Dr. Padmaj Kulkarni - Book Appointment, Consult Online, View Fees, Contact Number, Feedbacks | Oncologist in Pune

Dr. Padmaj Kulkarni

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Dr. Padmaj Kulkarni is one of the best Oncologists in Somwar Peth, Pune. Doctor is currently associated with KEM Hospital - Pune in Somwar Peth, Pune. Book an appointment online with Dr. Padmaj Kulkarni and consult privately on Lybrate.com.

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  • Skin Diseases Cancer Heart Diseases Musculoskeletal Disorders Male Sexual Disorders AIDS, Hypertension Diabetes Mellitus Blood Disorders Respiratory Disorders, Gastrointestinal Disorders Endocrine Disorders ENT Disorders, Gynecological Disorders Opthalmic Disorders Psychiatric Disorders Urological Disorders

    Breast cancer, is a type of cancer, which is common to women, where cancer cells grow on the breasts or the female mammary gland. It starts out with the formation of a small lump in your breast and can spread out to your other organs very rapidly. It generally affects women above forty years of age. Breast cancer can be classified into two types. They can either start forming on the inner linings of your milk ducts ( known as Ductal carcinoma) or in the lobules which supply milk (known as Lobular carcinoma).

    There are many causes responsible for breast cancer they are mentioned below

    • Obesity or post -menopausal obesity.
    • Exposure to frequent radiation (X-ray)
    • Consumption of alcohol
    • Being taller than average
    • Start of periods at an early age
    • Late menopause
    • Hormone replacement therapy
    • Consumption of birth control pills

    The most common symptoms of breast cancer are as follows

    1. Formation of a lump in your breast
    2. Swelling or shrinking of your breast
    3. Change of size, shape and color of your nipple
    4. Blood or milk discharge from the nipple
    5. Breast pain
    6. Itching sensation
    7. Appearance of rashes

    Breast cancer if not diagnosed and treated at an early stage may turn out to be fatal. Ayurveda offers promising cures for breast cancer.

    A few of the Ayurvedic remedies are mentioned below

    1. Include foods, which are well supplied with vitamin D in your diet. Researches show that women with less amount of vitamin D in their bodies are more likely to develop breast cancer. Consider including foods like eggs, orange juice, dairy products and fish like salmon in your diet.
    2. Drink more of green tea as it has anti cancer properties.
    3. Exercises like walking, yoga, meditation and certain breast exercises can help you to relax the pain sensation, reduce stress and also get cured.
    4. Incorporate bitter gourd in your diet. Researches show that bitter gourd can kill those cancer cells, which cause breast cancer.
    5. Ayurvedic herbs like Ashwagandha, tulsi, curcumin have certain properties that can destroy cancer cells.

    Since, breast cancer has less survival rates, it is absolutely essential for you to visit an Ayurvedic practitioner if you wish to get cured through Ayurvedic treatment.

  • MS - Obstetrics and Gynaecology, MBBS

    Breast examination is a way of detecting early changes that help in detecting lumps or other growth in the breast. This is a manual form of examination that may be carried out by the doctor or even by the patient. This kind of examination helps in detecting the onset of breast cancer and helps in successful treatment of the same. It is an essential screening strategy that all women must go through. Let us cast a glance on the various details regarding this examination, and also how frequently it must be conducted.

    1. Age: Women who have reached the age of 18 are said to have matured physically and sexually. They should perform this examination once they have reached the said age in order to detect any anomalies in the way the physical changes occur in the breast tissue.
    2. Procedure: One should begin by looking at one's reflection in the mirror to find any rashes or dimpling in the breasts. The shape, size and colour of the breasts and nipples must also be studied so as to check for any anomalies. Inverted nipples, redness and soreness must also be reported to the doctor. Once you are done checking the visuals, you can raise your arms and look for any changes. Then, you will need to lie down and feel your breasts by using a circular motion. The finger pads must be used in order to check for any lumps. One must start from the centre and move the breasts sideways. Any wet and slippery feeling must be reported to the doctor immediately.
    3. Pressure: During the breast examination, you must use light pressure for the skin and tissue that lie beneath the breasts, while medium to moderate pressure should be used for the middle portion of the breasts. One must use a firm hand to check the tissue that lies at the back of the breasts, near the rib cage. 
    4. Frequency: One must get into the habit of conducting a breast examination at least once a fortnight or once a month, without fail. You can also go to the gynaecologist for an examination in case you are not confident of conducting it on your own with proper movements and accuracy. You may also journalise your breast examination findings.
    5. Menstrual Cycles: When you are going through your menstrual cycle or period, it is important to remember that your breasts can become tender just before or after the start of the cycle. So, do not panic if you think you have found a lump or any other growth at this time. It is best to check again after a week and then visit the doctor about checking the same.
  • MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG

    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.

