Find numerous Oncologists in India from the comfort of your home on Lybrate.com. You will find Oncologists with more than 31 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. R.GopalYour feedback matters!
A breast lump is an enlargement, swell, protuberance or a bump that is different than the breast tissue surrounding it. Breast lumps can appear in men as well as women and they can be benign or malignant. Causes of benign breast lumps are as follows:
- Fibroadenosis: Also known as Fibro-cystic breast disease, it is a benign condition that affects the breast. It may affect either of the breasts or both. One of the major symptoms of Fibroadenosis is a breast lump. Usually, the lumpiness disappears after the menstrual cycle is over. Fibroadenosis occurs because the breast tissue doesn’t respond well to the hormonal changes during the menstrual cycle.
- Fibroadenomas: Fibroadenomas occur because of abnormal response to the hormone oestrogen. The lumps are usually well formed and round, around the milk ducts of the breast. Breast lumps due to Fibroadenomas are called breast mice, because they move around the breast. In some cases, they disappear and in some, they tend enlarge during pregnancy.
Other benign causes of breast lumps are breast abscesses, breast cysts, lipoma (lump of fat), mastitis (infection in the breast tissues), fat necrosis (another name for breast lumps) and intraductal papilloma (benign tumour of the milk ducts in the breast). A breast lump that is firm, well defined and doesn’t move around, i.e. it doesn’t disappear after your period or pregnancy, may be a result of breast cancer.
Treatment of breast lumps
The treatment of a breast lump depends on its cause. Benign breast lumps usually disappear over time. Otherwise following treatments can be considered as per the doctor’s discretion-
- Medication: If the breast lumps are painful or increase over time, it is advisable to take medication.
- Non-steroidal anti-inflammatory drugs (NSAIDs) and other painkillers like paracetamol
- Danazol, Tamoxifen or Bromocriptine are administered to treat breast pain as well
- Antibiotics which are administered to cure breast abscesses that are caused due bacterial infections
- Limiting the amount of fat in the diet or wearing well fitting bras also reduces the amount of pain due to breast lumps.
- Certain types of breast lumps are filled with fluid or pus. This fluid can be drained through a procedure called aspiration or drainage.
- A radical way to treat a breast lump is surgery. Many a times, these lumps get bigger and painful and the most effective way to deal with it is to remove it. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Walnuts Shields From Colon Cancer
Eating 28 grams of walnuts everyday may change gut bacteria in a way that suppresses colon cancer a new research has found by university of Connecticut Health centre in United States
Walnuts has the most poly unsaturated fatty acids of all the commonly eaten tree nuts as well as the highest ratio of Omega - 3 to Omega - 6 fatty acids and high levels of a form of Vitamin E with anti cancer properties
They found that walnut consumption tended to push the gut microbiome toward an ecology that was potentially protective against Cancer.
What are the symptoms of cancer? How we know that in our body at any part there are chances of cancer?
Dear Sir, Dr. catched that my father have a cancer in his lungs and it is spread in his glan. They also told it is the middle stage of cancer. Now what will I do? Is it curable?
Skin cancer is a condition with abnormal and cancerous skin growth. This often develops due to the over exposure of skin to the sun rays. The three main types of skin cancer include basal cell carcinoma, squamous cell carcinoma and melanoma. Skin cancer affects those areas of skin which remains sun-exposed, including ears, neck, chest, scalp, lips, face, hands, arm and legs. It can also develop on those areas of skin that are not exposed to sunlight like beneath toenails or fingernails, on palms and on genital area.
Here are some of the factors which increase your risks of getting skin cancer:
- Fair complexion: Low levels of the pigment melanin in skin causes fair complexion. Fair- skinned individuals who have a history of hazel or blue eyes, repeated sunburns and people who have red or blond hair are highly susceptible to developing this form of cancer. Less pigment in skin makes an individual more vulnerable to skin damage from harmful UV radiation.
- Excessive sun exposure: Exposure to the sun may lead to the development of skin cancer, if you don't protect your skin by sunscreen and clothing. Tanning beds and lamps may also increase the risk of developing this type of skin cancer.
- High-altitude places: The exposure to sunlight is more intense in areas of high altitude and near the equator. Living at higher elevation also makes you more vulnerable to radiation because the sunlight is strongest there.
- Moles: People with abnormal moles are at a higher risk of developing skin cancer. These moles are irregular in shape and are larger than normal moles.
