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Dr. Yamuna

Oncologist, Gurgaon

300 at clinic
Dr. Yamuna Oncologist, Gurgaon
300 at clinic  ·  ₹ online
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Yamuna
Dr. Yamuna is a trusted Oncologist in Pataudi, Gurgaon. You can consult Dr. Yamuna at Pratiksha Clinic in Pataudi, Gurgaon. You can book an instant appointment online with Dr. Yamuna on Lybrate.com.

Lybrate.com has top trusted Oncologists from across India. You will find Oncologists with more than 31 years of experience on Lybrate.com. You can find Oncologists online in Gurgaon 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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Hindi

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Ketan Bhardwaj Chowk, Pataudi Road, Gurgaon, Landmark: Opp Gali No-7, GurgaonGurgaon Get Directions
300 at clinic
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My mother was suffering from Breast cancer. She operated in september 2013 successfully but after operation she was given 8 doses of chemo therapy and 20 doses of Radio therapy. After this treatment she remains good with usual checkups. But this year recently in this running month she complains about back pain and leg pain. After consult with Doctor they diagnosis with Bone scan test that shows distinct possibility of metastasis. They also gives the zoledron injection. Due to this injection she reliefs about 98 percent good and they also advised to take again 5 doses of Radio therapy.

Ex Sen.V.Surgeon/Research Scientist, M.D.(Alternative Medicine/tibetan/chinese/acupuncture), Vaida/ Unani, Homeopath
Unani Specialist
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Hi dear - in my view - she can be saved if she is given cancero -- medicine course- 6 months. Its package is available, details as per below;;-- --there will be no need or little need of other therapies ------------------------------------------ --curative treatment;- it will be the future medicine of cancer for the whole suffering world. -tibetan therapy--medicine -cancero - course is the best treatment available so for, with almost 100%--results. It is a newly entrant in the field of oral medical cancer therapy, and is available with very few tibetan experts only. Most of doctors are still unaware of its use. With no side effects, it can be used both as preventive as well as curative in all types of cancers/ tumors. Its 6 month course or so is sufficient to cure cancer of any type, at any stage, provided the patient is able to take medicines orally. It converts cancers into tumors and then cures. It can be used alone or in combination with other therapies, if cancer is in advanced stage. It has been successfully used in children as small as 6 months age and old persons -73 years old. -its pack is available in 3 forms;- -cancero-th+, cancero-thu+, cancero-thua+ -cancero-th pack is available @ rs 5000/- pm. For very low budget patients.

My name is sunny Kumar. I drink coffee 3-4 times in a day. Can coffee cause cancer? Please tell me.

DNB, MBBS
Oncologist
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There is no evidence that increased consumption of coffee is related to cancer but yes it may have stimulating effects and may lead to gi toxicity.

Family History of Cancer? - Opt for a Preventive Health Check

Partners in Health
Multi Speciality
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The rising incidences of cancer have made it important for us to be vigilant about our health. It has been proven medically that if cancer is detected at an early stage -stage I & II , then the chances of cure and treatment along with full recovery are very high. For early cancer detection & for people at greater risk of cancer, PHC-Preventive Health Care plays a major role. Preventive Health Check is particularly important for the people who have a family history of cancer.

Hereditary Cancers:

Almost all cancers are caused by damage or mutation in their genes, which, may be acquired from environmental exposure, dietary factors, hormones or through normal aging. In 90% of cases, these genes are not passed from parents to children. These are known as sporadic mutations and the cancers that they cause are called as sporadic cancers. But 5-10% of cancers are caused by gene mutations which are inherited from one or both parents & passed on to the children .These are hereditary or germline mutations & these cancers are known as hereditary or familial cancers.

People /children, who carry gene mutations have a higher risk of developing cancer at an earlier age or at some point in their life time.

Some of the common such cancers, which run in families, are:

Breast cancer
Ovarian cancer
Colo-rectal cancer (cancer of large intestine )
Prostate cancer
Lymphoma
Melanoma
Retinoblastoma
Breast, ovary & colo-rectal carcinoma have well established gene mutation studies.Mutation of BRCA 1 & BRCA2 Genes is responsible for 85% of hereditary breast cancers.

Estimated life time risk for developing breast cancer in woman with BRCA1 & BRCA2 mutation is 56-87% & risk for developing-bilateral /contralatral breast cancer is about 20-40%. These statistics make a preventive health check for women with breast cancer history in their family a necessity. Mutation in these genes confers about 20-40% increased life time risk for developing ovarian cancer. Hence the presence of gene mutation for breast cancer can trigger ovarian cancer.

