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Dr. Akshay Shah  - Oncologist, Mumbai

Dr. Akshay Shah

MBBS, DNB & Fellowship in Medical Oncology & Hematology

Oncologist, Mumbai

15 Years Experience  ·  1300 at clinic
Dr. Akshay Shah MBBS, DNB & Fellowship in Medical Oncology & Hematology Oncologist, Mumbai
15 Years Experience  ·  1300 at clinic
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Personal Statement

Dr. Akshay Shah received his certification in Medical Oncology and completed his fellowship in Stem Cell Transplantation from Washington, Seattle. His areas of interest include paediatri......more
Dr. Akshay Shah received his certification in Medical Oncology and completed his fellowship in Stem Cell Transplantation from Washington, Seattle. His areas of interest include paediatric and haemato-oncology.
More about Dr. Akshay Shah
Dr. Akshay Shah is a popular Oncologist in Mumbai, Mumbai. He is currently associated with Raheja Hospitals in Mumbai, Mumbai. Book an appointment online with Dr. Akshay Shah on Lybrate.com.

Lybrate.com has an excellent community of Oncologists in India. You will find Oncologists with more than 43 years of experience on Lybrate.com. You can find Oncologists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MBBS - MGMMC, Navi Mumbai - 2002
DNB & Fellowship in Medical Oncology & Hematology - NBE - New Delhi - 2006

Location

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Raheja Rugnalaya Marg, Mahim (W)Mumbai Get Directions
  4.3  (645 ratings)
1300 at clinic
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My problem is cancer I try many of tablets but not recover well so what can I try?

DNB, MBBS
Oncologist, Faridabad
Cancer is not treated by taking various tablets. You must get complete work up done and after that according to site stage, histopathology treatment can be surgery, chemotherapy, radiotherapy etc.
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How can we know that if that person is suffering from cancer. please provide some symptoms. As he is suffering from sugar already.

DNB, MBBS
Oncologist, Faridabad
Cancer is abnormal uncontrolled growth of cells Leading to symptoms like palpable lump or lymphadenopathy, Ulceration which doesn't heal, bleeding from Anywhere, weight loss, fever weakness, difficulty in swallowing, change in voice, difficulty in passing motions etc.
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What is symptoms of blood cancer. How to protect from it. And what are solution for it.

MD Radiation Oncology, ESMO Certified Medical Oncologist, DM Medical Oncology (Pursuing)
Oncologist, Mumbai
Blood cancer is a wide term and includes various types of leukemias. The common symptoms include repeated infections and severe weakness. Some may have enlarged spleen causing a swelling in left side of upper abdomen. Due to reduced platelets, there may be bleeding from different parts of the body including bleeding from nose and with stool. Hemoglobin is usually reduced severely. The treatment includes chemotherapy and in some cases, bone marrow transplantation. Some blood cancer like cml requires oral treatment. Maintaining healthy life is the only thing which can be done to protect from all sorts of cancer.
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Since few days a nerve bump like structure occur in her hand something like tumour. I'm very upset. What is this? Does cancer can occur in hand also? Please suggest me.

DNB, MBBS
Oncologist, Faridabad
Dear mam it could be schwannoma or ganglion, usually benign and can be excised. There can be malignant tumours as well in hand like skin cancers, fibrosarcoma or bone tumours. Most likely the one you are suffering from may be benign and can be observed or excised, but once you show it to a clinician to be really sure.
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I am 27 years old married woman. I am feeling pain in my left breast for almost 3 months. Have visited gen, Physician already.

MBBS, M S General Surgery ,
General Surgeon, Chandigarh
Hi this is very common at your age if you feel a lump in your breast then it could be benign fibroadenoma but I will advice that you must go for ultrasound of both breasts done and send me the report don't worry take care.
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How to massage my cheek after surgery to remove a tumor in initial stage of cancer now removed by surgery.

DNB, MBBS
Oncologist, Faridabad
how massage will remove tumors. Massage may be a part of post op physiotherapy maybe otherwise there is no relation.
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How can I identify blood cancer? What are the controlling measures to prevent this?

DNB, MBBS
Oncologist, Faridabad
Blood cancer is caused by abnormal growth of one of the component of blood causing suppression of others. Hence leading to symptoms like prolonged fever, anaemia, bleeding, bone pains. Etc. There is no specific prevention except for to save from known carcinogens and undue exposure to radiation. Routine blood check up helps in identifying it.
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Hello Doctor, My sister is 18 year old she has a left arm lymph node. I get her to 2-3 doctors and they tested blood and tissue cells as well before 2 years and result was normal. She felt pain sometimes in that lump. Please help me what should I do now? Is everything normal ot I need to worry.

