Lybrate.com has a nexus of the most experienced Oncologists in India. You will find Oncologists with more than 16 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.
Book Clinic Appointment with Dr. Indoo Ammbulkar
Submit a review for Dr. Indoo AmmbulkarYour feedback matters!
Patient Review Highlights
Ovarian cancer is referred to as the cancer of the ovaries. The ovaries are a component of the female reproductive system. There are two ovaries located on either side of the uterus in a woman's body. Ovaries which are the organs responsible for producing egg cells also produce the hormones estrogen and progesterone. Ovarian cancer is a type of cancer which often goes undetected until it has spread all the way to the pelvis and the abdomen. However, it is also very difficult to treat the condition in its later stages which is why diagnosing ovarian cancer quickly is quintessential. Here is everything you need to know about ovarian cancer;
1. No symptoms at first
Usually, in its early stages ovarian cancer does not cause any symptoms.
2. Abnormal bloating
Bloating is when your abdomen swells due to excess fluid or gas inside. Abnormal bloating is more frequently associated with irritable bowel syndrome or even constipation is a common symptom of ovarian cancer.
3. Feeling full quickly
This is also an associated symptom which has often been mistaken for constipation or irritable bowel syndrome.
4. Weight loss
This is one of the more common signs of ovarian cancer.
5. Discomfort in the pelvis area
This symptom occurs towards the later stages of ovarian cancer after it has already spread.
Constipation is a symptom of ovarian cancer as well.
7. Frequent urination
This is yet another symptom which is a sign of ovarian cancer.
The symptoms of ovarian cancer are often mistaken with that of irritable bowel syndrome and constipation.
As with other forms of cancer, it is still very unclear what exactly causes ovarian cancer.
Surgery most commonly involves removing large parts of the female reproductive system which includes the ovaries, the fallopian tubes, the uterus as well as the lymph nodes. The surgeon will also try and remove as many cancer cells as possible from the abdomen and pelvic areas.
Chemotherapy is usually done after surgery. It is usually performed so that the rest of the cancer cells are killed off. Chemotherapy drugs can be injected directly into the vein, abdominal cavity or sometimes even both.
We live in an age where every single individual, more or less, is exposed to the risk of cancer. It is probably an unfavorable lifestyle we lead that deprives us of good health. This might alarm many but considerable changes in lifestyle can help you realize cancer as a preventable disease. Cancer does not only make you undergo severe suffering but it also affects your friends and family. The pallor of misery spreads wider than you think.
- Abstain from tobacco: Consuming raw tobacco or smoking tobacco can be equally detrimental to your health. Tobacco increases your chances of contracting the disease. As is known, passive smoking can also affect your health adversely. Tobacco can be the potential cause behind cancer of the mouth, throat, larynx, lungs, oral cavity and even the pancreas. It might harm your kidneys and cervix. It is upon you to quit tobacco at the earliest possible. One should also try and persuade friends and relatives to give up smoking.
- Absentism from alcohol: Complete abstinence from alcohol is the way to go. It is really important not to drink as it affects you severely. It propels consequences as serious as cancer of the stomach, pancreas, liver and the heart.
- A balanced and nutritious diet: Deciding on a plant- based diet or a Mediterranean diet can aid your fight against the risk of cancer. A Mediterranean diet will involve green leafy vegetables, lots of fresh fruits, whole grains, mixed nuts, legumes and also the use of extra- virgin olive oil. Fish can be a safe bet but red meat should be avoided. One must also try to avoid processed meat as they tend to make you prone to the risk of cancer.
- Immunization: Hepatitis B and HPV or Human papilloma virus vaccines are extremely necessary to protect you against the sexually transmitted types of cancer.
- Sun protection: Caring for your skin doesn't arise from vanity. Skin cancer is one of the most prevalent kinds of cancer; the chances of this disease can be restricted by remaining in shade especially during midday, by wearing covered clothes and by using a good sunscreen lotion repeatedly while outside.
- Exercise diligently: Did you think it was okay to have weaker muscles and bulging layers of fat? If yes, you probably have grown numb to the inadequacies you face in result. Unchecked fat can lead to obesity which further complicates health conditions. Metabolic activity differs from person to person. Regular exercising can help regulate metabolism according to the needs of your body. Physical exercise protects you against the risk of breast and colon cancer. Moderate or vigorous physical activity for 150 to 75 minutes a week respectively can reduce the risk of cancer.
Suffering from any degenerative or terminal disease like lymphoma can be really tough. It takes a huge toll on your mental health. Whether you are suffering from it or someone close to you, the impact is extremely painful and going through each day is a fight in itself. But, you must struggle. Just to minimize your anguish a little bit more, here are some ways to cope with the lymphoma:
- Be open about your disease: Try to talk about your disease with other people as much as possible. Talk about what you are going through. How it is making you feel, how painful it is. Share all of your feelings. Don’t be ashamed or feel bad about your disease.
- Deal with fear and scare: There is no point in minimizing the fact that you will be afraid and scared. But try to calm yourself down. Think about your options for treatment and consult your doctor about them. Learning about the possible treatments will make you feel safe.
