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Dr. Ninad Katdare - Oncologist, Mumbai

Dr. Ninad Katdare

93 (169 ratings)
Registrar In Surgical Oncology, Fellowship In Gynaecologic Oncology, Masters ...

Oncologist, Mumbai

6 Years Experience  ·  950 - 1750 at clinic  ·  ₹500 online
Dr. Ninad Katdare 93% (169 ratings) Registrar In Surgical Oncology, Fellowship In Gynaecologi... Oncologist, Mumbai
6 Years Experience  ·  950 - 1750 at clinic  ·  ₹500 online
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Symptoms and treatment of Ovarian Cancer

Good morning everyone, my name is Dr Ninad Katdare I am a cancer surgeon and I specialise in gastrointestinal cancers and gynaec cancer and something called as peritonial cancers. So today I will be telling you about ovarian cancer so basically I am a surgical oncologist I work at 5 different hospitals in Mumbai first is Global Hospital second is Raheja hospital at Mahim third is H.N. Reliance hospital at Charni Road and BSES MG hospital in Andheri and SCG hospital at Borivali. So let's start our lecture on ovarian cancer, basic early ovarian cancer is one of the most common cancers in women and you must know about it and it is the most deadliest of the cancers the maximum number of women would die from gynaecological cancer are due to ovarian cancer. So I will speak mainly on the various aspects the staging and the treatment protocols, so to begin with ovarian cancer can be in four stages. There are stages by something called as the Figo staging which you will see in next slide. So the Figo Staging stages the cancer according to where it is localised to the ovary or whether it has spread to the pelvis or out side of the pelvis into the rest of the abdomen and the last stage 4 stage is when it spread beyond the abdomen. So in the first three stages you can potentially cure the patient. So there are very vague signs and symptoms to ovarian cancer they can be persistent distinction of abdomen, wake pain in the abdomen, constipation for a pro long duration of time, vague, aches and pain in the abdomen. So if you have any of this problem you should get it evaluated by a gynecologist or surgical oncologist. The first most commonest test which we do is a tumor marker called as CA 125 and sonography of the abdomen if there are any suspicious finding then the second investigation which is commonly done whether it is CT scan or an MRI. So based on these two test and on the clinical examination you are able to stage the disease, if there are some doubtful findings where the ovarian masses can be secondary to cancer in other organs of the body like the stomach or a colorectal cancer then the endoscopy of the stomach or the colonoscopy of the colon will required. So once the diagnosis of ovarian cancers confirmed for stage 1 stage 2 and stage 3 the first step is always surgery, contrary to the routine treatment protocol which are done in India especially for stage 3, we always prefer a surgery this surgery is called as cytoreduction. Basically, even if there is water in the abdomen which is called as ascitis, but if the diseases is of table which is evaluated by the MRI and by the laparoscopy. So even in statge 3, the chemotherapy should not be given first because if you do the surgery first and we are able to remove all the disease the survival of the patient is much higher. Though cytoreduction is a not possible in each and every patient but in selected patients if you can remove the whole disease the survival live in the stage 3 ovarian cancer is almost more than 50%. So basically what we do in the cytoreduction, is we open the entire of abdomen and remove all the diseases not only the ovaries we remove the uterus and also something called as a omentum we remove the appendix and if required we remove the inner lining of the abdomen called as peritonium and any other diseases which is present in whole the abdominal cavity is removed through very supra major surgery called as cytoreduction which may last for anywhere between 6 to 10 hours. But if you are able to remove each and every part of the disease visible to the naked eye then the cure its even a stage 3 ovarian cancer are very high and once the surgery is done and the patient recovers from that you can give chemotherapy. Even in stage 4 cancer we have new technologies available where in we can try for a cure, this therapy is called as a Hipec therapy. What is Hipec stands for, it stands for Heated Intraperitoneal Chemotherapy. In this basically the cytoreduction which I mentioned previously is done and once the procedure is over you have to use this technology and circulate the heated chemotherapy in the abdominal cavity and once this is circulated for anywhere between 60 to 90 minutes and then the abdominal cavity is washed and close like in a normal surgery. So with this Hypec and one more new technology called as Pipec, you can even get better cure its in stage 3 and in somewhere cases of stage 4 cancer. So these technologies are all done by me in various hospitals where ever. So this is how even with the advanced ovarian cancers nowadays we can get good success rates, thank you. If you want any more information you can contact me through lybrate.com.

