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Dr. Guru Murthy

Oncologist, Chennai

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Dr. Guru Murthy Oncologist, Chennai
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Guru Murthy
Dr. Guru Murthy is one of the best Oncologists in T.Nagar, Chennai. He is currently associated with Dr. Guru Murthy@Be Well Hospital in T.Nagar, Chennai. You can book an instant appointment online with Dr. Guru Murthy on Lybrate.com.

Lybrate.com has an excellent community of Oncologists in India. You will find Oncologists with more than 37 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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Be Well Hospital

#5A, Vijaya Raghava Road, T Nagar. Landmark : Near 10 Downing Street Hotel.Chennai Get Directions
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About the cancer What kind of treatments are available Cancer How to connect best treatment hospitals.

MBBS, MS- Surgery , M.Ch - Surgical Oncology , FIAGES
Oncologist, Delhi
Types of cancer treatment: cancer treatment is now a multidisciplinary management in which different surgical, medical and radiation oncologist plan treatment protocol for best possible chances of cure. Advancement in all these fields and their contribution in comprehensive management results in 25-30% improvement in cure rate over previous decades. Surgery: involves surgical principles to remove tumor with adequate margins and possible draining lymph nodes regions. Improvements and understanding of surgical principles even make resection of distant disease or cure of stage iv disease in some selected cases. Chemotherapy: cytotoxic drugs are given either in injectable or oral forms which acts on uncontrolled cancer cells. Advances in this fields results in drugs with better efficacy and less side effect profile and at same time resulting in better cancer control. Targetted therapy acts on specific pathways of cancer growth. Hormone therapy targets specific hormone receptors for controlling the cancer. Radiation therapy: is delivery of radiation generated by radioactive source over the region of cancer. More and more advances in radiation technologists are emerging like imrt, sbrt to focus radiation over the specific location so as to avoid toxic effect over surrounding area.
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My aunt is suffering from breast cancer. Now the tumour is almost spread all over the body. Now she is too weak to walk and now she is on bed. She urinates on bed, totally she is very poor in health. Sir please help.

MD - Radiation Oncology, MBBS
Oncologist, Delhi
She should be taken for palliative care only, as patients who are bed ridden do not do well with any chemotherapy. You can take help of portea (search online) which can help you in taking care of her.
1 person found this helpful
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Suffering with difficulty with urinating fully, was diagnosed with chronic prostatitis, doctor prescribe me silodosin 4 mg tablet for lifetime. Ultrasound scan shows prostate 19gms, in this size prostate can block urine? Is size is normal or not? Thanks.

FMAS, MS - General Surgery, MBBS
General Surgeon, Ahmedabad
Suffering with difficulty with urinating fully, was diagnosed with chronic prostatitis, doctor prescribe me silodosin...
A prostate can trouble you not only when it is large, but when it's small too. But if you are facing difficulty even in medications. Surely you need a urologist opinion again for a cystoscopy and needful surgery.
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I am 29 years old female suddenly from yesterday I m feeling pain on my left breast and I also found muscle accumulated as a small ball. Kindly suggest m worried.

MD - Radiation Oncology, MBBS, DNB (Radiotherapy)
Oncologist, Howrah
At these age, the most common cause of lump in the breast is fibroadenoma which is a benign tumor. However you should get examined physically by a doctor and if necessary an fnac should be performed before jumping to any conclusion.
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Are there screening tests that can find lung cancer early? How many people get lung cancer?

DM - Oncology
Oncologist,
Lung cancer is the most common cancer globally increase trend in india. Low dose ct is preferred for screening.
3 people found this helpful
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My father has been diagnosed with colon cancer. The tumour is in rectum and is about 6 centimetres in size. What is the best line of treatment for him?

MBBS, MD-Radio Therapy
Oncologist, Ghaziabad
Colorectal cancer is of many types also we need to know exact disease extent or stage and accordingly treatment is started.
1 person found this helpful
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I am a 26-Year-old female, PCOS patient. I am having pain in both my breasts from past 3 days and along with I am having indigestion problem as well. Sometimes feeling nauseous. I am on clomifene citrate medication from last month and I got my period on 6 Nov, started OVA GLO from my 2nd day. Is this some problem because of the medicine I am taking? Please help.