However as stated above, other environmental and lifestyle factors can also cause breast cancer other than genetic BRCA1 & BRCA 2 gene mutations.

Increasing age
Early menarche
Late menopause
Nulliparity
First birth after the age of 30
Atypical lobular hyperplasia or Atypical ductal hyperplasia
Prior breast biopsies
Long term postmenopausal estiogen replacement
Early exposure to ionizing radiation
Other Familial Cancers:

Familial cancer syndromes associated with colo-rectal cancers are familial adenomatous polyposis (FAP).It is an autosomal dominant inherited syndrome with more than 90% penetrance, manifested by hundreds of polyps developed by late adolescence .The risk of developing invasive cancer is almost 100% .So such patients should start getting colonoscopy at an earlier age- say by 20yr of age & should undergo Total Collectomy on development of significant polyps .

Other familial cancer syndromes are hereditary non -Polyposis Colo Rectal Cancer (HNPCC), Gardner's Syndrome, Turcot's Syndrome, Peutz-Jeghers Syndrome, Juvenile Polyposis.

Cancer Assessment & Conclusion:

For breast cancer risk assessment, we have the GAIL model & IBIS model, which take into consideration ,all the risk factors, apart from BRCA1 & BRCA 2 gene mutation. These models calculate the over all life time risk of development of breast cancer for any lady. For this, you have to consult a specialist experienced in area of hereditary cancers, cancer risk assessment, genetic counseling & testing.

To conclude, all people with cancers in their family should undergo genetic testing & counseling, to detect high risk individuals should take adequate measures & treatment.
Family History of Cancer? - Opt for a Preventive Health Check

What is the name of the blood test which predicts breast cancer .approx cost and can we do it in any pathology lab.

Fellowship in Gastrointestinal Oncology, Masters In Advanced Oncology, Fellowship in advanced laparoscopy and robotic surgery, Fellowship in Gynaecologic Oncology, Registrar in Surgical Oncology
Oncologist
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There is no blood test to detect early breast cancer. But the better option is to get an annual mammography after 35 years of age. It can detect very early cancers and these so called screen detected cancers have almost 100% cure rates.

Are there screening tests that can find lung cancer early? How many people get lung cancer?

DM - Oncology
Oncologist
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Lung cancer is the most common cancer globally increase trend in india. Low dose ct is preferred for screening.

Hiii, this is Gaisul azam, 18 year old and I want to make documentries on cancer so I want every detail about cancer, types, description, cause, cure. Each detail.

Ex Sen.V.Surgeon/Research Scientist, M.D.(Alternative Medicine/tibetan/chinese/acupuncture), Vaida/ Unani, Homeopath
Unani Specialist
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What are cancers;(karkat rog)-those dreaded tumors ----------------- which are capable of spreading to other body parts. Types;-there may be some 20 types of classifications, ------ depending upon the shape/ organ/ structure-they appear. Ordinarily all these can be called as cancers, and in ayurveda--karkat rog-a common term. They may be blood cancer, bone cancer, skin cancer, breast cancer, ovary cancer, cervical cancer, lung cancer etc. Etc. Blood cancer;;-- when cancer invades blood cells, it is called blood cancer. --------------------------------------- causes;-different types of cancers may be having ------- different types of multiple causes, not any one, in some cancers--viruses have been detected. Adultrated foods, allopathic salts, hormonal drugs, chemical salts, paints, alcohol, smoking, constipation, unhealthy water, foods, uncompatible foods, excessive sex-loss of semen, industrial hazards, polluted air, acidity, arthritis, stones, unknown reasons etc. Prevention;;-- you can prevent cancers by avoiding its possible causes. ------------------------------------- symptoms;--generally pain is main symptom. Mainly --------- depend upon the organs involved. Other symptoms can be -bleeding, obstruction, ulceration, fever, weakness, loss of appetite, indigestion etc. Etc. Early detection;;- is generally difficult. But ---------------- lumps may be detected, palpable. Suddenly found when ever pain or some problem is there ---------------------------------------- problem with cancers;;--is that they spread to other ---------------------- parts immediately after surgery-when cut or any time after surgery, may be within-5-10 years. Results;;- some 80% die within 1-2 years, 10 %--live -------- longer for 5-10 yrs, 10%-get cured. ---------------------------------------- treatment cancer;;-- you may need 4-6 doctors/experts to cure a cancer, at different stages 1- surgery may be required in advanced stage cases. 2-radiology may be of some help as supportive therapy till patient is able to tolerate. 3-i do not recommend chemo-therapy-as its side effects are irreversible. So better it should be avoided. 4-symptomatic therapy--is very helpful alongwith as supportive therapy. It includes ayurvedic/ homeopathic/ herbal etc-glucose, blood, vitamines, fluids etc, pain killers, anti inflammatory drugs etc, 5-tibetan therapy--medicine -cancero -is the best available so for, little cheaper, 100%--results with no side effects. It can be used both as preventive as well as curative in all types of cancers/ tumors. It can be used alone or in combination with other therapies. --so a combination of all may be required for final positive results. You may need find such a tibetan expert vaid in your area

My wife feels pain in right breast during periods time and nipple pain after periods she is feared of breast cancer kindly explain this.

