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Incurable to Incredible : A Case Study of Childhood Cancer Survivor ship for 23 Years

Incurable to Incredible : A Case Study of Childhood Cancer Survivor ship for 23 Years

Yogender Rohilla, a mere 6 years old child, when he was initially diagnosed with a lower abdominal childhood cancer. After one month he started showing severe symptoms of colicky pain, vomiting, weight loss, loss of appetite.

His condition was discussed in the tumor board.In view of huge pelvic mass filling almost whole pelvis and unresectable cancer, with possible severe toxicity of chemotherapy and radiation therapy; that might result from anti-cancer treatment, his guardians were advised to take the child back home. However, the patient’s father requested a second opinion and was transferred to Dr. Puneet Gupta,currently  Director oncology, Metro Group of Hospitals.

On diagnosis, it was found that the massive lower abdominal tumor with large pelvic bony mass filled almost whole of the lower and mid-abdomen and the tissue diagnosis revealed that the patient was suffering from advanced childhood Ewing Sarcoma cancer.

Ewing Sarcoma is rare cancer that affects the bones and  affect bones and extra bony region too. This type of cancer is most common in children and teenagers, however, it may occur at any age.

Ewing sarcoma can cause multiple complications, especially if it is unresectable, massive and likely to yield metastatic disease in near time ,spread to other parts of the body such as as Lungs and other bones, this makes the treatment and recovery difficult.

This is a rare condition and highly aggressive cancer of childhood having a minuscule chance of recovery.  It requires aggressive treatment through intense chemotherapy, radiation, surgery, or a combination of multiple therapies. The long term survivorship is achieved after prolonged intense chemotherapy for about one year along with specially designed radiation therapy. This round cell malignant pathology is exceptionally radiation as well as chemotherspy medicine sensitive.  However, even after successful treatment, it requires lifelong monitoring as there is a risk of relapse as well as potential negative effects of intense chemotherapy and radiation including second cancer.

Dr. Gupta, Director Oncology, Metro Hospitals, realizing the risk to the life of the child (Yogender Rohilla) advocated an innovative sequential treatment plan of specially designed reverse boost radiation therapy & systemic chemotherapy with close monitering for tumour lysis syndrome.

The Patient was given multi-agent systemic chemotherapy through a long line placed in the upper limb by Dr Puneet Gupta. Chemotherapy continued for one year using the anthracycline, actinomycin, vincristine based chemotherapy protocol. Being unresectable, the child was given pelvic radiation therapy using innovative reverse boost technique to save nearby critical abdominal organs especially avoiding gut perforation, renal damage, urinary bladder mucositis, small bowel mucositis,etc.

Chemotherapy for Childhood Cancer

Chemotherapy involves the administration of cancer-killing drugs which can be a combination of one or more drugs depending upon the size and place of cancer, it is given either intravenously or orally. Drugs may reduce cancer and make it easier to remove surgically or kill the cancerous cells using radiotherapy.

Surgery for Childhood Cancer

The goal of surgery is to remove all of the cancer cells. But planning the operation also takes into consideration how it will affect the patient’s ability to go about their life post-treatment.

Surgery for Ewing sarcoma might entail the removal of a small portion of the bone or an entire limb. So doctors need to consider all other options before they take such an inexorable decision.

Radiation therapy

Radiation therapy uses high energy X-rays and protons, to kill cancer cells. Energy beams are carefully directed to the affected to reduce the risk of damage to surrounding healthy cells. As it may have severe after effects it is used post-surgery to eliminate the remaining cancerous cells. It is also highly effective in reducing pain by slowing cancer growth in advanced Ewing sarcomas.

Through the intensive care and supervision under Dr. Puneet Gupta of Metro Hospitals and the experts of the oncology department, patient Yogender Rohilla responded well to the treatment.

