Cancer treatment methodology varies depending on the particulars of each individual case, but the various options for

treating cancer remain the same- chemotherapy, radiation and surgery. In certain types of cancer, tumor debulking is a preferred solution. When combined with rigorous application of other cancer-fighting treatments, tumor debulking offers the best shot at forcing cancer into remission.

According to the National Cancer Institute, tumor debulking consists of a surgical procedure designed to remove as much of the existing tumor as is reasonably possible. This is contrasted with standard surgical procedures to combat cancer, which consist of removing the whole tumor or the diseased organ in its entirety.

Tumor debulking become the default option for surgical treatment where the tumor has spread to such an extent that removing it all would be either impracticable or life threatening. Even when the tumor is not large, if the bulk of the tumor is concealed in an inaccessible location (as within the brain), tumor debulking might be the only feasible alternative.

The primary advantage to tumor debulking is that although an incomplete treatment method, it still allows for some reduction in the size of the tumor. This can buy the patient more time before the tumor regrows to its original size, and it can also buttress the effects of chemo and radiation therapy as there are fewer cancer cells to eliminate.

With certain conditions such as ovarian cancer, tumor debulking has grown to a precision art. The goal in tumor debulking with cases of ovarian cancer is to excise a sufficient amount of the tumor so that the remaining cancerous tissue is no larger than one centimeter in size--an impressively small amount.

Keep in mind that tumor debulking is not a stand alone procedure. In order to be fully effective, it will have to be combined with other cancer treatments. The details of the procedure itself, such as whether the surgery can be performed on an in or outpatient basis, will have to be determined on a case-by-case basis depending on the specific surgery site and other factors such as the patient's need for constant monitoring post-operation.

Debulking surgery involves removing excess skin and subcutaneous tissues in the affected area. The surgery does not prevent edema in the affected area and it nor does it not improve the functioning of the lymphatic system. If there are functioning lymphatic vessels in or under the skin, they may be damaged by the surgery and this can cause resulting scars.

Remove excess skin from the arms or legs after the limb size has been reduced by complex decongestive therapy. Reduce the frequency of infections by removing skin folds or overhanging lobules.

Make it easier for the patient to walk by reducing leg size, removing lobules, or an abdomen that hangs down over the legs (pannus). (A pannus is a medical term for a hanging flap of tissue.) Improve the appearance of the affected areas or the patients balance. Remove tissue that may be malignant.

The lymphatic system and the cardiovascular system are closely related structures that are joined by a capillary system. The is important to the body's defense mechanisms. It filters out organisms that cause disease, produces certain white blood cells and generates antibodies.

"Lymph" is a milky body fluid that contains a type of white blood cells, called "lymphocytes," along with proteins and fats. Lymph seeps outside the blood vessels in spaces of body tissues and is stored in the "lymphatic" system to flow back into the bloodstream. Two very large areas are of significance in this system - the right lymphatic duct which drains lymph fluid from the upper right quarter of the body above the diaphragm and down the midline, and the thoracic duct, a structure roughly sixteen inches long located in the mediastinum of the pleural cavity which drains the rest of the body.

The lymphatic vessels are present wherever there are blood vessels and transport excess fluid to the end vessels without the assistance of any "pumping" action. There are more than 100 tiny, oval structures (called lymph nodes). These are mainly in the neck, groin and armpits, but are scattered all along the lymph vessels. They act as barriers to infection by filtering out and destroying toxins and germs. The largest body of lymphoid tissue in the human body is the spleen.

Repetitive Sprain, Injury and Trauma to Shoulder Joint and Tendon.

Leakage of Lymp and Plasma Fluid

Invasion of Lymphocyes and Leukocytes

Formation of Cyst or Mass

Compression of Nerves

Pain,aching or Numbness

Limited Shoulder Mobility

Repetitive Sprain, Injury and Trauma to Shoulder Joint and Tendon

Inflammation Infection

Pathogens (Bacteria,Virus ,Fungi) releases growth factors w/o cell differentiation

Doubles Cell Multiplication

Mutation of Cells

Formation of MaliganantTumor or Mass

Proliferation of Cancer Cells due to Suitable oxygen levels in liquid storage vessels and thick membranes of tumors .

Debulking is the surgical removal of part of a malignant tumour which cannot be completely excised, so as to enhance the effectiveness of radiation or chemotherapy. It is used only in specific malignancies, as generally partial removal of a tumor is not considered a worthwhile intervention. Ovarian carcinoma and some types of brain tumor are debulked prior to commencing radio- or chemotherapy. It may also be used in the case of slow growth tumors to shift tumor cells from phase of cell cycle to replicative pool.

Debulking is also known as cytoreduction surgery; "cytoreduction" refers to reducing the number of cancer cells.

Cytoreduction Surgery (CRS), also called debulking, is the process of physically removing all visible tumors from the abdomen. Generally all tumors greater than 2mm in length are excised. The surgery can be long and complicated. Portions of or entire organs may need to be removed to successfully rid the patient of all tumors. The image at left is a diagram of a peritonectomy, where the entire lining of the abdomen is removed.

Pleural Effusion- a collection of fluid between the membranes lining the lung and chest wall. Nausea and Vomiting Wound infection- infection of surgical wounds by bacteria Pneumonia Atelectasis- collapse or partial collapse of the lung

Line-Related Complications- complications related to the use of central venous IV lines Pancreatitis- inflammation of the pancreas Ileus- bowel does not start moving again for a period of time after surgery Arrhythmia- irregular or abnormal heart beat

Pulmonary embolus- a blood clot that travels to the lung Diarrhea - liquid bowel movements Intra-abdominal abscess- pocket of fluid and pus inside the abdomen Deep Vein Thrombosis (DVT)- blood clots that develop in the deep veins of the legs Post-operative Bleeding Entero-enteral or enterocutaneous fistulaabnormal passage that forms between the stomach or intestines and other organs or skin