- Precancerous skin lesions: Your risk of developing skin cancer increases if you have skin lesion. These are scaly and rough patches that range from brown to dark pink in color. The most commonly affected areas are head, hands and face of fair-skinned people.
- Weak immune system: Weak immune system caused by HIV or AIDS and immunosuppressant drugs that you take after an organ transplant may increase your risk of developing skin cancer.
With terminal illnesses like cancer, the disease is not the only thing that requires treatment. In addition to controlling the severity and spread of the main disease, the effect it has on the other body systems including emotional, social, psychological problems and also physical issues like pain and inflammation. Though the disease has reached an advanced stage and cannot be cured, the patient can be made to be pain-free and at peace to the extent possible.
The goal of palliative care is not to cure - in fact, palliative care is in place for diseases like cancer from the time it is diagnosed and treatment is begun but becomes the major component of treatment once the cancer is identified to be in terminal stages. Therapeutic care aimed at curing the cancer is gradually reduced and palliative care assumes a bigger role. This is also called as symptomatic care, supportive care, or comfort care.
Aspects of palliative care: Once the disease is identified to be in terminal stages, then the following become considerations:
- Stay at home or hospital
- Withdraw chemotherapy and radiation?
- Withdraw feeding tube
- Spiritual discussions
- Reduce anxiety
- Good quality time with the family
- Reduce pain and suffering
As is evident, there is a huge component of social/emotional/spiritual management in addition to reducing pain and suffering:
- Physical: Pain, fatigue, shortness of breath, sleeplessness, loss of appetite are some symptoms that need to be managed. In addition to pain killers, small exercises can be included to make them feel better, even if it is just getting a breath of fresh air.
- Social: Depression (learn the ways to handle depression), anxiety, uncertainty, fear are all looming large and they are not sure how to manage these feelings. Talking to a counselor or some close family member or friend can be a big relief - the burden is off their chest.
- Legal: There could be issues related to property, insurance, property that also need to be discussed. External help can be sought if required to provide financial counselling and legal advice.
- Spiritual: Looking into the spiritual needs and understanding the deeper meaning of life, restoring faith are some things that also can help them feel better. "Why did this happen to me?" is a question most people keep asking and while there is no answer, some solace can be provided through talks.
It is to be noted that palliative care is not just for the patient. The caretakers (family and close friends) are equally in need of some support. So, once the patient is identified to be in terminal stages, all effort is made so the final leg of the journey is peaceful and as painless as possible.
Please advise me what can do when I suffered from cancer and what are the symptoms of blood cancer? Please advise.
He was suffering from cancer at first stage Dr. Please tell where I go with him to treat himself please tell immediately I'm waiting for your answer.
Colorectal cancer, also known as colon cancer or bowel cancer; is the occurrence of cancer in the colon and the rectum region. Colorectal cancer may either be malignant or benign, the former spreads to other areas of the body whereas, the latter stays confined to its place. It is characterized by an abnormal growth of cells in the rectum or the colon.
The various surgical treatment options for colorectal cancer are:
1. Right colectomy: This procedure involves removal of the right part of the colon. A part of the small intestine, which is attached to the right side of the colon, known as ileum, is also removed.
2. Partial colectomy: In partial colectomy, only a portion of the colon that has been affected by cancer is removed. The remaining parts are fused together in a process called ‘Anastomosis’. This procedure does not cause much change in your bowel habits.
3. Total abdominal colectomy: In this procedure, the large intestine is removed from the body.
4. Abdominoperineal resection: Abdominoperineal resection involves removing the rectum, anus and the sigmoid colon (part of the intestine that leads to the rectum).
5. Total proctocolectomy: This is an extensive procedure wherein, both the colon and the rectum are removed. If the anus is weak or damaged, then it needs to be removed as well.
Apart from these procedures, there are other surgical procedures that complement the above procedures, they are:
1. Fecal diversion: This is a procedure where an opening is formed between the small intestine and the skin’s surface so that it facilitates the healing process.
2. K pouch: The K pouch also called continent ileostomy is a pouch, which is attached to the anus so that feces can be passed normally. The K pouch contains nipple valve that prevents leakage; it is emptied by inserting a catheter in the stoma.
3. Stomas: A stoma is an opening on the skin of the bowel. This is done when the normal route of bowel is disturbed after a surgery.