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  • Skin Diseases Cancer Heart Diseases Musculoskeletal Disorders Male Sexual Disorders AIDS, Hypertension Diabetes Mellitus Blood Disorders Respiratory Disorders, Gastrointestinal Disorders Endocrine Disorders ENT Disorders, Gynecological Disorders Opthalmic Disorders Psychiatric Disorders Urological Disorders

    The oral cavity consists of the lips, gums, teeth, cheeks (buccal mucosa), the frontal 66% of the tongue, the hard top of the mouth (hard palate), the floor of the mouth beneath the tongue and the region behind the wisdom teeth (retromolar trigone). Development of oropharyngeal cancer occurs in the region of the throat behind the mouth, called the oropharynx. The oropharynx starts where the oral depression closes.

    The World Health Organization states that oral cancer ranks eleventh in terms of the common cancer around the world. It is commonly found in men and its spread is slightly higher in developing countries. Excessive consumption of alcohol and tobacco contributes to around 90% of oral cavity cancer cases.
    Cancerous oral growth is dealt with procedures which are similar to treatments of different cancers i.e. with the assistance of surgery followed by radiation treatment. In radiation treatments, patients may need to manage the various side effects. Specialists at the Rajiv Gandhi Centre for Biotechnology (RGCB) along with the Regional Cancer Centre in Kerala have made a mouthwash utilizing herbal substances, as recommended in Ayurveda, which can help in diminishing the intense amount of pain in patients experiencing radiation therapy for oral cancer. 

    Other important Ayurvedic remedies may entail the following:

    1. Lemon: A deficiency of vitamin C is experienced in the body once you are diagnosed with oral cancer. Therefore, consuming fresh lemon juice, which is rich in vitamin C, around 3 to 4 times a day, is very helpful
    2. Carrots: Carrots are rich in 'beta-carotene' which is considered to be an anti-cancer nutrient. It is recommended for patients suffering from oral cancer since it is a source of antioxidants. Consumption of at least 1 glass of carrot juice per day helps in fighting this form of cancer.
    3. Grape Seed: The seeds of the grapefruit are rich in antioxidants which help to destroy the radical cells. These radical cells damage the cells present in the mouth, thus causing oral cancer. The vitamin E, C and beta-carotene present in grapes strengthen the immunity system. The grapes should be crushed to form a paste and the liquid should be strained to form a juice. Consume this juice 3-4 times in a day.
    4. Bitter gourd: It is rich in alpha eleostearic acid, which helps in elimination of cancerous cells without affecting the normal ones.
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  • MBBS, M.S. (General Surgery), MBA (Healthcare), M.Ch - Urology/Genito-Urinary Surgery

    Prostate cancer is a cancerous tumor in a man’s prostate gland, a small gland that is responsible for producing the seminal fluid which transports and nourishes the sperm. It is a very common type of cancer among men. A few cases of prostate cancer tend to develop slowly while others may progress very fast.


    In the initial stages, prostate cancer may not show any symptom. However, in the latter stages, there may be symptoms such as:

    1. Pain in the bones.

    2. Erectile dysfunction.

    3. Urination can get troublesome.

    4. Presence of blood in the semen.

    5. Pain and discomfort in the pelvic region.


    The exact causes of prostate cancer are not known. It starts to develop when certain cells in the prostate gland start to mutate. These mutations cause these cells to multiply at a very fast rate and thus, soon form tumors. Although the causes are not known, certain factors tend to aggravate this condition; them being:

    1. Color: According to certain medical reports, a darker skin may mean increased chances of suffering from prostate cancer.

    2. Age: The risk of developing prostate cancer tends to increase with age.

    3. Genetics and Family History: Faulty genes could be another cause of this condition. Also, having some member in the family who is diagnosed with this type of cancer only increases the risks of you suffering from them.

    4. Obesity: If you are obese, then you are more likely to develop prostate cancer.


    The treatments for prostate cancer include:

    1. Radiation Therapy: In this procedure, high energy rays are used to target and destroy cancer cells. Usually X-rays or protons are used to treat the cancer cells.

    2. Hormone Therapy: Hormone therapy is a type of treatment wherein certain medications are administered to prevent your body from producing testosterone.

    3. Surgery: If the other treatment methods do not produce desired results, then a surgery is carried out for the removal of the prostate gland. In addition to the prostate gland, some adjoining lymph nodes and tissues are also removed.

