Rabhdomyosarcoma of Bladder .
NATIONAL JOURNAL OF HOMOEOPATHY 1994 Sep / Oct Vol III No 5.
Praveen Kumar.
Cases.
` Calc.

A baby aged three and a half years, was brought on 12th April 1993, with complaints of frequent burning urination. The urine was thick and muddy.

There was an occasional pain in the lower abdomen. Symptoms were slightly aggravated at 5 P.M. She also had frequent attacks of cold since the past one year. History revealed that she had haematuria with severe pain and frequency on 1st March 1993. As a result she was taken to a private hospital from where she was referred to the Nizam Institute of Medical Science. There it was diagnosed as Rhabdomyosarcoma of the bladder - a dreaded cancerous tumour of the bladder. This was also the probable diagnosis from the Tata Memorial Cancer Hospital at Bombay. (reports enclosed).

The baby was given a schedule of chemo and radio therapy from 11th March 1993 onwards, as per the advice of the doctors at the Tata Hospital. As a result of the therapy she developed weakness, loss of appetite and emaciation.

On examination, the baby was anaemic. There was tenderness in hypogastrium with a palpable mass. The liver and spleen were not palpable. Heart and Lungs NAD.

Past history revealed stiffness of the neck at the age of third month which was relieved by physiotherapy. She also had an allergic rash in the 1st year.

Assessment:

The most important point in this case was the cancerous tumor of the bladder. This is covered exclusively by Calc-carb alone as given in Kents Repertory page 652 in 2nd grade.

Other important rubrics which further supported the choice of the drug were -

1. KR 1349 - Cold, tendency to take
2. KR 681 - Urine bloody
3. KR 947 - Stiffness cervical region
4. KR 657 - Urination frequent.

Plan: Calcarea-carb 200 single dose on 15th April 1993.

Review: On 22nd April there was vomiting of mucus. The urine was clear and no burning urination.

Assessment: The prescription of Calc-carb was confirmed by the alleviation of urinary complaints. It looked as though the 200 potency was not sufficient to relieve the effects produced by chemo and radiotherapies.

Plan: Calcarea-carb 1M single dose

Review: On 30th April there was appearance of rash all over the body which was similar to the one in the past.
Assessment: appearance of old symptoms is a clear indication of the exactness of the prescription.
Plan : SL
Review: On 7th May 1993, the appetite improved.
Plan: SL

She was given another course of chemo and radiotherapy and she became weak and had vomiting.
Assessment: acute symptoms after Radium therapy needing acute anti-dote.
Plan: Radium-brom 30 one dose.
Review: On 9th May 1993 there was muddy brown urine with pain.
Assessment: Reappearance of the original symptom indicates insufficient potency.

Plan: Calcarea-carb 10M single dose.
Review: On 26th May 1993 the patient had fever with cough and cold. She was given antibiotics without relief.
Assessment: Consider the acute totality and antidote the effects of antibiotics.

Plan: Ars-alb 200 single dose.
Review: On 7th July 1993 there was bleeding from the nose and mouth Icterus +. The liver not palpable, appetite decreased.
Assessment: Symptoms of jaundice could be an emergency.

Plan: Nux-vomica 200 single dose.
Review: On 17th July 1993 - appetite was good. No bleeding. Urine had no complaints.

On 30th July 1993 - the chief urologist NIMS repeated all investigations including a cystoscopy and stated that there was no tumor in the bladder or any part of the genito-urinary system.

Since then Calcarea-carb 10M was given twice for complaints other than Urinary symptoms like cough, cold and loss of appetite.

On 22nd April 1994 - the chief urologist of NIMS again investigated and stated normalcy.

The baby is perfectly alright with complaints. (reports enclosed)

Conclusion:

Though we may not claim 100 percent results in this particular case, as the child was treated simultaneously with allopathy and homoeopathy yet, it is obvious that the cure was possible in such a short time period, only with the help of homoeopathic medicines.

Investigations:

CT Scan on 27/2/93: (KDR Hospital, Hyderabad)

CT image morphology is consistent with bladder wall growth (? Rhabdomyosarcoma) with intraluminal and perivesical extension infiltrating the right rectus abdominus.

Report From Tata Hospital - 25/3/93 Provisional Diagnosis - Rhabdo sarcoma of bladder.

Post Homoeopathic treatment reports:

USG on 27/9/93:

Impression - Liver is normal. Gall bladder, pancreas, spleen, both kidneys and para-aortic region appear normal.

There is no ascites. Ureters are not dilated. Urinary bladder does not reveal any intrinsic lesion.

Post void residue is 30 cc.

No mass lesion is seen in the pelvis.

USG on 17/12/94:

Impression - Urine filled bladder contour normal. No hyper-echotic densities within the bladder. Liver, gall bladder, pancreas, spleen - size shape, position contour - normal.