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Dr. Prince John

Oncologist, Mumbai

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Dr. Prince John Oncologist, Mumbai
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Prince John
Dr. Prince John is a popular Oncologist in Sion, Mumbai. He is currently practising at Asian Institute of Oncology in Sion, Mumbai. Save your time and book an appointment online with Dr. Prince John on Lybrate.com.

Find numerous Oncologists in India from the comfort of your home on Lybrate.com. You will find Oncologists with more than 35 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.

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Asian Institute of Oncology

Asian Institute of Oncology, Ground Floor, K. J. Somaiya Hospital Campus, Off Eastern Express Highway, Sion(East), Mumbai - 400 022, MumbaiMumbai Get Directions
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I have recently done a blood test and it shows tha t my PSA level is 5.130.Does this mean I have cancer. Two years back I have done the same test it had shown 4.36 and mg doctor had recommended me a biopsy which I had gone through and the result was negative. But why has my PSA level risen so much. My age is 54 .please help me out.

FACS, MBBS, MS - General Surgery
Oncologist, Gurgaon
Yes dear, your P .S. A level is in Rising scale. Normal level is less than four. But one can't diagnose Cancer prostate only on the basis of p.s.a level, so to confirm you must undergo for M.R.I lower abdomen and pelvis and repeat biopsy. Let me tell you I had treated same case in stage one to two with an alternative one drug therapy while working abroad and he is disease free. If you feel contact me through Lybrate with appointment.
9 people found this helpful
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How Cancer Affects Your Sex Life?

Graduate in Ayurvedic Medicine and Surgery ( GAMS )
Sexologist, Delhi
How Cancer Affects Your Sex Life?

Hampered drive for physical intimacy may not be the case with everybody suffering from cancer. Since, each individual is different with varied sexual needs, it is rather impossible to predict how cancer would affect a person’s sex drive. But certain treatments of cancer might take a toll on your libido and subsequently, your sex life.

Cancer and certain treatments of cancer, can be the reason behind your low libido as they can cause:
1. Imbalance in the sex hormones
2. Scarring of the skin
3. Breathing problems
4. Diarrhea or bowel problems
5. Pain
6. Tension or anxiety
7. Depression or sadness
8. Irritability
9. Fatigue (Tiredness)
10. Persistent sickness

With any of these side-effects, you may not have the urge of indulging in sexual intercourse because of the constant irritability and pain, essentially resulting from weakness. You might also think less of yourself, with no care for the way you dress up, make up or do your hair as you used to do before. With fatigue playing nemesis to your libido, you may feel entirely washed out, exhausted and spent after your intensive chemotherapy sessions.

How do you address this problem?
1. Speak out: Try unburdening yourself of the worries and anxiety in front of your partner or the doctor and make them understand how you truly feel about yourself. They may be able to guide you home.
2. Plan your rumble beforehand: You can plan your sexual activity by taking pain killers an hour prior to lovemaking.
3. Foreplay helps: Remember, sexual contact cannot spread cancer, ever. An intense session of foreplay has never disappointed anybody and it might work wonders if you have been going through all the rigor of cancer and its treatment lately. It would make you feel genuinely cared for; this might just egg you on to come out of that shell of depression and anxiety and enjoy sex like the way you used to.

6953 people found this helpful

Are there screening tests that can find lung cancer early? How many people get lung cancer?

DNB, MBBS
Oncologist, Faridabad
Dear sir, early diagnosis of lung cancer can be made by screening chest xray, but it shouldn't be done very frequently as there is risk of radiation exposure so annually once is fine unless there is some problems like cough, blood in sputum, voice change, breathing difficulty etc. Lung cancer is the most common cancers relatrd deaths amongst males and the incidence is amongst males in nearly 7percent of all cancers.
13 people found this helpful
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Hi sir, my father diagnosed with lung cancer in 2014, now it's metastatic , due you treat it?Please tell.

Diploma in Tuberculosis and Chest Diseases (DTCD), MBBS
Pulmonologist, Delhi
You must consult a cancer hospital, as soon as possible because after metastasis it is very very difficult to control.
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Hello sir. Me and my wife just recently married .and we have some couple of romantic nights together. But now she is having blood clot in her nipples region. She is in real pain. please tell me a solution please. I'll be really glad.

