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Pap Smear Test - Know Its Eligibility!

MBBS, Certified IVF Specialist, MD - Obstetrtics & Gynaecology
IVF Specialist, Mohali
Pap Smear Test - Know Its Eligibility!

Regular medical checkups and tests can be very helpful in prevention of cancer and growth of malignant cells or tumours. With the increase in the rates of cervical cancer, gynaecological checkups are of utmost need. For effective cervical cancer prevention, Pap smear bears the maximum number of success rates.

Pap smear is a medical procedure that helps to detect cancer or signs of other cervical infections. The Pap smear test however cannot detect ovarian cell cancer or uterine cancer. It is known to detect changes only in the vaginal cells and cervical dysplasia. Cervical dysplasia refers to the growth of pre-cancerous cells.

How this test is conducted?
1. Pap smear is conducted when the woman is not menstruating.
2. An instrument called speculum is inserted into one’s vagina to be able to access the cervix more easily.
3. Pap smear involves the collection of sample cells from the outer cervix area.
4. Cervical brush is inserted into the speculum and the sample cells are collected.
5. Then, the samples are put on a glass slide for further evaluation.
6. The Pap smear procedure takes only a few minutes bu,t can prevent serious medical problems in the long run.
7. The Pap smear is not a painful procedure, though it may be slightly uncomfortable for a few minutes only.

Who can undergo Pap smear?
1. Women can undergo Pap smear procedures once they are of 21 years of age and are generally sexually active
2. Women can go for pap smears up to the age of 70
3. Pap smears should be conducted preferably every two or three years
4. Women aged 65 and above and who have had no abnormalities in the last three consecutive tests, may stop taking pap smears
5. Before undergoing the test, it is important to stop douching and using vaginal creams for at least 2 days.
6. If there has been a case of multiple and frequent change of sexual partners, then you must go for Pap smear frequently
7. Women with weak immune system and who bear the risk of HIV Aids
8. Women who are heavy smokers

3827 people found this helpful

Cervical Smear - In-depth Knowledge About It!

Dr. Neelima Mantri 91% (21 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Obstetrics and Gynaecology, Fellowship in Gynaecology & Laprascopy
Gynaecologist, Mumbai
Cervical Smear - In-depth Knowledge About It!

A cervical smear test is often known as a Pap test and is done to establish the changes that might have occurred in cells of the cervix. A small sample of cells is taken from the surface of the cervix and is tested for any abnormalities. The sample is spread on a slide or in some cases mixed with a liquid fixative and studied under a microscope. It is one of the most popular methods to test the abnormalities in your cells and can pinpoint point cervical cancers.

The procedure of typical Pap smear:

The test is mostly recommended when you do not have the periods as the blood can interfere with the results. Also, before taking the test discuss with your doctor about the medications you are taking and in case you are under any birth control pills. No other special preparations are needed for the Pap test. Feel free to discuss with your doctor about the impact the test will have on you or on the painlevels, etc.The test is done by inserting a speculum into the vagina, which spreads it further. Later, a swab is inserted to get the samples of cells from your cervix. The cells from the vagina are also collected in some cases and tested accordingly.

The risks involved:

There no chances of risks when you go for such tests. You might feel a bit of pressure in your vaginal region and may experience a small bleeding after the testing. However, this is extremely normal. Also, there is no pain involved. If you experience heavy period and blood loss, you might experience minor discomfort when the test is being done.

The final result:

Once the test is done, the results would be available usually within a week. The results can be categorized into normal and abnormal. If your cells are normal and no abnormality is found then the condition is termed as a normal result. In the case of abnormality in the cell structure, then it requires further evaluation and diagnosis to rule out cancer.

4449 people found this helpful

Pap Smear Test - Who Should Opt for it?

Dr. Jayanti Kamat 90% (556 ratings)
MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
Pap Smear Test - Who Should Opt for it?

Regular medical checkups and tests can be very helpful in prevention of cancer and growth of malignant cells or tumours. With the increase in the rates of cervical cancer, gynaecological checkups are of utmost need. For effective cervical cancer prevention, Pap smear bears the maximum number of success rates.

Pap smear is a medical procedure that helps to detect cancer or signs of other cervical infections. The Pap smear test however cannot detect ovarian cell cancer or uterine cancer. It is known to detect changes only in the vaginal cells and cervical dysplasia. Cervical dysplasia refers to the growth of pre-cancerous cells.