read more
Stages and Treatment for Colorectal Cancer

Good Morning everyone, my name is Dr Ninad Katdare I am a cancer surgeon and I specialise in gastrointestinal cancers and gynae cancer and peritoneal cancers. I am available at H.N. Hospital, Charni Road, Global Hospital, Parel, Raheja hospital, Mahim, BSES Hospital, Andheri and HCG Oncologist Hospital at Borivali. Today we will be speaking about Colorectal Cancer, this is one of the fastest growing cancer in India and more and more younger patients we are seeing with colorectal cancers. So I will take you through a short video showing the various treatment options and the various stages of colorectal cancers. So basically colorectal cancer is stage using something called as AJCC system which you can see in the next slide and I won’t go to the detail of it, you can just go through the details for it, this gives us just an idea ki on which stage is the cancer. So based on the stage of the cancer there very good treatment modalities available which does not sometimes necessitate even surgery and sometimes whenever we need surgery. It can be in the form of minimally invasive surgery. So I will go through all the aspects of that, so stage one cancer, these are not very common these are usually seen when you have gone through a health check or sometimes on routine screening colonoscopy you have found a colorectal cancer. In this stage one cancer’s almost 80 to 90% of the cancers can be removed by what is called as endoscopy resection. In this you don't need to undergo any surgery through the endoscope which is put through rectum and through special instrument pass through the score you can do the surgery and the tumour can be removed from inside the intestine itself and the patient is up and above and can be discharge in a day also so with this kind of treatment you don't need any surgery at all but this is limited only for stage one and those also early stage one cancers anything which is late stage 1 or beyond you cannot do the this procedure for these procedures which is a late stage 1, stage 2 and stage 3. Nowadays an open surgery is very rarely done. It has been shown that laparoscopic surgery can remove whole of your cancer without causing any increases of cancer. At the same time using laparoscopic surgery you have very small 1 cm cuts on your abdomen so that your recovery from the surgery is very fast so these are some photos showing how the laparoscopic surgery is done and laparoscopic colostomy and laparoscopy rectal surgeries now routinely available at our hospitals. In addition for stage 3 most of the time chemotherapy will be required to the patient, even first stage two and three another new technologies is available which is called as robotic surgery. In certain cases where the patient is very obese or if the cancer is very deep down into the pelvis these are the cases where robotic surgery has the best advantage and the recovery is very fast from the surgery. With robotic surgery here you can see that there is a robot which is why the patient side and there is one console, on which the surgeon sits and does the surgery. Usually after robotic surgery and laparoscopic surgery the patient can be sins sitting and on his bed in 6 hours and by next day he is walking around in the hospital. The recovery is very fast with these two procedures. One more thing which stage 2 and stage 3 cancers, especially in rectal Cancers, if they are very down in the rectum very close to what is called sprinters. Initially we used to do something called as a abdominal perineal resection, where in, for your whole life you use to requires a colostomy on the abdominal wall that means the stool use to pass from your abdominal wall now with the advent of new technology called as Pinto Preserving surgery, we are able to save with the sprinkles. So even if for a very low rectal cancer we are able to save the sprinkles and the colostomy is not required. In this image you can see the various technologies where we can do the springto preserving surgery. For stage 4 cancer also, in Colorectal Cancer specially there are many new technologies available so initially what we used to fear that this is a last stage of Cancer is not true anymore in colorectal Cancer. So for cancers which has spread to the liver and the lungs, we can do surgery with or without something called as ablation therapy which you can see on the right side and for something the peritoneal metastasis of colorectal Cancer we can do what is called the Hipec which you can see on the left side also along with all this treatment modality obviously chemotherapy is required at stage 4. But this should be noted that even for stage 4 cancer good selected patients you can get survival for even more than 5 years which was not possible 5 years back. So for colorectal cancer from stage 1 to stage for various technologies are available these are available at all the hospital where I work and for all this stage is the success rate are very good. Thank you, for any further questions you can contact me through lybrate.Com, thank you.

