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Dr. Shanthi

Oncologist, Chennai

100 at clinic
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Dr. Shanthi Oncologist, Chennai
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Shanthi
Dr. Shanthi is one of the best Oncologists in Tambaram East, Chennai. Doctor is currently practising at Christudas Hospital in Tambaram East, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Shanthi on Lybrate.com.

Lybrate.com has an excellent community of Oncologists in India. You will find Oncologists with more than 39 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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Christudas Hospital

No 1, Elangovan Street, Tambaram East, Landmark: Near Grace King Convent, ChennaiChennai Get Directions
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I have a lump in my left side breast .what should I have do first. please suggest me.

B.A.M.S, M.D (Ayurveda)
Ayurveda, Nashik
Breast lumps are due to many reasons, normally we start to think of worst conditions. Although it is good to be cautious it is not good to be over cautious. Do a self examination first if the lump is mobile which means it is not fixed and moving freely then it can be a lipoma or swelling of breast glands which tells you not to worry but if it is fixed then consult a gynaecologist and surgeon best way is to Get mammogram done if it is normal you don't need to worry.
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Hi I want to know about mouth cancer how to identify this easily my upside lip too much black colour is this symptom of cancer.

M.Ch - Surgical Oncology, MS - General Surgery, MBBS
Oncologist, Delhi
Oral cavity cancer can present with a non healing ulcer, bleeding to touch, indurated patch, or neck swelling. Dark lips are usually not a sign of cancer, but see a doctor for best advice.
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Can vitamin and mineral supplements prevent cancer and Will eating red and processed meat give me cancer?

DNB, MBBS
Oncologist, Faridabad
Dear sir, minerals and vitamins do enhance immunity and make body strong enough to fight any genetic changes and prevent from cancer. Red meat is rich in fatty content and fatty diet is one of the risk factors, though we cannot say for sure that one consuming it will definitely have cancer.
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Signs and Symptoms of Prostate Cancer

MBBS Bachelor of Medicine & Bachelor of Surgery, Fellowship In Infertility, MCh - Urology, MS - General Surgery
Urologist, Gurgaon
Signs and Symptoms of Prostate Cancer

Cancer is the most dangerous disease noticeable throughout the world. The most common type of cancer that affects men is prostate cancer. Prostate is a small exocrine gland situated directly below the bladder and in front of the rectum. This is gland is approximately in size of a walnut and plays an important role in production of a milky fluid during orgasm of sex in which the semen travels. During the climax stage of the prostate gland is forced to push the fluid and remove the semen out of the reproductive structures.

Prostate gland is a slow progressive disease which makes many males left unidentified even the presence of prostate cancer even until they die. 6 out of 100 male over the age of 60 are getting prostate cancer. Though prostate cancer can be cured at a better rate when compared to other type of cancer it is always best to stay protected. Prevention is always better than cure. Here are few tips to keep your prostate healthy.

Signs and symptoms of prostate cancer-

During the early stages of prostate cancer there are usually no symptoms. Most men at this stage find out they have prostate cancer after a routine check up or blood test. When symptoms do exist, they are usually one or more of the following:

  1. The patient urinates more often

  2. The patient gets up at night more often to urinate

  3. He may find it hard to start urinating

  4. He may find it hard to keep urinating once he has started

  5. There may be blood in the urine

  6. Urination might be painful

  7. Ejaculation may be painful (less common)

  8. Achieving or maintaining an erection may be difficult (less common).

If the prostate cancer is advanced the following symptoms are also possible:

  1. Bone pain, often in the spine (vertebrae), pelvis, or ribs

  2. The proximal part of the femur can be painful

  3. Leg weakness

  4. Urinary incontinence

  5. Fecal incontinence

Ways to have a healthy prostate –

  1. Diet and weight – the most important factor is the diet to maintain a healthy weight. Avoid fatty food items and take fats from vegetables than from animals. Avoid dairy products and increase the intake of fresh fruits and vegetables.

  2. Exercise – have a regular practise of doing exercise at least for 30mins a day. This really helps you to keep your body fit.

  3. Be precautious – if you have a family history of prostate cancer or if you feel you are at high risk of getting prostate cancer talk with your doctor about it and take preventive drugs as per the doctor’s advice.

