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Dr. I.C. Premsagar

Oncologist, Delhi

650 at clinic
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Dr. I.C. Premsagar Oncologist, Delhi
650 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. I.C. Premsagar
Dr. I.C. Premsagar is a renowned Oncologist in Paschim Vihar, Delhi. You can consult Dr. I.C. Premsagar at Dr. I.C. Premsagar@Action Cancer Hospital in Paschim Vihar, Delhi. Save your time and book an appointment online with Dr. I.C. Premsagar on Lybrate.com.

Lybrate.com has an excellent community of Oncologists in India. You will find Oncologists with more than 41 years of experience on Lybrate.com. You can find Oncologists online in Delhi 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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Action Cancer Hospital

H-2/FC-34,A - 4, Paschim Vihar. Lanamdrk:- Institutional Area.Delhi Get Directions
650 at clinic
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

3rd stage of esophagus cancer is curable or not curable? Now Treatment continue chemotherapy.

MD - Radiothrapy
Oncologist, Ahmedabad
Kindly give detailed history of patient. Most useful treatment for cure is surgery, if surgery is no feasible then go for chemotherapy and radiotherapy. In stage 3 generally surgery is not possible, so go for CT+RT followed by surgery or definitive CT+RT. It's all depends upon age, general condition of patient, biopsy, location of tumor. If we add radiotherapy to chemotherapy ,it will be more beneficial. Give ct scan, oesophago scopy report, age for proper decision.
1 person found this helpful
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Sir recently I had a surgery of removing tumour so doctor had removed a small part of meat with that tumour. So what is best food to taken to re get the meat over that part.

DNB, MBBS
Oncologist, Faridabad
Have protein rich diet with lots of vegetables and fruits. You can also take non-vegetarian diet for fast recovery. Don't worry healing is a natural process of body.
6 people found this helpful
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Sir when should patient confirm that he was suffering from prostate enlargement please say me main symptoms.

MBBS, Apollo Hospitals
General Physician, Indore
Sir when should patient confirm that he was suffering from prostate enlargement please say me main symptoms.
Hello lybrate user basically prostrate problem comes in 4~5 decade of life as main symptom is patient have multiple urge for urine but it will not come but I wonder at your age why you asking..
1 person found this helpful
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Common Gynaecological Cancers - What Are They & How They Can Be Prevented?

MBBS, MD(General Medicine), Fellowship Hemato - Oncology (Hemat-Oncology), DM(Medical Oncology), DNB(Medical Oncology)
Oncologist, Kolkata
Common Gynaecological Cancers - What Are They & How They Can Be Prevented?

With the modernization of all economies around the world, one health hazard that has become one of the largest perils within both developed and developing nations is the incidence of cancers of the female reproductive system, especially cervical and breast cancer.

Breast cancer

Breast cancer is the formation of malignant tumors within the breast tissues of a woman. Usually, breast cancer affects women in the age range of 40 to 50, but there have been many reports of it occurring earlier. About 48 % percent of the Indian women having breast cancer have been reported to be under 50. This is an almost 17 percent jump compared to figures 25 years earlier.

Alarming Signs of Breast Cancer:

  • The most common symptom of breast cancer is a new lump or mass. A painless, hard mass that has irregular edges is more likely to be cancerous, but breast cancers can be tender, soft, or rounded.
  • Swelling of all or part of a breast (even if no distinct lump is felt)
  • Skin irritation or dimpling
  • Breast or nipple pain
  • Nipple retraction (turning inward)
  • Redness, scaliness, or thickening of the nipple or breast skin
  • Nipple discharge (other than breast milk)

Screening Guidelines for Breast cancer:

  • Mammography: US Preventive Services Task Force (USPSTF) recommends mammography once in every 2 year for females between age group 50-75 years. Women with a family history has a benefit of starting at age 40 years. After 75 years there are insufficient evidence of benefit of screening mammography.
  • Breast Self Examination and annual Clinical examination: breast self examination is easy to learn and and any abnormality should be reported to the oncologist.
  • For High Risk/ Genetic risk factors: screening should start by age 25 or 10 years earlier of youngest relative affected. Annual mammogram and MRI or Doppler ultrasound alternating at 6 month interval can be considered.

