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Dr. I.C. Premsagar

Oncologist, Delhi

650 at clinic
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 30 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
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

I am taking VELTAM PLUS for last 3 months for prostrate problem.Can I continue this ?

MD - Oncology
Oncologist, Hubli-Dharwad
Yes you can. Just consult an urologist for a digital rectal examination regularly, he can advise you when to stop
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I urinate frequently only during night My sugar is normal and no prostrate what may be the other causes?

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
Worm infestation, adequate liquids before sleeping and not going to washroom before going to bed. Off course if you do not have prostatism or high blood sugar.
2 people found this helpful
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I am 18 year old and I want to know the symptoms of cancer so can you tell me please. It will be a big thanks from my side.

DNB, MBBS
Oncologist, Faridabad
Dear sir, cancer is caused by abnormal uncontrolled proliferation of cells leading to symptoms like palpable lump, nonhealing ulcer, abnormal bleeding, weight loss, fever, change in bowelor bladder habits, throat pain, difficulty in swallowing, change in voice etc depending on organ affected.
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I am 18 years old and my breasts are different in size right one is larger that left one. Sometimes my nipple gets cut on it. Is it breast cancer?

Advanced Aesthetics
Ayurveda, Gulbarga
? Women tend to lose the firmness in their breasts as they age ? This generally occurs at a younger age for women who have large breasts Symptoms to look for: ? Sagging breasts Causes: ? Ageing ? Breastfeeding ? Loss of weight Natural home remedy using egg and onion: 1. Take the white of an egg 2. Beat it into a cream 3. Apply this cream on the bottom of your breasts 4. Leave it for 30 min 5. Chop and crush 1 onion 6. Press the crushed onion on a sieve to extract juice 7. Add the juice to 1 glass water 8. Wash off the cream with this water Tips: ? Swimming is a great exercise to have firm breasts. It strengthens the pectoral muscles For breast tightness and increasing consult
1 person found this helpful
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Epithelial Ovarian Cancer - 4 Major Signs that Indicate it

MBBS, MD
Gynaecologist, Delhi
Epithelial Ovarian Cancer - 4 Major Signs that Indicate it

Epithelial Ovarian Cancer is a condition in which malignant tumor emerges from the tissue lining in the outer surface of the ovary. Epithelial tumors are usually benign, but this form of malignancy has been found to be the most common type of ovarian cancer. Moreover, it cannot be diagnosed until in its advanced stage. Medical research shows that factors such as multiple pregnancies, delayed childbirth and early menarche seem to raise the risk of ovarian cancer, while dietary and environmental factors also play a significant role in it.

Symptoms
1. A majority of the patients have been observed to have extensive intra-abdominal growth.
2. They may experience discomfort or swelling of the abdominal region.
3. The feeling of being bloated, lack of appetite, unnatural weight alteration, dyspepsia, malaise, and urinary problems are frequently reported symptoms.
4. Patients also experience constipation and other gastrointestinal problems.

Treatment
The first step towards treatment of ovarian cancer is to diagnose the condition. A thorough pelvic examination (consisting of an examination of the vagina, uterus, ovaries, fallopian tubes, and cervix) will help to pin point any abnormality of the ovary. If the doctor notes nodularity, firmness or lack of tenderness during the examination, these can be taken as symptoms of malignancy of epithelial ovarian tumors. Ultrasound examination of the abdominal region will also help to locate abnormality in the tissues on the outer surface of the ovary. The next logical step towards treatment is getting a biopsy. During this procedure potentially malignant cells are removed and then diagnosed by a pathologist to conclude if the cells are cancerous or not. The process of removal is known as laparotomy.

Apart from a handful of stage one patients, most women with epithelial ovarian cancer receive chemotherapy. The standard treatment for this type of ovarian cancer is the surgical elimination of tumor. This includes total abdominal hysterectomy, a surgery in which the uterus and cervix is removed through an incision in the abdomen. Post surgical treatment consists of taxane-platinum chemotherapy. Patients with minimal residual cancer undergo external radiation therapy or intraperitoneal chemotherapy (radioactive liquid is channelled into the abdomen with the help of a catheter).

A lot of research has been done in this field and a variety of clinical trials are available for a patient, if he/she wishes to be a part of it. Leading methods are immunotherapy and targeted therapy are also available. Immunotherapy uses the immune system of the patient to battle cancer. Bodily substances or substances created in the lab are used to restore and boost the body’s natural defence mechanisms against cancer. Targeted therapy, on the other hand, uses substances to identify the cancer and attack the malignant cells without jeopardizing non-cancerous cells.