MS - General Surgery
Oncologist
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Cyclic pain in breast is commonally because of fibroadenosis. It better you go for ultrasound of breast and if there is any lump then go for fnac also.

Bone Marrow Transplant - busting the myths!

European Society for Medical Oncology certification, DM - Oncology, MD - General Medicine, MBBS
Oncologist
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The term bone marrow transplant is actually a misnomer in the present context as a vast majority of transplants are now conducted by harvesting stem cells from the blood of the donor.

So the correct and logical term now is peripheral blood stem cell transplant. This is just like a blood donation for the donor and poses no risk at all to the donor. The term blood cancer is generally used for leukemias, these can be of two types - acute and chronic.

For the chronic leukemias, especially chronic myeloid leukemia, stem cell transplant is now generally not required as drugs like imatinib, dasatinib and nilotinib are extremely effective. For chronic lymphocytic leukemia transplant is rarely done these days and is generally reserved for relatively younger patients. Even in the imatinib era transplant is an effective procedure and can cure patients with CML (chronic myeloid leukemia) who do not respond to imatinib and other tyrosine kinase inhibitors.

For acute myeloid leukemias stem cell transplant is recommended for all cases except the low risk cases, after completion of chemotherapy. Risk is defined based on kind of genetic mutations in the leukemic cells for acute lymphoblastic leukemia transplant is generally done at relapse, but certain genetic mutations necessitate an earlier transplant, so does presence of or increase in minimal residual disease, which signifies cancer cells not visible to the human eye under the microscope.

Procedure of stem cell transplant HLA matching is done between patient and siblings. Best match is selected as a donor. Matched sibling is the most commonly used donor in blood cancers. In many cases a match is not available, for such cases matched unrelated donor, cord blood, or a partially matched donor (haploidentical donor) is sometimes selected. Donor is given growth factor injection subcutaneously to bring out the stem cells from the bone marrow to bloodstream, twice daily for 5 days. After that the stem cells are collected and stored. Patient is given high dose chemotherapy to kill cancer cells as well as his normal marrow. After chemotherapy, donor stem cells are injected into the body of patient from a vein. After approximately 11-14 days the donor cells get engrafted in the patient's marrow and start producing normal blood cells. The donor cells also kill the cancer cells and prevent cancer from coming back.

Overall depending on whether the patients cancer is controlled or not before transplant the cure rate after transplant can vary from 60 % for patients who have a good control and less aggressive disease biology, to less then 20 % in patients with uncontrolled disease before transplant. Overall, approximately 40 % patients get cured with a transplant. Upto 40 % patients can develop complications, and half of these may be very severe and life threatening. This figure is more in mismatched transplants. Apart from complications, there is still a risk of relapse and these patients need close monitoring in the first few years after transplant.

I was diagnosed throat cancer I went through chemotherapy and radiation and now the treatment is over but now my food pipe got squeezed and I am in a state where I cannot take liquid food also what should I do?

MD - Radiation Oncology, MBBS, DNB (Radiotherapy)
Oncologist
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It is a common toxicity of neck irradiation. It will get reduced with time. Meanwhile you can use analgesics and local anasthetic agent for symptomatic relief.

Excessive prostatic fluid secretion even at mild excitement and starts burning inside the penis in urinary tract.

Fellowship in Minimal Access Surgery, F.I.A.G.E.S, M.S. ( General Surgery)
Gastroenterologist
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Did you get any analysis done. Any medications you took for the same. If yes. Which ones and for how long.

Sir /madam Meri wife ke breast me ghtiya hai 3 . Ek ndi or 2 chhoti . Use bhut hi jyada pain rhta h kbi kbi sujan ho jati h. kya h ku hai or iska ilaj kya h btaye please.

PGDMLS, PGDHHM, LLB, PhD Surgery, MS - General Surgery
General Surgeon
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Most likely it is fibroadenosis of breast. Breast support by a tight bra or crepe bandage might help. General surgeon should be consulted. He might get ultrasound or mammography or fine needle biopsy done. Sometimes hormone treatment might be advised.

