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Dr. Shushil Kumar

Oncologist, Delhi

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Dr. Shushil Kumar Oncologist, Delhi
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Shushil Kumar
Dr. Shushil Kumar is a renowned Oncologist in Saket, Delhi. He is currently practising at Max Super Specialty Hospital-Saket in Saket, Delhi. Book an appointment online with Dr. Shushil Kumar on Lybrate.com.

Lybrate.com has top trusted Oncologists from across India. You will find Oncologists with more than 39 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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Max Super Specialty Hospital-Saket

#2, Press Enclave Road, Saket. Landmark: Near Malviya Nagar Metro Station & Hauz Rani Bus Stop, Select City Walk Mall, DelhiDelhi Get Directions
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What are the known problems on after the treatment for cancer and what are the various treatment solutions for cancer.

DNB, MBBS
Oncologist, Faridabad
Dear sir, cancer starts from one organ and gradually spreads to others and then to the whole body effecting it's functions. After treatment also there may be reduced immunity, some treatment related side effects, psychological distress and uncertainty. Treatment is done by three main modalities surgery, chemotherapy radiation therapy.
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I am 21 years old. My breasts are becoming deflated due to huge weight loss. Can gaining weight fix the problem. I gained 5 kgs but there seem no fullness in upper pole. I am healthy .Please provide some help.

M.Ch - Surgical Oncology, MS - General Surgery, MBBS
Oncologist, Delhi
Gaining weight may help. If it does not, you may need to see a cosmetic surgeon who may be able to do augmentation procedure to enhance your features as desired.
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I am 70 years old male. What should be blood urea level in my body my s. Creatinine is 1. 4. My ultra sound exams for prostate reads post void 5 ml. Please advise.

PDDM, MHA, MBBS
General Physician, Nashik
I am 70 years old male. What should be blood urea level in my body my s. Creatinine is 1. 4. My ultra sound exams for...
In general, 7 to 20 mg/dl (2.5 to 7.1 mmol/l) is considered normal. But normal ranges may vary, depending on the reference range used by the lab, and your age.
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I am suffering from prostate enlargement gr-1, due to I suffered pain in? of my urine organ after urination severely several time. I am debetic too with managed level. I feel continued pain in both foot in lower part, I am 61, suggest please

MD - Internal Medicine
General Physician,
I am suffering from prostate enlargement gr-1, due to I suffered pain in? of my urine organ after urination severely ...
Require complete investigation for renal profile send latest report if any pl contact privately for further counselling and management.
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Gastric Cancer - In a Nutshell!

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) , PG Diploma in Clinical Counseling
Alternative Medicine Specialist, Bhubaneswar
Gastric Cancer - In a Nutshell!

Gastric (stomach) cancer occurs when malignant cells form in the lining of the stomach. By far, it is known to be the second most common cause of cancer-related deaths not only in Asia but also worldwide. Though it can affect both male and female populace, it is seen more commonly in men and in people aged 50 years or older.

  1. Type: Gastric cancers can present as one of the following types - 

    1. Adenocarcinoma: Begins in the glandular cells lining the inside of the stomach. This forms a majority of the stomach cancers.
    2. Lymphoma: Begins in immune system cells present in the walls of the stomach. Occurrence of lymphoma, in the stomach, is rare.
    3. Carcinoid Tumor: Begins in hormone producing cells of the stomach.  Occurrence of carcinoid cancer, in the stomach, is rare.
    4. Gastrointestinal Stromal Tumor (GIST): begins in nervous system cells of the stomach. Occurrence of GIST, in the stomach, is rare.
  2. Gender: It affects both male and female populace.

  3. Etiology: The factors that are associated with increased risk of gastric cancer include the following mostly –

    • ‘Helicobacter Pylori’ bacterial infection in the stomach is a common cause of gastric cancer of both the intestinal (expanding) & diffuse (infiltrative) type. Furthermore, studies indicate that high salt intake is synergistic with H. Pylori infection in the manner that it is likely to increase the risk of gastric cancer that is induced by H. Pylori bacteria.
    • Smoking, consuming alcohol, red meat, salty/ smoked/ processed foods, low intake of fruits and vegetables, diets rich in nitroso compounds, eating foods contaminated with aflatoxin fungus etc all.
    • Atrophic gastritis characterized by chronic stomach inflammation is known to increase the risk multi-fold. Chronic gastric inflammation can lead to atrophy of the gastric mucosa, metaplasia, dysplasia and finally carcinoma.
    • History of pernicious anaemia, gastric ulcers, adenomatous gastric polyp etc all.
    • Family history of gastric cancer. Several familial syndromes that have been associated with a pre-disposition to gastric cancer include familial adenomatous polyposis, Lynch syndrome, Peutz-Jeghers syndrome and e-cadherin mutation (diffuse type)
    • Blood group A, Obesity etc all are known to be associated with diffuse or cardia gastric cancer.
    • Low socioeconomic status - persistent lifestyle issues/ irregularities including high stress coupled with an improper diet/ dietary pattern.
    • Epidemiological evidence is indicative of a risk or pre-disposition to gastric/ stomach cancer for people suffering from diabetes mellitus (DM).
    • Very high dose ionizing radiation exposure is an uncommon risk for gastric cancer.
  4. Features: There are often no early stage symptoms. Early stage symptoms, if any, are non-specific and are likely to be ignored, thus delaying the diagnosis most often. Hence, gastric/ stomach cancer is often detected at an advanced stage where the disease is either locally advanced or metastatic. The various presentations (of signs & symptoms), by stage (early or advanced), of gastric cancer are as enumerated below:

