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Dr. Anjali Patil

Oncologist, Mumbai

Dr. Anjali Patil Oncologist, Mumbai
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
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Dr. Anjali Patil is a popular Oncologist in Powai, Mumbai. You can meet Dr. Anjali Patil personally at Dr L H Hiranandani Hospital in Powai, Mumbai. Book an appointment online with Dr. Anjali Patil on Lybrate.com.

Lybrate.com has an excellent community of Oncologists in India. You will find Oncologists with more than 31 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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Dr L H Hiranandani Hospital

Hill Side Avenue, Hiranandani Gardens, Powai. Landmark: Hiranandani Business Park, MumbaiMumbai Get Directions
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Famous Cine Labs, Pt. M.M Malviya Road, Tardeo. Landmark: Next To Sardar Pav Bhaji Hotel, MumbaiMumbai Get Directions
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I am 38 years old I am suffering from neck pain and also neuro fibroma I have many swellings like cancer in my backside near to spinal cord what can I do.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Kindly take biod3 max 1 tab dailyx10 paracetamol 250mg od & sos x5days do back (spine)/shoulder/knee exercises make sure you are not allergic to any of the medicines you are going to take do not ignore it. It may have to be further investigated. It could be beginning of a serious problem. If no relief in 4_5 days, then contact me again. Contact your family doctor or nearest hospital for emergency help. Neurofibroma must be removed & tested.
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Gastric Cancer - In a Nutshell!

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
Gastric Cancer - In a Nutshell!

Gastric (stomach) cancer occurs when malignant cells form in the lining of the stomach. By far, it is known to be the second most common cause of cancer-related deaths not only in Asia but also worldwide. Though it can affect both male and female populace, it is seen more commonly in men and in people aged 50 years or older.

  1. Type: Gastric cancers can present as one of the following types - 

    1. Adenocarcinoma: Begins in the glandular cells lining the inside of the stomach. This forms a majority of the stomach cancers.
    2. Lymphoma: Begins in immune system cells present in the walls of the stomach. Occurrence of lymphoma, in the stomach, is rare.
    3. Carcinoid Tumor: Begins in hormone producing cells of the stomach.  Occurrence of carcinoid cancer, in the stomach, is rare.
    4. Gastrointestinal Stromal Tumor (GIST): begins in nervous system cells of the stomach. Occurrence of GIST, in the stomach, is rare.
  2. Gender: It affects both male and female populace.

  3. Etiology: The factors that are associated with increased risk of gastric cancer include the following mostly –

    • ‘Helicobacter Pylori’ bacterial infection in the stomach is a common cause of gastric cancer of both the intestinal (expanding) & diffuse (infiltrative) type. Furthermore, studies indicate that high salt intake is synergistic with H. Pylori infection in the manner that it is likely to increase the risk of gastric cancer that is induced by H. Pylori bacteria.
    • Smoking, consuming alcohol, red meat, salty/ smoked/ processed foods, low intake of fruits and vegetables, diets rich in nitroso compounds, eating foods contaminated with aflatoxin fungus etc all.
    • Atrophic gastritis characterized by chronic stomach inflammation is known to increase the risk multi-fold. Chronic gastric inflammation can lead to atrophy of the gastric mucosa, metaplasia, dysplasia and finally carcinoma.
    • History of pernicious anaemia, gastric ulcers, adenomatous gastric polyp etc all.
    • Family history of gastric cancer. Several familial syndromes that have been associated with a pre-disposition to gastric cancer include familial adenomatous polyposis, Lynch syndrome, Peutz-Jeghers syndrome and e-cadherin mutation (diffuse type)
    • Blood group A, Obesity etc all are known to be associated with diffuse or cardia gastric cancer.
    • Low socioeconomic status - persistent lifestyle issues/ irregularities including high stress coupled with an improper diet/ dietary pattern.
    • Epidemiological evidence is indicative of a risk or pre-disposition to gastric/ stomach cancer for people suffering from diabetes mellitus (DM).
    • Very high dose ionizing radiation exposure is an uncommon risk for gastric cancer.
  4. Features: There are often no early stage symptoms. Early stage symptoms, if any, are non-specific and are likely to be ignored, thus delaying the diagnosis most often. Hence, gastric/ stomach cancer is often detected at an advanced stage where the disease is either locally advanced or metastatic. The various presentations (of signs & symptoms), by stage (early or advanced), of gastric cancer are as enumerated below:

