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Dr. Gnanasekar

Oncologist, Chennai

500 at clinic
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Dr. Gnanasekar Oncologist, Chennai
500 at clinic
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Gnanasekar
Dr. Gnanasekar is one of the best Oncologists in Arani, Chennai. You can meet Dr. Gnanasekar personally at Priya Nursing Home in Arani, Chennai. Book an appointment online with Dr. Gnanasekar on Lybrate.com.

Lybrate.com has an excellent community of Oncologists in India. You will find Oncologists with more than 41 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.

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English

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Priya Nursing Home

No. 82, Kappal Polu Street, Old Washermenpet. Landmark: Near Maharani Theatre, ChennaiChennai Get Directions
500 at clinic
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How cancer spread beyond the pancreas? Can the cancer be removed (respected) with surgery? Do I need other tests before we can decide on treatment? How much experience do you have treating this type of cancer?

MS ( General Surgery)
Oncologist, Mandsaur
Pancreatic cancer spread by local extension and by metastasis to other organs surgery is the choice of treatment. Yes you will require ct/mri and other blood investigations.
1 person found this helpful
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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.
2 people found this helpful
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I wanted to ask that I have Lipoma on my forehand, back and tighs. I have already consulted doc and he suggested that nothing serious. Can you please confirm the same?

Diploma In Dermatology And Venerology And Leprosy (DDVL), Fellowship in Dermatosurgery
Dermatologist, Belgaum
Yes it is nothing serious. The only treatment being removal either for cosmetic purpose or when it causes problems like pain or excess growth.
1 person found this helpful
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My wife have a lump in left breast but we don't know is this a cancer or not please help me to know whether it is a cancer or simply a lump.

M.S, MBBS
General Surgeon, Bangalore
As per your question, you are aware that your wife has a lump in her breast. Going by the age, and if there is no family history of having cancer of either breast or ovary, all the probability is that it could be an harmless lump. Nevertheless, it has to be confirmed. It is suggested that you consult a surgeon for further evaluation which includes an Ultrasound of breast (to find out if any additional smaller lumps) and a cytology test if required.
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My PSA is 3.8 which is in normal limits but ultrasound shows enlargement of prostrate.I am interested in homeopathic treatment if any if required. My age is 75 pl give detailed comment wtth medicine if any.Thanks

MD-Homeopathy, BHMS
Homeopath, Chikhli
We have treatments but for that I have your detail case study . for any disease we have constitutional medicine not diseases wise but person wise so contact me. [Automatically added by Lybrate] Click "Consult Dr. Nivritti Parihar" below to consult privately with the doctor.
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What is the main reason of stomach cancer? After treatment 100% cancer is finished.

MBBS
General Physician, Cuttack
There are so many causes like genetic, Peptic ulcer, erosive gastritis,alcohol,faulty dietary habit etc.Treatment is not very satisfactory.Mortality rate is high.
1 person found this helpful
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My prostate gland enlarge 25% I have started medicine daily one bed time eating capsule Amudra Feeling good urine. But my right side of abdomen feeling some wet or some disturb. Any suggestion please Thanks regards.

MBBS
General Physician, Mumbai
My prostate gland enlarge 25% I have started medicine daily one bed time eating capsule Amudra
Feeling good urine. Bu...
We have to examine you for further guidance and till than Avoid spicy food in your diet and Also avoid peanuts and potatoes in your diet
11 people found this helpful
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Iam suffering from prostatomegaly grade ll with an app. Volume of 44cc. Whether I should go for operation or take medicine and which medicine I should take & how long? please advice.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Iam suffering from prostatomegaly grade ll with an app. Volume of 44cc. Whether I should go for operation or take med...
If don't want surgery for enlargement of prostate. You can take medicines. Cap. Urimax 0.4mg 1od after meal. And do test psa.
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How actually carcinoma cancer is cured? And are there any kind of medicines to it? How to know that am I affected with cancer?