    1. Early Stage – can present with one or more of the following non-specific symptoms/ signs -

      • Dyspepsia (Indigestion),
      • Stomach/ Epigastric discomfort,
      • Bloated feeling after eating,
      • Mild Nausea/ Vomiting,
      • Blood in Vomit (Haematemesis),
      • Heartburn,
      • weight loss (Cachexia)
      • Anaemia,
      • Occult blood in stool/ Melaena,
    2. Advanced Stage – presents with one or more of the following symptoms/ signs -
      • GI Bleeding with black tarry stools (Melaena),
      • Persistent Nausea/ Vomiting,
      • Blood in Vomit (Haematemesis),
      • Early Satiety,
      • Anaemia,
      • Loss of Appetite (Anorexia),
      • Weight loss (Cachexia),
      • Persistent pain in the abdomen,
      • Fluid build-up in the peritoneal cavity (Ascites),
      • Edema of the lower extremities,
      • Liver Enlargement (Hepatomegaly)/ Jaundice,
      • Difficulty swallowing food (Dysphagia)
  5. Screening: Is generally recommended for asymptomatic populations in high incidence areas or as surveillance for high risk individuals. The goal of screening, as usual, is to be able to detect & diagnose gastric cancer at an early stage which is potentially curable. It is mostly endoscopic/ radiologic.
  6. Diagnosis: Following are the diagnostics employed in gastic cancer -‚Äč

    • Physical Examination: May be remarkable for palpable abdominal mass, weight loss (cachexia), abdominal distension, ascites, hepatomegaly, lower extremities edema and lymphadenopathy for gastric cancers in the advanced stage. For early gastric cancers, however, physical examination is largely uninformative.
    • Blood: Hb- may be low, ESR – raised, tumor markers CEA & CA-19-9 could be raised sometimes in adenocarcinoma but are not frequently elevated. Abnormal blood test results may be indicative of malignancy, but a follow-up gastroscopy/ biopsy is always the gold standard for accurate diagnosis.
    • Stool: Occult blood may be +ve
    • Barium Meal X-Ray: Could show a filling defect at the site of the carcinoma/ cancer growth.
    • Gastroscopy/ Biopsy: Clinches the diagnosis.
    • Endoscopic Ultrasound: Maximizes tumor staging as it helps determine the depth of invasion of the tumor.
    • CT Scan: Of chest, abdomen & pelvis helps detect metastatic disease, if any, and also helps stage the disease (TNM) appropriately.
    • Bone Scan: Helps detect osseous metastasis (bone mets), if any.
  7. Treatment: Conventional treatment includes surgery, chemotherapy and radiotherapy as contextually appropriate. Surgery (i.e. gastrectomy either sub-total or total), with an adjuvant chemotherapy and/ or radiotherapy as contextually relevant, is the only treatment that is known to cure the disease in light of the prognostic indicators as briefly enumerated in the section below. Chemptherapy and/ or radiation alone cannot be curative. Mostly, it can improve symptoms, and may prolong survival. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical outcomes and facilitate recovery as feasible contextually.
  8. Prognosis: For gastric cancer is variable. 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 gastric cancer are more. The cure/ recovery chances are influenced by the grade, stage of cancer, recurrence and the patient’s general health & vitality etc all. Distal tumors are known to be cured more often than the proximal ones. Again, intestinal-type gastric cancers are known to have a better treatment outlook in comparison to the diffuse-type gastric cancers.

  9. Prevention: Rightly said, prevention is always a better choice. Although genetic risks are difficult to modify, still an adherence to a relative Mediterranean diet, maintaining an ideal body weight and an active lifestyle with due emphasis on regular exercising, de-stressing and relaxation is highly recommended for reducing the risks of many cancers including gastric 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. The consumption of alcohol, if any, has to be strictly in moderation, and is best avoided in a high risk scenario. Smoking is to be avoided too. 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. Not only it is important to eat healthy, but also it is equally important to eat properly. Insufficient chewing, eating until full, eating meals within a short time etc all are best avoided so as to ease off digestive burden on the stomach/ other organs in the GI tract. Last but not the least, consumption of clean and filtered water, natural probiotics like freshly prepared yogurt/ butter milk, maintenance of cleanliness & hygiene including oral hygiene etc. all can help guard against H. Pylori infections. Breastfeeding is known to be protective against H. Pylori infections too.

