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Dr. Amish D Vora

MBBS, DNB - Pediatrics, DM - Medical Oncology

Oncologist, Gurgaon

23 Years Experience  ·  800 at clinic
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Dr. Amish D Vora MBBS, DNB - Pediatrics, DM - Medical Oncology Oncologist, Gurgaon
23 Years Experience  ·  800 at clinic
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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. Amish D Vora
Dr. Amish D Vora is an experienced Oncologist in Sushant Lok Phase 2, Gurgaon. Doctor has over 23 years of experience as a Oncologist. Doctor has done MBBS, DNB - Pediatrics, DM - Medical Oncology . You can consult Dr. Amish D Vora at W Pratiksha Hospital in Sushant Lok Phase 2, Gurgaon. Book an appointment online with Dr. Amish D Vora and consult privately on Lybrate.com.

Find numerous Oncologists in India from the comfort of your home on Lybrate.com. You will find Oncologists with more than 31 years of experience on Lybrate.com. Find the best Oncologists online in Gurgaon. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MBBS - university of mumbai - 1994
DNB - Pediatrics - new delhi - 1998
DM - Medical Oncology - AIIMS - 2003

Location

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W Pratiksha Hospital

Golf Course Extension Road, Sushant Lok Phase 2.Gurgaon Get Directions
800 at clinic
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Sir, I have a lump in my left breast for so long. Only in the left not in right. It does not hurt but is it serious problem?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
It looks like it is fibroadenoma, it should be removed after initial investigation like mammography and sonography of the breast and/or FNAC if it is painful. Fibroadenomas are not cancer and don’t increase the risk of developing breast cancer. They occur because of an increased sensitivity to the female hormone estrogen. A fibroadenoma usually has a smooth rubbery feel and can move easily under the skin. They are usually painless, but some people may feel pain. It is very common can occur in numbers. It can occur at any age. Most are about 1 to 3cm in size but occasionally, it can grow to more than 5cm. Most fibroadenomas stay the same size. Some get smaller and some eventually disappear over time. Sometimes surgery is required to remove large fibroadenomas.
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Can depression be cured only by exercising n doin yoga regularly or one needs to switvh on to medicines. How safe is it to have a lasik operation. Can a person suffering from cancer and going through chemotherapy can exercise regularly.

M.Ch - Surgical Oncology, MS - General Surgery, MBBS
Oncologist, Delhi
Can depression be cured only by exercising n doin yoga regularly or one needs to switvh on to medicines. How safe is ...
Yes yoga and exercising are good ways to fight depression, but one may need the help of medicines if not improving. A lasik surgery is safe, but finer details should be consulted with an ophthalmologist. Yes, even cancer patients on chemotherapy should exercise as per tolerability.
39 people found this helpful
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What does cervical lymph nodes signify? Is that a indication of cancer and what is reactive lymph node hyperplasia?

DNB, MBBS
Oncologist, Faridabad
Each organ of our body has lymphatic supply like we have blood supply which drain into group of lymph nodes. These lymph nodes get enlarged when ever there is some trouble to primary organ they are draining. This may be due to infection, inflammation, cancers etc anything. Cervical lymph nodes drain mostly head and neck region. Reactive hyperplasia is non cancerous enlargement of lymph nodes may be due to some infection or inflammation. Need not worry.
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Sir, I am, 63 yrs, male taking oral medication for an enlarged prostate for the last three years. How can I ascertain whether there is any malignancy or not ?

MS - General Surgery
Oncologist, Ludhiana
To establish or rule out malignancy in prostate you should go for- 1. Psa (prostate specific antigen) 2. Ultrasound for prostate 3. Per rectal examination of prostate by surgeon.
1 person found this helpful
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What is the main reason of stomach cancer? After treatment 100% cancer is finished.

MBBS
General Physician, Cuttack
There are so many causes like genetic, Peptic ulcer, erosive gastritis,alcohol,faulty dietary habit etc.Treatment is not very satisfactory.Mortality rate is high.
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Sir in the behalf of FNAC test doctor says Cancer but not sure. So what can I do.

MBBS, MS - General Surgery, FIAGES(Fellowship in minimal access surgery), FMAS (Fellowship in Minimal Access Surgery)
General Surgeon, Ghaziabad
hello. first of all I would like to know from where fnac was taken and for complaints. see FNAC is 90 to 95% sensitive and 90 % specific. 10 percent chances of false positive result is there. if it's cancer on fnac then I adviSe you to go under treatment acc to cancer only. you can confirm cancer only on histopathology.
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Lung 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)
Alternative Medicine Specialist, Bhubaneswar
Lung Cancer - In A Nutshell!

