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BENGALI
BENGALI
Bengali
Cancerbackup Factsheet

SURGERY

This factsheet gives you some basic information about surgery for cancer.

Surgery means treating illness by cutting away body tissue. It is one of the main
treatments for cancer. Usually a surgical knife (scalpel) is used. Another way is to
use high-energy light beams (lasers) that can cut through body tissue. Sometimes a
small metal rod (probe) which freezes cells is used to destroy tissue and this is
known as cryotherapy.

What is cancer?

The organs and tissues of the body are made up of tiny building blocks called cells.
Cancer is a disease of these cells. Although cells in each part of the body may look
and work differently, most repair and reproduce themselves in the same way.
Normally this takes place in an orderly and controlled way, but if the process gets out
of control the cells will divide much more rapidly than normal cells and will form a
lump called a tumour. Tumours can be either benign or malignant. Cancer is the
name given to a malignant tumour. Many people with cancer will have radiotherapy
as part of their treatment.

What is surgery used for?

Cancer surgery can be used for a number of purposes:

Diagnosis To confirm the diagnosis of cancer and find out about the type of cancer,
the surgeon may remove a small piece of tissue. The sample is then examined in the
laboratory. This is called a biopsy.

Treatment Where possible, surgery is used to remove the tumour and surrounding
tissues that might contain cancer cells. Occasionally, surgery is used to remove
cancer cells that have spread from an original tumour into another part of the body,
such as the lung or liver.

Staging This is the process that doctors use to work out whether the cancer is just
in the place in which it first started, or whether it is likely to spread to other parts of
the body. Staging can be done at the same time as surgery to remove a tumour.
Information about the stage of the cancer is used to plan treatment.

Reconstruction Surgery can be used to restore:


x a part of the body: for example, to create a new bladder
x the appearance of part of the body: for example, breast reconstruction after a
mastectomy (an operation to remove the breast).

Palliation If the cancer cannot be completely removed or cured, surgery can


sometimes still help by removing or bypassing a tumour to reduce its effects, such as
blockage, discomfort or other complications.

1
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fl¡…±k±¬ı˛¬ı…±flƒ¡’±¬Ûƒ (Cancerbackup) Œfl¡À˜±ÀÔ¬ı˛±¬Ûœ ¤¬ı— Œ¬ı˛øά›ÀÔ¬ı˛±¬Ûœ ¸•ÛÀfl«¡ Ó¬Ô…¬ÛS ’±¬ÛÚ±¬ı˛ øÚÀÊ√¬ı˛


ˆ¬±¯∏±˚˛ ’±¬ÛÚ±Àfl¡ ¬Û±Í¬±ÀÓ¬ ¬Û±À¬ı˛

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øÚø(Ó¬ˆ¬±À¬ı˝◊√ fl¡…±k±¬ı˛ ¸±¬ı˛±ÀÓ¬ ¬Û±¬ı˛À¬ı øfl¡Ú± Ó¬± ’±·±˜ ¬ı˘± ¸y¬ı Ú˚˛º ˚ø√› ¶®…±Ú fl¡¬ı˛±¬ı˛ ¬Û¬ı˛ Œ√‡± Œ˚ÀÓ¬ ¬Û±À¬ı˛ Œ˚ ¸¬ı øfl¡Â≈√
Œ¬ı˙ ¬Ûø¬ı˛©®±¬ı˛, øfl¡Â≈√ Ê√œ¬ıÀfl¡±¯∏ ’À¶a±¬Û‰¬±À¬ı˛¬ı˛ ’±À·˝◊√ õ∂Ò±Ú øȬά◊˜±¬ı˛ ŒÔÀfl¡ ’±˘±√± ˝√√À˚˛ ø·À˚˛ ˙¬ı˛œÀ¬ı˛¬ı˛ ’Ú… Œfl¡±Ú ’—À˙
Â√øάˇÀ˚˛ ¬ø·À˚˛ Ô±fl¡ÀÓ¬ ¬Û±À¬ı˛º ¤˝◊√¸¬ı Ê√œ¬ıÀfl¡±À¯∏¬ı˛ ’±fl¡±¬ı˛ ˚‡Ú ‡≈¬ı˝◊√ ŒÂ√±È¬ Ó¬‡Ú ¶®…±Ú fl¡À¬ı˛í Ó¬±À√¬ı˛ ¸¬ı ¸˜À˚˛ Œ√‡± ˚±˚˛ Ú±º

fl¡‡ÀÚ± fl¡‡ÀÚ± ¸±Ê«√Ú ’À¶a±¬Û‰¬±À¬ı˛¬ı˛ ¸˜˚˛ ˝√√˚˛ÀÓ¬± Œ√‡À¬ıÚ Œ˚ ¤fl¡È¬± fl¡…±k±¬ı˛ ¸•Û”Ì« ”√¬ı˛ fl¡¬ı˛± ¸y¬ı Ú˚˛º ¶®…±Ú ŒÔÀfl¡ ¸¬ı
¸˜À˚˛ õ∂fl‘¡Ó¬ Â√ø¬ı ¬Û±›˚˛± ˚±˚˛ Ú± ¤¬ı— ’À¶a±¬Û‰¬±¬ı˛ Ú± fl¡¬ı˛± ¬Û˚«ôL ¸±Ê«√Ú¬ı˛± ¬ı≈Á¡ÀÓ¬ ¬Û±À¬ı˛Ú Ú± fl¡…±k±¬ı˛ fl¡Ó¬È¬± Â√øάˇÀ˚˛ ¬ø·À˚˛ÀÂ√º

’À¶a±¬Û‰¬±¬ı˛ øfl¡ˆ¬±À¬ı fl¡¬ı˛± ˝√√˚˛∑ (How is the surgery carried out?)


fl¡…±k±À¬ı˛ ’±Sê±ôL ’—À˙¬ı˛ ‰¬±¬ı˛¬Û±À˙ 븗Sê˜Ì˝√√œÚ ¬Ûø¬ı˛©®±¬ı˛ ¤˘±fl¡±í [‘clear margins’] ¸‘ø©Ü fl¡¬ı˛ÀÓ¬ ¬Û±¬ı˛± ¸±Ê«√Ú-¤¬ı˛ Ê√Ú…
Ê√è¬ı˛œº ’Ô«±» øȬά◊˜±¬ı˛-¤¬ı˛ ‰¬±¬ı˛¬Û±˙ ø‚À¬ı˛ ‡±øÚfl¡È¬± ¸≈¶ö Œfl¡±¯∏, ˚±À√¬ı˛ ˜ÀÒ… fl¡…±k±À¬ı˛ ¸—Sêø˜Ó¬ Ê√œ¬ıÀfl¡±¯∏ ŒÚ˝◊√, ¸ø¬ı˛À˚˛
ŒÙ¬˘ÀÓ¬ ¬Û±¬ı˛± √¬ı˛fl¡±¬ı˛º ’À¶a±¬Û‰¬±À¬ı˛¬ı˛ ¸˜À˚˛ Œ˚ Œfl¡±¯∏ Œfl¡ÀȬ ¬ı±√ Œ√›˚˛± ˝√√À26√ Ó¬± ˜±˝◊√ÀSê±À¶®±¬Û ¬ı± ’Ì≈¬ıœé¬Ì ˚ÀLa¬ı˛ ¸±˝√√±À˚…
¬Û¬ı˛œé¬± fl¡À¬ı˛í Œ√‡± ˝√√À¬ı Œ˚ ¤È¬± øͬfl¡˜ÀÓ¬± fl¡¬ı˛± ˝√√À˚˛ÀÂ√ øfl¡Ú±º ¤È¬± Ê√è¬ı˛œ ¤˝◊√ Ê√Ú… Œ˚ ¸—Sê˜Ì˝√√œÚ ¬Ûø¬ı˛©®±¬ı˛ ¤˘±fl¡± ¸‘ø©Ü
fl¡¬ı˛ÀÓ¬ ¬Û±¬ı˛À˘ fl¡…±k±À¬ı˛ ¸—Sêø˜Ó¬ Œfl¡±Ú Ê√œ¬ıÀfl¡±¯∏ ˙¬ı˛œÀ¬ı˛¬ı˛ ŒÔÀfl¡ ˚±›˚˛±¬ı˛ Á“≈¡øfl¡ ˚Ô±¸y¬ı fl¡˜±ÀÚ± ˚±˚˛ ¤¬ı— ’±¬ı±¬ı˛ fl¡…±k±¬ı˛
˝√√›˚˛±¬ı˛ Á“≈¡øfl¡› fl¡À˜º

2
If your cancer has spread by the time you are diagnosed, you may not be offered
surgery as your main treatment. This is because surgery alone will not cure you.
Depending on the type of cancer you have, you may be offered a treatment that
treats cancer cells throughout the body, such as chemotherapy, hormonal therapy or
immunotherapy. Radiotherapy may also be used to help to control a cancer that
cannot be treated surgically. Sometimes treatment can be given to reduce the size of
a cancer so that less surgery is needed.