read more
Treatment of Peritoneal Cancer With Surgery

Good Morning, everyone, my name is Dr Ninad Katdare I am a cancer surgeon and I specialise in gastrointestinal cancers and gynae cancer and peritoneal cancers. I practise at H.N. Reliance Hospital, Charni Road, Global Hospital, Parel, Raheja Hospital, Mahim, BSES Hospital, Andheri and HCG Cancer Centre at Borivali. Today we will be speaking about peritoneal cancer peritoneal cancers is one of the least understood cancer and as such many of these patients don't receive good form of treatment, so I will be taking you through a short presentation about what is peritoneal cancer and what are the new modalities which can be actually curative in certain cases of peritoneal cancers. So the presentation is titled peritoneal cancers which are no more a death sentence which was the situation just 5 years ago. So basically what are peritoneal cancer so those can be one, the last stage of Cancer such as colorectal cancer, stomach cancer, appendix cancer, gallbladder cancer and pancreas cancer. In all of these the fourth stage is presents with peritoneal disease and what is known as peritoneal metastasis. It can also be a third stage cancer in ovarian cancer when the disease spread out of the ovary and through the pelvis into the rest of the abdominal cavity it present with peritoneal cancer. It can also present as a primary peritoneal cancer which is called as primary peritoneal adenocarcinoma and a rare case of cancer called as mesothelioma, and there is one specific NDT called as Pseudomyxoma pertonei, all these diseases basically are club together because the routine chemotherapy which is the IV chemotherapy given through your veins is very less effective in this type of cancers. Hence newer technologies which are called as HIPEC and PIPAC which I will come to it shortly are used and this can have curative effects on this type of cancer. So why does chemotherapy fail because usually this peritoneum receive only 1% of cardiac volume that is the amount of blood which your heart pumps, that is 5 litre per minute only 1% of that is received by your peritoneum and there is something called as a peritoneum plasma barrier so whatever chemotherapy which is given through your saline, very less quantity reaches to the peritoneum and as such the routine chemotherapy does not work on this peritoneal cancers. Hence, to combat that we have interesting new technologies the first is called as Cytoreductive surgery and HIPEC so CR stands for Cytoreductive surgery and HIPEC stands for Heated Intraperitoneal Chemotherapy.

In Cytoreductive surgery what we aim is to remove all the visible disease from your abdominal cavity and once that has been clear we circulate a chemotherapy solution which is heated to around 43 degrees and is kept circulating in the abdominal cavity for 90 minutes. Using a combination of Cytoreductive surgery and HIPEC, in many of these peritoneal cancers you can have a cure, it exceeding 5 years and which is a standard patient with the standard chemotherapy with the patient would like for more than 6 months. So in such cases from 6 months, the survival goes to beyond 5 years. Certain cases which are not suitable for this CRS and HIPEC we have a revolutionary technology known as PIPAC. So what is PIPAC stand for is Pressurized Intraperitoneal Aerosol Chemotherapy, in this basically the chemotherapy which is in the liquid form is converted into a gas form and through small keyholes surgery that is called as Laparoscopy we introduce this gaseous chemotherapy into your abdominal cavity. It has been found that patients who have stopped responding to routine chemotherapy also a response to this gaseous chemotherapy. So with the help of this HIPEC and PIPEC many of the peritoneal carcinomatosis are almost 30% can be cured and another 30% can be controlled with this kind of therapy and these patients normally would have died in 6 months, some of them alive for even after 2 years and even 30% of them are alive even 5 years after the diagnosis of their disease. So these therapies can really make a difference in your treatment, thank you. For any further questions, you can contact me on lybrate.com.