    4. Chemotherapy: Chemotherapy is method of destroying cancer cells by injecting chemicals into the body. The medicines are injected into the veins in the arms.
  • Skin Diseases Cancer Heart Diseases Musculoskeletal Disorders Male Sexual Disorders AIDS, Hypertension Diabetes Mellitus Blood Disorders Respiratory Disorders, Gastrointestinal Disorders Endocrine Disorders ENT Disorders, Gynecological Disorders Opthalmic Disorders Psychiatric Disorders Urological Disorders

    Thyroid cancer affects the thyroid glands, which are located at the base of the throat. These glands produce thyroid hormones, which help in controlling the blood pressure, heart rate, weight and the body temperature.

    Thyroid cancer is primarily of four types:

    1. Anaplastic carcinoma: This is the most severe type of thyroid cancer which is rare, but spreads extremely fast once the person is affected: 
    2. Follicular carcinoma: This type of thyroid cancer can be cured, but it might relapse. Follicular cancer spreads quickly as well.
    3. Papillary carcinoma: This type of cancer is more common. It generally affects women who are still of reproductive age. The spread of papillary cancer is gradual and it is less dangerous than the types.
    4. Medullary carcinoma: This type occurs in the non thyroid cells in the thyroid gland. Medullary cancer is hereditary in nature. 

    Thyroid cancer has the following signs and symptoms:

    1. Lumps in the anterior neck, close to the Adam's apple.
    2. Hoarseness
    3. Enlarged glands in the neck
    4. Swallowing difficulties
    5. Complications in breathing
    6. Neck or throat pain
    7. Persistent cough without any signs of a cold.

    In Ayurveda, cancer is seen as a hindrance to the life force. The cancer cells lack prana (oxygen) and produce a growth beyond the life force. It is the result of the dominance of any of the three: 'vata', 'kapha' or 'pitta' in the body. Ayurveda is all about balancing the energies in the body. Polluted environment, processed food loaded with preservatives and salts, and certain other factors can greatly affect the 'vata', 'kapha' and 'pitta'. Thyroid is the result of an aberration in the "kapha" dosha in the body.

    The endocrine system produces hormones, which help in the overall functioning of the body. The 'kapha' dosha holds the endocrine system together. The thyroid glands are an important part of the body; they are a major endocrine system. Herbs that can help with thyroid cancer:

    1. Echinacea
    2. cleavers
    3. black pepper
    4. ginger
    5. Trikatu
    6. Cayenne
    7. cardamom
  • Certification in IVF & Infertility, Diplomate Gynae Laparoscopy, Royal College of Obstetricians and Gynaecologists (MRCOG), MD - Obstetrics & Gynaecology, MBBS

    Here are screening and treatments of cervical cancer.

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  • MBBS
    General Physician

    The most dreadful part of getting to work and getting back home in the evening is the being stuck in a traffic jam. Whether you’re driving yourself or being driven home, a traffic jam can sap your spirits and make you feel tired even though you’re not really exerting yourself. According to a recent study, these traffic jams not only increase your stress levels, but also make your body susceptible to cancer.

    Yes! They can be a major reason behind your ill health-

    1. Bumper to bumper traffic that moves at snail pace can be very stressful, especially if you have to get somewhere at a particular time. The irritation of not being able to move at your desired pace adds on to the million other things going on in your mind. The body reacts to stress by increasing blood sugar and blood pressure levels. Long term stress can lead to digestive problems, fertility issues and a weakened immune system that makes the body vulnerable to other diseases and infections. Stress can also lead to the development of behavior like smoking, drinking and over eating which can increase a person’s risk of cancer.
    2. Pollution levels are highest at traffic signals and at traffic jams. This is because at a busy intersection, cars go through various stages such as accelerating, braking and idling in a restricted space. Each of these actions is accompanied with emission of toxic gases and fine particles of matter which concentrate in an area and take longer to disperse. Contrary to popular belief, people in cars can be more affected by these pollutants than pedestrians. This is especially true in cases where people have their windows up and fans on as the fans suck in polluted air leading to a buildup of toxic gases inside the car. When these gases and particulate matter are inhaled, they get stuck in the nose and throat and are absorbed into the blood stream. Long term exposure to this can have serious negative effects on the body including a higher risk to cancer. To avoid this, ensure that the setting of the ac of your car or fan is set to only circulate air inside the car without drawing in polluted air from outside.

    Also, try and find ways to avoid traffic jams. If your office allows, maybe you could try changing your timing a little. Experiment with routes. Often the inner roads have more twists and turns but much less traffic.

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  • European Society for Medical Oncology certification, DM - Oncology, MD - General Medicine, MBBS

    Most commonly occurring in children aged 5 or younger, Neuroblastoma is a type of cancer developing from immature nerve cells most often found in and around the adrenal glands. However, it is not limited and can develop in several other areas of the body, like the chest, neck, spine and different areas of the abdomen where nerve cells can be found in clusters.

