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Dr. Sanjay Omprakash Gangwal

Oncologist, Mumbai

1015 at clinic
Dr. Sanjay Omprakash Gangwal Oncologist, Mumbai
1015 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Sanjay Omprakash Gangwal
Dr. Sanjay Omprakash Gangwal is a trusted Oncologist in Mumbai, Mumbai. He is currently practising at Gangwal Clinic in Mumbai, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Sanjay Omprakash Gangwal on Lybrate.com.

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Gangwal Clinic

Room No 6, 1st Floor, Jasville,Churchgate.Marine Lines New . Landmark: Opposite Liberty Cinema, MumbaiMumbai Get Directions
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She had cervical cancer but radiation and chemotherapy were given. As well hyperthermia. Cycle of chemo every week once total 5 given. Was around radiation 24 days. Before dat womb bag were removed coz blood discharge was der. At dat moment after removing womb bag cancer detect. Now approx 3 years passed. She is well because of almighty maa. Now want to ask wat is generally life expectancy of that people after treatment. She is taking timely tablet and I keep happy her. Not trying to give tension. Pls help me doctor regarding dis. Type of cancer sumthng magline.

DNB, MBBS
Oncologist, Faridabad
Dear sir/mam. She had cancer of cervix, post op for which she underwent hysterectomy followed by chemotherapyand radiation therapy. Patient is likely to do well but you need to tell us the histopathology report of surgery and the stage at the time of diagnosis. Cervical cancer patients generally do well post treatment and live long so don't worry but do go for routine follow up check up at least six monthly to your primary doctor.
9 people found this helpful
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I have a question about my Prostate problem, as per Doctor's reply the PSA is high but our surgeons say that PSA keeps going high/low, up and down, the urine flow stream is normal but at times, it is dribling, please advice the cause and what is the remedy, I am now 73 years old person. Thanks.

MS - General Surgery, FMAS, FIAGES
General Surgeon, Jamnagar
I have a question about my Prostate problem, as per Doctor's reply the PSA is high but our surgeons say that PSA keep...
Marginal rise or fall of psa is ok but if it's too high then you should go for prostatic biopsy by urosurgeon.
1 person found this helpful
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All About Breast Cancer

MS, MBBS
Gynaecologist, Delhi
All About Breast Cancer

Breast cancer is a type of cancer, which occurs due to the development of cancerous cells in breasts. Women are usually affected by breast cancer and breast cancer is one of the most common forms of cancer after skin cancer. Usually fatal if not diagnosed in its early stage, breast cancer is a very serious medical ailment. Read on more to find all about the different symptoms, causes, preventive measures and treatment of breast cancer.

Symptoms: Breast cancer has few distinct characteristics and if you have a few or all the following symptoms you could be more likely to suffer from breast cancer. 

  • The formation of a lump in your breast, which is different from the surrounding tissue and usually more thickened.
  • The discharge of bloody fluid  material from the nipples.
  • Sudden change of the size, shape and appearance of the breast.
  • Certain distinct changes to the skin over the breast for example an indentation in the skin similar to that of a dimple.
  • Appearance of an extra nipple which is inverted.
  • If the darkened area around the nipples known as the areola is flaking or peeling off. 

Causes: Studies and researches remain inconclusive on what causes breast cancer. Breast cancer occurs due to abnormal division of the cells located in the breast, which over time accumulate and form lumps. They
might spread to other parts of the body. Breast cancer is caused mainly due to a complex interaction of personal genetics, environment and lifestyle choices. Breast cancer can also be caused due to genetics as about 5% to 10% of cases are due to gene mutations which pass onto generations.

Risk factors: There are certain factors, which increase the probability of contracting breast cancer. Increasing age, personal and family history of breast cancer, obesity, radiation exposure, pregnancy at an older age, postmenopausal hormone therapy are some of the factors that increase the chances of breast cancer.

Treatment: Several forms of surgical methods exist to treat breast cancer. Depending on the condition and spread of the disease a suitable surgery is performed. These include mastectomy, lumpectomy, axillary lymph node dissection and removal of both breasts. Other forms of treatment include chemotherapy or the use of high doses of drugs to destroy cancerous cells. Radiation therapy where X-rays are used to destroy the cancer cells is also effective.

3359 people found this helpful

I am 20 year old girl, I'm suffering from itching on breast. Now-a-days its too much, I have not yet taken any precaution. Let me know what best I can do. I wondering whether it is breast cancer or not. Please do let me know.