How this test is conducted?
1. Pap smear is conducted when the woman is not menstruating.
2. An instrument called speculum is inserted into one’s vagina to be able to access the cervix more easily.
3. Pap smear involves the collection of sample cells from the outer cervix area.
4. Cervical brush is inserted into the speculum and the sample cells are collected.
5. Then, the samples are put on a glass slide for further evaluation.

6. The Pap smear procedure takes only a few minutes bu can prevent serious medical problems in the long run.
7. The Pap smear is not a painful procedure, though it may be slightly uncomfortable for a few minutes only.

Who can undergo Pap smear?
1. Women can undergo Pap smear procedures once they are of 21 years of age and are generally sexually active
2. Women can go for pap smears up to the age of 70
3. Pap smears should be conducted preferably every two or three years
4. Women aged 65 and above and who have had no abnormalities in the last three consecutive tests, may stop taking pap smears
5. Before undergoing the test, it is important to stop douching and using vaginal creams for at least 2 days.
6. If there has been a case of multiple and frequent change of sexual partners, then you must go for Pap smear frequently
7. Women with weak immune system and who bear the risk of HIV Aids
8. Women who are heavy smokers

4370 people found this helpful

Homeopathic Treatment for Students Suffering From Examination Phobia and Weak Memory

Dr. Anulok Jain 91% (122 ratings)
BHMS
Homeopathy Doctor, Jaipur
Homeopathic Treatment for Students Suffering From Examination Phobia and Weak Memory

Exams are really tough times for most students irrespective of the level of their preparation. It is natural to get anxious before and during the exam time. Anxiety is a natural state in which people are either uneasy or fearful, depending on the situation that is making them anxious.

Generally, students suffer from anxiety and fear when exam time approaches:

  1. Forms of ailment: Depending on the medical studies conducted throughout the world, anxiety is divided into the following types: 
  2. Generalized Anxiety Disorder: People suffering from Generalized Anxiety Disorder usually feel nervous and anxious. They even experience fear in conducting routine tasks and worry a lot about the same. Students suffering from this anxiety tend to worry a lot during exam time even after knowing that they are fully prepared to take the exam. Usually, the sufferers here are unable to control their worrying.
  3. Phobias: Phobia refers to the feeling of excessive fear for any particular thing or object or action. Phobia clearly interferes with the normal functioning of the individual and causes the sudden flow of adrenaline through his or her body. People suffering from any kind of phobia tend to avoid the cause or reason for their fear. Students mostly suffer from social phobias when it comes to exams and their performance. 
  4. Panic Disorder: Panic Disorders are characterized by quick and intense fear. People suffering from this kind of anxiety disorder are prone to experience panic attacks - the situation that involves periods of intense fear and discomfort along with rapid heartbeat, nausea, shortness of breath and dizziness. Panic Disorder causes its sufferers to develop the anxiety of having panic attacks which further increases the problem.
  5. Obsessive Compulsive Disorder: People suffering from Obsessive Compulsive Disorder usually feel compelled to act in a certain way which doesn't appear normal to others. The kind of obsessions people feel due to this ailment include checking if a door is locked repeatedly or washing hands again and again, and so on.

Students usually suffer from generic anxiety disorders before and during the exam. An apt amount of anxiety leads to great results as it makes the person serious about his or her goals and focus on the same.

Symptoms:
Anxiety is something that everyone suffers from at one or the other point in their life. The levels of suffering can be different from person to person. The major symptoms of anxiety are listed below: 

  1. Shortness of breath
  2. Dizziness and unsteadiness
  3. Trembling or shaking
  4. Heart palpitations
  5. Choking
  6. Sweating
  7. Numbness
  8. Hot flushes or chills
  9. Fear of going out of control
  10. Nausea and abdominal distress

Solution:
Homoeopathy provides amazing treatment in the form of drugs for anxiety and phobia. There are multiple drugs in Homoeopathy for treating anxiety, some of which are listed below. Students can go for any of them and get rid of the exam fear so that they can perform well in their exams: 

  1. Aconitum Napellus
  2. Arsenicum Album
  3. Argentum Nitricum
  4. Gelsemium
  5. Ignatia Amara
  6. Lycopodium
4019 people found this helpful

Bone Tumor - How It Can Be Diagnosed?