DNB, MBBS
Oncologist, Faridabad
Dear mam. Cancer is treated by combination of chemotherapy, radiotherapy, Surgery etc. Nowadays treatment is done to treat the faulty gene, which will probably lead to cure. You can go for a cancer screening check up to know if you have any sign of cancer or premalignant conditions.
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2013 dec i tested for PSA whcih shows10.5 .i took ayurvedic medicines for about 6 months and now the reading is 6.58 .should i undergo BIOpse

M.Ch - Surgical Oncology
Oncologist, Hyderabad
A PSA of 10may be seen in enlarged prostate of any reason. Get an ultrasound of pelvis done to check for nodules in the prostate. If any nodules are found a biopsy should be done. If it is a benign hypertrophy, follow it up with yearly PSA testing
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Diabitic since 2001 .Taking Gelvas 50-500 Amaryl 1M, Ecospirin v75, Tezloc H, Flodart plus for D.M,heart, Microalbumin in urine and prostate problems.

MD-Dermatology, MBBS
Sexologist, Pune
Send me details/ and Private consulting Please contact and discuss in details regarding your related problem at private questions by request and payment of Rs.200/ through Lybrate/ payment getway. Contact email drrameshm2@gmail.Com/on Mob 09822006427. For your complete health solution by.Dr.Ramesh Maheshwari, MBBS,MD Sexologist Pune.
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My grand mother had a breast cancer so please how to rectify the problem and I am a modern people please reduce the loss of money to solve this problem regards ranji.

MBBS, MS- Surgery , M.Ch - Surgical Oncology , FIAGES
Oncologist, Delhi
My grand mother had a breast cancer so please how to rectify the problem and I am a modern people please reduce the l...
Modern treatment has resulted in great improvement in cure for breast cancer. First disease should be confirmed with core biopsy, mammography and staged as per clinical indications. Surgery is mainstay of treatment for localized disease. Preop or postop chemotherapy is given as per indications. Adjuvant radiation and hormone therapy is decided based on histopathology report. Treatment should be started earlist possible.
15 people found this helpful
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Meri breast pr nipple k pas ek or do sal se choti si blister Nikli thi. Jisme se kuch white color ka kuch ajib sa niklta h. Us breast me na to drd h na hi kuch but wo blister muje khtm krni h. please ye btaiye ki m kya kru uske liye Koi home remedy or ointment.

FMAS, MS
General Surgeon, Gandhinagar
Respected lybrate-user hi ye sebaceous cyst ka problem lag raha he ko minor surgery se solve ho jayega don't worry thanks regards.
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I am 27 years old married lady. I have big breasts and I am uncomfortable with it. Kindly suggest a safe way.

MCh - Plastic and Reconstructive Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Hyderabad
Breast reduction is a proven method by which large breasts can be reduced and made shaplier. Neck and back pain reduction is seen as that much weight is removed and the neck, shoulder and back need not carry them.
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I hav blood cancer leukemia pre all nd my chemo is going on what food should I take.

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
Hi lybrate-user, I appreciate you seeking help. What chemotherapy are you presently on? as regards diet, it is better to include more of leafy greens, fresh fruits, whole grains etc all, in general. Restrict flesh intake, if any, to more of fresh water fishes, 3 to 4 servings max in a span of 2 weeks. Over and above, one can take lean meat like chicken, egg whites etc all, preferably in soup form. This shall be nutritious and help fight cancerous cachexia, if any. It is important that one stays well hydrated, and consume at least 8 to 10 glasses of clear fluids daily. Dairy products, salt, sweets and other high calorie food stuffs including fast foods etc all are best avoided. Hope this helps you stay fit over your course of chemotherapy. You can follow the above-mentioned in general unless your consulting physician/ oncologist has any specific reservations/ advisory in this regard. Do take care, and I wish you all the very best and a speedy recovery.
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I smoke 1 time in a day it is good for me I now that smoking will cause cancer but I smoke 1 ciggrate in a day.

MD - Oncology
Oncologist, Hubli-Dharwad
Quit smoking completely as that will irritate your lung , mouth and oesophagus and can lead to cancer
1 person found this helpful
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I am 69 years old. I take medicines for BP and Prostrate. Of late I am not getting good erection. It does not sustain. Can you help me out what to do. Thanks.

MBBS, MS - General Surgery
General Surgeon, Hyderabad
I am 69 years old. I take medicines for BP and Prostrate.
Of late I am not getting good erection. It does not sustain...
At your age and with the medical conditions you have, you should be happy with the erections you have, harmonal therapy in your case is contraindicated as you already have a prostatic problem. Your prostatic condition may worsen with harmonal treatment. My suggestion is that you have to accept aging gracefully and try to adopt to the natural changes that a person of your age faces. If you are not satisfied with my answer please visit a urologist for further advice.
3 people found this helpful
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