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Xcellent Care Hospital

Multi-speciality Hospital (Urologist, Pediatrician & more)

7/14, 7th Cross Street, Rajalakshmi Nagar, 100 Feet Velachery Bye Pass Road. Landmark : Near Velachery Lake. Chennai
9 Doctors · ₹0 - 600
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Xcellent Care Hospital Multi-speciality Hospital (Urologist, Pediatrician & more) 7/14, 7th Cross Street, Rajalakshmi Nagar, 100 Feet Velachery Bye Pass Road. Landmark : Near Velachery Lake. Chennai
9 Doctors · ₹0 - 600
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About

We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply....more
We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply.
More about Xcellent Care Hospital
Xcellent Care Hospital is known for housing experienced Gynaecologists. Dr. Priyadharshini S.M, a well-reputed Gynaecologist, practices in Chennai. Visit this medical health centre for Gynaecologists recommended by 93 patients.

Timings

MON-SAT
08:00 AM - 09:30 PM
SUN
09:30 AM - 01:00 PM

Location

7/14, 7th Cross Street, Rajalakshmi Nagar, 100 Feet Velachery Bye Pass Road. Landmark : Near Velachery Lake.
Velachery Chennai, Tamil Nadu - 600042
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Doctors in Xcellent Care Hospital

Dr. Priyadharshini S.M

MBBS, MD - Obstetrics & Gynaecology, DNB - Obstetrics and Gynecology
Gynaecologist
15 Years experience
300 at clinic
Available today
10:00 AM - 01:00 PM

Dr. Rajan Gb

MBBS, MS - General Surgery, DNB - Plastic Surgery
Cosmetic/Plastic Surgeon
24 Years experience
600 at clinic
Unavailable today

Dr. Natarajan K

MBBS, MS - Urology, FRCS - Urology
Urologist
24 Years experience
500 at clinic
Available today
05:30 PM - 09:30 PM

Dr. Karuna Priya Y

MBBS, DNB - Neurosurgery
Neurosurgeon
19 Years experience
300 at clinic
Available today
09:00 AM - 02:00 PM

Dr. Bindu T

MBBS, MD - Pulmonary Medicine
Pulmonologist
10 Years experience
300 at clinic
Unavailable today

Dr. Aruna Sureshkumar

MBBS, MRCPCH (UK), PG Diploma in Dermatology
Pediatrician
18 Years experience
300 at clinic
Available today
07:00 PM - 09:00 PM

Dr. G. Balamurugan

MBBS, MD - Internal Medicine, DCH
Pediatrician
22 Years experience
Available today
08:00 AM - 09:00 AM

Dr. B.Chendilnathan

MBBS, MCh - Neuro Surgery, DNB - Neurosurgery
Neurosurgeon
36 Years experience
500 at clinic
Available today
09:30 AM - 01:00 PM

Dr. Satish Devakumar

MBBS, MS - General Surgery, MCh - Surgical Gastroenterology/G.I. Surgery
Gastroenterologist
17 Years experience
300 at clinic
Available today
07:00 PM - 08:00 PM
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Wrinkles - How To Get Rid Of It?

MBBS, MS - General Surgery, MCh - Plastic Surgery
Cosmetic/Plastic Surgeon, Navi Mumbai
Wrinkles - How To Get Rid Of It?

There is a wide range of options to get rid of wrinkles. Laser treatments are considered to be one of the best ways to eradicate wrinkles for a long time. There are other treatments such as microdermabrasion, photo facials, and chemical peels as well. Dermal fillers are used to treat deep wrinkles. Wrinkles of the forehead and the eye are best treated with Dysport and botox.

There is a wide range of options to get rid of wrinkles. Laser treatments are considered to be one of the best ways to eradicate wrinkles for a long time. There are other treatments such as microdermabrasion, photo facials, and chemical peels as well. Dermal fillers are used to treat deep wrinkles. Wrinkles of the forehead and the eye are best treated with Dysport and botox.

How Does Laser Work?

Laser treatments such as the Fraxel and the fractional CO2 make tiny pores in the skin. These pores or incisions have two purposes. The first is to make sure that the skin produces collagen and the second is to ensure that the skin heals quickly. The laser can address wrinkles in areas such as eye, face, hands and legs. Out of all the treatment plans, laser treatment is by far the costliest one. They are typically used by maxillofacial surgeons having in-depth knowledge of physiology. Treatment of this kind might require more than one session depending on the extent of wrinkles.

