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Auther : Vidya Jagtap Date : 2021-01-16 16:03:33

Category : treatment


kidney cancer Treatment Cost in India

The cost of kidney cancer treatment in India is at least 60-70% lower than it costs in western countries which are estimated to be USD 3000-4000. The cost of kidney cancer treatment in India is determined by hospital, medical team and patient requirements, post-surgery care, etc.


Kidney cancer is also called renal cancer. Your kidneys are two bean-shaped organs, each about the dimensions of your fist. They're located behind your abdominal organs, with one kidney on all sides of your spine. In adults, renal cell carcinoma is the commonest sort of kidney cancer. Other less common sorts of kidney cancer can occur. Young children are more likely to develop a sort of kidney cancer called Wilms' tumor.

SYMPTOMS

Though at early stages renal cancer doesn't have signs/symptoms they develop gradually at the

late stages of cancer, which include:

? Hematuria-blood in the urine which may show up as red, pink, or cola-colored urine

? Flank pain-between ribs and hips which does not decrease

? Lower back pain on one side which doesn't decrease

? Unexplained weight loss

? Unexplained fever

? Anemia

? Fatigue-sluggishness

? Loss of appetite

? Swollen legs or ankles

CAUSES

Gene mutations-cancers occur if the DNA changes put on oncogenes or put off-tumor silencer qualities.

A. Acquired quality transformations: acquired changes in certain tumor silencer qualities prompts the relationship of the sicknesses to the expanded danger of kidney malignancy Examples:

  • Family background of kidney malignancy
  • VHL quality causes Von Hippel Lindau (VHL) sickness
  • FH (Fumarate Hydratase) genes are linked to the hereditary leiomyomas which cause fibroids in the uterus and skin
  • FLCN (Folliculin) gene linked to Birt Hogg Dube syndrome
  • SDHB (Succinate dehydrogenase complex, subunit B) and SDHB genes linked to familial renal cancer
  • Met oncogene linked to hereditary papillary renal cell carcinoma

B. Acquired gene mutations-these occur during a person's lifetime and are non-inherited.

Certain risk factors lead to gene mutations later in life which cause cancer of the kidney. Certain risk factors that might lead to mutations include:

  • Smoking
  • Older age
  • Obesity
  • Hypertension
  • Patients on dialysis- treatment for chronic kidney failure
  • Chronic use of non-steroidal anti-inflammatory drugs
  • Cystic kidney disease
  • Hepatitis c infection

TYPES

Benign tumors - angiomyolipoma

Oncocytoma-most common benign tumor of the kidney

Malignant tumors- Renal Cell Carcinoma (RCC)- also called gravity tumor/ hypernephroma/

internist's tumor.

TREATMENT:

Treatment options for kidney cancer include:

? Active surveillance- the goal of this step is to prevent the progression of the disease and to avoid potential risk factors and negative potentials caused by the treatment modalities.

? Ablation-includes cryoablation and radiofrequency ablation and is used for very small size tumors

? Partial nephrectomy-done for the well-defined and confined tumor where the tumor and the diseased part are removed leaving the healthy part of the kidney. Done for the tumors of t1a

also

? Radical nephrectomy-done for the kidney which is aggressively cancerous, where the whole kidney is removed.it is done via laparoscopy or traditional open surgery

? Care management-includes other specialist doctors like radiologists, interventional oncologists, genetic counselors who provide different opinions and discuss the potential

risks and benefits associated with the treatment options present

BEFORE PROCEDURE:

Various diagnostic tests and imaging did at regular intervals.

Diagnosis- though there are no standard tests to discover kidney masses, the following tests and procedures are done to identify the presence of a mass in the kidney

? Clinical history and physical examination

? The complete panel of kidney function tests to check renal function

? Complete blood picture analysis to detect any signs of disease or infections

? Urine analysis to detect any signs of infection/blood/protein/sugar in the urine

? Kub imaging to detect any presence of abnormal kidney mass

? Ultrasound imaging of kidneys

? MRI and Ct scan which helps in staging & diagnosing the kidney mass

? Chest x-ray & Bone scan to find if the malignancy metastasized to other organs

? Biopsy of the kidney mass to analyze the type of tumor

Grading and Staging:

Tnm is utilized for arranging kidney disease. T-indicates the tumor size.

  • T1 ≤ 7cm, restricted to the kidney
  • T1a ≤ 4cm
  • T1b: 4 to 7 cm
  • T2 ≥ 7cm, restricted to the kidney
  • T2a > 7cm to < 10cm
  • T2b > 10cm
  • T3 - tumor stretches out into significant veins yet not into the adrenal organ and gerota's belt
  • T4 - not a confined tumor, comes to past gerota's sash including adrenal organ

N-indicates tumor expansion into provincial lymph hubs

  • N0-no local lymph hub metastasis
  • N1-local lymph hub metastasis

M-indicates metastasis into different organs, most generally to the cerebrum, lungs, bones, liver

& removed lymph hubs

  • M0 is no far-off metastasis
  • M1 is far-off metastasis

? Stage I and II tumors: Involve malignancies of any size which are bound to the kidney.

? Stage III tumors: Either locally intrusive (t3) or lymph hubs (n1).

? Stage IV tumors: Spread past the kidney into organs close by (t4) or inaccessible

metastases (m1).

FAQS:

1. What type of kidney cancer with the staging, spread, and location of the tumor?

2.

What are the treatment choices? How many are recommended and is more than one kind of treatment given?

3. What are the possible benefits, risks, and potential side effects of each treatment? What is the cure rate for each treatment and what are the modalities followed to control the side effects?

4. Time and cost along with insurance plans applied for each treatment modality and how clinical trials work?

5. Information regarding the stay after treatment, checkups, short term, and long-term effects, tests, and imaging were done in follow-ups?

6.

What should be observed during the time of recovery? What are the instructions to be followed after the treatment and during the recovery?

7. How to overcome the side effects and risks associated with the treatment?

The cost of kidney cancer in India is at least 60-70% lower than it costs in western countries which are estimated to be USD 3000-4000. The cost of kidney cancer treatment in India is determined by hospital, medical team and patient requirements, post-surgery care, etc.

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