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Dr. Srinivas Prasad Perla

MBBS, MS - General Surgery, MCh - Surgical Oncology

Oncologist, Hyderabad

29 Years Experience  ·  500 at clinic
Dr. Srinivas Prasad Perla MBBS, MS - General Surgery, MCh - Surgical Oncology Oncologist, Hyderabad
29 Years Experience  ·  500 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Srinivas Prasad Perla
Dr. Srinivas Prasad Perla is a renowned Oncologist in Lingampally, Hyderabad. Doctor has over 29 years of experience as a Oncologist. Doctor is a qualified MBBS, MS - General Surgery, MCh - Surgical Oncology . Doctor is currently practising at American Oncology Institute in Lingampally, Hyderabad. Don’t wait in a queue, book an instant appointment online with Dr. Srinivas Prasad Perla on Lybrate.com.

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Education
MBBS - Gandhi Medical College, Hyderabad - 1988
MS - General Surgery - Osmania Medical College, Hyderabad - 1997
MCh - Surgical Oncology - Cancer Institute (WIA), Chennai - 2007
Awards and Recognitions
Prof. Snehalatha Endownment GOLD MEDAL in Oncology of MASTER OF CHIRURGIE Examination (M.ch)
Paper Resection of upper Aero Digestive Tract for locally advanced thyroid cancers in UICC

Location

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American Oncology Institute

1-100/1/CCH, Nallagandla, Seri Lingampally Landmark : Near Aparna SarovarHyderabad Get Directions
500 at clinic
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I have read an article regarding cancer that plastic is the main cause of Cancer, is that true?

DNB, MBBS
Oncologist, Faridabad
Dear sir, plastics when burnt or heated produces fumes, chemicals and byproducts that are carcinogenic, so they may be one of the factors causing cancer but can't say that they are main reasons as there may be multiple other reasons like lifestyle, lack of exercise, junk fatty food, hormonal imbalance, tobacco, radiation exposure, pollution, pesticides, industrial affluent inheritance that may cause cancer.
11 people found this helpful
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How does cancer occurs? How can we identify the cancer. What are the precautions taken to prevent from cancer?

Ex Sen.V.Surgeon/Research Scientist, M.D.(Alternative Medicine/tibetan/chinese/acupuncture), Vaida/ Unani, Homeopath
Unani Specialist, Moga
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. Are other causes. Prevention;;-- you can prevent cancers by avoiding its possible causes. ---------------------------- - hi dear, you can identify cancer by its symptoms/ findings etc. Symptoms;--generally pain is main symptom but 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.
3 people found this helpful
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Feeling pain in breast on both side and also feel pain in under arms of left side from few months I have examine by self everything is ok but still I feel pain.

MS - General Surgery
General Surgeon, Patan
Its the condition known as andi. No need to worry, use pain killers eg. Paracetamol. You will be fine soon.
1 person found this helpful
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I want to know the full fledge detail about chemotherapy i.e a treatment to cancer.

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
Dear, chemotherapy is oral as well as intravenous. It is the administration of single or multiple drugs by i/v infusion or sometimes by oral route. You need to have premedication before starting chemotherapy.
1 person found this helpful
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Foid to avoid in Cancer patients

Medical officer, BHMS, CGO
Homeopath, Kolkata
1. Eat whole foods

2. Take a daily Probiotic

3. Do not touch added sugar - glucose or High Fructose Corn Syrup

4. Avoid mass market cows´ dairy (unpasteurised milk from grass fed cattle does, however, have advantages)
2 people found this helpful

An Overview Of Bone Cancer

MD - Oncology
Oncologist, Hubli-Dharwad
An Overview Of Bone Cancer

Bone cancer is a cancerous tumour in the bone, destroying the normal bone tissues. Tumours on bone tissues are not always cancerous or malignant, they are mostly benign. Primary bone cancer is when the malignant tumour begins to form in the tissues of the bones, but when these cancerous cells spread to other body parts like breasts, prostate or lungs, it is called metastatic cancer. Primary bone cancer is less common than metastatic cancer.

Bone cancer can be of three different types:

  1. Osteosarcoma: In this case, the malignant tumour arises from the osteoid bone tissue. This occurs mainly in the upper arm and knee areas.

