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Ayurveda as Cancer Treatment,[object Object],[object Object]
  Cancer Research Center
Panchakarma & Skin Care HospitalDR.GAURANG JOSHI,[object Object],DR.BHAVNA JOSHI,[object Object],Medical Directors,,[object Object],Atharva Multispeciality Ayurveda Hospital,,[object Object],Rajkot,Gujarat,,[object Object],India.,[object Object],Cell No.+919825163953,[object Object],http://www.ayurvedindia.in,[object Object],http://www.atharvaayurveda.com,[object Object],http://www.ayurvedacancercare.com,[object Object]
असतो मा सद्गमय,[object Object],तमसो मा ज्योतिर्गमय,[object Object],मृत्योर् मा अमृतं गमय,[object Object],ॐ शांति: शांति: शांति:,[object Object],Asato maa sadgamaya,[object Object],Tamaso maa jyotirgamaya,[object Object],Mṛityor maa amṛitam gamaya,[object Object],Om shaantiḥ shaantiḥ shaantiḥ,[object Object],“From the unreal, lead us to the Real; from darkness, lead us unto Light; from death, lead us to Immortality. Om peace, peace, peace.”,[object Object]
Ayurveda,[object Object],Ayurveda,[object Object],Cancer In general and According To Ayurveda(Introduction),[object Object],Cancer Incidence,[object Object],Causative Factors,[object Object],Sign and Symptoms,[object Object],Cancer Treatment,[object Object],Research,[object Object]
Ayurveda as a Cancer treatment,[object Object],Ayurveda,[object Object],Cancer In general and According To Ayurveda(Introduction),[object Object],Cancer Incidence,[object Object],Causative Factors of cancer,[object Object],Sign and Symptoms,[object Object],Cancer Treatment,[object Object],Research,[object Object]
"Ayu" means life and "Veda" means knowledge from the Vedic texts. This holistic science is the knowledge of complete balance of the Body, Mind and Spirit, including emotions and psychology, on all levels. ,[object Object],Ayurveda,[object Object],[object Object]
Diet,
Exercise,
Yoga,
Aromas,
Tantras,
Mantras,
Meditation
Consideration,
Longevity,
Rejuvenation
Self-realization therapies,[object Object]
FIGHT CANCER REGARDLESS,[object Object]
Cancer,[object Object],6 D’S OF CANCER:,[object Object],Dependency on family,  spouse and physician,[object Object],Disfigurement and change in body appearance,[object Object],Disability,[object Object],Disruption of inter  personal relationship,[object Object],Discomfort or pain in later stage of illness,[object Object],Death,[object Object]
INCIDENCE OF CANCER,[object Object],3 out of 10 may get cancer in 21st cen. WHO,[object Object]
Cancer Incidence,[object Object],The use of alternative medical systems as an addition to conventional therapies is quite common throughout the world. The proportion of patients using alternative medicine is as follows: Germany (65%), Australia (59%), Switzerland (52%), France (52%), Mexico (50%) and USA (51%),,[object Object],All these figures show that the currently available modern methods are not the complete answer to CANCER.,[object Object]
Ayurveda as Cancer Treatment
Cancer Incidence,[object Object]
Cancer,[object Object],Definition:,[object Object],Cancer is a disease in which ,[object Object],[object Object]
Destroy other tissues
Cells spread all over the body through the blood and lymph,
Give rise to satellite lesions elsewhere and then eventually leading to death. The main types of cancer are ,[object Object],[object Object]
carcinoma,
lymphoma and myeloma,
leukemia, and
central nervous system cancers. ,[object Object]
Type of Cancer in Ayurveda,[object Object],ADHYARBUDA : REGIONAL METASTASIS,[object Object],This is a condition when a cancer can be formed over the pre-existing one, and it is an incurable.,[object Object],DWI ARBUDA: DISTANT  METASTASIS,[object Object],When two  cancer are formed instantaneously or in sequence is known as Dwi-arbuda and is incurable.,[object Object]