Cancerbackup can send you factsheets about radiotherapy in your language

The right surgeon for the job

To diagnose your cancer, you may be seen by a specialist surgeon at your local
hospital. For example, you will see a breast surgeon if you think you may have breast
cancer or a gastrointestinal surgeon if you think that you may have stomach cancer.

For some types of surgery you may need to see a specialist surgeon who is expert in
the particular type of surgery that you need. This may mean that you have to have
your treatment at a specialist cancer centre, which may be at some distance from
where you live. If you want to know where you will be treated, you can talk to your
GP. He or she can explain the procedure and if necessary arrange for you to see
another doctor for a second medical opinion. You can also ask your surgeon if he or
she specialises in your type of cancer.

Can the surgeon cure my cancer?

The surgeon will remove the tumour and a surrounding area of normal tissue. It is not
possible to say whether an operation will definitely cure a cancer. Although scans
may look clear, cells could have broken away from the main tumour before surgery
and spread to another part of the body. When these groups of cells are very small
they do not always show up on a scan.

Sometimes a surgeon will find during the operation that a cancer cannot be
completely removed. Scans do not always give the true picture and surgeons will
not always know the extent of the cancer until they operate.

How is the surgery carried out?

It is important for the surgeon to obtain ‘clear margins'. This means a border of
healthy tissue, with no cancer cells in it, should have been taken away from all
around the tumour. The tissue that is removed during the operation will be examined
under the microscope to make sure this has been done. It is important because a
clear margin minimises the risk of any cancer cells being left behind and helps to
reduce the risk of the cancer coming back.

Your surgeon will also often remove the lymph nodes that are nearest to your
tumour. This is done because this is where cancer cells are most likely to spread to.
A pathologist, who is a doctor that specialises in diagnosing disease by examining
tissues under a microscope, will test to see whether the lymph nodes contain cancer
cells. If they do, there may be an increased risk of the cancer coming back in the
future and you may need more treatment after your operation.

2
’±¬ÛÚ±¬ı˛ øȬά◊˜±¬ı˛-¤¬ı˛ ¸¬ıÀ‰¬À˚˛ fl¡±Â√±fl¡±øÂ√ Œ˚í¸¬ı ë˘œ•£¬ ŒÚ±Î¬í [lymph nodes] ¬ı± ˘ø¸fl¡±-¢∂øLö ’±ÀÂ√, ’±¬ÛÚ±¬ı˛ ¸±Ê«√Ú
õ∂±˚˛˝◊√ Œ¸&ø˘› ¬ı±√ ø√À˚˛ Œ√À¬ıÚº ¤È¬± fl¡¬ı˛± ˝√√˚˛ ¤˝◊√ fl¡±¬ı˛ÀÌ Œ˚ ¤À√¬ı˛ ˜ÀÒ…˝◊√ fl¡…±k±À¬ı˛ ¸—Sêø˜Ó¬ Ê√œ¬ıÀfl¡±¯∏&ø˘¬ı˛ Â√øάˇÀ˚˛
¬Ûάˇ±¬ı˛ ¸y±¬ıÚ± ¸¬ıÀ‰¬À˚˛ Œ¬ı˙œº ¤fl¡Ê√Ú ¬Û…±Ô˘øÊ√à ¬[Œ¬ı˛±·ø¬ı√…±ø¬ıƒ√], ø˚øÚ ˝√√À˘Ú ’Ì≈¬ıœé¬Ì ˚ÀLa¬ı˛ ¸±˝√√±À˚… ˙¬ı˛œÀ¬ı˛¬ı˛
Œfl¡±¯∏&ø˘ ¬Û¬ı˛œé¬± fl¡À¬ı˛í Œ¬ı˛±· øÚÌ«˚˛ fl¡¬ı˛±˚˛ ø¬ıÀ˙¯∏:, ¬Û¬ı˛œé¬± fl¡À¬ı˛í Œ√‡À¬ıÚ ˘ø¸fl¡±-¢∂øLö&ø˘¬ı˛ ˜ÀÒ… fl¡…±k±À¬ı˛ ¸—Sêø˜Ó¬
Ê√œ¬ıÀfl¡±À¯∏¬ı˛ ’øô¶Q ’±ÀÂ√ øfl¡Ú±º ˚ø√ Ô±Àfl¡, Ó¬±˝√√À˘ ˆ¬ø¬ı¯∏…ÀÓ¬ ’±¬ı±À¬ı˛± fl¡…±k±¬ı˛ ˝√√›˚˛±¬ı˛ Á“≈¡øfl¡ Œ¬ıÀάˇ ˚±˚˛ ¤¬ı— ’À¶a±¬Û‰¬±À¬ı˛¬ı˛
¬Û¬ı˛ ’±¬ÛÚ±¬ı˛ ’±À¬ı˛± øfl¡Â≈√ ø‰¬øfl¡»¸±¬ı˛ √¬ı˛fl¡±¬ı˛ ˝√√ÀÓ¬ ¬Û±À¬ı˛º

’±¬ÛÚ±¬ı˛ ’À¶a±¬Û‰¬±À¬ı˛¬ı˛ ’±À· (Before your operation)


’±¬ÛÚ±¬ı˛ ¸±Ê«√Ú ¤¬ı— ’…±Ú±¸ƒÀÔøÈ¬à ’±¬ÛÚ±¬ı˛ ’À¶a±¬Û‰¬±À¬ı˛¬ı˛ ¸˜À˚˛ › ¬ÛÀ¬ı˛ ’±¬ÛÚ±¬ı˛ ¬ˆ¬±À˘±˜Àµ¬ı˛ Ê√Ú… √±˚˛œº ¸±Ê«√Ú ˝√√À˘Ú
Œ¸˝◊√ ¬ı…øMê√ ø˚øÚ ’À¶a±¬Û‰¬±¬ı˛ fl¡¬ı˛À¬ıÚº ’…±Ú±¸ƒÀÔøȬà øÚø(Ó¬ fl¡¬ı˛À¬ıÚ Œ˚ ’À¶a±¬Û‰¬±À¬ı˛¬ı˛ ¸˜À˚˛ ’±¬ÛøÚ Œ˚Ú ‚≈ø˜À˚˛ Ô±Àfl¡Úº
Ó“¬±À√¬ı˛ ’¬ı˙…˝◊√ øÚø(Ó¬ ˝√√ÀÓ¬ ˝√√À¬ı Œ˚ ’±¬ÛøÚ ’À¶a±¬Û‰¬±À¬ı˛¬ı˛ Ê√Ú… ˙±¬ı˛œø¬ı˛fl¡ˆ¬±À¬ı ˚ÀÔ©Ü ¸≈¶öº ¤íÊ√Ú… ’±¬ÛÚ±¬ı˛ øfl¡Â≈√ ¬Û¬ı˛œé¬± fl¡¬ı˛±
˝√√ÀÓ¬ ¬Û±À¬ı˛, Œ˚˜Ú ¬ı≈Àfl¡¬ı˛ ¤'-Œ¬ı˛ ¤¬ı— ’±¬ÛÚ±¬ı˛ Ù≈¬¸ƒÙ≈¬¸ƒ › ˝√√+»ø¬ÛÀG¬ı˛ ’¬ı¶ö± ¬˚±‰¬±˝◊√ fl¡¬ı˛±¬ı˛ Ê√Ú… ˝◊√À˘flƒ¡À¬∏C±fl¡±øΫ¬À˚˛±¢∂±˜ ¬ı±
˝◊√ø¸øÊ√º ’±¬ÛÚ±¬ı˛ ’À¶a±¬Û‰¬±¬ı˛ ˚ø√ √œ‚« ¸˜˚˛ ÒÀ¬ı˛ ‰¬˘±¬ı˛ ¸y±¬ıÚ± Ô±Àfl¡ Ó¬±˝√√À˘ ’±¬ÛÚ±¬ı˛ ≈√˝◊√ øfl¡Îƒ¬Úœ ¬ı± ¬ı‘!¡ fl¡Ó¬È¬± ˆ¬±À˘±ˆ¬±À¬ı
fl¡±Ê√ fl¡¬ı˛ÀÂ√ Ó¬± øfl¡Â≈√ ¬ı˛Mê√ ¬Û¬ı˛œé¬±¬ı˛ ¡Z±¬ı˛± ŒÊ√ÀÚ ŒÚ›˚˛± ˝√√À¬ı, Œ˚À˝√√Ó≈¬ ¤¬ı˛ √èÌ ’±¬ÛÚ±¬ı˛ øfl¡Îƒ¬Úœí¬ı˛ ά◊¬ÛÀ¬ı˛ ‰¬±¬Û ¸‘ø©Ü ˝√√ÀÓ¬ ¬Û±À¬ı˛º