    1. Early Stage – can present with one or more of the following non-specific symptoms/ signs -

      • Dyspepsia (Indigestion),
      • Stomach/ Epigastric discomfort,
      • Bloated feeling after eating,
      • Mild Nausea/ Vomiting,
      • Blood in Vomit (Haematemesis),
      • Heartburn,
      • weight loss (Cachexia)
      • Anaemia,
      • Occult blood in stool/ Melaena,
    2. Advanced Stage – presents with one or more of the following symptoms/ signs -
      • GI Bleeding with black tarry stools (Melaena),
      • Persistent Nausea/ Vomiting,
      • Blood in Vomit (Haematemesis),
      • Early Satiety,
      • Anaemia,
      • Loss of Appetite (Anorexia),
      • Weight loss (Cachexia),
      • Persistent pain in the abdomen,
      • Fluid build-up in the peritoneal cavity (Ascites),
      • Edema of the lower extremities,
      • Liver Enlargement (Hepatomegaly)/ Jaundice,
      • Difficulty swallowing food (Dysphagia)
  5. Screening: Is generally recommended for asymptomatic populations in high incidence areas or as surveillance for high risk individuals. The goal of screening, as usual, is to be able to detect & diagnose gastric cancer at an early stage which is potentially curable. It is mostly endoscopic/ radiologic.
  6. Diagnosis: Following are the diagnostics employed in gastic cancer -‚Äč

    • Physical Examination: May be remarkable for palpable abdominal mass, weight loss (cachexia), abdominal distension, ascites, hepatomegaly, lower extremities edema and lymphadenopathy for gastric cancers in the advanced stage. For early gastric cancers, however, physical examination is largely uninformative.
    • Blood: Hb- may be low, ESR – raised, tumor markers CEA & CA-19-9 could be raised sometimes in adenocarcinoma but are not frequently elevated. Abnormal blood test results may be indicative of malignancy, but a follow-up gastroscopy/ biopsy is always the gold standard for accurate diagnosis.
    • Stool: Occult blood may be +ve
    • Barium Meal X-Ray: Could show a filling defect at the site of the carcinoma/ cancer growth.
    • Gastroscopy/ Biopsy: Clinches the diagnosis.
    • Endoscopic Ultrasound: Maximizes tumor staging as it helps determine the depth of invasion of the tumor.
    • CT Scan: Of chest, abdomen & pelvis helps detect metastatic disease, if any, and also helps stage the disease (TNM) appropriately.
    • Bone Scan: Helps detect osseous metastasis (bone mets), if any.
  7. Treatment: Conventional treatment includes surgery, chemotherapy and radiotherapy as contextually appropriate. Surgery (i.e. gastrectomy either sub-total or total), with an adjuvant chemotherapy and/ or radiotherapy as contextually relevant, is the only treatment that is known to cure the disease in light of the prognostic indicators as briefly enumerated in the section below. Chemptherapy and/ or radiation alone cannot be curative. Mostly, it can improve symptoms, and may prolong survival. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical outcomes and facilitate recovery as feasible contextually.
  8. Prognosis: For gastric cancer is variable. Preventive measures, earlier diagnosis and right early treatment is key for an effective therapeutic management & better prognosis. Like most other cancers, the chances of cure for an early stage gastric cancer are more. The cure/ recovery chances are influenced by the grade, stage of cancer, recurrence and the patient’s general health & vitality etc all. Distal tumors are known to be cured more often than the proximal ones. Again, intestinal-type gastric cancers are known to have a better treatment outlook in comparison to the diffuse-type gastric cancers.

  9. Prevention: Rightly said, prevention is always a better choice. Although genetic risks are difficult to modify, still an adherence to a relative Mediterranean diet, maintaining an ideal body weight and an active lifestyle with due emphasis on regular exercising, de-stressing and relaxation is highly recommended for reducing the risks of many cancers including gastric cancer. A healthy eating plate comprises essentially a low fat diet, fibre rich foods including whole grain cereals, green leafy vegetables cooked using healthy vegetable oils, fresh fruits of all colours as seasonally available and healthy proteins/ fats including fresh fish, poultry, beans, nuts etc all. The consumption of alcohol, if any, has to be strictly in moderation, and is best avoided in a high risk scenario. Smoking is to be avoided too. Again, red meat, butter, refined grains, sweets, sugary drinks including carbonated beverages and other high calorie foods etc all, if any, are to be taken sparingly. Not only it is important to eat healthy, but also it is equally important to eat properly. Insufficient chewing, eating until full, eating meals within a short time etc all are best avoided so as to ease off digestive burden on the stomach/ other organs in the GI tract. Last but not the least, consumption of clean and filtered water, natural probiotics like freshly prepared yogurt/ butter milk, maintenance of cleanliness & hygiene including oral hygiene etc. all can help guard against H. Pylori infections. Breastfeeding is known to be protective against H. Pylori infections too.