MD - Psychiatry
Psychiatrist, Chennai
Did u bite around the nipples, if so it can be simple love bite injuries, u can get some antibiotics and pain killers from local doctor. All the best
1 person found this helpful
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My friend's father is suffering from Mouth Cancer. Everyday he is suffering from pain. Please let us know what would be the best way to get rid from it.

MBBS, DNB ( Radiation Oncology)
Oncologist, Mumbai
He needs to be evaluated by an oncologist to examine the extent of disease. If it can be operated it should be removed surgically by an onco surgeon followed by adjuvant treatment after the histopathology report.
1 person found this helpful
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Enlarged Prostate - 10 Warning Signs To Watch Out For

MBBS, MS - General Surgery, M.Ch - Urology
Urologist, Bangalore
Enlarged Prostate - 10 Warning Signs To Watch Out For

The prostate gland in males surrounds the urethra, through which urine and sperm are passed out of the body. Its function is to secrete a fluid, which provides nourishment to the sperm. It is about the shape of a walnut and is present between the pubic bone and the rectum.

As a man crosses 40, the prostate gland begins to increase in size due to an increase in the number of cells. This is known as hyperplasia. The condition is usually benign and therefore the name benign prostate hyperplasia (BPH). As it continues to grow, there is an increased pressure on the urethra. Therefore, there can be problems with urination. The bladder, being a muscular organ, compensates to some extent and so the problems with urination are mostly managed. If left untreated, this can continue to be a major problem and the bladder may not be able to compensate. In men who are 60-plus, BPH is very common.

Signs and symptoms 

  1. One of the initial symptoms of BPH is when the urine stream begins to grow weak.
  2. There could also be a reduced speed of passing urine.
  3. Men with BPH never have a feeling of complete emptying of the bladder.
  4. On the other hand, there is also a constant difficulty in initiating a urine stream. There could be intermittent breaks in the urine stream.
  5. The person may feel the need to strain to initiate the stream and to ensure complete emptying.
  6. There could be dribbling of urine after passing urine.
  7. The duration between two bathroom visits can constantly reduce, with the constant urge to urinate.
  8. There is a constant urge to visit the bathroom, which is more common in the night. One of the most annoying features of BPH is the walking up at night to urinate, but with an inability to initiate a stream and an inability to completely empty the bladder, it leaves the person very irritated and frustrated.
  9. There could be blood in the urine. In fact, blood in the urine accompanied by fever, chills, nausea and vomiting are indications of an emergency.
  10. There could be blockage of urine completely, if the enlargement is quite severe.

Diagnosis
If you are having any of these symptoms, then the doctor will first test for an enlarged prostate through a digital rectal exam. Then a test is done to check a chemical called prostate specific antigen.  Increased levels of this chemical is almost always indicative of BPH. In addition, X-rays and scanning may be used to confirm diagnosis. 

Treatment
Though medications are available, confirmatory treatment is through surgical removal. The procedure needs a inimum of 2 to 3 days. If you wish to discuss about any specific problem, you can consult a urologist and ask a free question.

2981 people found this helpful

Dr. I can feel something hard in my half breast. And very little pain when I press it. What can be this.

MBBS, DNB (General Surgery)
General Surgeon,
Kindly get your self examined by a general surgeon. Considering your age we need to be on the look for many diseases. Best counselled after thorough examination and investigation.
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I diagnosed with tongue cancer in October 2015 Surgery has been done what kind of treatment will be given to me after surgery and it is curable or not.

MBBS, MS- Surgery , M.Ch - Surgical Oncology , FIAGES
Oncologist, Delhi
it is curable. depending on histopathology report you require adjuvant radiation therapy or chemoradiation
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I have got a lump in my breast should I remove it or will it gradually go. I is been there for three years?

FACS, MBBS, MS - General Surgery
Oncologist, Gurgaon
Dear lybrate-user please get it operated immedietly and biopsy ithe removed tumour.-for further management. If it comes out to be cancer. Bu donot worry there is a treatment.
26 people found this helpful
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My wife 's cousin suffering from breast pain and she is 15 years old she is living jakarta with parents could please tell me there is a doctor who join lybra+e and they comfortable to talk.

