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.
Book Clinic Appointment
Submit a review for Dr. Mayuri ShettyYour feedback matters!
Age 56. How to prevent prostrate from enlarging? psa count normal. Urine flow test normal so far. Ultrasound indicates enlarged prostrate. Is there a preventive method to stop prostrate enlargement?
My wife age 42 years has been suffering from neck cancer last 2 and half years.she has been treated with lot of cemotherapy and one time ray. But no responses. For sometimes she improved and again suffer from. Can you treat her? Please help.
My prostate size has gone to 146 gms. Urination in the mornings is intermittent. Please suggest some medicine for free flowing urination and reduction in size of Prostate gland. Rajan Tandon.
Sir, my 60 years old mother is suffering from ovirian cancer since last june-14, and got traetment in RGCI New delhi. Dr. Gave her 3 cycle of plexetin base chemo then get operation and again gave 2 cycle . But assitic fluid present. Then he gave her 3 cycle of calayx base chemo. But again assitic fluid present now he again change chemo. But no resulta t all. Please guide us what we have to do ?
The rising incidences of cancer have made it important for us to be vigilant about our health. It has been proven medically that if cancer is detected at an early stage -stage I & II , then the chances of cure and treatment along with full recovery are very high. For early cancer detection & for people at greater risk of cancer, PHC-Preventive Health Care plays a major role. Preventive Health Check is particularly important for the people who have a family history of cancer.
Almost all cancers are caused by damage or mutation in their genes, which, may be acquired from environmental exposure, dietary factors, hormones or through normal aging. In 90% of cases, these genes are not passed from parents to children. These are known as sporadic mutations and the cancers that they cause are called as sporadic cancers. But 5-10% of cancers are caused by gene mutations which are inherited from one or both parents & passed on to the children .These are hereditary or germline mutations & these cancers are known as hereditary or familial cancers.
People /children, who carry gene mutations have a higher risk of developing cancer at an earlier age or at some point in their life time.
Some of the common such cancers, which run in families, are:
- Breast cancer
- Ovarian cancer
- Colo-rectal cancer (cancer of large intestine )
- Prostate cancer
Breast, ovary & colo-rectal carcinoma have well established gene mutation studies.Mutation of BRCA 1 & BRCA2 Genes is responsible for 85% of hereditary breast cancers.
Estimated life time risk for developing breast cancer in woman with BRCA1 & BRCA2 mutation is 56-87% & risk for developing-bilateral /contralatral breast cancer is about 20-40%. These statistics make a preventive health check for women with breast cancer history in their family a necessity. Mutation in these genes confers about 20-40% increased life time risk for developing ovarian cancer. Hence the presence of gene mutation for breast cancer can trigger ovarian cancer.
However as stated above, other environmental and lifestyle factors can also cause breast cancer other than genetic BRCA1 & BRCA 2 gene mutations.
- Increasing age
- Early menarche
- Late menopause
- First birth after the age of 30
- Atypical lobular hyperplasia or Atypical ductal hyperplasia
- Prior breast biopsies
- Long term postmenopausal estiogen replacement
- Early exposure to ionizing radiation
Other Familial Cancers:
Familial cancer syndromes associated with colo-rectal cancers are familial adenomatous polyposis (FAP).It is an autosomal dominant inherited syndrome with more than 90% penetrance, manifested by hundreds of polyps developed by late adolescence .The risk of developing invasive cancer is almost 100% .So such patients should start getting colonoscopy at an earlier age- say by 20yr of age & should undergo Total Collectomy on development of significant polyps .
Other familial cancer syndromes are hereditary non -Polyposis Colo Rectal Cancer (HNPCC), Gardner's Syndrome, Turcot's Syndrome, Peutz-Jeghers Syndrome, Juvenile Polyposis.
Cancer Assessment & Conclusion:
For breast cancer risk assessment, we have the GAIL model & IBIS model, which take into consideration ,all the risk factors, apart from BRCA1 & BRCA 2 gene mutation. These models calculate the over all life time risk of development of breast cancer for any lady. For this, you have to consult a specialist experienced in area of hereditary cancers, cancer risk assessment, genetic counseling & testing.
To conclude, all people with cancers in their family should undergo genetic testing & counseling, to detect high risk individuals should take adequate measures & treatment.
How should a person get screening tests to detect all kinds/major kinds of cancer? I need to understand ways to prevent cancer from occurring. I have seen many people suffering from this disease and its very scary.
I have pain in my left breast continuous at low for some days but I had not notice any sist in it but feel some hard space. Please guide what I do and whom I may contact. Thanks sir.
I am 39 year old male. I experience frequent urinary tract infections. Its very painful while urinating. My prostate weight is 18 gms.
I am 39yrs male. I had my sigmoid colon removal due to a stage 2c colon cancer, it has been 9 weeks after my surgery, I am having very frequent bowel movements, that is around 10 times a day, how long will it take for me to have normal bowel movements, that's 2 to 3 times a day.
One of my relatives is facing problem of hiccups and burping problem since last 2 years. He has also taken medicines but it is not getting cured. So is it very serious problem. Does it relates to cancer or it is just indigestion. Burps occur once in every 20 minutes. Please advise. Age of relative is 53 years.
Most commonly occurring in children aged 5 or younger, Neuroblastoma is a type of cancer developing from immature nerve cells most often found in and around the adrenal glands. However, it is not limited and can develop in several other areas of the body, like the chest, neck, spine and different areas of the abdomen where nerve cells can be found in clusters.
Depending upon the area of the body affected, signs and symptoms may include:
1. Neuroblastoma in the abdomen:
- Abdominal pain
- Diarrhea, constipation or other changes in bowel movements
- A lump of mass under the skin which is anything but tender
2. Neuroblastoma in the chest:
- Chest pain
- Visible changes in the eyes, such as drooping eyelids or unequal pupil size
3. There are other signs and symptoms caused by neuroblastoma. These may include:
- Lumps of tissue found under the skin
- Bruise-like dark circles visible around the eyes
- Proptosis (a condition in which eyeballs seem to protrude from the sockets)
- Back pain
- Bone pain
- Unexplained weight loss
Causes: Neuroblastoma typically originates in neuroblasts. These are immature nerve cells formed by the fetus as part of the development process. Eventually, neuroblasts convert into fibres and nerve cells which then make up the constituents of the adrenal gland. Normally, they either mature or gradually disappear. Others, which neither mature nor disappear, form tumors.
A number of problems may result out of neuroblastoma, including:
- Metastasis or spread of the cancerous cells
- Spinal cord compression
- Paraneoplastic symptoms, such as rapid eye movement or difficulty with eye coordination
- Abdominal swelling
Depending on the child's age, the stage of the cancer, or the types of cells involved, the treatment plan varies accordingly:
- Surgery - However, this depends on the size and location of the tumor. Tumors growing near vital organs are too risky to remove
- Chemotherapy - involves the use of chemotherapy drugs
- Radiation therapy - involves high energy beams, like X-rays
- Stem cell transplant or autologous stem cell transplant in case of high-risk neuroblastoma
- Immunotherapy - involves drugs which stimulate the immune system to destroy cancerous cells