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Dr. Asish Bhakshi

Oncologist, Mumbai

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Dr. Asish Bhakshi Oncologist, Mumbai
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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. Asish Bhakshi
Dr. Asish Bhakshi is an experienced Oncologist in Mumbai, Mumbai. He is currently practising at Rhushbh Nursing Homemu in Mumbai, Mumbai. Book an appointment online with Dr. Asish Bhakshi and consult privately on Lybrate.com.

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Rhushbh Nursing Homemu

C / 201, Anjana Apartments, Sv Road, Shimpoli Road Junct., Borivli West, MumbaiMumbai Get Directions
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Adrenal Cancer - Know Its Symptoms!!

MBBS, MS, M.Ch
Oncologist, Chandigarh
Adrenal Cancer - Know Its Symptoms!!

Cancer can affect even small glands like the adrenal glands. Adrenal glands are responsible for the production of hormones like cortisol and aldosterone. These glands are located above the kidneys and have two parts; the cortex and the medulla. Adrenal cancer generally affects the cortex of the adrenal glands. This type of cancerous tumour is rare and can be difficult to diagnose.

Most adrenal cancer symptoms are triggered by an excessive production of estrogen and androgen. Symptoms can also be caused by the pressure put on other organs by the tumour. Adrenal cancer symptoms are most easily noticeable in children as this is the stage where the body is changing and developing. Some of these symptoms are:

  1. Facial hair growth
  2. Excessive pubic and underarm hair
  3. An enlarged penis or clitoris
  4. Early onset of puberty in girls
  5. Development of enlarged breasts in boys

Symptoms of adrenal cancer in adults includes:

  1. Excessive weight gain in the abdomen and above the collar bone
  2. High blood pressure
  3. Irregular menstruation
  4. Easy bruising
  5. Depression
  6. Frequent urge to urinate
  7. Muscle cramps

Additionally, men with adrenal cancer that causes excessive estrogen production may notice an enlargement of breast tissue and tenderness in the area. Women suffering from excessive androgen production triggered by adrenal cancer may notice their voice deepening and facial hair growth. In most cases, adrenal cancer symptoms in women do not appear until the tumour presses on other organs. This includes symptoms like pain around the tumor, a feeling of fullness in the abdomen and difficulty eating because of this feeling.

The cause of adrenal cancer has not yet been determined, but conditions such as Beckwith-Wiedemann syndrome, Li-Fraumeni syndrome, familial adenomatous polyposis and multiple endocrine neoplasia can increase a person’s risk of suffering from this disease. A thorough physical examination and a detailed medical history is required to diagnose this disease. The doctor will also need a blood test and urine test. Additional tests that may be required include:

  1. Biopsy of the tumor
  2. CT scan
  3. MRI scan
  4. PET scan
  5. Adrenal angiography

Adrenal cancer can be cured if diagnosed in its early stages. There are three types of treatment for adrenal cancer; surgery to remove the adrenal gland, chemotherapy and radiation. However, adrenal cancer can recur and hence it is important to schedule and maintain regular check-ups with a doctor.

1949 people found this helpful

Bone Marrow Transplant - busting the myths!

European Society for Medical Oncology certification, DM - Oncology, MD - General Medicine, MBBS
Oncologist, Faridabad

The term bone marrow transplant is actually a misnomer in the present context as a vast majority of transplants are now conducted by harvesting stem cells from the blood of the donor. 

So the correct and logical term now is peripheral blood stem cell transplant. This is just like a blood donation for the donor and poses no risk at all to the donor. The term blood cancer is generally used for leukemias, these can be of two types - acute and chronic. 

For the chronic leukemias, especially chronic myeloid leukemia, stem cell transplant is now generally not required as drugs like imatinib, dasatinib and nilotinib are extremely effective. For chronic lymphocytic leukemia transplant is rarely done these days and is generally reserved for relatively younger patients. Even in the imatinib era transplant is an effective procedure and can cure patients with CML (chronic myeloid leukemia) who do not respond to imatinib and other tyrosine kinase inhibitors. 

