185
        Airport Distance: 19 Km

        Brief About:

        • Artemis Hospital, established in 2007, spread across 9 acres, is a 600plus bed; state-of-the-art multi-speciality hospital located in Gurgaon, India.
        • Artemis Hospital is the first JCI and NABH accredited hospital in Gurgaon.
        • Designed as one of the most advanced hospitals in India, Artemis provides a depth of expertise in the spectrum of advanced medical & surgical interventions, a comprehensive mix of inpatient and outpatient services.

        Sanar International Hospital Gurugram, Delhi NCR

        Sanar International Hospital

        Number of beds:   130
        ICU Beds:                  35
        Airport Distance:  20 Km

        About Hospital:

        • Sanar International Hospital was established in 2018.
        • Sanar International Hospital founded by Mr. Naresh Kapoor.
        • Sanar International Hospital offers comprehensive advanced surgical care in specialties like Cancer, Heart, Blood and Marrow Transplant, Lung, Liver, and Neurosciences along with other major departments with advanced state-of-the-art facilities.

        FMRI

        Fortis Memorial Research Institute

        Number of beds:    1000
        ICU Beds:                  298
        Airport Distance:  17 KMs

        Brief About:

        • Fortis Memorial Research Institute was established in 2001.
        • It is an outstanding multi-speciality quaternary care hospital,having the top-notch infrastructure, advanced equipment, highly qualified and experienced medical professionals and super sub-specialists.
        • Fortis Hosptial Gurgaon is an advanced centre of excellence in Robotic Surgery, Neurosciences, Oncology, Renal Sciences, BMT, Organ Transplants, Orthopaedics, Cardiac Sciences and Obstetrics & Gynaecology.

        indraprastha apollo hospital

        Indraprastha Apollo Hospital

        No. of beds: 900
        ICU Beds:     262
        Airport:        20kms

        Brief About:

        • Indraprastha Apollo Hospital is a flagship hospital of India’s foremost healthcare groups,the Apollo Group. It is a highly renowned multi-speciality facility that offers tertiary and quaternary care services to domestic and international patients.
        • The 900 bedded hospital is outfitted with the most modern technology for diagnostics as well as therapeutic purposes.
        • A team of highly trained medical professionals work under all the 52 specialities at the hospital.

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          Accord Superspeciality Hospital Faridabad Delhi NCR

          Accord Superspeciality Hospital

          Number of beds:   380+
          ICU Beds:                  41
          Airport Distance:  46 Km

          About Hospital:

          • The story of Accord began with the thought of leveraging the new age technology with the healthcare infrastructure to serve the patients, rightly, effectively, and timely.
          • Accord Superspeciality Hospital (A Unit Of SCL Healthcare Pvt. Ltd) is India’s first smart hospital and one of the first of its kind in the world.
          • Accord Superspeciality Hospital aims at providing technologically advanced healthcare services to international patients who are looking out for medical tourism in India.

          aakash hospital

          Aakash Health Care Delhi

          Number of beds:  230
          ICU Beds:                70
          Airport Distance: 10 Km

          About Hospital:

          • Aakash Healthcare Super Speciality Hospital is a tertiary care facility, with 15 Dialysis, and 70 Critical care beds for treating the most complex cases in the National Capital Region (NCR) of Delhi, Dwarka.
          • The hospital is equipped with state of the art infrastructure, latest technology, competent clinicians and compassionate staff.
          • Aakash Healthcare Super Specialty Hospital is known for its leading care in Orthopaedic and Joint replacement surgery.

          Jaypee Hospital, Noida

          Jaypee Hospital, Noida

          Number of beds:   525
          ICU Beds :               150
          Airport Distance: 32 KMs

          About Hospital:

          • The Jaypee Hospital was conceptualized by a revered Founder Chairman, Shri Jai Prakash Gaur in 2014, with the vision of promoting world-class healthcare amongst the masses by providing quality and affordable medical care with commitment.
          • Jaypee Hospital at Noida is the flagship hospital of the Jaypee Group, which heralds the group’s noble intention to enter the healthcare space.
          • This hospital has been planned and designed as a 1200 bedded tertiary care multi-speciality facility and has commissioned 525 beds in the first phase.

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