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Dr. Gagan Saini  - Oncologist, Ghaziabad

Dr. Gagan Saini

87 (29 ratings)
MD (Radiation Oncology), DNB (Radiotherapy)

Oncologist, Ghaziabad

15 Years Experience  ·  800 at clinic  ·  ₹300 online
Dr. Gagan Saini 87% (29 ratings) MD (Radiation Oncology), DNB (Radiotherapy) Oncologist, Ghaziabad
15 Years Experience  ·  800 at clinic  ·  ₹300 online
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Personal Statement

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Gagan Saini
He has been a successful Oncologist for the last 14 years. He is a MD (Radiation Oncology), DNB (Radiotherapy). Book an appointment online with Dr. Gagan Saini on Lybrate.com.

Find numerous Oncologists in India from the comfort of your home on Lybrate.com. You will find Oncologists with more than 30 years of experience on Lybrate.com. Find the best Oncologists online in noida. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MD (Radiation Oncology) - All India Institute of Medical Sciences, New Delhi - 2003
DNB (Radiotherapy) - All India Institute of Medical Sciences, New Delhi - 2006
Languages spoken
English
Hindi

Location

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Max Super Speciality Hospital Vaishali

W-3, Near Radisson Blu Hotel, Sector-1, VaishaliGhaziabad Get Directions
  4.4  (29 ratings)
800 at clinic
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"Well-reasoned" 1 review "Very helpful" 6 reviews "Practical" 1 review "knowledgeable" 4 reviews "Caring" 1 review "Professional" 1 review

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Dear sir. What is the best time to opt for radiation therapy after hormonal injection .i have been diagnosed with stage 4 prostrate cancer spread to the lymph nodes but not to bones. And have recently taken my second shot of hormonal injection in April first week. My doctor suggested that I take the second shot since the PSA had fallen to 3.5 after the first injection. Can you advise if I can delay going for radiation till the time my PSA is being controlled by hormonal injections.

MD (Radiation Oncology), DNB (Radiotherapy)
Oncologist, Noida
Dear sir. What is the best time to opt for radiation therapy after hormonal injection .i have been diagnosed with sta...
Radiation therapy is the definitive treatment for this condition bringing the survival up to about 50 percent from 25 to 30 percent. It should have started by 2nd month. The benefit of delaying RT is the fact that volumes of target decrease and that decreases the doses direction and thereby toxicity. No other benefit of delaying RT per se. Since you are already getting him second injection. Please start soon.
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There was a lump in my mother's breast which caused the injury but now the lump has disappeared.

MD (Radiation Oncology), DNB (Radiotherapy)
Oncologist, Noida
Your mother needs annual mammograms like every other person for effective screening. This episode and issue is resolved.
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Oral Cancer: Understanding How It Can Be Diagnosed!

MD (Radiation Oncology), DNB (Radiotherapy)
Oncologist, Ghaziabad
Oral Cancer: Understanding How It Can Be Diagnosed!

Oral cancer is the name given to cancer that develops in the tissues of the mouth or oral cavity. If you interact with a specialist, you will know that oral cancers belong to a larger group of cancers called head and neck cancers. And more importantly, oral cancers are one of the most preventable cancers. You may already be aware that cancers develop when cells begin to divide indiscriminately forming malignant tumors. In oral cancers, the dividing cells are the ‘squamous’ cells found in the lining of your mouth, tongue, and lips.

India is the oral cancer capital of the world and almost half of the total nber of oral cancers in the world happen in our country. Also, oral cancers have a high local failure rate and are therefore beat treated by surgery and radiotherapy in most cases.

An implausible fact about oral cancers is that these are most often discovered after they have spread to the lymph nodes of the neck- which means at the stages III and IV. All cancers including oral cancers become more difficult to cure at these later stages. This is why early detection is key to surviving oral cancer.

Types of oral cancers

  1. Oral cancers, to be precise, including cancers of the:
  2. Lips
  3. Tongue
  4. Gums
  5. Cheek
  6. Floor of the mouth
  7. Roof of the mouth, including hard and soft palate

Usually, it’s your dentist who is the first to notice the first signs of oral cancer.

Risk factors
Tobacco use is the biggest risk factor for oral cancer. Tobacco includes smoking cigarettes, cigars, hookahs, and pipes, as well as chewing tobacco. Alcohol is another big risk factor. So, if you are one of those heavy drinkers, be aware of the scourge of oral cancer and get yourself tested periodically to rule out this killer. The risk for oral cancer also increases exponentially when both alcohol and tobacco are used together.

