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Dr. Gireesh

Oncologist, Mumbai

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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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Breast Cancer - Why Go For Early Diagnosis?

MBBS, MD(General Medicine), Fellowship Hemato - Oncology (Hemat-Oncology), DM(Medical Oncology), DNB(Medical Oncology)
Oncologist, Kolkata
Breast Cancer - Why Go For Early Diagnosis?

Breast cancer is an abnormal growth of cells in the tissues of the breast. Mainly it occurs in females but less than 1% of all the breast cancer cases develop in males. The majority of breast cancers start in the milk ducts. A small number start in the milk sacs or lobules. It can spread to the lymph nodes and to the other parts of the body such as bones, liver, lungs and to the brain.

With more reliable early detection methods as well as the trend towards less invasive surgery, there is hope that even more women with breast cancer will be treated successfully and will go on to resume their normal lives.

Signs & Symptoms 
It is painless, especially, during the early stage. Watch out for the following changes in the breast:

  1. A persistent lump or thickening in the breast or in the axilla. 
  2. A change in the size or shape of the breast. 
  3. A change in the colour or appearance of the skin of the breast such as redness, puckering or dimpling. 
  4. Bloody discharge from the nipple. 
  5. A change in the nipple or areola such as scaliness, persistent rash or nipple retraction (nipple pulled into the breast).

Consult a doctor immediately if you notice any of these changes.

Risk Factors 
Being a woman puts you at risk of getting breast cancer. There are certain factors that increase the risk of breast cancer. Some of them have been listed below:

  1. The risk increases with age; most cases of breast cancer develop after the age of 50 
  2. Genetic alterations in certain genes such as BRCA1 and BRCA2 
  3. Family history of breast cancer 
  4. Being overweight 
  5. Early menarche (onset of menstruation before the age of 12) 
  6. Late menopause (after the age of 55) 
  7. Never had children 
  8. Late childbearing 
  9. No breast feeding 
  10. Excessive consumption of alcohol 
  11. Use of hormonal replacement therapy (HRT) for a long period of time

However, most women who have breast cancer have none of the above risk factors. Likewise, not having any of these risk factors does not mean that you will not get breast cancer.

Early Detection and Screening

More treatment options are available when breast cancer is diagnosed at an early stage and hence the chances of recovery is also higher. So regular breast screening is important for early detection even if there are no symptoms. Following are the ways of screening:

  1. Breast Self-Examination (BSE): Perform BSE once a month about a week after your menses are over. If you no longer menstruate, choose a date each month which is easy to remember e.g. your date of birth or anniversary.
  2. Clinical Breast Examination: Get a breast specialist to examine your breast once a year if you are 40 years and above.
  3. Mammogram: Go for a screening mammogram once a year if you are 40 to 49 years old and once every two years if you are 50 years and above even if you do not have any symptom. It is not recommended for younger women (less than 40 years of age) as they have dense breasts, making it difficult for small changes to be detected on a mammogram. So ultrasonography of the breasts is advisable to them.

Types of Breast cancer

  1. Non-Invasive Breast cancer: These are confined to the ducts within the breasts. They are known as Ductal carcinoma in-situ (DCIS).
  2. Invasive Breast cancer: It occurs when cancer cells spread beyond the ducts or lobules. Cancer cells first spread to the surrounding breast tissue and subsequently to the lymph nodes in the armpit (Axillary lymph nodes). These cells can also travel to the other parts of the body such as bones, liver, lungs or brain and hence known as metastatic breast cancer.

Making A Diagnosis 

If you notice any unusual changes in your breasts, you should see a doctor immediately. He will examine you clinically and may ask you to undergo some tests so that a definitive diagnosis can be made. Further, the staging work up is done to find out the stage of the disease and management accordingly.

Treatment options 
Treatment of breast cancer may include various methods such as surgery with or without breast reconstruction, chemotherapy, radiation therapy, hormonal therapy and targeted therapy. Treatment options offered, depend upon the number of factors such as the stage of cancer and likelihood of cure, your general health and your preference.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2587 people found this helpful

My question is a smoking cause cancer but ciggrtee is not banded for any country so my knowledge is ciggretee banded for all over country thank you.

MBBS
General Physician, Mumbai
It has been proved that cigarettes cause cancer and its a big industry that is involved so government is planning to stop it step by step and may be in near future government will completely stop its production.
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Chemotherapy - 11 Tips To Help You Get Through It!

Registrar In Surgical Oncology, Fellowship In Gynaecologic Oncology, Masters In Advanced Oncology, Fellowship In advanced laparoscopy and robotic surgery, Fellowship In Gastrointestinal Oncology, Fellowship In CRS and HIPEC, Fellowship In PIPAC
Oncologist, Mumbai
Chemotherapy - 11 Tips To Help You Get Through It!