read more

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. Ninad Katdare
Dr. Ninad Katdare is a popular Oncologist in Global Hospital, SL Raheja Hospital, BSES MG hospital and Dhanwantari Hospital. He has had many happy patients in his 4 years of journey as a Oncologist. He is a qualified Registrar in Surgical Oncology, Fellowship in Gynaecologic Oncology, Masters In Advanced Oncology, Fellowship in advanced laparoscopy and robotic surgery, Fellowship in Gastrointestinal Oncology. He is currently associated with Global Hospital Parel, SL Raheja Hospital, Mahim, BSES MG Hospital, Andheri, and Dhanwantari Hospital, Dadar. There is concession for BPL card holders at Dhanwantari Hospital and BSES Hospital has the RGJAY scheme.Concession is also available at the doctors private clinic for BPL patients, police and army personnel. Save your time and book an appointment online with Dr. Ninad Katdare on Lybrate.com.

Info

Education
Registrar In Surgical Oncology - Tata Memorial Hospital - 2012
Fellowship In Gynaecologic Oncology - Le Centre Oscar Lambret, Lille, France - 2014
Masters In Advanced Oncology - Universitaet Ulm, Germany - 2015
...more
Fellowship In advanced laparoscopy and robotic surgery - Galaxy Care Laparoscopy Institute, Pune - 2015
Fellowship In Gastrointestinal Oncology - European Institute of Oncology, Milan , Italy - 2016
Fellowship In CRS and HIPEC - CHU Lyon, France - 2016
Fellowship In PIPAC - CHUV Lausanne, Switzerland - 2016
Languages spoken
English
Hindi
Marathi
Professional Memberships
IMA College of General Practitioners
IASO
ESSO
...more
ESGO

Location

Book Clinic Appointment with Dr. Ninad Katdare

Humane Oncology Clinic

Sharda Sadan, 2nd Floor, Opposite Hotel midtown Pritam, next to SBI Bank, S. G. Road, Dadar EastMumbai Get Directions
  4.7  (169 ratings)
1500 at clinic
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Global Hospital

35, Dr. E Borges Road, Hospital Avenue, Opp Shirodkar High School, ParelMumbai Get Directions
  4.7  (169 ratings)
1750 at clinic
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S.L. Raheja Hospital

Police Colony, MahimMumbai Get Directions
  4.7  (169 ratings)
950 at clinic
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AllCure Super Speciality Hospital

Jogeshwari Station RoadMumbai Get Directions
  4.7  (169 ratings)
...more

Sir H. N. Reliance Foundation Hospital and Research Centre

Raja Rammohan Roy Road, Prarthana Samaj, KhetwadiMumbai Get Directions
  4.7  (169 ratings)
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Alarming Signs of Breast Cancer!!

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
Alarming Signs of Breast Cancer!!

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

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.

Treatment Options:

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.