I have lump at breast on right side how to cure it Age 52 years (F) without F. N. A. C. please suggest?

MD - Radiation Oncology, MBBS
Oncologist
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Get a mammography done (both x ray and sonomammography). If it is suspicious you will need an fnac or biopsy.

I had a pimple kind of thing on my breast I itched it and blood came out of it! Is that symbol of breast cancer?

B.E (Computer Sc. & Engg.), Advanced Strategic Management (APSM), Ayurveda (I) Cert., Doctor of Natural Medicine (N.D/ N.M.D), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Clinically Relevant Herb-Drug Interactions (CME) (Cine-Med Inc. USA), PhD (A.M) (Oncology) Scholar.
Alternative Medicine Specialist
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I had a pimple kind of thing on my breast I itched it and blood came out of it! Is that symbol of breast cancer?
Hi lybrate-user, I appreciate you seeking help. I would advise to not itch or irritate the same for it may get infected, and worsen the issue. You can clean the same with warm water, and apply any antiseptic ointment containing aloe vera. Should there be any pain, you may apply an alternating heat and cold treatment for couple of minutes that may alleviate it. However, should it not heal still or you notice more of such pimples coming up or its color as being significantly different than the usual breast skin color or any kind of severe pain/ inflammation etc all, you should visit your OB/ GYN right away for a clinical evaluation and traction thereof. Simultaneously, keep your diet and lifestyle streamlined, and stay well hydrated. You can take tomato soup to which fresh herbs like garlic, turmeric, black pepper, ginger, coriander leaves and oregano has been added, once daily. Your doc shall be able to advise further on, in particular, once he/ she gets to clinically examine you in person. Hope this helps. Do take care, and all the very best. Sincerely

Small cyst in both breast with pain. Please tell me the solutions to cure ?

uicc internatinal fellow in oncology, ESTRO certification in Head and neck oncology, MD - Radiothrapy
Oncologist
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If cyst is confirmed by usg, and if pain is during menstrual cycle, you should start cap primerose oil bd for one month.

My mum has been suffering from lung cancer for 3 years. Treatment is going on but docters saying that they can remove that infected part from the lung it has spread out. But if we remove that part cancer cells will decrease in the body na. I want suggestion on it.

MD - Radiothrapy, DNB
Oncologist
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Definitely. This is called debulking and is standard procedure. Kindly send me reports and lets see what we can do.

Pathologist given following test report Material Sent: COLONOSCOPIC biopsy for HPE Clinical Diagnosis: Ca. Ascending colon Gross: Received Multiple soft tissue bits aggregately measure 0.5x0.4x0.3 cm in size. Submitted entirely for processing. Microscopy: Adenocarcinoma colon What does it indicates. This is my Grandpa's Report

MD - Oncology
Oncologist
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This means he is having colon cancer but seems to be very early stage so no treatment will be required after surgery but send me the post op histopathology report. [Automatically added by Lybrate] Click "Consult Dr. Sanjaya Mishra" below to consult privately with the doctor.

Hello, My Father he was suffering from blood cancer last one month. In bone marrow report influence are found: "Acute lymphatic leukemia" can anybody suggest me what i do. Patient in Allahabad.

MD - Radiothrapy, DNB
Oncologist
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Relatively good prognosis but requires intense treatment for a month with a lot of blood and blood products

Doctor said it is normal. I do not have symptoms. Why to check for psa? What is the normal size of prostate? At 25age. All men have different size or same?

FMAS, MS
General Surgeon
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Doctor said it is normal. I do not have symptoms. Why to check for psa? What is the normal size of prostate? At 25age...
No psa required dear. Normal size of prostate at 25 is around 25-30 mg almost same in majority of same age yes gradually increases with age very slowly dear thanks regards.

My mother has a lump in her left chest since one year ,could you suggest what kind of test should be done to know weather it is normal or any other problem. And recently she has undergone a gynaecological surgery for uterus removal just one week before.

B.E (Computer Sc. & Engg.), Advanced Strategic Management (APSM), Ayurveda (I) Cert., Doctor of Natural Medicine (N.D/ N.M.D), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Clinically Relevant Herb-Drug Interactions (CME) (Cine-Med Inc. USA), PhD (A.M) (Oncology) Scholar.
Alternative Medicine Specialist
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Hi lybrate-user, I appreciate you seeking help for your mother. Well, I would advise that her lump be clinically examined by her OB/ GYN at the earliest. Post examination, her OB/ GYN may ask for further diagnostics including a mammogram / biopsy should it require. Post an accurate diagnosis only, further treatment as appropriate can be given. Hope this helps. Do take care and all the very best. Sincerely,
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