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Dr. Nandan M Shanbhag

Oncologist, Bangalore

250 at clinic
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Dr. Nandan M Shanbhag Oncologist, Bangalore
250 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Nandan M Shanbhag
Dr. Nandan M Shanbhag is one of the best Oncologists in Hesaraghatta, Bangalore. He is currently associated with Sapthagiri Super Speciality Hospital in Hesaraghatta, Bangalore. Book an appointment online with Dr. Nandan M Shanbhag on Lybrate.com.

Find numerous Oncologists in India from the comfort of your home on Lybrate.com. You will find Oncologists with more than 27 years of experience on Lybrate.com. You can find Oncologists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Sapthagiri Super Speciality Hospital

#15, Hesaraghatta Main Road, Near-Bonemill Bus Stop, Chikkalasandra, Bangalore, Karnataka 560073Bangalore Get Directions
250 at clinic
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My cousins have 1 cm cyst in under armpit in breast .we consulted a doctor .but she checking mammogram and he tell them its negative result and she said just cyst and painful and movable but ahe said better than the remove the cyst and consult surgeon .what can I do. Is this serous problem. And is this suddenly remove?

MBBS, DNB - Obstetrics & Gynecology
Gynaecologist, Mumbai
Lump in axilla (armpit) is most probably a lymph node. It may be of infective origin. U must consult a surgeon. And he will guide you better. When in doubt it is better to get it excised.
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What are the side effects of smoking? As it causes cancer what type of cancer it may cause? Is it curable for such th8ngs from the primary stage? What should I do for quit smoking?