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Should we monitor for the side effects of the medications that doctor prescribed or for their interactions with other medications for cancer.

M.Ch - Surgical Oncology, MS - General Surgery, MBBS
Oncologist, Delhi
We should definitely be vigilant towards side effects of any drugs. But drug interactions are not known to cause cancer.
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I am 34 years old last year doctor has operate tongue cancer after operation radiation also last 15 days I have ulcer in my mouth so any problem.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. You may consult me in person. Dental tips: - visit a dentist every six months. Gargle your mouth thoroughly after every meal. Scrub gently to clean your tongue with a tongue cleaner. Floss all your teeth inter dentally & brush twice daily, morning & night, up & down short vertical strokes, with ultra-soft bristles, indicator brush.
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Want to know the symptoms of breast cancer my age is 37 have 2 kids one is 8 years & second one 1 years still feeding.

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 , I appreciate you seeking help. Symptoms, of breast cancer, manifest majorly in the following ways - a. Lump/ nodule in the breast that gets attached to the skin of the breast over time. The lump / nodule could be hard and painless with irregular edges or it could also be soft, rounded, tender and painful. B. Enlarged lymph nodes in the axilla which are palpable. C. Swelling of whole or a part of a breast. This is even if there is no distinct lump felt. D. Retraction or thickening of the nipple (s). E. Pain in the breast or nipple. F. Discharge from nipple other than breast milk. G. Irritation/ scaliness of skin over the breast. H. Redness of nipples i. Rarely, red, swollen and tender breast. To be on a safer side, once one gets to experience any of the above-mentioned, its advisable that one gets this clinically examined by her OB/ GYN right away and not delay any further. Imaging, either through mammography or MRI subsequently followed by a biopsy is always the gold standard for accurate diagnosis of breast cancer. Hope this clarifies. Take care. Sincerely
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I am diagnosed with Prostate enlargement. What Ayurvedic medicines are there for Prostate enlargement.

MBBS
General Physician, Jalgaon
Please Take Tab himplasia by Himalaya 1 1 for 3 mths Chandnasav 20 ml twice daily with water for 3 mths.
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Urge to urine can't hold also wake up in middle of for pee. All test are negative uti, prostate etc. Please suggest me what to do to get rid of this and have proper sleep in night. ?

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. Well, you may require a few more investigations apart from the ones mentioned above. I would advise that you visit a neurologist who can clinically examine you and rule out any possibility of neuro-degenerative disorders that may have triggered a bladder dysfunction. Last but not the least, possibility of any sleep related disorders, especially sleep apnea, needs to be ruled out too. For the time being, however, you may follow certain simple disciplines like going to bed on time, not taking water just before you retire to bed, ensure that you do urinate once properly before you get to sleep. Also, adjust your room temperature, avoid making it too cold. Hope this helps. Do take care and all the very best.
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I have chest tumor in nipple very hard. This is not pain but I have in very depression this about. What is treatment.

MS - General Surgery
General Surgeon, Kanpur
If you r of 19 years age then a nodule in breast most probably is gynecomastia. You may get a fnac done of that nodule to confirm the diagnosis. If it is indeed gynecomastia then no need to worry about although for cosmetic reasons it may be removed surgically.
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I am suffering from chest pain from two weeks, I feel like pain is from both lungs ,I am child smoker , smoking from 2 years daily 7 cigrate ,is this related to some cancer give me some solutions to quit smoking.