Other important risk factors are:

  1. HPV infection i.e. human papillomavirus is a sexually transmitted virus that spreads through unprotected vaginal as well oral sex
  2. Chronic sun exposure on the face, especially the lips
  3. Family history of oral or other types of cancer
  4. Men are more susceptible to oral cancers
  5. Being older than 45
  6. Radiation exposure
  7. Having any other form of head and neck cancer

Symptoms of oral cancer

  1. Sore lip or mouth that is not healing
  2. Any growth inside your mouth
  3. Bleeding from the mouth, including jaws
  4. Loose teeth
  5. Difficulty or pain while swallowing
  6. Major trouble wearing dentures
  7. A lump in neck or cheek
  8. Chronic earache
  9. Serious weight loss
  10. Numbness in lower lip, face, neck, or chin
  11. Any colored patch in the mouth or lips

Diagnosis of oral cancer

  1. Diagnosis starts with a physical exam of your mouth. The physician will examine the roof and floor of your mouth, the back of your throat, tongue, and cheeks, and the lymph nodes in your neck.
  2. If your doctor finds any tumor, growth, or suspicious lesions in your mouth, she/he will perform a biopsy to collect cells from a tumor. This tissue is then examined for cancerous cells.
  3. Other tests include X-rays to see if cancer cells have spread to your jaw, chest, or lungs; a CT scan to check for and reveal any tumors in your mouth; PET scan to see whether the cancer has traveled to the lymph nodes or other organs like the lungs.

Prevention

  1. An excess of sun exposure on your face and lips increases the risk of oral cancer so you can start reducing the danger of getting this cancer by using a lip balm or cream with SPF regularly.
  2. Another way to reduce risk is alcohol and tobacco cessation.
  3. Eating a balanced diet containing fruits and vegetables
  4. Removing your dentures at night and using them the next day only after cleaning them
  5. Visiting your dentist on a regular basis so that she/he can warn you about any alarming change in your mouth.

Treatment 

Oral cavity cancers are these days treated with Image-guided intensity modulated radiation therapy (IGRT with IMRT). In this form of radiation therapy, the dose of radiation is focused only to organs at risk with sparing of critical swallowing neural and speaking structures. It also saves important organs like salivary glands and eyes etc. This has a huge impact on quality of life outcomes of patients. At the very least it decreases immediate problems that occur during radiation therapy and leads to better long-term outcomes such as it decreases the risk of mouth and closure non - healing ulcers, etc.

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

3185 people found this helpful

A known case of optic nerve glioma. Well defined elongated intraconal mass lesion along the intra orbital and canalicular segment of left optic nerve with extent and characteristic, as described likely optic glioma. Please advice.

MD (Radiation Oncology), DNB (Radiotherapy)
Oncologist, Noida
A known case of optic nerve glioma. Well defined elongated intraconal mass lesion along the intra orbital and canalic...
Optic nerve glioma needs either surgery or radiotherapy or both. Needs thorough clinical assessment.
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A Quick Guide To The Stages Of Colon Cancer And How To Deal With Them

MD (Radiation Oncology), DNB (Radiotherapy)
Oncologist, Ghaziabad
A Quick Guide To The Stages Of Colon Cancer And How To Deal With Them

Cancer is the biggest menace humans have to encounter at this point in time. It is an issue that afflicts thousands of people worldwide and to this day this is no particular cure for this epidemic affliction. It’s an ugly disease that makes people suffer, drains every resource they own and puts a humongous strain not only on the patient, but also on everyone surrounding them, and interpersonal relationships. Cancer is a disease that progresses in stages and that is why it is important to get checked regularly. In case you are unfortunate enough to have been diagnosed with colorectal cancer, or colon cancer, as it is commonly known, here is a quick guide to the different stages and how to proceed.

Stage Zero: It is also called carcinoma in situ. This is the earliest stage where the cancerous cells have not spread beyond the inner lining of the rectum or colon.
What to do: Stage zero colon cancer means that it hasn’t spread beyond the colon to other organs or areas so it only just requires surgery to remove the cancerous cells. This is called local excision performed using a colonoscope.

Stage One: This stage is where cancer has spread further into the lining of the colon but has not reached the outside walls of the colon or any other area for that matter.
What to do: If the cancer was removed at stage zero as a unit (the polyp) and nothing was left behind then nothing further needs doing. Although if the polyp is “high grade” then more surgery will be required, additionally if some get left behind after the first surgery then more will be required. Cancers that have developed otherwise require removing of a part of the colon, a partial colectomy.

