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Dr. Shyam Rati

Oncologist, Mumbai

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Dr. Shyam Rati Oncologist, Mumbai
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Shyam Rati
Dr. Shyam Rati is a popular Oncologist in Vikhroli East, Mumbai. You can visit her at Dr. Shyam Rati@Godrej Memorial Hospital in Vikhroli East, Mumbai. Save your time and book an appointment online with Dr. Shyam Rati on

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Godrej Memorial Hospital

Pirojsha Nagar, Vikhroli East Landmark : Opposite Godrej Towers & Near Vikhroli Railway StationMumbai Get Directions
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My nipple is always erected. Even after wearing bra it just pops out. I feel embarrassed as every time my nipple is hard and everyone see it from my top. Why my nipple is always erected? Is this normal. Nipple size is big even. Kindly advise.

General Physician, Mumbai
Erect nipple can be considered as normal but you should wear bra accordingly and buy a bra of good quality which will not show your erect nipples
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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
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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.

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What is the symptoms of cancer and how it can be prevented easily by chemotherapy also is there any other easier treatment available to treat cancer?

Fellowship InThoracic Surgery Onco surgery, DNB (General Surgery), MBBS
General Surgeon, Delhi
Dear lybrate-user, symptoms of cancer depends upon the organ, no chemotherapy can't prevent cancer. It treats cancer, means given after cancer is diagnosed. Surgery and radiotherapy are other modalities to treat cancer.
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Irrfan Khan - Battle Against Neuroendocrine Tumour!

MBBS, MD - General Medicine, Certification In Diabetes
Endocrinologist, Delhi
Irrfan Khan - Battle Against Neuroendocrine Tumour!

Irrfan Khan's saddening revelation about his health and diagnosis of Neuroendocrine tumour (NET) has undoubtedly created a rage amongst his fans, which is now being followed by good wishes for speedy recovery from his supporters all across social media.  

The actor shared in an emotional Twitter post that he’s been diagnosed with NET, a rare tumour that develops from cells of the neuroendocrine system and grows predominantly in the digestive or respiratory tract - lungs, appendix, small intestine, rectum, and pancreas - it can occur in any part of the body.

Here is more on Irrfan’s disease:

What is NET?

A neuroendocrine tumor is characterized by a rapid and abnormal growth that happens in the nerve cells which produce hormones. Hormones control how different organs in the body work.

It is a condition wherein, endocrine cells, the hormone-producing cells of the body, develop a tumor in any part of the body - while it can can grow in lungs or the thymus, or more rarely, in the ovaries, kidneys, or testicles - the most common is lung, intestines, and pancreas.

What causes NET?

A neuroendocrine tumour is quite a rare disease, occurs in less than one per million cases. The exact cause is not known.

The Symptoms-

It can cause a myriad of symptoms, depending on where in the body the NET is.

  1. If it is in your digestive system, it can cause pain or discomfort in the abdomen area that comes and goes. You may feel sick, nauseated, vomited, or there may be a change in how often you pass stools.
  2. If the NET is in the lung, it can cause shortness of breath, chest infections, or you can even have a cough up blood.
  3. Weight loss and loss of appetite may also be some common signs of a neuroendocrine tumour.
  4. Some NETs may overproduce a hormone-like substance called serotonin. This causes a group of symptoms called carcinoid syndrome. Symptoms include wheezing (like asthma), flushing of the skin and diarrhoea.

Who can be affected with NET?

  1. These tumours, depending on the type, are more common in certain age or sex. And few have very strong family history too.
  2. People who have a rare condition called multiple endocrine neoplasia 1 have an increased risk of developing a NET.

Did You Know?

Apple founder ‘Steve Jobs‘ died from the same disease in 2011. The tumour affected his pancreas.

Know The Different Types of NET:

Based on the organ that is affected, NET can vary a lot. When the chromaffin cells that produce adrenaline are affected, it is called Pheochromocytoma, and it is related to the stress levels of the body.

