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, […]

Pancreatic Cancer


Pancreatic cancer (adenocarcinoma) is a lethal disease with poor prognosis. The average lifetime risk of developing pancreatic carcinoma is one in 67 (1.5%) with an increasing number of cases diagnosed each year. The average five-year survival rate for pancreatic cancer is only 5%. Death rates from pancreatic cancer have continued to increase in Europe since […]

Cervical Cancer Prevention


 Cervical cancer incidence in Singapore has fallen consistently over the last 20 years. During the period of 1973-1977, the age standardised rate for cervical cancer was 17.5/100,000. This fell to 6.7/100,000 during the period of 2008-2012, making cervical cancer the 10th most common cancer in females. Among the cancers that affect women, cervical cancer is […]

Nasopharyngeal Cancer


Diagnosis and treatment measures Nasopharyngeal cancer is a disease that has a distinctive geographical distribution and its incidence is highest in the population of south eastern China. The incidence is also high among the populations in the countries of Southeast Asia and North Africa (e.g. Algeria and Morocco), as well as among natives of the […]

Early Stage Bladder Cancer

Bladder - Female Organs - Human Anatomy

Can it be cured? The bladder is a hollow muscular organ whose twin functions are to store and to empty urine produced by the kidneys. Bladder cancer refers to the uncontrolled growth of cells in the lining of the bladder wall, and occurs most commonly in chronic tobacco smokers. Occupational exposure to chemicals, such as […]

Breast Imaging


Recent updates Breast cancer is the most common type of cancer in women worldwide and the leading cause of cancer deaths in Singapore. Breast cancer screening has been instituted in Singapore since 2002 with the aim of early detection of malignancy. Current imaging modalities available are discussed and recent developments which attempt to overcome the […]

Paediatric Oncology


Paediatric Oncology Five vanishing practices Introduction Paediatric haematology is one of the most rapidly changing specialties. From a group of almost incurable illnesses half a century ago, childhood malignancies are not fatal in most affected children with contemporary treatment in developed countries. Improvements in basic science, treatment modalities and supportive care have made the conquest […]

HPV Vaccination

Syringe and vials

Since the discovery of the HPV virus as the cause of cervical cancer in the 1970s by Professor Harald Zur Hausen, the fight against cervical cancer has taken a significantly positive turn especially in terms of screening and prevention. Cytology-based screening has been the mainstay of preventing cervical cancer by early detection and treatment of […]

Cervical Cancer

Female ovary anterior view

About half a million new cases of cervical cancer are diagnosed each year.1 About 80% of the cases occur in developing countries and it is a major cause of mortality with approximately 250,000 deaths per year. However, in Singapore, as a result of Pap smear screening and early detection and treatment of pre-invasive cervical lesions, […]

Thyroid Cancer


Patients presenting with problems of the thyroid gland is a common occurrence. One of the more common problems is the complaint of thyroid nodules. Thyroid nodules usually present in three ways. They can either be detected by the patient, brought to the patient’s attention by another party, or they can be detected incidentally. Improvements in […]

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