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

3249 people found this helpful

Know More About Ovarian Cancer

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
Play video

Good morning everyone, my name is Dr Ninad Katdare I am a cancer surgeon and I specialise in gastrointestinal cancers and gynaec cancer and something called as peritonial cancers. So today I will be telling you about ovarian cancer so basically I am a surgical oncologist I work at 5 different hospitals in Mumbai first is Global Hospital second is Raheja hospital at Mahim third is H.N. Reliance hospital at Charni Road and BSES MG hospital in Andheri and SCG hospital at Borivali. So let's start our lecture on ovarian cancer, basic early ovarian cancer is one of the most common cancers in women and you must know about it and it is the most deadliest of the cancers the maximum number of women would die from gynaecological cancer are due to ovarian cancer. So I will speak mainly on the various aspects the staging and the treatment protocols, so to begin with ovarian cancer can be in four stages. There are stages by something called as the Figo staging which you will see in next slide. So the Figo Staging stages the cancer according to where it is localised to the ovary or whether it has spread to the pelvis or out side of the pelvis into the rest of the abdomen and the last stage 4 stage is when it spread beyond the abdomen. So in the first three stages you can potentially cure the patient. So there are very vague signs and symptoms to ovarian cancer they can be persistent distinction of abdomen, wake pain in the abdomen, constipation for a pro long duration of time, vague, aches and pain in the abdomen. So if you have any of this problem you should get it evaluated by a gynecologist or surgical oncologist. The first most commonest test which we do is a tumor marker called as CA 125 and sonography of the abdomen if there are any suspicious finding then the second investigation which is commonly done whether it is CT scan or an MRI. So based on these two test and on the clinical examination you are able to stage the disease, if there are some doubtful findings where the ovarian masses can be secondary to cancer in other organs of the body like the stomach or a colorectal cancer then the endoscopy of the stomach or the colonoscopy of the colon will required. So once the diagnosis of ovarian cancers confirmed for stage 1 stage 2 and stage 3 the first step is always surgery, contrary to the routine treatment protocol which are done in India especially for stage 3, we always prefer a surgery this surgery is called as cytoreduction. Basically, even if there is water in the abdomen which is called as ascitis, but if the diseases is of table which is evaluated by the MRI and by the laparoscopy. So even in statge 3, the chemotherapy should not be given first because if you do the surgery first and we are able to remove all the disease the survival of the patient is much higher. Though cytoreduction is a not possible in each and every patient but in selected patients if you can remove the whole disease the survival live in the stage 3 ovarian cancer is almost more than 50%. So basically what we do in the cytoreduction, is we open the entire of abdomen and remove all the diseases not only the ovaries we remove the uterus and also something called as a omentum we remove the appendix and if required we remove the inner lining of the abdomen called as peritonium and any other diseases which is present in whole the abdominal cavity is removed through very supra major surgery called as cytoreduction which may last for anywhere between 6 to 10 hours. But if you are able to remove each and every part of the disease visible to the naked eye then the cure its even a stage 3 ovarian cancer are very high and once the surgery is done and the patient recovers from that you can give chemotherapy. Even in stage 4 cancer we have new technologies available where in we can try for a cure, this therapy is called as a Hipec therapy. What is Hipec stands for, it stands for Heated Intraperitoneal Chemotherapy. In this basically the cytoreduction which I mentioned previously is done and once the procedure is over you have to use this technology and circulate the heated chemotherapy in the abdominal cavity and once this is circulated for anywhere between 60 to 90 minutes and then the abdominal cavity is washed and close like in a normal surgery. So with this Hypec and one more new technology called as Pipec, you can even get better cure its in stage 3 and in somewhere cases of stage 4 cancer. So these technologies are all done by me in various hospitals where ever. So this is how even with the advanced ovarian cancers nowadays we can get good success rates, thank you. If you want any more information you can contact me through lybrate.com.

