Lybrate.com has an excellent community of Oncologists in India. You will find Oncologists with more than 35 years of experience on Lybrate.com. You can find Oncologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. D.Suresh Kumar
Submit a review for Dr. D.Suresh KumarYour feedback matters!
Mujhe fubroadenoma hai mai 30 saal ki hu? Mere 14.5 mm ki gaatth h left breast me? Kya ye cancer h? Kya mai theek ho sakti hu. Iska ilaj homoeopathy me h ua elopathy me. please tell me answer.
Main Dr. Shailendra Goel hu, principal consultant urologist, enterologist and renal transplant surgeon. Main Vaishali, Delhi, Noida, NCR chhetra mein max hospital se sammad hoon aur meri training. MCS training jo hai, Sanjay Gandhi PGI Lucknow mein hui hai aur main Delhi rajdhani chhetra ke bade haspatal jis mein Maidanta haspatal, JP haspatal, Kailash haspatal Noida, Delhi aur Metro haspatal se sambandhit raha hoon.
Aaj mein aap ko iss video ke dwara, Prostate gland jo gadut kehlate hai jo ki ek common samasya hai uss ke brein mein thoda gyan aap se share karna chahta hoon. Prostate gland ek chhoti ya bade angur ya akhrot ke size ki ek granthi hoti hai jis mein vva banta hai aur yeh peshaap ki theli ke neeche body ke andar peshaap ke raste ke chaaro ore hoti hai. Aur yeh peshaap ke raste ke chaaro ore hota hai aur iss mein vva banta hai aur jab sex karte hai toh vva iss granthi se nikalta hai. Jab age jaise jaise progress karti hai to hiss ka size badhne lagta hai aur yeh peshaap ke raste ko dabane lagti hai toh uski wajah se peshaap mein dikkat hone lagti hai. Mostly patients jo prostate gland ke enlargement ke jo hote hai who mostly 40-50 saal ke baad ke umar ke hote hai. Aur dheere dheere yeh granthi jo badhti jaati hai aur raste ko abati jaati hai toh urine mein dikkat jo hoti hai. Uss mein dikkat kuch rukawat ki wajah se hoti hai, jese ki
- Dhara halki hona
- Ruk ruk ke hona peshaap hona
- Peshap ek baar mein poora na hona
- Baar baar peshaap jana
- Raat mein kahi baar uthna peshaap ke liye
- Peshaap jaldi lagna.
- Kahi baari itna jaldi peshaap lagna ki bathroom pahuchne se pehle hi nikal jana.
Toh yeh symptoms is baat ko indicate karte hai ki prostrate kuch trouble kar raha hai aur kahi baar jab yeh prostate zyada badh jaata hai toh kuch yeh dikkat ya complications karta hai jaise KI-
- Peshaap bilkul ruk hi jaata hai
- Peshap nikal nahi jaata
- Nail dalwane ki zaroorat parti hai
- Peshaap mein blood aane lagta hai
- Itni rukawat hone lagti hai ki kidney ko kharab karne lagta hai
- Pet mein itna jor lagana padta hai ki hernia ban jate hai ya rukawat ki wajah se kidney mein ya peshaap ki theli mein pathri ban jaane lagti hai.
- Kidney kharab ho jaane lagti hai toh yeh complications hote hai.
Jab yeh complications hone lagte hai tab toh operation bahut zaroori ho jaata hai. Shuruat ke stage mein jab yeh koi complications nahi hai toh prostate ki dikkat ko dawaiyon se treat kiya ja sakta hai. Usually jaise jaise age badhti hai waise prostate ki samasya badhti jaati hai. Yadi hum kahe ki 60 years ki age pe 50% logon ko prostrate ki problem hoti ha. 80 years ki age pe almost 70-90% patients ko prostate ki problem hoti hai.
