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भारत में 40 साल से कम उम्र के लोगों में किडनी कैंसर अधिक आम है. संवाददाता परवेजुद्दीन ने यूरोलॉजिस्ट तनवीर इकबाल से खास बातचीत की...

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00:00Look, this is more incidental.
00:03With kidney cancer, as such, the RCC, which is the main cancer,
00:08there is no relation to it.
00:10Yes, if there is a very long period of kidney stone,
00:14there is a cancer from it.
00:18It is called squamous cell cancer.
00:20Otherwise, there is no relation with kidney cancer.
00:23We tell that one third of the kidney cancer patients are attributed to smoking.
00:29What are the children of our young people?
00:32There is also a kidney cancer.
00:34In less than 40 years of age,
00:36there is a global incidence of around 10%
00:4010 to 12%.
00:41But in India, it is around one third.
00:43One third of our patients they come at a younger age,
00:45less than 50 years of age.
00:47There are millions of people in kidney cancer.
00:50In India, there is also a kidney cancer.
00:53There is also a kidney cancer.
00:56The kidneys of kidney cancer
01:09which is a kidney cancer.
01:11If the kidney cancer doesn't happen...
01:16canccer is a good condition.
01:18This is a good condition.
01:20How can cancer be done?
01:22In attrition,
01:24during the week of Kishmird,
01:26there are many,
01:28for this time,
01:30we have to do this.
01:32Dr. Tamirish Pail.
01:34Dr. Kishmird,
01:36our honor of Iciqi
01:42is the case.
01:44or something different?
01:46Look, the word cancer is uncontrolled cell growth.
01:52If we talk in common language,
01:56like cancer is actually a tumor.
02:00In common, people say tumor.
02:02Tumor is actually just as swelling.
02:04Cancer is uncontrolled growth of tissues, normal tissues.
02:08Cells.
02:10Yes, cells.
02:12But overall, if you look at it, it's actually a tissue.
02:16Tissue.
02:18Yes, a combination of cells, they form a tissue.
02:20So, what happens?
02:22There is a check by nature between cell growth and cell death.
02:26So, what happens? There is an imbalance in this balance.
02:30And the growth exceeds the death.
02:32So, there is excessive formation of the cells and this is known as cancer or tumor.
02:36This is the same in the same way,
02:40which is the same in the same way.
02:42The cell growth, uncontrolled cell growth.
02:44Any tissue of the body.
02:46This is the same in the kidney.
02:48This is the same in the other organs.
02:50This is the same in the other cancers.
02:52It's not the same in the other cancers.
02:54The cancer is almost the same in every organ.
02:56The same in the brain.
02:58The brain tumor.
03:00The brain tumor.
03:02Which can be保育 Jesus.
03:04It can still be
03:08in the other organs.
03:10Also, what do the other cancers are about the kidney cancer?
03:12Look, this is incidental.
03:16Incidental.
03:18When someoneوals from other nine-things isg 작업 –
03:21If you have to be patients that can be a tumor today,
03:22there is one in common.
03:24to check-up for routine check-up. So, he understands that he says that he has a tumor.
03:32After that, he has further investigation, which is confirmed that he has cancer.
03:38After that, we treat him. Yes, the symptoms that we call the doctor,
03:43are not specific, non-specific symptoms. Yes, it can be a weak pain.
03:49It can be a lump. It can be palpate. It can be a swelling.
03:54It can be in advanced stage. Usually, early stage.
03:56Or, sometimes, there is blood coming.
03:59So, that is the most alarming sign that the patient is apprehensive
04:05and immediately comes to the doctor.
04:08And sometimes, in advanced stage, they are weak,
04:14they are weak, they are weak.
04:16So, sometimes, the patient has fever,
04:17which has no reason to look at it.
04:19So, there are 20% of patients.
04:21Okay.
04:22So, there are 20% of patients who have fever of unknown origin,
04:27unknown cause.
04:28This is also a presentation.
04:30Drugs, since we see this,
04:33that a person has a few times in kidneys.