Type of Cancer in Ayurveda,[object Object],SONITARBUDA: cancer of penis,[object Object],The pidikas, which are associated with black and red blisters and in which there is severe pain in the penis, is known as Sonitarbuda and is incurable.,[object Object],MAMSARBUDA:,[object Object],It is due to vitiation of Mamsa and occur in the penis and is incurable.,[object Object]
Type of Cancer in Ayurveda,[object Object],KARNARBUDA: ear cancer,[object Object],Susruta has mentioned seven types of ear cancer, but has not given detailed explanation. It is curable one.,[object Object],ASTHIARBUDA: bone cancer,[object Object],Bhavprakash is the first Aacharya  who clearly mentioned it. cancer, which occur in bones, is curable and no details are described.,[object Object]
Type of Cancer in Ayurveda,[object Object],NAVARBUDA & JIRNARBUDA: ACUTE AND CHRONIC CANCER,[object Object],Vagbhatt is the only person who mentioned and classified the  disease cancer as per the chronicity and he describes two different local applications according to the chronicity of occurence.,[object Object]
Type of Cancer in Ayurveda,[object Object],NASARBUDA: NASAL CAVITY & PARA NASAL SINUSES:,[object Object],(Head and Neck cancer),[object Object],Susruta has mentined that there are seven varieties  of Nasal cavity cancer but  no details are available of the individual variety; clarifies that the disease occurs as an encapsulate and huge lesion in nasal cavity.,[object Object]
Type of Cancer in Ayurveda,[object Object],OSTHARBUDAS: ORAL CAVITY: LIP CANCER,[object Object],Vagbhatt has mentioned that there are 3 types of Ostharbuda.,[object Object],[object Object]
Mamsarbuda: Due to the vitiation Mamsa and shape of ostha becomes just like of Mamspinda  and maggots are seen at the site and the Asadhya.
Jalarbuda: The vitiation of Vata and Kapha, at the site of ostha results into a swelling of the shape of water bubble and  is a Sadhya.,[object Object]
Type of Cancer in Ayurveda,[object Object],TALVARBUDA:  HARD PALATE,[object Object],A swelling which occurs  in the middle of the palate possesses the shape of the lotus bud, alongwith is known as Hard Palate  and is incurable.,[object Object],GALARBUDA: BASE OF TONGUE,NASO PHARYNX, ORO PHARYNX, HYPO PHARYNX and LARYNX:,[object Object],Vitiated free radicals produce a swelling in the region between posterior part of tongue and in the beginning of larynx, which is non-suppressive, immobile, reddish in color, and painless and incurable.,[object Object]
Causative Factors,[object Object],Modern Science Factors,[object Object],Ayurvedic Factors,[object Object]
Causative Factors in Modern Science,[object Object],Modern Science Factors,[object Object],[object Object]
IONISING RADIATION
INC. UPTAKE OF X RAYS ETC.,[object Object]
     ALCOHOL  - LIVER ,  H& N
     SMOKING – LUNG, H&N
INCREASED INTAKE OF SALT-CURED FISH AND MEAT - STOMACH
     MAL NUTRITION   - ALL CANCER
SACRIN  - BLADDER
     PROLECTINE  - BREAST,[object Object]
     TEXTILE INDUSTRY -  SKIN, LUNG
     SHOE PRODUCTION  -  NASAL CA.
     ARSENIC  / ASBESTOS  - LUNG
     BENZENE  - LEUKEMIA,[object Object]
     ASBESTOS  / ARSENIC   - SKIN, LIVER
     VINYLE CHLORIDE - LIVER
     MUSTURD GAS  - LUNG
     ALKYLATING AGENT -  BLADDER,[object Object]
     DIETHYLSTILBESTEROL  - VAGINA
     ESTROGEN  - ENDO METRIUM  ,  LIVER
     PHENYTOIN -  LYMPHOMA,[object Object]
     HERPES VIRUS
     H. BACTOR VIRUS
     PAPILLOMA VIRUS
     RETRO VIRUS,[object Object],[object Object]
Causative FactorcsAyurveda,[object Object],AyurvedicFactors – dietary  factors:,[object Object],[object Object]
PITA : 	Intake of hot, Pungent, Bitter, Alkaline Salty, Source-food.
     KAPHA: 	Excessive intake of heavy, sweet, cold, unctuous & non-veg. diet.
     OTHER FACTORS: i,e, Sudden intake of heavy, Sour, Salty food, Fruit picklets, 		Salad, Alcohol, immature curd  etc. by an individual when he is 		emaciated due to panchkarma therapy.,[object Object]
     Bristles of poisonous insects.
     Touching poisionous animal.
