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Dr. Amish Dalal

Oncologist, Mumbai

Dr. Amish Dalal Oncologist, Mumbai
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Amish Dalal
Dr. Amish Dalal is one of the best Oncologists in Tardeo, Mumbai. You can visit him at Bhatia Hospital in Tardeo, Mumbai. Save your time and book an appointment online with Dr. Amish Dalal on Lybrate.com.

Find numerous Oncologists in India from the comfort of your home on Lybrate.com. You will find Oncologists with more than 38 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.

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Grant Road West Station, Tardeo Road. Landmark: Near Union Bank & Near Swati Restaurant, MumbaiMumbai Get Directions
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What is cancer and Which part of body most effects from cancer? What are pre symptoms of cancer and How to protect of it? What must be do to cancer patient and what never do.

FIAGES, M.Ch - Surgical Oncology , MS- Surgery , MBBS
Oncologist
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Cancer is uncontrolled proliferation of transformed cells in any part of the body. Neoplasm or tumor are used variably to describe any swelling or new growth. Benign growths don’t have potential to spread to other organs or parts of the body while malignancy or malignant growths have uncontrolled proliferation and metastatic potential. Transformation is multistep process with genetic alterations by which normal cells acquire malignant potential, uncontrolled proliferation capacity and capacity to spread to other parts of the body (metastasis) Worldwide cancer is responsile for 1 in 8 deaths. Most Common cancers are: Men Women Prostate breast Lung cervix and endometrium Colorectal lung What Causes Cancer? Cancer is usually multifactorial 1. Age- more in age group >60 years compared to younger age group 2. Obesity- Body mass index >30 3. Tobacco - Cigarette, Cigar, Bidi, Hookah, Smokeless tobacco like gutka, zarda etc. There is no safe form of tobacco. 4. Pan masala and supari 5. Alcohol 6. Ultraviolet rays exposure 7. Radiation Exposure 8. Genetic factors 9. Others- pollution, certain chemicals, infections Prevention of Cancer: 1. Stay away from tobacco products 2. Eat healthy and daily physical activity- fresh fruits and vegetable are good, maintain optimal body weight 3. Be safe in sun 4. Cancer awareness and early detection: alarming signs are (CAUTION)- Change in bowel or bladder habits A sore that will not heal Unusual discharge or bleeding Thickening or lump in the breast, testicles or elsewhere Indigestion or difficulty swallowing Obvious change in a wart or mole Nagging cough or hoarseness 5. Cancer Screening: screening is for healthy individuals with education. Rather than going for unnecessary blind tests, programme for screening should be planned in consultation with your oncologist as requirements are different for different cancers and differs as per age groups and gender. Also screening is not effective in all cancers. Cancer education and awareness is has due importance. Some cancers in which screening has been shown to be effective includes breast, coclon, rectum, cervix, prostate, lung in high risk groups but as mentioned earlier it is planned with participation of both individual and oncologist.
1 person found this helpful

My wife have a lump in left breast but we don't know is this a cancer or not please help me to know whether it is a cancer or simply a lump.

M.S, MBBS
General Surgeon
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As per your question, you are aware that your wife has a lump in her breast. Going by the age, and if there is no family history of having cancer of either breast or ovary, all the probability is that it could be an harmless lump. Nevertheless, it has to be confirmed. It is suggested that you consult a surgeon for further evaluation which includes an Ultrasound of breast (to find out if any additional smaller lumps) and a cytology test if required.

Is my microwave can cause cancer?

DNB, MBBS
Oncologist
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there is no conclusive proof, microwave cooking will not make food carcinogenic, but heating in plastic vessels may produce carcinogens, so please use microwave safe glass container

CANCER [CANCER]

MD - Homeopathy, Certificate in Gynaecology & Obestric, BHMS
Homeopath
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Cancer is the term that is used to describe a wide variety of malignant diseases. It is the second commonest cause of death in the world.


