We are a General Surgical practice with extensive experience built upon a long service in the public hospital system. We employ accurate diagnostic methods and advanced surgical techniques in our delivery of care. We believe in building a strong and honest relationship with our patients, understanding their concerns and needs in order to provide personalised and cost-effective care. Compassion and competence is at the heart of all we do.
Thyroid conditions are common. We provide on the spot ultrasound evaluation with fine-needle biopsy so that a diagnosis may be obtained within the same consultation. For thyroid surgery, the options of open (aesthetically-created scar) or minimally-invasive (endoscopic or robotic) techniques are available.
Surgery for the head & neck region is indicated for a wide range of problems arising from inflammatory and cancerous causes. Prompt evaluation involves diagnostic scans, outpatient scope and biopsy. An experienced team of surgeons and oncologist produces the best oncological results.
Pancreatic Cancer Treatment: Robert H. Lurie Comprehensive Cancer Center Of Northwestern University
A hernia is an abnormal outpouching that is felt around the front of the abdomen or groin region. They are common in both the young and the old. Timely surgery prevents progression of the hernia into a serious condition. Laparoscopic (keyhole) surgery is safe and enables a fast recovery and early return to work.
Both procedures may be done for the screening of asymptomatic patients as well as the evaluation of symptoms (unexplained weight loss, abdominal pain, change in bowel habit or blood in the stool). These day surgery procedures are Medisave claimable, subject to the approved limit. If you have an Integrated Shield plan, you can claim part of or the entire procedural fees, depending on your insurance coverage.
Cancer of the colon or rectum is one of the top cancers in Singapore, affecting patients across the age spectrum. Early detection and surgery is the main aim of treatment. Regardless of your cancer stage, our experience and expert surgical skills ensures the best outcome for you.
What Is Ascites (fluid In The Abdomen)?
Peritoneal cancer frequently originates from the digestive tract (stomach & large intestine) or gynaecological organs (ovaries & fallopian tube). Unfortunately, these cancers are often diagnosed at a late stage by the time the patient becomes symptomatic. We specialise in surgical oncology which is focused on a comprehensive removal of the cancer in a multi-disciplinary setting including localised chemotherapy (HIPEC).Primary peritoneal cancer (PPC) is a rare cancer. It starts in the thin layer of tissue lining the inside of the abdomen. This tissue lining is called the peritoneum.
PPC cells are the same as the most common type of ovarian cancer cells. This is because the lining of the abdomen and the surface of the ovary come from the same tissue when we develop from embryos in the womb. So doctors treat PPC in the same way as ovarian cancer.
The peritoneum covers all of the organs within the tummy (abdomen), such as the bowel and the liver. It protects the organs and acts as a barrier to infection. It has 2 layers. One layer lines the abdominal wall and is called the parietal layer. The other layer covers the organs and is called the visceral layer.
A. Jejunal Cancer Lesion Taken Out Of The Abdominal Cavity Prior To...
There is a small amount of fluid between the two layers, which separates them and allows them to slide over each other. This fluid allows us to move around without causing any friction on the layers.
There are no exact numbers for how many people get it in the UK. American research suggests that around 10 out of 100 (around 10%) of all women with ovarian, fallopian and peritoneal serous cancers have PPC.
The causes of PPC are unknown. Most cancers are caused by a number of different factors working together. Research suggests that a very small number of PPCs may be linked to the inherited faulty genes BRCA 1 and BRCA 2. These are the same genes that increase the risk of ovarian cancer and breast cancer.
Morphology Of The Peritoneal Cavity And Pathophysiological Consequences
Symptoms for primary peritoneal cancer can be very unclear and difficult to spot. Many of the symptoms are more likely to be caused by other medical conditions.
Most people start by seeing their GP. They might want to examine your abdomen. They will press gently on the outside of your abdomen to feel for any lumps, or tender areas.
Your doctor might also want to examine you internally. This is to see if your abdomen, including your womb and ovaries, feels normal. Your doctor will ask you to lie on your back on the couch with your feet drawn up and your knees apart.
Primary Peritoneal Cancer
They will then put one or two gloved fingers into your vagina. At the same time they press down on your abdomen with the other hand. If any part of the abdomen is enlarged, or if a lump of any kind is there, your doctor might be able to feel it.
Primary peritoneal cancers often produce a protein called CA125 that shows up in a blood test. Doctors call this a tumour marker.
A raised level of CA125 can be a sign of either PPC, ovarian cancer or fallopian tube cancer. But it can be raised for other reasons, such as:
Molecular Mediators Of Peritoneal Metastasis In Pancreatic Cancer
You might need to have an ultrasound scan to help make a diagnosis. An ultrasound uses sound waves to build up a picture of a part of the body. You might have an abdominal ultrasound or a transvaginal ultrasound.
Your doctor may also want you to have a CT scan or MRI scan to check whether the cancer has spread within your abdomen.
The staging system for PPC is the same as for ovarian cancer, but there is no early stage. PPC is always either stage 3 or stage 4. This is an advanced cancer.
Primary And Metastatic Peritoneal Surface Malignancies
The aim of treatment for advanced cancer is usually to shrink the cancer and control it for as long as possible. You might have the following treatments.
The aim of surgery is to remove as much of the cancer from the abdomen as possible before chemotherapy. This is called debulking surgery.
Chemotherapy tends to work better when there are only small tumours inside the abdomen. The surgery usually includes removing your womb, ovaries, fallopian tubes and the layer of fatty tissue called the omentum.
Peritoneal Mesothelioma: Causes, Treatment & Survival Rates
The surgeon will also remove any other cancer that they can see at the time of surgery. This could include part of the bowel if the cancer has spread there.
Sometimes PPC can grow so that it blocks the bowel or the urinary system. You might need surgery to unblock these if this happens.
Chemotherapy uses anti cancer (cytotoxic) drugs to destroy cancer cells. These drugs work by disrupting the growth of cancer cells. The drugs circulate in the bloodstream around the body.
Peritoneal Cavity Vector Images
Radiotherapy uses high energy x-rays to kill cancer cells. Radiotherapy isn't often used for PPCs. But doctors may use it to shrink tumours and reduce symptoms.
Your doctor can drain the fluid off using a procedure called abdominal paracentesis or an ascitic tap. The diagram below shows this.
Researchers around the world are looking at better ways to diagnose and treat ovarian cancer. Some trials for advanced ovarian cancer are also open for people with PPC
Sad Suffering Sick Intestine Colon Cancer Pain Cartoon Character. Abdominal Cavity Digestive And Excretion Human Internal Unhealthy Bowel Carcinoma Organ. Vector Organ Tumor Isolated Illustration Stock Vector Image & Art
Go to Cancer Research UK’s clinical trials database to read about trials for ovarian cancer in the UK. The trial summary includes information about who can take part in the trial. You need to talk to your specialist if there are any trials that you think you might be able to take part in.
Coping with cancer, particularly when it's rare can be difficult, both practically and emotionally. Your doctor and cancer specialist nurse will help support you.
If you have questions you can call the Cancer Research UK nurses for free on 0808 800 4040, 9am to 5pm, Monday to Friday.
Hipec And Cytoreductive Surgery Do Not Improve Outcomes Over Cytoreductive Surgery Alone In Patients With Platinum Sensitive Recurrent Ovarian Cancer
We know that it is common to struggle with your mental health when you have cancer or care for someone with cancer.