MS ( General Surgery)
Oncologist, Mandsaur
Overview Cigarette smoking harms nearly every organ of the body, causes many diseases, and reduces the health of smokers in general. 1, 2 Quitting smoking lowers your risk for smoking-related diseases and can add years to your life. 1, 2 Smoking and Death Cigarette smoking is the leading preventable cause of death in the United States. 1 •Cigarette smoking causes more than 480, 000 deaths each year in the United States. This is nearly one in five deaths. 1, 2, 3 •Smoking causes more deaths each year than the following causes combined: 4 oHuman immunodeficiency virus (HIV) OIllegal drug use OAlcohol use OMotor vehicle injuries OFirearm-related incidents •More than 10 times as many you. S. Citizens have died prematurely from cigarette smoking than have died in all the wars fought by the United States during its history. 1 •Smoking causes about 90% (or 9 out of 10) of all lung cancer deaths in men and women. 1, 2 More women die from lung cancer each year than from breast cancer. 5 •About 80% (or 8 out of 10) of all deaths from chronic obstructive pulmonary disease (COPD) are caused by smoking. 1 •Cigarette smoking increases risk for death from all causes in men and women. 1 •The risk of dying from cigarette smoking has increased over the last 50 years in men and women in the United States. 1 Smoking and Increased Health Risks Smokers are more likely than nonsmokers to develop heart disease, stroke, and lung cancer. 1 •Smoking is estimated to increase the risk— oFor coronary heart disease by 2 to 4 times1, 6 OFor stroke by 2 to 4 times1 OOf men developing lung cancer by 25 times1 OOf women developing lung cancer by 25.7 times1 •Smoking causes diminished overall health, increased absenteeism from work, and increased health care utilization and cost. 1 Smoking and Cardiovascular Disease Smokers are at greater risk for diseases that affect the heart and blood vessels (cardiovascular disease). •Smoking causes stroke and coronary heart disease, which are among the leading causes of death in the United States. 1, 3 •Even people who smoke fewer than five cigarettes a day can have early signs of cardiovascular disease. 1 •Smoking damages blood vessels and can make them thicken and grow narrower. This makes your heart beat faster and your blood pressure go up. Clots can also form. 1, 2 •A stroke occurs when a clot blocks the blood flow to part of your brain or when a blood vessel in or around your brain bursts. 1, 2 •Blockages caused by smoking can also reduce blood flow to your legs and skin. 1, 2 Smoking and Respiratory Disease Smoking can cause lung disease by damaging your airways and the small air sacs (alveoli) found in your lungs. 1, 2 •Lung diseases caused by smoking include COPD, which includes emphysema and chronic bronchitis. 1, 2 •Cigarette smoking causes most cases of lung cancer. 1, 2 •If you have asthma, tobacco smoke can trigger an attack or make an attack worse. 1, 2 •Smokers are 12 to 13 times more likely to die from COPD than nonsmokers. 1 Smoking and Cancer Smoking can cause cancer almost anywhere in your body: 1, 2 (See figure above) •Bladder •Blood (acute myeloid leukemia) •Cervix •Colon and rectum (colorectal) •Esophagus •Kidney and ureter •Larynx •Liver •Oropharynx (includes parts of the throat, tongue, soft palate, and the tonsils) •Pancreas •Stomach •Trachea, bronchus, and lung Smoking also increases the risk of dying from cancer and other diseases in cancer patients and survivors. 1 If nobody smoked, one of every three cancer deaths in the United States would not happen. 1, 2 Smoking and Other Health Risks Smoking harms nearly every organ of the body and affects a person’s overall health. 1, 2 •Smoking can make it harder for a woman to become pregnant and can affect her baby's health before and after birth. Smoking increases risks for: 1, 2, 5 oPreterm (early) delivery OStillbirth (death of the baby before birth) OLow birth weight OSudden infant death syndrome (known as SIDS or crib death) OEctopic pregnancy OOrofacial clefts in infants •Smoking can also affect men's sperm, which can reduce fertility and also increase risks for birth defects and miscarriage. 2 •Smoking can affect bone health. 1, 5 oWomen past childbearing years who smoke have weaker bones than women who never smoked, and are at greater risk for broken bones. •Smoking affects the health of your teeth and gums and can cause tooth loss. 1 •Smoking can increase your risk for cataracts (clouding of the eye’s lens that makes it hard for you to see) and age-related macular degeneration (damage to a small spot near the center of the retina, the part of the eye needed for central vision. 1 •Smoking is a cause of type 2 diabetes mellitus and can make it harder to control. The risk of developing diabetes is 30–40% higher for active smokers than nonsmokers. 1, 2 •Smoking causes general adverse effects on the body, including inflammation and decreased immune function. 1 •Smoking is a cause of rheumatoid arthritis. 1 Quitting and Reduced Risks •Quitting smoking cuts cardiovascular risks. Just 1 year after quitting smoking, your risk for a heart attack drops sharply. 2 •Within 2 to 5 years after quitting smoking, your risk for stroke could fall to about the same as a nonsmoker’s. 2 •If you quit smoking, your risks for cancers of the mouth, throat, esophagus, and bladder drop by half within 5 years. 2 •Ten years after you.
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My father has been diagnosed with Non-Small Cell Lung Cancer, Stage 4 with primary tumour in his Left Upper Lung and metastasis in Liver and Bone. The biopsy report has confirmed it to be adenocarcinoma. The cancer was detected while he was admitted at a hospital in Mumbai and was undergoing treatment for Acute Paraplegia which happened on 02 Nov 16, due to arteries-Venous Fistula at D-10 level resulting in oedema/ ischemia of the spine from D-5 to Conus. After two failed attempts of embolization, towards treatment of the AVF, surgical clipping of the fistula was undertaken on 10 Nov 16. As part of post-operative rehabilitation therapy for his paraplegia, he was given 65 session of Hyper-basic Oxygen Therapy at 2.4 ata pressure for about two and a half month and about two hour of Physiotherapy for the same duration. My father was recovering well and had started walking with the help of support (walker). MRI of the spine taken in mid Jan & Mid June 2017 indicates that the spinal cord oedema had improved significantly, although atrophy of the spine cord is still present. He complained of wheezing and breathing difficulty and towards ascertaining the cause a X-ray was taken on 23 Feb 17 which showed massive pleural effusion in his left lungs. A series of tests followed with the ultimate result as NSCLC Stage 3B. He was started with CCRT treatment which concluded on 05 May 17. During the treatment he was given daily dose of radiation therapy using IGRT (60 Gy/ 30 #/6 weeks) and weekly chemotherapy with paclitaxel (150 mg) & Carboplatin (300 mg) for 6 weeks. Despite the treatment, the cancer is advancing and has now spread to Liver and Bones as brought out in his latest PET CT report. Lung tissue which was obtained during CT guided biopsy conducted in the month of Mar 17, before the CCRT treatment was started, has tested positive for EGFR mutation – “E746_A750del is detected in EXON 19 of EGFR gene”. The medicine oncologist has however said that the gene profiling of the primary tumour tissue is not sufficient for starting Targeted Therapy and gene profiling of a tissue obtained from any of the metastatic site is necessary for the same. Three procedures have been undertaken to obtain tissue sample from the metastases site, twice from the liver and once from the pleural deposits, and all the three times the cancerous tissue could not be obtained. Due to non-availability of conformed cancerous tissue from the metastases site, a firm treatment plan has yet not been made for my father. In the meantime, the doctor has recently started my father on Erlotinib 150 mg OD as there has been considerable delay in his next phase of treatment due to non availability of metastases cancerous tissue. Could you please help me by answering the following:- 1.Can you suggest anything towards treatment of my father? 2.Is gene profiling of tissue from a metastases site absolutely necessary for starting targeted therapy for my father? 3.I read online that Erlotinib or Afatinib can be used as Targeted Therapy for patient with EGFR Lung cancer mutation. Is this true? If yes, will a daily tablet of these drugs be sufficient for his next phase of treatment, or a concurrent conventional chemotherapy is also required? 4.Can 65 session of Hyper-basic Oxygen Therapy at 2.4 ata given at a stretch of about 80 days, with a daily dose of 02 hour be a cause of his cancer? I have read it online that the oxygen free radical produced during HBOT treatment can cause cancer.