  2. Chondrosarcoma: In this case the cancerous cells form in the cartilaginous tissues, causing a lot of pain. This occurs mostly in the pelvic area.

  3. The Ewing sarcoma generally arises in the bone but it can also form in the soft tissues. Other kinds of soft tissues affecting cancerous cells are known as soft tissue sarcomas.

Causes-

There aren’t many clear defined causes; however, several factors have been identified by researchers.

  1. Osteosarcoma is seen to occur more frequently in people who have been through a high external radiation therapy dose.

  2. In people who have frequently been treated with anticancer medications, children tend to be most affected.

  3. Heredity may be an adding cause, although the percentage of hereditary transfer of cancer cells is very low.

  4. People with hereditary bone defects or implants have a higher chance of acquiring bone cancer.

Symptoms-

The most common and saddening symptom of bone cancer is painful, although not all bone cancers cause pain. Unusual or persistent swelling or pain around a bone maybe a red flag for bone cancer. In case of a situation like this, immediate doctor’s opinion is required.

Diagnosis-

Usually, diagnosis of a bone cancer can be made using X-rays; for example, a bone scan, a computed tomography scan, a magnetic imaging procedure—positron emission tomography, and an angiogram. Biopsy and blood tests are also helpful in bone cancer diagnosis.

Treatment-

The size, location and stage of cancer, age, and health of the person decide the kind of treatment that should be given to the patient. Various treatment options include chemotherapy, radiation therapy and cryosurgery.

Survival-

The combined survival rate of all sorts of bone cancers is 70%. This percentage may vary with the type of bone cancer and also its stage.

14 people found this helpful

I am 74 years male, have some prostate enlargement; with the result frequent urinate in night especially during winter. Summer is not much problem for urinating. I also have problem of large sneezing. I have no sugar problem and my bp ranges from 135 to 150. Can you suggest simple home made treatment for this.

DNB, MBBS
Oncologist, Faridabad
I am 74 years male, have some prostate enlargement; with the result frequent urinate in night especially during winte...
Sir prostate enlargement can be benign or malignant. It needs evaluation by serum psa levels, sonography, and transrectal multiple core biopsy for confirmation. If it is benign can be started on some medications or else treatment as per the diagnosis.
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I hav blood cancer leukemia pre all nd my chemo is going on what food should I take.

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. What chemotherapy are you presently on? as regards diet, it is better to include more of leafy greens, fresh fruits, whole grains etc all, in general. Restrict flesh intake, if any, to more of fresh water fishes, 3 to 4 servings max in a span of 2 weeks. Over and above, one can take lean meat like chicken, egg whites etc all, preferably in soup form. This shall be nutritious and help fight cancerous cachexia, if any. It is important that one stays well hydrated, and consume at least 8 to 10 glasses of clear fluids daily. Dairy products, salt, sweets and other high calorie food stuffs including fast foods etc all are best avoided. Hope this helps you stay fit over your course of chemotherapy. You can follow the above-mentioned in general unless your consulting physician/ oncologist has any specific reservations/ advisory in this regard. Do take care, and I wish you all the very best and a speedy recovery.
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How Laser Prostate Surgery Is Performed?

MBBS, MS - General Surgery, DNB
Urologist, Bangalore
How Laser Prostate Surgery Is Performed?

One of the most common problems faced by ageing men is benign prostatic hypertrophy. Prostate is the gland at the base of the urethra near the bladder and when it enlarges it can lead to symptoms, mostly related to urination.

1. Frequent urge to pass urine
2. Prolonged urination
3. Frequent nocturnal visits to the toilet
4. Intermittent urination
5. Difficulty to start urinating
6. Inability to completely empty the bladder
7. Urinary tract infections

There are medications available to manage this, but offer only temporary relief. Many men therefore prefer to have the surgery undergone to manage these bothersome symptoms. However, like any surgery, the risks and benefits need to be considered along with other conditions like age, overall health status, other comorbid conditions, etc.