MBBS, DNB ( Radiation Oncology)
Oncologist, Mumbai
Hello Doctor, My sister is 18 year old she has a left arm lymph node. I get her to 2-3 doctors and they tested blood ...
It is nothing to worry. Sometimes this happens. There can be variation in pain with menstrual cycle as well. You have nothing to worry!
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I am suffering by AVN (avascular necrosis) followed by excessive steroids-dexamethasone (in chemotherapy treatment for breast Cancer in my left breast) since last three years, taking homeopathic remedies such as Calcareous Hypophos, but still to much pain & my bone shape is changed. please suggest me better remedies.

C.S.C, D.C.H, M.B.B.S
General Physician,
Avascular necrosis (AVN), also called osteonecrosis, aseptic necrosis, or ischemic bone necrosis, is a condition that occurs when there is loss of blood to the bone. Because bone is living tissue that requires blood, an interruption to the blood supply causes bone to die. If not stopped, this process eventually causes the bone to collapse. Avascular necrosis most commonly occurs in the upper leg. Other common sites are the upper arm, knees, shoulder, and ankles.The goals of treatment for AVN are to improve or ensure function of the affected joint, stop the progression of bone damage, and reduce pain. The best treatment will depend on a number of factors, including: Your age Stage of the disease Location and amount of bone damage Cause of AVN If the cause of your avascular necrosis is identified, treatment will include efforts to manage the underlying condition. For example, if AVN is caused by blood clots, your doctor will prescribe medications to dissolve clots. If inflammation of the arteries is responsible, your doctor may prescribe anti-inflammatory medicines. While these nonsurgical treatments may slow the progression of avascular necrosis, most people with the condition eventually need surgery. Surgical options include: Bone grafts, which involve removing healthy bone from one part of the body and using it to replace the damaged bone Osteotomy, a procedure that involves cutting the bone and changing its alignment to relieve stress on the bone or joint Total joint replacement, which involves removing the damaged joint and replacing it with a synthetic joint Core decompression, a procedure that involves removing part of the inside of the bone to relieve pressure and allow new blood vessels to form Vascularized bone graft, a procedure that uses the patient's own tissue to rebuild diseased or damaged hip joints; the surgeon first removes the bone with the poor blood supply from the hip and then replaces it with the blood-vessel-rich bone from another site, such as the fibula, the smaller bone located in the lower leg.
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I am suffering from an enlarged prostate (36 cc) since about an year. I am a 63 yr. Old married male living in Ghaziabad. Canyon advise the Ayurvedic treatment. Regards Vijay Kumar Aggarwal 9868805168.

MS - General Surgery
General Surgeon, Kanpur
I am suffering from an enlarged prostate (36 cc) since about an year. I am a 63 yr. Old married male living in Ghazia...
this much enlarge prostate is not a big problem, what are the symptoms patient have is important if you problem with that you need treatment otherwise not, and you need to do urine R/M and urine C/S and serum PSA to be done.
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C.S.C, D.C.H, M.B.B.S
General Physician,
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 29 years old and 30 weeks pregnant you have small painless lump in my right breast since 5 yrs. Will it be safe to feed breast to baby?

M.Ch - Surgical Oncology, MS - General Surgery, MBBS
Oncologist, Delhi
Yes, but I would recommend a few tests for the lump, to be absolutely certain of the nature of the lump.
3 people found this helpful
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After the operation of brain cancer, there is any chance of further occurrence of brain cancer in same region again.

MD - Radiothrapy, DNB
Oncologist, Mohali
Mostly the tumor is an astrocytoma grade 1 won't recurr, grades2-4 do however recur chances of recurrence depend on the volume of tumor removed mathematically comparing preoperative mri and the surgical excised volume sent for hpe.
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I am 23 years old female ,height 5 feet and weight is 45 kg approx. From the last few days when I sleep I feel pain in my right side breast and now when I touched my breast I feel that there is something hard in my breast .kindly suggest me the cause and prevention of this problem and which particular doctor should I consult?

MBBS, M S General Surgery ,
General Surgeon, Chandigarh
hi this is very common in ur age group. . This is called as AND I. . It will resolve on its own...but first get u r USG of both breasts. .
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I am 26 years female married for 1 and half years. 8 years back when I was 17yr old I had undergone chemotherapy for gem cell tumour and my left ovary is removed surgically. I had given 6 cycle of chemotherapy totally. 4 cycle before the operation and 2cycle after the operation. Chemotherapy is given as an a injection. Which is a combination of cisplatin (30mg each day in a cycle of 5 days) and etosid (150mg each day in cycle of 5 days). I would like to know what is my chance for being pregnant? does this chemo which I undergone can cause infertility.