’±¬ÛÚ±¬ı˛ ά◊¬Û¬ı˛ ¸±Ò±¬ı˛Ì ’…±Ú±¸ƒÀÔøȬfl¡ ¬ı± ‚≈˜¬Û±Î¬ˇ±øÚ ›¯∏≈Ò õ∂À˚˛±· fl¡¬ı˛±¬ı˛ Ê√Ú… ˚ø√ ’±¬ÛÚ±Àfl¡ ˚ÀÔ©Ü ¸≈¶ö ˜ÀÚ Ú± fl¡¬ı˛± ˝√√˚˛,
Ó¬±˝√√À˘› ’±¬ÛÚ±¬ı˛ ’À¶a±¬Û‰¬±¬ı˛ ¸y¬ıº øfl¡Â≈√ øfl¡Â≈√ ’À¶a±¬Û‰¬±¬ı˛ Œ˘±fl¡…±˘ ’…±Ú±¸ƒÀÔøȬfl¡ ¬ı± ˙¬ı˛œÀ¬ı˛¬ı˛ ø¬ıÀ˙¯∏ ’—À˙ õ∂À˚˛±À·¬ı˛
ά◊¬Û˚≈Mê√ ’Ú≈ˆ”¬øÓ¬Ú±˙fl¡ ›¯∏≈Ò ’Ô¬ı± ¤ø¬Ûøάά◊¬ı˛…±˘ [Œ˜è√ÀG õ∂À˚˛±·À˚±·… ’Ú≈ˆ”¬øÓ¬Ú±˙fl¡ ¬Û√±Ô«] ¬ı…¬ı˝√√±¬ı˛ fl¡À¬ı˛› fl¡¬ı˛± ˚±˚˛º
¤˝◊√¸¬ı ¬ÛXøÓ¬ ˚ø√ ¬ı…¬ı˝√√±¬ı˛ fl¡¬ı˛± ˝√√˚˛ Ó¬±˝√√À˘ ’À¶a±¬Û‰¬±À¬ı˛¬ı˛ ¸˜˚˛ ’±¬ÛøÚ ŒÊ√À· Ô±fl¡À¬ıÚº

’±¬ÛÚ±¬ı˛ ’À¶a±‰¬±¬ı˛ ¸•ÛÀfl«¡ ¸¬ı øfl¡Â≈√ ’±¬ÛøÚ Œ˚Ú ¬ı≈Á¡ÀÓ¬ ¬Û±À¬ı˛Ú Œ¸È¬± Ê√è¬ı˛œº ’À¶a±¬Û‰¬±¬ı˛ øÚÀ˚˛ ¸±Ê«√Ú-¤¬ı˛ ¸Àe ’±À˘±‰¬Ú±
fl¡¬ı˛±¬ı˛ ¸≈À˚±· ’±¬ÛÚ±Àfl¡ Œ√›˚˛± ά◊ø‰¬Ó¬º ˚‡Ú ’±¬ÛøÚ ¸±Ê«√Ú-¤¬ı˛ ¸Àe fl¡Ô± ¬ı˘À¬ıÚ Ó¬‡Ú ¤˜Ú fl¡±Î¬◊Àfl¡ ¸Àe ¬ı˛±‡± ˆ¬±À˘± Œ˚
˝◊√—À¬ı˛Ê√œ › ’±¬ÛÚ±¬ı˛ øÚÀÊ√¬ı˛ ˆ¬±¯∏± ≈√˝◊√˝◊√ ¬ı˘ÀÓ¬ ¬Û±À¬ı˛º ¸¬ı øfl¡Â≈√ ¬ı≈Á¡ÀÓ¬ ¬Û±¬ı˛±˚˛ ’±¬ÛÚ±Àfl¡ ¸±˝√√±˚… fl¡¬ı˛±¬ı˛ Ê√Ú… ¤fl¡Ê√Ú Œ√±ˆ¬±¯∏œ¬ı˛
ά◊¬Ûø¶öÓ¬ Ô±fl¡±¬ı˛ ’Ú≈À¬ı˛±Ò› ’±¬ÛøÚ fl¡¬ı˛ÀÓ¬ ¬Û±À¬ı˛Úº ¤fl¡È¬± ¸•úøÓ¬¬ÛÀS ¶§±é¬¬ı˛ fl¡À¬ı˛í ’±¬ÛÚ±Àfl¡ Ê√±Ú±ÀÓ¬ ˝√√À¬ı Œ˚ ’À¶a±¬Û‰¬±À¬ı˛
’±¬ÛøÚ ¬ı˛±øÊ√ ’±ÀÂ√Úº ’±¬ÛÚ±¬ı˛ øÚÀÊ√¬ı˛ ˆ¬±¯∏±˚˛ Œ˘‡± ¸•úøÓ¬¬ÛS ¬Û±›˚˛± ˚±›˚˛± ά◊ø‰¬Ó¬º ’±¬ÛÚ±¬ı˛ ¸•úøÓ¬ Â√±Î¬ˇ± Œfl¡±Ú ¬ı˛fl¡˜
’À¶a¬Û‰¬±¬ı˛ fl¡¬ı˛± ˝√√À¬ı Ú±º

øÚ¬ı˛±¬ÛM√√±¬ı˛ fl¡±¬ı˛ÀÌ, ’±¬ÛÚ±Àfl¡ ¬ı˘± ˝√√À¬ı ’À¶a±¬Û‰¬±À¬ı˛¬ı˛ Ê√Ú… ’¬Û±À¬ı˛øȬ— øÔÀ˚˛È¬±¬ı˛ ¬ı± ’À¶a±¬Û‰¬±¬ı˛ fl¡Àé¬ ˚±›˚˛±¬ı˛ ’±À· ¸˜ô¶
¬ı˛fl¡˜ ·˝√√Ú± ¬ı± Ò±Ó≈¬¬ı˛ ∆Ó¬¬ı˛œ øÊ√øÚ¯∏ ’±¬ÛÚ±¬ı˛ ˙¬ı˛œ¬ı˛ ŒÔÀfl¡ ‡≈À˘ ¬ı˛±‡ÀÓ¬º Œfl¡±Ú Œfl¡±Ú ¬Ûø¬ı˛ø¶öøÓ¬ÀÓ¬ ’À¶a±¬Û‰¬±¬ı˛ ‰¬˘±¬ı˛ ¬Û≈À¬ı˛±
¸˜À˚˛ ·˝√√Ú± ¬ÛÀ¬ı˛í Ô±fl¡± ’±¬ÛÚ±¬ı˛ ¬ÛÀé¬ ¸y¬ı ˝√√ÀÓ¬ ¬Û±À¬ı˛º Œfl¡±Ú øÊ√øÚ¯∏ ˚ø√ ’±¬ÛÚ±Àfl¡ ‡≈À˘ ¬ı˛±‡ÀÓ¬ ˝√√˚˛, ¶§±ˆ¬±ø¬ıfl¡ˆ¬±À¬ı
’À¶a±¬Û‰¬±À¬ı˛¬ı˛ ’ä øfl¡Â≈√é¬Ì ¬ÛÀ¬ı˛˝◊√ ’±¬ÛøÚ Œ¸&ø˘ ’±¬ı±¬ı˛ ¬Û¬ı˛ÀÓ¬ ¬Û±¬ı˛À¬ıÚº

Œ˚ Œfl¡±Ú ’À¶a±¬Û‰¬±À¬ı˛¬ı˛ ’±À· ’±¬ÛÚ±Àfl¡ ¬ı˘± ˝√√À¬ı fl¡À˚˛fl¡ ‚KI◊± øfl¡Â≈√ Ú± Œ‡ÀÓ¬ ¬ı± Ú± ¬Û±Ú fl¡¬ı˛ÀÓ¬º

