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Dr. Gireesh

Oncologist, Mumbai

Dr. Gireesh 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. Gireesh
Dr. Gireesh is a renowned Oncologist in Parel, Mumbai. He is currently associated with Tata Mamorial Hospital in Parel, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Gireesh on Lybrate.com.

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Tata Mamorial Hospital

# 48, Dept Of Medical Oncology,Parel, MumbaiMumbai Get Directions
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Brain Cancer

IFAANS, DNB (Neurosurgery), MBBS
Neurosurgeon, Ghaziabad
Brain Cancer

Brain cancer is a disease of the brain in which cancer cells (malignant cells) arise in the brain tissue. Cancer cells grow to form a mass of cancer tissue (tumor) that interferes with brain functions such as muscle control, sensation, memory, and other normal body functions. Tumors composed of cancer cells are called malignant tumors, and those composed of mainly non-cancerous cells are called benign tumors. Cancer cells that develop from brain tissue are called primary brain tumors while tumors that spread from other body sites to the brain are termed metastatic or secondary brain tumors.

Prologue:

  1. Brain cancer is actually the abnormal growth and uncontrolled growth of the cancer cells in the brain that forms a tumor in the brain.Tumours can be either benign or malignant.

  2. Benign brain tumours are abnormal collections of cells that reproduce slowly and usually remain separate from the surrounding normal brain.

  3. Malignant tumours reproduce and grow quickly. Their borders are hard to distinguish from the normal brain around them.

Symptoms:

There are few early symptoms of brain cancer, but as the tumour grows within the confines of the skull, it causes increased intracranial pressure and exerts pressure on the brain, causing signs to develop.

Brain cancer symptoms and signs are varied and depend on the area of the brain involved, but can include:

  1. Headaches.

  2. Seizures.

  3. Nausea and vomiting, which, CANSA reports, may be worse in the morning or after a sudden position change.

  4. Difficulty walking or clumsiness.

  5. Vision changes.

  6. Changes in alertness.

  7. Behavioural impairment.

Causes:

Brain cancer occurs when there is an uncontrolled growth of cancer cells in the brain that form a malignant brain tumor. The underlying cause of primary brain cancer, cancer that begins in the brain, is not known. Secondary brain cancer is caused by a cancer of another organ in the body, such as the breast, prostate, kidney, skin, or bone, that has spread to the brain.

What are the risk factors for brain cancer?

  1. Certain inherited conditions, including neurofibromatosis, Von Hippel-Lindau syndrome, Li-Fraumeni syndrome, and Turcot syndrome

  2. Personal history of cancer or family history of brain cancer

  3. Impaired immune system

  4. Radiation therapy of the head

Treatments Options:

Treatment

Surgery is the main form of treatment for brain tumors that lie within the membranes covering the brain or in parts of the brain that can be removed without damaging critical neurological functions. The goal is to remove the entire tumor, whenever possible, as a tumor may recur if any tumor cells are left behind. Radiation therapy and chemotherapy are generally used as secondary treatment for tumors that cannot be cured through surgery alone.

Stereotactic radiosurgery

Stereotactic radiosurgery is a treatment option that delivers a high concentration of radiation directly to the tumor in order to stop its growth, while delivering only a minimal dose of radiation to the surrounding tissue. Unlike conventional surgery, stereotactic radiosurgery does not require making an incision to remove the tumor. It can be especially effective in patients with many small metastatic brain tumors. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

2089 people found this helpful
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Hi, I'm a 26 years old female and have been experiencing a swollen lymp node in my armpit for the last two yrs. It is moveable and painless but my arm pains when I do chores or any other lifting. It felt very prominent when I sleep to the side where it is located. Is this serious?

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
Dear, being there for last two years gives the impression it is not malignant. It may be infected cyst. Better is to get it removed. It may become painless after medical treatment but the it will get repeated infection and give rise to pain.
24 people found this helpful
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Hello doctor, I am 20 years old I have done my MRI of hips and screening of LS spine and all reports were absolutely normal actually my question is. During mri I was not constant I have done some moments is there any possibility of loss of information by the machine? Can it also loss some information if there is existence of tumor or cancer.

