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Dr. George Karimundacka

MBBS

Oncologist, Mumbai

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Dr. George Karimundacka MBBS Oncologist, Mumbai
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Personal Statement

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. George Karimundacka
Dr. George Karimundacka is a renowned Oncologist in Parel, Mumbai. He has done MBBS . He is currently associated with Tata Memorial Hospital in Parel, Mumbai. Save your time and book an appointment online with Dr. George Karimundacka on Lybrate.com.

Find numerous Oncologists in India from the comfort of your home on Lybrate.com. 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.

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MBBS - - -

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Tata Memorial Hospital

Dr. E. Borges Marg, Parel. Landmark: Near to Bai Jerbai Hospital, MumbaiMumbai Get Directions
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Tata Memorial Hospital

Dr. Ernest Borges Marg, Parel, Landmark: Near KEM Hospital.Mumbai Get Directions
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Mr. sachin was suffering from stage 2 Head and neck cancer. He had undergone surgery in october month. After that radiation and chemotherapy is completed. But he is suffering from mouth opeopening issues. Physiotherapist have suggested some exercises but due to these exercises he is getting inflammation in neck and mouth region. Is the inflammation is normal? Any alternative option to get the mouth opening.

DNB, MBBS
Oncologist, Faridabad
You can use stack of icecream sticks tied together with rubber band and place in the mouth. And repeat this several times in a day. You can start with the number of spoons he is comfortable with and then gradually increase the number. There are mouth opening prosthesis available. You can ask him to inflate balloons to break adhesions in the mouth.
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Hi, in my breast I have small gland fro past since 7years that becomes sometimes pain. 2years before I got married and I have one baby is any problem about that it vl causes cancer. I already consult a doctor before marriage she prefer mammography ultrasound scan but she did not give any clarity about that. Am very scaring about that.

BHMS
Homeopath, Raebareli
You need to do another mammography if the size of the cyst/tumor is increasing or there is pain on touching. There is no need to panic before hand for you are having cancer.
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I am having multiple fibroadenoma in both breasts, which are very small. I had undergone surgery for fibroadenoma removal four times in the past approximately 6 years ago, which were bigger in size. I am having a doubt that" is this fibroadenoma will become cancerous tumor in the future and is there any diet restrictions to get it reduced. Can you please clarify my doubt.

PGDMLS, PGDHHM, LLB, PhD Surgery, MS - General Surgery
General Surgeon, Gurgaon
Generally fibroadenomas do not turn cancerous. However, self examination on a monthly basis is recommended. In case you notice any change in their character or there is bloody discharge from nipple, general surgeon would examine and order usg and / or fnac besides other tests. Then depending on the results further action is planned. There is no need to remove all fibroadenomas,
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Cancer- General Information: Don't Fear, Be Aware

MBBS, MS- Surgery , M.Ch - Surgical Oncology , FIAGES
Oncologist, Delhi
Cancer- General Information: Don't Fear, Be Aware

Cancer

Cancer is an 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 the potential to spread to other organs or parts of the body while malignancy or malignant growths have uncontrolled proliferation and metastatic potential. Transformation is a 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 responsible for 1 in 8 deaths. Most common cancers are:

Men: oral cancer (in India), prostate, lung

Women: breast, cervix and endometrium, colorectal, lung


What causes cancer? cancer is usually multifactorial 


1. Age- more in age group greater than 60 yrs compared to younger age group

2. Obesity- body mass index greater than 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
  • A nagging cough or hoarseness


5. Cancer screening: screening is for healthy individuals with education. Rather than going for unnecessary blind tests, a programme for screening should be planned in consultation with your oncologist as requirements are different for different cancers and differ as per age groups and gender. Also, screening is not effective in all cancers. Cancer education and awareness have due importance. Some cancers in which screening has been shown to be effective includes breast, colon, rectum, cervix, prostate, lung in high-risk groups but as mentioned earlier it is planned with participation of both individual and oncologist.


Types of cancer treatment:


Cancer treatment is now a multidisciplinary management in which different surgical, medical and radiation oncologist plan treatment protocol for best possible chances of cure. Advancement in all these fields and their contribution in comprehensive management results in 25-30% improvement in cure rate over previous decades.
 

  • Surgery: involves surgical principles to remove the tumor with adequate margins and possible draining lymph nodes regions. Improvements and understanding of surgical principles even make resection of distant disease or cure of stage iv disease in some selected cases.
  • Chemotherapy: cytotoxic drugs are given either in injectable or oral forms which acts on uncontrolled cancer cells. Advances in this fields result in drugs with better efficacy and less side effect profile and at the same time resulting in better cancer control. Targetted therapy acts on specific pathways of cancer growth. Hormone therapy targets specific hormone receptors for controlling cancer.
  • Radiation therapy: is the delivery of radiation generated by radioactive source over the region of cancer. More and more advances in radiation technologists are emerging like imrt, sbrt to focus radiation over the specific location so as to avoid toxic effect over surrounding area.
9 people found this helpful

BDS, MDS
Dentist, Delhi
Eat lots of fruits as they are sources of antioxidants. Antioxidants helps to decrease cancer risk

My mom was suffering from GLIOMA or lymphoma .we took a safe side and went for radio therapy before biopsy .radiotherapy is a treatment of lymphoma .but she is now totally unconscious after 5 radio therapies. We had radiotherapy till 1 st of this month. After radiotherapy her creatinine is 5 and urea is 173. After solving the nephro problems can we go for neuro surgery after biopsy?