The patient was an early responder & had a complete clinical and radiological response. He was also given supportive and post-treatment psycho-oncology care time to time,to help him recover from the trauma and heighten awareness of self through innovative Gupta white light therapy, a spiritual biology based cognitive spiritual intervention . The patient had normal growth into adulthood & attained a good physique of 5 feet 11 inches and currently on regular checkups. He showed no signs and symptoms of second malignancy as well as long-term gastrointestinal, hematological toxicity, etc. except upper limb neuropathic pain off and on.However his mother suffered from cancer uterus at 22 years of his survivorship.Again she was well treated at Metro group of hospitals and has recovered well after radical surgery and postoperative chemotherapy by Dr Puneet Gupta.

He is living a healthy, Cancer-free life,for the last 23 years and is serving as self employed professional. Thanks to Metro oncology team and services available at many centers who dedicatedly worked upon him and never losing hope. This is a story of Yogender Rohilla who made a journey from being incurable to incredible case in medical analogs. 

Department of Oncology, Metro Hospitals is fortunate to have experts with vast knowledge and expertise and they are equally matched by the infrastructure to meet the requirements to treat the patients with rarest of rare conditions at our facility. 

This case is lineage in our series of examplary survivorship story from incurable to incredible where  we are presented with such challenging cases which require expertise and innovation. Metro hospitals are well known around the world for pioneering innovative procedures and have a huge number of firsts in various medical spectrums.

By ,Dr. Puneet Gupta( DM)

Director Oncology & Medical Oncology

Metro Hospital & Cancer Institute, Preet Vihar, Delhi
Metro Hospitals & Heart Institute, Noida Sector-11, UP



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Metro Dental And Implant Centre has delivered millions of smiles over the years. The centre offers state-of-the-art dental services both through general out-patient and private OPD.

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The centre provides a holistic, scientific and a technologically advanced approach for all dermatological and cosmetic conditions. Consultations with our experienced dermatologists ensure that the patients get the best advice, be it for skin diseases or cosmetic interventions. Our specialized services include- Pimples / Acne – Pigmentation Treatment, Cosmetic Peels, Non-surgical removal of warts, Laser treatment, as more.

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Department of Endocrinology and Diabetes is a full-fledged facility involved in evaluating and treating patients for diabetes, Obesity, Sexual disorders, Hirsutism, PCOD, Osteoporosis, Adrenal disorders, other endocrine disorders. We offer a wide range of treatment options for endocrine and metabolic diseases. Our specialists are the most experienced one having a long track record of successful treatment of the patients.

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The department aims at healing the person completely - body, mind, spirit, and emotions aimed at optimal health and wellness. This is achieved with the help of specialists and by gaining proper balance in life. Our specialists use all forms of healthcare ranging from conventional medication to alternative therapies, to treat a patient. Our doctors use the combinations of drugs and lifestyle modifications to address any condition.

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We bring you the convenience of getting quality homeopathic treatment for all your chronic and long standing illnesses. We are committed to provide you the best of the information and constitutional homeopathic treatment. Diseases Treated by Homoeopathy are Infectious Diseases, Viral Diseases, Diseases of Infancy and Childhood & Allergic Disorder.

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The Department of Internal Medicine is a full-fledged facility offering comprehensive care for general and preventive medicine for all ages. The Department has the support and back-up of all super-specialities in the hospital providing end to end services varying from diagnosis, prevention, treatment, wellness, preventive health checks, rehabilitation services and management of various medical conditions.

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A sub-speciality of Radiology is a subspecialty of radiology, providing minimally invasive treatments performed under guidance of x-ray fluoroscopy, ultrasound or computed tomography (CT Scan). In simple terms interventional radiologists “Not Just Diagnose But Treat too” with minimal invasive techniques. The advanced technology in Radiology provides a strong platform for efficient Interventional Radiological Procedures.

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Our department of nephrology and renal transplant is a well equipped unit with a dedicated team of skilled consultants and paramedical staff which offers patient the advantages of a multidisciplinary approach. Our center deals in treating children and adolescents with congenital and acquired kidney diseases. We accept patients at any stage of kidney disease. The services include Medical Management of Kidney Diseases, Dialysis and Renal Transplant.