FMAS, MS
General Surgeon, Gandhinagar
Respected lybrate-user hi don't worry it's not cancer itching is due to excess perspiration. Keep part clean & dry. Apply dusting powder like nebasulf powder 2-3 times a day. For sometime avoid very tight brassiere. Consult later if problem thanks regards.
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5 Factors That Determine The Frequency Of Breast Examination

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Chandigarh
5 Factors That Determine The Frequency Of Breast Examination

A breast examination is a way of detecting early changes that may find lumps of other growth in the breast. This is a manual form of examination that may be carried out by the doctor or even by the patient. This kind of examination helps in detecting the onset of breast cancer and helps in successful treatment of the same. It is an essential screening strategy that all women must go through. Let us cast a glance on the various details regarding this examination, and also how frequently it must be conducted.

  1. Age: Women who have reached the age of 18 are said to have matured physically and sexually. They should perform this examination once they have reached the said age in order to detect any anomalies in the way the physical changes occur in the breast tissue.
  2. Procedure: One should begin by looking at one's reflection in the mirror to find any rashes or dimpling in the breasts. The shape, size and colour of the breasts and nipples must also be studied so as to check for any anomalies. Inverted nipples, redness and soreness must also be reported to the doctor. Once you are done checking the visuals, you can raise your arms and look for any changes. Then, you will need to lie down and feel your breasts by using a circular motion. The finger pads must be used in order to check for any lumps. One must start from the centre and move the breasts sideways. Any wet and slippery feeling must be reported to the doctor immediately.
  3. Pressure: During the breast examination, you must use light pressure for the skin and tissue that lie beneath the breasts, while medium to moderate pressure should be used for the middle portion of the breasts. One must use a firm hand to check the tissue that lies at the back of the breasts, near the rib cage.
  4. Frequency: One must get into the habit of conducting a breast examination at least once a fortnight or once a month, without fail. You can also go to the gynaecologist for an examination in case you are not confident of conducting it on your own with proper movements and accuracy. You may also journalise your breast examination findings.
  5. Menstrual Cycles: When you are going through your menstrual cycle or period, it is important to remember that your breasts can become tender just before or after the start of the cycle. So, do not panic if you think you have found a lump or any other growth at this time. It is best to check again after a week and then visit the doctor about checking the same. If you wish to discuss about any specific problem, you can consult a gynaecologist.
2610 people found this helpful

I am an 18 years old boy and I have started smoking cannabis. I've read online that it is good for health in controlled quantities so is it right to go on this path. Does cannabis also cause cancer like tobacco products? Also it fine to smoke 3-4 joints a day. Will it affect me on a chronic basis?

MD Radiation Oncology, ESMO Certified Medical Oncologist, DM Medical Oncology (Pursuing)
Oncologist, Mumbai
Hi lybrate-user, cannabis smoking is injurious to health and you should try to abstain from it. It will slowly induce dependence and hamper your life. It will definitely have very harmful effects if you consume it on a chronic basis. So, its my advice and request to you to not spoil your entire life and even suggest your friends to stay away from this slow poison.
16 people found this helpful
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Hello I am sagar of 19 I usually smoke 2 to 3 cigarettes a day . I did smoking from past 2 months . All I want to know is I am feeling a little pain in my chest , in the middle of the chest . The pain is felt in the bone ,in the middle of the chest from where ribs starts. Please suggest me any measure or is that is any symptoms of any health related problem ! And another question is . Is there any risk of developing lungs cancer ? And also tell me the exercise to neglect the effects of smoking without giving it up. thanks Sagar Srivastav.

M.Ch - Surgical Oncology, MS - General Surgery, MBBS
Oncologist, Delhi
Hello I am sagar of 19 I usually smoke 2 to 3 cigarettes a day .
I did smoking from past 2 months .
All I want to kno...
There is no way you can nullify the harmful effects of smoking without giving it up. You can try nicotine gums and patches if you wish to abstain. Smoking for 2 months, generally does not predispose to cancer, but it is never too soon, to develop cancer. It generally does not sound like cancer yet, but I would still advise to quit smoking. Its uncool.
3 people found this helpful
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How can I find that my wife is feeling from breast cancer or not? Can any one tell the simplest way to find out in the earlier stage for my wife?

MD - Radiothrapy, MBBS
Oncologist, Pune
You can do screening Mammography of breast and also clinical examination of breast should be done yearly for early detection of cancer.
1 person found this helpful
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My mum has suddenly developed a gland in her left breast. Has been hurting since 5-6 days.in between got her checked by an MD, MbbS who advised to get USG sonography for tumour and now IFst to find out if its cancer. Sister says drops of water like coming out of her breast. Can someone please help me what this could be.

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
Dear, If it is painful it is unlikely cancer and may be infection. If after a course of antibiotics it foes not suppress you should definitely go for Timor analysis. A fine needle aspiration testis advised in that case. If there is any positivity on FNAC then we can go for further management.
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Want to know is there medical evidence to prove that the radiations from cellphone towers are causing cancer and heart problems to public near by.