CAUSES:

• The exact causes for cancer is not known.
• It is multi-factorial disease – many factors contribute or predispose this condition.
• Modern diet – increased intake of junk food and decreased intake of fibers and roughage.
• Age, environmental pollutants or social, emotional factors influence the disease.
• Family tendency.
• Exposure to radiations.
• Occupational exposure to pollutants – lung cancer.
• Increased consumption of cigarettes - lung cancer.
• Tobacco chewing – oral cancer.
• Chronic alcoholics – liver cancer.
• Use of contraception, excess sexual freedom, virginity, women with no children – cervical and uterine cancer
• Late marriages, women who have not breast fed there children – breast cancer.
• Non vegetarian diet especially high consumption of meat and red meat.
• Obesity hypertension and diabetes have been seen to be associated symptoms.


SIGN AND SYMPTOMS:

• Most of the time there is no presentation no pain, cancer usually is detected accidentally and by the time it is detected it has spread in the whole body.
• Painless swelling in breast or at the site of cancer.
• Intracranial space occupying lesions can present with fits, severe headaches, vomiting, papilloedema.
• Abdominal lesions can cause constipation.
• Bronchial lesions present with cough & shortness of breath.
• Hemorrhage from various orifices.
• Pain either due to nerve compression or due to distension of an organ.
• There can be deep bone pains or referred pains.
• In terminal cases depression, loneliness & irritability.
• Tumor may cause obstruction affecting ingestion, digestion absorption, malabsorption through secondary intestinal changes.
• Pain, fatigue, depression, Anxiety, Nausea vomiting and diarrhea.
• Taste changes- mouth blindness develops – bitter and sweet thresholds are altered. Patient will avoid chocolate, coffee, tea, red wine, citrus fruits red meat cheese due to altered taste
• Low intake of food can cause severe weakness
• Anorexia.
• Anemia.
• Loss of weight.
• Cachexia.
• Food aversion
• Early satiety
• Loss of body cell mass
• Emaciation- loss of subcutaneous fat and body protein leading to weight loss and muscle weakness.
• Metabolic disorders – altered metabolism of fats, proteins, carbohydrates, glucose, vitamins, minerals and electrolytes.
• Hyperglycemia
• Immunodepression- changes in the function of the immune system.
• Hyponatraemia and Hypercalcaemia
• Acid-base imbalance
• All these symptoms can be exacerbated by cancer treatment like chemotherapy or radiation.


DIETARY MANAGEMENT:

• Give high energy and high protein diet.
• Wide variety of food should be selected to ensure all vitamins and minerals are included in the diet.
– Increase intake of antioxidants like vitamin A, vitamin C, vitamin E, selenium.
• Include Japanese sea vegetables (arame, hijiki, kombu, nori) in diet if available, they are remarkably nutritious.
• Wheat grass juice is recommended – grow wheat grains in a pot – grass comes up in a weeks time so its advisable to plant seven pots so as to have every days supply. Extract juice from these grass and consume twice a day. It helps you to develop immunity and remove toxins from the body.
• Consume ½ cup of bitter gourd every morning. Advisable to add little ginger and turmeric to it. You can also add honey or jaggery to it, to alter its bitter taste if required.
• Daily eat 3-4 mint and basil leaves.
• Have high energy food / drink like sugarcane juice, fats.
• Consumption of sesame seed / oil is advised as it is a very good tonic and has anti-cancer properties.
• During the cancer affections and treatment, there is high demand for energy hence fats are required in high amount. Hence it is recommended to fry food rather than grilling them.
• Vegetarians should increase their consumption of pulses and legumes (peas and beans).
• Consumption of fresh fruits and raw vegetables is advised.
• Milk and milk products should be avoided to those patients with intestinal damage who are also lactose intolerant or those who cannot tolerate, digest or absorb a normal diet in such case liquid supplement formula can be used.
• Multivitamin supplements may be required in case of digestive and metabolic disorders. Should be taken as indicated by your physician.
• Tube feeding can be used in patients who cannot or are unwilling to take food orally.
• Parentral feeding – is considered when there is gastro-intestinal tumors or gastro-intestinal tract is not functioning
Dr Mrs Neeraj Gupta
Gupta Computerised Homeopathic Clinic
9811022908
3 people found this helpful

I am using skinshine cream by cadalic for past more than 1 year so does it cause skin cancer or any harmful side effect. What will be your suggestion about the cream?