  4. Red foods – research shows that men who consume red foods like watermelon, tomato and other red fruits are at lower risk of getting prostate cancer as they contain a powerful antioxidant called lycopene

  5. Caffeine – three to four cups of coffee per day reduces your risk of getting prostate cancer.

  6. Stop smoking – if you are at high risk of getting prostate cancer it is best advised to quit smoking and alcohol.
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Hi my mother is 61. She detects brest cancer. I am from Malda, Westbengal.wht should I do now? Any homeopathy doctor for remedy? Or I should visit oncologist. Cost of total treatment approx.

MBBS, M.S. General Surgery, M.R.C.S. England, M.Ch. Surgical Oncology, DNB Surgical Oncology, FEBS Surgical Oncology, DNB General Surgery, MNAMS, FMAS, FIAGES, FAIS, FICS, FEBS Breast Surgery, FACS, Fellowship IFHNOS & MSKCC USA, Fellowship in breast and oncplastic Surgery
Oncologist, Mumbai
The cure rates for breast cancer of early stage is in range of 90-95 % depending upon the type of cancer and the immunohistochemistry with proper treatment. If locally advanced, still the cure rates are 75-85%. In metastatic setting the cure rates are lower. She needs a proper evaluation by a breast surgeon, which entails a history and clinical examination with a mammography and an ultrasound if not done already. Mammography gives an idea about the whole breast and Opposite Breast. I prefer a core Biopsy, which gives an idea about the grade, type and immunohistochemistry of cancer, which is important for getting an idea about the prognosis and deciding the line of treatment. (I am not comfortable operating based on FNAC as it has false negative’s aswell as false positives) If Cancer is locally advanced or some times in large operable wanting breast conservation surgery or some early Breast cancers which are Triple negative or Her 2 +ve, then upfront chemotherapy is preferred before surgery. If locally advanced or > 5 cms then we prefer doing a pet scan or a CECT abdomen and pelvis with a bone scan to rule out spread of cancer. Surgery for the breast may be lumpectomy or a mastectomy. Axillary surgery may be sentinel node biopsy or an Axillary nodal clearance. If conservation then the reconstruction could be with oncoplasty which approximates the Breast tissue to prevent deformity (but leads to smaller breast if large lump excised and needs mammoplasty of that breast as well as reduction of Opposite Breast), or using the latest chest wall perforator flaps (new technique to avoid deformity or reduction of breast size especially after a large lumpectomy in a small Breast, which I have learnt in UK and is becoming quite popular there as the size of both breasts remains same) After the surgery, chemotherapy is given (if not given before or courses not completed) the type of chemotherapy or targeted therapy varies according to the report. All lumpectomy and mastectomy for large and node positive cancers need radiation therapy too, which is given after the chemotherapy. Also depending upon the immunohistochemistry, targeted therapy (transtuzumab) May be advised for 1 year and hormonal therapy for 5-10 years. The follow up would be with annual mammogram, clinical examination with some blood tests. If found to be metastatic then treatment would be mainly chemotherapy and hormonal therapy, with surgery for good responders or in cases of bleeding, where radiation is the other option. The cost of surgery in my hospital is around 1.25 lacs. But if non affording then we have charity cell, who will assess your financial status based on your salary slip and income certificate and if weaker section, they may provide concession of 10-50% on the whole bill. Radiation can also cost around 2 lacs (if weaker section around 60k). Chemotherapy cost depends on the type of chemo according to the report. Will range from 1.2 lacs to 8 lacs depending upon the report of the patient. (if early cancer, we may be able to avoid chemotherapy) Feel free to contact me directly if you want to share the reports or discuss this further.
7 people found this helpful
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I am twenty years old. Can I take novelon as daily contraceptive? Will it disrupt my menstrual cycle? I do have a family history of carcinoma. My grandma suffered from breast cancer. Taking all this into consideration should I go for it?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am twenty years old. Can I take novelon as daily contraceptive? Will it disrupt my menstrual cycle? I do have a fam...
A number of studies suggest that current use of OC’s appears to slightly increase the risk of breast cancer, especially among younger women. But for short courses it does not harm u. Women who use OC’s have reduced risks of ovarian and endometrial cancer. This protective effect increases with the length of time oral contraceptives are used.
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Want to know the symptoms of breast cancer my age is 37 have 2 kids one is 8 years & second one 1 years still feeding.