     Coming in contact with the sea air & polluted air & poisonous snow.,[object Object]
Causative Factors -Ayurveda,[object Object],Ayurveda : External irritant:,[object Object],Improper excision, incision, fracture, excessive pressure, grinding, assault, Gravios hurt by rope etc. on vital  parts, heavy & continuous injuries, peircing compression. excessive burn. Trauma & injury by fangs, teeth, horns, nails etc.,[object Object]
Causative Factors Ayurveda,[object Object],Ayurveda : Genetic Factor,[object Object],Some individual have such type of CONSTITUTIONthat work as a predisposing factor for cancer,[object Object],AS PER MODERN SCIENCE,[object Object],MUTATION OF P 53 GENESONCO GENES,[object Object],[object Object]
V-kit
V-yes
etc.,[object Object]
Sign and Symptoms as per Ayurveda,[object Object],General Signs & Symptoms of Arbuda:,[object Object],[object Object]
CIRCULAR, FIXED, SLIGHTLY PAINFUL
BROAD BASED
SLOWLY GROWING & NON-SUPPORTIVE
FILLED WITH FLESHY GROWTH,[object Object]
Cancer Treatment Modern Science ,[object Object],MODERN TREATMENT,[object Object],SURGERY      ,[object Object],RADIOTHERAPY,[object Object],CHEMOTHERAPY,[object Object],BIOLOGY TREATMENT,[object Object]
Cancer Treatment in Ayurveda,[object Object],Curative:,[object Object],In this part known as well as tried  medicines which have shown encouraging results for cancer  is  concerned.,[object Object],Supportive:,[object Object],One can include the Ayurvedic Treatment which can be used along  with the modern treatment to combat their side effects  and improve the quality  of life.,[object Object]
Cancer Treatment in Ayurveda,[object Object],Prophylactic:,[object Object],In this one can include the rules of swasthvritta(Hygiene), Ahara(Diet), Vihara(Life Styles)  in  Different Ayurvedic Text, which are specially required to prevent Cancer.,[object Object],Palliative:,[object Object],Various groups of Drugs mentioned for increasing immunity  oja etc. Use of various drugs which known as anti- inflammatory properties can also recommended.,[object Object]
When diet is wrong medicine is of no use.When diet is correct medicine is of no need.,[object Object]
Case study at AtharvaAyurveda,[object Object],Male , 49 years old at diagnosis,[object Object],[object Object]
August 24, 2003:  Adopted  Ayurveda diet therapy.
September 24, 2004:  Bone scan reveals virtually complete resolution of metastatic disease sites
November, 2006:  Bone scan again negative,[object Object]
AthrvaAyurveda, an influential leader as a Ayurveda Oncologist-India, has communicated closely with many national and international cancer institutes and endorsed importance of research.Case study at AtharvaAyurveda,[object Object]
[object Object]
Twelve biopsy-confirmed patients with rising PSA levels after surgery or radiation were recruited by urologists at the local cancer Centers.
Patients and spouses were enrolled in intensive 6-month intervention; taught and encouraged to: (1) increase intake of whole grains, vegetables, legumes, and fruit, (2) decrease meat, dairy, and refined carbs, and  fermented food.(3) engage in daily practice of meditation, yogaCase study at AtharvaAyurveda,[object Object]
Treatment –Ayurveda,[object Object],Surgery complete resection with root and reconstruction with plastic surgery.,[object Object],Local applications.,[object Object],Hyperthermia,[object Object],Internal medications: Metals, Tablets, Powders etc.,[object Object]
Cancer Treatment Ayurveda,[object Object],Supportive treatment for rehabilitation like ,[object Object],Yoga , ,[object Object],Exercise,,[object Object],Micro biotic diet  etc.,[object Object]
AyurvedaPanchakarma Treatment for Cancer(Detoxification Treatment),[object Object]
AyurvedaPanchakarma Treatment For Cancer(Detoxification Treatment),[object Object],Panchakarma means five types of therapeutic measures. These are undertaken for the purification of the body and Ayurveda considers it necessary before the start of any other therapy. The logic being that as a cloth needs to be purified or cleaned of impurities and dust before it can be permeated with a new color, similarly the body needs to be purified before it can be permeated with new colors of youthfulness, health and vigor etc. In fact, most of the time, ,[object Object]