3687 people found this helpful

Hi my mother is having breast cancer above stage-2 and her age is 37. She already had taken the surgery now she is taking chemotherapy is she need radiotherapy. What are the precautions to take for the chemotherapy. Does this cancer curable.

MD - Radiation Oncology, MBBS, DNB (Radiotherapy)
Oncologist, Howrah
With proper treatment 5-yr survival rate in stage 2 breast cancer is very good. Radiotherapy will be required for tumor size more than 5 cm or when there is lymph node involvement. If the surgery is BCS not MRM, postoperative radiotherapy will be given. Chemotherapy toxicity depends in particular chemotherapy drugs. Share the details of chemotherapy treatment for further information.
13 people found this helpful
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I am having multiple fibroadenoma in both breasts, which are very small. I had undergone surgery for fibroadenoma removal four times in the past approximately 6 years ago, which were bigger in size. I am having a doubt that" is this fibroadenoma will become cancerous tumor in the future and is there any diet restrictions to get it reduced. Can you please clarify my doubt.

PGDMLS, PGDHHM, LLB, PhD Surgery, MS - General Surgery
General Surgeon, Gurgaon
Generally fibroadenomas do not turn cancerous. However, self examination on a monthly basis is recommended. In case you notice any change in their character or there is bloody discharge from nipple, general surgeon would examine and order usg and / or fnac besides other tests. Then depending on the results further action is planned. There is no need to remove all fibroadenomas,
2 people found this helpful
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Breast me glands ho hata hai ar uska operation karwane k kuch saal baad phir agar glands ho jata hai to kya karna chahiye agar aise hi usko chod diya jaye to koi problem to nhi hoga.

Bsc(Med.), DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Mohali
HI Lybrate user First of all you should consult a local gynaecologist to get your physical examination of breast done. If it is benign then treatment is different. Sometimes only vit .E and evening primerose oil helps. But if it is otherwise, the treatment is different. The doctor may recommend digital mammography and FNAC (fine needle aspiration cytology- syringe se mass le kar lab. Me test karvaya jata hai ki kiss trah ka mass hai) yeh baht simple test hai. Let your doctor decide what to do in your case whether treatment is required or it can be left as such.
1 person found this helpful
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My grandpa has 4th stage lung cancer, he was diagnosed with it by Feb 2015, he is treated by around 10 radiation and two cycles of chemotherapy and third cycle is going on. Can some one guide me for further alternative treatment? Is there any new research or treatment for lung cancer? I want to mention that his physical condition is good and no much side effects of chemotherapy also. Also he has smoked in past. I am really thankful if someone guide me further.

DNB, MBBS
Oncologist, Faridabad
Dear sir, fourth stage cancer lung means it has spread to other organs and line of treatment is more towards palliation. Treatment also depends on histopathology and immunohistochemistry, if EGFR mutations positive then some oral treatment can also be tried. Please continue chemotherapy if his general condition is good.
11 people found this helpful
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I am 53 yrs old male, I have enlarged prostate (BPH).Sr PSA test is normal.Sonography shows enlarged prostate 60 gms.Having increased frequency of urine more in the night. Please advise some Ayurveda medicine. Is there any cure?

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
You can try ayurveda medicines like kanchnaar guggul, gikshuradi guggul along with vasti at some panchakarma centre.
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My farther suffered with multiple myeloma doctors said to me check you also. Is there any chance to son get this Cancer.

MS ( General Surgery)
Oncologist, Mandsaur
A familial predisposition to myeloma exists. Hyperphosphorylation of a number of proteins - the paratarg proteins - a tendency which is inherited in an autosomal dominant manner appears a common mechanism in these families. This tendency is more common in african american patients with myeloma and may contribute to the higher rates of myeloma in this group.
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What happen if a patient used niddle pricked ahealthy person? in case a patient is having cancer and sugar and what that person do to safe himself or herself?

MBBS, cc USG
General Physician, Gurgaon
Cancer and sugar is not transmitted through needle prick Disease like HIV, Hepatitis can be transmitted through needle prick
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He has blood cancer his age is 20 he had blood report with Ferritin Serum counts are 1650 and LDH is 1961 What to do.