How Does Dermal Filler Work?

Dermal fillers are a popular method to address wrinkles and are used to destroy wrinkles around the mouth and the eye. Lasers can also diminish hollowness and dark circles near the eye. Moreover, they are very effective in making up the lost volumes of the jawline, temples, and cheeks. Dermal fillers, however, last for about a year and needs to be redone to hold on to the facial changes. They are typically safe and contain limited side effects. A consulting session with the doctor will help to know more about the potential risk of this treatment.

Removing wrinkles from under the eye-

Botox and Dysport are two of the most popular options to get rid of wrinkles under the eye region. While lasers can diminish the appearance of wrinkles, botox and Dysport can permanently get rid of it. They also ensure that the wrinkles do not come back for quite some time. Some other wrinkles that botox and Dysport can fix include wrinkles of the forehead, eye, and the brows.

How Effective Are Wrinkle Creams?

In comparison to botox and lasers, wrinkle creams are far less effective. This being said, they are extremely popular for the fact that they are readily available over the counter and are very cheap. Most wrinkle creams contain retinol that helps to increase collagen production and stimulate turnover of the skin. Wrinkle creams that are designed for the eye do not contain retinol since they are an eye irritant and can cause damage to the eye. These creams also contain anti-oxidants that help the collagen to hold their own and stop the interference of free radicals.

Laser treatments such as the Fraxel and the fractional CO2 make tiny pores in the skin. These pores or incisions have two purposes. The first is to make sure that the skin produces collagen and the second is to ensure that the skin heals quickly. The laser can address wrinkles in areas such as eye, face, hands and legs. Out of all the treatment plans, laser treatment is by far the costliest one. They are typically used by maxillofacial surgeons having in-depth knowledge of physiology. Treatment of this kind might require more than one session depending on the extent of wrinkles.

How Does Dermal Filler Work?

Dermal fillers are a popular method to address wrinkles and are used to destroy wrinkles around the mouth and the eye. Lasers can also diminish hollowness and dark circles near the eye. Moreover, they are very effective in making up the lost volumes of the jawline, temples, and cheeks. Dermal fillers, however, last for about a year and needs to be redone to hold on to the facial changes. They are typically safe and contain limited side effects. A consulting session with the doctor will help to know more about the potential risk of this treatment.

Removing wrinkles from under the eye-

Botox and Dysport are two of the most popular options to get rid of wrinkles under the eye region. While lasers can diminish the appearance of wrinkles, botox and Dysport can permanently get rid of it. They also ensure that the wrinkles do not come back for quite some time. Some other wrinkles that botox and Dysport can fix include wrinkles of the forehead, eye, and the brows.

Ayurvedic Treatment For Infertility!

B.A.M.S, Dietetics & Food Services Management Services, Panchkarma, Sports Nutrition, Clinical & Therapeutic Yoga
Ayurveda, Panchkula
Ayurvedic Treatment For Infertility!

Ayurveda takes an all encompassing perspective about health and regards the overall body rather than an individual sickness. When you visit an Ayurvedic doctor, he'll put forth numerous inquiries before diagnosing you. Once the doctor is sure of what afflicts your body, only then he will treat you!

The fundamental center of Ayurvedic treatment for fruitlessness is to guarantee the correct change of food into supplements that can move to the 'shukra dhatu'. Portions of the utilized treatment for fruitlessness as a part of Ayurveda are:

  1. Swedanam: Ayurvedic doctors utilize this strategy to incite sweating in patients experiencing barrenness with the assistance of overwhelming covers or activities. This is done to flush poisons out of the body.

  2. Vamanam: This is to some degree uncomfortable in any case detoxing Ayurvedic treatment prompts to free the body of undigested food.

  3. Banyan Tree Bark: Numerous Ayurvedic doctors recommend the utilization of dried banyan tree husk powder, blended with sugar, to treat barrenness issues.

  4. Medicated Ghee: This is an Ayurvedic pharmaceutical to treat female fruitlessness. Devoured as melted margarine blended with milk, this drug is touted to treat utilitarian issues however, does not treat basic inadequacies.