Dr. Prathmesh Jain 89% (69 ratings)
M.S. Orthopedics, MBBS
Orthopedic Doctor, Ahmedabad
Bone Tumor - How It Can Be Diagnosed?

When cells divide abnormally and uncontrollably, they can form a mass or lump of tissue. This lump is called a tumor. Bone tumors form in your bones. As the tumor grows, abnormal tissue can displace healthy tissue.

Some tumors are benign, meaning they aren’t cancerous. While benign bone tumors won’t spread to other parts of the body and are unlikely to be fatal, they can still be dangerous and may require treatment. Benign tumors can grow and could compress your healthy bone tissue. Other tumors are malignant, meaning they’re cancerous. Malignant bone tumors can cause cancer to spread throughout the body.

Causes of bone tumor:

The cause of bone tumors is unknown. They often occur in areas of the bone that grow rapidly. Possible causes include:

  1. Genetic defects passed down through families
  2. Radiation
  3. Injury
  4. In most cases, no specific cause is found.

Symptoms of bone tumor:

Symptoms of bone tumor may include any of the following:

  1. Bone fracture, especially fracture from slight injury (trauma)
  2. Bone pain, may be worse at night
  3. Occasionally a mass and swelling can be felt at the tumor site
  4. Some benign tumors have no symptoms.

Diagnosing a bone tumor:

There are some common conditions like fractures, infections and other conditions that may resemble tumors. But, to be sure some physical examination to be performed which will check the tenderness in the bone and also the range of motion. Blood or Urine test may be performed to detect different proteins that may indicate the presence of tumor. Doctor may go with X-rays and depending on the X-ray results other imaging tests might be necessary i.e. CT scan, MRI PET scan. In some cases biopsy is also performed. In this test. a sample of the tissue that makes up the tumor is removed.

Treating bone tumor:

Bone cancer is generally treated with Surgery in which the entire tumor is removed. The surgeon carefully examines the margins of your tumor to make sure no cancer cells are left. Surgical techniques have improved greatly. Other ways to treat is radiation therapy which is used in conjunction with surgery. Still if the doctor feels that cancer cells are likely to spread or already spread then Chemotherapy is recommended.

2825 people found this helpful

Bone Cancer - How To Identify It?

Dr. Chandrakanth Mv 90% (139 ratings)
MBBS, MD(General Medicine), Fellowship Hemato - Oncology (Hemat-Oncology), DM(Medical Oncology), DNB(Medical Oncology)
Oncologist, Howrah
Bone Cancer - How To Identify It?

We have more than 200 bones in our body and each of them is susceptible to bone cancer. However, long bones in the arms and legs are most susceptible to this condition. Bone cancer can be primary or secondary. Primary bone cancer involves uncontrolled and abnormal cell division within the bones while secondary bone cancer refers to cancer that originated somewhere else in the body and later spread to the bones. While children and adults are equally at risk for primary bone cancer, adults and elderly people are more susceptible to secondary bone cancer. If diagnosed early enough, bone cancer can be treated and even cured with surgery, chemotherapy or radiation.

Hence it is essential to recognize the signs and symptoms of bone cancer. Here’s what you should look out for.

  1. Pain in Bones: Pain is one of the primary symptoms of bone cancer. As the tumour grows larger, this pain can become more intense. In its early stages, the pain may be experienced as a dull ache inside the bone or the affected part of the body. It may also increase or decrease according to your activity level or may be experienced only at night. However, not all bone pains signify ‘cancer’ as this is also a symptom associated with osteoporosis.
  2. SwellingIn some cases, the abnormal growth of bone cells can result in the formation of a lump of mass that may be felt through the skin. In other cases, the affected area may also show signs of swelling.
  3. Breaking of the Bone: Cancer can weaken the bones and make them more brittle. This may make the bones more susceptible to fractures. A bone breaking in an area that has been painful or sore for a long period of time may be a sign of cancer. This is known as a pathologic fracture.
  4. Reduced Flexibility: If the tumour is located near a joint, it may affect the range of movements possible and make simple actions uncomfortable. For example, a tumour around the knee may make walking and climbing stairs a painful exercise.