Virechana: Purgation TherapyWhen excess bile, Pitta, is secreted and accumulated in the gall bladder, liver and small intestine, it tends to result in rashes, skin inflammation, acne, chronic attacks of fever, vomiting, nausea and jaundice. Ayurvedic literature suggests in these conditions the administration of therapeutic purgation or a therapeutic laxative. ,[object Object],Nasya: Nasal AdministrationThe nose is the doorway to the brain and it is also the doorway to consciousness. The nasal administration of medication is called Nasya. An excess of bodily humors accumulated in the sinus, throat, nose or head areas is eliminated by means of the nearest possible opening, the nose. ,[object Object]
The Panchakarma therapy of Ayurveda is comprised of five basic types of advanced treatment for the evacuation of vitiated Dosha (toxic materials) from the body. One can consider this as a body de-tox program.,[object Object],Vamana: Emesis TherapyWhen there is congestion in the lungs causing repeated attacks of bronchitis, colds, cough or asthma, the Ayurvedic treatment is therapeutic vomiting - Vamana, to eliminate the Kaphawhic is causing the excess mucus.,[object Object]
Basti: Enema TherapyVata's predominant site is the colon. AyurvedicBasti involves the introduction into the rectum of herbal concoctions of sesame oil, and certain herbal preparations in a liquid medium. Basti, is the most effective treatment of Vata disorders, although many enemas over a prescribed period of time are usually required. It relieves constipation, distention, chronic fever, cold, sexual disorders, kidney stones, heart pain, backache, sciatica and other pains in the joints. Many other Vata disorders such as arthritis, rheumatism, gout, muscle spasms and headaches may also be treated with Basti. Basti therapy is divided in two main types - AnuvasanaBasti - medicated oil enemas and NiruhaBasti - medicated enema of decoctions and medicated oils.,[object Object]
Cancer Treatment –some plants,[object Object],Several new plant derived natural products have proved to be of extreme interest in the treatment of cancer. ,[object Object],Taxol, which was isolated from the bark of the pacific yew, tree in 1971, which shows anti tumor activity against a number of cancers. The process of anti cancer agents involves substantial time, effort & resources.,[object Object],For such achievement no magic can help but it is possible to do so by research work which requires keen observation, justified logic & deduction, great efforts & plenty of patience.,[object Object]
Cancer Treatment Herbs,[object Object],Ashwagandha : ,[object Object],Bottom Line: While ashwagandha has shown an ability to hinder the growth of cancer cells in laboratory tests and enhance radiation therapy in animals, it is unknown if these effects can be replicated in humans.  A popular Ayurvedic medicinal substance derived from the root and berry of the plant. Ashwagandha contains numerous biologically active components. It is thought that some of these components can influence potent hormone-like substances that cause arthritis inflammation. Extracts of the root also increase the number of red and white blood cells and platelets in the blood. Ashwagandha has been shown to relax the central nervous system in animals. Studies in laboratories have shown that extracts of ashwagandha kill some cancer cells and enhance some immune cells. It is thought that the structure of ashwagandha extracts may damage the cancer cells ability to generate the energy it needs to reproduce. Ashwagandha also reduces the level of glutathione, an antioxidant, in tumor cells which may enhance the effects of radiation therapy against those cells. Studies in animals have demonstrated possible toxicity, however comparable effects have not been observed in humans.,[object Object]
Cancer Treatment Herbs,[object Object],	Scientific Name : Withaniasomnifera. ,[object Object],Family: Solanaceae,[object Object],Ashwagandha Enhancing Cellular Immnune Response:,[object Object],Atharva Ayurveda Hospital & Cancer Research Centre,Rajkot, India reported another study on the effect of Withaniasomnifera on cellular immune response (CMI) in normal as well as concomitant therapy with radiation.,[object Object]
Cancer Treatment Herbs,[object Object],	Ginger:,[object Object],Scientists at the University of Michigan Comprehensive Cancer Center have extensively studied the properties of ginger. Ginger is one of the most potent anti cancer herbs. It has an effect on a variety of cancers. Ginger gets its distinct flavor from a compound known as gingerol. This compound has been known to effectively combat breast, ovarian, prostate, and colorectal cancer. Ginger should be added to soups and dishes that are stir fry.,[object Object]
