Cancer :: CA Larynx and Homoeopathy

by

Dr. Rajneesh Kumar Sharma

Cancer :: CA Larynx and Homoeopathy:

Cancer of the larynx is rare. Fewer than 1 in every 100 cancers is a cancer of the larynx. Cancer of the larynx is more common in men than in women. For every 4 men diagnosed, there is 1 woman diagnosed.

Carcinoma Larynx:
Polypoid lesions; mixed epithelial and spindle cell tumors.
Carcinoma with spindle cell differentiation

SYNONYM(S):
Metaplastic carcinoma.
Carcinosarcoma.
Pleomorphic carcinoma.

SEX:
Predominantly male (85%), in head and neck regions.

ANATOMIC LOCATION:
Anus, Bladder.
Breast - Conventional carcinoma may be glandular or squamous.
Cervix, Esophagus, Gall bladder, Small intestine.
Kidney - see related lesion entry for Sarcomatoid renal cell carcinoma.
Large intestine/rectum/anus, Larynx.
Lung - Conventional carcinoma is usually squamous.
Oral cavity.
Ovary - See related lesion entry for Carcinosarcoma of uterus and other gynecologic organs.
Pancreas, Pharynx, Prostate, Skin, Stomach, Small intestine, Thymus, Thyroid, Vagina.

CLINICAL INFORMATION:
In head and neck region, no correlation with risk factors (alcohol, tobacco, etc.).

GROSS APPEARANCE:
Often polypoid.

HISTOLOGY:
Some authorities prefer "carcinosarcoma" when heterologous elements present and "metaplastic carcinoma" when specific elements are lacking. We prefer "carcinoma with spindle cell differentiation" for all lesions as prognosis and immunohistochemistry are similar. Conventional carcinoma is typically seen in a specific organ admixed with a malignant spindle cell component. Malignant cells may merge in with conventional carcinoma or show abrupt transition between the two. Spindle cell component may be "nonspecific" with fascicles or storiform pattern or show specific differentiation (i.e. malignant cartilage or bone). Generally the spindle cell component is hypercellular and pleomorphic, but may be bland and sparsely cellular. An in-situ conventional carcinoma may be seen. Conventional carcinoma may be limited (may require multiple sectioning for identification). Heterologous elements may be seen.

SPECIAL STAINS/STUDIES:
Keratin immunoreactivity may be seen in spindle cell component both with nonspecific pattern and in cases with more specific differentiation.

BEHAVIOR:
Prognosis is usually poor regardless of histologic pattern.

Case:

Baldev Raj M 43 Rameshwar Pur/ Ca Larynx

P/C Dysphagea.
Marked debility.

H/O Light food.
Tobacco smoking.
Tobacco chewing.

Desire Salt
Warm Food
Tobacco

Aversion Noise

Diagnosis Ca Larynx, advanced stage.
Immuno Diagnostics Pvt. Ltd.
12-03-2003

Plenty of spindle cell component are present. Spindle cell component is hypercellular and pleomorphic. Spindle cell component is arranged in storiform pattern. Some heterologous elements are seen. Some malignant cells are merged in with conventional carcinoma cells.
Impression- Carcinoma with spindle cell differentiation

Rubrics

S. No. Intensity Rubrics No. of Remedies
1 3 GENERALS - CANCEROUS affections 177
2 2 GENERALS - CANCEROUS affections - advanced stage 32
3 1 GENERALS - CANCEROUS affections - smoking; from 1
4 3 LARYNX AND TRACHEA - CANCER 11
5 2 LARYNX AND TRACHEA - CANCER - Larynx 9
6 1 GENERALS - CACHEXIA 46
7 2 GENERALS - CACHEXIA - cancer; from 23
8 1 GENERALS - MALIGNANT disease processes 13
9 2 GENERALS - TOBACCO - desire for tobacco 79

Repertorization

ars. con. hydr. phos. thuj. nit-ac. phyt. lap-a. sil. iod.
14    13    13    13     13     12     11     10      10   9
1 3    3      2      3       2       3        3       2        3 2
2 - 1 1 1 - - 1 1 - -
3 - 1 - - - - - - - -
4 1 1 1 1 1 1 1 1 1 1
5 1 - 1 1 1 1 - 1 1 -
6 3 - 1 1 1 3 1 - - 2
7 1 1 1 - 1 1 1 - 1 1
8 1 - - - - 1 - - - -
9 2 1 - 2 1 - - - - -


Potential Differential Field
Debility profound, desire warm food, aversion noise, extreme desire for tobacco.

First Prescription
03-07-2003
Arsenic album 200 OD
Hydrastis Q TDS

Second Prescription
18-07-2003
Little Better.
Thirstlessness.
Rx
Lapis albus 30 TDS
Hydrastis Q TDS

Third Prescription
27-08-2003
Much Better
Appetite good
Cheerful and energetic.
Rx
SL
Hydrastis Q TDS

Fourth Prescription
14-09-2003
Dyspnoea.
Nausea
Haemetemesis
Rx
Ars alb 200 Stat
Lapis albus 30 TDS
Phytolacca D Q TDS

Fifth Prescription
15-09-2003
Haemetemesis
Worsened
Cold Perspiration
Rx
Carbo veg 6 one hourly.

Too his last breathe at 07.00 am on 16-09-2003

Result:

The case was first much improved but afterwards deteriorated and then died. This indicates the case was borderline with gross pathological changes and could not be cured. Nevertheless, the homoeopathy did its wonderful work and well proved its worthiness even in such type of really incurable cases.

Case Cured by:

Dr. Rajneesh Kumar Sharma
Homoeo Cure & Research Centre P. Ltd.
NH 74, Moradabad Road, Kashipur (Uttaranchal) 244713 India
Ph- 05947- 275535, 260327, 274338, 277418
Fax- 274338, 275535; Cells- 98 976 18594, 98 976 21896
Email:  drrajneeshhom@hotmail.com,  drrajneshhom@yahoo.co.in