Prostate ki samasya ka khaane se koi link nahi hai. Aap ko ek normal balanced diet leni chahiye aur aisa koi specific diet ya parihej nahi hoga jiss se hum kahein ki prostate ki samasya nahi hogi. Aur prostate ke check up ke liye jo aap urologist se ya jab aap salah karte hai ki iss mein kya dikkat hai toh uss mein hum jo test karate hai uss mein ek urine test hota hai , ultrasound hota hai ki jiss mein ultrasound peshaap karne se pehle aur peshaap karne ke baad mein dekhte hai, ye check karne ke lie ki kitan percent peshaap ruka reh jaata hai. Ek peshaap ke dhara ki jaach hoti hi jise hum uroflowmetry kehte hai yeh jaach hum usually karate hai aur kidney pe koi jor par raha hai ke nahi par raha hai uss ke liye kidney ka ek blood test, cretinin jiss ko kehte hai, who karaya jaata hai. aur ek prostate ke liye specific test hota hai PSA Test, Prostate Specific Antigen yeh ek test karaya jaata hai ki jiss se hum yeh check karte hai ki koi cancer ki sambhavna toh prostate mein nahi hai. Toh yadi PSA yadi badha hua aata hai, toh uss ke liye hum phir biopsy advise karte hai except ki kuch cases mein jahan humein lage ki infection hai ya koi aur chances ho sakte hai PSA badhne ke. Toh PSA ka badha hona apne aap mein indicate karta hai ki uss mein cancer ki shakh hota hai, cancer ko confirm nahi karta.
Shuruat mein prostate ki samsya ko hum dawai se treat kar sakte hai jiss mein do tareeke ki dawai hoti hai alphablocker aur 5ARI inhibitors. Toh jab bada prostate hota hai toh yeh do dawaiya di jaati hai aur inn do dawaiyon ka long term mein koi major side effect nahi hota hai aur yeh dawai prostate ke patients ko lambe samay tak leni hoti hai. Beech beech mein check up karana hota hai. Aur yadi check up mein humein lagta hai ke dawaiyon se proper result nahi mil rahe hai ya humein lagta hai ke prostate badh raha hai aur dikkat kar raha hai, andar complications jaise rukawat ke, kidney kharab hone ke, kidney mein swelling ke ya peshaap zyada rukne ke ya dhaar achhi na hone ke persist kar rahe hote hai toh uss mein operation ki salah di jaati hai.
Aaj ki tareekh mein operation bhi minimal invasive technique se hota hai ki jiss mein koi chira fadi, kaata, kaati nahi hoti even jaise laproscopy mein do teen chhed karte hai toh koi chhed nahi kiya jaata. Yeh keval peshaap ke raste pe kiya jaata hai jiss mein commonest operation jo aaj ki tareekh mein jo hota hai woh TURP kehlata hai jiss mein peshaap ke raste se doorbeen se prostate ko operate kar diya jaata hai. Ab aur zyada advanced technique available hai jise hum bipolar TURP kehte hai. Iss mein risk kam ho jaata hai ya isme laser se kiya jaata hai. Aaj ki tareekh mein laser best technique kehlati hai jo ki jiss mein old age mein hote hai patients ko heart problem hai ya lungs ki problem hai ya woh blood thinner le rahe hote hai ya aur bimaariya hai , diabetes hai, toh uss mein ya sodium kam ho jata hai body mein toh un cases mei laser bahut helpful hota hai uss mein complications kaafi kam ho jata hai. Lekin ye hai ki in ke operations kaafi successful hai. Otherwise yadi aap iska illaj nahi karte hai toh yeh kidney kharab kar sakta hai ya aur dikkat kar sakta hai.
Toh yeh kuch baat mein prostate cancer ke barein mein aur kehna chahunga ki prostate cancer bhi ek samasya hai. PSA tests se iss ko diagnose kiya ja sakta hai. Lekin cancer ke barein mein yeh hai ki prostate cancer ka ilaaj sambhav hai. Chahe yeh advanced stage mein bhi hai toh bhi iss ka bahut accurate ilaaj available hai. Aur yeh saal do saal ilaaj ke baad bhi patients ko koi dikkat nahi hoti hai. Toh woh prostate ki samasya se mera yeh ek salah rahegi jiss ke koi urine mein dikkat hai woh urologist se salah zaroor le aur apna ilaaj karaye aur in sab dikkato se ya apne zindagi ko swasth rakhe.
Dhanyavaad. Aur mein Dr. Shailendra Kumar Goel aap ke liye, salah ke liye lybrate par available hoon ya aap DF-10 Duplex Flora, Sector-108 mein mere Goel Urology clinic mein aap mere se sampark kar sakte hai.
Aur lybrate ki website par ya meri apni website Drshailendragoel.com par mere se appointment ya salah le sakte hai. dhanyavad.