MD - Psychiatry
Psychiatrist, Chennai
You need to stop smoking immediately and consult a chest physician, it can be due to lung inflammation or cardiac causes (angina). Get ecg, cxr, echo and blood tests to find the reason. If you can not stop smoking on your own, consult a psychiatrist for anti-craving drugs.
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My father is having problem with prostate enlargement, he's having problem while urinating because of that. So please tell remedies and proper treatment, we are worried.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
1, pass urine maximum quantity. Even if it takes little more time 2, no alcohol 3. Tea and coffee less. 4.no unnecessary medicine for other disease. 5.less fluid at bed time 6.Pass urine in sitting position 7. Daily walk for 30 mts 8. Eat more fruits and vegetables for medicine contact on private consultation.
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I am a 42 year old men. I have some pain in back side of neck and lightly pain in throat. I had checked ent specialist but there is no problem but I have doubt of cancer. So please advise me where I go and what tretment/test I do regarding this.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Sleep on a hard bed with soft bedding on it. SPRING BEDS, FOLDING BEDS OR THICK MATRESS ARE HARMFUL Use no pillow under the head. DO HOT FOMANTATION. Paracetamol 250mg OD & SOS x 5days. Caldikind plus 1tab OD x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, contact me again.. Do not ignore .It could be beginning of a serious problem.
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I'm 62years lady. Just diagnosed with 2A stage cancer in one breast n going to remove that breast. Please suggest is chemo compulsory in cancer for permanent cure.

MBBS, MS- Surgery , M.Ch - Surgical Oncology , FIAGES
Oncologist, Delhi
Treatment for breast cancer is multimodality. Surgery is mainstay with neoadjuvant or adjuvant chemotherapy, targetted therapy, radiation therapy and/or hormone therapy depending on individual case risk factors. Mastectomy: most commonly modified radical mastectomy which removes breast tissue along with lymph nodes in the axilla. After mastectomy whole breast reconstruction is and immediate or delayed option. Breast conservation surgery: involves removal of tumor along with surrounding tissue to completely remove the tumor. Axillary lymph nodes are addressed through separate incision. Sentinel lymph node biopsy/ axillary sampling: to decrease morbidities of lymph node dissection first draining lymph nodes only are removed in patients with clinically negative axilla. If negative on frozen section further axillary dissection is avoided.
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She is suffering from blood cancer. It has been detected 10 days ago. What should I do? Please help me.

M.Ch - Surgical Oncology
Oncologist,
Dear kindly arrange a consultation with a medical oncologist or hematooncologist and they will guide you with the treatment.
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I found this document online and have come across many research documents on Cannabis oil killing Cancer cells Just want to know why this method not accepted and why this is not a primary treatment for Cancer?

MBBS, MD - Radiothrapy
Oncologist, Navi Mumbai
Any new drug or therapy, before being marketed, undergo rigorous testing in lab. And only one drug from hundred tested comes to market. So it is better to avoid any research molecule without advice of treating doctor.
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Is der chances of cancer to come back once treated or it is gone forever. If yes any precautions which could be taken.

MS ( General Surgery)
Oncologist, Mandsaur
yes cancer can recur, so regular check up is very important by your treating doctor. Few investigations will be done if your doctor suspect recurrence of cancer to treat immediately.
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My friend told me that drinking green tea empty stomach can cause cancer, is that true?

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
No it is not proven. Many authors have stated that green tea relieves you of so many diseases and cancer may be one of them.
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My chacha having bladder cancer. Can you please suggest some treatment. I am trying everywhere. Money no matters.

MBBS, MS- Surgery , M.Ch - Surgical Oncology , FIAGES
Oncologist, Delhi
Urinary bladder cancer is msuperficial in 75% of cases for which drugs are usually instilled inside bladder. It muscle invasive in 255 cases for which surgery is done. Neobladder formation is option in selected patients after removal of urinary bladder.
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My uncle suffered from cancer two days ago almost one year back he came to know he is suffering from cancer. I want to know how does cancer occur and what are the root causes of cancer. Why is there no medicine yet though science is developed to latest technologies. This dangerous cancer is taking many lives. Will any medicine or vaccination come in future?

MBBS
General Physician, Mumbai
Cells of the body begin to divide and spread into nearby tissues leading to cancer and it can be genetic or a chronic constant irritant present leading to such type of changes And we have to treat it in initial stages for best results
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What are the various symptoms of cancer and what is the best treatment for this disease?

DNB, MBBS
Oncologist, Faridabad
Cancer is abnormal uncontrolled proliferation of cells Leading to Symptoms like palpable lump or lymphadenopathy, Ulceration which doesn't heal, bleeding from Anywhere, weight loss, Change in voice, change in bowel habits, difficulty in swallowing etc depending on organ affected. Treatment depends on site size stage of disease and histopathology. It may be surgery, chemotherapy or radiation therapy or combination of all.
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