Cancer Treatment Herbs,[object Object],Garlic:,[object Object],Garlic has a flavor component that can effectively battle precancerous cells. The use of garlic can prevent formation of compounds that cause cancer. Care should be taken with preparations that utilize garlic. Cooking this anti cancer herb can decrease its anti-cancer properties. ,[object Object]
Cancer Treatment Herbs,[object Object],Turmeric:,[object Object],	Turmeric contains a compound known as curcumin. This compound has preventive effects on lung, skin, colon, stomach, prostrate, and breast cancer. One teaspoon of turmeric everyday is sufficient for the prevention of certain types of cancer development. Most Indian curries contain turmeric.,[object Object]
Cancer Treatment Herbs,[object Object],Giloy (Tinospora Cordifolia):,[object Object], 	The active principles from T. cordifolia enhance host immune system by increasing immunoglobulin and blood leukocyte levels and by the stimulation of stem cell proliferation. It has the ability to reduce solid tumour volume by 58.8%, which is comparable to cyclophosphamide, a known chemotherapeutic agent [40–42]. These immuno stimulating properties can be used in the prevention of tumour mediated immuno suppression and hence could be a drug choice for various Cancers.,[object Object]
Cancer Treatment Herbs,[object Object],Bhallataka (Semecarpus Anacardium):,[object Object],Anti-Cancer Activity: ,[object Object],	In traditional medicine, the nut is highly valued for the treatment of tumours and malignant growth.  Studies have been also done in proving the anticancer and hepatoprotective activity of Semecarpus anacardiumnut milkextract against aflatoxin B1 (AFB1)- induced hepatocarcinoma in rats and establishing its protective role on deranged cell membrane in AFB1 induced hepatocarcinoma. The biochemical basis of anticarcinogenic potency of Semecarpus anacardiumnut was studied using hepatocellular carcinoma as cancer model in rats,[object Object]
Reference,[object Object],References:,[object Object],1)      Premalatha B., “Semecarpus anacardium Linn. Nuts--a boon in alternative medicine” Indian J Exp Biol.,38(12):1177-82(Dec2000). ,[object Object],2)      B. Premalatha, P. Sachdanandam, “Effect of Semecarpus anacardium nut extract against aflatoxin B1-induced hepatocellular carcinoma”, Fitoterapia, Vol 70, Issue 5, 1, 484-492(Oct 1999). ,[object Object],3)      B. Premalatha, P. Sachdanandam, “Semecarpus anacardium L. nut extract administration induces the in vivo antioxidant defense system in aflatoxin B1 mediated hepatocellular carcinoma ”, Journal of Ethno pharmacology, Vol 66, Issue 2, 131-139(Aug 1999). ,[object Object],4)      P. Mathivadhani, P. Shanthi, P. Sachdanandam “Effect of Semecarpus anacardiumnut extract on ECM & protease in mammary carcinoma rats”., Vascular Pharmacology, (2007). ,[object Object],5)      B. Premalatha, P. Sachdanandam, “Stabilization of lysosomal membrane and cell membrane glycoprotein profile by Semecarpus anacardiumlinn. nut milk extract in experimental hepatocellular carcinoma”, Phototherapy Research.;14(5):352-5(Aug 2000). ,[object Object],6)      B. Premalatha, P. Sachdanandam ,“Modulating effect of Semecarpus anacardiumlinn. nut extract on Glucose Metabolizing Enzymes in Aflatoxin B1-induced experimental Hepatocellular Carcinoma”, Pharmacological Research, Vol 36, Issue 3, 187-192 (Sep 1997). ,[object Object],7)      K. Veena, P. Shanthi,  P. Sachdanandam “The biochemical alterations following administration of Kalpaamruthaa and Semecarpus anacardium in mammary carcinoma”, Chemico-Biological Interactions, Vol161, Issue 1, 15, 69-78(May 2006) ,[object Object],8)      B. Premalatha, P. Sachdanandam “Semecarpus anacardium L. nut extract administration induces the in vivo antioxidant defense system in aflatoxin B1 mediated hepatocellular carcinoma”, J Ethnopharmacol.;66(2):131-9(Aug 1999). ,[object Object],9)      B. Premalatha, P. Sachdanandam “Effect of Semecarpus anacardium nut milk extract on rat serum alpha-fetoprotein level in aflatoxin B1-mediated hepatocellular carcinoma ”, Fitoterapia, Volume 70, Issue 3, 1,  279-283 (June 1999). ,[object Object],10)  H.F. Smith *a, H.J. Woerdenbag a, R.H. Singh b, G.J. Meulenbeld c, R.P. Labadie d, J.H. Zwaving, “Ayurvedic herbal drugs with possible cytostatic activity”, J Ethno Pharmacology. 47, 75-84(1995) ,[object Object]
Cancer Treatment Herbs,[object Object],AyurvedaImmuno-modulators:,[object Object],Aswagandha(witheniaSomnifera),[object Object],Satavari(AsparagousRacemosus),[object Object],Guduchi(Tinosporacordifolia),[object Object]

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Ayurveda as Cancer Treatment

  • 1.