Lung cancer is also known as pulmonary carcinoma or cancer of the lung. It occurs when DNA mutations develop in the cells/ tissues of the lungs leading up to uncontrolled growth in the tissues of the lung. By far, it is known to be the most common cancer in Asia.

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

  1. Non-Small Cell Lung Cancer (NSCLC): Most common type of lung cancer and constitutes nearly 85% of all lung cancers. The sub-types of NSCLC are as follows:
    • Large cell carcinoma
    • Squamous cell carcinoma (SqCC) (Epidermoid)
    • Adenocarcinoma – accounts for majority of the NSCLC.
  2. Small Cell Lung Cancer (SCLC): It is also known as oat meal cancer and tends to spread (metastasize) quickly. This constitutes about 15% of the lung cancers.
  3. Mesothelioma: It is a rare cancer that develops in the mesothelial cells of the pleural or peritoneal surfaces. It usually arises in the pleural membrane lining the lungs, known as pleural mesothelioma. One that arises from the peritoneum is called the peritoneal mesothelioma and the one that arises from the pericardium is known as pericardial mesothelioma. Lastly, it can also arise from the tunica vaginalis known as testicular mesothelioma. People working with or prior exposure to asbestos are mostly at risk of developing mesothelioma. The latency period between time of exposure and development of mesothelioma can be somewhere between 20 to 40 years. Maximum of the patients who develop mesothelioma are men.

2. Gender: It affects the male populace predominantly. It is more common in men than in women and in those of lower economic status. However, the incidence of lung cancer, in women too, is on the rise of late.

3. Etiology: Cigarette/ Tobacco smoking remains the most important cause of lung cancer accounting for 85 – 90% of the cases. Incidence/ risk is proportionate to the number of cigarettes smoked irrespective of the age. Also, environmental toxins including smoke from burning black tar, exhaust gases from automobiles etc. too contribute actively to various lung diseases including cancer. People working in asbestos manufacturing factories who are exposed to asbestos dust are also likely to get lung cancer. Tuberculosis too is an additive risk factor. Again, people who have received ionizing radiation especially to treat Hodgkin Lymphoma or other malignancies also run the risk of developing lung cancer. Above-mentioned causes apart, genetic factors may also play a role.

4. Features: Lung cancer clinically presents in the following ways mainly.Signs & symptoms of malignant mesothelioma are as enumerated below

1. Difficult/ labored breathing (Dyspnea)

2. Chest pain

3. Palpable chest wall mass

4. Discordant chest wall expansion

5. Weight loss (Cachexia)

6. Loss of appetite (Anorexia)

7. Night sweats

Signs & symptoms of non-small cell lung cancer (NSCLC) are as enumerated below. Majority of patients are symptomatic at diagnosis

8. Chronic cough

9. Difficult/ labored breathing (Dyspnea)

10. Chest pain

11. Blood stained sputum (Hemoptysis)

12. Hoarseness

13. Weight loss (Cachexia)

14. Loss of appetite (Anorexia)

15. Weakness

16. Bone pain

17. Pleural or pericardial effusion

18. Superior vena cava syndrome

19. Brachial plexopathy

20. Neurologic pain

21. Hypercalcemia of malignancy

Signs & symptoms of small cell lung cancer (SCLC) are as enumerated below

Symptoms as per the points 8 – 18 depicted above for NSCLC are applicable for SCLC as well. Additionally, patients suffering from SCLC may have:

22. Fever associated with chest infections like bronchitis/ pneumonia that refuse to go away or keep coming back

23. Horner syndrome

24. Paraneoplastic syndromes including encephalitis/ sub-acute sensory neuropathy, hyponatremia, acromegaly, cancer associated retinopathy, ectopic corticotropic syndrome etc all.

5. Screening: is generally recommended for asymptomatic/ symptomatic populations as surveillance for high risk individuals – who are either current or former smokers (quit smoking within the last 15 years), have at least a 30 pack year smoking history and those who do not have any prior history of lung cancer. The goal of screening, as usual, is to be able to detect & diagnose lung cancer at an early stage which is potentially curable. It is mostly radiologic with a low dose helical computed tomography (CT) scan being more effective in detecting early stage lung cancer than a chest radiograph can.

6. Diagnosis: Abnormal blood test results may be indicative of malignancy, but a follow up imaging/ biopsy is always the gold standard for accurate diagnosis. Following are the diagnostics employed mainly:

  1. Blood: Hb may be low, TLC, ESR and polymorphs increased. Adenocarcinomas are likely to express thyroid transcription factor 1 (TTF-1) or carcinoembyonic antigen (CEA). On the other hand, mesotheliomas are likely to express Wilms Tumor -1 (WT-1) protein and Calretinin.
  2. Imaging: Thoracoscopy, Bronchoscopy, X-Ray, CT Scan etc all. Positron Emission Tomography (PET) / CT scan and Magnetic Resonance Imaging (MRI) scan help detect metastasis, if any.
  3. Biopsy: It clinches the histologic diagnosis, and the nature of the disease.