3656 people found this helpful

Colorectal Cancer

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
Play video

Good Morning everyone, my name is Dr Ninad Katdare I am a cancer surgeon and I specialise in gastrointestinal cancers and gynae cancer and peritoneal cancers. I am available at H.N. Hospital, Charni Road, Global Hospital, Parel, Raheja hospital, Mahim, BSES Hospital, Andheri and HCG Oncologist Hospital at Borivali. Today we will be speaking about Colorectal Cancer, this is one of the fastest growing cancer in India and more and more younger patients we are seeing with colorectal cancers. So I will take you through a short video showing the various treatment options and the various stages of colorectal cancers. So basically colorectal cancer is stage using something called as AJCC system which you can see in the next slide and I won’t go to the detail of it, you can just go through the details for it, this gives us just an idea ki on which stage is the cancer. So based on the stage of the cancer there very good treatment modalities available which does not sometimes necessitate even surgery and sometimes whenever we need surgery. It can be in the form of minimally invasive surgery. So I will go through all the aspects of that, so stage one cancer, these are not very common these are usually seen when you have gone through a health check or sometimes on routine screening colonoscopy you have found a colorectal cancer. In this stage one cancer’s almost 80 to 90% of the cancers can be removed by what is called as endoscopy resection. In this you don't need to undergo any surgery through the endoscope which is put through rectum and through special instrument pass through the score you can do the surgery and the tumour can be removed from inside the intestine itself and the patient is up and above and can be discharge in a day also so with this kind of treatment you don't need any surgery at all but this is limited only for stage one and those also early stage one cancers anything which is late stage 1 or beyond you cannot do the this procedure for these procedures which is a late stage 1, stage 2 and stage 3. Nowadays an open surgery is very rarely done. It has been shown that laparoscopic surgery can remove whole of your cancer without causing any increases of cancer. At the same time using laparoscopic surgery you have very small 1 cm cuts on your abdomen so that your recovery from the surgery is very fast so these are some photos showing how the laparoscopic surgery is done and laparoscopic colostomy and laparoscopy rectal surgeries now routinely available at our hospitals. In addition for stage 3 most of the time chemotherapy will be required to the patient, even first stage two and three another new technologies is available which is called as robotic surgery. In certain cases where the patient is very obese or if the cancer is very deep down into the pelvis these are the cases where robotic surgery has the best advantage and the recovery is very fast from the surgery. With robotic surgery here you can see that there is a robot which is why the patient side and there is one console, on which the surgeon sits and does the surgery. Usually after robotic surgery and laparoscopic surgery the patient can be sins sitting and on his bed in 6 hours and by next day he is walking around in the hospital. The recovery is very fast with these two procedures. One more thing which stage 2 and stage 3 cancers, especially in rectal Cancers, if they are very down in the rectum very close to what is called sprinters. Initially we used to do something called as a abdominal perineal resection, where in, for your whole life you use to requires a colostomy on the abdominal wall that means the stool use to pass from your abdominal wall now with the advent of new technology called as Pinto Preserving surgery, we are able to save with the sprinkles. So even if for a very low rectal cancer we are able to save the sprinkles and the colostomy is not required. In this image you can see the various technologies where we can do the springto preserving surgery. For stage 4 cancer also, in Colorectal Cancer specially there are many new technologies available so initially what we used to fear that this is a last stage of Cancer is not true anymore in colorectal Cancer. So for cancers which has spread to the liver and the lungs, we can do surgery with or without something called as ablation therapy which you can see on the right side and for something the peritoneal metastasis of colorectal Cancer we can do what is called the Hipec which you can see on the left side also along with all this treatment modality obviously chemotherapy is required at stage 4. But this should be noted that even for stage 4 cancer good selected patients you can get survival for even more than 5 years which was not possible 5 years back. So for colorectal cancer from stage 1 to stage for various technologies are available these are available at all the hospital where I work and for all this stage is the success rate are very good. Thank you, for any further questions you can contact me through lybrate.Com, thank you.

