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My mother has undergone angioplasty opn one stent has been placed on 04.02.2017, she is also suffering from breast cancer with 3rd stage. Pl tell what is your opinion on chemotherapy for cancer treatment i. E. When it can be started.
My father in law has diagnosed 4th stage lung cancer 4 months back. He is of 72 Does chemo help. He has hone through his 1st chemo. But no signs of hairloss or anything showed. Y What shud b d duration between cycles of chemo Is der any prblm if d 2nd cycle b delayed.
I had noticed blood traces at the beginning urination about one month back. I carried out a blood urine examination it said PSA as 7.69, Further scanning showed prostate is of normal size. I took ciplox 500 for a month and retestedt PSA and the result showed 7.67. The doctor said that a biopsy is needed. Since I am 74 years old, I don't intend to go for biopsy. If I leave it as is, will there be any complication later? Is there any medication available for high PSA?
Here are screening and treatments of cervical cancer.
Hi all I am Dr Gunjan Gupta Govil . I am director by Gunjan’s Gynae and Neuro clinic. I am senior consultant gynaecologist at Max hospital, Vaishali and Shanti Gopal hospital, Indrapuram. My field of interests are infertility, laparoscopy, IVF and quantroscopy. I Have trained from St George Medical College Lucknow and Mulana Azad Medical College and then I further moved to United Kingdom. I am a member of Royal College of Obesteration and Gynaecologist, London and trained into Laparoscopy from France. My other field of interest which is very close to my heart is about women health and their upliftments, so that is why I plan to speak about cervical cancer screening and treatment.
The one to talk about cervical cancer. Well it is the most common cancer in females of India. It surpasses the battle breast cancer also in this country, whereas worldwide it comes at number three. Believe me one out of seven are diagnosed with disease in this country, so why in our country we are having such a high incident of cervical cancer. Well because we do not have a organised screening system which runs worldwide. It is so sad that a simple test like Pap smear which can diagnose the condition. All the abnormalities of the cervix at much earlier stage than cancer that it is 100% curable is not been done in our country. We can diagnose the abnormalities of the cervix by Pap smear and there is advancement in the technique or liquid based hydrology and further evaluation is done by cytoscope and HPV DNA testing.
A common myth is that pap smear is painful, well they are not. They are a simple procure including LBC and Colposcopy can be done in the outpatient basis in clinic requires 10 to 15 minutes. No bed rest is required and you can resume your day to day activity after that. How is LBC done? This is done by simple brush which we take, we take brushing from the month of the uterus or the cervix and send it to the lab for testing. The test takes 3 to 5 days to come and further evaluation is done by cytoscopy if abnormalities are diagnosed. During cytoscope we can see and diagnose abnormalities of the cervix like ulcers on the mouth of the uterus which are know cervical erosion or pre cancerous lesions of the cervix which we call cervical displacias. In the procedure we take special images by means of a microscope or special equipment called a scroscope put certain filter and colours to it and certain medicines to it. Its gives us the exact mapping of the abnormalities and on the bases of the abnormalities simple procures can help us in treating the condition.
At this stage the treatment is as simple as freezing procure called cyro by means of extraction which we call leap. So here I would like to show you a simple thing. This is how cytroscope report looks in which there is a normal normal cervix and this has no abnormalities in it therefore it is dark brown in colour whereas this is a image of abnormal cervix which does not take up any stain and it is yellow in colour and here we see it white. So these are simple test which help us to diagnose the condition. Here I Gunjan’s Gynae and Neuro clinic we are doing this procure as a routine.
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I have some problem from fat, so many doctors said that is an lymphoma. But that was an increasing so many places in my body, please tell who will give the best suggestion of my problem.
Hello friends. I am Dr Saurabh Mishra. I am a senior consultant in Urology in Lajpat Nagar, New Delhi. Now I am going to discuss something about Prostate. As you know prostate is a very common problem and it is not only seen by the urologist but so many other colleagues in the medical specialities, specially the physician. There are lot of myths and confusions about the Prostate in patients as well as the health care professionals. So, I would like to simplify the treatment methods for the prostate specially from the patient's point of view.
For the treatment protocol, we keep the patients into three categories;
- Those patients who are asymptomatic and incidently been detected an emlarged prostate. Anything above 20g prostate, we call it as enlarged prostate. So, suppose a patient have some symptoms, he has undergone ultarsound and enlarged prostate was picked up. Such patients lie in Group-1. They do not need any treatment and kept under observation. Once they face any problem, they are given appropriate treatment.
- Group-2 are those patients who suffer some urinary problems. Most commonly, they face frequent urine at night. In this category, they can have some obstructive features also. For example, they take long time to pass urine, the last part of the utine comes slowly that is called dribbling of urine. If these symptoms are present, the patient goes to the doctor and doctor evaluates and if no complicated factors are found then the medical treatment is started. So many medicines are available for the medical treatment of the Prostate. But unfortunately, most of them belong to same family. Due to this, if one drug fails to work then the options are least.
- Group-3 patients are those who have complications. The complication may include the recurrent urinary tract infection, recurrent blood in urine, either of the kidney or both the kidneys are enlarged, bladder stones etc. If these symptoms are present, then it becomes the complicated factor. If any of tehse factors or all of these are present in the patient, then these patients may directly be planned for the surgery and no medical treatment is incorporated in such patients.
Few things we come to know. I have never dicussed about the size of the prostate. That means the size of the prostate will not tell about the treatment. There are so many patients who took treatment from the physician also. So, to such patients, I want to clarify the thing that the treatment is not that complicated but the treatment should be incorporated. The patient should be clarifies about the problem and the treatment and the group should be evaluated for the patient.
Thank you so much.
Step 1: Begin by looking at your breasts in the mirror with your shoulders straight and your arms on your hips.
Here's what you should look for:
Breasts that are their usual size, shape, and color
Breasts that are evenly shaped without visible distortion or swelling
If you see any of the following changes, bring them to your doctor's attention:
Dimpling, puckering, or bulging of the skin
A nipple that has changed position or an inverted nipple (pushed inward instead of sticking out)
Redness, soreness, rash, or swelling
Step 2: now, raise your arms and look for the same changes.
Step 3: while you're at the mirror, look for any signs of fluid coming out of one or both nipples (this could be a watery, milky, or yellow fluid or blood).
Step 4: next, feel your breasts while lying down, using your right hand to feel your left breast and then your left hand to feel your right breast. Use a firm, smooth touch with the first few finger pads of your hand, keeping the fingers flat and together. Use a circular motion, about the size of a quarter.
Cover the entire breast from top to bottom, side to side — from your collarbone to the top of your abdomen, and from your armpit to your cleavage.
Follow a pattern to be sure that you cover the whole breast. You can begin at the nipple, moving in larger and larger circles until you reach the outer edge of the breast. You can also move your fingers up and down vertically, in rows, as if you were mowing a lawn. This up-and-down approach seems to work best for most women. Be sure to feel all the tissue from the front to the back of your breasts: for the skin and tissue just beneath, use light pressure; use medium pressure for tissue in the middle of your breasts; use firm pressure for the deep tissue in the back. When you've reached the deep tissue, you should be able to feel down to your ribcage.
Step 5: finally, feel your breasts while you are standing or sitting. Many women find that the easiest way to feel their breasts is when their skin is wet and slippery, so they like to do this step in the shower. Cover your entire breast, using the same hand movements described in step 4.