  • 2. Cancer Research Center
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 10. Yoga,
  • 18.
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  • 21.
  • 22.
  • 24.
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  • 27. Cells spread all over the body through the blood and lymph,
  • 28.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39. Mamsarbuda: Due to the vitiation Mamsa and shape of ostha becomes just like of Mamspinda and maggots are seen at the site and the Asadhya.
  • 40.
  • 41.
  • 42.
  • 43.
  • 45.
  • 46. ALCOHOL - LIVER , H& N
  • 47. SMOKING – LUNG, H&N
  • 48. INCREASED INTAKE OF SALT-CURED FISH AND MEAT - STOMACH
  • 49. MAL NUTRITION - ALL CANCER
  • 50. SACRIN - BLADDER
  • 51.
  • 52. TEXTILE INDUSTRY - SKIN, LUNG
  • 53. SHOE PRODUCTION - NASAL CA.
  • 54. ARSENIC / ASBESTOS - LUNG
  • 55.
  • 56. ASBESTOS / ARSENIC - SKIN, LIVER
  • 57. VINYLE CHLORIDE - LIVER
  • 58. MUSTURD GAS - LUNG
  • 59.
  • 60. DIETHYLSTILBESTEROL - VAGINA
  • 61. ESTROGEN - ENDO METRIUM , LIVER
  • 62.
  • 63. HERPES VIRUS
  • 64. H. BACTOR VIRUS
  • 65. PAPILLOMA VIRUS
  • 66.
  • 67.
  • 68. PITA : Intake of hot, Pungent, Bitter, Alkaline Salty, Source-food.
  • 69. KAPHA: Excessive intake of heavy, sweet, cold, unctuous & non-veg. diet.
  • 70.
  • 71. Bristles of poisonous insects.
  • 72. Touching poisionous animal.
  • 73.
  • 74.
  • 75.
  • 76. V-kit
  • 77. V-yes
  • 78.
  • 79.
  • 82. SLOWLY GROWING & NON-SUPPORTIVE
  • 83.
  • 84.
  • 85.
  • 86.
  • 87.
  • 88.
  • 89. August 24, 2003: Adopted Ayurveda diet therapy.
  • 90. September 24, 2004: Bone scan reveals virtually complete resolution of metastatic disease sites
  • 91.
  • 92.
  • 93.
  • 94. Twelve biopsy-confirmed patients with rising PSA levels after surgery or radiation were recruited by urologists at the local cancer Centers.
  • 95.
  • 96.
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  • 142.
  • 143.
  • 144.
  • 145.
  • 146. Devita – 4th edition.
  • 149. Harrison LB, Zelefsky MJ, Pfister DG, et al: detailed quality of life assessment in patients treated with primary radiotherapyforsquamous cell carcinoma of head & neck. Head & neck 19:169-175,1997.
  • 150. Koch WM, BRENNAN ja, Zahurak M, et al: p 53 mutation and locoregional treatment failure in hean & neck cancer. J Natl cancer inst 88:1580,1996.
  • 151. Lindberg RD,Fletcher GH: The role of irradiation in the management of head & neck cancer : Analysis of results and causes of failure. Tumori 64: 313-325, 1978.
  • 152.  Periz a book of Radiation Oncology – Vol. 2000-2001 by Periz.
  • 153.
  • 154.
  • 155.
  • 156.
  • 157. 5 or higher on scale: substantial pain.
  • 158. 5 to 6: moderate pain.
  • 159.
  • 160.
  • 161. Prescribe the appropriate dose of the drug.
  • 162. Administer the drug by the appropriate route.
  • 163. Schedule the appropriate dosing interval.
  • 164. Prevent, anticipate, and manage the side effect of the drug.
  • 165.
  • 166.
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Hinweis der Redaktion

  1. Tables.