Eating routine To Tackle Infertility:

As per Ayurveda, a person managing fruitlessness needs to follow a strict eating regimen. Aside from keeping away from fried and unreasonably salty food, Ayurveda prescribes incorporating the accompanying foods in a patient’s diet:

  1. Almonds

  2. New Vegetables

  3. Entire Grains

  4. Dairy items, for example, milk

  5. New Fruits

  6. Dried Fruits

Every one of these foods give nourishment to the shukra dhatu, which can help in treating infertility.

Infertility: Things To Expect From Laparoscopy

DGO, Diploma In Family planning (UK), MBBS Bachelor of Medicine and Bachelor of Surgery
Gynaecologist, Mumbai
Infertility: Things To Expect From Laparoscopy

Laparoscopy is a procedure that helps a doctor to view the abdomen of a woman. The pelvis of a female consists of the uterus, ovaries and the fallopian tube right at the bottom of the abdomen. The process of laparoscopy allows a doctor to witness any abnormalities that might be interfering the ability of a woman to conceive. Some of the common problems that women encounter in this regard include ovarian cysts, endometriosis, uterine fibroids, pelvic adhesions, pelvic adhesions etc.

Advantages of Laparoscopy:
Laparoscopy allows correct diagnosis of infertility problems that are often missed by the conventional method of diagnosis. For instance, a woman suffering from severe endometriosis can be rightly diagnosed by employing ultrasound. However, if a woman suffers from mild endometriosis, ultrasound cannot pick it up. Laparoscopy, in this case, can do the trick. Another instance where laparoscopy comes handy is during the diagnosis of pelvic adhesions or scar tissue. Adhesion is a disorder that restricts the fallopian tube to hold the egg during ovulation. Conventional methods such as x-rays, ultrasound, and CT scan fail to rightly diagnose the problem in this case.

Another important advantage of laparoscopy is the fact that, it is a less invasive technique as compared to conventional surgery. Traditional surgery requires making an incision that is several centimeters long. This necessarily means that a patient requires at least 2-3 days in the hospital to heal. In laparoscopy, on the other hand, make several small incisions that heal quickly.


Who has to go undergo laparoscopy?
Laparoscopy surgery is suggested for those women, who have gone through the basic assessment for infertility. Some of the infertility tests that should be undergone before approaching for a laparoscopy include ultrasound, ovulation, ovarian reserve, hysterosalpingogram etc. For men, a basic semen analysis should be done to test fertility. There are instances, where a doctor recommends laparoscopy, if the woman has a history of severe pelvic infection or ruptured appendix.

Things to expect after surgery:
Typically, the incisions are covered with bandages that are removed after twenty-four hours. Medications for nausea and pain are prescribed, to deal with them after the surgery. The recovery time depends on the length and type of the procedure, the present health of the patient, the number of incisions made, complication level of the surgery etc. Usually, there are no restrictions on food and drink after the procedure is performed. Since anesthesia is given for undergoing the surgery, it is recommended that a person takes rest for at least twenty-four hours before resuming normal activities. The woman cannot return to normal life and work after a few days, from the day of the surgery. But it is recommended to take rest for two weeks.

Dengue Fever

MBBS
Internal Medicine Specialist, Delhi
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Dengue fever is a disease caused by viruses that are transmitted to people by mosquitoes. Sometimes, its symptoms are mild and can be mistaken for those of the flu or another viral infection.People with weakened immune systems as well as those with a second or subsequent dengue infection are believed to be at greater risk for developing dengue hemorrhagic fever.

643 people found this helpful

Plastic Surgeon - Tips To Choose The Best One

MBBS, DNB - Orthopedics
Orthopedist, Chandigarh
Plastic Surgeon - Tips To Choose The Best One

Like any other surgery, cosmetic surgery has risks but if you choose the right surgeon, these risks can be effectively lowered. This decision can make all the difference between a surgery that enhances your confidence and one that brings complications and heartache. Your 'gut feeling' is not good enough to pick out a cosmetic surgeon. Being certified by the medical board is an absolute must.

Let's look at a few other things to keep in mind:

What is the doctor's specialty?

Plastic surgery is a vast field. While some surgeons specialize in facial reconstruction, others specialize in breast implants. When picking a surgeon, it is important that they have enough expertise in the procedure you want. Have a candid conversation with the doctor about the risks and benefits of the procedure you are about to undergo. No surgery is without risks and do not believe any doctor who tells you so. Avoid undergoing multiple procedures at once, and trying to find one doctor who can do it all.