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
Hello doctor, I am 20 years old I have done my MRI of hips and screening of LS spine and all reports were absolutely ...
Dear, there will be little blurring of the immage. If the tumor is very small there is a chance of miss but gross things cannot be missed. Mri is usually done when there is a clear cut indication for it. So very less chance to miss.
1 person found this helpful
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My father was detected with localized prostate cancer last year and was followed by a heart attack later. His age is 61 years. He then have to undergo angioplasty with a non-drug eluting stent. Over one year has passed and his Stress test reports are excellent now as per cardiologist. Can he undergo a radical prostatectomy (prostate cancer surgery ) now or it will be risky for him to undergo surgery? Thank you.

MS - General Surgery, MBBS
General Surgeon, Delhi
My father was detected with localized prostate cancer last year and was followed by a heart attack later. His age is ...
Well one thing needs to be ruled out after one year gap is metastasis. So needs to undergo cect and bone scan if he is operable and pac fit then he can undergo the procedure otherwise hormonal/chemotherapy and performance status of patient is important it is slow growing tumour, if performance status is not good then hormonal therapy is advisable.
1 person found this helpful

I am a 39 year old female. I have noticed lump type formation on the sides of breast which appears and disappears automatically, please suggest medication for the same.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
This may happen due to hormonal changes. Homoeopathy has good treatment for your problem without adverse effects. The medicine acts internally and gradually the lump will be dissolved. Take homoeopathic medicine phytolacca 200 once daily for 10 days.
2 people found this helpful
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I am 74 years male, have some prostate enlargement; with the result frequent urinate in night especially during winter. Summer is not much problem for urinating. I also have problem of large sneezing. I have no sugar problem and my bp ranges from 135 to 150. Can you suggest simple home made treatment for this.

DNB, MBBS
Oncologist, Faridabad
I am 74 years male, have some prostate enlargement; with the result frequent urinate in night especially during winte...
Sir prostate enlargement can be benign or malignant. It needs evaluation by serum psa levels, sonography, and transrectal multiple core biopsy for confirmation. If it is benign can be started on some medications or else treatment as per the diagnosis.
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Hello, I have symptoms of BPH. I have got it checked and report says "Grade 2 PROSTATIC ENLARGEMENT WITH SIGNIFICANT POST VOID RESIDUE" Do I need to go for surgery or it can be diagnosed with medicines.

MBBS, MS - General Surgery
General Surgeon, Shimla
Hello, I have symptoms of BPH. I have got it checked and report says "Grade 2 PROSTATIC ENLARGEMENT
WITH SIGNIFICANT ...
The report will mention something like "Post void urine" That would be of help. Also further evaluation of symptoms along with size of prostate and post void urine are needed to decide if surgery is the best option.
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I feel sudden pain in my throat (it'just below my beard or where the neck starts on right side ). I do not feel the pain continuously ,but I feel pain suddenly for few seconds. It's from 3 to 4 days I am also a smoker and but only 2 or three cigrate in a day many times not a single cigrate I smoke. Is it sign of cancer? Please help me doctor.

Diploma in Radio Therapy, MBBS
Oncologist, Chennai
I feel sudden pain in my throat (it'just below my beard or where the neck starts on right side ). I do not feel the p...
The pain may be due to inflammation of the lymph nodes. In case you are having associated fever, do try to get a ENT check up for possibility of Acute Tonsillitis. If there is obvious swelling in the area you mention consider getting a opinion from a surgeon if biopsy is indicated. Let me know if you need more details.
16 people found this helpful
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I got fibroadenoma in both my breast kindly suggest any medicine for curable I do not want to have surgery already I had 3 years before surgery but I got again now is there any permanent solution pls suggest.

Fellowship in Minimal Access Surgery, MS - General Surgery, MBBS, FICS
General Surgeon, Delhi
Fibro adenoma breast is a benign condition. If it is fibroadenoma, nothing needs to be done. Transformation from fibroadenoma to cancer is rare; regression or resolution is frequent, supporting conservative approaches to follow-up and management. Follow-up every 6 months is recommended with you doctor/surgeon. Thanks.
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What is the treatment for various tumors in body? Why they are coming for all ages groups? Any responses.