MS, MBBS
Gynaecologist, Noida
I am 26 years female married for 1 and half years. 8 years back when I was 17yr old I had undergone chemotherapy for ...
Hello you said yor one ovary is already removed surgically and you recieved chxemotherapy also. Are you getting yor periods regularily? genrally after chemo there are chances of ovarian failured or insufficiency which can be confrmed by usg -tvs and few hormonal tests in case of ovarian failure or insufficiency you can opt for ivf pregnancy with ovum donation
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How Frequently Should a Breast Examination Be Done?

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Noida
How Frequently Should a Breast Examination Be Done?

Breast examination is a way of detecting early changes that help in detecting lumps or other growth in the breast. This is a manual form of examination that may be carried out by the doctor or even by the patient. This kind of examination helps in detecting the onset of breast cancer and helps in successful treatment of the same. It is an essential screening strategy that all women must go through. Let us cast a glance on the various details regarding this examination, and also how frequently it must be conducted.

  1. Age: Women who have reached the age of 18 are said to have matured physically and sexually. They should perform this examination once they have reached the said age in order to detect any anomalies in the way the physical changes occur in the breast tissue.
  2. Procedure: One should begin by looking at one's reflection in the mirror to find any rashes or dimpling in the breasts. The shape, size and colour of the breasts and nipples must also be studied so as to check for any anomalies. Inverted nipples, redness and soreness must also be reported to the doctor. Once you are done checking the visuals, you can raise your arms and look for any changes. Then, you will need to lie down and feel your breasts by using a circular motion. The finger pads must be used in order to check for any lumps. One must start from the centre and move the breasts sideways. Any wet and slippery feeling must be reported to the doctor immediately.
  3. Pressure: During the breast examination, you must use light pressure for the skin and tissue that lie beneath the breasts, while medium to moderate pressure should be used for the middle portion of the breasts. One must use a firm hand to check the tissue that lies at the back of the breasts, near the rib cage. 
  4. Frequency: One must get into the habit of conducting a breast examination at least once a fortnight or once a month, without fail. You can also go to the gynaecologist for an examination in case you are not confident of conducting it on your own with proper movements and accuracy. You may also journalise your breast examination findings.
  5. Menstrual Cycles: When you are going through your menstrual cycle or period, it is important to remember that your breasts can become tender just before or after the start of the cycle. So, do not panic if you think you have found a lump or any other growth at this time. It is best to check again after a week and then visit the doctor about checking the same.
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My prostate gland enlarge 25% I have started medicine daily one bed time eating capsule Amudra Feeling good urine. But my right side of abdomen feeling some wet or some disturb. Any suggestion please Thanks regards.

MBBS
General Physician, Mumbai
My prostate gland enlarge 25% I have started medicine daily one bed time eating capsule Amudra
Feeling good urine. Bu...
We have to examine you for further guidance and till than Avoid spicy food in your diet and Also avoid peanuts and potatoes in your diet
6 people found this helpful
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Sorry to say but you doctors didn't get what I was asking. I am surprised not even a single doctor read question carefully. I only asked home medicine for lycoriya. BrEast and pain and all was symptoms. Every doctor who gave answer was centered on breast enlarge.

FMAS, MS
General Surgeon, Gandhinagar
Cleanliness and drying of area, treatment of anemia and vit a def, stress releaving exercise, pranayam and meditation. Specific treatment includes galo powder + katho powder + haldi powder equal part. 2 tsf bd with honey. Sitting in neem water for 5 minutes or vaginal douse with neem water. Local application of gv is sufficient in case of curd like discharge. Neem water can lead to sterility if used for prolonged period in months. Natural diet like fruits and vegetables - amla - will help. Freez water and cold drinks to be avoided. Cotton cloths will provide air circulation for necessary dry ness. More can be done with help of history and diagnosis. Respected jasvir hope this will help you out in best ways for leucorrhoea. Thanks regards hope for your early & best recovery.
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How to know we are affected with carcinoma cancer? Could you please tell the symptoms.

Ex Sen.V.Surgeon/Research Scientist, M.D.(Alternative Medicine/tibetan/chinese/acupuncture), Vaida/ Unani, Homeopath
Unani Specialist, Moga
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.
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Breast Cancer - Know More to Say 'No' More!

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
Breast Cancer - Know More to Say 'No' More!

Cancer is the abnormal, uncontrolled growth of cells in a particular body part. With continued growth, pieces of this tissue travel through the blood to different body parts and continue to grow in the new area. This is known as metastases. Breast cancer is one of the most common forms of cancer and affects about 1 in 8 women in the USA. Read on to know more details of breast cancer – breast anatomy, causes, symptoms, risk factors, detection, prevention, and of course treatment.