Other symptoms to look out for are sudden and drastic weight loss, tiredness, excessive sweating at night, fever and difficulty breathing in case cancer has spread to other organs. Since many of these symptoms are common to other medical disorders, you should conduct a doctor immediately if you notice any of them. A physical examination and a couple of tests along with a biopsy will be required to confirm a diagnosis of bone cancer.

2491 people found this helpful

Bone Cancer - Know Its Symptoms!

Dr. Guru Prasad Mohanty 87% (195 ratings)
MD - Radiotherapy
Oncologist, Vadodara
Bone Cancer -  Know Its Symptoms!

We have more than 200 bones in our body and each of them is susceptible to bone cancer. However, long bones in the arms and legs are most susceptible to this condition. Bone cancer can be primary or secondary. Primary bone cancer involves uncontrolled and abnormal cell division within the bones while secondary bone cancer refers to cancer that originated somewhere else in the body and later spread to the bones. While children and adults are equally at risk for primary bone cancer, adults and elderly people are more susceptible to secondary bone cancer. If diagnosed early enough, bone cancer can be treated and even cured with surgery, chemotherapy or radiation.

Hence it is essential to recognize the signs and symptoms of bone cancer. Here’s what you should look out for.

  1. Pain in Bones: Pain is one the primary symptoms of bone cancer. As the tumour grows larger, this pain can become more intense. In its early stages, the pain may be experienced as a dull ache inside the bone or the affected part of the body. It may also increase or decrease according to your activity level or may be experienced only at night. However, not all bone pains signify ‘cancer’ as this is also a symptom associated with osteoporosis.
  2. SwellingIn some cases, the abnormal growth of bone cells can result in the formation of a lump of mass that may be felt through the skin. In other cases, the affected area may also show signs of swelling.
  3. Breaking of the Bone: Cancer can weaken the bones and make them more brittle. This may make the bones more susceptible to fractures. A bone breaking in an area that has been painful or sore for a long period of time may be a sign of cancer. This is known as a pathologic fracture.
  4. Reduced Flexibility: If the tumour is located near a joint, it may affect the range of movements possible and make simple actions uncomfortable. For example, a tumour around the knee may make walking and climbing stairs a painful exercise.

Other symptoms to look out for are sudden and drastic weight loss, tiredness, excessive sweating at night, fever and difficulty breathing in case cancer has spread to other organs. Since many of these symptoms are common to other medical disorders, you should conduct a doctor immediately if you notice any of them. A physical examination and a couple of tests along with a biopsy will be required to confirm a diagnosis of bone cancer.

1937 people found this helpful

Strengthening Bone Health With Homeopathy!

Dr. Gauri Kadlaskar Palsule 91% (895 ratings)
MD- Homoeopathy
Homeopath,
Strengthening Bone Health With Homeopathy!

This women’s day let’s resolve our bone health issues to stay stronger for longer and live happier.

A woman’s health is not only centered around menstrual problems or obstetric conditions; good bone health also plays a significant role in the current fast-paced lifestyle. Being fit is more crucial than ever!  A woman's body goes through many changes affecting her bone health, and she needs to be aware of these changes and their effect on the bone structure, for example, during pregnancy and menopause. However, there are other factors as well that can affect bone health and women should not ignore.

Pregnancy

There is a significant transfer of calcium from mother to the foetus and infants during pregnancy and lactation. As far as the symptoms are concerned, body ache and backache are common. Women should not ignore the pain causing a restriction in the movements and leg and finger cramps. Repetitive cramps indicate that the calcium levels are low and especially when you suffer from pain in the ribs or shin bone, you must visit the doctor. The bone mineral density falls and rises between 3% and 10% through this period. Homeopathic medicines like Calcarea Phos, Calcarea Carb and Calcarea Flour can help reduce these symptoms, and the exact dosage and combination depends on the individual case. Along with medicines, regular walking and consuming calcium-rich foods, for example, milk and milk-products, curry leaves and Amaranth grain (Rajgira) are advised.

A 30-year-old pregnant woman came to my clinic. I set up a diet plan and exercise regime along with other supplements. In the eight, month, she complained of leg cramps. She had discontinued the calcium supplements. I told her about the importance of vitamin D and calcium during pregnancy and prescribed medicines. Her pain was reduced in the follow up three weeks later.