7. Treatment: Conventional treatment includes surgery, chemotherapy and radiotherapy as contextually appropriate. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical outcomes and facilitate recovery as would be feasible contextually.

8. Prognosis: 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 lung 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. The primary determinant of prognosis in NSCLC is the stage at which the cancer is diagnosed. For non-metastatic cancers, however, it is the nodal status that determines the stage and hence the prognosis.

9. Prevention: rightly said, prevention is always a better choice. Cigarette smoking is to be avoided by all means as it is the single major cause of lung cancer. Even exposure to cigarette smoke (passive or secondhand) is also an established cause of lung cancer and is known to increase the risk of lung cancer in non-smokers as well. Preventing exposure to secondhand smoke can be helpful in decreasing the incidence and mortality from primary lung cancers. Above-mentioned apart, other important risk factors such as exposure to ionizing radiation, environmental carcinogens like smoke from burning black tar, exhaust gases from automobiles, outdoor air pollution, and occupational exposure to asbestos, arsenic, beryllium, nickel, cadmium, chromium etc all too are known to increase the risk for lung cancer and mortality thereof. In fact, cigarette smoking is known to potentiate the effect and hence the lung cancer risk of many of the above-mentioned carcinogens, multi-fold, in smokers. Thus, either eliminating or reducing the exposure to the above-mentioned carcinogens can lead to a decrease in the risk of lung cancer and incidences thereof. Furthermore, randomized clinical trials indicate that high intensity smokers (only) who take supplementation of beta-carotene have an increased risk/ incidence of lung cancer. Vitamin E supplementation, on the other hand, does not affect the risk of lung cancer as indicated by the trials. If you wish to discuss about any specific problem, you can consult a doctor.

3470 people found this helpful

Can numerous fibroids and an enlarged uterus cause bladder prolapse? Why does my gynecologist think my bladder bulging into my vaginal canal is a fibroid even after I was sent to a urologist for stress incontinence issues?

FMAS, MS
General Surgeon, Gandhinagar
Can numerous fibroids and an enlarged uterus cause bladder prolapse? Why does my gynecologist think my bladder bulgin...
Respected lybrate-user numerous fibroids & enlarged uterus are definately going to give rise to bladder prolapse if transvaginal usg or other tests done you kindly do share all reports dear thanks regards.
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I was having tumour on my forehead then I removed that by operation. Am I having cancer? How I will know that I am having cancer. Which test I will take?

MBBS, Diploma in MEDICAL Radio Therapy, DNB
Oncologist, Bangalore
Hi lybrate-user, The Tumor removed should have been sent to lab for the histopathological report. Only if the histopathology is been reported as malignancy or carcinoma then the confirmation of cancer to be confirmed. If not then there is no malignancy.
2 people found this helpful
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My wife age is 20 years and she has pimple around the breast and etching with flows push and pain in it, she ate some medicine then quietly fine but after 1 month she has again suffer from it, but now she is fine, I want to ask that is it any symbol of major disease, please suggest me,

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, Thanks for the query. From the description those lesions appear to be boils. These occur due to hair follicle infection by certain bacteria. To get rid of those apart from cleaning and draining the pus, one needs to use a suitable antibiotic for a week or so. This nothing serious. But proper treatment should be taken. Thanks.
1 person found this helpful
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My grand mom is suffering from cancer. As c is in third stage so what should I doo to take care of her cancer? Please give me suggestion. P.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
do her daily dressing.. take care of her back.. change her position every 3 hour or so to avoid back sores.. get her physiotherapy done... give her exposure to sunlight
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How actually carcinoma cancer is cured? And are there any kind of medicines to it? How to know that am I affected with cancer?

DNB, MBBS
Oncologist, Faridabad
Dear mam. Cancer is treated by combination of chemotherapy, radiotherapy, Surgery etc. Nowadays treatment is done to treat the faulty gene, which will probably lead to cure. You can go for a cancer screening check up to know if you have any sign of cancer or premalignant conditions.
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What are the preventive measures to be taken to prevent Benign Prostate Hypertrophy.