    Depending upon the area of the body affected, signs and symptoms may include:

    1. Neuroblastoma in the abdomen:

    • Abdominal pain
    • Diarrhea, constipation or other changes in bowel movements
    • A lump of mass under the skin which is anything but tender

    2. Neuroblastoma in the chest:

    • Chest pain
    • Wheezing
    • Visible changes in the eyes, such as drooping eyelids or unequal pupil size

    3. There are other signs and symptoms caused by neuroblastoma. These may include:

    • Lumps of tissue found under the skin
    • Bruise-like dark circles visible around the eyes
    • Fever
    • Proptosis (a condition in which eyeballs seem to protrude from the sockets)
    • Back pain
    • Bone pain
    • Unexplained weight loss

    Causes: Neuroblastoma typically originates in neuroblasts. These are immature nerve cells formed by the fetus as part of the development process. Eventually, neuroblasts convert into fibres and nerve cells which then make up the constituents of the adrenal gland. Normally, they either mature or gradually disappear. Others, which neither mature nor disappear, form tumors.

    A number of problems may result out of neuroblastoma, including:

    1. Metastasis or spread of the cancerous cells
    2. Spinal cord compression
    3. Paraneoplastic symptoms, such as rapid eye movement or difficulty with eye coordination
    4. Abdominal swelling
    5. Diarrhea

    Depending on the child's age, the stage of the cancer, or the types of cells involved, the treatment plan varies accordingly:

    1. Surgery - However, this depends on the size and location of the tumor. Tumors growing near vital organs are too risky to remove
    2. Chemotherapy - involves the use of chemotherapy drugs
    3. Radiation therapy - involves high energy beams, like X-rays
    4. Stem cell transplant or autologous stem cell transplant in case of high-risk neuroblastoma
    5. Immunotherapy - involves drugs which stimulate the immune system to destroy cancerous cells
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  • Skin Diseases Cancer Heart Diseases Musculoskeletal Disorders Male Sexual Disorders AIDS, Hypertension Diabetes Mellitus Blood Disorders Respiratory Disorders, Gastrointestinal Disorders Endocrine Disorders ENT Disorders, Gynecological Disorders Opthalmic Disorders Psychiatric Disorders Urological Disorders

    Bladder cancer is the result of the growth of cancerous cells inside the bladder. Bladder cancer is mainly of four types:

    1. Urothelial carcinoma: In this type of bladder cancer, the tumours may be limited to the bladder or spread from the urothelial to the deeper layers in the bladder. The urothelial is the epithelium lining in the renal pelvis, ureters, urethra and bladder.
    2. Squamous cell carcinoma: Squamous cells are flat, thin cells that form after a prolonged infection in the bladder. The cancer starts from these cells.
    3. Adenocarcinoma: Glandular cells in the bladder produce and discharge mucus. This type of cancer begins from the glandular cells.
    4. Superficial bladder cancer: If the cancer is limited to the bladder lining, then it is known as superficial bladder cancer. The cancer might spread to the bladder muscle wall, or spread to the lymph nodes and organs close to it.

    It is important note that, if bladder cancer is detected early, then it can be cured most of the times.

    Who is at a risk of acquiring bladder cancer?
    Those who smoke or have a history of bladder cancer in the family or are exposed for to industrial chemicals for long durations are at an increased risk of bladder cancer.

    The symptoms of bladder cancer include:

    • Blood in urine
    • More frequent passing of urine
    • There is a sensation of pain or burning when urinating
    • Bladder is not emptied completely
    • Pain in the lower back

    Bladder cancer treatment by conventional medication can be complemented by Ayurveda; especially, with the Panchakarma therapy, which detoxifies the body. Detoxification can be done by:

    • Snehana therapy that is oil massage
    • Swedana that is steaming therapy 
    • Vamana that is by urging vomiting
    • Virechana that is by purging
    • Basti is the enema medication
    • Nasya or through nasal medication
    • Raktamokshana Therapy 

    Along with the above mentioned therapies, consuming medicated juices, which contain fruits and vegetables is good for the body. Antioxidant Ayurvedic medicines are also highly beneficial. Practicing yoga, sound therapy, pranayama, acupressure and acupuncture can help in the long run.

    Sometimes, traditional cancer medication can rob the body of its strength once the symptoms are cured. Rasayan Chikitsa can help the body regain its strength. Rasayan Chikitsa improves the metabolism, memory, longevity, hair and complexion. It brings back the vigour that was lost.

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