- Try to engage in physical activities: As much as your body permits try to engage yourself in physical activities like walking, simple exercises, yoga, and other physical activities. It will help to keep your stress level in check.
- Get out: Don’t confine yourself to your home as it maJust to minimize your anguish a little bit more, here are some ways to cope with the lymphomay lead to depression. Engage in daily activities like going to a grocery store, a shopping mall, a club or just for a stroll in the park. Calling your friends or your family and going out for a coffee can help a great deal.
- Think about financial matters: Dealing with a long-term disease can be really stressful not only emotionally but also financially. This makes it extremely important to plan your finances well. If you have health care insurance, try to go over with your agent on how much you will be covered and save money accordingly.
- Handle your work life: About work, talk with HRD at your office and tell him/her about your medical condition and how well you are prepared to deal with the work designated for you.
- Don’t push people away: In most cases, due to prolonged illness, the patients become hopeless and tries to push people close to them away. They find it extremely difficult to cope with the disease, so try to keep your loved ones as close to you as possible. If someone comes forward with a helping hand, accept it.
- Managing side effects: The side effects of the treatment can affect you as well. Try to go over them with your doctor before starting your treatment.
- Facing infertility: Conceiving children can be a problem during this period. If you are planning to have children, consult a fertility doctor and check your options.
- Deal with relapse: If you have cancerous cells, you must be prepared for a relapse. However, it will be easier to deal with a relapse as you know what to expect and which way to go.
With the modernization of all economies around the world, one health hazard that has become one of the largest perils within both developed and developing nations is the incidence of cancers of the female reproductive system, especially cervical and breast cancer.
Breast cancer is the formation of malignant tumors within the breast tissues of a woman. Usually, breast cancer affects women in the age range of 40 to 50, but there have been many reports of it occurring earlier. About 48 % percent of the Indian women having breast cancer have been reported to be under 50. This is an almost 17 percent jump compared to figures 25 years earlier.
Alarming Signs of Breast Cancer:
- The most common symptom of breast cancer is a new lump or mass. A painless, hard mass that has irregular edges is more likely to be cancerous, but breast cancers can be tender, soft, or rounded.
- Swelling of all or part of a breast (even if no distinct lump is felt)
- Skin irritation or dimpling
- Breast or nipple pain
- Nipple retraction (turning inward)
- Redness, scaliness, or thickening of the nipple or breast skin
- Nipple discharge (other than breast milk)
Screening Guidelines for Breast cancer:
- Mammography: US Preventive Services Task Force (USPSTF) recommends mammography once in every 2 year for females between age group 50-75 years. Women with a family history has a benefit of starting at age 40 years. After 75 years there are insufficient evidence of benefit of screening mammography.
- Breast Self Examination and annual Clinical examination: breast self examination is easy to learn and and any abnormality should be reported to the oncologist.
- For High Risk/ Genetic risk factors: screening should start by age 25 or 10 years earlier of youngest relative affected. Annual mammogram and MRI or Doppler ultrasound alternating at 6 month interval can be considered.
Some of the common treatment options for breast cancers are:
- Breast conservation surgery - This is where the tumors are removed without cutting out too much of the surrounding breast tissue.
- Mastectomy - If the cancer has spread too far then large amounts of breast tissue has to be removed along with the tumor to stop its spread any further.
- Sentinel lymph node Biopsy - it's part of both surgical procedures, it decreases 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. It avoids the morbidity of complete axillary clearance.
The other options to treat breast cancer are chemotherapy, hormone therapy, targeted therapy and radiotherapy.
Cervical cancer ( Carcinoma Cervix)
Cervical cancer is the cancer of the cervix, which is the opening of the uterus and connects the uterus to the vagina. Indian women in particular are susceptible to cervical cancer as more than 1/3rd of the cervical cancer related deaths in the entire world happens here in India, which is about 74000 deaths annually. The leading cause for cervical cancer is HPV or Human Papillomavirus infection, which if left untreated and unchecked will result in cancer.
Alarming Signs of Cervical Carcinoma:
- Early lesions and precancerous lesions have no symptoms
- Abnormal vaginal bleeding such as bleeding after vaginal intercourse, bleeding after menopause, bleeding and spotting between periods or longer/heavier periods
- Abnormal vaginal discharge
- Pelvic pain
- Late stage disease may cause lower extremity swelling, problem with urine and/or stool passage
- Cervical cancer screening is most effective screening programme of any cancer disease resulting in significant decrease in mortality from carcinoma cervix
- United state preventive services task force (USPSTF) recommend cervical cancer screening starting at age 21 yrs.
- Between age 21-30 years cytology recommended at 3 year interval and HPV testing is not recommended.
- Between 30-65 years cytology every 3 year or cytology +HPV testing every 5 year.
- If previously adequately screened screening can be discontinued after 65 years.
- Women with prior total hysterectomy and no CIN can discontinue screening.