When a cell is formed abnormally under the skin and the hair follicles, it is called Merkel cell cancer. This is also called neuroendocrine carcinoma of the skin and the condition can occur anywhere in the body. The commonly occurring places include lungs, gastrointestinal tract, and brain.

The status of the tumour, cancerous (malignant) or noncancerous (benign), decides the survival rate. Often slow-growing and noncancerous, they can invade surrounding parts of the body and at times, turn cancerous and spread across the body. However, you can still choose to live a good quality life with strict modifications in diet and lifestyle. The changes are made after taking into consideration the symptoms of the tumor. The organ where the tumor is formed also matters.

How Is It Treated?

Treatment depends on the location of the tumour, its type, how severe it is and whether it has spread to other parts of the body. Usually, the first treatment choice is surgery to remove the tumour. And, if the NET cannot be removed, your will prescribed with a treatment that will not only relieve the symptoms but will also improve the quality of your life.

How can a NET be prevented?

The first thing you need to do for the prevention of NET is to curb stress. Stress affects the entire body severely.

Lifestyle modifications:

A healthy lifestyle is what you need to stick to if you want to manage its symptoms during the treatment cycle. Your doctor will prescribe you to do exercises at least 4 days a week for a minimum of 30 minutes. You can also try a walk instead of strenuous exercises.

People with carcinoid syndrome may be advised to avoid food or activities that may trigger flushing, such as eating spicy food or drinking alcohol.

Indulge yourself in therapies that help in gaining more positive energy. If you are already affected by NET, eliminate all the sources of stress and get a good night's sleep every day. Join the support groups that make you grow strong and happy. After all, the mind is devised to do miracles when it is full of life and positive thoughts.

Is Irrfan Khan's tumour curable?

Dr Saumitra Rawat, HOD, Surgical Gastroenterology & Liver Transplant, Sri Ganga Ram Hospital, said, "NeuroEndocrine Tumour is an abnormal growth of Neuroendo cells which are present in bodies. When there is an abnormal growth, then it forms a tumor - Normally seen in intestine, pancreas, lung, thyroid and other parts of the body".

On commenting on Khan's case, he said, "It depends on the location of tumour, its size, and what is its mitotic index".

"Depending on where the tumour is localized, you can take it out surgically and the chances of cure are very high", Dr Rawat explained.

Actor Irrfan, who has been diagnosed with the disease is one of the most versatile actors in India, has also made a name for himself in the west, where he has been an important part of critically-acclaimed films such as ‘The Namesake’, ‘Jurassic World’, and ‘Life of Pi’. At home, the actor has delivered remarkable performances in films such as ‘Haasil’, ‘Paan Singh Tomar’, ‘Maqbool’, ‘Lunch Box’, ‘Piku’, and the most recent ‘Hindi Medium’.

Irrfan Khan is not just a disarmingly natural actor, but also an endearing human being -- honest and humble to the core. It’s time to stand together and pray for him a speedy recovery!

5533 people found this helpful

If I smoke then what effects found on my body. It can be caused by cancer Or not.

Psychologist, Mumbai
Hi Lybrate user If you are a long term smoker, on an average, your life expectancy is about 10 years less than a non-smoker. It can be caused cancer, heart desease and many more health problems, but if you stop smoking cigarettes your body start to recover from the effects of nicotine and addictives, your lung capacity increases and your breathing and general fitness will improved and you will live longer and feel better. Try to live a happy and healthy life. Thanks.
1 person found this helpful
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My mother in law is 80. She has recently been operated for breast cancer her breast is removed. Drs have suggested chemo therapy but she is undergoing homeopathy treatment. Is it ok?