What are the operating facilities like?

While some surgeries are performed in the doctor's office, others need a surgical facility. The success of your procedure depends not only on the surgeon but also on his staff and the operating facilities. Do not be afraid to ask about the anesthetist's qualifications and the certification of the operating facility. Ensure that they have key life support equipment on hand just in case. 

Does the doctor's aesthetic sense match yours?

Plastic surgery is largely a matter of aesthetics. What one person considers pretty may not be quite that attractive to the other person. Thus it is essential for you and your plastic surgeon to share a common sense of aesthetics. Ask to see pictures of the results of surgeries similar to what you want performed by the doctor. Depending on the procedure you want and the body part affected, look for patients with similar concerns and facial structure or body shape etc.  These photographs should give you an idea of how the surgeon will tailor the procedure to address your concern. 

Do you feel an emotional connect with the doctor?

'Gut feeling' cannot be completely ignored when it comes to choosing a plastic surgeon. You are putting the way you look in this doctor's hands, and hence it is important for you to feel secure in his care and to trust him. Your doctor should encourage you to ask questions and you should feel comfortable talking about your complete medical history with him or her. Also consider the staff and how you feel about them. 

This decision is not one that can be made hastily, so take your time and make sure that you are going for the best doctor before going under the knife. 

3 Causes Of Chlamydia In Women And Its Symptoms!

MBBS Bachelor of Medicine and Bachelor of Surgery, D.G.O
Gynaecologist, Bangalore
3 Causes Of Chlamydia In Women And Its Symptoms!

Chlamydia is a STD, caused due to intercourse, or even sexual contact. This is often accompanied by vaginal discharge or genital pain. Chlamydia can affect both the sexes to any age group, though young sexually active women are mostly diagnosed with it. If left untreated, this STD can cause further complications, some of them, fatal.

Symptoms of Chlamydia in women
1. Abnormal odorous vaginal discharge
2. Bleeding resulting from intercourse or even between periods
3. Pain during menstruation or sexual intercourse
4. Soreness in the lower abdomen
5. A burning sensation or itching around the vagina
6. Painful urination
7. Green or yellow vaginal discharge

Further complications
Infection can extend to the fallopian tubes, leading to a disease called Pelvic Inflammatory Disease (PID). PID can bear symptoms such as nausea, severe pain in the pelvic region, fever and unusual bleeding during one’s periods. There are also high chances of contracting the chlamydia infection in the anus, the indications being pain, bleeding and discharge from the anus. Oral sex with a person diagnosed with this condition can also result in you contracting this infection in the throat, resulting in soreness, fever and cough.

Causes of Chlamydia in women
1. Chlamydia, being a sexually transmitted infection, primarily spreads through unprotected sex. However, sexual intercourse need not always be the reason behind this disorder. Sexual contact or even indulging in oral sex without using protection (in the form of dental dams) can result in this disease.
2. Newborn infants are also prone to acquiring this infection that is passed on to them by their mothers during birth. Therefore, pre-natal checkups are a must for detection.
3. Rarely, one can contract the infection in the eyes as well, through any form of oral or genital contact.

Shortness Of Breath - Can It Be A Sign Of Coronary Artery Disease?

MBBS, MD - Medicine, DM - Cardiology
Cardiologist, Gurgaon
Shortness Of Breath - Can It Be A Sign Of Coronary Artery Disease?

Your heart is the most important and vital organ of all and regulates the flow of heart to all parts of the body. Thus, the valves and the arteries which take the blood to your heart are also an important component in ensuring that the circulation is constant. Thus, any hindrance to this process will put a lot of pressure on your heart and lead to more serious problems in the long run. Coronary artery disease is one such problem and can seriously put the health of your heart at risk.

What is coronary heart disease?
Coronary arteries are very important blood vessels, which carry nutrients, blood and oxygen to your heart. If the level of bad cholesterol is high in your blood, it will start leaving deposits on the walls of the arteries which are commonly known as plaque. This plaque will start building up over time causing blockage of the arteries and disrupting proper blood flow. Excessive build up of the plaque may then rupture the lining of the plaque. This will then induce blood clotting and further prevent the normal flow of blood.