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
Dear lybrate-user, At the outset treating with radiotherapy without biopsy is totally wrong. May be she is unconscious because of high urea. If the nephro problem is settled she needs to be worked up for proper diagnosis after which proper treatment can be planned.
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My elder brother 53, has been diagnosed rectal cancer. Any remedies for this. Please suggest

MD - Radiation Oncology, MBBS, DNB (Radiotherapy)
Oncologist, Howrah
If it is operable, go for surgery first. Depending on the postoperative pathology report further treatment will be decided. If it is inoperable, but nonmetastatic, then go for concomitant chemoradiotherapy first. This will be followed by surgery.
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How common is breast cancer in women's? If the size is increased from 1.5 To 2.1 is it dangerous sign? Please advise.

MBBS, MS - General Surgery, FBD (Fellowship in Breast Diseases), UICC Fellowship
Oncologist, Pune
According to recent data 1 out of 22 women in India get breast cancer. Breast cancer is the number 1 cancer in indian females. So please do screening for better understanding.
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I am a prostrate cancer patient since 2008. I have gone thru Radiation in the same year in TMH Mumbai and given inj Lupride 11.25 for 3 yrs. Later remained Under routine check up every 6 months. My PSA level remained well under control. However the level of PSA started increasing in2015. Urine flow slowed down as scanty amount, painful and frequency was high. I was given RAPILIF 8 mg which is continue till date. However both bone scanning and PSMA WAS done for the reason. Bone scanning was ok but PSMA showed slightly increased area. As a matter of treatment I was given high dose ELIGUARD 43.5 every 6 month from Jan 2015. PSA is well less than 01 after injection. Still I used to take RAPILIF 8 mg. Recently I developed a new problem of leakage of urine in night wetting my pants. For this gone thru Cystoscopy at TMH in Dec 22 2016 where normal report was obtained and no medicine was given except continuing with injection ELIGUARD 43.5 mg. I am to inform you that I also developed Skin cancer in 2014 fungoides mycosis and was given phototherapy PUVA for 1 year. Almost all white patches covered up tho I am in routine check up at TMH. In past 6 months my patches started appearing once again which was duly consulted at TMH. Advised to watch for next 6 months. My CONCERN IS URINE LEAKAGE DURING SLEEP. PLEASE GIVE YOUR VALUABLE ADVICE TO STOP THE PROBLEM.

MBBS, DNB ( Radiation Oncology)
Oncologist, Mumbai
Hello Mr. lybrate-user It must be difficult to go through all this for so long. You should go and see a good urologist for the incontinence of your urine. The rest of your Radiation and other treatment has been very good. All the best!
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I have undergone Radical Prostectomy recently by a Robotic procedure. I have been prescribed Tadalafil 5 mg. One tab to be taken nightly for ever. How does this help. Please clarify.

M.D.RADIATION ONCOLOGY
Oncologist, Surat
I have undergone Radical Prostectomy recently by a Robotic procedure. I have been prescribed Tadalafil 5 mg. One tab ...
This drug is for erectile dysfunction which could happen after surgery. Further management depends on histopathology report after surgery.
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Hi, My aunt is suffering from breast cancer (stage 3) and her age is 75 years. Cyto Pathology-FNAC report says, Cytological features are in favour of Ductal Hyperplasia with moderate atypia Cytology report: FNAc is positive for malignant cells, suggestive of mucinous carcinoma/mixed mucinous and invasive ductal carcinoma (NOS) Do we need to surgery? Considering her age is the surgery best option for her?

MD - Radiothrapy, MBBS
Oncologist, Pune
Before planning treatment we should consider her age and General health. If she is fit then for stage 3 there are two ways of treatment. We can go ahead with surgery if operable or we can give chemotherapy first to reduce tumor size and then do the surgery. She will need radiation therapy also for stage 3 disease.
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My dad is suffering from GI junction cancer with liver Mets from Feb 2016. Had 3 cycle of chemotherapy where his numbers and size of tumours reduced by 30 percent. Then after 2 more cycles it reduced by more 50 percent. Then in the month of December it increased by 33 percent. Again dctr advised for chemo. After 3 cycles it reduced slightly but pleural effusion and ascites are seen. Again after 3 cycle secondary cancer increased. Pleural effusion increased. Ascites increased. My question how after chemo cancer is increasing? What are the chances of survival here.

