Lybrate.com has an excellent community of Oncologists in India. You will find Oncologists with more than 28 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. Saravanan
Submit a review for Dr. SaravananYour feedback matters!
Having watery discharge from right side of my breast. Both of my nipples are hard and paining if I touch them. But the discharge is from one side of my breast. Is it abnormal?
Irrfan Khan's saddening revelation about his health and diagnosis of Neuroendocrine tumour (NET) has undoubtedly created a rage amongst his fans, which is now being followed by good wishes for speedy recovery from his supporters all across social media.
The actor shared in an emotional Twitter post that he’s been diagnosed with NET, a rare tumour that develops from cells of the neuroendocrine system and grows predominantly in the digestive or respiratory tract - lungs, appendix, small intestine, rectum, and pancreas - it can occur in any part of the body.
Here is more on Irrfan’s disease:
What is NET?
A neuroendocrine tumor is characterized by a rapid and abnormal growth that happens in the nerve cells which produce hormones. Hormones control how different organs in the body work.
It is a condition wherein, endocrine cells, the hormone-producing cells of the body, develop a tumor in any part of the body - while it can can grow in lungs or the thymus, or more rarely, in the ovaries, kidneys, or testicles - the most common is lung, intestines, and pancreas.
What causes NET?
A neuroendocrine tumour is quite a rare disease, occurs in less than one per million cases. The exact cause is not known.
It can cause a myriad of symptoms, depending on where in the body the NET is.
- If it is in your digestive system, it can cause pain or discomfort in the abdomen area that comes and goes. You may feel sick, nauseated, vomited, or there may be a change in how often you pass stools.
- If the NET is in the lung, it can cause shortness of breath, chest infections, or you can even have a cough up blood.
- Weight loss and loss of appetite may also be some common signs of a neuroendocrine tumour.
- Some NETs may overproduce a hormone-like substance called serotonin. This causes a group of symptoms called carcinoid syndrome. Symptoms include wheezing (like asthma), flushing of the skin and diarrhoea.
Who can be affected with NET?
- These tumours, depending on the type, are more common in certain age or sex. And few have very strong family history too.
- People who have a rare condition called multiple endocrine neoplasia 1 have an increased risk of developing a NET.
Did You Know?
Apple founder ‘Steve Jobs‘ died from the same disease in 2011. The tumour affected his pancreas.
Know The Different Types of NET:
Based on the organ that is affected, NET can vary a lot. When the chromaffin cells that produce adrenaline are affected, it is called Pheochromocytoma, and it is related to the stress levels of the body.
When a cell is formed abnormally under the skin and the hair follicles, it is called Merkel cell cancer. This is also called neuroendocrine carcinoma of the skin and the condition can occur anywhere in the body. The commonly occurring places include lungs, gastrointestinal tract, and brain.
The status of the tumour, cancerous (malignant) or noncancerous (benign), decides the survival rate. Often slow-growing and noncancerous, they can invade surrounding parts of the body and at times, turn cancerous and spread across the body. However, you can still choose to live a good quality life with strict modifications in diet and lifestyle. The changes are made after taking into consideration the symptoms of the tumor. The organ where the tumor is formed also matters.
How Is It Treated?
Treatment depends on the location of the tumour, its type, how severe it is and whether it has spread to other parts of the body. Usually, the first treatment choice is surgery to remove the tumour. And, if the NET cannot be removed, your will prescribed with a treatment that will not only relieve the symptoms but will also improve the quality of your life.
How can a NET be prevented?
The first thing you need to do for the prevention of NET is to curb stress. Stress affects the entire body severely.
A healthy lifestyle is what you need to stick to if you want to manage its symptoms during the treatment cycle. Your doctor will prescribe you to do exercises at least 4 days a week for a minimum of 30 minutes. You can also try a walk instead of strenuous exercises.
People with carcinoid syndrome may be advised to avoid food or activities that may trigger flushing, such as eating spicy food or drinking alcohol.
Indulge yourself in therapies that help in gaining more positive energy. If you are already affected by NET, eliminate all the sources of stress and get a good night's sleep every day. Join the support groups that make you grow strong and happy. After all, the mind is devised to do miracles when it is full of life and positive thoughts.
Is Irrfan Khan's tumour curable?
Dr Saumitra Rawat, HOD, Surgical Gastroenterology & Liver Transplant, Sri Ganga Ram Hospital, said, "NeuroEndocrine Tumour is an abnormal growth of Neuroendo cells which are present in bodies. When there is an abnormal growth, then it forms a tumor - Normally seen in intestine, pancreas, lung, thyroid and other parts of the body".
On commenting on Khan's case, he said, "It depends on the location of tumour, its size, and what is its mitotic index".
"Depending on where the tumour is localized, you can take it out surgically and the chances of cure are very high", Dr Rawat explained.