’±¬ÛÚ±¬ı˛ ¶ß±Ú fl¡¬ı˛±¬ı˛ ¤¬ı— ˙¬ı˛œÀ¬ı˛¬ı˛ Œ˚‡±ÀÚ ’À¶a±¬Û‰¬±¬ı˛ fl¡¬ı˛± ˝√√À¬ı Œ¸˝◊√ ’—À˙¬ı˛ ‰≈¬˘ fl¡±ø˜À˚˛ ŒÙ¬˘±¬ı˛ õ∂À˚˛±Ê√Ú› ˝√√ÀÓ¬ ¬Û±À¬ı˛º
Œ˚ Ú±¸« ’±¬ÛÚ±¬ı˛ Œ√‡±À˙±Ú± fl¡¬ı˛À¬ıÚ øÓ¬øÚ ¤˝◊√ ¬ı…±¬Û±À¬ı˛ ’±À¬ı˛± ø¬ıô¶±ø¬ı˛Ó¬ ’±¬ÛÚ±Àfl¡ Ê√±Ú±À¬ıÚº ˙¬ı˛œÀ¬ı˛¬ı˛ ‰≈¬˘ ¤fl¡˜±S øÚÓ¬±ôL
õ∂À˚˛±Ê√Ú ˝√√À˘ Ó¬‡Ú˝◊√ fl¡±˜±ÀÚ± ˝√√À˚˛ Ô±Àfl¡º ¤È¬± fl¡¬ı˛± ˝√√˚˛ ¤fl¡¬ı±¬ı˛ ¬ı…¬ı˝√√±À¬ı˛¬ı˛ ¬Û¬ı˛ ŒÙ¬À˘ Œ√›˚˛±¬ı˛ ά◊¬Û˚≈Mê√ é≈¬¬ı˛ ø√À˚˛º
’À¶a±¬Û‰¬±À¬ı˛¬ı˛ ¬Û¬ı˛ ‰≈¬˘ ’±¬ı±¬ı˛ ·Ê√±ÀÓ¬ qè fl¡¬ı˛À¬ıº Œ˚ Ú±¸« ’±¬ÛÚ±¬ı˛ Œ√‡±À˙±Ú± fl¡¬ı˛À¬ıÚ øÓ¬øÚ ¤˝◊√ ¬ı…±¬Û±À¬ı˛ ’±À¬ı˛± ø¬ıô¶±ø¬ı˛Ó¬
’±¬ÛÚ±Àfl¡ Ê√±Ú±À¬ıÚº

’À¶a±¬Û‰¬±À¬ı˛¬ı˛ ’±À· øfl¡Â≈√ Œ˘±fl¡ Ó¬±À√¬ı˛ ¸•x√±À˚˛¬ı˛ Ò˜π˚˛ ŒÚÓ¬±À√¬ı˛ ¸Àe fl¡Ô± ¬ı˘ÀÓ¬ ‰¬±˝◊√ÀÓ¬ ¬Û±À¬ı˛º ’±¬ÛÚ±¬ı˛ Ê√Ú… ¤˝◊√ ¬ı…¬ı¶ö±
Œ¬ı˙œ¬ı˛ ¬ˆ¬±· ˝√√±¸¬Û±Ó¬±À˘˝◊√ fl¡¬ı˛± ¸y¬ıº ˚ø√ ’±¬ÛøÚ fl¡±À¬ı˛± ¸Àe fl¡Ô± ¬ı˘ÀÓ¬ ‰¬±Ú, Ú±¸«Àfl¡ Ó¬± Ê√±Ú±À¬ıÚº

’±¬ÛÚ±¬ı˛ ’À¶a±¬Û‰¬±À¬ı˛¬ı˛ ¬ÛÀ¬ı˛ (After your surgery)


ø¬ıÀ˙¯∏ ø¬ıÀ˙¯∏ Ò¬ı˛ÀÚ¬ı˛ fl¡…±k±¬ı˛ ¸•ÛÀfl«¡ fl¡…±k±¬ı˛¬ı…±flƒ¡’±¬Ûƒ õ∂fl¡±ø˙Ó¬ ¬Û≈øô¶fl¡±˚˛ øÚø«√©Ü Ò¬ı˛ÀÚ¬ı˛ fl¡…±k±¬ı˛ Œ¬ı˛±À·¬ı˛ ’À¶a±¬Û‰¬±¬ı˛
¸•ÛÀfl«¡ Ó¬Ô… Œ√›˚˛± Ô±Àfl¡º ¤˝◊√¸¬ı ¬Û≈øô¶fl¡± ¬Û±›˚˛± ˚±˚˛ Œfl¡¬ı˘ ˝◊√—À¬ı˛Ê√œ ˆ¬±¯∏±˚˛º Œ¸À¬ı˛ ›Í¬±¬ı˛ Ê√Ú… fl¡Ó¬ ¸˜˚˛ ˘±·À¬ı Œ¸È¬±
’À¶a±¬Û‰¬±À¬ı˛¬ı˛ Ê√øȬ˘Ó¬±¬ı˛ øˆ¬øM√√ÀÓ¬ ø¬ıøˆ¬iß ¬ı˛fl¡˜ ˝√√ÀÓ¬ ¬Û±À¬ı˛º

3
Before your operation

Your surgeon and anaesthetist are responsible for your well-being during and after
your surgery. The surgeon is the person who performs the operation. The
anaesthetist is the person who makes sure you are asleep during the operation. They
must be sure you are fit enough to undergo the operation. You may have tests such
as a chest x-ray and (ECG) to assess your lungs and heart. How well your kidneys
are working may be checked with blood tests if you are likely to have a long
operation, as this may put strain on the kidneys.

If you are not thought to be fit enough for a general anaesthetic, it may still be
possible for you to have surgery. Some operations can be done under local
anaesthetic or epidural (spinal anaesthetic). If these techniques are used, you will be
awake during the operation.

It is important that you understand all about your operation. You should be given an
opportunity to discuss the operation with the surgeon. When you speak to the
surgeon, it is a good idea to take someone with you who speaks both English and
your language. You can also ask for an interpreter to be present to help you
understand. You will need to sign a consent form to say that you agree to the
operation. Consent forms should be available written in your language. No operation
will be done without your consent.

For safety reasons you will be asked to remove any jewellery or metal objects before
going to the operating theatre for the operation. Under some circumstances it may be
possible for you to continue to wear your jewellery throughout the operation. If you
have to remove any items, you should usually be able to wear them again soon after
the operation.

Before any operation you will be asked not to eat or drink anything for a few hours.

You may also need to bathe and shave body hair from the area of the operation. The
nurse looking after you will give you more details about this. Body hair is only shaved
if it is essential. It is done using a disposable razor. The hair will begin to grow back
after the operation. The nurse looking after you will give you more details about this.

Some people like to speak to the religious leaders of their community before an
operation. Most hospitals can arrange this for you. If you would like to speak to
someone, let the nurse know.

After your surgery

Information about operations for specific types of cancer is available in the


Cancerbackup booklets about individual types of cancer. These booklets are only
available in English. The recovery period will vary depending on the extent of the
surgery.

You may have some pain after surgery but will be given painkillers to minimise this.
Good pain control will help you to get up and about as soon as possible. You may
also feel sick and should be given anti-sickness drugs to help control this. If you still
have pain or feel sick, tell the nurse looking after you.