3140 people found this helpful

I have recently successfully treated for lever lymphoma. Can you please suggest any medicine for avoiding recurring this disease. Solomon.

DNB, MBBS
Oncologist, Faridabad
Dear sir lymphomas need chemotherapy depending on histopathology and immunohistochemistry and have to be on regular follow up. They may need bone marrow transplant if relapsed disease on follow up. There is no medicines for prevention.
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Vitamin C - Understanding Its Role As An Anti Cancer Drug!

MBBS, DM - Oncology, MD - General Medicine
Oncologist, Nashik
Vitamin C - Understanding Its Role As An Anti Cancer Drug!

When it comes to cold and the flu, Vitamin C or ascorbic acid is hailed as the best remedy and preventive agent. But did you know that this could also help fight against cancer? Vitamin C is a water-soluble vitamin that is not produced by our bodies and needs to be sourced through food. It is needed for the synthesis of collagen, norepinephrine, and carnitine. Collagen is required to develop bones, tendons, ligaments and blood vessels.

Norepinephrine is a neurotransmitter while carnitine is a protein required for transportation of fat to the mitochondria. Vitamin C is also a powerful antioxidant that protects the body against damage caused by free radicals. In addition, it boosts the immune system and increases the body’s ability to fight infections. Ideally, an adult man should have 90mg per day while an adult woman should consume 75mg vitamin C per day.

When it comes to cancer treatment, vitamin C can act as an immune-modulator. It enhances the body’s resistance to pathogens and suppresses production of IL-18. This is a key regulator in melanomas, carcinomas and other kinds of malignant skin tumours. In the case of gastric cancers, the production of IL-18 is boosted by the vascular endothelial growth factor. In the case of breast cancer, IL-18 induces the production of transferrin. Thus, by regulating and reducing the production of IL-18, vitamin C can help reduce the risk of skin cancers, stomach cancers, and breast cancer. Dosage is key to the efficacy of Vitamin C in preventing cancer as an immune modulator.

In its reduced form, vitamin C is known as ascorbate. This has the ability to act as a prooxidant. Ascorbate in high dosages induces apoptosis in some melanomas through mitochondrial dysfunction. Similarly, a low dose of ascorbate induces cell cycle arrest of some types of cancer cells. Thus, by acting as a prooxidant, vitamin C inhibits the growth of cancer cells. This includes growth by inducing endoplasmic reticulum stress, suppressing growth factors and inhibiting angiogenic factor production. It also produces hydrogen peroxide-dependent cytotoxicity in cancerous cells without affecting other healthy cells.

The efficacy of vitamin C in dealing with various types of cancer has been found to be most effective when administered intravenously. In addition, it may also be given orally. Since vitamin C is cytotoxic and does not affect other cells, the side effects of this type of cancer therapy are usually negligible.

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

3279 people found this helpful

What are the signs and symptoms of cervical cancer and ovarian cancer if being away of sexual intercourse n not indulge in Otr sexual activity. So how easy way to know about it?

DNB, MBBS
Oncologist, Faridabad
Dear mam, cancer cervix may present as abnormal bleeding, it may be profuse intermenstrual or bleeding in between periods, discharge per vaginum, post menopausal bleeding, spotting after intercourse, back pain, abdominal pain etc. Ovarian cancers are mostly hidden for long as they may not produce any symptoms, mostly present as irregular periods, abdominal pain, distension or swelling of abdomen etc. Keeping away from sexual activity is no solution, only HPV related cervical cancer may be related to sex, but having safe sexual practice and getting HPV vaccination done you can prevent it. Personal hygiene is important. Both cancers can be detected early by screening health check up by PAP smear, CA 125 ultrasound abdomen, you can get this done annually for early diagnosis. Watch for any abnormal bleeding or irregular periods.
1 person found this helpful
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What is the cancer? How does it catches us and what is that do describe the answer?

DNB, MBBS
Oncologist, Faridabad
Cancer is abnormal uncontrolled proliferation or growth of cells. They start growing uncontrolled due to some faulty gene which may be genetic or hereditary or acquired by some carcinogens like tobacco alcohol pollution pesticides radiation exposure industrial affluent etc. When ever body immunity is low body's fighting capacity to any abnormalities become weak and abnormal cells start growing. One has to avoid known carcinogens, keep healthy by good diet rich in antioxidants, regular exercise etc are helpful.
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Sir this is on behalf of my child suffering from mps1. Tell me the treatment option available for this rare genetic disorder and best hospital offering bone transplant at affordable cost.

M.H.C.T.C
Oncologist, Pune
Hi, for your son, there are ways to care and treat besides bmt. Please give more details of your budgets so that I could help you to sort out the treatment-whichever best-thnks. Wellcome. Please send more info to my lybrate mail id- details.
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