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), PG Diploma In Clinical Counseling, PG Diploma In Oncology & Haematology (A.M), Ayurveda (I) Certification, Clinically Relevant Herb-Drug Interactions (CME) (Cine-Med Inc. USA), Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Certificate Course in Homeopathic Oncology
Alternative Medicine Specialist, Bhubaneswar
Hi , I appreciate you seeking help. Symptoms, of breast cancer, manifest majorly in the following ways - a. Lump/ nodule in the breast that gets attached to the skin of the breast over time. The lump / nodule could be hard and painless with irregular edges or it could also be soft, rounded, tender and painful. B. Enlarged lymph nodes in the axilla which are palpable. C. Swelling of whole or a part of a breast. This is even if there is no distinct lump felt. D. Retraction or thickening of the nipple (s). E. Pain in the breast or nipple. F. Discharge from nipple other than breast milk. G. Irritation/ scaliness of skin over the breast. H. Redness of nipples i. Rarely, red, swollen and tender breast. To be on a safer side, once one gets to experience any of the above-mentioned, its advisable that one gets this clinically examined by her OB/ GYN right away and not delay any further. Imaging, either through mammography or MRI subsequently followed by a biopsy is always the gold standard for accurate diagnosis of breast cancer. Hope this clarifies. Take care. Sincerely
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Family History of Cancer? - Opt for a Preventive Health Check

Partners in Health
Multi Speciality, Gurgaon
Family History of Cancer? - Opt for a Preventive Health Check

The rising incidences of cancer have made it important for us to be vigilant about our health. It has been proven medically that if cancer is detected at an early stage -stage I & II , then the chances of cure and treatment along with full recovery are very high. For early cancer detection & for people at greater risk of cancer, PHC-Preventive Health Care plays a major role. Preventive Health Check is particularly important for the people who have a family history of cancer.

Hereditary Cancers:

Almost all cancers are caused by damage or mutation in their genes, which, may be acquired from environmental exposure, dietary factors, hormones or through normal aging. In 90% of cases, these genes are not passed from parents to children. These are known as sporadic mutations and the cancers that they cause are called as sporadic cancers. But 5-10% of cancers are caused by gene mutations which are inherited from one or both parents & passed on to the children .These are hereditary or germline mutations & these cancers are known as hereditary or familial cancers.

People /children, who carry gene mutations have a higher risk of developing cancer at an earlier age or at some point in their life time.

Some of the common such cancers, which run in families, are:

Breast, ovary & colo-rectal carcinoma have well established gene mutation studies.Mutation of BRCA 1 & BRCA2 Genes is responsible for 85% of hereditary breast cancers.

Estimated life time risk for developing breast cancer in woman with BRCA1 & BRCA2 mutation is 56-87% & risk for developing-bilateral /contralatral breast cancer is about 20-40%. These statistics make a preventive health check for women with breast cancer history in their family a necessity. Mutation in these genes confers about 20-40% increased life time risk for developing ovarian cancer. Hence the presence of gene mutation for breast cancer can trigger ovarian cancer.

However as stated above, other environmental and lifestyle factors can also cause breast cancer other than genetic BRCA1 & BRCA 2 gene mutations.

  • Increasing age
  • Early menarche
  • Late menopause
  • Nulliparity
  • First birth after the age of 30
  • Atypical lobular hyperplasia or Atypical ductal hyperplasia
  • Prior breast biopsies
  • Long term postmenopausal estiogen replacement
  • Early exposure to ionizing radiation

Other Familial Cancers:

Familial cancer syndromes associated with colo-rectal cancers are familial adenomatous polyposis (FAP).It is an autosomal dominant inherited syndrome with more than 90% penetrance, manifested by hundreds of polyps developed by late adolescence .The risk of developing invasive cancer is almost 100% .So such patients should start getting colonoscopy at an earlier age- say by 20yr of age & should undergo Total Collectomy on development of significant polyps .

Other familial cancer syndromes are hereditary non -Polyposis Colo Rectal Cancer (HNPCC), Gardner's Syndrome, Turcot's Syndrome, Peutz-Jeghers Syndrome, Juvenile Polyposis.

Cancer Assessment & Conclusion:

For breast cancer risk assessment, we have the GAIL model & IBIS model, which take into consideration ,all the risk factors, apart from BRCA1 & BRCA 2 gene mutation. These models calculate the over all life time risk of development of breast cancer for any lady. For this, you have to consult a specialist experienced in area of hereditary cancers, cancer risk assessment, genetic counseling & testing.

To conclude, all people with cancers in their family should undergo genetic testing & counseling, to detect high risk individuals should take adequate measures & treatment.

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