Symptoms
Primary symptoms may include

  1. Shortness of breathThis may occur while you are exercising or performing activities which are mildly exerting.
  2. Heart beats very hard and fast: Your heart may beat very hard and fast, especially when doing everyday activities such as climbing stairs or walking for a prolonged distance.
  3. Angina or chest painYou may experience pain in your chest as if someone was pressing against it with a lot of force. Angina is also triggered due to stressful activities or even emotional stress. It usually occurs on the left or the middle of the chest and may even be felt in the back, arms, and neck.
  4. Heart attackHeart attacks are the most common and the most serious complications of coronary heart disease. You would feel extreme pain, akin to crushing on your chest, shoulder, or arm. It may even be accompanied by jaw pain, and sweatiness.

Treatment
Non invasive forms of treatment are always preferable rather than invasive surgeries or procedures to treat coronary heart disease, especially where the risk of serious complications such as heart attack are still on the lower side. Some of the treatments used for coronary heart disease are as follows:

  1. Making lifestyle changes: Quit smoking, reduce alcohol consumption along with consumption of regulated diet will automatically start cleaning plaque that has built up within the arteries. Losing weight also tends to help.
  2. Medications: Special medications can take care of cases wherein the deposits are still lesser and the plaque buildup can be removed without the requirement of extensive surgery. Anti-cholesterol medications are one example of this.
  3. Surgical procedures: These are usually employed when the blockage is severe and cannot be corrected by the conventional methods mentioned above. Some of the procedures are angioplasty, stent replacement, as well as coronary artery bypass surgery.
6 people found this helpful

Diaper Dermatitis - Diagnosis And Treatment!

MBBS, MD - Dermatology
Dermatologist, Trivandrum
Diaper Dermatitis - Diagnosis And Treatment!

Babies go through a host of problems that we usually refer to as growing pains. This article is of special importance to most mothers who are going through myriad problems like colic, teeth and even diaper rash. Diaper rash is known as diaper dermatitis in medical terms. When the skin of the area within the diaper becomes red and goes through inflammation, it is known as diaper dermatitis. Read on to know more about the condition, and how it may be treated.

Symptoms: The most obvious and common symptom of diaper dermatitis is the signs on the skin which will bear a patchwork of red blotches that may look tender to touch. The baby will also seem more irritable and cranky as the discomfort and pain starts to grow every time the diaper rubs against the rashes. Bleeding, itching and oozing can also occur, in which cause it is imperative to see a doctor immediately. Also, if the rashes are accompanied by fever, one must get it checked as there may be chances of an infection. Diaper rashes can also cause pain during bowel movements and a burning sensation during urination.

Causes: There are a number of reasons for the occurrence of diaper rashes. Trying out a new product may sometimes give the baby a rash as the sensitive skin of the child may not take to some ingredient. Therefore, it may develop as an allergic reaction. This new product may be a cream, lotion or a new brand or type of diapers. Further, sometimes when we introduce new foods, the baby’s skin may erupt into rashes as a part of an allergic reaction. Also, chaffing or rubbing may cause such rashes, while prolonged use of the diaper without a change is known to be one of the most common causes of this condition. Bacterial or yeast infection can also cause diaper dermatitis. Also, antibiotics can cause rashes as a side effect.

Diagnosis: The diagnosis of the condition is usually done by a dermatologist or a paediatrician based on the symptoms that you list out as well as physical examination of the area. The doctor may also check the baby’s temperature in order to ascertain if there is any fever or any chance of an infection.

Treatment: One should keep the baby’s skin dry and absolutely clean at all times. Also, it would be recommended to use cloth diapers for a few hours a day so that the skin may get a chance to breathe. Further, the doctor will prescribe mild hydrocortisone ointments. Antifungal creams may also be used in case there is an infection. Oral antibiotics may also be prescribed in such cases.

Tuberculosis - What Are The Symptoms?

MBBS, MD - Pulmonary Medicine, FNB-Critical Care Medicine
Pulmonologist, Gurgaon
Tuberculosis -  What Are The Symptoms?

The symptoms of tuberculosis (TB), which is active, might vary and depend on which part of the body is infected. Diagnosing TB just from its symptoms can be a difficult, as the symptoms are not for TB alone meaning the symptoms can be of other diseases as well. For the confirmation and diagnosis of TB one must get a test done for TB. However, the general symptoms of TB are tiredness, weakness, weight loss, loss of appetite, fever, chills and night sweats.