MBBS, MD(General Medicine), Fellowship Hemato - Oncology (Hemat-Oncology, DM(Medical Oncology), DNB(Medical Oncology)
Oncologist, Howrah
Yes, tablets like clomiphene citrate used for inducing ovulation do cause hormonal. Changes and discomfort in breast. However these are transient and subside suggest you to complete pcod and infertility treatment.
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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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Sir. I want to know about complete cancer check up. How should I go about that? Thanks and regards Kuldeep sharma.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Can get PET ct or PET MRI WITH FDG. But screening is sex dependant, age dependant and complaints dependant.
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I am 50yr old. I have got breast cancer. How should I prepare myself for the chemotherapy?

MD - Radiothrapy, DNB
Oncologist, Mohali
Chemo is not as bad as reputed side effects can be much reduced with proper guidance, love, care just make sure the centre where you're taking chemo. The staff has time for you.
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How to do complete body checkup. So that will get to know we got cancer and what test required?

MS - General Surgery, M.Ch - Oncology
Oncologist, Guntur
There is no single body checkup test avalable to detect cancer. Tests will be done according to the complaint.
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What are complete cancer screening what are its benefits and what is its cost in bangalore.

MBBS
General Physician, Delhi
Several potential harms must be considered against any potential benefit of screening for cancer. Although most cancer screening tests are noninvasive or minimally invasive, some involve small risks of serious complications that may be immediate (e.g. Perforation with colonoscopy) cost depends on packages and varies with hospital to hospital.
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A patient having CML, a kind of blood cancer detected a year back and currently having imitanib 400 mg daily. His RT PCR for BCR ABL report says 1.44 % currently which was 100 %> a year back. What's your view on this? How much it should be? What options should I opt for? What's your suggestion?

MD - Oncology
Oncologist, Hubli-Dharwad
he is responding well but IMATINIB need to continue for the whole life. even if BCR ABL Comes to zero. There is another tablet Spricel but its costly and advised to those who are not responding to Imatinib.
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4 Prevention Tips For Cervical Cancer

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Agra
4 Prevention Tips For Cervical Cancer

Cervical cancer is a kind of cancer that develops in the cervix of a woman. Cervix an an area between the uterus and vagina. It is preventable if diagnosed in early stages. Going for regular pap tests and taking a HPV vaccine can significantly lower the risk of cervical cancer. These symptoms include abnormal bleeding between menstrual periods, low back and lower abdominal pain, postcoital bleeding and strange smelling discharge. If not diagnosed in time, it can be life-threatening and requires intense treatment.  

  • Prevention of cervical cancer: There is usually no certain way of preventing cervical cancer, but by following a number of practices there is a possibility that you can prevent it. There are 3 major ways of prevention of cervical cancer, which include the following:
  • Safe sex: Major cases of cervical cancer are caused due to an infection by a virus known as human papillomavirus or HPV. This virus is usually transmitted by sexual means and having unprotected sex might leave you at the risk of getting infected by this virus during the sexual intercourse.  You should practice safe sex using protection such as condoms. This reduces your chances of being infected by the virus. This virus is transmitted via all types of sexual contact, which includes skin contact between the genitals. People who have unprotected sex with multiple sexual partners are at an increased risk of getting cervical cancer due to the HPV virus.
  • Cervical screening and vaccination: Having a cervical screening or pap smear test on a regular basis is an efficient way to detect abnormal changes in the cervix cells, at a very early stage. Even if you are being vaccinated for the HPV virus, cervical screening is essential as the vaccines against HPV virus are not always successful in providing protection from cervical cancer. If you had been previously treated for abnormal changes in the cervix cells, you should undertake more frequent screening tests. The regularity of undergoing cervical screening depends on the severity of the cell change. You should report any symptom you experience in spite of having regular cervical screening. Several vaccines are used for protection from HPV infections.  
  • Avoid smoking: You can prevent the chances of having cervical cancer by giving up smoking. In case of  smokers, it is more difficult to eliminate the HPV infection from the body, and the chances of cervical cancer get enhanced. You can undertake various measures in order to quit smoking and prescribed medicines can be used to treat withdrawal symptoms.