Lactation

Lactating mothers lose more calcium than through the pregnancy, to the tune of 280-400 mg daily. Therefore, mothers must keep track of their diet and exercise regularly. Body ache makes it difficult for women to perform daily activities. Not lactating is not the solution; a mother must continue lactating to provide sufficient amounts of calcium to the baby. Mother’s body recovers within 6 months after she stops lactating. However, if issues persist, homeopathy has some effective medicines.

A 35-year-old mother to an 18-month-old baby complained severe body ache for almost a year along with bilateral wrist pain. She thought of discontinuing to breastfeed the baby. After examining her, I prescribed medicines and a diet plan and advised her to continue breastfeeding the child. After the fourth week follow up her complaints reduced drastically, and after three months she was symptom-free.

Menopause

The two age groups in menopause are peri-menopausal and menopausal. Women in the peri-menopausal age group generally complain of aggravated arm pain, especially during the night, and the slightest touch aggravates the pain. They may also suffer from spondylitis and osteoarthritis. Whereas the 65-years-and-above age group may present with fractures, primarily of the wrist bone, vertebral compression fracture, for example. Even after the surgical treatment of the fracture, the patient must be treated for osteoporosis to address the risk of developing further fractures. Homeopathic medicines like Lachesis, Zincum Met, ZIncum Phos are useful in cases of bone loss or osteoporosis due to lack of oestrogen. Symphytum is also a helpful remedy in case of fractures.

A 62-year-old lady complained of pain in her arms and dorsum of her foot on the slightest of touch. Her Bone density test (BMD) showed a T-score of -2.9 while her foot X-ray showed an old stress fracture. She started suffering from bone pain after her ovaries were removed but ignored it. I prescribed her homeopathic medicines for six weeks, and a follow up showed about 50% relief.

Osteoporosis

Osteoporosis is the condition of reduced bone mass and deterioration of bone tissue with an increased risk of fractures. Low calcium intakes, lack of knowledge regarding bone health, vitamin D deficiency, early menopause contribute to osteoporosis. Other factors include age and genetics. Our body keeps on losing bones and creates new bones. At the age of 30, bone mass is the highest; after which age the loss is more than regeneration. One should be more careful if the weak bone trend runs in the family.

Clinical features:

Here the symptoms do not show up until the disease has progressed. Mostly, the cases are of fragility fractures which can affect any bone; however, the most common sites are distal wrist (Colles fracture), vertebral fracture and femoral neck fracture.

A 42-year-old lady suffered from pain in her arms and shin bone for almost a year. These complaints started after the second child's birth. She started consuming vitamin D and calcium supplements, but her diet lacked the necessary calcium. Her BMD indicated osteoporosis; I prescribed medicines, a diet and a regular exercise regime. Within a year, the test results were better, and the patient was relieved of symptoms.

Osteopenia

Osteopenia is a precursor to osteoporosis and is a less worrisome condition, though it has similar risk factors as those of osteoporosis. Medical intervention may not be necessary, but one should take care. Women suffering from osteopenia must check the probability of turning into osteoporosis.

A 37-year-old lady suffered from body aches and bone pain. Her BMD tests showed osteopenia. Her history of smoking since college days was also one of the causes. After a long-term, regular treatment her BMD reports are better.

One must follow a calcium-rich diet and exercise regularly. Women in the peri-menopausal stage must go for tests to check future osteoporosis and take precautions. Lack of vitamin D can lead to problems like osteomalacia and rickets. Non-smoking and losing excess weight will help maintain good bone health and resolve issues if any. 

1 person found this helpful

Nasal Bone Fracture - How To Detect It?

Dr. Palak Shroff Bhatti 90% (21 ratings)
MBBS, MS - ENT, DNB - ENT, Fellow- Head & Neck Onco Surgery
ENT Specialist, Mumbai
Nasal Bone Fracture - How To Detect It?

Nasal bone fracture (colloquially termed ‘the broken nose’) is a traumatic injury to one or more bones of the nose, which results in their fracture. The fracture, in turn, restricts several normal and important functions of the nose, such as breathing, smelling and protecting the air passage through secretion of the mucosa, as well as causing added discomfort in the form of bleeding, swelling and pain. Although it can be easily detected, if left untreated, the pain will not alleviate. Therefore, getting a quick diagnosis and necessary treatment is recommended.