Chemotherapy can be frightening, and the very thought of going through it can be an ordeal for most people. Many resources and tips can be used to minimize the discomfort and lessen the burden. Let us have a look at a few of these.

  1. Support network: Chemotherapy can be physically daunting and more than the treatment a person needs all the emotional and moral support he/she can get. Have friends and family always by your side. You can have peace of mind when there is a person you can trust and bank upon in taking care of you.
  2. Discuss the medication with your oncologist: Before understanding the treatments have a detailed discussion about the current medication you are undergoing, as this may hamper the chemotherapy treatment. The dosage has to be adjusted accordingly.
  3. Keep the body hydrated: Your body gets dehydrated on the day of the treatment. Please ensure that the body is properly hydrated and plenty of fluids are there in the body.
  4. Be comfortable: Taking chemotherapy can have an effect on your morale. Hence make sure that you are keeping yourself occupied with books and games or your favorite music to while away the time.
  5. Wear comfortable clothes: This makes all the difference in the treatment as having loose fitting clothes can relive pressures in your mind. Always choose clothes that you are comfortable in.
  6. Ask questions: Chemotherapy treatments can and will cause side effects. Hence ask and keep yourself updated as much as possible. More importantly after the treatment ask questions on the possible recuperation period and how best to go about it.
  7. Symptoms of nausea and vomiting: It is natural that most of the patients feel light headed or have a vomiting sensation when undergoing the treatment. Always make sure that the doctor or the nurse knows about it. Make yourself as comfortable as possible. Some medications to prevent nausea can be had along with the chemotherapy drugs.
  8. Avoiding infection: Chemotherapy affects the immune system of the body. Hence it can get easily susceptible to diseases. Have a general cleanliness around your surroundings. Avoid crowds if possible and keep your hands always clean and wear clean, comfortable clothes that don't stick to the body.
  9. Right diet: Chemotherapy makes you prone to weight loss. Hence having the desired nutritional levels is mandatory. Consult a dietician and eat healthy. It is not advisable to gain weight either during or after chemotherapy.
  10. Adequate Rest: Our body needs all the rest that it can get when undergoing chemotherapy. Make sure that the body gets proper sleep and is relaxed. You can try for meditation and simple yoga exercises that can help in rejuvenating the body.
  11. Skin Care: Prolonged treatment can affect the moisture content in the skin. Have a good skin cream and lotions handy to take care of it. In some cases, chemotherapy causes hair fall. Make sure that a proper wig or a treatment plan is made beforehand to take care of the issues.

Chemotherapy treatment can be emotionally daunting. Having a few precautions like the ones stated above can make all the difference in how successful we are in coping with it.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3442 people found this helpful

My problem is cancer I try many of tablets but not recover well so what can I try?

DNB, MBBS
Oncologist, Faridabad
Cancer is not treated by taking various tablets. You must get complete work up done and after that according to site stage, histopathology treatment can be surgery, chemotherapy, radiotherapy etc.
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Cancer - How Pollution Is Worsening The Situation?

MD - Radiation Oncology, MBBS, Diploma in Tuberculosis and Chest Diseases (DTCD)
Oncologist, Delhi
Cancer - How Pollution Is Worsening The Situation?

More and more cancer types are being linked to air pollution. While the linkage is quite easily understandable between air pollution and lung cancer, the damage does not stop there. It is far more harmful, and whether or not it is part of the respiratory system, most cancers are linked to air pollution. The World Health Organization (WHO) has classified air pollution as carcinogenic to humans.

The amount of particulate matter in the air, especially in developing countries like China and India, are loaded with carcinogenic material. This is due to increased transport overload, power generation, industrial emissions, residential heating etc. The exact composition of the air can vary depending on the time of the year, the location, weather, etc. The International Agency for Research on Cancer (IARC) also is spending a lot of time and money to find out the connection between these two. Establishing the link can help in preventing cancer.

Read on to understand the correlation between factors affecting air pollution and cancer incidence.

