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Hi, A portion of my left breast has hardened and as a result, i am experiencing pain . I delivered a baby boy about 5 months back and currently lactating. Could you please explain the cause for the hardening ?
Is the tablets of chemotherapy has same effectiveness as chemotherapy. Can we take tablets instead of chemotherapy.
Hello friends, I am Dr Sajjan Rajpurohit. I am a cancer specialist at Rajeev Gandhi Cancer Institute, South Delhi. Today I will talk about the cancer which affects our senior citizens between the age of 50-60 years. It is the cancer in men. Some people most of teh time ignore it as it is a part of normal lifestyle or ageing. But what happens the cancer to begin withn as the symptoms are quite similar to the prostatic hypertrophy. So, I am going to talk about Carcinoma Prostate.
Prostate is an organ which is a male sex organ. It helps in generating fluid which is a composition fo Semen and it also helps in protecting the urine from getting infected. But with an advaced age, there is an increase in the size of prostate and sometimes a growing prostate can turn cancerous.
So, Carcinoma prostate usually manifest as symptoms which are quite similar to Benign Prostatic Hypertrophy (BPH).
So, the symptoms will be;
- Frequency of urination
- Urgency of urination
- Difficulty during the urine passage
- Nocturia which means incraesing urination at night, the person has to get up 3-4 times for urine
- Blood in urine
- Pain during urination
These are the earlier signs whereas in the later stages there can be the lower back ache or weight loss. In advanced cases, there can be the involvement of other organs such as liver, lungs whihc can ultimately lead to jaundice, cough, breathlessness.
So, the important thing is to differentiate from the beginning, from the cvery common condition. 1/3rd of the men suffer beyond the age of 60 years, that is, BPH.
It is sometime confused with the very common disease or I can say the physical change in the body which is in the form of Benign Prostatic Hypertrophy. It is very important for your doctor or you to be aware of that these symptoms can be over lapping with the symptoms or with these disease. So, the medicines of BPH should not be started just on teh basis of the symptoms.A patient must undergo a good quality Ultrasound, Serrum PSA levels. If the PSA levels are high or the prostate on ultarsound appears suspicious for cancer, then it should be followed up for MR Imagine or a Magnetic Resonance Imaging (MRI) of the lower abdomen or the Pelvis and depending upon that sometimes the PSA levels are high then the patient should undergo the Biopsy of the prostate.
Once the diagnosis is established, we stage the disease. The staging of disease will depend upon whether it is only confined to the stages of Prostates or it is going beyond the prostate. Most common side of other organ involvement is the lower back ro the back bone. The good thing about these cancers is that more than 80% of the these are low grade and they grow over many years. So, there is no need to immediately panic and if it is organ confined then it can be treated and cured with either surgery or direct with radiations. We have got Robotic surgery, very high resolution as well as very conformal radiation techique available with us whioch can treat the local forms of prostate cancer. Many of the people will be cured of the disease. Even in advanced cases nowadays with the advances and the oncology, the disease can be conbtrolled for many years and the patient can be asymptomatic.
People are living healthy and normal lives as they were living before getting this disease. So you need to be aware of this entity because it is on eof the common cancers in men. But if we and our physician is alert, they will definitely rule this out.
So, this is all I wanted to tell you about Carcinoma Prostate. Do not fear about the cancer. Many advances are happening on every day basis in the cancer managemnety and the future looks very promising to me.
If you need any help for Carcinoma Prostate or if you know someone who need any help for the same, you can contact me on my email which is firstname.lastname@example.org or you can contact me through Lybrate.
If you want to take an appointment, I sit in Rajeev Gandhi Cancer Institute, South Delhi.
I have a little lump with redness in my breast. Now in period time. Its look like a pimple. My age is 20. My grandma passed away because of breast cancer. So that whenever lump coming I am worrying for that. Is it no need to worry about that? Can you tell me why this lumps are coming and how many days it can be there?
Treatment for breast cancer depends on the type of cancer, hormone sensitivity, size, grade and stage of cancer. A doctor considers the overall health of the patient and the patient’s individual preference before recommending a treatment plan. While there are many treatments options available for breast cancer, surgery is by far the most popular option for most patients. Along with surgery, some other treatments that a patient undergoes include radiation, chemotherapy and hormonal therapy.
- Lumpectomy: This is a procedure wherein the surgeon cuts the tumour and removes some of the surrounding healthy tissue in order to ensure that cancer does not spread to the healthy cells after the surgery. This procedure is applicable for small tumours.
- Mastectomy: This is a procedure in which all tissues of the breast are removed. This includes lobules, fatty tissue, ducts, areola, and nipple. In a skin-sparing mastectomy, all of the breast skin, except the nipple and the areola, is preserved, which makes the reconstruction process easier.
- Sentinel node biopsy: Since the sentinel lymph nodes are the first place that cancer is likely to spread, a doctor might suggest a sentinel node biopsy if cancer has spread to the lymph nodes. If no trace of a cancer cell is found in the nodes, it is unlikely that any more nodes need to be removed.
- Removal of breasts: Many women who have cancer in one breast often choose to remove both the breasts in order to avoid the risk of cancer spreading. While a family history of breast cancer can greatly increase the chance of breast cancer in a woman, statistics show that most women who have cancer in one breast do not develop cancer in the other one.
- Radiation: This is a process where a high-powered beam of energy is directed at the cancer cells to kill them. This method is often used after a lumpectomy. Radiations are of two types—external beam and brachytherapy. Some side effects of this treatment include fatigue, hair fall, loss of appetite and rashes.
- Chemotherapy: Chemotherapy is the treatment of cancer by cytotoxic and other drugs. This is often recommended by doctors when there is a good chance of the cancer cells spreading to other locations of the body. This form of treatment is often recommended before the surgery to shrink a tumour or restrict the growth of cells.
- Hormone therapy: Hormonal therapy is used to treat cancers that have hormonal sensitivity. They can be used before or after the surgery in order to ensure that cancer does not reoccur. Some of the treatment methods in this section include medication that restricts hormones from getting attached to the cancer cells, medications that restrict the body to produce oestrogen post-menopause and a medication that destroys cancer receptors.
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