For acute myeloid leukemias stem cell transplant is recommended for all cases except the low risk cases, after completion of chemotherapy. Risk is defined based on kind of genetic mutations in the leukemic cells for acute lymphoblastic leukemia transplant is generally done at relapse, but certain genetic mutations necessitate an earlier transplant, so does presence of or increase in minimal residual disease, which signifies cancer cells not visible to the human eye under the microscope.

Procedure of stem cell transplant HLA matching is done between patient and siblings. Best match is selected as a donor. Matched sibling is the most commonly used donor in blood cancers. In many cases a match is not available, for such cases matched unrelated donor, cord blood, or a partially matched donor (haploidentical donor) is sometimes selected. Donor is given growth factor injection subcutaneously to bring out the stem cells from the bone marrow to bloodstream, twice daily for 5 days. After that the stem cells are collected and stored. Patient is given high dose chemotherapy to kill cancer cells as well as his normal marrow. After chemotherapy, donor stem cells are injected into the body of patient from a vein. After approximately 11-14 days the donor cells get engrafted in the patient's marrow and start producing normal blood cells. The donor cells also kill the cancer cells and prevent cancer from coming back. 

Overall depending on whether the patients cancer is controlled or not before transplant the cure rate after transplant can vary from 60 % for patients who have a good control and less aggressive disease biology, to less then 20 % in patients with uncontrolled disease before transplant. Overall, approximately 40 % patients get cured with a transplant. Upto 40 % patients can develop complications, and half of these may be very severe and life threatening. This figure is more in mismatched transplants. Apart from complications, there is still a risk of relapse and these patients need close monitoring in the first few years after transplant.

1 person found this helpful

What is the main reason of skin and blood cancer and what are its initial symptoms.

DNB, MBBS
Oncologist, Faridabad
Skin cancers may be related to some injury to skin, could be due to chemical exposure, burn ulcers, ultraviolet radiation exposure etc. Blood cancers generally due to some genetic changes. Smoking is also associated with increased incidence of leukaemia. Skin cancers would present as abnormal growth or mostly ulceration. There can also be lymphadenopathy in draining area. Leukaemia presents as prolonged fever, frequent infection, bleeding, breathing difficulty, cough, Lymph node enlargement or organ enlargement etc.
8 people found this helpful
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I am 30 years old male. I have got small swelling or limp on my arms and legs, this looks like small round ball. Could you please let me know if I got lipoma decease or cancer is it harm to body? Because I feel awkward when I wear any half sleeve shirt. Thanks,

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
It can be multiple lipomas. Some times the lumps are of neural origin. Examination will let us know what type they are. Many disappear of their own but sometimes when they cause concern they need to be removed,
1 person found this helpful
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What is cancer what are the symptoms and is there any chances of ancestral cancer problems?

DNB, MBBS
Oncologist, Faridabad
Cancer is abnormal uncontrolled proliferation of cells leading to formation of lumps. It may also present as nonhealing ulceration, abnormal bleeding, weight loss, fever, change in bowelor bladder habits sore throat etc, depending on the organ effected. Some cancers are hereditary and can be transferred from one generation to other like breast cancer, ovarian cancer, family of cancer syndrome like men etc. But the percentage of familial cancers are only 5-7%. Rest are mostly acquired.
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My age is 24. Height 6 ft. Weight 76 kg. My question is that what should be the normal prostrate size according to my age?

MBBS, Diploma in Family Medicine, Fellowship Diabetology
General Physician, Firozpur
My age is 24. Height 6 ft. Weight 76 kg. My question is that what should be the normal prostrate size according to my...
Hello lybrate-user. I ll try my best to solve your query. We usually measure Prostate in Grams. AN average male usually have approximately 11gms of prostate (ranging from 7 gms to 16gms) If we say of size Prostate it is usually of size of Walnut. Hope I helped you. Thanks.
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My mother is 74 years old. Has been recently diagnosed breast cancer. What are good options for cure in Mumbai and at what cost. Though she is also diabetic but it is under control and in normal health condition. Shall I prefer surgery or else. What are latest technology applicable in my case .Please Answer.

M.Ch - Surgical Oncology, MS - General Surgery, MBBS
Oncologist, Delhi
Treatment depends on the stage of her cancer. If early, she will benefit from surgery followed by chemotherapy. If locally advanced she may rather need chemotherapy first. Please consult for further advise.
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What Leads to an Enlarged Prostate?

