Lung Cancer


Management in four critical questions and their answers by Dr Akash Verma “You mean there is no cure for me?”… These are the words of a well-educated 46 years old female patient who was diagnosed with advanced lung cancer (adenocarcinoma) 10 years ago, and who I still remember 10 years later. For a long time, […]

Anxiety and Depression


A leading cause of disease burden in Singapore by Dr Chua Siew Eng Anxiety and depression are common, and cause significant disease burden in Singapore. They are highly treatable, but only one in three people with mental health problems will seek help. This article outlines symptoms of anxiety and depression, the “maladaptive” stress model, the […]

What is Rosacea?


Understanding the condition and its management by Dr Lynn Chiam Rosacea is a chronic cutaneous disorder that primarily affects the central region of the face and is characterised by chronic inflammation and fibrosis. The standard classification system for rosacea describes four distinct clinical subtypes.1 Erythematotelangiectatic rosacea (ETR) is characterised by flushing and persistent central facial […]

Management of Small Kidney Masses: Separating the wheat from the chaff


Kidney cancer accounts for 3% of all cancers and the worldwide incidence is increasing at 2% to 3% annually.1 It is one of the top 10 cancers worldwide and the 9th most common cancer in Singaporean men. In the USA alone, according to the American Cancer Society, an estimated 62,700 new cases of kidney cancer […]

Liver Transplantation Can Cure Liver Cancer: What we need to know

Male liver anatomy

The most common type of liver cancer in Singapore is primary liver cancer, specifically hepatocellular carcinoma (HCC). This is a type of cancer which originates from liver cells. According to data from a 2012 report of the World Health Organization (WHO), there were 782,000 new cases per year of liver cancer worldwide. It is the […]

Mediterranean Diet: The benefits to health and nutrition

Ingredients for salad with salmon, cherry tomatoes and lettuce on a wooden chopping board on rustic white background, selective focus

Recognised by UNESCO (United Nations Educational, Scientific and Cultural Organization) in 2013 as an Intangible Cultural Heritage of Humanity of Italy, Portugal, Spain, Greece, Cyprus, Croatia and Morocco, the Mediterranean diet (MD) involves a set of skills, knowledge, rituals, symbols and traditions concerning crops, harvesting, fishing, animal husbandry, conservation, processing, cooking, and particularly the sharing […]

Chronic Heart Failure: How to manage the condition


A 60-year-old man complains of progressive shortness of breath when he walks up the slope or when he walks to the nearby market. He also complains of breathlessness when he lies flat on the bed at night and has to sleep on two pillows to feel better. Occasionally, when he is sleeping, the breathlessness gets quite […]

Heart Murmur: When to evaluate?


Murmurs are unusual sounds that occur during a heart cycle, heard by a doctor using a stethoscope. They can indicate turbulent or abnormal blood flow across the heart valves or other holes in the heart. A heart cycle consists of a systolic phase (ejection of blood from the left heart ventricle) and a diastolic phase […]

Fibroids and Fertility: What every practitioner should know


Uterine fibroids or leiomyomata are smooth muscle cell tumours. They are the most common benign gynaecologic tumour in women of reproductive age. The lifetime prevalence is around 30%. They are rarely found before menarche and usually regress after menopause. They are hormonally responsive, and oestrogens appear to promote their growth. One in four women with […]

Breast Conservation Surgery: Getting rid of cancer doesn’t always mean getting rid of your breasts too!


The diagnosis of breast cancer does not equate to losing ones’ breast. There is good long term evidence to show that a lumpectomy (also known as wide excision or breast conservation surgery) followed by radiotherapy has equivalent survival outcomes as mastectomy for early breast cancer. For women with more advanced breast cancer, chemotherapy or hormonal […]

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