04:36Yes.
04:37Is this a relationship with cancer?
04:39We can relate it?
04:41We can relate it.
04:42Kidney cancer as such,
04:43the RCC, the RCC.
04:44Kendagnie syc.
04:45Is this the main cancer,
04:46which has no relation with it.
04:48Yes.
04:49If it's a long time,
04:50the kidney stone is lower,
04:52is this the cancer as HER,
04:54which has a cancer.
04:56So, this is called squamous cell cancer,
04:58otherwise, it's a likeness.
05:00any connection between this.
05:02What is the damage to it?
05:03is this common, which is the case of the fact that anyone knows.
05:07Because there are such people who have no history of smoking,
05:12no damage, no chemical exposure, no radiation,
05:15they also have cancer.
05:17There is no family history that is known as it is known.
05:20So it is known as associated factors,
05:23which is the risk factor.
05:24Smoking is the main risk factor.
05:26It is said that the normal human being
05:28is the risk of the cancer.
05:30It is known as kidney cancer.
05:33We tell that one third of the kidney cancer patients
05:37are attributed to smoking.
05:39Yeah.
05:40One third.
05:41Two third.
05:42It is not attributed to smoking.
05:43So if we say that,
05:45it is not only the case.
05:46After that, there are some factors,
05:47most common is smoking.
05:49After that, there are some factors,
05:50such as obesity, hypertension, long term,
05:53chronic kidney disease, long term dialysis patients,
05:56they also have this.
05:57Sometimes, if someone has a family cancer,
06:01the rest of the family members are at risk.
06:03Which is a genetic factor?
06:04Genetic factor is also a genetic factor.
06:06There are some syndromes,
06:07which are genetic mutations inside.
06:09Or extra genes,
06:10which are problems,
06:12like BHL,
06:13we call it a syndrome.
06:15It is a syndrome.
06:16It is both sides,
06:17and there are organs in a tumor.
06:19There are a gene,
06:20which is a genetic abnormality.
06:22There are some other symptoms,
06:24which are associated with some symptoms.
06:26But,
06:27hog tube syndrome is one,
06:29and tuberous sclerosis is one.
06:31BHL is the most common.
06:32BHL has a bilateral tumor.
06:34We have a very many patients.
06:35We have seen a lot of patients.
06:36You can see these patients in the OPD.
06:37What patients do with this?
06:39How do patients do these patients?
06:41What patients do these patients?
06:42Is it in the UK?
06:43Is it in the UK?
06:44Is it in the UK?
06:45Is it in the UK?
06:46Is it in the UK?
06:47Or is it in the UK?
06:48Is it in the UK?
06:49What patients do?
06:50And they do?
06:51So then,
06:52there are some patients like this.
06:53They do that.
06:54They do that,
06:56and we do that.
06:57There are some symptoms.
06:58Doesn't stress the pain.
06:59In the UK.
07:00They have to go out.
07:01And they have to be a patient.
07:02So,
07:03as in the UK,
07:04it's not true.
07:05You know a lot of patients.
07:06You know right and there.
07:09Yeah.
07:10The like I see.
07:11As in the UK.
07:12In the UK,
07:14it's a complete.
07:15In the UK.
07:16Well,
07:17in the rest of the states. If you look at the prevalence of two to three per one lakh population
07:25for five years, okay? Let's say that you have about 13,000 patients per year all over India.
07:33Is there any difference between the patients?
07:35There is more than two to one ratio. But in India, there are more than four times in India as compared to Western countries.
07:44So, people are always at more risk than females. And this presentation is usually 60-60-60-60-60-60-60.
07:57But in India, it has been found at a younger age with high incidence.
08:02Because we see the prevalence of cancer in Kashmir, especially in Kashmir,
08:08so every one of them says that the disease and the disease of the disease of the disease
08:12has increased in Kashmir.
08:15The cancer of the disease has increased in Kashmir.
08:17Maybe there are some other organs of the disease in Kashmir.
08:20But in the past, it doesn't matter.