You should be able to get up and about fairly soon after your operation and the ward
staff will help you. Moving around will help you to recover more quickly and help to

3
’À¶a±¬Û‰¬±À¬ı˛¬ı˛ ¬Û¬ı˛ ’±¬ÛøÚ øfl¡Â≈√Ȭ± Œ¬ı√Ú± ’Ú≈ˆ¬¬ı fl¡¬ı˛ÀÓ¬ ¬Û±À¬ı˛Ú Ó¬À¬ı Ó¬± ˚Ô±¸y¬ı fl¡˜ ¬ı˛±‡±¬ı˛ Ê√Ú… ’±¬ÛÚ±Àfl¡ Œ¬ı√Ú±Ú±˙fl¡ ›¯∏≈Ò
Œ√›˚˛± ˝√√À¬ıº Œ¬ı√Ú±Àfl¡ ˆ¬±À˘±ˆ¬±À¬ı øÚ˚˛LaÀÌ ¬ı˛±‡ÀÓ¬ ¬Û±¬ı˛À˘ ˚Ó¬ Ó¬±Î¬ˇ±Ó¬±øάˇ ¸y¬ı ’±¬ÛÚ±¬ı˛ ‰¬À˘øÙ¬À¬ı˛ Œ¬ıάˇ±ÀÓ¬ ¬Û±¬ı˛±˚˛ ¸±˝√√±˚…
˝√√À¬ıº ’±¬ÛÚ±¬ı˛ ¬ıø˜ ¬ıø˜ ˆ¬±¬ı› ˝√√ÀÓ¬ ¬Û±À¬ı˛ ¤¬ı— Œ¸È¬±Àfl¡ øÚ˚˛LaÌ fl¡¬ı˛±˚˛ ¸±˝±√√À˚…¬ı˛ Ê√Ú… ’±¬ÛÚ±Àfl¡ ά◊¬Û˚≈Mê√ ›¯∏≈Ò Œ√›˚˛± ά◊ø‰¬Ó¬º
¤¬ı˛ ¬ÛÀ¬ı˛› ˚ø√ ’±¬ÛÚ±¬ı˛ Œ¬ı√Ú±À¬ı±Ò ¬ı± ¬ıø˜ ˝√√˚˛, Œ˚ Ú±¸« ’±¬ÛÚ±¬ı˛ Œ√‡±À˙±Ú± fl¡¬ı˛À¬ıÚ Ó“¬±Àfl¡ ¬ı˘À¬ıÚº
’±¬ÛÚ±¬ı˛ ’À¶a±¬Û‰¬±À¬ı˛¬ı˛ ¬Û¬ı˛ Œ˜±È¬±˜≈øȬ ’ä ø√ÀÚ¬ı˛ ˜ÀÒ…˝◊√ ’±¬ÛøÚ ø¬ıÂ√±Ú± ŒÔÀfl¡ ά◊Àͬ ‰¬˘±ÀÙ¬¬ı˛± fl¡À¬ı˛í Œ¬ıάˇ±ÀÓ¬ ¬Û±¬ı˛À¬ıÚ ¤¬ı—
›˚˛±Î«¬-¤¬ı˛ fl¡˜π¬ı˛± ’±¬ÛÚ±Àfl¡ ¸±˝√√±˚… fl¡¬ı˛À¬ıº ‰¬˘±ÀÙ¬¬ı˛± fl¡À¬ı˛í Œ¬ıάˇ±À˘ ’±¬ÛÚ±¬ı˛ ’±À¬ı˛± Ó¬±Î¬ˇ±Ó¬±øάˇ Œ¸À¬ı˛ ›Í¬±˚˛ ¸±˝√√±˚… ˝√√À¬ı
¤¬ı— Œfl¡±Ú¬ı˛fl¡˜ Ê√øȬ˘Ó¬± ¸‘ø©Ü ˝√√›˚˛± ¤Î¬ˇ±ÀÚ±ÀÓ¬› ¸±˝√√±˚… ˝√√À¬ıº ù´±¸õ∂–ù´±¸ ŒÚ›˚˛±¬ı˛ › ¬Û± ڱάˇ±ÀÚ±¬ı˛ ¬ı…±˚˛±˜› ¬ı≈Àfl¡¬ı˛
Œfl¡±Ú¬ı˛fl¡˜ ¸—Sê˜À̬ı˛ › ¬ı˛Mê√ Ê√˜±È¬ ¬ı±Ò±¬ı˛˛ Á“≈¡øfl¡ fl¡˜±ÀÚ±˚˛ ¸±˝√√±˚… fl¡¬ı˛À¬ıº ’±¬ÛÚ±¬ı˛ Ú±¸« ¬ı± øÙ¬øÊ√›ÀÔ¬ı˛±ø¬Ûà ’±¬ÛÚ±Àfl¡
¤˝◊√¸¬ı ¬ı…±˚˛±˜ ø˙ø‡À˚˛ Œ√À¬ıÚº
é¬Ó¬¶ö±ÀÚ¬ı˛ ¸—Sê˜Ì õ∂øÓ¬À¬ı˛±Ò fl¡¬ı˛±¬ı˛ Ê√Ú… ’±¬ÛÚ±Àfl¡ ’…±øKI◊¬ı±À˚˛±øȬfl¡ ›¯∏≈Ò Œ√›˚˛± ˝√√ÀÓ¬ ¬Û±À¬ı˛º ’À¶a±¬Û‰¬±À¬ı˛¬ı˛ Ò¬ı˛ÀÚ¬ı˛ ά◊¬ÛÀ¬ı˛
øÚˆ«¬¬ı˛ fl¡À¬ı˛í, ’±¬ÛÚ±¬ı˛ é¬Ó¬¶ö±ÀÚ Ê√˜± Ó¬¬ı˛˘ ¬Û√±Ô« ¬ı±¬ı˛ fl¡À¬ı˛í Œ√›˚˛±¬ı˛ Ê√Ú… Œ¸‡±ÀÚ Ú˘ ˘±ø·À˚˛ Œ√›˚˛± ˝√√ÀÓ¬ ¬Û±À¬ı˛º ¤˝◊√ Ó¬¬ı˛˘
¬Û√±Ô« ¬ı±¬ı˛ ˝√√À˚˛ ˚±›˚˛±¬ı˛ ¬Ûø¬ı˛˜±Ì ¸±Ò±¬ı˛ÌÓ¬– Œ¬ı˙ Ó¬±Î¬ˇ±Ó¬±øάˇ fl¡À˜ ˚±˚˛ - õ∂±˚˛˝◊√ fl¡À˚˛fl¡ ø√ÀÚ¬ı˛ ˜ÀÒ…˝◊√º
’À¶a±¬Û‰¬±À¬ı˛¬ı˛ ¬ÛÀ¬ı˛¬ı˛ õ∂Ô˜ fl¡À˚˛fl¡ ø√ÀÚ ’±¬ÛÚ±¬ı˛ ˝√√±Ó¬˜≈‡ ŒÒ±›˚˛±˚˛ › Ȭ˚˛À˘Èƒ¬-¤ ˚±›˚˛±˚˛ øfl¡Â≈√Ȭ± ¸±˝√√±À˚…¬ı˛ √¬ı˛fl¡±¬ı˛ ˝√√ÀÓ¬
¬Û±À¬ı˛º ’±¬ÛøÚ ˚ø√ ’±¬ÛÚ±¬ı˛ ø˘Àe¬ı˛ ¤fl¡Ê√Ú Ú±À¸«¬ı˛ fl¡±Â√ ŒÔÀfl¡ ¤˝◊√ ¸±˝√√±˚… ¬Û±›˚˛± ¬ÛÂ√µ fl¡À¬ı˛Ú Ó¬±˝√√À˘ ’±¬ÛÚ±¬ı˛ Ú±¸«Àfl¡
Œ¸ífl¡Ô± ¬ı˘À¬ıÚº ¤fl¡¬ı±¬ı˛ ’±¬ÛøÚ øÚÀÊ√ øÚÀÊ√ ‰¬˘±ÀÙ¬¬ı˛± fl¡À¬ı˛í Œ¬ıάˇ±ÀÚ± qè fl¡¬ı˛±¬ı˛ ¬Û¬ı˛, ’±¬ÛøÚ ¸y¬ıÓ¬– ¤˝◊√¸¬ı fl¡±Ê√ øÚÀÊ√˝◊√
fl¡¬ı˛ÀÓ¬ ¬Û±¬ı˛À¬ıÚº

øfl¡Â≈√ √œ‚«À˜˚˛±√œ Ê√øȬ˘Ó¬± (Longer-term complications)