Surgical removal of the enlarged prostate gland is a more definitive approach to manage these symptoms. In addition to providing a quick cure, it also is used in the following cases:

1. Patients who do not respond to medications
2. Presence of blood in the urine
3. Associated bladder stones
4. Frequent infections of the urinary tract
5. Associated damage to the kidneys

Procedure of Surgery
During the procedure, a tube is passed through the tip of the penis into the urethra towards the bladder neck. Once it is in the desired position, laser is passed through it to deliver energy that acts on the prostate to either completely or partially destroy it. There are two methods by which laser acts on the enlarged prostate and making way for free flow of the urine.

1. Ablation: Excess prostate tissue is melted away by the laser by using photosensitive vaporization of the prostate. This is also known as Greenlight laser therapy or KTP laser vaporization. Alternately, Holmium can be used as the source of laser energy to ablate the prostate tissue.

2. Enucleation: Excess prostate tissue is cut and teased out through the urethra. Holmium laser is used to resect the prostate into smaller pieces, which are then removed out through a resectoscope. Another technique uses a tissue morcellator which grinds the enlarged prostate into smaller pieces to enable easy retrieval.

More men now opt for laser prostate removal as it has the following advantages:

1. Reduced risk of bleeding: This becomes essentially important in patients who are on blood thinners.
2. No hospitalization: This can be done either as an outpatient or with minimal one day stay at the hospital
3. Immediate symptom relief: As compared to medications, the relief is felt almost immediately after the surgery
4. No catheter: With laser surgery, a catheter may be required for less than 24 hours unlike in open surgical cases.

As noted above, as with any surgery, once enlarged prostate symptoms set in, have a detailed discussion with your doctor to identify if you are a suitable candidate for laser surgery.

Hi I am 50 year old female with a history of breast cancer and taking tamoxifen 20 mg daily for past 4 years. December 2015, I took an abdomen scan and the endometrial thickness was 8 mm. But last week july 2016 the thickness increased to 14 mm. Am I having cancer of endometrium? Other symptoms for the cancer are missing. Should I go for an Hysterectomy? Please advice.

Membership of the Royal College of Surgeons (MRCS), MS - General Surgery, MBBS
General Surgeon, Mohali
Mam, nothing to worry. This is a common side-effect of tamoxifen. It is usually associated with heavy bleeding. If you do have bleeding please get a d & c done by a gynaecologist. Please have regular follow-ups for cancer breast. All the best-you will do well. Regards.
1 person found this helpful
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Head & Neck Cancer - Know Everything about it!

MBBS, MS - ENT
ENT Specialist, Chennai
Head & Neck Cancer - Know Everything about it!

Head and neck cancers usually start in the squamous cells and are also referred to as squamous cell carcinomas of the head and neck. It occurs in the nose, throat, mouth and salivary glands. Head and Neck cancers are further classified into various categories on the basis of the area of the neck and head where they occur. Although head and neck cancers are different, they both occur inside the mouth, sinuses, nose, salivary glands and throat, which are considered as a group.

Salivary gland cancers are generally very infrequent. An assortment of cancer causing cells is present in salivary glands, so various types of salivary gland cancers have been found to occur.

Causes

If you are habituated to consuming tobacco and alcohol, then you are at the highest risk of suffering from head and neck cancer; however, it can also be caused in people who suffer from infections caused by human Papilloma virus. Other factors may include:

  1. Oral health- Untreated gum diseases and oral cavity can be the reasons behind the development of the disease.
  2. Sex- Women are less prone to head and neck cancers than men.
  3. Lack of Nutrition- If your body is lacking in certain nutrients; you are more likely to catch the disease.
  4. Age- People above 40 years of age are more susceptible to head and neck cancer.

Symptoms-

  1. Difficulty in swallowing- Inflammation and pain in throat, leading to a problem in swallowing.
  2. Hoarse Voice- Hoarseness or change in the voice.

Apart from this, there are some symptoms which show up in a specific area of your head and neck, such as:

  1. Oral Cavity- A red or white patch on the tongue, the gums or the lining of the mouth.
  2. Pharynx- Trouble in breathing and swallowing followed by a frequent headache.