DNB, MBBS
Oncologist, Faridabad
High serum ferritin and ldh indicates active disease, but single value can not be used to predict response. We need serial values to know if disease is improving by treatment. Meanwhile please continue chemotherapy as advised.
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I had a tumour in right breast which was Benign I got it operated 6-7 years back. Then again after 3 years of operation I again got the similar thing in my left breast. I got it checked it was Benign as well. I recently have been diagnosed with pcod. Initially the time didn't pain except before periods but lately it has been since 2-3 weeks n the breast size has also increased. Even walking briskly or bending leads to pain. Do I need to chk with the medicine given by my gynecologists or is it an indication of something else?

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
Dear lybrate user. Though it is a benign tumor but there are chances that it may turn malignant. Consult your surgeon, get the lump removed and get rid of it. This time only small surgery is required but if it turns otherwise a massive surgery will be needed. If you do not want to undergo surgery this time at least get fine needle aspiration done.
45 people found this helpful
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Breast Cancer - Know More to Say 'No' More!

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
Breast Cancer - Know More to Say 'No' More!

Cancer is the abnormal, uncontrolled growth of cells in a particular body part. With continued growth, pieces of this tissue travel through the blood to different body parts and continue to grow in the new area. This is known as metastases. Breast cancer is one of the most common forms of cancer and affects about 1 in 8 women in the USA. Read on to know more details of breast cancer – breast anatomy, causes, symptoms, risk factors, detection, prevention, and of course treatment.

Anatomy: The main function of the breast is lactation through its milk-producing tissue that are connected to the nipple by narrow ducts. In addition, there is surrounding connective tissue, fibrous material, fat, nerves, blood vessels and lymphatic channels which complete the structure. This is essential to know as most breast cancers develop as small calcifications (hardened particles) in the ducts or as small lumps in the breast tissue which then continues to grow into cancer. The spread can happen through lymphatic or blood flow to other organs.

Warning signs/symptoms: The following are some symptoms that need to be watched out for if you have a predisposition to breast cancer.

  1. A lump in either of the breasts or armpits
  2. Change in size, shape, or contour of either breast
  3. Redness of your breast or nipple
  4. Discharge of clear or bloody fluid
  5. Thickening of breast tissue or skin that lasts through a period
  6. Altered look or feel of the skin on the breast or the nipple (dimpled, inflamed, scaly, or puckered)
  7. One area on the breast that looks very different from the other areas
  8. Hardened area under the breast skin

Either one or a combination of these should be an indication to get a detailed checkup done. Early diagnosis results in controlling the disease with minimal treatment and reduced complications.

Causes and risk factors: The exact cause for breast cancer is yet to be pinned down. However, risk factors are clearly identified, and women with risk factors need to watch out for warning signs.

  1. Family history: Of all the risk factors, the family history is the most important. Breast cancer runs in families, and if there is a first-degree relative with the breast cancer, the chances of developing it are almost double. Two genes BRCA1 and BRCA2 are the carriers of the disease, and this testing can be done in women to identify if they are at risk.
  2. Family history of other cancers: Even if there is no breast cancer, if there are other cancers that run in the family, watch out.
  3. Age: Women over 50 are at higher risk of developing breast cancer.
  4. Race: Caucasian and Jewish women are at higher risk of breast cancer than African-American women.
  5. Hormones: Greater exposure to the female hormone estrogen increases the chances of developing breast cancer. Women who use birth control pills for contraception and hormone replacement after menopause are at a higher risk of developing breast cancer.
  6. Gynecologic milestones: Women who have abnormal menstrual milestones need to watch out. These include those who attain menarche before 12 years of age, get pregnant after 30, attain menopause after 55, and have menstrual cycles shorter than 26 days or longer than 29 days.
  7. Obesity and alcohol abuse are also likely to increase a woman’s chances of developing breast cancer.

Stages: Starting from stage 0, higher stages indicate advanced disease.

  1. Stage 0: The growth which has begun in the milk-producing tissue or the ducts has remained there (in situ) and not spread to any other area, including the rest of the breast.
  2. Stage I: The tissue slowly becomes invasive and has begun to affect the surrounding healthy tissue. It could have spread to the fatty breast tissue and some breast tissue may be found in the nearby lymph nodes.
  3. Stage II: The cancer at this stage grows considerably or spreads to other parts. There are chances that cancer may grow and also spread.
  4. Stage III: It may have spread to the bones or other organs but small amounts are present in up to 9 to 10 of the lymph nodes in the armpits and collar bones which makes it is difficult to fight.
  5. Stage IV: The cancer is widespread to far-flung areas like the liver, lungs, bones, and even the brain.