  • Air pollution is not uniform and varies across the globe, depending on how some of the above mentioned factors are affected.
  • Developing countries have more pollution levels, especially from vehicular fuel exhaust, metals, dust, and chemical solvents. These contaminate the air, making it carcinogenic.
  • There is also lead, which is another “probable human carcinogen,” causing cancer of the liver, brain, and kidney.
  • The other chemicals in polluted air include sulfur dioxide, nitrogen oxide, carbon monoxide and ozone.
  • Also there are various compounds like volatile organic compounds, outdoor air pollutants, and other particulate matter, which are present in greater numbers in polluted areas.
  • Paint thinners, dry cleaning agents, and other metals also contribute to increased air pollution. This, when inhaled, induces chronic inflammation in the tissues, making them react to the inflammation.
  • Both outdoor and indoor agents cause pollution, and increases risk of developing cancer.
  • Second hand smoke is a lot more dangerous than imaginable in inducing cancer.

Mechanism: Cancer is a result of chronic inflammation, which induces uncontrolled proliferation of the cells. A combination of the above mentioned compounds along with a strong predisposition (family history, for instance) puts the person at a very high risk to develop cancer. The symptoms may takes years, sometimes decades, to develop, but the onset starts off with continued exposure to these agents. So, if you are predisposed to developing cancer, ensure your exposure to the above pollutants is reduced, even if it cannot be completely avoided. If you wish to discuss about any specific problem, you can consult an Oncologist.
 

2648 people found this helpful

Common Symptoms Of Prostate Cancer!

MCh - Urology, MBBS
Urologist, Chennai
Common Symptoms Of Prostate Cancer!

The prostate gland is a small walnut-shaped organ that produces seminal fluid which carries the sperm and also provides them nourishment.

Prostate cancer is one of the most common types of prostate cancer in men. The progress of prostate may take years and so symptoms may not be evident until it has reached an advanced stage. Also, prostate enlargement is an extremely common condition in most elderly men. This condition is known as benign prostatic hypertrophy (BPH). The symptoms produced by prostate enlargement are similar to those of prostate cancer in the earlier stages. Therefore, men may confuse the cancer symptoms with BPH symptoms and often ignore the same. For most men, BPH is part of ageing and night-time visits to the bathroom are quite common.

Symptoms of prostate cancer can be clubbed into two broad categories – urinary and others.
Urinary symptoms are due to the enlarged prostate gland pressing on the urethra, the tube that carries urine from the bladder to the outside. These include:

  1. Burning sensation with urination
  2. Painful urination
  3. Difficulty in starting and stopping a urine stream
  4. Dribbling in between a stream
  5. Inability to control a stream, often causing urine to leak before reaching the toilet
  6. Increased urgency to urinate, especially at night
  7. A reduced flow of urine
  8. Lack of control over bladder
  9. Presence of blood in the urine, often giving it a pinkish hue

Non-urinary symptoms include:

In addition, there would also be generalized symptoms of cancer, including:

  1. Generalized lethargy and weakness
  2. Anemia
  3. Uncontrolled weight loss
  4. Lack of appetite
  5. Back pain

As noted above, these symptoms are not indicative of prostate cancer. Even prostate infection or in older men prostate enlargement can cause these symptoms. Therefore, it is essential to correlate these symptoms with risk factors and clinical diagnosis.

Risk factors include age, family history, poor diet choices, higher testosterone levels, prostatic neoplasia, and presence of BRCA1 or BRCA2 genes.

Clinically, when a patient experience any of the above symptoms, the doctor would need to confirm the diagnosis via:

  • Digital rectal examination, which will confirm that the prostate is enlarged indeed
  • Chemical tests to check for prostate-specific antigen (PSA) which is often increased with any disease of the prostate
  • A biopsy to identify the presence of cancerous cells

A combination of clinical presentation, lab, and imaging will help in confirming the diagnosis. Earlier the diagnosis, better is the prognosis.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3576 people found this helpful

My mom has ovarian cancer and done first kimo and they not allowing her to live her life like not allowing her to walk outside even she is not allowed to go to public places .she is kept in home 24/7 is all these restrictions needed.

MBBS, MD(General Medicine), Fellowship Hemato - Oncology (Hemat-Oncology), DM(Medical Oncology), DNB(Medical Oncology)
Oncologist, Kolkata
After chemotherapy is given, side-effects usually start by 7 to 10 days and subside by 15th day. During this period she is likely to have low wbc and hence it is advisable not to go to crowded places. She can have all foods including fresh fruits and vegetables which are hygienic. If you get any fever after chemotherapy please contact your doctor andvstart injectable antibiotics within an Hour.
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My breast cancer position was stage 2 before 1 month ago is there any solution for protect cancer?