Causes of nasal bone fracture:
This condition is caused by a variety of factors, like:

  1. Blunt, forceful injury to the area of the nose while playing sports, or during car crashes and falls from high places etc.
  2. Falls induced by syncope in the elderly, which is a sudden loss of consciousness and muscle immobilization, during which one might fall to the ground.
  3. Fights both with fists and/or with weapons, which might hit the nose and cause potent trauma.

Symptoms of nasal bone fracture:
These are the symptoms by which you can identify whether or not you have a fractured nasal bone:

  1. Pain, mostly severe, in the area in and around the nose.
  2. Difficulty in breathing.
  3. Bleeding, from light to moderate, in the area of the nose.
  4. Severe bleeding, if the nasal mucosa has sustained significant damage.
  5. A visible deformation of the nose, it becoming crooked, swollen or abnormal in appearance in a general way.
  6. Scarring, bruising, blackening and swelling of the region around the eyes too, in some cases if the injury is severe enough.

Diagnosis and treatment of nasal bone fracture:
Most of the fractures are invisible to naked eyes and are detected by physical examination and by X-rays. Generally, accompanying bleeding is also a good indicator of underlying bone fracture. 

Fort treatment, very mild to mild injuries can be left untreated to heal on their own. During diagnosis, it is important to find out whether the fracture is limited to a single bone, in which case it is minor, or has spread to adjoining bones of the face or the nasal septum. In the latter case, surgery is required, which will also require some downtime to heal for you to come back to your daily routine.

In the period immediately following a nasal bone fracture, you are advised to not engage in very physically demanding sports or stay in such situations, which have the potential to cause you injury.

Nasal bone fracture is a condition caused by blunt physical trauma to the nose, which is both easily diagnosable and treatable. In case you are displaying the above symptoms, its best to check with your doctor once and get a diagnosis. That will save significant time and money later on, as, if ignored, this condition may cause complications like any other.

3556 people found this helpful

Bone Cancer - Signs That Can Help You Identify!

Dr. Vinod Dhakad 91% (79 ratings)
M.Ch - Oncology, MS - General Surgery, M.B.B.S., F.I.A.G.E.S.
Oncologist, Indore
Bone Cancer - Signs That Can Help You Identify!

We have more than 200 bones in our body and each of them is susceptible to bone cancer. However, long bones in the arms and legs are most susceptible to this condition. Bone cancer can be primary or secondary. Primary bone cancer involves uncontrolled and abnormal cell division within the bones while secondary bone cancer refers to cancer that originated somewhere else in the body and later spread to the bones. While children and adults are equally at risk for primary bone cancer, adults and elderly people are more susceptible to secondary bone cancer. If diagnosed early enough, bone cancer can be treated and even cured with surgery, chemotherapy or radiation.

Hence it is essential to recognize the signs and symptoms of bone cancer. Here’s what you should look out for.

  1. Pain in Bones: Pain is one the primary symptoms of bone cancer. As the tumour grows larger, this pain can become more intense. In its early stages, the pain may be experienced as a dull ache inside the bone or the affected part of the body. It may also increase or decrease according to your activity level or may be experienced only at night. However, not all bone pains signify ‘cancer’ as this is also a symptom associated with osteoporosis.
  2. SwellingIn some cases, the abnormal growth of bone cells can result in the formation of a lump of mass that may be felt through the skin. In other cases, the affected area may also show signs of swelling.
  3. Breaking of the Bone: Cancer can weaken the bones and make them more brittle. This may make the bones more susceptible to fractures. A bone breaking in an area that has been painful or sore for a long period of time may be a sign of cancer. This is known as a pathologic fracture.
  4. Reduced Flexibility: If the tumour is located near a joint, it may affect the range of movements possible and make simple actions uncomfortable. For example, a tumour around the knee may make walking and climbing stairs a painful exercise.

Other symptoms to look out for are sudden and drastic weight loss, tiredness, excessive sweating at night, fever and difficulty breathing in case cancer has spread to other organs. Since many of these symptoms are common to other medical disorders, you should conduct a doctor immediately if you notice any of them. A physical examination and a couple of tests along with a biopsy will be required to confirm a diagnosis of bone cancer. Consult an Expert & get answers to your questions!

1951 people found this helpful