MD - Alternate Medicine, BHMS
Homeopath
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I am using skinshine cream by cadalic for past more than 1 year so does it cause skin cancer or any harmful side effe...
Hello, I would suggest you to not to go for such creams so frequently. Yes, it may lead to such disastrous affection later. It is better to avoid all those things at early stage.

Wat are the symptoms of skin cancer?

DNB, MBBS
Oncologist
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skin cancers are of various types, it may present as nodules, ulceration, some times burrowing type of ulcer, melanoma may present as mole increasing in size or changes in colour or texture. any thing that doesn't heal and is prolonged needs biopsy to rule out malignant lesion
1 person found this helpful

My surgical oncologist says radiation therapy is not advised based on the stage 2 of carcinoma medullari. Biopsy of mastectomy breast shows no affected no nodes. 19 nodes are not affected. But clearance is 2mm. Er & pr is -ve. Undergoing herceptine treatment. 6 chemotherapy are done. But radiologist said radiation therapy is must. Kindly advise.

UICC International Fellow in Oncollogy , ESTRO certification in Head and neck oncology, MD - Radiothrapy
Oncologist
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If breast conservation surgery (bcs) has been done, you should go for radiation. 2 mm margin is close margin.

Breast Cancer in patients with Breast Abscesses

Fellowship In Breast Surgery, Fellowship In Onco-plastic Breast Surgery, MRCS (Edinburgh), MS - General Surgery, MBBS
Oncologist
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In the last week, I have seen two patients who have presented with features of a breast abscess but they ultimately turned out to be breast cancers. Although, inflammatory breast cancers are a known entity and they can present as breast abscesses but this fact is not well known among patients and many general practitioners, which leads to late detection of these cancers.

With this case, I want to highlight some pointers to diagnose these lesions early. A 39-year-old, nonlactating mother presented to with complaints to swelling in the right breast for the last 3 weeks. She had already taken a course of antibiotics from a general practitioner but did not get relieved of her symptoms. On examination, she had a swelling involving the skin fold below the breast (inframammary crease) with swelling and hardness spreading till the lower part of the breast. In addition to this, she had lymph nodes (glands) in the underarm area (axilla) as well.

An USG revealed a lump in the breast associated with the fluid collection, which on biopsy turned out to be an invasive cancer. Fortunately for the patient, on further examination, the cancer was found to be restricted to the breast and the underarm area only.

When should we suspect that a breast abscess can actually be associated with a malignancy (cancer)?

A nonhealing breast abscess - which is persisting despite antibiotics and surgical management
Breast abscess in a patient who is not lactating.
Breast abscesses in elderly patients
Breast abscesses associated with hard lumps in the breast
Patients with these symptoms should get an ultrasound and biopsy done to confirm the diagnosis. In India, another entity which should be ruled out is Breast Tuberculosis.
Breast Cancer in patients with Breast Abscesses
6 people found this helpful

I am suffering with prostrate of 124 cc , doctor suggested for lazer surgery. is there any treatment other than surgery? I have problem in passing the urine. At preent I am talking urimax capsule in a day and feel relief.

MD - Oncology
Oncologist
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the most important thing is is the prostate enlargement is a benign one or malignant one , if benign one and you are ok with urimax then you can still pend surgery till mentally prepared, but if malignant then Radiotherapy is an alternative to surgery with same result. so cofirm me if biopsy is done and serum PSA is done?