My grandmother has breast cancer. The biopsy result is'Invasive duct carcinoma grade 2' And her PET-CT scan result is'Hypermetabolic retroareolar right breast mass FDG avid regional lymph nodes. No FDG avid distant lesions. Her-2 result is negative. ER and PgR result is positive 90%? Strong. Doctor told that tumor is locally advanced. We have started her treatment and doctor suggested below plan - 1- 11 chemotherapy once in a week 5 chemo are already done. Doctor told that if she can't tolerate chemo then we can stop before 11. The reason doctor gave behind chemo treatment is to shrink a tumor and tumor is stick to skin so chemo will make it loose. 2- Surgery 3- 5 chemotherapy every 21 days of interval 4- Radiation 5- Hormonal treatment for 5 years My grandma is physically fit and she doesn't have BP and diabetics and any other health issues except acidity. Last week my grandma fell down and her x-ray report is'Diffuse osteopenia. Anterior wedging of L1, L2 & L3 vertebra, could represent osteoporosis collapse. She has severe pain in the back. Recently I have taken a 2nd opinion and the doctor suggested that she doesn't need chemotherapy as her ER test is positive. She told that only hormones tablet will help to shrink a tumor and she may not need surgery. She told if we give chemo to her at the age of 75, it may create health problems for her later. I'm in dilemma now. Shall we continue with chemo treatment or switch to hormone treatment? If yes then what about its side effects? If we switch to hormone treatment then the chemo which is given will create any problem? Will it be right to switch to hormone treatment after 5 chemo cycle? What are the chances of metastasis in hormone treatment? What if we have to switch to chemo again after hormone treatment? Will cancer cell become drug resistant because of first chemotherapy? Chemo drugs go in an entire body so if there are any cancer cells in initial stage then it will kill it so chances of metastasis will be less. Is it true? Does hormone treatment also help to prevent metastasis? Let me know if you need more details.
I am 13 years old and when I press down my nipple I feel something hard and flat behind it it's mostly the same in both sides but just a little near in the left side I also have some breast lumps but the lumps seem smaller now and I started developing breast when I was 11 years old and I also have some discharge type thing and very very slight dimple but it's barely noticeable is this okay I am very scared.
Which cancer centres offer treatment of breast cancer stage 2A by IMMUNOCONLOGY or along with Traditional Chemotherapy +target chemotherapy followed by Mastectomy & radiation. Comments on treatment by Immunoncology. Any hospital offering TARGET CHEMO DRUGS DELIVERY SYSTEM. Diet & other steps to avoid mastectomy in a patient with stage 2A having NEGATIVE ER/ PR but HER 2NEU being positive pl.
I am 66 years young. I have enlarged prostate gland. I am taking uromax-d daily od for the last four years. Please Advise me whether I should continue d same or take something else.
I have noticed little red bumps on my left breast. And its a little itchy. Please advice can it be cancer?
Cancer is a disease characterized by abnormal multiplication of cells in a particular part of the body. After starting in one body part, cancer cells spread to other body parts and lead to the formation of tumours (metastases) in other parts of the body. Throat cancer refers to the development of tumours in the different parts of the throat. Various parts of the throat include oropharynx (tonsil, soft palate, base of tongue), nasopharynx (part behind the nose), hypopharynx and larynx (voice box). Throat cancers are a common type of cancer in India. The most common causes of throat cancer are -
- Tobacco is the most important cause of throat cancer. Smoking in any form increases the risk of pharyngeal and laryngeal cancer greatly. Chewing tobacco can also increase the risk of pharyngeal cancers. No amount of tobacco exposure is safe.
- Alcohol: Alcohol is an important contributor to risk of pharyngeal cancer. Alcohol intake multiplies the risk of cancer that is due to tobacco exposure.
- Human Papilloma Virus: Human papilloma virus or HPV is famous as the cause of cancer of uterine cervix. However, in recent years it has been found to be an important cause of throat cancer. HPV infection is transmitted through sexual contact.
- Epstein Barr Virus (EBV) infection: EBV infection is responsible cancer of the nasopharynx or part of pharynx behind the nasal cavity.
The risk of throat cancer can be reduced by avoided tobacco and alcohol. HPV infection can be avoided through safe sexual practices. These practices can prevent large majority of throat cancers. Other that prevention, timely testing for early diagnosis and immediate treatment when cancer is diagnosed will lead to successful outcomes.
In case you have a concern or query you can always consult an expert & get answers to your questions!