MCh - Surgical Oncology, FEBS - Fellow of European Board of Surgical Oncology
Oncologist, Navi Mumbai
Breast pain in 15 year old can be due to 1) breast enlargement which is very common at her age 2) related to menses. Could be cyclical or non cyclical 3) pain may be due to bone disease which is under the breast. Ask for a careful history keeping these in mind. Most likely the pain is physiological related to increase in breast size.
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I'm suffering from enlarged prostate and related problems such as urgency to pass urine as well as getting up many a times at night to pass urine which disturbs my sleep. I'm 60 years of age without any other health issues. Please prescribe treatment. Thanks.

pg general medicene
Ayurveda, Hyderabad
I'm suffering from enlarged prostate and related problems such as urgency to pass urine as well as getting up many a ...
My Dear lybrate-user ji. This is a common problem in the old age. Nothing to worry about much. Every man has to pass through this inevitably. So we have to adjust with this with out worrying much. Do meditation Pranayama regularly with little exercise and good diet. Spend good time with your family and good friends. Read good books and do some charity to the society. Take following Chandra prabha vati 2tabs morning and evening with milk. Shilajith caps 1 morning and evening.
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What is the reason of blood cancer and why it is happening under the age of 15 years?

Ex Sen.V.Surgeon/Research Scientist, M.D.(Alternative Medicine/tibetan/chinese/acupuncture), Vaida/ Unani, Homeopath
Unani Specialist, Moga
Hi dear -there are many reasons/ causes, I am enlisting below;- -acute blood cancers are common in children below 5 years age and rare after 20-30 years of age. Children are weaker sections of society, hence vulenerable to such conditions more. ---------------------------------------------------------- causes;-different types of cancers may be having ------- different types of multiple causes, not any one, in some cancers--viruses have been detected. Adultrated foods, allopathic salts, hormonal drugs, chemical salts, paints, alcohol, smoking, constipation, unhealthy water, foods, uncompatible foods, excessive sex-loss of semen, industrial hazards, polluted air, acidity, arthritis, stones, unknown reasons etc. Prevention;;-- you can prevent cancers by avoiding its possible causes.
2 people found this helpful
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Can cancer be diagnosed though blood test and what will be the further process if it is diagnosed?

MBBS, MD, FICH
Hematologist, Ludhiana
Yes blood cancer can be diagnosed through blood test and there are tumor markers also which can be tested through blood test but they require further evaluation and correlation.
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How can we identify skin cancer in the primary stage and what are the treatments for skin cancer?

MBBS
General Physician, Faridabad
Performed regularly, self examination can alert you to changes in your skin and aid in the early detection of skin cancer. It should be done often enough to become a habit, but not so often as to feel like a bother. For most people, once a month is ideal, but ask your doctor if you should do more frequent checks. The prognosis (chance of recovery) depends mostly on the stage of the cancer and the type of treatment used to remove the cancer. Treatment options depend on the following: The stage of the cancer (whether it has spread deeper into the skin or to other places in the body). The type of cancer. The size of the tumor and what part of the body it affects. The patient’s general health
1 person found this helpful
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I have prostrate cancer And I am at very last stage My check up is going on But I just wanted to know that is there any treatment fir this and if yes then where?