What are the symptoms of mouth cancer what types of precautions and medicine should be taken?

MS ( General Surgery)
Oncologist
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Oral cancer symptoms Some of the most common oral cancer symptoms and signs include: •Persistent mouth sore: A sore in the mouth that does not heal is the most common symptom of oral cancer •Pain: Persistent mouth pain is another common oral cancer sign •A lump or thickening in the cheek •A white or red patch on the gums, tongue, tonsil, or lining of the mouth •A sore throat or feeling that something is caught in the throat that does not go away •Difficulty swallowing or chewing •Difficulty moving the jaw or tongue •Numbness of the tongue or elsewhere in the mouth •Jaw swelling that makes dentures hurt or fit poorly •Loosening of the teeth •Pain in the teeth or jaw ••Voice changes •A lump in the neck •Weight loss •Persistent bad breath If any of these oral cancer symptoms or signs are present for days or weeks, your doctor may recommend tests to check for oral cancer. As with any cancer, having your cancer diagnosed as soon as possible will help ensure that any treatment is as effective as possible. Screening for oral cancer Although routine screening for oral cancer is not typically recommended, several tests can be done if any of the symptoms of this disease are present and do not go away. Oral cancer risk factors GENERAL •Gender: Oral cancer and oropharyngeal cancer are twice as common in men as in women. This difference may be related to the use of alcohol and tobacco, a major oral cancer risk factor that is seen more commonly in men than women. According to the American Cancer Society, the gender difference is decreasing among oral cancer patients as more women are using tobacco and drinking. •Age: The average age at diagnosis for oral cancer is 62, and two-thirds of individuals with this disease are over age 55. •Ultraviolet light: Cancers of the lip are more common among people who work outdoors or others with prolonged exposure to sunlight. Poor nutrition: Studies have found a link between diets low in fruits and vegetables and an increased oropharynx and oral cancer risk. GENETICS •Genetic syndromes: Some inherited genetic mutations, which cause different syndromes in the body, carry a high risk of oral and oropharyngeal cancer. These include: •Fanconi anemia: This blood condition is caused by inherited abnormalities in several genes. Problems can begin at an early age and often lead to leukemia or aplastic anemia. The risk of oral cancer among people with Fanconi anemia is up to 500 times higher than among the general population. •Dyskeratosis congenita: This genetically linked syndrome can also cause aplastic anemia, and carries a very high risk of mouth and throat cancer occurring at an early age. LIFESTYLE •Tobacco use: About 80% of people with oral cavity and oropharyngeal cancers use tobacco in the form of cigarettes, chewing tobacco or snuff. The risk of developing oral cancer depends on the duration and frequency of tobacco use. Smoking can lead to cancer in the mouth or throat, and oral tobacco products are associated with cancer in the cheeks, gums, and inner surface of the lips. •Alcohol: About 70% of people diagnosed with oral cancer are heavy drinkers. This risk is higher for people who use both alcohol and tobacco. For people who smoke and drink heavily, the risk of oral cancer may be as high as 100% more than the risk for people who do not smoke or drink. •Betel quid: Many people in Southeast Asia, South Asia, and others parts of the world chew betel quid, a leaf from the betel plant wrapped around areca nut and lime. Chewing gutka, a combination of betel quid and tobacco, is also common. Both of these substances are associated with an increased oral cancer risks. OTHER CONDITIONS •Human papillomavirus (HPV) infection: Human papilloma viruses, or HPV, include about 100 similar viruses. Many HPVs cause warts, but some are involved in cancer. Most noteworthy, HPV is tied to the development of cervical cancer. HPV is also a risk factor for oral and oropharyngeal cancers. About 25 percent of patients with these cancers are infected with the same HPVs as are seen in with cervical cancer. In particular, there is a strong link between HPV-16 and oropharyngeal cancer. HPV appears to be a more serious risk factor for oropharyngeal cancer than for oral cavity cancers. People with oral cancers linked to HPV tend to not be smokers or drinkers, and usually have a good prognosis. Typically, HPV infections in the mouth and throat do not produce any symptoms, and only a small percentage of these infections develop into cancer. Read about the recent increase in HPV-related cancers. •Immune system suppression: Taking drugs that suppress the immune system, such as those used to prevent rejection of a transplant organ or to treat certain immune diseases, may increase the risk of oral cancer. •Lichen planus: People with a severe case of this illness, which usually causes an itchy rash but sometimes appears as white lines or spots in the mouth and throat, may have a higher risk of oral cancer. Lichen planus usually affects middle-aged people. •Graft-versus-host disease (GVHD): This condition can occur after a stem-cell transplant, in which bone marrow is replaced following cancer occurrence or treatment. The new stem cells may have an immune response against the patient’s own cells, and tissues in the body may be destroyed as a result. GVHD increases the likelihood of oral cancer, which can develop as soon as 2 years later. UNPROVEN RISK FACTORS In recent years, concern has been raised about some products heightening the risk of oral cancer. These concerns are controversial and have not yet been proven in scientific studies. The products some believe to increase cancer risk factors include: Mouthwash: Some studies have shown a link between mouthwash that is high in alcohol content and the risk of oral and oropharyngeal cancer. However, other research has raised doubts about this concern. The frequent use of mouthwash by people who smoke and drink—two confirmed risk factors for oral cancer—makes it difficult to establish a clear link between mouthwash and oral cancer. •Irritation from dentures: Poorly fitting dentures that cause long-term irritation of the mouth lining have also been a point of concern regarding oral cancer risk. This link has not been confirmed in several studies. However, loose dentures may trap substances that are known to cause oral cancer, such as alcohol and tobacco. Individuals who wear dentures should be sure to have their fit checked by a dentist regularly, remove them at night, and clean and rinse them thoroughly each day.