Screening: This is one of the most effective ways to identify the disease in its early stages. This will help in controlling cancer from spreading with minimal treatment.

  1. Self-examination: A thorough self-examination to look for changes in terms of shape, size, colour, contour, and firmness should be learned by all women. Watch for any discharge, sores, rashes, or swelling in the breasts, surrounding skin, and nipple. Examine them while standing and when lying down.
  2. In most women, annual screening mammograms are advised after the age of 40. However, in women who have a strong family history or genetic makeup, it is advisable to have screening mammograms starting at age 20 every 3 years and then annually from the age of 40.
  3. Women in high-risk categories should have screening mammograms every year and typically start at an earlier age.
  4. Ultrasound screening can also be given in addition to mammograms.
  5. Breast MRI is another way to screen for breast cancer if the risk is greater.

Breast Cancer Prevention: Now that there is so much awareness about causes and risk factors, there are definitely ways to prevent or delay the onset of the disease.

  1. Exercise and a healthy diet with reduced amount of alcohol are definitely effective in minimising the chances of developing cancer.
  2. Tamoxifen is used in women who are at high risk for breast cancer.
  3. Evista (raloxifene) which is used to treat osteoporosis after menopause. It is also widely used in preventing breast cancer.
  4. In high-risk women, breasts are surgically removed to prevent the development of cancer (preventive mastectomy).

Treatment: As with all cancers, treatment would depend on the stage at which it is identified and include a combination of chemotherapy, radiation, and surgery. As noted earlier, if you are at risk, look out for warning signs as early diagnosis is the key to maximum recovery.

2622 people found this helpful

I have symptoms of enlarged Prostate and these are linked to my difficulty in urination, where either I have a weak stream or get a sudden urge for urination and not able to empty the bladder. Additionally I get severe ache in the left kidney while passing urine, forcing me to at time withhold passing of urine. Though this not happen every time. All xray or ultra sounds in the past have not revealed any stone of any kind. Do you think the pain is due to non emptying of the bladder. What should be my line of treatment. Thank you for your advice.

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
Dear , before I suggest I would like see your reports especially usg and that too post-void residual urine. It is very likely that you have bladder neck obstruction. Also get uroflowmetry done. It is woth while to try alpha blockers like tamsulocin or doxazocin. Please post your reports Dr. Kiran mehta.
1 person found this helpful
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Hi, one of my friend mom is suffering from breast cancer ,she sudden got pain on chest and after diagnosis she able to know that she is suffering from breast cancer and it was a last stage, she not able to understand what to do, I would like to know whether last stage of breast cancer can be cure or not. If it can be cure so please tell me where she should go for checkup and how much money will be spend in this treatment. Actually she is not so strong financially so please guide me how can I help her, to save her mom ,and where she should take her mom for treatment ,and where financially can be help.

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), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
Hi lybrate-user, I appreciate you seeking help for your friend's mother. Well, given to understand that its a last stage breast cancer, a cure may not be guaranteed at this juncture. Moreover, in advanced stage cancers, likelihood of complications developing is high and she would require palliative care support preferably in a medical / hospital setting. However, in the context that she has financial constraints, she may approach either 'Indian Cancer Society' or any other NGO or organizations (operating in the field of cancer care/ support), for help. At the same time, she can also try out integrative/ stand-alone treatment with alternative medicines which can be of help too in rendering palliative support, and treatment as would befit contextually. I declare no conflict of interest as I state the above-mentioned. Do take care and all the very best.
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I am 74 yrs old. No dibetic. All things are normal, but little prostrate enlargement. Frequent urinary problems in nights. Is there any cure for this to stop frequent urinary at night.

MBBS
General Physician, Delhi
There is a medicine called as tamsulosin. You can ask your surgeon. Depending upon the situation he may prescribe this medicine to you. It will help you out.
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Sir, It's been 15-20 days. There is no any improvement I got after taking homeopathy medicine for prostate enlargement.

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), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
Hi lybrate-user, I appreciate you seeking help. First and foremost, I would advise that you review treatment progress with your homeopath and do as advised. If still not convinced, you can revert with all relevant diagnostics for further naturopathic traction from my end. In the meanwhile, follow a mediterranean diet pattern predominantly and streamline your lifestyle. Try including more of fresh turmeric, tomatoes, cranberry juice, garlic etc all in your diet on a day to day basis. Its important that you stay well hydrated too. Hope this helps. Do take care and all the very best.
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