Treatment Options:

Some of the common treatment options for breast cancers are:

  • Breast conservation surgery - This is where the tumors are removed without cutting out too much of the surrounding breast tissue.
  • Mastectomy - If the cancer has spread too far then large amounts of breast tissue has to be removed along with the tumor to stop its spread any further.
  • Sentinel lymph node Biopsy - it's part of both surgical procedures, it decreases morbidities of lymph node dissection first draining lymph nodes only are removed in patients with clinically negative axilla. If negative on frozen section further axillary dissection is avoided. It avoids the morbidity of complete axillary clearance.

Cervical cancer ( Carcinoma Cervix)

Cervical cancer is the cancer of the cervix, which is the opening of the uterus and connects the uterus to the vagina. Indian women in particular are susceptible to cervical cancer as more than 1/3rd of the cervical cancer related deaths in the entire world happens here in India, which is about 74000 deaths annually. The leading cause for cervical cancer is HPV or Human Papillomavirus infection, which if left untreated and unchecked will result in cancer.

Alarming Signs of Cervical Carcinoma:

  • Early lesions and precancerous lesions have no symptoms
  • Abnormal vaginal bleeding such as bleeding after vaginal intercourse, bleeding after menopause, bleeding and spotting between periods or longer/heavier periods
  • Abnormal vaginal discharge
  • Pelvic pain
  • Late stage disease may cause lower extremity swelling, problem with urine and/or stool passage

Screening Guidelines:

  • Cervical cancer screening is most effective screening programme of any cancer disease resulting in significant decrease in mortality from carcinoma cervix
  • United state preventive services task force (USPSTF) recommend cervical cancer screening starting at age 21 yrs.
  • Between age 21-30 years cytology recommended at 3 year interval and HPV testing is not recommended.
  • Between 30-65 years cytology every 3 year or cytology +HPV testing every 5 year.
  • If previously adequately screened screening can be discontinued after 65 years.
  • Women with prior total hysterectomy and no CIN can discontinue screening.

Apart from breast and cervical cancers, certain other cancers have also reported an alarming increase such as:-

Ovarian cancer (Carcinoma Ovary)

Starting in the ovaries, diagnosis of this type of cancer is usually delayed due to lack of visible symptoms in the initial stages. About 85% to 90% of ovarian cancers are epithelial ovarian carcinomas. Epithelial ovarian cancers tend to spread to the lining and organs of the pelvis and abdomen (belly) first. This may lead to the buildup of fluid in the abdominal cavity (called ascites). As it advances, it may spread to the lung and liver, or, rarely, to the brain, bones, or skin. The main treatments for ovarian cancer are surgery and chemotherapy.

Cancer of the endometrium (Carcinoma Endometrium)

Endometrium is the lining of the uterine wall and has along with ovarian, uterine and cervical cancer is also increasing in occurrences throughout India and the world.

The grade of an endometrial cancer is based on how much the cancer forms glands that look similar to those found in normal, healthy endometrium.

  • Grade 1 tumors have 95% or more of the cancerous tissue forming glands.
  • Grade 2 tumors have between 50% and 94% of the cancerous tissue forming glands.
  • Grade 3 tumors have less than half of the cancerous tissue forming glands. Grade 3 cancers tend to be aggressive and have a poorer outlook than lower-grade cancers.

Treatment Options:

Cervical cancer along with Ovarian, uterine and endometrial cancer can be treated using the following methods:

1. Surgery: Radical Hysterectomy primarily preferred option for early stage disease. Both open and minimal invasive approaches are suitable.