Symptoms of Pulmonary TB

Pulmonary TB is the TB of lungs. The symptoms of this are bad cough which might have lasted for more than 3 weeks, chest pain, blood or phlegm might occur on coughing.

Extrapulmonary TB

The TB of any body part other than pulmonary is called extrapulmonary TB. This TB does not affect the lungs with the exception being the extrapulmonary TB also known as Pleural TB.

General symtoms of extrapulmonary TB are same as general symtoms of TB.

Symptoms of Lymph Node TB

Lymph Node TB also known as lymphadenitis is basically the enlargement and the inflammation of the lymph nodes. This is a response to the infections especially in children. The symptoms of this might be painless slow growing lymph nodes. These swollen lymph nodes can be in the neck area, though they might also be present in the groin. Lymph node TB of the neck is also called as Scrofula or TB adenitis.

Symptoms of skeletal (bone and joint) TB

The common and the first symptoms are pain and depend on the area of the joint or the bone affected. Often it is marked with the loss of movement and curving of the affected bones and joints. The affected area also weakens and is prone to fractures.

Spinal TB is also called as Pott Disease or TB Spondylitis. The symptoms of this depend on the affected site and the stage of the disease. However, back pain is one of the earliest symptoms.

Symptoms of Meningitis TB

The meningitis TB starts with classical symptoms of meningitis. It usually starts with symptoms of pains and aches, fever and vague and unwell feeling. These might last for 2-8 weeks and then the evident symptoms like headaches, seizures, vomiting and stiffness might occur.

Symptoms of Gastrointestinal or Abdominal TB

This is marked with diarrhea, abdominal pain and bleeding from rectum and anus, though the symptoms depend on the exact site.

Symptoms of TB in children

The symptoms depend on the type and site, though the common ones being weight loss, fever and cough.

Breast Cancer - A Brief Overview!

BAMS - Alternative Medicine, Bachelor of Naturopathy & Yogic Sciences (BNYS)
Alternative Medicine Specialist, Lucknow
Breast Cancer - A Brief Overview!

Breast cancer begins when cells in the breast(s) start to grow out of control. It is understood as being the most common cancer, seen predominantly in females, globally. It is reasonably treatable and often curable.

1. Type: Adenocarcinomas constitute more than 95% of breast cancers with infiltrating ductal carcinoma (IDC) being the most common form of invasive breast cancer.

Frequently occurring breast cancers present as one of the following types mainly

  1. Ductal Carcinoma In Situ (DCIS): Is the most common type of non-invasive breast cancer and is confined to the milk ducts of the breast. There is no invasion in the basement membrane. Pure DCIS metastasizes rarely. Non comedo cribrioform carcinoma is the most common DCIS found which, when compared to the comedo type, is mostly non-aggressive.
  2. Infiltrating Ductal Carcinoma (IDC): Represents majority (about 3/4th) of the breast cancers, and is known to metastasize commonly to bones, lungs and liver.
  3. Lobular Carcinoma In Situ (LCIS): Develops in multiple lobules of the breast (bilaterally). LCIS is less commonly seen, compared to DCIS.
  4. Infiltrating Lobular Carcinoma (ILC): Represent about a tenth of all breast cancers and tends to metastasize to other regions of the body.

Less commonly occurring breast cancers such as

  1. Inflammatory Breast Cancer: Is relatively uncommon and are caused probably owing to viral infections. The breast is warm, red and swollen.
  2. Paget’s disease of the nipple: Is a rare form of breast cancer. It begins in the milk ducts and spreads to the nipple and areola.
  3. Medullary Carcinoma
  4. Mutinous Carcinoma
  5. Tubular Carcinoma
  6. Phylloides tumor etc all.

2. Gender: Affects the female populace predominantly. However, a small percentage of breast cancer is attributable to the male populace as well.

3. Etiology: No definite cause is known. However, diet, lifestyle, environment, hormonal/ reproductive factors, personal or family history of breast cancer especially in first degree relatives and also any benign breast disease history etc all are known to increase the risk of breast cancers. Specifically, excessive fatty diet, obesity, type 2 diabetes mellitus, benign breast disease, heredity/ inheritance of mutated breast cancer genes 1 (BRCA1) and 2 (BRCA2), smoking, alcohol intake, infertility, estrogen therapy/ hormone replacement therapy (long term) in post menopausal women, delayed age at first pregnancy, nulliparity (not having child), early menstruation, delayed onset of menopause, lactating mothers not breast feeding, exposure to ionizing radiation, sedentary lifestyle, depression, exposure to MMTV virus etc all can potentially increase the risk for breast cancer.