MS, DNB (Surgical Oncology)
Oncologist, Jodhpur
HI lybrate-user, As per your history disease of GI Junction with Liver metastasis, I Presume you want to say about GE junction, Post 2 lines of Chemotherapy and progressive. The overall picture is not happy, it will be advisable to meet the surgical Oncologist if I assume the ascites and pleural effusion is not disease related. If Ascites and Pleural effusion are disease related, which is more a possibility as per case scenario, there are limited options. One vital option would be targeted therapy, with Herceptin if not already instituted in case of Her 2 +ve cancer. Overall with limited information, I feel the picture is quite gloomy. Having said that, ultimate power is GOD, so don't lose hope and Keep fighting. Good luck.
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What are the symptoms of skin cancer? I have a hard round shaped structure in thigh. Is it the sign of a tumor which would be harmful?

BAMS
Ayurveda, Ambala
The most common warning sign of skin cancer is a CHANGE to your skin. And the most common change is something growing on your skin. This growth can appear on the skin in many ways. The following explains the signs (what you see) and symptoms (what you feel) of the most common types of skin cancer. *. Reddish patch of dry skin that won’t heal *. Flesh-colored (or pink, red, or brown) pearl-shaped lump*. Pimple that just won’t clear *. Sore that bleeds, heals, and then returns *. Scar that feels waxy — may beskin-colored, white, or yellow *. Group of slow-growing, shiny pink or red growths — look like sores, often scaly and bleed easily *. Flat or sunken growth — feels hard, may be white or yellow. A mole on the skin that is growing, changing shape, or changing color *. A mole that looks scaly, oozes, or bleeds *. New dark spot on the skin thatlooks like a mole, but grows quickly *. Pain, itch, or bleeding in a newspot on the skin *. Streak (usually brown or black) underneath a fingernail or toenail *. Bruise on the foot that does not heal.
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What are the symptoms of prostate cancer?(he is feeling burning sensation while urinating)

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
Daear lybrate user. Burning sensation in urine may be because of infection. If you have urgency in passing uine or after passing urine you still pass drops of urine and wet your under garments or urine flow has diminished, there are sighns of prostate enlargement which could be benign as wel as malignant. For ruling it out you need a complete physical examination and followed by necessary investigations.
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I am 72 years old. Now I am suffering from prostate gland enlarge. Last month my PSA 10, 90 after taking medicine silodal D 8 at night. After one month my PSA 6.87. I continue with silodal. Is there any other medicine require.

MS - General Surgery
General Surgeon, Patan
I am 72 years old. Now I am suffering from prostate gland enlarge. Last month my PSA 10, 90 after taking medicine sil...
If your symptoms are better with it. No need to change or add on any other medicine. Continue with silodal d. Get your psa repeated every 3 months. If its raiseing then you may require biopsy also.
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What are the symptoms causes and effects of bood cancer? Is blood cancer curable pls do tell me?

DNB, MBBS
Oncologist, Faridabad
Blood cancer is caused by abnormal proliferation of one of the components of blood, leading to suppression of others.hence leading to symptoms like prolonged fever, frequent infection, bleeding or easy bruising, lumps or lymphadenopathy. Blood cancer depending on type are treated by chemotherapy mostly and many have very long disease free survival and are almost curable but everything depends on how patients respond to treatments.
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I've been coughing for the past 2 weeks with a little amount of blood what should I do now or am I having cancer please suggest.

Precision Radiotherapy, Advance Training, MD - Radiotherapy, Fellowship
Oncologist, Varanasi
Coughing up blood generally requires medical evaluation. Causes of hemoptysis bronchitis (acute or chronic), the most common cause of coughing up blood. Hemoptysis due to bronchitis is rarely life-threatening. Bronchiectasis tuberculosis lung cancer or non-malignant lung tumors use of blood thinners (anticoagulation) pneumonia pulmonary embolism congestive heart failure, especially due to mitral stenosis get it evaluated. Get sputum cytology and cect thorax done.
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Hi i am 25 yrs old yesterday night few bleeding in my left breast and pain also. I am very afraid please tell me it could be a cancer.Please suggest

MD - Maternity & Child Health
Gynaecologist, Bangalore
25 yr old and breast cancer is unlikely but stil go n consult gynecologist for proper treatment if there is a problem or so.
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I am 30 years old guy. I have small tumour kind of thing in mouth under teeth. My dentist removed teeth and did surgery and removed hard tissues. He told it will take 3 months to cure but already 2 months over. Still it is bulged out in mouth. I am doubting it is any cancer. Please suggest.

MDS - Oral & Maxillofacial Surgery, Fellow of Academy of General Education (FAGE), BDS
Dentist, Patna
Do you have any xray? if yes then please send. If not then get a dental opg done xray and send it to me. please consult me privately.
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