Stage Two: The stage where cancer has advanced through the lining into growing over the walls of the colon but has not proceeded towards the lymph nodes.
What to do: Requires surgery, partial colectomy along with removing some of the surrounding lymph nodes. Chemotherapy post-surgery may be suggested by your doctor. Discuss before you agree to it.

Stage Three: Cancer has spread beyond the wall of the colon and reached the surrounding lymph nodes. It has not yet spread to other areas of the body or organs.
What to do: Partial colectomy including post-surgery chemotherapy but if the patient is not strong enough for surgery they are suggested chemotherapy or radiation therapy as an alternative.

Stage Four: Cancer has spread widely to several organs, to the liver, lungs, and even to the brain.
What to do: Surgery will not do much good, unless it can be used to remove the specific areas where the cancer is clustered. Mostly it is suggested to alleviate the pain but there is a chance that surgery might cure you too. Chemotherapy is absolutely required.

In stages 2, 3 and 4 there is an emerging role of targeted therapies along with the traditional chemotherapy. The same are chosen on basis of biomarkers. In liver metastases, there is now a strong role for SBRT to liver lesions for high local control and potential cure in many. SBRT is a valuable alternative to liver surgery.

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

3000 people found this helpful

Inverted papilloma ESA surgery done on 16/12/2017  but after surgery_and biopsy report came. It said carcinoma cell found grade_2. I want to get recommendations further to do radiotherapy or what else. Or the conditions of mine now.

MD (Radiation Oncology), DNB (Radiotherapy)
Oncologist, Noida
Inverted Papilloma can bear cancer in 10 percent cases and that's why full clearance is needed regardless. For your case we need to evaluate the extent of residual disease by mri. It has to be correlated with the extent of Papilloma in the beginning. Depending upon the extent of the residual cancer and also the extent of resection WRT the baseline extent, we will advice for either radiation therapy or craniofacial resection. You need to consult.
1 person found this helpful
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Please let me know if cancer is contagious .Will it spread through sexual contact, blood contact, through any other sort.

MD (Radiation Oncology), DNB (Radiotherapy)
Oncologist, Noida
No, cancer is not contagious in itself by sexual contact or even blood products. However, sexual contact transfers the following viruses - hepatitis B, Hepatitis C, hiv, HPV which can lead to different types of cancer later (though cancer causation due to these viruses is still relatively rare even after the infection)
7 people found this helpful
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I have a hypoechoic solid lesion in right parotid gland. How to know if it is benign or malignant? What are the tests and procedures involved? Thanks Doc.

MD (Radiation Oncology), DNB (Radiotherapy)
Oncologist, Noida
I have a hypoechoic solid lesion in right parotid gland. How to know if it is benign or malignant?
What are the tests...
Hypoechoic lesion in parotid needs to be evaluated with careful history and clinical examination of lesion. If suspicious then an fnac resolves the issue. The surgery needs to be planned after fnac result.
1 person found this helpful
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My mother was neurofibroma type 2 patient .now she has multiple extramedullary lesions present in spine .already one time she undergone spine surgery for these problem .after 7 years same problem arise .now the lesions rise at same region. She is also under gone for gamma knife radiosurgery for bilateral schwanommas in brain .is there any chances to cure by applying the any type of radiotherapy for spinal lesions. Any type of radiosurgery is helpful for spinal tumours? Is it available in india. Please give me clarification about spinal radiosurgery. Pls help me. I am very sad about this situation.

MD (Radiation Oncology), DNB (Radiotherapy)
Oncologist, Noida
Dear. It's understandable that it's a very frustrating situation in general. However, not all these lesions are generally symptomatic which means that they don't need attention per se. Yes we can take care of spinal lesions by sbrt if needed. However the intraspinal extreme dullary lesions generally need surgical treatment as the response to radiation treatment is very slow in general. You must understand that there is a lot more to be gained by a full consultation and these above are just my first thoughts.
1 person found this helpful
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episode sensation and twitching at jaw left side of face Is this is sign of mouth cancer.

MD (Radiation Oncology), DNB (Radiotherapy)
Oncologist, Noida
episode sensation and twitching at jaw left side of face
Is this is sign of mouth cancer.
If you are a tobacco chewer in any form be it supari /gutka/pan etc, you must get yourself screened or evaluated. May I clarify that twitching of jaw is by no means a specific symptom of cancer but chewing tobacco or related products certainly is a cause.
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