3940 people found this helpful

Peritoneal Cancer

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
Play video

Good Morning, everyone, my name is Dr Ninad Katdare I am a cancer surgeon and I specialise in gastrointestinal cancers and gynae cancer and peritoneal cancers. I practise at H.N. Reliance Hospital, Charni Road, Global Hospital, Parel, Raheja Hospital, Mahim, BSES Hospital, Andheri and HCG Cancer Centre at Borivali. Today we will be speaking about peritoneal cancer peritoneal cancers is one of the least understood cancer and as such many of these patients don't receive good form of treatment, so I will be taking you through a short presentation about what is peritoneal cancer and what are the new modalities which can be actually curative in certain cases of peritoneal cancers. So the presentation is titled peritoneal cancers which are no more a death sentence which was the situation just 5 years ago. So basically what are peritoneal cancer so those can be one, the last stage of Cancer such as colorectal cancer, stomach cancer, appendix cancer, gallbladder cancer and pancreas cancer. In all of these the fourth stage is presents with peritoneal disease and what is known as peritoneal metastasis. It can also be a third stage cancer in ovarian cancer when the disease spread out of the ovary and through the pelvis into the rest of the abdominal cavity it present with peritoneal cancer. It can also present as a primary peritoneal cancer which is called as primary peritoneal adenocarcinoma and a rare case of cancer called as mesothelioma, and there is one specific NDT called as Pseudomyxoma pertonei, all these diseases basically are club together because the routine chemotherapy which is the IV chemotherapy given through your veins is very less effective in this type of cancers. Hence newer technologies which are called as HIPEC and PIPAC which I will come to it shortly are used and this can have curative effects on this type of cancer. So why does chemotherapy fail because usually this peritoneum receive only 1% of cardiac volume that is the amount of blood which your heart pumps, that is 5 litre per minute only 1% of that is received by your peritoneum and there is something called as a peritoneum plasma barrier so whatever chemotherapy which is given through your saline, very less quantity reaches to the peritoneum and as such the routine chemotherapy does not work on this peritoneal cancers. Hence, to combat that we have interesting new technologies the first is called as Cytoreductive surgery and HIPEC so CR stands for Cytoreductive surgery and HIPEC stands for Heated Intraperitoneal Chemotherapy.

In Cytoreductive surgery what we aim is to remove all the visible disease from your abdominal cavity and once that has been clear we circulate a chemotherapy solution which is heated to around 43 degrees and is kept circulating in the abdominal cavity for 90 minutes. Using a combination of Cytoreductive surgery and HIPEC, in many of these peritoneal cancers you can have a cure, it exceeding 5 years and which is a standard patient with the standard chemotherapy with the patient would like for more than 6 months. So in such cases from 6 months, the survival goes to beyond 5 years. Certain cases which are not suitable for this CRS and HIPEC we have a revolutionary technology known as PIPAC. So what is PIPAC stand for is Pressurized Intraperitoneal Aerosol Chemotherapy, in this basically the chemotherapy which is in the liquid form is converted into a gas form and through small keyholes surgery that is called as Laparoscopy we introduce this gaseous chemotherapy into your abdominal cavity. It has been found that patients who have stopped responding to routine chemotherapy also a response to this gaseous chemotherapy. So with the help of this HIPEC and PIPEC many of the peritoneal carcinomatosis are almost 30% can be cured and another 30% can be controlled with this kind of therapy and these patients normally would have died in 6 months, some of them alive for even after 2 years and even 30% of them are alive even 5 years after the diagnosis of their disease. So these therapies can really make a difference in your treatment, thank you. For any further questions, you can contact me on lybrate.com.

3015 people found this helpful

Hi, I was just wondering about a smear test. My mam was diagnosed with breast cancer seventeen years ago and recently was diagnosed with ovarian cancer and I was just wondering if it is necessary for me to get a smear test I am 19 year old.

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
The smear test is the Pap smear test, which is done for cervical cancer. If you are not sexually active there is no role of the Pap smear as of now. Instead you can take the cervical cancer vaccine which offers protection against cervical cancer. However on the other hand since your mother had both ovarian and breast cancer, you should get evaluated for brca mutation as the risk is higher.
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Common Cancer In Women - How They Can be Prevented?

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
Common Cancer In Women - How They Can be Prevented?

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.

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

Screening Guidelines:

  • 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.

Risk Factors for Cervical Cancer-

The number one predisposing factor for cervical cancer is infection with the Human Papilloma Virus (HPV). Any factor which increases a woman’s risk of contracting Human Papilloma Virus will increase the risk of cervical cancer. These following factors increase a womans risk of getting Human Papilloma Virus (HPV):

  1. Intercourse without barrier contraceptives.
  2. Multiple sexual partners.
  3. Sex with a partner that has penile warts.
  4. Cigarette smoking doubles a womans risk of getting cervical cancer.

