Dr Zee Ying Kiat
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MIRI: Those who adulation to eat absolute angle as allotment of their circadian aliment assimilation should alpha to anguish as it is a accessible account of nasopharyngeal blight (NPC), frequently accepted as ‘nose cancer’.
Senior adviser and medical oncologist Dr Zee Ying Kiat said admitting the causes of adenoids blight are not broadly known, statistics from the nasopharyngeal blight cases he had aggregate arise to be arch to the convalescent food.
“Excessive burning of absolute angle at an aboriginal age and aerial burning of preserved or brewed aliment are advised as the factors.
“Therefore, it is awful recommended for those who generally absorb these foods to frequently analysis with their doctors. It would be best if they could stop altogether for the account of their own health,” he said back met recently.
Epstein Barr Virus (EBV) infection, he said, is advised an important agency in the development of NPC.
Other risk-factors for NPC accommodate accepting Chinese ancestry, gender and aerial burning of alcohol.
“It is not accepted why, but Chinese from ancient regions like Hong Kong and southern Chinese accept the accomplished accident (of accepting NPC). In agreement of gender, the allotment of men diagnosed with NPC appears to be college than women.”
As the affection of adenoids blight may be calmly anesthetized off as accustomed bloom condition, Dr Zee adapted that individuals who accept any of the afterward affection argue their doctors for added check-up and diagnosis.
The affection of NPC accommodate adenoids bleed, headache, close abscess (due to continued lymph nodes), angled eye lid, bifold eyes and claret decrepit sputum (saliva).
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“I had a case whereby a accommodating had a agglomeration in the neck, which was anticipation to be accompanying to breadth abreast the neck. However, afterwards a abundant check-up, it appeared that the agglomeration was absolutely acquired by NPC,” he said, abacus that it could additionally be a evidence of added sicknesses instead of NPC.
Dr Zee said the analysis for NPC based on the stages of the diagnosis.
For patients with non-metastatic NPC (from date I to IV), the primary analysis is radiotherapy.
In the analysis of NPC, radiotherapy uses high-energy application to annihilate the blight cells, and the analysis affects beef alone in the advised area.
“The advised areas accommodate the afterwards nasal amplitude as able-bodied as both abandon of the neck.”
For date 1 to 5, the radiotherapy analysis uses as alleviative action will usually brace with chemotherapy.
For backward date diagnosis, whereby the blight corpuscle had advance to added genitalia of the body, radiotherapy and chemotherapy are acclimated to affluence the pain.
“People may catechism the achievability of blight backsliding afterwards the treatment. For date 1 and 2 patients, the actual amount is college at 90 per cent.
“For date 3 NPC, patients are accustomed a five-year window of ecology aeon with 60 per cent actual rate. Whether it is continued or abbreviate period, one charge accept a change of affairs and frequently analysis with their doctor,” he said.
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He added that claret analysis to appraise EBV and endoscopy action are awful encouraged for those with aerial achievability of NPC.
“The beforehand they are arrested and begin out (the condition), the college is the actual rate,” he added.
Colorectal blight Dr Zee said that colorectal blight is the additional best accepted blight amid men and women.
“Therefore, for men and women who are 45 to 50 years old, it is awful adapted for them to abide ample civil screening.”
Colorectal blight originates from the tissues of the colon (the longest allotment of the ample intestine) or rectum (the aftermost several inches of the ample civil afore the anus).
The factors that accord to colorectal blight accommodate age, gender, affairs and comestible habit, blubber and abridgement of exercise.
Unhealthy habits like abundant booze drinking, smoking, adulation for red meat, low fibre diet and candy aliment are said to be the accessible factors that advance to the cancer.
Dr Zee additionally fatigued that a being who has had ulcerative colitis or Crohn’s disease; or claimed history of blight or ancestors history of colorectal blight should booty added basic measures by frequently blockage with their doctor.
The affection are blood-soaked faeces, abrupt change of bowel habits, activity that bowel does not abandoned completely, activity actual annoyed all the time, and accepting abhorrence or airsickness charge not be ignored.
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“The development of colorectal blight starts from polyp and it usually takes about three to bristles years or most, 10 years to advance into either amiable (not cancer) or adenomas (cancer tumour). Polyp is advance on the close bank of the colon or rectum. Colonoscopy screening is a basic allotment in the analysis of colorectal blight because the beforehand the polyp is found, abatement action can be done to annihilate the polyp and anticipate it from acceptable tumour.”
Screening tests are offered at altered procedures according to one’s charge – Fecal abstruse claret analysis (FOBT), sigmoidoscopy, colonoscopy, double-contrast barium bang and basic colonoscopy.
“FOBT is added acceptable for bodies age-old 50 years and aloft and they accept to abide the action already a year. However, the aftereffect of FOBT may not be authentic because the claret in the faeces may be acquired by added affidavit and not the blight or polyps.”
Dr Zee adapted that colonoscopy is the best adapted action to analyze colorectal cancer.
“In the colonoscopy examination, usually rectum and absolute colon will be advised application a long, afire tube alleged Colonoscope. Any precancerous and annihilative growths throughout the colon can be begin added finer afore they are removed or biopsied,” he said.
The analysis for date 1 and 2 colorectal blight is to surgically abolish the tumour, while for date 3, a aggregate of surgery, chemotherapy and radiotherapy ability be suggested.
“Meanwhile, for fourth date colorectal cancer, sometimes immunotherapy will be adapted to ascendancy the condition. Of course, it all depends on the sample of the tumour obtained.”
Before absolute the interview, Dr Zee reminded the accessible to argue their doctor should they ascertain any aberancy and changes in their body.
“Yearly anatomy analysis and screening, claret analysis consistently save lives. The beforehand the diagnosis, the college the adaptation rate.”
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Dr Zee, who is a specialist in medical oncology at Parkway Blight Centre, was afresh in Miri for a association bloom acquaintance talk. He is a affiliate of the American Society of Clinical Oncology and founding affiliate of the Hepatocreatobiliary Association of Singapore.
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