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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 42 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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H-2/FC-34,A - 4, Paschim Vihar. Lanamdrk:- Institutional Area.Delhi Get Directions
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My dad is suffering with chronic pancreatitis... Is it possible that this disease would effect the liver.. And cause liver cancer.

DNB, MBBS
Oncologist, Faridabad
Dear sir, chronic pancreatitis is a chronic inflammation of pancreas and the most common risk factor is alcohol abuse. Though it has not been proven conclusively but there is substantially increased incidence of pancreatic cancer in patients suffering from pancreatitis as compare to general population. As far as liver cancer is concerned is could be co-incidental as the risk factor for liver cancer is again alcohol abuse so though there is no direct link but due to common risk factor it could co-exist.
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I am 65 of sound health without any illness n medicine intake history. What test should I undertake to know I am Cancer free? My maternal side has Cancer history including my mother hence the scare.

B.E (Computer Sc. & Engg.), Advanced Strategic Management (APSM), Ayurveda (I) Cert., Doctor of Natural Medicine (N.D/ N.M.D), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Clinically Relevant Herb-Drug Interactions (CME) (Cine-Med Inc. USA), Post Doctoral Research (PhD) (Alternative Medicines)
Alternative Medicine Specialist, Bhubaneswar
Hi lybrate-user, I appreciate you seeking guidance here. Can you throw some light on the cancer (s) that you see in your family? I would advise you to get in touch with a cancer genetic counselor who will help you understand the hereditary component appropriately and also advise on what can be done to prevent it. A cytogenetic analysis will help assess the risk, if any, precisely and the same can then be managed appropriately. As a generic prophylactic measure, however, its advisable that one adopts a healthy diet & lifestyle, and remains socially active throughout, further details of which can be suitably arrived upon, basis the study results. Hope this clarifies. Take care and all the very best.
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What is main reasons of blood cancer? Can without drink wine or cigarette have chance to blood cancer? If not then what may be specify reasons.

M.Ch - Surgical Oncology, MS - General Surgery, MBBS
Oncologist, Delhi
blood cancer arises mainly as a result of certain mutations, which may ve facilitated by smoking and alcohol consumption.
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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

How to examined prostate enlargement. Is it the reason of erectile dysfunction and impotence. How to cure this?

MS - General Surgery, MBBS
General Surgeon, Delhi
How to examined prostate enlargement. Is it the reason of erectile dysfunction and impotence. How to cure this?
You should get your usg done for prostrate and if it is enlarged and producing obstructive symptoms then surgery is required to reduce it. Erectile dysfunction and impotence can be due to this problem. Tur is the treatment for enlarged prostrate.
3 people found this helpful
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We have mouth cancer over for two days. What should do we? We have headache over for four days. What should do we?

MBBS, cc USG
General Physician, Noida
We have mouth cancer over for two days. What should do we? We have headache over for four days. What should do we?
Do you mean mouth ulcer? you may be having headache because of stress/ refractory problems/ any ENT problem or may be Migraine Headache follow advises given below: You can take(If No drug allergy) : 1. Tablet Crocin (Paracetamol 500 mg) one tablet after food when required for headache after food for 2-3 days (maximum 2 tablets with gap of 12 hour can be taken in a day) Adequate sleep 6-8 hr in a day complete history of your headache for further management like duration, severity, aggravating factors/relieving/ triggering/ associated factor to reach diagnosis consult physician for further management.
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MD PULMONARY, DTCD
Pulmonologist, Faridabad
Diet and cancer facts.
High fibre in diet prevents cancer of colon,prostrate and breast,as high fibre in diet inactivate carcinogens in diet.
Persons eating red meat which is low in fibre are having higher chances of colon cancer.
A balanced plant based diet having variety of vegitables,fruits soy,nuts,whole grain and beans can lower risk of developing cancer.
Eating vegitables containig carotenoids such carrot and sprout may reduce risk of cancer of mouth,lung,laryx and pharyx.
Diet high on non starchy food such as brocholi,spinach and beans may protect against cancer of stomach and oesophagus.
Fruit like citrus and amla have vit. Cand A and protect against cancer of lung and stomach.
Food high in lycopene like tomatoes,melon and guava can reduce risk of cancer of prostrate.
Drink lot of water as it excrete all toxins from body and reduces chances of cancer.It also inhances immunity.
Limit your consumption of salt to 2.4 gm /day,which reduces risk of stomach cancer.
3 people found this helpful