Treatment

Treatment options depend on the following:

  1. The stage of the cancer.
  2. The type of cervical cancer.
  3. The patient's desire to have children.
  4. The patient’s age.

For cervical cancer found early or for cancer found during the last trimester of pregnancy, treatment may be delayed until after the baby is born. If you wish to discuss about any specific problem, you can consult an Oncologist.

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Early Signs and Symptoms of Ovarian Cancer!

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
Early Signs and Symptoms of Ovarian Cancer!

Ovarian cancer tends to occur in the cells of an ovary. The ovaries are the two glands which are responsible for female reproduction. They produce ova or eggs and also create the female hormones oestrogen and progesterone. Ovarian cancer begins when abnormal cells in the ovary start to multiply rapidly and grow out of control to form a tumour.

Generally, it was believed that ovarian cancer does not deliver any specific side effects until the tumour has spread to a later stage and early indications of ovarian cancer were not recognizable.

Nonetheless, in some of the cases, ovarian cancer may bring about early indications. The most widely recognized symptoms of ovarian cancer are as follows:

  1. Constant bloating
  2. Ache in your gut or pelvis
  3. Inconvenience eating
  4. Feeling full instantly
  5. Urinary issues, for example, an urgent need to urinate or urinating more frequently than expected

In case that you have at least one of these side effects and it happens every day for more than two or three weeks, try to consult a doctor or a specialist.

These symptoms are basic for a few women. They may not imply that you have ovarian cancer. It is very important for women to understand that these symptoms do not necessarily imply that they have ovarian cancer. The same number of other common and harmless conditions can bring about the same indications. Additionally, different reasons for these symptoms are significantly more common than ovarian cancer. These may include irritable bowel syndrome and urinary tract infections (UTIs). In any case, the early indications of ovarian cancer tend to follow a pattern, which is as follows:

  1. They begin abruptly.

  2. They do not feel the same as your typical stomach-related or menstrual issues.

  3. They happen almost consistently and do not leave.

Different signs and symptoms that affect a few women with ovarian cancer include the following:

  1. Digestion problem

  2. Fatigue

  3. Back pain.

  4. Pain during intercourse

  5. Constipation

  6. Menstrual cycle changes

However, these side effects are also common in a few women who do not have ovarian cancer. Most of the ovarian cancer cases are diagnosed at a later stage after the tumours have spread. Fortunately, around 20% of women are diagnosed early, when the infection might be generally treatable. There is no complete screening test for early ovarian cancer. General pelvic examinations now and then, followed by ultrasound examinations or blood tests for cancer-related markers, have been routinely used for ovarian cancer screening. However, none of these tests are particularly effective when it comes to identifying ovarian cancer.

In case some of these symptoms start to manifest in your body, one should go for a general check-up. This is so because cancers are usually diagnosed at later stages where treatment is very difficult. Hence, the sooner one knows, the better it is. If you wish to discuss about any specific problem, you can consult an Oncologist.

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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!

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Hello, I have been diagnosed with LABC -- locally advanced breast cancer (Stage 3C) I would like to know more about the tumour markers CA 15-3 ,CA 27-29 and CEA. I would like to know how many breast cancer cells must exist in the body to elicit a positive response --- 1, 5, 20 or a few hundred. If a single breast cancer cell can elicit a positive tumour marker response then these tests can be used after treatment (chemo, surgery and radiation) to see if any cancer cell has survived. Alternatively after treatment I can get my blood tested every two weeks to see if there is any recurrence. In other words I am looking for information about the SENSITIVITY of these tumour marker tests. Waiting for your reply (Female, 40 years)

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
Unfortunately the tumour markers for breast cancer are not at all sensitive or specific. As such they are not used for surveillance or diagnosis or follow up. For diagnosis a combination of clinical breast examination, mammogram (xray and/or usg) and biopsy gives almost 100% diagnosis. After completion of treatment, the follow up is with clinical examination and a mammogram.
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