MS - General Surgery
Oncologist, Ludhiana
If she is not fit for chemotherapy then hormone treatment can be considered at this age. Hormone treatment is safe and without any major side effect. Hormone treatment is effective only if er and pgr are positive.
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Its my mother and suffering from diabetes and also suffered from cancer but after operation its ok but pain in whole is occurs and bones are become weak and back pain is major problem so pls refer an best calcium supplements for her! I search in web it says that bluebonnet calcium tablets I want to know from is it best for my mother or not! His age is 35 years approx.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
Its my mother and suffering from diabetes and also suffered from cancer but after operation its ok but pain in whole ...
Hello, nutritious diet along with the physiotherapy session wll help her. Include ragi,sesame seeds,low fat curd and yogurts,dark green vegetables in the diet. Calcium or any supplemets are supposed to be taken only after instructed by the doctor,who knows the medical history of the patient. Vitamin D supply could also be crucial,only after getting her Calcium and vitamin D levels checked .
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Ovarian Cancer - Symptoms And Treatment

MICOG, DRM, Royal College of Obstetricians and Gynaecologists (MRCOG), DNB, MD, MBBS
IVF Specialist, Delhi
Ovarian Cancer - Symptoms And Treatment

Ovarian cancer takes place when the cells in either of your ovaries have an abnormal growth. The ovaries are two small organs, situated on either side of your uterus. They deliver female sex hormones and store and discharge eggs (ova) that help a woman reproduce. Ovarian cancer is a serious disease that emerges from various sorts of cells and growths inside the ovary.

Specialists do not know precisely what causes ovarian cancer. Hereditary qualities, for example and other DNA changes, are a danger element for few ladies. Around 10 out of 100 ovarian cancers are thought to be brought about by quality transformations in the BRCA1 or BRCA2 genes. Women who go through changes due to these carrier genes are more at risk of contracting ovarian cancer.

The earliest symptoms of ovarian cancer are as follows:

  1. Frequent bloating in the uterus or stomach area.
  2. Pain in your pelvis or belly.
  3. Inconvenience while eating, or feeling full quickly.
  4. Urinary issues, for example, a critical need to urinate or urinating more frequently than expected.

The disease is usually suspected after an ultrasound suggests an ovarian cyst with a specific appearance. If there is a suspicion of ovarian cancer on ultrasound, you doctor may ask for a blood test for markers like CA-125, CEA, AFP, etc.

Treatment options for ovarian cancer:

The decision of treatment and the long-term result for ladies who have ovarian cancer relies upon the sort and phase of cancer they are in. Your age, general wellbeing, personal satisfaction, and wish to get pregnant should be considered. The primary treatment methods for ovarian cancer are:

  1. Surgery to see whether you have cancer or not and to treat it. This may include taking biopsies to check for the spread of cancer.
  2. Chemotherapy, which uses medications to kill the cancerous cells. It is suggested after surgery for most phases of ovarian cancer.
  3. Women who are in a more progressive stage of ovarian cancer may have a portion of their chemotherapy before surgery and whatever is left of it after surgery. This can make the surgery more secure for these women.
  4. Radiation treatment might be utilized to pulverize the cancer cells with the help of high-measurement X-ray beams or other high-vitality beams.

Side Effects of Treatment Methods:

Most medications for ovarian cancer cause reactions. They may vary, depending upon the kind of treatment, your age and general well-being. Reactions of surgery rely on the degree of your surgery and spread of the disease. In case your specialist removes your ovaries, you lose the capacity to bear children with your own eggs. The option of egg freezing should be discussed before resorting to this step. Furthermore, if both ovaries are removed, it leads to menopausal symptoms.

Symptoms of chemotherapy may incorporate loss of appetite and weight, queasiness, fatigue, vomiting, nausea and hair loss.

One should get regular or annual check-ups done to see if there are problems in any parts of the bodies since natural symptoms of cancer are only visible after a certain stage. If you wish to discuss about any specific problem, you can consult a gynaecologist.

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Dr. Ninad Katdare

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
S.L. Raheja Hospital, 
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