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The Department of Neurosciences has extremely talented and very well trained doctors who collaboratively work towards creating new paradigms for knowing the human brain condition and caring for it. Facilities include NCV, EMG, EEG, Video EEG, Botox Therapy for migraine and movement disorders (dystonia), Dedicated Stroke ICU, Neuro Rehabilitation Advanced facilities for Surgical Neurology.

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Metro Centre for Orthopaedics and Joint Replacements offers a wide range of treatment and comprehensive care for all kinds of musculo-skeletal conditions such as joint pain, spine pain, trauma, sports and other injuries. The Centre is well recognized for joint replacement surgeries of hip, knee and shoulder. The department is led by highly trained Orthopaedicians along with wide array of advanced technology. The Centre is specialized in providing services such as minimally invasive surgery, joint replacements, Orthopaedic Rehabilitation.

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Metro Centre for Paediatrics & Neonatology is a top-notch centre for childcare which provides comprehensive paediatric, surgical, and immunization services to children up. We follow a holistic approach to treatment with our Neonatal Intensive Care Unit, Paediatric Intensive Care Unit, Paediatric and Neonatal Emergency, etc.

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The services in Physiotherapy & Rehabilitation include Consultation, Diagnostic: examination, S D curve, muscle testing, ADL testing, Manual therapy: active/assisted/passive/resisted/graded resisted exercise etc., physiotherapeutic interventional procedures, (home care) etc., Obstetric, gynecological clinic: antenatal and post natal care, and other management, Geriatric clinic: help in ADL activity, pain free activity, Fitness clinic, Posture correction clinic, Ergonomics clinic, etc.

Plastic, Cosmetic & Reconstructive Surgery

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The department has highly experienced specialists in cosmetic and plastic surgery, state-of -the-art infrastructure ensuring world class medical attention and care. It is an acknowledgement center of excellence providing advanced and intricate treatment. The center also offers the world superior quality cosmetic treatment at costs that are highly affordable, with results comparable to those at the best centers across the globe.

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With the mission of spreading mental health awareness, we provide a variety of services ranging from awareness programmes to rehabilitations. The services provided are Pharmacotherapy, Electroconvulsive Therapy, Narcoanalysis, Biofeedback, Detoxification and Rehabilitation Programmes, Deaddiction Counseling, Stress Management, Couples/ Marital Counseling and many more.

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We have a long experience in addressing the mental health conditions. Our experienced psychologists analyze the reasons behavioral disorder, emotional problem or psychiatric disease, and suggest and implement a valid solution to the problems customized to individual needs. The privacy of the patient is taken seriously during the total course of treatment.

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World-renowned specialists and comprehensive advanced setup helps treat disorders related to the lungs, breathing and sleep with high success rate. The services include treatment of Asthma, COPD, Chronic Respiratory Failure, Sleep Disorders, Interstitial Lung Diseses, Tumours and Cancers of the Lung and Chest, Allergic Disorders, Laparoscopic Assisted Thoracic Surgeries.

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A highly skilled team of experience Radiologists and Technicians comprises our Radiology Team. The highly advanced technology combined with high expertise ensures 100% accurate results which helps build right diagnosis. The facilities include: CT Scan (500 Slice), Advanced MRI (1.5 Tesla), 4D Ultrasound, Digital X-Ray, Bone Densitometry, Colour Doppler.

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Immensely qualified team of experts is always available to accord the diseases of musculoskeletal system. The service include the treatment of various auto immune diseases like Rheumatoid Arthritis, SLE, Ankylosing spondylosis, gout and other immunological diseases, New Biological Treatments. We do have 24*7 physiotherapy department which deal with musculoskeletal problems with special emphasis on the correction of joint deformity.

Stem Cell Therapy

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coming soon

Urology

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The Centre for Uro-Sciences boasts of experienced and renowned Urologists having thorough exposure to all urological disorders including complicated conditions. It is has good track record for high success rates. The treatment includes Laser prostatic surgery, Urologic Cancer Surgeries, Laparoscopic Urological Surgeries, Percutaneous Renal Surgery, Urethral Reconstructive Surgery, etc. and the facilities include ESWL (Extra corporeal shock wave Lithotripsy), Uroflowmetry, Uro Radio diagnosis, etc.

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