Anatomy: The main function of the breast is lactation through its milk-producing tissue that are connected to the nipple by narrow ducts. In addition, there is surrounding connective tissue, fibrous material, fat, nerves, blood vessels and lymphatic channels which complete the structure. This is essential to know as most breast cancers develop as small calcifications (hardened particles) in the ducts or as small lumps in the breast tissue which then continues to grow into cancer. The spread can happen through lymphatic or blood flow to other organs.

Warning signs/symptoms: The following are some symptoms that need to be watched out for if you have a predisposition to breast cancer.

  1. A lump in either of the breasts or armpits
  2. Change in size, shape, or contour of either breast
  3. Redness of your breast or nipple
  4. Discharge of clear or bloody fluid
  5. Thickening of breast tissue or skin that lasts through a period
  6. Altered look or feel of the skin on the breast or the nipple (dimpled, inflamed, scaly, or puckered)
  7. One area on the breast that looks very different from the other areas
  8. Hardened area under the breast skin

Either one or a combination of these should be an indication to get a detailed checkup done. Early diagnosis results in controlling the disease with minimal treatment and reduced complications.

Causes and risk factors: The exact cause for breast cancer is yet to be pinned down. However, risk factors are clearly identified, and women with risk factors need to watch out for warning signs.

  1. Family history: Of all the risk factors, the family history is the most important. Breast cancer runs in families, and if there is a first-degree relative with the breast cancer, the chances of developing it are almost double. Two genes BRCA1 and BRCA2 are the carriers of the disease, and this testing can be done in women to identify if they are at risk.
  2. Family history of other cancers: Even if there is no breast cancer, if there are other cancers that run in the family, watch out.
  3. Age: Women over 50 are at higher risk of developing breast cancer.
  4. Race: Caucasian and Jewish women are at higher risk of breast cancer than African-American women.
  5. Hormones: Greater exposure to the female hormone estrogen increases the chances of developing breast cancer. Women who use birth control pills for contraception and hormone replacement after menopause are at a higher risk of developing breast cancer.
  6. Gynecologic milestones: Women who have abnormal menstrual milestones need to watch out. These include those who attain menarche before 12 years of age, get pregnant after 30, attain menopause after 55, and have menstrual cycles shorter than 26 days or longer than 29 days.
  7. Obesity and alcohol abuse are also likely to increase a woman’s chances of developing breast cancer.

Stages: Starting from stage 0, higher stages indicate advanced disease.

  1. Stage 0: The growth which has begun in the milk-producing tissue or the ducts has remained there (in situ) and not spread to any other area, including the rest of the breast.
  2. Stage I: The tissue slowly becomes invasive and has begun to affect the surrounding healthy tissue. It could have spread to the fatty breast tissue and some breast tissue may be found in the nearby lymph nodes.
  3. Stage II: The cancer at this stage grows considerably or spreads to other parts. There are chances that cancer may grow and also spread.
  4. Stage III: It may have spread to the bones or other organs but small amounts are present in up to 9 to 10 of the lymph nodes in the armpits and collar bones which makes it is difficult to fight.
  5. Stage IV: The cancer is widespread to far-flung areas like the liver, lungs, bones, and even the brain.

Screening: This is one of the most effective ways to identify the disease in its early stages. This will help in controlling cancer from spreading with minimal treatment.

  1. Self-examination: A thorough self-examination to look for changes in terms of shape, size, colour, contour, and firmness should be learned by all women. Watch for any discharge, sores, rashes, or swelling in the breasts, surrounding skin, and nipple. Examine them while standing and when lying down.
  2. In most women, annual screening mammograms are advised after the age of 40. However, in women who have a strong family history or genetic makeup, it is advisable to have screening mammograms starting at age 20 every 3 years and then annually from the age of 40.
  3. Women in high-risk categories should have screening mammograms every year and typically start at an earlier age.
  4. Ultrasound screening can also be given in addition to mammograms.
  5. Breast MRI is another way to screen for breast cancer if the risk is greater.

Breast Cancer Prevention: Now that there is so much awareness about causes and risk factors, there are definitely ways to prevent or delay the onset of the disease.

  1. Exercise and a healthy diet with reduced amount of alcohol are definitely effective in minimising the chances of developing cancer.
  2. Tamoxifen is used in women who are at high risk for breast cancer.
  3. Evista (raloxifene) which is used to treat osteoporosis after menopause. It is also widely used in preventing breast cancer.
  4. In high-risk women, breasts are surgically removed to prevent the development of cancer (preventive mastectomy).

Treatment: As with all cancers, treatment would depend on the stage at which it is identified and include a combination of chemotherapy, radiation, and surgery. As noted earlier, if you are at risk, look out for warning signs as early diagnosis is the key to maximum recovery.

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