DNB, MBBS
Oncologist, Faridabad
Sir tumour means cluster of cells collected together to form a lump. It could be benign when their growth is controlled and grow in a pattern, mostly capsulated. When their growth is uncontrolled and grow in aberrant way they are malignant. Benign tumours can be operated or may be observed. Malignant tumours are treated by surgery, radiotherapy chemotherapy or combination of them depending on site, size, stage, histopathology and general condition of patient. All age groups are exposed to cancer causing substances like water may be contaminated with some cancer causing substances, air we inhale may contain pollutants, food we eat may contain harmful chemicals and preservatives etc. Sometimes viruses like hpv ebv, hiv etc may cause cancer. Lack of exercise, sedentary lifestyle, fatty food etc make body weak and prone for disease like cancer. Sometimes it may be genetic. So any age group may be effected by cancer.
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My wife is 41 years old and had undergone 6 chemo therapy for her ovarian cancer, and have got minor disk prolapse earlier to that. Now she is having leg pain in the her fingers and back side disk portion also especially in night. Can you advise me how to get rid of this situation please?

DNB, MBBS
Oncologist, Faridabad
Please rule out osteoporosis by doing a dexa scan and check vit d levels. If any of above are abnormal then you can correct it by supplementation, other wise disk prolapse needs physiotherapy or surgical correction.
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My grandma has a breast cancer disease. And her age about to 83 years. So please suggest me in this age operation of this disease is the right step for her? she is not courageous lady. So she is not suffered by operation more?

MD - Radiation Oncology, MBBS, DNB (Radiotherapy)
Oncologist, Howrah
The primary treatment of breast cancer is surgery. Age is not a contraindication of surgery. If their is no other significant co-morbidity, proceed with surgery.
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What is the symptoms of cancer? What food eat for cancer patient? What is the prevention measures?

DNB, MBBS
Oncologist, Faridabad
Cancer is a disease caused by abnormal uncontrolled growth of cells of body, presenting as lump, ulceration, abnormal bleeding, weight loss, change in bowelor bladder habits, change in voice, breathing difficulty constipation etc for prevention of cancer one should eat fresh healthy food, lots of fruits and vegetables as they contain antioxidants, phycocyanin, lycopene etc which prevents cancer. Avoid known carcinogens like tobacco alcohol pollution pesticides radiation exposure industrial affluent etc and go for regular screening check up.
1 person found this helpful
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I am having light line in nail. Is it cancer sign whom to contact what check need to be done.

M.Ch - Surgical Oncology, MS - General Surgery, MBBS
Oncologist, Delhi
No it may not be due to cancer but due to other disease you are suffering from. Consult your treating doctor for now, otherwise a dermatologist.
1 person found this helpful
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Sir I am using evion vitamin e 200 mg with combination of vitamin c 500 mg. Did there is any side effect of prostate cancer.

General Physician, Chennai
Sir I am using evion vitamin e 200 mg with combination of vitamin c 500 mg. Did there is any side effect of prostate ...
Vitamin E supplements are good source of Antioxidants that protect cells from the damaging effects of free radicals. Unless you have any symptoms of deficiency you need not bind to vitamin supplements. You can take natural dietary supplements rich in vitamin E Food Numerous foods provide vitamin E. Nuts, seeds, and vegetable oils are among the best sources of alpha-tocopherol, and significant amounts are available in green leafy vegetables and fortified cereals. Most vitamin E is in the form of gamma-tocopherol from soybean, canola, corn, and other vegetable oils.
2 people found this helpful
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She is not pregnant now, but her both breast secrets some milky white substance, when some presser give on the breast. I am so afraid. Is this serious issue?

Minimal invasive surgery in gynaecology, MD - Obstetrtics & Gynaecology, DNB, MBBS
Gynaecologist, Mumbai
As you said, she is not pregnant, it may be excess of a hormone prolactin. Pls do serum prolactin and tsh levels. This condition is known as galactorrhea.
1 person found this helpful
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I have the cancer in lungs i.e. Water collected in lungs that i guess happens in final stage.

MD - Radiation Oncology, MBBS
Oncologist, Delhi
Water in lung does not mean you have cancer. It can be due to some infections also. Please consult a pulmonologist (chest specialist) for proper diagnosis.
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My father (72 yrs) is suffering from cancer in food pipe. The doctors said that surgery is not possible & radiation will start on 22nd june 2015. What is your opinion about this?

MD - Radiothrapy, DNB
Oncologist, Mohali
Correct treatment chemoradiation followed by intraluminal radiotherapy 2 sittings radiation should be preferrably on a linear accelerator imrt or better still igrt.
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