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Dr. Shubhankar Deb

Oncologist, Kolkata

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Dr. Shubhankar Deb Oncologist, Kolkata
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Shubhankar Deb
Dr. Shubhankar Deb is a renowned Oncologist in 24 Parganas, Kolkata. He is currently associated with Dr.Subhankar Deb Chamber in 24 Parganas, Kolkata. Book an appointment online with Dr. Shubhankar Deb and consult privately on Lybrate.com.

Lybrate.com has top trusted Oncologists from across India. You will find Oncologists with more than 39 years of experience on Lybrate.com. You can find Oncologists online in Kolkata 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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Dr.Subhankar Deb Chamber

Kolkotha oncology clinic,Sai harish mukargee road,opp to PG hospital,Gurudwara, KolkataKolkata Get Directions
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C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Say no to FNAC in prostate cancer

Over 95 percent of malignancies arising in the prostate are adenocarcinoma. The remaining types include urothelial carcinoma, basal cell carcinoma, small cell carcinoma, lymphoma and sarcomas.

Core needle biopsy of the prostate is used to determine whether or not cancer is present in men with an elevated serum PSA level and/or an abnormal digital rectal examination.

The recommendation is to take multiple core biopsies under transrectal ultrasound guidance.

Primary diagnosis of prostate cancer by using fine needle aspiration is not acceptable.

When positive, the combined Gleason score, based upon architectural features of the prostate cancer cells, should be reported because it correlates closely with clinical behavior and has been incorporated into the tumor node metastasis (TNM) prognostic group staging system.

One should also report number of positive cores, the percentage (or length) of cancer in the positive core, the presence of perineural invasion or extraprostatic extension, and the presence of histologic types other than conventional adenocarcinoma.

The accuracy of pathological diagnosis of prostate cancer can be improved by using immunohistochemistry markers.
5 people found this helpful

I am having frequent urination say every ten minutes mostly in the morning hours. I am a diabetic but under good control.I had done x-ray of prostrate also but no enlargement is seen. I am 55 years male. Please advise what should I do?

MD-Dermatology, MBBS
Sexologist, Pune
Please contact and discuss in details regarding your related problem at private questions by request and payment of Rs.100 through Lybrate/ contact email drrameshm2@gmail.Com/on androide Lybrate app. Mob 09822006427. For your complete health solution.Dr.Ramesh Maheshwari Sexologist Pune.
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Acute Promyelocytic Leukemia - What Should Be Done In Such A Case?

MBBS, MD - Radiotherapy, DM - Medical Oncology
Oncologist, Hyderabad
Acute Promyelocytic Leukemia - What Should Be Done In Such A Case?

There are more than hundred varieties of blood cancer, but the most common ones are leukemia, lymphoma, and myeloma. Acute myeloid leukemia (AML), a type of leukemia, is when the white blood cells in the marrow begin to grow uncontrollably. This is an acute condition and both the onset and progress are very rapid. The cause is not known, and given the rapid progress, even treatment is often difficult. A more severe form of AML is the APML which is acute promyelocytic leukemia, which leads to reduced number of white and red blood cells and plasma.

This causes the following symptoms:

  • Anemia
  • Increased incidence of infections
  • Excessive bleeding from even minor cuts
  • Bleeding from nose and gums
  • Easy bruising
  • Blood in the urine
  • Extreme paleness and tiredness

What is different about APML?

There is one distinguishing factor with APML, which is that they contain a protein which when released into the bloodstream can cause severe bleeding, which may be very difficult to control. Chemotherapy kills these cells and so releases the proteins into the bloodstream. These cells need to be managed without chemotherapy, as the patient can even die of uncontrolled bleeding. With medical advances, two non-chemotherapy agents have been identified – all-trans retinoic acid (ATRA, vesanoid, or tretinoin) and arsenic trioxide (ATO or trisenox).

  1. ATRA: This is a type of vitamin A which is used either alone, in combination with chemo, in combination with arsenic trioxide, and also in combination with both chemo and arsenic trioxide. The effect is different in different people – helps control spread, helps prevent recurrence, and helps control symptoms. In many people, it has been successfully used instead of chemotherapy. ATRA is also used as a long-term maintenance agent. Side effects from ATRA include fever, dry skin, rashes, mouth sores, increased cholesterol, and swollen feet. These go away with stoppage of the drug.
  2. ATO: Arsenic is poisonous when given in large amounts. However, it was discovered that it could be used to treat APML with effects similar to ATRA. It is used alone, in combination with chemotherapy, with ATRA, or with both. It helps control the growth of cells and also helps in long-term maintenance therapy. ATO dosage needs to be monitored as it can cause heart rhythm issues.

With both these drugs, there is a significant side effect, known as differentiation syndrome - symptoms include fever, breathing difficulty. Often seen during the first cycle of treatment, this happens when the leukemia cells release a protein into the blood. Symptoms include fever, breathing, kidney damage, and severe fluid buildup. With these two drugs being widely used effectively, chemotherapy is not the only treatment option for APML. In case you have a concern or query you can always consult an expert & get answers to your questions!

2873 people found this helpful

Treating Lumps and Pain in Breasts of Women

Membership of the Royal College of Surgeons (MRCS), MS - General Surgery, MBBS
General Surgeon, Mohali
Treating Lumps and Pain in Breasts of Women

Feeling a lump on your breasts can be a terrifying moment. 'Cancer' is the first thing that comes to mind but in reality, most lumps in the breast are not caused by cancer. Apart from cancer, breast lumps can be caused by non-cancerous growths, injuries and infections. The only way to correctly diagnose the cause of a lump in the beasts is through a biopsy. Hence, this is the first step towards treating a breast lump. From here on, treatment will depend on the cause identified.

