Remarks by Oncologist After Ayurvedic Treatment
This is 50 years old male patient of carcinoma of renal pelvis, post surgery. In this case complete remission is seen for 11 years 2 months of Ayurvedic treatment. Patient could tolerate chemotherapy with minimal side effects. Patient is now asymptomatic and no recurrence is seen after September 1999. Haemogram, renal function tests and urine routine studies are normal. Cystoscopy, sonography and urine cytology show no new growth or recurrence of malignancy. Observed 10 year survival in this type of cases is 23%. His Karnofsky score now is 100 and ECOG score is 0.
Name: AMS
Registration No: 981085 Sex: M
Age at Registration: 50 yrs Age at Diagnosis: 49 yrs
Group: B
Diagnosis: Carcinoma of kidney (Right)
HPR: Right nephroureterectomy (1/1/1998) – Papillary transitional cell carcinoma grade III of pelvis of right kidney. No lymph node metastasis (0/2). Tumour superficially invading wall of pelvis. Renal parenchyma unremarkable. Hilar blood vessels and adrenal glands uninvolved.
TURBT (15/6/1998) – Papillary transitional cell carcinoma, grade II. Lamina propria is free. Muscle tissue is not seen in biopsy.
Lower 1/3rd ureter – bladder cuff (22/9/99) – Residual papillary transitional cell carcinoma, grade II of III, high grade involving the right lower ureter and bladder cuff. Lamina propria and muscle are not involved.  Necrosis is noted. The proximal ureteric cut margin shows high grade urothelial dysplasia. The distal cut margin shows presence of tumour.
Date of Diagnosis: 1/01/1998
Previous History: Hyperacidity – before 15 to 20 years
Treatment History: Surgery – right nephroureterectomy except intramural ureter on 1/1/1998
Surgery – TURBT done on 10/6/1998.
Immunotherapy – 6  cycles of intravesical BCG completed in July 1998.
Surgery – excision of right lower ureteric stump + bladder cuff excision done on 22/9/99.
Ayurvedic Treatment Started on: 9/5/1998
Status: Post surgery, Post Immunotherapy.
Total duration: 11 years 2 months Last Follow up: 18.10.2008
Symptom when Registered in the project:
  • Abdominal distension
  • Weakness
  • Loss of appetite

Treatment Analysis

Symptoms Gradation  Before Treatment Gradation After Treatment
Abdominal distention 2 0
Weakness 2 0
Loss of appetite 3 0
G.C. 8 9
Pain 2 0
Weight 54 kg 58 kg

Investigations – Cystoscopy

8/05/98
(after first surgery)		 2 cm tumour at bladder neck. 1 cm tumour at right ureteric orifice. 0.5 cm tumour at bladder neck at 12 O’clock. 3 small (< 0.5 cm) papillary tumour at dome. Anterior surface junction slightly on right side.
   9/10/98
(after TURBT, chemotherapy and 5 months of Ayurvedic treatment)		 Within normal limits.
   8/01/99
(after 8 months of Ayurvedic treatment)		 Within normal limits.
   9/07/99
(after 1 year and 2 months of Ayurvedic treatment)		 Urethra within normal limits. Mild tuberculations in bladder.
   24/01/00
(after 1 year and 8 months of Ayurvedic treatment)		 Urethra within normal limits. Prostate and bladder neck – non obstructive. No intraluminal growth seen. Bladder – No residual urine. LUO – NAD, with clear reflux. RUO – not seen. Scarring of known surgery evident. Small narrow diverticulum on right lateral wall. No tumour seen on systemic examination of entire bladder.
   28/7/00
(after 2 years and 2 months of Ayurvedic treatment)		 Urethra within normal limits. Bladder capacity normal. RUO not seen, LUO – Normal oedema on trigone and scattered areas around bladder. (?) Tuberculae.

Investigations – USG abdomen

8/07/99
(after 1 year and 2 months of Ayurvedic treatment)		 There is dilatation of right terminal ureter and prominence of the right vesico–ureteral junction suggests the possibility of extension of tumour into the right lower ureter.
   4/01/00
(after 1 year and 8 months of Ayurvedic treatment		 Within normal limits
   26/07/00
(after 2 years and 2 months of Ayurvedic treatment		 Within normal limits
     25/01/01
(after 2 years and 8 months of Ayurvedic treatment		 Within normal limits
   21/03/02
(after 3 years and 10 months of Ayurvedic treatment		 Small echo reflective calculus measuring 4 mm in length seen in upper pole of left kidney.
   24/04/03
(after 4 years and 11 months of Ayurvedic treatment		 Small echo reflective calculus measuring 5 mm in length seen in upper pole of left kidney.
   23/04/04
(after 5 years and 11 months of Ayurvedic treatment		 Small echo reflective calculus measuring 5 mm in length seen in middle pole of left kidney.
   3/12/04
(after 6 years and 7 months of Ayurvedic treatment		 Small echo reflective calculus measuring 5 mm in length seen in middle pole of left kidney.
Empty Rt. Renal Fossa.
H/O Nephrectomy
   14/02/07
(after 8 years and 10 months of Ayurvedic treatment		 Small Lt. renal calculus.
Empty Rt. Renal Fossa.
H/O Nephrectomy

  Investigations – Urine Cytology –

8/05/98
(Before Ayurvedic treatment)		 Urothelial Carcinoma Cells seen.
   24/07/00
(after 2 years and 2 months of Ayurvedic treatment		 Negative For malignancy.
   16/04/04
(after 5 years and 11 months of Ayurvedic treatment		 Negative For malignancy.
   28/05/08
(after 10  years of Ayurvedic treatment		 Negative For malignancy.