Cervical cancer causes great strain on the body and it may spread all over the pelvic region. In some cases, distant tissues are also affected by cervical cancer. You should consult a doctor immediately after experiencing any symptom of cervical cancer. If you wish to discuss any specific problem, you can consult a gynaecologist.

4286 people found this helpful

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
Regular pap tests i.e. Tests which look for any signs of cervical cancer should be conducted regularly so that it can be detected at its initial stage and can be treated accordingly.
2 people found this helpful

9 Symptoms Of Colon Cancer!

MBBS, Post graduate in diabetology, fellowship in pain medicine
Diabetologist, Howrah
9 Symptoms Of Colon Cancer!

Colon cancer is cancer that starts in the large intestine (colon). In most cases it begins as a non-malignant group of cells called polyps, which may turn cancerous over time. After the formation of the malignant tumors, the cancerous cells may spread to other parts of your body through lymph and blood channels. It can occur together with rectal cancer and is known as colorectal cancer.

Causes of Colon Cancer

The occurrence of colon cancer may depend on the presence of precancerous polyps in the colon. Adenomas polyps may turn cancerous, but are removable through colonoscopy. Hyperplastic polyps rarely become cancerous, whereas inflammatory polyps may become cancerous after the inflammation of the colon.

Other risk factors that may influence the occurrence of colon cancer are,

  • Genetics: about 20% colon cancers are thought to be caused by mutation of the genes.
  • Age: those over the age of 50 are more likely to develop colon cancer, though now it is also increasingly affecting younger people.
  • Lifestyle: it is more likely to affect people who lead a sedentary lifestyle, smoke tobacco or are obese.
  • Diet: it is more likely to affect those whose diets are high in red meats, calories, and fat while being low in fiber. Alcohol consumption may also affect its occurrence.
  • Medical conditions: people who suffer from diabetes, acromegaly (growth hormone disorder) and colitis etc, may also be prone to develop colon cancer.

Warning Signs of Colon Cancer

Colon cancer generally goes undetected in the early stages. The symptoms vary with the location, spread and size of the tumor. In the earlier stages of cancer, most people experience no symptoms, but in the later stages they may experience one or more of these symptoms:

- Change in bowel habits such as diarrhea, constipation or change in consistency of stools; lasting more than a month
- Blood in stool or bleeding from the rectum
- Pain during passage of stool
- Pain, cramps or gas in the abdominal region
- Frequent urges to pass stool
- Weakness
- Irritable bowel syndrome
- Anemia
- Unexpected weight loss

However, these symptoms may not necessarily indicate colon cancer. They can occur in the absence of colon cancer too.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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What is chemotherapy. And what is acute myeloid leukemia good thing than did skid SK is SK hai Haydn JFK.

MBBS
General Physician, Delhi
Hi, AML (acute myeloid leukemia) progresses rapidly, with myeloid cells interfering with the production of normal white blood cells, red blood cells and platelets. Symptoms include fatigue, fever, recurrent infections and bruising of the body easily. Chemotherapy is treatment option, can be approved by a medical oncologist. Other treatment options are stem-cell transplants. Rest of your question is not clear.
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I am a stomach cancer patient and under chemotherapy. Please Advice me diet plan.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Bangalore
Hello, this is just a rough diet plan am giving, a detail diet chart needs to be done based on your anthropometric measurements and looking at some biochemical parameters. For a detail diet plan consult me through private text breakfast- 1 egg, 1 banana, 2 idli with veg blend sambar 30 min after a glass of milk with protein midday - 3-4 crackers or 1 fist of nuts 30 min later protein with milk lunch-fresh cut veg salad, 1 bowl rice with veg sambar (blend)/ 1 cup of sunday evening -fruit bowl/apple pudding/sundal/puffed rice 30 min later 1 cup of veg juice dinner -2 phulka/pongal/kichidi/with 1 cup of fresh salad bedtime -protein with milk and whole wheat toast.
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