Question is for breast cancer stage 3 and grade 3 Why is cancer patient survival rate is measured in relative of 5 years. If the patient is diagnoses with cancer and he go for the treatment like chemotherapy surgery and radiation and he successfully cured the cancer then why he can not survive for 10 years, is it is because of sideeffect of medicines chemo surgery radiation etc.

MBBS, MD - Medicine, MD - Oncology
Oncologist
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Dear lybrate-user, even stage 3 cancer properly treated will give a 50 to 65% of 5 year survival and even more if the patient is in good general condition. I will also suggest immunotherapy after completed treatment which will perhaps give complete cure.
1 person found this helpful

I'm 23 years old male, I have a lymph swelling in my right neck. An advice on how to treat it will be very kind of you. Thanking You.

MD - Radiation Oncology, MBBS, DNB (Radiotherapy)
Oncologist
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Lymph nodes are part of defense system of our body. In case of infection or inflamation it may enlage. So cause or source of infection or inflammation nedds to be found out. Proper treatment of the underlying cause may resolve lymph node swelling. Common causes of right neck lymph node swelling include dentlal infection, acute tonsilitis, pharyngitis etc.
3 people found this helpful

I'm 32 years and I have been smoking for last 10 years. Now I wish to quit the habit and I'm trying thru nicotine supplements and by pure control. Though I reduced my cigarettes from 20 to 10, I want to know what damage I have caused to my lungs and respiratory track. What tests should I take to avoid cancer or any deadliest I'll effects due to my smoking? And is there a chance to reset my lungs to it's natural stage? Please tell.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist
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Dear lybrate user. I can understand. You are smoking for last 10 years. Initially, lung cells slowly starts destroying. Damage will be there. You can take a lung function test to ascertain the ill effects of lungs. Your lungs will start repairing itself immediately after you quit smoking. It could take almost one year to complete the process, provided you don't smoke in between again. The risk of cancer will also be lowered. Please quit smoking completely. I suggest deaddiction therapy. Take care.
1 person found this helpful

I had a lump in my right breast which is painless. When I was 13 I felt this knot. Is that cancer.