4. Features: Signs & symptoms, of breast cancer, manifest majorly in the following ways

  1. 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.
  2. Enlarged lymph nodes in the axilla which are palpable.
  3. Swelling of whole or a part of a breast. This is even if there is no distinct lump felt.
  4. Retraction or thickening of the nipple(s).
  5. Pain in the breast or nipple.
  6. Discharge from nipple other than breast milk.
  7. Irritation/ scaliness of skin over the breast.
  8. Redness of nipples
  9. Rarely, red, swollen and tender breast.

5. Screening: Is generally recommended for asymptomatic populations goal of which, as usual, is to be able to detect & diagnose breast cancer at an early stage which is potentially curable. It is mostly radiologic with mammography/ USG being instrumental in raising suspicions for further diagnostics (i.e. biopsy) that help detect breast cancer, if any, early.

6. Diagnosis: A self-examination/ clinical exam of the breast(s)/ axilla that reveals a palpable mass prompts the following diagnostics. Abnormal blood test results may be indicative of malignancy, but a follow up imaging/ biopsy is always the gold standard for accurate diagnosis.

  1. Blood: ER/ PR/ HER2/neu, uPA, PAI-1, CA15-3, CA27.29 etc all tumor markers are helpful.
  2. Imaging: Mammography/ USG Scan usually, as relevant. Again, CT Scan of abdomen & pelvis and chest, PET CT scan, bone scan etc all help detect metastasis, if any, for cancers in stage III & above.
  3. Biopsy: either excisional, incisional, fine needle aspiration (FNA) or core biopsy technique, as contextually appropriate, is frequently employed and a histopathological examination (HPE) thereof clinches the diagnosis and the nature of the disease.

7. Treatment: Conventional treatment includes surgery, radiotherapy, hormone therapy/ chemotherapy as deems appropriate. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical outcomes and facilitate recovery as would be feasible contextually.

8. Prognosis: Preventive measures, earlier diagnosis and right early treatment is key for an effective therapeutic management & better prognosis. Like most other cancers, the chances of cure for an early stage breast cancer are more. The cure/ recovery chances are influenced by the type, grade, stage of cancer, recurrence and the patient’s general health & vitality etc all. Above-mentioned apart, age, menopause status, lymph node status, ER/ PR/ HER-2/ neu status, size & extent of breast cancer etc all also influence the treatment outlook in breast cancer. The five year survival rate is strongly correlated with the stage of breast cancer.

9. Prevention: Rightly said, prevention is always a better choice. Although genetic risks are difficult to modify, still an increased focus on protective factors and avoidance of the risk factors can be of help. An adherence to a Mediterranean diet, maintaining an ideal body weight and an active lifestyle with due emphasis on regular exercising (for at least 30 minutes daily), de-stressing and relaxation is highly recommended for reducing the risks of breast cancer. A healthy eating plate comprises essentially a low fat diet, fibre rich foods including whole grain cereals, green leafy vegetables cooked using healthy vegetable oils, fresh fruits of all colours as seasonally available and healthy proteins/ fats including fresh fish, poultry, beans, nuts etc all. It is advisable to limit milk/ dairy, preferably of low fat content, to 1 to 2 servings max daily. Although alcohol is optional and is not for everyone, the consumption of the same, if any, has to be strictly in moderation, and is best avoided. Smoking is to be avoided as well. Again, red meat, butter, refined grains, sweets, sugary drinks including carbonated beverages and other high calorie foods etc all, if any, are to be taken sparingly or are best avoided too. Limiting dosage/ duration of hormone therapy, if any, especially to counteract post menopausal symptoms and also avoiding exposure to radiation and environmental pollution can help reduce the risks of breast cancer. Apart from the above-mentioned, for high risk cases, a prophylactic oophorectomy, prophylactic radical mastectomy, long term hormone therapy etc all can help reduce the chances/ risks of developing breast cancer significantly. Breastfeeding is known to confer protection against breast cancer risk too.

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