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Dr. Puneet Chandna

87 (25 ratings)
MD - Internal Medicine ,Alternate Medicine, Phd - Medical BioPhysics

Oncologist, Delhi

13 Years Experience ₹2500 online
Dr. Puneet Chandna 87% (25 ratings) MD - Internal Medicine ,Alternate Medicine, Phd - Medical... Oncologist, Delhi
13 Years Experience ₹2500 online
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Personal Statement

I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Puneet Chandna
I have been a WPC and Visiting faculty in Tata Memorial Hospital since year 2012. I am a National and International Fellow of Clinical Groups and have several publications in the field of ONCOLOGY, CARDIOLOGY,MENTAL HEALTH and GENETIC DISORDERS.

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Education
MD - Internal Medicine ,Alternate Medicine - U Penn, Indian Board Of Alternative Medicine - 2005
Phd - Medical BioPhysics - University of Edinburgh - 2009
Languages spoken
English
Hindi
Marathi
...more
Punjabi
Awards and Recognitions
Faculty
Professional Memberships
NCCN
AAMP
AHA
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AOGIN
IAOH

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Dr Puneet Chandna

Block C-2, Plot No. 296,Delhi Get Directions
  4.4  (25 ratings)
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"Caring" 1 review "Very helpful" 3 reviews "knowledgeable" 1 review

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My father is 56 years old. He had sphincterotomy. Cholangiogram showed narrowing at mid CBD. No tumour observed in MRI and CT scan. But CA-19-9 is 1829.5 and CEA is 0.35. Does this indicate cancer.

MD - Internal Medicine ,Alternate Medicine, Phd - Medical BioPhysics
Oncologist, Delhi
Sphincterotomy is a method of last resort, to be used when all other attempts at cannulation during endoscopic retrograde cholangiopancreatography (ERCP) with standard cannulas, tapered cannulas, papillotomes, and guidewires have failed. Usually the pancreatitis, cholangitis, hemorrhage, and duodenal perforation. Cancer is more common in patients who are older and in those with type I and IV cysts. Please note Carbohydrate antigen 19-9 (CA 19-9) and carcinoembryonic antigen (CEA) markers and their diagnostic utility is limited due to significant overlap with benign disease and other malignancies, and also ahs low sensitivity for early stage cholangiocarcinoma (Cancer of the bile ducts). Nect step would be to evaluate Alpha-fetoprotein (AFP) is used to help differentiate intrahepatic cholangiocarcinoma from hepatocellular carcinoma (HCC). If all tests are normal, one needs to evaluate the cause of Intrahepatic cholestasis. Will need all reports staring from the initial complaint/ procedure and others to see where we are and what could be the issue, if any.
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Hi, My aunt is detected with breast cancer. She was panic. Can I know the process of treatment. Please suggest her the diet.

MD - Internal Medicine ,Alternate Medicine, Phd - Medical BioPhysics
Oncologist, Delhi
Initial treatment is surgery with removal of lymph nodes if they are also involved. Later a radiation and chemo IV or oral may be suggested. This will also be based on the ER, PR and Her 2 scores of the biopsy taken to confirm the nature or type of cancer. More I would be able to suggest after the reports. Wish this helps.
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I'm suffering from bladder transitional carcinoma high level. I got my report just now. Dr. advice me to go for bladder removal surgery. I need a second opinion. Is it safe to remove it. If so what will be the alternative for it. Kindly advice on this.

MD - Internal Medicine ,Alternate Medicine, Phd - Medical BioPhysics
Oncologist, Delhi
TTC or urothelial carcinoma is also known as transitional cell carcinoma. Do not have more reports, however, in case of advanced stage (High Level), MUSCLE-INVASIVE DISEASE A Radical cystectomy with its associated urinary diversion, is the mainstay of treatment for muscle invasive bladder cancer. This may be preceded by neoadjuvant chemotherapy. More with reports as this may not be easy to just state without reports. The best treatment for invasive bladder cancer depends upon the person's age, underlying medical problems, stage of the bladder cancer, and personal preference. When possible, surgical removal of the bladder is preferred because it has a lower chance of cancer recurrence and better chance of survival compared to other treatments. However, preserving the bladder may be an option in selected cases.
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I took a blood test 2 days back and got the report and it says lymphocytes is low that is 16.9% am I have to check the cancer test or how to increase the level to 20 please suggest me.

MD - Internal Medicine ,Alternate Medicine, Phd - Medical BioPhysics
Oncologist, Delhi
Mr. lybrate-user I am not sure why you went for the blood test. Also why you may be connecting your report to cancer. Cancer may have seperate and totally different symptoms that may be worried about. Lymphocytes are cells of the lymphatic system that helps clear the blood from all its waste matter. These may go up and down periodically with many reasons playing their functions in our body. Lymphatic system have many cells that are dead cells floating into the lymphatic veins or even blood but is not and should not be directly connected to cancer. In case you are worried about some inheritance in cancer then we may have to study your profile as a whole before any cancer test can be recommended.
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