Œ¬ı˙œ¬ı˛ ˆ¬±· Œ˘±Àfl¡¬ı˛ Œé¬ÀS˝◊√ fl¡…±k±¬ı˛ Œ¬ı˛±À·¬ı˛ Ê√Ú… ’À¶a±¬Û‰¬±¬ı˛ ˝√√›˚˛±¬ı˛ ¬Û¬ı˛ ŒÓ¬˜Ú Œfl¡±Ú √œ‚«À˜˚˛±√œ Ê√øȬ˘Ó¬± ˝√√ÀÓ¬ Œ√‡± ˚±˚˛
Ú±º Ó¬À¬ı, fl¡±À¬ı˛± fl¡±À¬ı˛± Œé¬ÀS Œ¸È¬± ˝√√ÀÓ¬ ¬Û±À¬ı˛ ¤¬ı— ’±¬ÛÚ±¬ı˛ ’À¶a±¬Û‰¬±À¬ı˛¬ı˛ ’±À· ’±¬ÛøÚ ˝√√˚˛ÀÓ¬± Œfl¡±Ú¬ı˛fl¡˜ ¶ö±˚˛œ Ê√øȬ˘Ó¬±¬ı˛
¬ı…±¬Û±À¬ı˛ ’±¬ÛÚ±¬ı˛ ¸±Ê«√Ú-¤¬ı˛ ¸Àe fl¡Ô± ¬ı˘ÀÓ¬ ‰¬±˝◊√À¬ıÚº
˜±ÀÁ¡˜ÀÒ… Œ¬ı˛±·œÀ√¬ı˛ ¶ß±˚˛≈¬ı˛ Œ¬ı√Ú± ˝√√ÀÓ¬ ¬Û±À¬ı˛, Œ˚Ȭ± ëŒÔ±¬ı˛±"˜œí [thoractomy] ¬ı± ¬ı≈Àfl¡¬ı˛ ¬Û“±Ê√À¬ı˛¬ı˛ ‡“±‰¬±˚˛ ’À¶a±¬Û‰¬±À¬ı˛¬ı˛
˜ÀÓ¬± Œé¬ÀS ’À¬Û鬱fl‘¡Ó¬ Œ¬ı˙œ ¸±Ò±¬ı˛Ì ‚Ȭڱº

¬ı≈Àfl¡¬ı˛ ¬Û“±Ê√À¬ı˛¬ı˛ ‡“±‰¬±

Œfl¡±Ú Œfl¡±Ú ’À¶a±¬Û‰¬±À¬ı˛¬ı˛ √èÌ ˜±ÀÁ¡˜ÀÒ… ¶ß±˚˛≈¬ı˛ é¬øÓ¬ ˝√√›˚˛±¬ı˛ Ù¬À˘ ¶ö±˚˛œ ¬Û±ù´«õ∂øÓ¬øSê˚˛± ¸‘ø©Ü ˝√√ÀÓ¬ ¬Û±À¬ı˛º Œ˚˜Ú, ë¬ı˛…±øάfl¡…±˘
õ∂Ààflƒ¡È¬˜œí [radical prostectomy], ’Ô«±» õ∂ÀàȬ ¢≠…±`¬ ¬ı± ˜”S¢∂øLö Œfl¡ÀȬ ¬ı±√ Œ√›˚˛±¬ı˛ √èÌ ¬Û≈è¯∏À√¬ı˛ ˜ÀÒ… fl¡±À¬ı˛±
fl¡±À¬ı˛± Œé¬ÀS Œ˚ÃÚ¸eÀ˜¬ı˛ 鬘Ӭ± øfl¡—¬ı± õ∂¶⁄±À¬ı¬ı˛ Œ¬ı· ¸±˜˘±ÀÚ±¬ı˛ 鬘Ӭ± ˝√√±¬ı˛±ÀÓ¬ ¬Û±À¬ı˛ fl¡±¬ı˛Ì Œ˚í¸¬ı ¶ß±˚˛≈ ¤˝◊√¸¬ı fl¡±Ê√
øÚ˚˛LaÌ fl¡À¬ı˛, fl¡…±k±¬ı˛ ”√¬ı˛ fl¡¬ı˛±¬ı˛ Ê√Ú… Ó¬±À√¬ı˛ Œfl¡ÀȬ ¬ı±√ Œ√›˚˛±¬ı˛ √¬ı˛fl¡±¬ı˛¬ ˝√√ÀÓ¬ ¬Û±À¬ı˛º

Œ˜è√G

˜”S±˙˚˛
õ∂ÀàȬ
¬Û≈è¯∏±e ˜˘Ú±ø˘
˜”SÚ±˘œ
qSê±˙˚˛
’GÀfl¡±¯∏

’ÀLa¬ı˛ øÚÀ‰¬¬ı˛ ’—À˙ ¬ı± ˜˘¡Z±À¬ı˛ fl¡…±k±À¬ı˛¬ı˛ ’À¶a±¬Û‰¬±À¬ı˛¬ı˛ ¬ÛÀ¬ı˛› fl¡‡ÀÚ± fl¡‡ÀÚ± Œ˚ÃÚ¸eÀ˜¬ı˛ 鬘Ӭ± ˝√√±¬ı˛±ÀÓ¬ ¬Û±À¬ı˛º

4
reduce the risk of complications. Breathing and leg exercises can also help reduce
the risk of chest infections and blood clots. Your nurse or physiotherapist will teach
you these exercises.

You may be given antibiotics to help prevent wound infection. Depending on the type
of operation, you may have tubes placed into the wound to drain away fluid. The
amount of fluid draining usually reduces quite quickly - often within days.

In the first few days after your operation you may need some help to wash and go to
the toilet. Speak to your nurse if you would prefer to be helped by a nurse of the
same sex. Once you are moving about again freely, you will probably be able to
manage these activities for yourself.

Longer-term complications

Most people do not have long-term complications after cancer surgery. However,
some do and before you have surgery you may wish to ask your surgeon about the
risk of permanent complications.

Occasionally patients may have nerve pain, which is more common after some
operations such as the opening of the rib cage (thoracotomy).

Some operations can occasionally cause permanent side effects due to nerve
damage. Removal of the prostate gland (radical prostatectomy), for example, can
result in impotence and loss of bladder control in some people because the nerves
controlling these functions may have to be removed to clear the cancer.

Impotence may also sometimes occur after operations for cancers in the lower part of
the bowel (rectum).