DNB, MBBS
Oncologist, Faridabad
So far sir there is no conclusive proof, but these kind of researches are not conclusive very fast as it may take many years to come to some conclusion, but we should not wait for it to be proven as it may be too late by then. Obviously we are seeing so much increase in incidence of cancer, both in rural and urban areas, it's like epidemic. Since no specific cause can be pointed out to, we must avoid any potential source of carcinogenic substance like mobile tower radiation. It should be away from a populated area to avoid constant exposure.
1 person found this helpful
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Dear Dr. My sister complained about severe pain in the lower right portion of her right breast. What it might be? Is it something to worry about? And what diagnosis we are needed to perform? She is 17.

MBBS, M S General Surgery ,
General Surgeon, Chandigarh
hi this is called ANDI nothing to be done .. don't worry it will be olrite by itself. take care...
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Understanding the Stages & Symptoms of Uterine Cancer

MBBS, MD
Gynaecologist, Delhi
Understanding the Stages & Symptoms of Uterine Cancer

The uterus is a very important organ within the human reproductive system as this is the chamber where an embryo grows into a baby. Due to a multitude of factors, the incidence of uterine cancer has been on the rise. Let's look at some of its symptoms.

Symptoms of uterine cancer: When cells within the uterus grow abnormally and turn malignant, it may be termed as uterine cancer. This may be in the form of a fibroid or tumor or be part of the uterine tissue itself. It may be caused due to a multitude of factors such as late menopause, radiation exposure, estrogen treatments and many others. Some of the common symptoms for uterine cancer could be:

  • Pain in the abdomen, lower back and especially the pelvic area.
  • Pain during urination,
  • Weight loss without any apparent reason
  • Vaginal bleeding with or without discharge
  • Pain during sex

Stages of uterine cancer: Before we understand the stages of uterine cancer you need to know how doctors diagnose the various stages. This is done by the three following steps in the TNM method:

  1. Tumor: Doctors try and search for tumors and locate them within the uterus, estimate its size and whether it is malignant or not.
  2. Node: If the tumor is malignant, then doctors try to find out whether the tumor has reached the lymph nodes or not.
  3. Metastasis: Doctors look for Metastasis, which is whether the cancer has spread to other organs within the body and to what extent.

Stages of cancer: Cancer is primarily grouped in five stages from 0 to V according to the T, N and M stages mentioned below.

  • Stage 0 - This is a very early stage of cancer where the cells have malignant growth but are still small in number and haven't spread anywhere.
  • Stage I - If the cancer has developed a little, but is restricted within the uterus, it is considered as stage one. This is also further divided into Stage 1A and 1B.
  • Stage II - When the cancer has started spreading, but only to some parts of the cervix from the uterus, it is diagnosed as stage 2 uterine cancer.
  • Stage III - Categorized into Stage IIIA, Stage IIIB, Stage IIIC1 and Stage IIIC2, it is primarily where the cancer has spread to other organs, but it is only limited to the pelvic area.
  • Stage IV A - When the cancer has gone beyond the pelvic area and also spread to the rectum and bladder area.
  • Stage IV B - This is where the cancer has metastasized in the groin area or gone to other organs within the body as well.
4761 people found this helpful

Diabitic since 2001 .Taking Gelvas 50-500 Amaryl 1M, Ecospirin v75, Tezloc H, Flodart plus for D.M,heart, Microalbumin in urine and prostate problems.

MD-Dermatology, MBBS
Sexologist, Pune
Send me details/ and Private consulting Please contact and discuss in details regarding your related problem at private questions by request and payment of Rs.200/ through Lybrate/ payment getway. Contact email drrameshm2@gmail.Com/on Mob 09822006427. For your complete health solution by.Dr.Ramesh Maheshwari, MBBS,MD Sexologist Pune.
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Hello dos, 1nd half years se mere baby girl ko feed kr re hun, lekin ab m uska dudh chudva re hun, to m kya medicines lu because my chest is paining now.

MS
General Surgeon, Panipat
Ms. lybrate-user. Noted your problem. It is very simple please reduce the frequency of feeding and take out milk with the help of Breast pump keep it in fridge and feed the child with bottle. Don't try any medicine in your case.
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I am 50 yrs - my father recently succumbed to prostate cancer. What is your advice to prevent prostate enlargement.

General Surgeon,
I am 50 yrs - my father recently succumbed to prostate cancer. What is your advice to prevent prostate enlargement.
Prostetic enlargement is natural process of ageing. In allopathy there is no medicine to prevent enlargement uptill now. Not every enlarge prostate is cancer. But as age advances % of having prostatic cancer is more. Sometime it diagnosed after surgery when tissue send for biopsy.
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My dad is 70 years old on nov he diagnosed lung cancer 3 rd stage we r giving him ayurveda medicines but his chest pain is getting worst and he is so much weak not able to go toilets can any one suggest wt to do any pain killer can we give ultracet we gave some time but no effect. He is doing vomiting also. Because of age we did not go for chemotherapy.