Diploma In Postpartum Depression, Formerly , House Job , Gynecology, MBBS
Gynaecologist
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Every lump is not cancer but it is always better to be alert, go for ultrasound of breast. It could be a harmless lump or could be due to hormonal changes.

Ayurveda and Oral Cavity Cancer

Skin Diseases Cancer Heart Diseases Musculoskeletal Disorders Male Sexual Disorders AIDS, Hypertension Diabetes Mellitus Blood Disorders Respiratory Disorders, Gastrointestinal Disorders Endocrine Disorders ENT Disorders, Gynecological Disorders Opthalmic Disorders Psychiatric Disorders Urological Disorders
Ayurveda
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The oral cavity consists of the lips, gums, teeth, cheeks (buccal mucosa), the frontal 66% of the tongue, the hard top of the mouth (hard palate), the floor of the mouth beneath the tongue and the region behind the wisdom teeth (retromolar trigone). Development of oropharyngeal cancer occurs in the region of the throat behind the mouth, called the oropharynx. The oropharynx starts where the oral depression closes.

The World Health Organization states that oral cancer ranks eleventh in terms of the common cancer around the world. It is commonly found in men and its spread is slightly higher in developing countries. Excessive consumption of alcohol and tobacco contributes to around 90% of oral cavity cancer cases.
Cancerous oral growth is dealt with procedures which are similar to treatments of different cancers i.e. with the assistance of surgery followed by radiation treatment. In radiation treatments, patients may need to manage the various side effects. Specialists at the Rajiv Gandhi Centre for Biotechnology (RGCB) along with the Regional Cancer Centre in Kerala have made a mouthwash utilizing herbal substances, as recommended in Ayurveda, which can help in diminishing the intense amount of pain in patients experiencing radiation therapy for oral cancer.

Other important Ayurvedic remedies may entail the following:
1. Lemon: A deficiency of vitamin C is experienced in the body once you are diagnosed with oral cancer. Therefore, consuming fresh lemon juice, which is rich in vitamin C, around 3 to 4 times a day, is very helpful

2. Carrots: Carrots are rich in 'beta-carotene' which is considered to be an anti-cancer nutrient. It is recommended for patients suffering from oral cancer since it is a source of antioxidants. Consumption of at least 1 glass of carrot juice per day helps in fighting this form of cancer.

3. Grape Seed: The seeds of the grapefruit are rich in antioxidants which help to destroy the radical cells. These radical cells damage the cells present in the mouth, thus causing oral cancer. The vitamin E, C and beta-carotene present in grapes strengthen the immunity system. The grapes should be crushed to form a paste and the liquid should be strained to form a juice. Consume this juice 3-4 times in a day.

4. Bitter gourd: It is rich in alpha eleostearic acid, which helps in elimination of cancerous cells without affecting the normal ones.
Ayurveda and Oral Cavity Cancer
5931 people found this helpful

What if I have a lump in breast and getting pain sometimes and feeling itching around breast. Is it a symptom of breast cancer or it may indicate that I may get breast cancer.

MS - General Surgery
Oncologist
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Lump, pain and itching around breast is more likely suggestive of fibroadenosis of breast. It is a benign condition. I suggest you to go for ultrasound of breast and fnac if any lesion in breast.
2 people found this helpful

Normally cancer is deducted at the end stage or well developed stage, is there any test to deducted the early stage cancer. This information will be useful to many.

DNB ( Radiation Oncology), MBBS
Oncologist
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symptoms of cancer depend on the site where it arises. If its a throat cancer, there may be difficulty swallowing, change in voice, pain during swallowing sometimes, etc. Lung cancer may present as unresolving cough with expectoration, weight loss, loss of appetite, etc. Usually cancer is higher in smokers.
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