4
¬Û±fl¡¶ö˘œ

é≈¬^±La
¬ı‘˝√√La

˜˘Ú±ø˘
˜˘¡Z±¬ı˛

˜±ÀÁ¡˜ÀÒ…, ˙¬ı˛œÀ¬ı˛¬ı˛ Œfl¡±Ú ¤fl¡È¬± ’—À˙¬ı˛ Œ¬ı˙œ¬ı˛ ˆ¬±·, ’Ô¬ı± ¸¬ı&ø˘, ¢∂øLö ˚ø√ Œfl¡ÀȬ ¬ı±√ Œ√›˚˛±¬ı˛ √¬ı˛fl¡±¬ı˛ ˝√√˚˛, ¤¬ı— ø¬ıÀ˙¯∏
fl¡À¬ı˛í ˚ø√ ‹ ’—À˙ ¤fl¡˝◊√ ¸±ÀÔ Œ¬ı˛øά›ÀÔ¬ı˛±¬Ûœ fl¡¬ı˛± ˝√√À˚˛ Ô±Àfl¡, ’±¬ÛÚ±¬ı˛ ˙¬ı˛œÀ¬ı˛¬ı˛ ø¬ıøˆ¬iß ’e ¬ı± Œ√˝√fl¡±G Ù≈¬À˘ Œ˚ÀÓ¬ ¬Û±À¬ı˛º
¤˝◊√ ’¬ı¶ö±Àfl¡ ¬ı˘± ˝√√˚˛ ë˘œÀ•£¬±¤øά˜±í [lymphoedema]º ˘œ•£¬ ŒÚ±Î¬¸ƒ ¬ı± ˘ø¸fl¡±Ú±ø˘&ø˘ ˝√√À˘± ˙¬ı˛œÀ¬ı˛¬ı˛ Ó¬¬ı˛˘ ¬Û√±Ô«
¬ı±¬ı˛ fl¡À¬ı˛í Œ√›˚˛±¬ı˛ ¬ı…¬ı¶ö±, ¸≈Ó¬¬ı˛±— ˘œ•£¬ ŒÚ±Î¬¸ƒ ¬ı±√ Œ√›˚˛± ˝√√À˘ ˙¬ı˛œÀ¬ı˛ Ó¬¬ı˛˘ ¬Û√±ÀÔ«¬ı˛ ’±øÒfl¡… Œ√‡± Œ√˚˛º ¤˝◊√ ’¬ı¶ö±¬ı˛
õ∂ˆ¬±¬ı ¬ÛÀάˇ ˝√√±Ó¬ ¬ı± ¬Û±À˚˛¬ı˛ ά◊¬ÛÀ¬ı˛ ¸¬ıÀ‰¬À˚˛ Œ¬ı˙œ, ˚ø√› ˙¬ı˛œÀ¬ı˛¬ı˛ ’Ú…±Ú… ’—À˙›, Œ˚˜Ú Œ√˝√fl¡±ÀG, ¤È¬± ‚ȬÀÓ¬ ¬Û±À¬ı˛º ˚Ó¬
Ó¬±Î¬ˇ±Ó¬±øάˇ ˘œÀ•£¬±¤øά˜± Ò¬ı˛± ¬ÛάˇÀ¬ı Ó¬Ó¬˝◊√ ¸˝√√ÀÊ√ ¤È¬±Àfl¡ øÚ˚˛LaÌ fl¡¬ı˛± ¸y¬ıº ¸≈Ó¬¬ı˛±— ˚ø√ ’±¬ÛÚ±¬ı˛ ˝√√±ÀÓ¬ [¬ı·À˘¬ı˛ øÚÀ‰¬
’À¶a±¬Û‰¬±À¬ı˛¬ı˛ ¬Û¬ı˛] ’Ô¬ı± ¬Û±À˚˛ [fl“≈¡‰¬øfl¡ÀÓ¬ ’À¶a±¬Û‰¬±À¬ı˛¬ı˛ ¬Û¬ı˛] Œfl¡±Ú¬ı˛fl¡˜ ¶£¬œøÓ¬ ˘é¬… fl¡À¬ı˛Ú ¸¬ı¸˜À˚˛˝◊√ ’±¬ÛÚ±¬ı˛ ά±Mê√±À¬ı˛¬ı˛
¸Àe Œ˚±·±À˚±· fl¡¬ı˛À¬ıÚº
Œfl¡±Ú Œfl¡±Ú ’À¶a±¬Û‰¬±À¬ı˛¬ı˛ √èÌ ’±¬ÛÚ±¬ı˛ Œ‰¬˝√√±¬ı˛±˚˛ ¬Ûø¬ı˛¬ıÓ¬«Ú Œ√‡± Œ˚ÀÓ¬ ¬Û±À¬ı˛º ¤¬ı˛ Ù¬À˘ øÚÀÊ√¬ı˛ ¸•§Àg ’±¬ÛøÚ ˙±¬ı˛œø¬ı˛fl¡ ›
˜±Úø¸fl¡ˆ¬±À¬ı Œ˚˜Ú ˜ÀÚ fl¡À¬ı˛Ú Ó¬± õ∂ˆ¬±ø¬ıÓ¬ ˝√√ÀÓ¬ ¬Û±À¬ı˛º ’±¬ÛÚ±¬ı˛ Œfl¡±Ú¬ı˛fl¡˜ ά◊À¡Z· Ô±fl¡À˘ ’±¬ÛÚ±¬ı˛ Ú±¸«À√¬ı˛ ¬ı± ά±Mê√±À¬ı˛¬ı˛
¸Àe fl¡Ô± ¬ı˘À¬ıÚº Ó“¬±À√¬ı˛ ’±¬ÛÚ±Àfl¡ ¸±˝√√±˚… fl¡¬ı˛ÀÓ¬ ¬Û±¬ı˛± øfl¡—¬ı± ¤fl¡Ê√Ú fl¡±Î¬◊Àk˘±¬ı˛ ¬ı± ά◊¬ÛÀ√©Ü±¬ı˛ ¸Àe ’±¬ÛÚ±¬ı˛ Œ√‡± fl¡¬ı˛±¬ı˛
¬ı…¬ı¶ö± fl¡¬ı˛ÀÓ¬ ¬Û±¬ı˛± ά◊ø‰¬Ó¬º ¤íÂ√±Î¬ˇ± ’±¬ÛøÚ fl¡…±k±¬ı˛¬ı…±flƒ¡’±¬Ûƒ-¤¬ı˛ ¸Àe ˚≈Mê√ Ú±¸«À√¬ı˛› ŒÈ¬ø˘ÀÙ¬±Ú fl¡¬ı˛ÀÓ¬ ¬Û±À¬ı˛Úº
Œ˚ Œfl¡±Ú Ò¬ı˛ÀÚ¬ı˛ ’À¶a±¬Û‰¬±¬ı˛ ¸•ÛÀfl«¡ ά◊ø¡Z¢ü Œ¬ı±Ò fl¡¬ı˛± ¶§±ˆ¬±ø¬ıfl¡ ‚Ȭڱº Ó¬À¬ı, ’À¶a±¬Û‰¬±¬ı˛˝◊√ fl¡…±k±¬ı˛ Œ¬ı˛±À·¬ı˛ ¸¬ıÀ‰¬À˚˛ ¸Ù¬˘
ø‰¬øfl¡»¸±¬ÛXøÓ¬&ø˘¬ı˛ ˜ÀÒ… ¤fl¡È¬± ˝√√ÀÓ¬ ¬Û±À¬ı˛º ’±Ê√fl¡±˘ ¤˝◊√¸¬ı ’À¶a±¬Û‰¬±¬ı˛ fl¡À¬ı˛í Ô±Àfl¡Ú ø¬ıÀ˙¯∏ Ò¬ı˛ÀÚ¬ı˛ fl¡…±k±À¬ı˛¬ı˛ ø‰¬øfl¡»¸±
fl¡¬ı˛±˚˛ õ∂‰≈¬¬ı˛ ’øˆ¬:Ó¬±¸•Ûiß ¸±Ê«√Ú¬ı˛±º Ó¬±¬ı˛ Ù¬À˘ Œ¬ı˛±· ’±À¬ı˛±·… ˝√√›˚˛±¬ı˛ ¸¬ıÀ‰¬À˚˛ ˆ¬±À˘± ¸y±¬ıÚ± Ô±Àfl¡º øfl¡Â≈√ øfl¡Â≈√ ’¬ı¶ö±˚˛,
Œ˚˜Ú ô¶ÀÚ¬ı˛ ¬ı± ’ÀLa¬ı˛ fl¡…±k±À¬ı˛¬ı˛ Œé¬ÀS, ø¬ıÀ˙¯∏: Ú±¸«¬ı˛±› ’±¬ÛÚ±¬ı˛ Œ√‡±À˙±Ú± fl¡¬ı˛±¬ı˛ √±ø˚˛ÀQ Ô±fl¡ÀÓ¬ ¬Û±À¬ı˛Úº Ó“¬±À√¬ı˛› ‹
ø¬ıÀ˙¯∏ Ò¬ı˛ÀÚ¬ı˛ fl¡…±k±¬ı˛ Œ¬ı˛±À·¬ı˛ ¬ı…±¬Û±À¬ı˛ õ∂‰≈¬¬ı˛ ’øˆ¬:Ó¬± ’±ÀÂ√º ’±¬ÛÚ±¬ı˛ ˙¬ı˛œÀ¬ı˛ øfl¡ Ò¬ı˛ÀÚ¬ı˛ √±· ŒÔÀfl¡ Œ˚ÀÓ¬ ¬Û±À¬ı˛ ¬ı± ’Ú…±Ú…
õ∂øÓ¬øSê˚˛± ˝√√ÀÓ¬ ¬Û±À¬ı˛, ¤¬ı— ’±¬ÛÚ±¬ı˛ ˚Ô±¸y¬ı ˆ¬±À˘± ˚P ¬Û±›˚˛± øÚø(Ó¬ fl¡¬ı˛±¬ı˛ Ê√Ú… øfl¡ ¬ÛXøÓ¬ ’Ú≈¸¬ı˛Ì fl¡¬ı˛± ά◊ø‰¬Ó¬ Œ¸È¬± Ú±¸«
¬ı± ¸±Ê«√Ú ’À¶a±¬Û‰¬±À¬ı˛¬ı˛ ’±À· ’±¬ÛÚ±Àfl¡ ¬ı≈øÁ¡À˚˛ ¬ı˘À¬ıÚº

¸˝√√±˚˛fl ¡ Œ¸¬ı±¸˜”˝√ (Support services)