Actor Irrfan, who has been diagnosed with the disease is one of the most versatile actors in India, has also made a name for himself in the west, where he has been an important part of critically-acclaimed films such as ‘The Namesake’, ‘Jurassic World’, and ‘Life of Pi’. At home, the actor has delivered remarkable performances in films such as ‘Haasil’, ‘Paan Singh Tomar’, ‘Maqbool’, ‘Lunch Box’, ‘Piku’, and the most recent ‘Hindi Medium’.
Irrfan Khan is not just a disarmingly natural actor, but also an endearing human being -- honest and humble to the core. It’s time to stand together and pray for him a speedy recovery!
Cervix is the tissue that connects the vagina and the uterus and is an important part of female reproductive system. Cervical cancer like any other form of cancer refers to an abnormal growth of cells on the cervix, one that if undetected at the initial stages, can involve tremendous complications which are often fatal. It is one of the most common ailments that women suffer from, making it only more important to be taken seriously and treated immediately.
Some of the visible symptoms of this ailment are:
- Abnormal bleeding from the vagina: Though menstruation is a natural occurrence in a woman's life, often times you can suffer from abnormal bleeding from the vagina, which may precede, succeed or occur between periods. Such abnormal bleeding is symptomatic of cervical cancer and you must visit a doctor immediately.
- Pain in the abdomen: In case you are suffering from cervical cancer, clear signals will be given by your body indicating that. One such signal is a nagging pain in the abdomen or in the pelvis. Though it may appear harmless, you must not treat it lightly and consult a doctor as soon as possible.
- Excruciating pain during periods: Experiencing pain during periods is a matter of such compliance that it seldom raises any concern. However, in certain cases the pain may be more than what you generally experience. In such a situation, it must not be dismissed entirely rather must be consulted with a doctor.
The most common test is used to diagnose cervical cancer is known as a pap test. In this particular examination, a sample of cells from your cervix will be taken by the doctor for examination. If the inference is reliant on the normal or the abnormal growth of these cells, the latter confirming the onset of the ailment.
In spite of being an extremely lethal ailment, over the years various treatments have evolved that successfully deal with this problem. Some of them are:
- Surgery: One of the effective and oft availed of treatment to treat cervical cancer is a surgery. Depending on the stage on which the disease is detected, doctors may suggest for a hysterectomy or removing the pelvic lymph nodes.
- Chemotherapy: This has emerged as the most sought after way of treating any form of cancer. The abnormal growth of cells that triggers cancer in the first place is deterred in this method by administering drugs to kill destroy them.
I Have 1) WEIGHT LOSS 10 KGS IN 3 Months, 2) Flank Pain OR Left/Right Lower abdominal Pain, 3) Blood in Urine then Block Urine, 4) 3-4HPF Pus Cells in Urine. UROLOGIST Doctor done Cystoscopy and finds 1) PUS In Prostate Gland, 2) Bladder trabeculation, 3) Mild Narrow of Left Ureter. NCCT KUB is NORMAL. Can You Please tell me the 1) CAUSE of Weight Loss and Pus in Prostate Please tell.
One of the major causes of death worldwide is lung cancer and it has been continuously affecting men and women accounting for about 150,000 deaths every year. Astonishingly, this figure is more than the combined death rate of the next three kinds of cancer, namely, colon, breast, and pancreatic cancer.
As with any type of cancer, lung cancer to has increased life expectancy when diagnosed in the earlier stages. Thus, being informed about the causes and signs of this deadly disease becomes critical to treat the condition.
The prevalent causes
The major risk factor for lung cancer is smoking and second-hand or passive smoking. The risks are increased when the smokers are exposed to other potential risk factors such as getting exposed radon and asbestos.
Who should be screened?
- As said earlier, cancer when diagnosed early has an increased success rate for a cure.
- Most people do not admit that they are vulnerable to lung cancer and this mindset has to be changed first and foremost.
- There are many people who would benefit from an early diagnosis. This is because the modern medical procedures are highly beneficial in changing the lives of the affected, for better.
- People, who are avid smokers or have a history of smoking, should always opt for lung cancer screening.
- In this regard, it should be kept in mind that people, who have stopped smoking for the last 15 years, should also be tested.
- People belonging to the age group of 55-80 and who have smoked in the past should also come under the screening procedure.
Who should not be tested and why?
Lung cancer is a ghastly disease, but still, it is advised that everyone should not be screened. These tests involve a lot of risks, which are indeed severe.
- The first risk is the false-positive test result wherein the test confirms that the patient is suffering from the disease, but he is not.
- The second risk is over-diagnosis where the cancer is at a benign stage, but there are unnecessary treatments considering it to be dangerous.
Lastly, there is the risk of exposure to radiation.
So, who is the right candidate?
Now the question arises, who should be asked to screen themselves for lung cancer? Or, when is the ideal time to for screening? Because of the risks associated with CT scanning and the chances of doing more harm than good to people who are not prone to having lung cancer, the doctors recommend screening to only those people who are at high risk. Unfortunately, the symptoms of this disease are almost nil in number. To be an ideal candidate for screening, the patient should be in good health and should have a smoking habit as mentioned above.
In case you have a concern or query you can always consult an expert & get answers to your questions!