I won to know about cancer please know me all detail because of I can helt anybody and can helt of cancer presents.

DNB, MBBS
Oncologist, Faridabad
Dear sir, cancer is abnormal uncontrolled proliferation of cells which may grow uncontrolled and exhaust body resources causing weakness, lump, ulceration, difficulty in swallowing, change in voice, altered bowel habits, bleeding etc. Please do educate people in your vicinity to examine self once a month and any thing they notice abnormal about themselves then they must contact doctor.
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Left breast se thoda paani jaise kuch aa raha hai ekdam dhoda sa aur niple me pain bhi ho raha hai.

MBBS, DNB ( Radiation Oncology)
Oncologist, Mumbai
Hi. You should go and get yourself examined by a doctor. Considering your age it does not seem malignant but still get evaluated in case it's an infection.
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I have a small cyst on both of my breast but it neither pains me firstly I do not know what is it but now this things pinch me out what is it? What should I do?

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
Hello, please get an ultrasound of the breasts done and it has help rule out any lump, cyst of benign/malignancy. This may be fibroadenoma.
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Hello sir, I have noticed a lump on my right breast and it becomes painful during ovulation that is 13 to 14 days after my periods and 3 days back I noticed slight swelling under my arm. 1 year back I married and got miscarriage 3 months back. I noticed all these symptoms after miscarriage. Can you please suggest me what the issue was. Thanking you sir.

FACS, MBBS, MS - General Surgery
Oncologist, Gurgaon
Lybrate-user verygood tha your aware of this most probably lump must be benign but still it is better to investgate this lump by 1examination 2 by ultrasonic mammographic 3 f. A. N. A. C 4better to remove the lump and get the biopsy done.
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I have fibroadenoma. Sometime it is causing more pain. Already taking Evion 400. Please advice.

FMAS, MS
General Surgeon, Gandhinagar
Respected lybrate-user hi evion has no effect on fibroadenoma dear. Surgery is the only option according to the size.
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I am 82. Suffer from enlarged prostate. My urine output at night is heavy. Nearly 1.50 liters. I take urimax 90 at night since 2007. My psa is less than 1.0. I have no sugar. No cholesterol. I weigh around 89 kg. And five feet eleven inches tall. Do lot exercise.. Take 4000IU D3 every day. B12. And Vit E daily. Kindly advise if I am okay in health? Thanks

MBBS, MS - General Surgery
General Surgeon, Hyderabad
I am 82. Suffer from enlarged prostate. My urine output at night is heavy. Nearly 1.50 liters. I take urimax 90 at ni...
You have all the symptoms of an enlarged prostate most likely a benign (non cancerous) growth. Get an ultra sound abdomen and pelvis with full urinary bladder, and repeat the test after passing urine, called post voiding test which will show how much urine is left out after you normally pass this gives a fair idea of growth of prostate, my opinion is to see a urologist right away and follow his advice.
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Dear sir, My friend had a breast cancer and had chemo followed by radiotherapy. After treatment her monthly periods not coming. Is it normal or has any other problem please sujjest me.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Dear sir,
My friend had a breast cancer and had chemo followed by radiotherapy.
After treatment her monthly periods n...
Hi Mohit. Its an expected side effect of chemotherapy to stop periods. As the chemo works it destroys the normal hormonal balance of the body and periods can stop. Hope she gets well soon
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Hi, I need to know Symantec of testicular cancer, how to grow and please tell me without operation seminoma testicular cancer problems resolve or not?

