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                        Challenges in Management of Cancer with Constraints




             Dr. Pankaj Chowdhary

             Contributing Authors Affiliations:








       Majority of our patients with common cancers hail from rural and semi-urban  cities. It is an established fact that fewer

       than  10%  require  specialised  technology  for  their  management.  Over  the  three  decades  of  my  experiences  in
       managing cancers at such places various challenges confront us. These need to be identified and with “Optimization &
       Ethics” as gold standards they are to be addressed. Few case studies to explain this philosophy will be shared.

       Patients with curative intent to be pursued vigorously and those requiring “palliative protocols”  managed with caring
       till  end- of -life as motto.  Each one to analyse in their set-up
                                                    What should be done and what is being done.















































             Corresponding Author
             Dr. Pankaj Chowdhary,
             MD, FUICC,
             Consultant Clinical Oncologist,
             Siliguri, West Bengal






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