DNB (Urology), MS - General Surgery, MBBS
Urologist, Delhi
What Leads to an Enlarged Prostate?

Causes and symptoms of enlarged prostate

The problem of an enlarged prostate or benign prostate hyperplasia is a very common occurrence as you grow older. It's known to strike men above the age of 50, with more than 50% of men after the age of 60, having this complaint.

Causes of enlarged prostate

A non-cancerous condition, enlarged prostate makes the passing of urine from the bladder through the urethra difficult. The multiplication of the prostate cells causes an enlargement of the gland, leading to a buildup of pressure on the urethra, affecting the discharge of urine from the body. The narrowing of the urethra, due to this benign condition, forces the bladder to contract more vigorously so as to push urine out of the body.

As time passes, the muscles of the bladder get significantly affected, causing them to become extremely sensitive, thicker and stronger. As a consequence, the bladder begins to contract, even if the amount of urine in the organ is negligible, causing episodes of frequent urination. Gradually, the bladder fails to completely empty itself of urine due to the constriction of the urethra. This can give rise to a number of health problems including the formation of bladder stones, urinary tract infections, blood in the urine and so on.

How can you identify the signs of the condition?

Signs of enlarged prostate are very easy to identify and include:

- A slow or weak urine flow
- Difficulty in initiating urination
- Instances of frequent urination
- A feeling of not completely emptying one's bladder
- Frequent urination during the night
- Exerting a lot to urinate
- Instances of dribbling
- Urgency to pass urine
- A feeling of urinating again minutes after doing so
- Urination that starts and stops

'Consult'.

Tip: 4 Simple ways to lose your baby weight naturally?

4621 people found this helpful

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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I have been suffering from breast pain from last two weeks. But my heart and lungs are fine as per my test results. What should I do regarding it.

fellow in Obstetric Medicine , MS - Obstetrics and Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Hyderabad
Hello, sometimes breast pain can occur premenstrually. This can occur along with other symptoms like mood swings, bloated feeling, irritability, depression etc. Since you have not mentioned about your periods o cannot yell you foe sure. However if these exist ki. Dly consult a gynaecologist.
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My sister has colon cancer she is taking ayurvedic med for it from last 4 years. Now she got tested for she has become anemic. They found she has internal bleeding. What can be done what r her options.

MD - Oncology
Oncologist, Hubli-Dharwad
Chemotherapy is very effective in colon cancers and first transfuse blood once blood count improves she can take chemotherapy under any medical oncologist.
1 person found this helpful
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What kind of food habits should I follow after the treatment of Rhabdomyosarcoma, a kind of cancer?

DNB, MBBS
Oncologist, Faridabad
There is no specific dietary requirements specific for rhabdomyosarcoma patient, but since Such patients receive multiple cycles of chemotherapy they are likely to be immunocompromised so they need food that boost immunity. Whole grains, adequately cleaned fruits with thick skin, Nuts, vegetables adequately cooked, soups, juices. All these provide multivitamins, antioxidants and protein to build up the body and boost immunity.
5 people found this helpful
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Hello mam my name is ruchi my age is 29 I having swelling in my breast and offcourse my breast size is heavy so tel me what I should do I even can not wear my fav dresses.

MBBS, DNB (Obstetrics and Gynecology), (MRCOG)
Gynaecologist, Chennai
Hi lybrate-user Bigger sized breasts need not interfere with clothes. Make sure you get the right sized bra. There are minimizer bras if you feel conscious, to make the breasts look smaller. But my siggestion is to be happy with your body, and not feel conscious. Regarding the swelling, it needs to to assessed. Weather within the breast or over it? Breasts feel swollen and painful about 1-2 weeks before periods. Observe if that is the case. If so, it is normal and nothing to worry. Else you may need a checkup by doctor. Whatever the result, do get in touch with me before undergoing any treatment.
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Hello, I am suffering from Stage 3c locally advanced breast cancer. I have been put on neo adjuvant chemotherapy. That is chemotherapy followed by surgery. I have been told that this will help reduce the size of the tumour and lymph nodes thus helping surgical removal. I have talked to the surgeon and he has said that the tumour is in the middle of the breast and since the operation will remove the complete breast from the base -- it matters little whether the size reduces or not. Also he said that he will have no problem in removing the lymph nodes whether enlarged or reduced. This being the case shouldn't the mastectomy be done immediately? Keeping the tumour in vivo increases the chance of metastasis as every day goes by. Waiting for your reply please help me