MBBS, M.S. General Surgery, M.R.C.S. England, M.Ch. Surgical Oncology, DNB Surgical Oncology, FEBS Surgical Oncology, DNB General Surgery, MNAMS, FMAS, FIAGES, FAIS, FICS, FEBS Breast Surgery, FACS, Fellowship IFHNOS & MSKCC USA, Fellowship in breast and oncplastic Surgery
Oncologist, Mumbai
Have you been operated for the breast cancer or on neoadjuvant chemotherapy for the same. If not, please show to a Breast Surgeon or a Surgical oncologist. They will examine you and ask for a mammogram and ultrasound with core biopsy. The core Biopsy gives the type of cancer, the grade of cancer and the IHC i.e. ER/ PR/Her 2 status. If large tumor or locally advanced cancer, they may ask for metastatic work up like PET CT scan or CECT Scan. Depending upon the tumour to Breast ratio, upfront surgery or neoadjuvant chemotherapy may be advised if considering breast conservation (neoadjuvant is usually advised for locally advanced breast cancer ). The surgery may be a mastectomy or breast conservation depending on focality, location, tumor to Breast ratio and response to chemotherapy and your choice. Oncoplasty is a norm after conservation now a days to improve cosmesis. Whole breast reconstruction with autologous tissue or implants is also offered to all patients after mastectomy. For the axilla, they may advise for sentinel node Biopsy if Clinically and sonographically negative or Axillary clearance if positive. Post op depending upon the report you may need chemotherapy with or without Herceptin, followed by radiation (radiation is mandatory after breast conservation. After mastectomy it depends on the pathology report) Hormonal therapy would also be advised for 5-10 years if tumor is ER/PR positive (which drug to start depends upon your menopausal status) Adjuvant Bisphosphonate May be advised depending on the report and menopausal status. The hormonal therapy has been shown to protect from hormone sensitive breast cancer. The two main risk factors for breast cancer are increasing Age and Female sex, which are non modifiable. Also about 10% of the Breast cancers are familial due to BRCA 1/2 gene mutation, who are also at risk of ovarian cancer and a few other cancers especially at a younger age and may be offered surveillance, prophylactic mastectomy with reconstruction or bilateral salpingo-oophorectomy. The other risk factors are: Early menarche, late menopause, no children or late children, no breast feeding, OC PILLS, HRT, alcohol, smoking and obesity, history of mantle cell radiation for lymphoma in past to chest wall. So lead a healthy lifestyle, breast feed your babies, but the main risk factors are non modifiable. Screening is a modality recommended for early detection of breast cancer. The earlier the cancer is detected, it has a better chance of cure and more over requires lesser treatment for the same (e.g may avoid mastectomy and chemotherapy) the minor disadvantage being that it may detect cancers that may not progress in lifetime of the patient but currently there are no means to identify which ones are those. Recommendations are Breast self examination (not proven to improve survival, but countries where women follow it have had increased awareness and improved survival in breast cancer) very 2-3 months. Examination by clinician every year beginning at age 20 years. Mammography every 2-3 years from age 45-75 years. I hope I was able to solve your query. Do not hesitate to contact me if you want to share your detailed reports and want advice on further treatment.
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Hello Concern Dr. I would like to advice from you , everyday I drink three or more times coffee with sugar mix is it Ok for health ? I have Sugar under control I used Zoform-1000 MG tablet everyday one time after dinner only. Previous two years before I had faced Cancer hematologist surgery done, but I am alright now.

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), PG Diploma In Clinical Counseling, PG Diploma In Oncology & Haematology (A.M), Ayurveda (I) Certification, Clinically Relevant Herb-Drug Interactions (CME) (Cine-Med Inc. USA), Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Certificate Course in Homeopathic Oncology
Alternative Medicine Specialist, Bhubaneswar
Hello Concern Dr. I would like to advice from you , everyday I drink three or more times coffee with sugar mix is it ...
Hi lybrate-user, I appreciate you seeking help. In the given context as you describe, I would advise that you minimize or avoid tea/ coffee etc all. Try cut down on sugar, salt, spicy, oily, greasy and other high calorie food stuff including fast foods. Adopt a mediterranean diet pattern instead. Stay well hydrated. You may have green tea (camelia sinesis) instead one to two times daily with no added sugar. Hope this helps. Take care and all the very best. Sincerely,
1 person found this helpful
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Doctor, I read in a book "Why Suffer" by an American Doctor that Wheat Grass Juice (taken from 8-10 days old, grown in shade) is a guaranteed cure for all types of Cancer. Can you confirm? What is your analysis/experience?

Ex Sen.V.Surgeon/Research Scientist, M.D.(Alternative Medicine/tibetan/chinese/acupuncture), Vaida/ Unani, Homeopath
Unani Specialist, Moga
Hi they read some ayurvedic book and reproduced it to earn money. It helps but I hv not seen any body fully cured. It can be cured if you take cancero medicine course-6 months. Available.
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