MCh - Surgical Oncology, FEBS - Fellow of European Board of Surgical Oncology
Oncologist, Navi Mumbai
Testicular Cancer has arise due to 1. Undescended testes - which means testes is not in the scrotum. It is in the abdomen. 2. Your family has one relative with Cancer 3. Mutation of some gene like iso12p 4. Many do not have a cause Seminoma Testes has to be treated with surgery. There is no other way. One testes is sufficient to reproduce and have a family. And have intercourse.
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My wife age 52 suffered from blood cancer CML since 20, 01, 2015. The bcr-abl was 71 on 20 , 01, 2015. Then it was. 03, .01, 0.10 on 25,05,2015, 25,11,2015, 16,05,2016 respectively. The Tasigna 150 is regularly since 22,02,2015. Now bcr-abl increased 0.01 to 0.10. How and what we do.

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
My wife age 52 suffered from blood cancer CML since 20, 01, 2015. The bcr-abl was 71 on 20 , 01, 2015. Then it was. 0...
Dear, there is nothing to worry at the moment. Minor change in bcr_abl does occur. By continuing the same medicine it should come to normal. I feel that the dose of medicine you are taking is on lower side. You can seek the advice from your treating doctor to increase it to 200 mg. Daily.
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My father suffering Multiple myeloma just 20days back we got information. This type of cancer spreads another generation or not Give me good feedback.

DNB, MBBS
Oncologist, Faridabad
Multiple myeloma is a type of cancer that originates from plasma cells of blood starting in bone marrow. No it is not transferable genetically.
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My sister is 40 years old. She is suffering from breast lump .she is taking homeopathic medicine for it. She feels Pain in her breast and pus comes out of her breast not from the nipple but the swelling sight of upper and lower part of her breast. It is the fnab report of her. Cytology - Fine needle aspiration biopsy - breast lump - microscopic smears reveal a low cell yield With large branching monolayered sheets of uniform epithelial cells. Numerous single, bare nuclei of benign type present in the background along with few fragments of fibromyxoid stroma. Comment - Fibroadenoma. Advice - HPE. Please suggest treatment.

B.E (Computer Sc. & Engg.), Advanced Strategic Management (APSM), Ayurveda (I) Cert., Doctor of Natural Medicine (N.D/ N.M.D), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Clinically Relevant Herb-Drug Interactions (CME) (Cine-Med Inc. USA), Post Doctoral Research (PhD) (Alternative Medicines)
Alternative Medicine Specialist, Bhubaneswar
Hi lybrate-user, I appreciate you seeking help for your sister. Given her present description of symptoms, she may require, firstly, a drainage of the pus and treatment with suitable antibiotics to cure bacterial infection, if any. Please connect with a breast specialist or her OB/ GYN in person for a clinical examination, and suitable treatment as would deem fit in her case. Ensure that the area, where pus comes out, is cleaned properly with a suitable antiseptic lotion, or any other medicine that her breast specialist recommends. Sooner or later, a surgical removal of the fibroadenoma is advisable to avert similar such complications in future. An excisional biopsy may be attempted as would be decided by her specialist. Simultaneously, let her keep diet and lifestyle streamlined, and stay well hydrated. She can also take tomato soup to which fresh herbs like garlic, turmeric, black pepper, ginger, coriander leaves and oregano has been added, once to twice daily. Avoid sour and high calorie food stuff including any kind of fast foods. Hope this helps. You can connect for an integrative traction any time. Do take care and all the very best. Sincerely
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Sir/mam I am 21 year old I am suffering from lymphoma stage 2 where I take my chemotherapy for better result.

MBBS, MD
Oncologist, Delhi
Any good hospital having all cancer treatment facilities like chemotherapy, radiotherapy and surgery is recommended.
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