Apart from breast and cervical cancers, certain other cancers have also reported an alarming increase such as:-
Ovarian cancer (Carcinoma Ovary)
Starting in the ovaries, diagnosis of this type of cancer is usually delayed due to lack of visible symptoms in the initial stages. About 85% to 90% of ovarian cancers are epithelial ovarian carcinomas. Epithelial ovarian cancers tend to spread to the lining and organs of the pelvis and abdomen (belly) first. This may lead to the buildup of fluid in the abdominal cavity (called ascites). As it advances, it may spread to the lung and liver, or, rarely, to the brain, bones, or skin. The main treatments for ovarian cancer are surgery and chemotherapy.
Cancer of the endometrium (Carcinoma Endometrium)
Endometrium is the lining of the uterine wall and has along with ovarian, uterine and cervical cancer is also increasing in occurrences throughout India and the world.
The grade of an endometrial cancer is based on how much the cancer forms glands that look similar to those found in normal, healthy endometrium.
Cervical cancer along with Ovarian, uterine and endometrial cancer can be treated using the following methods:
1. Surgery: Radical Hysterectomy primarily preferred option for early stage disease. Both open and minimal invasive approaches are suitable.
- For precancer high grade lesion conisation is also option for compliant patient.
- In young suitable patient willing for childbearing trachelectomy is also possible in very early lesion.
- Depending on risk factors after surgery adjuvant treatment may be advised.
2. Radiation therapy or Combined Radiation therapy+Chemotherapy: Alternative to surgery in early stage and choice in late stage.
Certain prevention techniques that would be advisable to detect cancer in its early stages would be,
Testicular cancer is mostly witnessed among young adults in the age range of 24–35. It results from the growth of abnormal cells in the testes. It is not the most common type of cancer found in the body, but can pose a serious threat to an individual if not treated early. The cure rate is one of the highest among all kinds of cancer found in the body. This being said, the rate of cure is totally dependent on the stage of detection.
Risk Factors for Testicular Cancer
The historical trend of testicular cancer suggests that white men are prone to this type of cancer than their African, Asian and Latino counterparts. A person with a family history of testicular cancer of HIV is at higher risk of getting this disease. Some other risk factors include Klinefelter’s syndrome and cryptorchidism.
Protection from Testicular Cancer
There is no hard and fast rule of protection. It is suggested that the testicles get evaluated while routine medical check-up. A person with a family history of testicular cancer should opt for a periodic checkup after every three months. In case a patient has already recovered from testicular cancer, routine medical tests are a must to ensure non-recurrence.
Symptoms of Testicular Cancer
The common symptom is a swelling in the testicle. It feels like a thickening of the testicle and is mostly painless. Minor discomfort in the swelling region is often reported. Some other symptoms include back pain, ache in the scrotum and groin, change in the size of the testicle, bloating of the lower abdomen and heavy sensation of the scrotum. There is a rare form of this cancer, which produces a female hormone called estrogen in a man’s body. This disease results in a lack of sexual desire, lump in the affected area, etc. Even less serious testicular cancer might show these symptoms. An oncologist should be immediately consulted if one or more of these symptoms surfaces.
What are the treatment options?
Testicular cancer is mostly cured with the help of a surgery. A follow-up radiation and chemotherapy is suggested by doctors to destroy the surrounding cells. It is done to ensure that the cancer cells do not spread easily and the chance of recurrence is minimal. The rate of cure depends on early detection.
Does testicular cancer affect sexuality?
In most of the cases, testicular cancer is detected in one testicle. If this is the case, the other testicle produces all the hormones needed for sexual drive. It also does not affect sex drive, beard and muscularity. There is also a large section of patients who reported of a difficult sexual life after the surgery. There can be some discomfort in the scrotum as well.
Collectively grouped under the Ewing sarcoma family of tumors, Ewing's sarcoma is the second most common primary bone cancer occurring predominantly in children and in adolescents. Very rarely is it experienced in adults above the age of 30.
Typically forming in the bones of the chest, pelvis, head, back or trunk and in the long bones of the arms and legs, Ewing's sarcoma is believed to originate in certain kinds of primitive cells. When it begins to affect similar kind of cells found outside the bone, it is usually called an extraosseous Ewing's sarcoma.
1. Similar to all types of Ewing tumors, Ewing's sarcoma is generally caused by an alteration in a certain cell compelling a gene named EWS found on chromosome no. 22 to move over to a DNA section on any one of the surrounding chromosomes resulting in the activation of the EWS gene.
2. While it is not a hereditary condition, it usually occurs after childbirth, but no substantial evidence has been found as to why it happens so.
Symptoms of Ewing's sarcoma may include:
1. Swelling and pain especially in the arms, legs, back, chest or pelvis
2. Swelling accompanied by joint immobility
3. A bone breaks having no apparent cause
4. Swelling which may or may not be accompanied by a warm, tingling sensation
5. Fever resulting from unknown causes
6. Lumps or bumps which do not subside over time
7. Abnormal weight loss
8. High levels of fatigue
9. Tumors which have spread over to the lungs may cause shortness of breath
10.Tumors spread over to the spine may cause weakness or even paralysis.
Because the symptoms of Ewing's sarcoma can hardly be distinguished from symptoms caused by other infections or injuries, an early diagnosis is absolutely necessary for a successive treatment.