Treatment

  1. Surgery- Surgery is usually to remove the primary tumour in toto or as much as feasible. Also, clearence of the lymph nodes that are involved is done during surgery at the same time.
  2. Radiation Therapy- Radiation therapy is considered where functions like speech can be conserved.
  3. Chemotherapy- Radiotherapy in combination with chemotherapy can help, if you are suffering from a more advanced form of head and neck cancers. If you wish to discuss about any specific problem, you can consult an ENT specialist.
2435 people found this helpful

My husband had thrombosis in neck and was given heparin inj for fifteen days bd but now his platelet count comes down to 131000 which is lower than normal. Shall he stop taking inj or continue. He is undergoing chemotherapy for mediastinal seminoma. please give suggestion.

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
Dear lybrate-user, this much platelet count is not harmful. If your doctor advises further injections you should continue to have them. To dissolve the clot.
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I have a bad habit of chewing my chicks and lips from very childhood. There are no permanent ulcer for this inside my mouth. But a white bump like has formed in my lower lip horizontally. Is there any possibility to cancer regarding this?

M.Ch - Surgical Oncology, MS - General Surgery, MBBS
Oncologist, Delhi
I have a bad habit of chewing my chicks and lips from very childhood. There are no permanent ulcer for this inside my...
At worst it may be a precancerous lesion. But better get it checked by an ent specialist and if need be, get it biopsied.
2 people found this helpful
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What is the symptoms of cancer and AIDS. What kind of medicine will be good for that disease. Please help me.

MBBS
General Physician, Mumbai
Symptoms of AIDS- If CD4 count is with in normal limits than the person is asymptomatic and if the level is low than there can be lymphadenopathy and secondary infections which have their own symptoms Symptoms of cancer- Unexplained weight loss and loss of appetite with organ specific symptoms
1 person found this helpful
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All About Cervical Cancer

CCT, DMAS, Royal College of Obstetricians and Gynaecologists (MRCOG), MD - Obstetrtics & Gynaecology, DNB, MBBS
Gynaecologist, Chennai
All About Cervical Cancer

Cervix is the tissue that connects the vagina and the uterus and is an important part of female reproductive system. Cervical cancer like any other form of cancer refers to an abnormal growth of cells on the cervix, one that if undetected at the initial stages, can involve tremendous complications which are often fatal. It is one of the most common ailments that women suffer from, making it only more important to be taken seriously and treated immediately.

Some of the visible symptoms of this ailment are:

  1. Abnormal bleeding from the vagina: Though menstruation is a natural occurrence in a woman's life, often times you can suffer from abnormal bleeding from the vagina, which may precede, succeed or occur between periods. Such abnormal bleeding is symptomatic of cervical cancer and you must visit a doctor immediately.
  2. Pain in the abdomen: In case you are suffering from cervical cancer, clear signals will be given by your body indicating that. One such signal is a nagging pain in the abdomen or in the pelvis. Though it may appear harmless, you must not treat it lightly and consult a doctor as soon as possible.
  3. Excruciating pain during periods: Experiencing pain during periods is a matter of such compliance that it seldom raises any concern. However, in certain cases the pain may be more than what you generally experience. In such a situation, it must not be dismissed entirely rather must be consulted with a doctor.

Diagnosis:
The most common test is used to diagnose cervical cancer is known as a pap test. In this particular examination, a sample of cells from your cervix will be taken by the doctor for examination. If the inference is reliant on the normal or the abnormal growth of these cells, the latter confirming the onset of the ailment.

In spite of being an extremely lethal ailment, over the years various treatments have evolved that successfully deal with this problem. Some of them are:

  1. Surgery: One of the effective and oft availed of treatment to treat cervical cancer is a surgery. Depending on the stage on which the disease is detected, doctors may suggest for a hysterectomy or removing the pelvic lymph nodes.
  2. Chemotherapy: This has emerged as the most sought after way of treating any form of cancer. The abnormal growth of cells that triggers cancer in the first place is deterred in this method by administering drugs to kill destroy them.
4050 people found this helpful

I am 44 years old woman. I am feeling very slight pain in my left breast on left side. It is not regular pain. If I touch it while changing my cloths or sleep on the left side. Please suggest is there any problem.

Diploma In Postpartum Depression, Formerly , House Job , Gynecology, MBBS
Gynaecologist, Delhi
I am 44 years old woman. I am feeling very slight pain in my left breast on left side. It is not regular pain. If I t...
First of all do a self examination of both your breasts and check for nodularity and mass. If doubtful go for mammography of breasts.
1 person found this helpful
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