’±¬ÛÚ±¬ı˛ ¬Ûø¬ı˛ø¶öøÓ¬ ¸•ÛÀfl«¡ ’Ô¬ı± ’±¬ÛÚ±¬ı˛ Œfl¡˜Ú Œ¬ı±Ò ˝√√À26√ Œ¸í¸•ÛÀfl«¡ ˚ø√ ’±¬ÛÚ±¬ı˛ øÚÀÊ√¬ı˛ ˆ¬±¯∏±˚˛ ’±¬ÛøÚ fl¡±À¬ı˛± ¸Àe
fl¡Ô± ¬ı˘ÀÓ¬ ‰¬±Ú, Ó¬±˝√√À˘ fl¡…±k±¬ı˛¬ı…±flƒ¡’±¬Ûƒ-¤¬ı˛ ¸±À¬Û±È«¬ ¸±øˆ«¬¸ƒ ¬ı± ¸˝√√±˚˛fl¡ Œ¸¬ı±¬ı˛ ¸Àe Œ˚±·±À˚±· fl¡¬ı˛À¬ıÚº Œ¸‡±Úfl¡±¬ı˛ Ú±¸«¬ı˛±
’±¬ÛÚ±¬ı˛ Œ˚ Œfl¡±Ú ά◊À¡Z· øÚÀ˚˛ fl¡Ô± ¬ı˘ÀÓ¬ ¬Û±¬ı˛À¬ıÚ ¤¬ı— ’Ú… Œ˚í¸¬ı ¸˝√√±˚˛Ó¬±¬ı˛ õ∂À˚˛±Ê√Ú ’±¬ÛÚ±¬ı˛ ˝√√ÀÓ¬ ¬Û±À¬ı˛ Œ¸&ø˘
Œfl¡±Ô±˚˛ ¬Û±›˚˛± ˚±À¬ı Ó¬±À√¬ı˛ ¬ı…±¬Û±À¬ı˛ ¬Û¬ı˛±˜˙« ø√ÀÓ¬ ¬Û±¬ı˛À¬ıÚº ’±¬ÛÚ±¬ı˛ ˆ¬±¯∏±˚˛ fl¡…±k±¬ı˛ ¸•ÛÀfl«¡ Ó¬Ô… ¬Û±›˚˛±¬ı˛ ø¬ıÚ± ‡¬ı˛À‰¬¬ı˛
ŒÈ¬ø˘ÀÙ¬±Ú Ú•§¬ı˛ ˝√√À˘± 0808 8000 131 ¤¬ı— ¤˝◊√¸¬ı ˘±˝◊√Ú Œ‡±˘± Ô±Àfl¡ Œ¸±˜¬ı±¬ı˛ ŒÔÀfl¡ qSê¬ı±¬ı˛ ¸fl¡±˘ 9Ȭ± ŒÔÀfl¡ ¸g…±
7Ȭ± ¬Û˚«ôLº ¤íÂ√±Î¬ˇ± fl¡…±k±¬ı˛¬ı…±flƒ¡’±¬Ûƒ-¤¬ı˛ õ∂Ò±Ú Œ˝√√˘¬Ûƒ˘±˝◊√Ú Ú•§¬ı˛ 0808 800 1234 ¬ı…¬ı˝√√±¬ı˛ fl¡À¬ı˛í 100øȬ¬ı˛› Œ¬ı˙œ ˆ¬±¯∏±˚˛
Œ√±ˆ¬±¯∏œÀ√¬ı˛ ¸±˝√√±˚…› ¬Û±›˚˛± ˚±˚˛º

¤˝◊√ Ù¬…±"˙œÈ¬ ¬ı± Ó¬Ô…¬ÛS Â√±Î¬ˇ±›, fl¡…±k±¬ı˛¬ı…±flƒ¡’±¬Ûƒ ’±¬ÛÚ±Àfl¡ ¬ı±—˘± ˆ¬±¯∏±˚˛ Œfl¡À˜±ÀÔ¬ı˛±¬Ûœ, Œ¬ı˛øά›ÀÔ¬ı˛±¬Ûœ ¤¬ı— ô¶Ú, Ù≈¬¸ƒÙ≈¬¸ƒ
› ’ÀLa¬ı˛ fl¡…±k±¬ı˛ ¸•ÛÀfl«¡ Ó¬Ô…¬ÛS ¬Û±Í¬±ÀÓ¬ ¬Û±¬ı˛À¬ıº Œ¬ı˙œ¬ı˛ ˆ¬±· Ò¬ı˛ÀÚ¬ı˛ fl¡…±k±¬ı˛, fl¡…±k±À¬ı˛¬ı˛ ’Ú…±Ú… ø‰¬øfl¡»¸± ¤¬ı— fl¡…±k±¬ı˛
˝√√›˚˛±¬ı˛ ¬Û¬ı˛ Ê√œ¬ıÚÒ±¬ı˛Ì ¸•ÛÀfl«¡ ˝◊√—À¬ı˛Ê√œ ˆ¬±¯∏±ÀÓ¬ Ú±Ú± ¬Û≈øô¶fl¡± › Ó¬Ô…¬ÛS› ’±˜¬ı˛± ’±¬ÛÚ±Àfl¡ ¬Û±Í¬±ÀÓ¬ ¬Û±¬ı˛À¬ı±º ’±¬ÛøÚ ˚ø√
Ó¬±À√¬ı˛ Œfl¡±ÀڱȬ±fl¡ fl¡ø¬Û ‰¬±Ú Ó¬±˝√√À˘ fl¡…±k±¬ı˛¬ı…±flƒ¡’±¬Ûƒ-Œfl¡ 0808 8000 131 Ú•§À¬ı˛ ŒÈ¬ø˘ÀÙ¬±Ú fl¡¬ı˛À¬ıÚº

–––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––

This factsheet has been compiled using information from a number of reliable sources including The
Oxford Textbook of Oncology, Cancer and its Management and The Textbook of Uncommon Cancers.

5
Occasionally, if most, or all, of the glands in an area of the body have had to be
removed, and particularly if you have had radiotherapy to that area as well, you may
get swelling of limbs or the trunk. This is known as lymphoedema. The lymph nodes
are the drainage system of the lymphatic system, so removing lymph nodes can
cause fluid build-up. It is most likely to affect an arm or leg, although it can happen to
other parts of the body, such as the trunk. The earlier lymphoedema is picked up, the
easier it is to control. So always contact your doctor if you notice swelling in your
hands (after surgery to the armpit) or feet (after groin surgery).

Some operations will change the way your body looks. This may affect the way you
feel about yourself physically and emotionally. Please talk to the nurses or your
doctor if you have any concerns. They should be able to help you or arrange for you
to see a counsellor. You can also call the nurses at Cancerbackup.

It is natural to be anxious about surgical operations. However, surgery can be one of


the most successful treatments for cancer. Nowadays these operations are usually
carried out by surgeons with a great deal of experience in treating the particular type
of cancer. This gives the best chance of a good outcome. For some conditions, such
as cancer of the breast or bowel, there may be specialist nurses looking after you
too. They also have a great deal of experience in the particular type of cancer. The
nurse or surgeon will explain to you before the operation what scarring and other
effects are likely, and what procedures will be followed to make sure you get the best
possible care.

Support services

If you would like to talk to someone in your language, about your situation or how you
are feeling, please contact Cancerbackup’s Cancer Support Service. The nurses will
be able to talk through any concerns you have and suggest where you can get any
other support that you may need. The freephone number is 0808 800 0131 and the
lines are open from Monday to Friday 9am until 7pm. Interpreters are also available
for over 100 other languages by ringing Cancerbackup’s main helpline number, 0808
800 1234.

As well as this factsheet, Cancerbackup can send you factsheets in Bengali on


radiotherapy and breast cancer. We can also send you booklets and factsheets
written in English about most types of cancer, other cancer treatments and living with
cancer. Please call Cancerbackup on 0808 800 0131if you would like a copy of any
of them.

This factsheet has been compiled using information from a number of reliable sources including The
Oxford Textbook of Oncology, Cancer and its Management and The Textbook of Uncommon Cancers.
Each Cancerbackup factsheet is regularly reviewed and updated by cancer doctors, specialist nurses,
other relevant health professionals and people with cancer.

5
Each Cancerbackup factsheet is regularly reviewed and updated by cancer doctors, specialist nurses,
other relevant health professionals and people with cancer.

© CANCERBACKUP 2006, SURGERY. All rights reserved. No parts of this publication may be reproduced or transmit-
ted, in any form or by any means, electronic or mechanical, including photocopying, recording, or any information stor-
age and retrieval system, without permission in writing from Cancerbackup. Cancerbackup, 3 Bath Place, Rivington
Street, London EC2A 3JR. Charity Registration No. 1019719. A company limited by guarantee. Registered in England
and Wales. Company No. 2803221. Registered office as above.

6
© CANCERBACKUP 2006, SURGERY. All rights reserved. No parts of this publication may be reproduced or
transmitted, in any form or by any means, electronic or mechanical, including photocopying, recording, or any
information storage and retrieval system, without permission in writing from Cancerbackup. Cancerbackup, 3 Bath
Place, Rivington Street, London EC2A 3JR. Charity Registration No. 1019719. A company limited by guarantee.
Registered in England and Wales. Company No. 2803221. Registered office as above.

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