MBBS, MS - General Surgery, FBD (Fellowship in Breast Diseases), UICC Fellowship
Oncologist, Pune
Neoadjuvant chemo is given in LABC patients before surgery. Yes it is better tolerated by patient before surgery and it will take care of distant metastasis also. According to the recent studies in LABC patients better to give chemo before operation. As removal of the breast and conservation of breast depends on size of the tumor, stage of the disease and your breast size also. We will do same sitting or postmastectomy reconstruction for these kind of patients. You can do the consultation.
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Sir/Madam, My Mother is 64 years old face cervix cancer 3rd stage from last five month we will complete the full treatment end of brohyotheraphy, last 20 days she will insures in RT numerous (broken) will check and operate and insert a plate also now after operation of 20 days ago she doesn't get any food, and also not for walking. Can you please help me any suggestion as well medicine.

MD Radiation Oncology, ESMO Certified Medical Oncologist, DM Medical Oncology (Pursuing)
Oncologist, Mumbai
Hello sir, your mother has completed the radiotherapy schedule for carcinoma cervix. Due to the side effects of chemo-radiotherapy, she might be experiencing loss of appetite and weakness. She needs a good diet rich in green leafy vegetables and plenty of fluids orally. She will be recovering in few days but she requires good care at present. To increase her appetite, some medicines can be given.
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I am suffering from motions since from last two days so I want to get to solution can I get solution .for these. If coffee drinks it may cause any cancer.

MBBS
General Physician, Mumbai
For loosemotions drink ors solution and to stop the frequency of motions take capsule roko and avoid spicy food in your diet and eat only curd rice or khichdi and if necessary we should take prescribed antibiotics.
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I am an 60 years aged male, facing from prostate gland enlargement problem, since 2 years. What are the future developments in this regard and what is the solution?

BHMS
Homeopath, Sindhudurg
I am an 60 years aged male, facing from prostate gland enlargement problem, since 2 years.  What are the future devel...
Homoeopathic treatment prevents further enlargement of prostate by medicines without surgery. The homeopathic medicines are selected after a full individualizing examination and case-analysis, which includes the medical history of the patient, physical and mental constitution etc.
16 people found this helpful
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Hi I am 27 what is Tha cancer test name and cost? Can you help me I want check it.

DM - Oncology, MBBS, MD - Medicine
Oncologist, Mumbai
There is no such common test to diagnose all cancers, but there are some test which are used as screening for cancers according to body part for example mammogram is there to check for breast cancer.
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My wife age 52 suffered from blood cancer CML since 20, 01, 2015. The bcr-abl was 71 on 20 , 01, 2015. Then it was. 03, .01, 0.10 on 25,05,2015, 25,11,2015, 16,05,2016 respectively. The Tasigna 150 is regularly since 22,02,2015. Now bcr-abl increased 0.01 to 0.10. How and what we do.

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
My wife age 52 suffered from blood cancer CML since 20, 01, 2015. The bcr-abl was 71 on 20 , 01, 2015. Then it was. 0...
Dear, there is nothing to worry at the moment. Minor change in bcr_abl does occur. By continuing the same medicine it should come to normal. I feel that the dose of medicine you are taking is on lower side. You can seek the advice from your treating doctor to increase it to 200 mg. Daily.
3 people found this helpful
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What are the causes for getting Brest cancer in females and how can we identify the symptoms? And please suggest me presentation tips?

DNB, MBBS
Oncologist, Faridabad
Breast cancer is caused by lifestyle changes like sedentary lifestyle, lack of exercise, fatty diet, late onset of periods, not having children, late conception of first baby, not breast feeding, history of hormonal therapy or ocps, some times genetic. It usually presents as painless lump or skin changes like dimpling of skin etc. Routine breast self examination once a month five days after periods helps in early identification.
133 people found this helpful
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