08:22Yes.
08:23It doesn't matter.
08:24It doesn't matter.
08:25I believe that people are more than diagnosed.
08:27Because there are investigations and availability and availability,
08:31all these things have increased.
08:32Before the people don't know how they died.
08:34People say, go, go, go, go, go, go, go, go, go, go, go, go, go, go, go, go, go, go, go, go, go, go, go, go, go.
08:38Today, we die with diagnosis.
08:40Today, there is such a patient that has not been diagnosed.
08:45Because when we talk about kidney cancer,
08:49it is said that it is 40-50 years old.
08:53What are the children of our young people?
08:56Do they have also seen kidney cancer?
08:59In less than 40 years of age,
09:01there is a global incidence of around 10 percent.
09:0410 to 12 percent.
09:06But in India, it is around one-third.
09:08One-third of our patients, they come at a younger age.
09:1010 to 50 years of age.
09:11That is different in Asia than Western countries.
09:15It has been found at a younger age,
09:17and unfortunately, the younger age patients,
09:19they have worse prognosis.
09:21The cancer is aggressive.
09:22It is more aggressive.
09:23It is a dangerous cancer that is in young age.
09:25What is it in Kashmir?
09:27It is same, at par with the rest of the states of India.
09:30When we talk about cancer,
09:32there are stages.
09:33One, two, three, four.
09:35There are stages in kidney cancer?
09:37There are stages in other cancers.
09:40Obviously, there are stages.
09:42TNM are most common.
09:44There are stages one, two, three, four.
09:47There are four stages,
09:48last stage,
09:49there are metastasis.
09:50There are stages of other organs.
09:54The early stages are limited to kidney.
09:56There are stages of kidney tumor
09:58or kidney pulmonary.
09:59They are good.
10:00In advanced cases,
10:02if T3 and T4 were told before,
10:05it is a chemotherapy and radiotherapy
10:07resistant tumor.
10:08But you have new drugs.
10:09They work in this.
10:11Immunotherapy, target therapy,
10:13immune checkpoint inhibitors.
10:15New drugs are very expensive.
10:17But they have been found very effective in this disease.
10:21Especially in stage 3 and stage 4.
10:24Stage 4.
10:25In early stages,
10:26I also give immune therapy.
10:30But in selected cases,
10:31where there are high risk factors.
10:33data system is called defecation
10:36Also, kidney cancer
10:38We have done a test between well as Children and Senin care.
10:39do we have any defect
10:43No, there is no University
10:52Is this one which is moved
10:54for the therapy?
10:55No, there is no.
10:56Yes, there will happen
10:58no which is for we is
10:59otherwise,
11:00you have the ab söyle
11:01a place to develop
11:02You can control your smoking, you can control your lifestyle and keep in control of your
11:07body.
11:08And you can't do chemical exposure, if you work in the chemical industry, you will
11:16get exposure.
11:17But those are actually not the causes.
11:19If you can see it, there is smoking which you need to save.
11:23So there will be a message that you will see at this time?
11:26The message is this, to my friends, to my brother, to my brother, to my brother.
11:31If you don't have any symptoms, you don't have any symptoms, most of the time, the
11:40early stage of cancer, they don't have any symptoms.
11:43You have to remove them regularly, a simple ultrasound of your abdomen.
11:48If you don't have any symptoms, you don't have any symptoms.
11:53Especially after the age of 40 years, where they are at more risk of having cancer.
11:58And there is no need to be any symptoms.
12:01It's a simple ultrasound, which there is no radiation, no hazard, no ultrasound.
12:05In the hospital, in the hospital, in the hospital, available, you can have a six months
12:09for a routine ultrasound.
12:12And those patients are more important for them.
12:15If you have a cancer in family, you can have a cancer in your family.
12:17And if you have a genetic disorder, genetic disorder, genetic problem, they are more important for them.
12:24My brother, I love you.
12:25My brother, I love you.
12:26And I love you.
12:27My brother, I love you.
12:28Thank you so much, Parvayas.
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