MBBS, MS- Surgery , M.Ch - Surgical Oncology , FIAGES
Oncologist, Delhi
Treatment for prostate cancer is possible. Depending on the age of the patient, biopsy report, PSA level and staging of prostate cancer, following treatment modalities are available: Active Surveillance: is for very low or low grade prostate cancer and for patients who have expected lifespan of <10-15 years. Monitoring with PSA blood tests, digital rectal exams (DREs), ultrasound and prostate biopsy. If any change in risk factors immediate appropriate treatment is instituted. Surgery: appropriated choice for localized prostate cancer that has not spread beyond prostate gland. Appropriate approaches are Open, laparoscopic and robotic. Whenever possible nerve sparing radical prostatectomy is preferred. Side effects of Radical Prostatectomy: Urinary incontinence Most men regain at least some bladder control after a few weeks. Nurse or doctor can teach exercise to help recovery of bladder control. Erectile dysfunction: Surgery may also damage nerves near the prostate and cause erectile dysfunction. Sexual function usually improves over several months, but for some men, this problem can be permanent. Loss of fertility Radiation Therapy: for cure it is given in localized prostate cancer. Usually preferred over surgery if localized prostate cancer is associated with high risk features. Side effects: Bowel problems: Diarrhea, sometimes with blood in the stool, rectal leakage, and an irritated large intestine are problems that usually go away over time, but in rare cases they don’t. Bladder problems: frequence, burningor may be blood in your urine. Bladder problems usually get better over time, but for some men they don’t go away, with the most common problem being the need to urinate often. Trouble controlling urine (incontinence). Erection problems Feeling tired: Radiation treatment may cause severe tiredness. It may not go away until a few months after treatment stops. Urethral stricture Second malignancy: rarely, example; rectum Palliative radiotherapy is given for painful bony metastasis or weight bearing bones Hormone therapy: for advanced stage disease or for recurrence Chemotherapy: usually given for advanced disease when it become refractory to hormone therapy.
16 people found this helpful
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Do all the tumors are cancerous If it is can it be caused in 18 years of age If it cancerous. Is it pain full or not.

DNB, MBBS
Oncologist, Faridabad
No not all types of tumour are cancerous, it may be benign. It is not related to age as cancer can affect any age group, even small babies can suffer from cancers. Cancer in early stages are usually pain less but in advance stages or if involving nerves then it may become painful.
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Lung Cancer - In A Nutshell!

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), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
Lung Cancer - In A Nutshell!

Lung cancer is also known as pulmonary carcinoma or cancer of the lung. It occurs when DNA mutations develop in the cells/ tissues of the lungs leading up to uncontrolled growth in the tissues of the lung. By far, it is known to be the most common cancer in Asia.

1. Type: lung cancers can present as one of the following types: 

  1. Non-Small Cell Lung Cancer (NSCLC): Most common type of lung cancer and constitutes nearly 85% of all lung cancers. The sub-types of NSCLC are as follows:
    • Large cell carcinoma
    • Squamous cell carcinoma (SqCC) (Epidermoid)
    • Adenocarcinoma – accounts for majority of the NSCLC.
  2. Small Cell Lung Cancer (SCLC): It is also known as oat meal cancer and tends to spread (metastasize) quickly. This constitutes about 15% of the lung cancers.
  3. Mesothelioma: It is a rare cancer that develops in the mesothelial cells of the pleural or peritoneal surfaces. It usually arises in the pleural membrane lining the lungs, known as pleural mesothelioma. One that arises from the peritoneum is called the peritoneal mesothelioma and the one that arises from the pericardium is known as pericardial mesothelioma. Lastly, it can also arise from the tunica vaginalis known as testicular mesothelioma. People working with or prior exposure to asbestos are mostly at risk of developing mesothelioma. The latency period between time of exposure and development of mesothelioma can be somewhere between 20 to 40 years. Maximum of the patients who develop mesothelioma are men.

2. Gender: It affects the male populace predominantly. It is more common in men than in women and in those of lower economic status. However, the incidence of lung cancer, in women too, is on the rise of late.

3. Etiology: Cigarette/ Tobacco smoking remains the most important cause of lung cancer accounting for 85 – 90% of the cases. Incidence/ risk is proportionate to the number of cigarettes smoked irrespective of the age. Also, environmental toxins including smoke from burning black tar, exhaust gases from automobiles etc. too contribute actively to various lung diseases including cancer. People working in asbestos manufacturing factories who are exposed to asbestos dust are also likely to get lung cancer. Tuberculosis too is an additive risk factor. Again, people who have received ionizing radiation especially to treat Hodgkin Lymphoma or other malignancies also run the risk of developing lung cancer. Above-mentioned causes apart, genetic factors may also play a role.