Mastitis or Breast Infection

Mastitis is a painful infection of the breast tissue often faced by women who are breastfeeding. It can be treated with heat treatment and antibiotics. Massaging the breast while taking a warm shower or applying a warm compress. This will open up the milk ducts and should be followed by nursing the baby or using a breast pump to relieve the swelling and pain.

Abscess

Antibiotics are the first line of treatment against an abscess but this is effective only if given in the initial stage of the infection. In later stages, an abscess will need to be surgically drained.

Fibroadenomas

This is a non-cancerous tumour often found in young women. It is often difficult to distinguish between a Fibroadenoma and a cancerous tumour and hence these are usually surgically removed.

Fibrocystic Changes

In some cases, the breast itself is composed of knotted, rope like tissue. This is known as having fibrocystic breasts. If a new lump presents itself on fibrocystic breasts, a mammogram and an ultrasound are performed to evaluate the lump. In most cases fibrocystic changes do not require any medication or surgery.

Breasts Cysts

Cysts can be defined as fluid filled lumps. In some cases, these cysts become apparent at the time of ovulation and disappear after the period. In other cases, it may need to be drained with a thin needle. Cysts often recur and need to be re-drained.

Fat Necrosis and Lipoma

Fat necrosis is a lump caused by an injury to the fatty tissue in the breast. Lipoma is a fatty growth within the fatty tissue. In both these cases, no treatment is required but if it causes any problems, it can be removed.

Breast Cancer

If the biopsy reveals the presence of a cancerous tumour, you must immediately consult an oncologist. Treatment options for breast cancer include chemotherapy, radiation, surgery and hormone treatment.

3639 people found this helpful

Sir, I got buckle cancer and got operation and radiation, after radiation I am not able to open the mouth. Even one finger is also not going, I have shown other oncology he say they is symptoms in tones even uncle in lips also. What to do I am not able to open the mouth to see my self. Can I go for biopsy. And how can I open the mouth. Please help me.

Registrar In Surgical Oncology, Fellowship In Gynaecologic Oncology, Masters In Advanced Oncology, Fellowship In advanced laparoscopy and robotic surgery, Fellowship In Gastrointestinal Oncology, Fellowship In CRS and HIPEC, Fellowship In PIPAC
Oncologist, Mumbai
The patient has what is called as severe trismus. You need to start physiotherapy for the same. There is a device called jaw stretching key which helps in mouth opening. There is a device called fibreoptic bronchoscope or laryngoscope which helps to examine the mouth in such cases. If the trismus is very severe he may need to undergo surgery for release of this trismus
11 people found this helpful
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My father 68 years had testicals opt, after confiming the advance prostate cancer, he is taking caluran 50 mg 3 times daily, is it correct, and what are its side effects.

MD - Oncology
Oncologist, Hubli-Dharwad
Caluran dose is 50 mg once daily if its still not reliefed then shift hormonal therapy to gnrh analogue goserelin.
1 person found this helpful
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I am having liver cancer and now I am under nuclear injection medication. But I don't feel like eating anything. Please help me out with it .i am even loosing my weight constantly.

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), PG Diploma In Clinical Counseling, PG Diploma In Oncology & Haematology (A.M), Ayurveda (I) Certification, Clinically Relevant Herb-Drug Interactions (CME) (Cine-Med Inc. USA), Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Certificate Course in Homeopathic Oncology
Alternative Medicine Specialist, Bhubaneswar
Hi , I appreciate you seeking help. Well, weight loss, weakness, anorexia, ascitis, edema etc all are seen in liver cancer. Your low appetite, and hence the associated weight loss, may be because of the side effect of present medication as well. You can check with your oncologist / physician on the same too. In general, however, I would advise that you try having multiple small meals than three larger ones. Should your health permit, you can also go for some gentle yet safe exercises (like walking) which is likely to help too. Try have healthy and balanced meals that suit your taste, and also have it in a relaxed environment. You may listen to music or watch your favorite TV program while taking your food. You can connect with me with all relevant diagostics & treatment history to help you out specifically with safe natural medications that can ameliorate your present heath concerns. Hope this helps. Do take care, and all the very best. Sincerely,
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I am suffering from hodgkin lymphoma and going through chemotherapy. Please give me some guidelines.

MD - Radiothrapy, MBBS
Oncologist, Pune
Generally the treatment of Hodgkin's Lymphoma is Chemotherapy for 4 to 6 cycles followed by Radiation if indicated. Chemotherapy is generally given once in every 2 weeks as day 1 and day 15 which forms 1 cycle. You will need to do PET CT in between to reassess the response to treatment. Please consult online for more information. Thanks.
3 people found this helpful
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My wife's skin under the breasts becomes reddish-type. There is no itching, but the reddishness increases in case of more sweat, and hot weather. She has tried candid powder, but it does not get fully cured, and comes back as soon as she stops. What should she do to cure it?

MBBS, MS - General Surgery, MRCS (Edinburgh), Fellowship In Breast Surgery, Fellowship In Onco-plastic Breast Surgery
Oncologist, Gurgaon
Sorry to hear about your wife's problem. This is commonly seen during the summer months and occurs due to increased sweating. It is also common in patients who wear under-wired bra's. Although it can be a common infection but because it is not getting cured, I would strongly urge you to get an ultrasound of the breast done to rule out a lump or any other condition. If your wife is pregnant, please make sure that you get an ultrasound and not a x-ray mammogram (because of radiation exposure).
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