MBBS
General Physician, Jalgaon
What are the preventive measures to be taken to prevent Benign Prostate Hypertrophy.
Please It is aging process To delay it. Take plenty of water daily Do yogasanas and pranayam daily Do perineal and pelvic exercises daily Take Tab staphysagaria 30 x Homeopathic medicine Twice a day for 3 months, every year.
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Hi, my mom was diagnosed with breast cancer at the age of 59. In 2012. She had mastectomy for her left breast. Her tumor size was 2*2*1.5. 15 lymph nodes were dissected. They were free of tumor. Her deep resection plane is also free of tumor. Her er n PR were positive n her was neg. She did not receive any radiation n chemo. Instead she was asked to have letrozole for 5 yrs. I want to know her prognosis.

UICC International Fellow in Oncollogy , ESTRO certification in Head and neck oncology, MD - Radiothrapy
Oncologist, Jamnagar
As per your reports she was pt1n0, hormone receptor positive, her 2 negative disease. In this selected class of patients, we avoid radiation and chemotherapy. And give hormonal treatment only. Having excellent prognosis. To justify role of chemotherapy in this group, we now have a test called oncotype dx (was not available in 2012). But overall your mom in a curative stage. We recommend three monthly follow ups for two years and then six monthly for next three years (total five years). Then yearly life long.
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My father age is 75. He has third stage throat cancer. How long he may survive? he may tolerate radiotherapy?

MD - Radiation Oncology, MBBS, DNB (Radiotherapy)
Oncologist, Howrah
Throat cancer can occur in larynx, oropharynx and hypopharynx. You didn't mention the specific site. Primary treatment for these sites is chemoradiotherapy. However prognosis depends on site. Survival after treatment is good for oropharynx and laryngopharynx, worse for hypopharynx. At 75 yrs of age, probably only radiotherapy will be given. Of his general condition is good, then go with radiotherapy. This is the only chance of cure.
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What are the symptoms of mouth cancer what types of precautions and medicine should be taken?

DNB, MBBS
Oncologist, Faridabad
mouth cancer may present with premalignant or precancerous conditions like white patch or leukoplakia, reddish patch, difficulty in opening mouth or submucosal fibrosis. these are warning signs for mouth cancers.frank cancers may present as nonhealing ulcers, growth lesions, bleeding from oral cavity, difficulty in swallowing or eating food etc. most common risk factor is chewing tobacco or zarda. even chewing supari which is kept for long time in mouth may irritate soft mucosa of mouth and lead to cancerous growth. any sharp tooth or ill fitting dentures should be treated by dentists. one should eat lots of fruits and vegetables, natural sources of antioxidants and lycopene to prevent cancer and if one suffers from it then it should be treated by surgery, chemotherapy radiation therapy as indicated.
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Hi, Doc, my father aged 75 years diagnosed with lung cancer and the size of mass is 140mmx110mmx116 mm and lab report is small cell carcinoma. Now a days they feel anxiety and pain in left side and the mass has moved out from lung to upper side of chest and we can see in the upper side of chest. We don't want to go for chemo as per age barrier. Is there any other drug or medicine which can reduce the pain and anxiety? And also is it possible to operate and remove the mass? Thank you.

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)
Alternative Medicine Specialist, Bhubaneswar
Hi lybrate-user, I appreciate you seeking help. Well, first and foremost, I would advise you to meet up an oncosurgeon, experienced in thoracic oncology cases, in person. He/ she can do the needful assessment and can advise further on whether a surgery is feasible at this stage and the prognosis thereof. In general, the treatment outlook is influenced by a host of factors including stage and its associated comorbidities, age, vitality, gene expressions, chromosomes affected, histopathological grading and the type of cancer etc all. Usually, small cell lung cancers are difficult to treat than the non small cell lung cancer (NSCLC) ones. However, an integrative treatment with suitable alternative medicines can help alleviate quality of life issues including pain, anxiety etc all, and also help improve clinical outcomes as possible contextually. Post consultation with your oncologist, you can revert with all relevant diagnostics, treatment history, and the conventional treatment plan, if any, etc all for further naturopathic traction from my end. Hope this helps. Do take care and all the very best. Sincerely,
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Cancer occurring in people which are not using tabacoo and alcoholic substance what's the reason behind this?

Fellow Breast Surgery (MUHS), DNB (General Surgery), MBBS
Oncologist, Aurangabad
Tobacco and alcohol are causes of a few of many cancers. Only nails and hair don't get cancer. Rest all organs get cancers. The basic reason for a cancer is a genetic mutation that is defect in genes that either causes excess multiplication or prevent natural death of cells. Such an uncontrolled growth is cancer. Why these genetic mutations occur is difficult to decipher and no one cause can be blamed for it. But there are risk factors. Like no pregnancy or a delayed one is a risk factor for breast cancer. Infection by human papilloma virus can cause cancers of cervix, anal canal, oral cavity, etc. Exposure to radiation can cause cancers. Exposure to environmental toxins and uv rays from sun can cause cancers.
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