MS, DNB (Surgical Oncology)
Oncologist, Jodhpur
Hi lybrate-user, You summarize the case very well. I understanding of your case says, he has Ca lung adenoca, treated with dCTRT, that progressed and now disseminated disease, which is not curable by any means. The goal of the treatment in such cases would be palliative only, which means to increase longevity without causing much side effects of the drugs and reduce his problem. Now going towards your questions, 1&2. At this juncture, Gene profiling is not necessary for me but to start the EGFR targeted medicines, which includes Erlotinib/Gefitinib or Afatinib. Usually patients with such mutation as in your case responded but unfortunately not for the indefinite period but averagely 6 to 10 months. On progression, you have to get the gene profiling to see the change in the mutational status. You can refer to NCCN guidelines or American cancer society information. 3. Your father should receive, targertd therapy only, no chemotherapy for sure. It is proven better than chemotherapy in terms of Quality of life and progression free survival (average duration to progress on Treatment) 4. Regarding etiology or causation of lung cancer, HBOT not implicated for such cancers. And more so any carcinogen if cause cancer, it has a reasonable time to show its effects, like you must have seen chronic (long term) smokers will develop lung cancer. HBOT cause local hypervascularization and produce free radicles, so many studies tried see its role as a carcinogen, but tilll date it is not proven carcinogen as per ICAR. Hoping it solves your query. It is nice to see a son is keen and read in-depth about his father's illness. Good luck for further treatment.
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Common Symptoms of Breast Cancer

Minimal invasive surgery in gynaecology, MD - Obstetrtics & Gynaecology, DNB, MBBS
Gynaecologist, Mumbai
Common Symptoms of Breast Cancer

Breast cancer is a type of a cancerous infection that develops in the skin cells of the breast. This condition is more commonly diagnosed after you have skin cancer and is more common in women than men. There are certain signs to identify this disease, which are as follows.

1. Breast lumps - Lumps are patches of skin that occur due to the thickening and swelling of the skin. Breast lumps is a very common phenomenon for women but that does not always lead to a breast cancer; however, frequent and reoccurring instances of the same increases the risk of breast cancer. A breast lump is easily identifiable through the naked eye as it looks different from the surrounding tissues.

2. Blood discharges - The nipple is one of the most sensitive areas in the human body. In case of women, it is meant to emit milk during pregnancy, in order to feed the infant externally. A probable symptom of breast cancer can also be a frequent discharge of blood from the nipple without any visible damage or injury.

3. Breast changes - If you are experiencing any visible changes in the size, appearance or shape of the breast, then it is an indicative sign that you may have breast cancer. Thus, it is of paramount importance that you observe, touch and physically examine your breast regularly for changes. If there is any major change detected then it is advisable to consult a doctor.

4. Inverted nipple - The tip of the nipple is generally bulging and pointing outwards both in cases of men and women. But sometimes the tip of the nipple is pushed inside due to excessive suction caused by the skin tissues present inside the breast around the nipple area. This suction forces the nipple to grow inwards which is abnormal and might harm the breast and skin in various ways.

However, apart from these main symptoms, some other signs are also there that increase your chances of being diagnosed with breast cancer. They are redness or pitting of the skin over your breast like an orange, peeling or scaling of the pigmented area around the nipple, dimpling of the skin on the breasts, and such others.

'Consult'.

Related Tip: Can Ayurveda Really Treat Cancer? Find Out.

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Am I more at risk if my relatives have cancer and what do cancer stages and grades mean?

DNB, MBBS
Oncologist, Faridabad
Not all cancers are inherited, only approx 5-7 %!may be inherited, rest may be due to acquired mutations Caused by some carcinogens. Stages are size and spread of disease, Grade means aggressiveness of disease.
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I am 25 year old girl. I am feel like in future I ll have sugar problem. What should I do to I can cure this problem. I have cyst in left breast.

MRCS, DNB (Surgical Oncology)
Oncologist, Chennai
I am 25 year old girl. I am feel like in future I ll have sugar problem.
What should I do to I can cure this problem....
Hi. Sugar problem or diabetes can be diagnosed only by blood n urine tests. If your parents or grand parents hv diabetes thdn you hv a higher risk to get. Avoid sugar, sweet foods n exercise regularly. Keep a watch on your breast cyst n consult a doctor immediately if you notice an increasing size or change in consistency of the cyst.
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Sir I am from odisha. I have trout problem. Sometimes blood come outing from my trout. So, Please suggest me is it a feature of cancer.

DNB, MBBS
Oncologist, Faridabad
You must see an ent surgeon to look for possible causes of bleeding. It may be some infection, injury or malignancy, so one has to examine the throat.
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My father has one kidney and now has 49 grams prostrate we want to cure prostrate please guide. Operation or medicine? and if operation than which type of operation ?

General Surgeon,
I will advice for surgery either turp or lesar prostatectomy. Single kidney is not contraidication on cotarary I will say it is one of indication to avoid load as well as infection of that kidney. Turp or laser prostetectomy is more safe&reliable than trial with medicine.
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