  • For precancer high grade lesion conisation is also option for compliant patient.
  • In young suitable patient willing for childbearing trachelectomy is also possible in very early lesion.
  • Depending on risk factors after surgery adjuvant treatment may be advised.

2. Radiation therapy or Combined Radiation therapy+Chemotherapy: Alternative to surgery in early stage and choice in late stage.

Prevention:

Certain prevention techniques that would be advisable to detect cancer in its early stages would be,

  • Regular Pap smear tests for cervical cancer
  • Taking vaccines for cervical cancer
  • Regular mammograms and checkups for breast cancer
  • Changing lifestyles to reduce stress
  • Changes in diet to reduce risks
  • Leading a healthy lifestyle with regular exercise

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

3202 people found this helpful

I am 29 in 2012 I was diagnosed with testicular cancer for which I was operated. Since then I wasn't given any chemo or radio and my tumor markers are normal. I started the gym and using some supplements. In those supplements there is one testosterone booster. Is it advisable for me to have that. Others suppliers are just protein and fat burner. And I have one more question I was operated in August 2012 now it's October 15 but when I ejaculate I feel some pulsating where I was operated it isn't like what we call pain but I do feel something. Which becomes normal after few minutes.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG, MRCOG (London, UK)
Gynaecologist, Kolkata
First of all, try to avoid testosterone supplement, not only from testicular cancer point of view but also to avoid problems in fertility and other health issues (like liver diseases etc). Secondly, after operation, during ejaculation, it is common to feel some'peculiar sensation" in operation area- if it is not paining, then no need to worry.
4 people found this helpful
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My mother has ovarian cancer sharing CA125 result,- 1. Before 1st chemo. 19 2. Before 3rd chemo. 3.5 3. Before 4th chemo. 2.5 4. Before 5th chemo. 10.9 why it is increased? what to do?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG, MRCOG (London, UK)
Gynaecologist, Kolkata
It is increasing but still at normal range. So, first finish the rest of the chemo (upto 6 usually). Then have gynecological check up and usg (if needed ct scan) to diagnose whether there is any residual tumour or not.
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I delivered a baby on 24th may lscs was done now my stitches little paining and lump found near stitches what might be this please suggest any solution.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
It may be due to infection on lower abdominal portion visit to your doctor and consult about further treatment.
1 person found this helpful
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What is the symptoms of colon cancer? Please inform how l can we suspect it may be coln cancer?

Registrar In Surgical Oncology, Fellowship In Gynaecologic Oncology, Masters In Advanced Oncology, Fellowship In advanced laparoscopy and robotic surgery, Fellowship In Gastrointestinal Oncology, Fellowship In CRS and HIPEC, Fellowship In PIPAC
Oncologist, Mumbai
Cancer unfortunately doesn't have trademark symptoms. They can often be vague. However the common symptoms related to colon cancers include persistent low hemoglobin, dark stools (malena), occasionally bleed per rectum if the cancer is in rectum, alteration of bowel habits. That means having alternating constipation and diarrhoea. It's however not a hard and fast rule that if you have these symptoms that means you have cancer. It just means there is an increased probability. If you have any doubts, you can do something call faecal occult blood test (fobt) or faecal immunohistochemical test (fit), which again are around 90% percent accurate.
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My father is suffering from bone cancer and all the time from chronic constipation what should I do ?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My father is suffering from bone cancer and all the time  from chronic constipation 
what should I do ?
continue your anti cancer medicines if you are not taking treatmeants for pl. consult doctor oncologist. Eat green veg. More fiber foods. Avoid fatty foods,junk foos,oily meal, drink plenty of water.take digestive meal . Syp. Aristozyme 10 ml thrice a day. Take tab. Charcol at night. Syp . Livoluk 10 ml at night. tests for constipation.. stool c/s, Examination of the rectum and lower, or sigmoid, colon (sigmoidoscopy) Examination of the rectum and entire colon (colonoscopy). An X-ray of the rectum during defecation (defecography). Avoid smoking/alcohol if you take.
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