4. Features: Lung cancer clinically presents in the following ways mainly.Signs & symptoms of malignant mesothelioma are as enumerated below

1. Difficult/ labored breathing (Dyspnea)

2. Chest pain

3. Palpable chest wall mass

4. Discordant chest wall expansion

5. Weight loss (Cachexia)

6. Loss of appetite (Anorexia)

7. Night sweats

Signs & symptoms of non-small cell lung cancer (NSCLC) are as enumerated below. Majority of patients are symptomatic at diagnosis

8. Chronic cough

9. Difficult/ labored breathing (Dyspnea)

10. Chest pain

11. Blood stained sputum (Hemoptysis)

12. Hoarseness

13. Weight loss (Cachexia)

14. Loss of appetite (Anorexia)

15. Weakness

16. Bone pain

17. Pleural or pericardial effusion

18. Superior vena cava syndrome

19. Brachial plexopathy

20. Neurologic pain

21. Hypercalcemia of malignancy

Signs & symptoms of small cell lung cancer (SCLC) are as enumerated below

Symptoms as per the points 8 – 18 depicted above for NSCLC are applicable for SCLC as well. Additionally, patients suffering from SCLC may have:

22. Fever associated with chest infections like bronchitis/ pneumonia that refuse to go away or keep coming back

23. Horner syndrome

24. Paraneoplastic syndromes including encephalitis/ sub-acute sensory neuropathy, hyponatremia, acromegaly, cancer associated retinopathy, ectopic corticotropic syndrome etc all.

5. Screening: is generally recommended for asymptomatic/ symptomatic populations as surveillance for high risk individuals – who are either current or former smokers (quit smoking within the last 15 years), have at least a 30 pack year smoking history and those who do not have any prior history of lung cancer. The goal of screening, as usual, is to be able to detect & diagnose lung cancer at an early stage which is potentially curable. It is mostly radiologic with a low dose helical computed tomography (CT) scan being more effective in detecting early stage lung cancer than a chest radiograph can.

6. Diagnosis: Abnormal blood test results may be indicative of malignancy, but a follow up imaging/ biopsy is always the gold standard for accurate diagnosis. Following are the diagnostics employed mainly:

  1. Blood: Hb may be low, TLC, ESR and polymorphs increased. Adenocarcinomas are likely to express thyroid transcription factor 1 (TTF-1) or carcinoembyonic antigen (CEA). On the other hand, mesotheliomas are likely to express Wilms Tumor -1 (WT-1) protein and Calretinin.
  2. Imaging: Thoracoscopy, Bronchoscopy, X-Ray, CT Scan etc all. Positron Emission Tomography (PET) / CT scan and Magnetic Resonance Imaging (MRI) scan help detect metastasis, if any.
  3. Biopsy: It clinches the histologic diagnosis, and the nature of the disease.

7. Treatment: Conventional treatment includes surgery, chemotherapy and radiotherapy as contextually appropriate. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical outcomes and facilitate recovery as would be feasible contextually.

8. Prognosis: preventive measures, earlier diagnosis and right early treatment is key for an effective therapeutic management & better prognosis. Like most other cancers, the chances of cure for an early stage lung cancer are more. The cure/ recovery chances are influenced by the grade, stage of cancer, recurrence and the patient’s general health & vitality etc all. The primary determinant of prognosis in NSCLC is the stage at which the cancer is diagnosed. For non-metastatic cancers, however, it is the nodal status that determines the stage and hence the prognosis.

9. Prevention: rightly said, prevention is always a better choice. Cigarette smoking is to be avoided by all means as it is the single major cause of lung cancer. Even exposure to cigarette smoke (passive or secondhand) is also an established cause of lung cancer and is known to increase the risk of lung cancer in non-smokers as well. Preventing exposure to secondhand smoke can be helpful in decreasing the incidence and mortality from primary lung cancers. Above-mentioned apart, other important risk factors such as exposure to ionizing radiation, environmental carcinogens like smoke from burning black tar, exhaust gases from automobiles, outdoor air pollution, and occupational exposure to asbestos, arsenic, beryllium, nickel, cadmium, chromium etc all too are known to increase the risk for lung cancer and mortality thereof. In fact, cigarette smoking is known to potentiate the effect and hence the lung cancer risk of many of the above-mentioned carcinogens, multi-fold, in smokers. Thus, either eliminating or reducing the exposure to the above-mentioned carcinogens can lead to a decrease in the risk of lung cancer and incidences thereof. Furthermore, randomized clinical trials indicate that high intensity smokers (only) who take supplementation of beta-carotene have an increased risk/ incidence of lung cancer. Vitamin E supplementation, on the other hand, does not affect the risk of lung cancer as indicated by the trials. If you wish to discuss about any specific problem, you can consult a doctor.

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