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January-June 2004 Volume 10 | Issue 1
Page Nos. 1-44
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REVIEW ARTICLE |
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Sweating in advanced cancer  |
p. 1 |
Robert Twycross |
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Breathlessness: A palliative care perspective |
p. 12 |
Vandana Vora |
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Palliative radiotherapy in locally advanced head and neck cancer-A prospective trial |
p. 19 |
Sushmita Ghoshal, Firuza Patel, Neeru Mudgil, Manish Bansal, Suresh Sharma AIM: To evaluate the role of palliative radiotherapy for symptom control in patients with locally advanced head and neck cancer.
MATERIALS AND METHODS: 25 patients with stage 3 and stage 4 head and neck cancer were treated with a short course of palliative radiotherapy (30 Gray (Gy) in 10 fractions over 2 weeks). Baseline symptoms were assessed using a 11 point numerical scale for pain, dysphagia, cough, insomnia and dyspnoea. The primary end point was relief of symptoms in the fourth week after radiotherapy. Percentage symptom relief was quantified by the patient using a rupee scale.
RESULTS: All 22 patients with pain and 90% of patients with dysphagia, dyspnoea and disturbed sleep had greater than 50% relief in symptoms after radiotherapy. Cough was relieved in sixty percent of cases.
CONCLUSION: A short course of radiation can be an effective method of symptom palliation in head and neck cancers.
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'Watch with me': Essays by Cicely Saunders |
p. 24 |
Reena George |
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Maggots: A neglected problem in palliative care |
p. 27 |
Anuradha Sowani, Deepak Joglekar, Priyadarshini Kulkarni |
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Palliative care education by Munnabhai MBBS |
p. 30 |
Santosh Chaturvedi |
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A journey from cancer to 'CanSupport' |
p. 32 |
Harmala Gupta |
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Are oncology patients aware of their diagnosis? A survey from Calicut |
p. 39 |
Divya Purrakkal, Dhanyasree Pulasseri, Sandhya Ravindran |
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Pain management in a radiation oncology ward |
p. 41 |
Jenifer Jeba, Srinivas Varadarajan |
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