European Society for Medical Oncology certification, DM - Oncology, MD - General Medicine, MBBS
Oncologist, Faridabad
My dad is 70 years old on nov he diagnosed lung cancer 3 rd stage we r giving him ayurveda medicines but his chest pa...
Dear lybrate-user, we are sorry to hear that your father is suffering. For pain relief opioids can be used which can be oral or can be used as a skin patch which works for upto 3 days. This comes in various strengths. In this era of targeted therapy, chemotherapy is not the only available treatment. Also, there are many myths associated with chemotherapy use, with improved supportive care, chemotherapy is not only effective but is safe and relatively hassle free. There are also multiple oral targeted agents (not chemotherapy) available for lung cancer which if used in patients with certain specific genetic mutations in the tumor are extremely effective and well tolerated. I suggest you would do better by seeking help of a medical oncologist who can guide you regarding targeted therapy and pain relief so as to make your father more comfortable and have a better quality of life. Best wishes.
2 people found this helpful
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I wanted to ask that I have Lipoma on my forehand, back and tighs. I have already consulted doc and he suggested that nothing serious. Can you please confirm the same?

Diploma In Dermatology And Venerology And Leprosy (DDVL), Fellowship in Dermatosurgery
Dermatologist, Belgaum
Yes it is nothing serious. The only treatment being removal either for cosmetic purpose or when it causes problems like pain or excess growth.
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Penile Cancer - Know Everything About It?

M.Ch - Urology/Genito-Urinary Surgery
Urologist, Guwahati
Penile Cancer - Know Everything About It?

Penile cancer occurs when cancer.us cells form on tissues of the penis.

If caught early, penile cancer is treatable. In early stages, a cancerous tumour can be removed with little or no damage to the penis. But if it is diagnosed late, a man may lose part of or all of his penis and sometimes his life too. Hence, it’s vital that you know more about this cancer.

But first, a small primer on the penis…

The penis has two types of erectile tissues, the spongy tissue that gets engorged with blood leading to an erection:

  1. Corpora cavernosa: This tissue forms most of the penis.
  2. Corpus spongiosum: This tissue forms a small portion of the penis. It also surrounds the urethra, a tube that transports urine and sperm to outside.

The erectile tissue comes wrapped in connective tissue and skin to form the organ.

Penile cancer is usually found on the ‘glans’ or tip of the penis, but can also occur on the shaft of the penis. Some of the common symptoms of penile cancer include sores and lumps on the penis, redness or irritation on the penis and blood discharge.

Factors that increase the risk of developing penile cancer

  1. Infection with human papillomavirus (HPV): This virus causes cervical cancer in women. Unprotected skin-to-skin contact as well as unprotected sex with multiple partners, increases the risk of a man getting HPV infection.
  2. Not being circumcised at birth: Circumcision, an operation in which a part or the entire foreskin is removed surgically is a big protection from penile cancer. 
  3. Phimosis: This is a condition in which the foreskin cannot be pulled back over the glans or tip of the penis.
  4. Poor hygiene
  5. AIDS
  6. UV treatment for psoriasis
  7. Use of tobacco: The chemicals in tobacco smoke lead to genetic changes in cells of the penis, thereby leading to cancer.

Diagnosis and Treatment

Detection and diagnosis are done using tests like a biopsy in which a small sample of tissue is removed from the penis and tested for abnormalities due to cancer.

The most common ways of treating penile cancer include surgery, radiation therapy and chemotherapy.

Chances of Survival

Treatment of penile cancer depends on what stage it is detected at and so is prognosis. The location and size of tumour, and whether cancer has just been diagnosed or has recurred also affect prognosis.

For stage I and II penile cancer or cancer that is limited only to the penis, the five-year survival rate is 85%.

The survival rate dips substantially if cancer is diagnosed after it has spread to surrounding tissues or lymph nodes in stage III or IV. The five-year survival rate is just about 59%.

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Based on 41 PSA, I was detected to have Cr3N0M0 Prostate Cancer and underwent 28 sittings of Radiation and am on Injection Elegrad 22.50 once every three months for 2 years (3 Injections completed so far including one at start of Radiations. PSA reading after first 3 months post radiation is 1.60. Your views on the treatment being followed and results so far. Can I be Prostate Cancer free? Thank You.

M.Ch - Surgical Oncology, MS - General Surgery, MBBS
Oncologist, Delhi
Based on 41 PSA, I was detected to have Cr3N0M0 Prostate Cancer and underwent 28 sittings of Radiation and am on Inje...
You have a high risk prostate cancer which has been appropriately treated with radiation therapy followed by hormonal therapy. With psa controlled, I feel that you are cancer free and just under surveillance for now. Your treatment has been appropriate.
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