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Dr. Swapnil Sapothe

MBBS

Oncologist, Mumbai

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Dr. Swapnil Sapothe MBBS Oncologist, Mumbai
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Swapnil Sapothe
Dr. Swapnil Sapothe is an experienced Oncologist in Ghatkopar West, Mumbai. He studied and completed MBBS . You can visit him at Nulife Hospital in Ghatkopar West, Mumbai. Book an appointment online with Dr. Swapnil Sapothe and consult privately on Lybrate.com.

Find numerous Oncologists in India from the comfort of your home on Lybrate.com. You will find Oncologists with more than 42 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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Education
MBBS - - -

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Nulife Hospital

No. B101/110, Aniraj Tower Co-operative Housing Society Ltd., LBS Road, Ghatkopar West, Landmark: Opposite Metro Mall, MumbaiMumbai Get Directions
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Nulife Hospital

No. B101/110, Aniraj Tower Co-operative Housing Society Ltd., LBS Road, Ghatkopar West, Landmark: Opposite Metro Mall.Mumbai Get Directions
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I've discovered milky white secretion from breast after my husband and I had intercourse. The fluid came due to pressure on breast. I am not pregnant neither there is any abnormal lump on my breast or inside. I am really worried about this sudden secretion as it seemed abnormal to me. But it gave me no pain. I've non-classical pcos and I am afraid if there is any hormonal imbalance in my body. What can be the causes of this secretion? Do I need to go for medical examination? I am really worried and confused. Please help me by providing relevant information.

FMAS, MS
General Surgeon, Gandhinagar
I've discovered milky white secretion from breast after my husband and I had intercourse. The fluid came due to press...
Respected lybrate-user hi it seems only & only due to hormonal imbalance only. It has nothing to do with pressure or playful fondling at all. In my opinion you don't need any evaluation at present. Wait for 1 week if it increases or become painful then consult gynecologist otherwise not. Till then don't take stress. Thanks regards.
1 person found this helpful
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My father has been diagnosed with Non-Small Cell Lung Cancer, Stage 4 with primary tumour in his Left Upper Lung and metastasis in Liver and Bone. The biopsy report has confirmed it to be adenocarcinoma. The cancer was detected while he was admitted at a hospital in Mumbai and was undergoing treatment for Acute Paraplegia which happened on 02 Nov 16, due to arteries-Venous Fistula at D-10 level resulting in oedema/ ischemia of the spine from D-5 to Conus. After two failed attempts of embolization, towards treatment of the AVF, surgical clipping of the fistula was undertaken on 10 Nov 16. As part of post-operative rehabilitation therapy for his paraplegia, he was given 65 session of Hyper-basic Oxygen Therapy at 2.4 ata pressure for about two and a half month and about two hour of Physiotherapy for the same duration. My father was recovering well and had started walking with the help of support (walker). MRI of the spine taken in mid Jan & Mid June 2017 indicates that the spinal cord oedema had improved significantly, although atrophy of the spine cord is still present. He complained of wheezing and breathing difficulty and towards ascertaining the cause a X-ray was taken on 23 Feb 17 which showed massive pleural effusion in his left lungs. A series of tests followed with the ultimate result as NSCLC Stage 3B. He was started with CCRT treatment which concluded on 05 May 17. During the treatment he was given daily dose of radiation therapy using IGRT (60 Gy/ 30 #/6 weeks) and weekly chemotherapy with paclitaxel (150 mg) & Carboplatin (300 mg) for 6 weeks. Despite the treatment, the cancer is advancing and has now spread to Liver and Bones as brought out in his latest PET CT report. Lung tissue which was obtained during CT guided biopsy conducted in the month of Mar 17, before the CCRT treatment was started, has tested positive for EGFR mutation – “E746_A750del is detected in EXON 19 of EGFR gene”. The medicine oncologist has however said that the gene profiling of the primary tumour tissue is not sufficient for starting Targeted Therapy and gene profiling of a tissue obtained from any of the metastatic site is necessary for the same. Three procedures have been undertaken to obtain tissue sample from the metastases site, twice from the liver and once from the pleural deposits, and all the three times the cancerous tissue could not be obtained. Due to non-availability of conformed cancerous tissue from the metastases site, a firm treatment plan has yet not been made for my father. In the meantime, the doctor has recently started my father on Erlotinib 150 mg OD as there has been considerable delay in his next phase of treatment due to non availability of metastases cancerous tissue. Could you please help me by answering the following:- 1.Can you suggest anything towards treatment of my father? 2.Is gene profiling of tissue from a metastases site absolutely necessary for starting targeted therapy for my father? 3.I read online that Erlotinib or Afatinib can be used as Targeted Therapy for patient with EGFR Lung cancer mutation. Is this true? If yes, will a daily tablet of these drugs be sufficient for his next phase of treatment, or a concurrent conventional chemotherapy is also required? 4.Can 65 session of Hyper-basic Oxygen Therapy at 2.4 ata given at a stretch of about 80 days, with a daily dose of 02 hour be a cause of his cancer? I have read it online that the oxygen free radical produced during HBOT treatment can cause cancer.

MS, DNB (Surgical Oncology)
Oncologist, Jodhpur
Hi lybrate-user, You summarize the case very well. I understanding of your case says, he has Ca lung adenoca, treated with dCTRT, that progressed and now disseminated disease, which is not curable by any means. The goal of the treatment in such cases would be palliative only, which means to increase longevity without causing much side effects of the drugs and reduce his problem. Now going towards your questions, 1&2. At this juncture, Gene profiling is not necessary for me but to start the EGFR targeted medicines, which includes Erlotinib/Gefitinib or Afatinib. Usually patients with such mutation as in your case responded but unfortunately not for the indefinite period but averagely 6 to 10 months. On progression, you have to get the gene profiling to see the change in the mutational status. You can refer to NCCN guidelines or American cancer society information. 3. Your father should receive, targertd therapy only, no chemotherapy for sure. It is proven better than chemotherapy in terms of Quality of life and progression free survival (average duration to progress on Treatment) 4. Regarding etiology or causation of lung cancer, HBOT not implicated for such cancers. And more so any carcinogen if cause cancer, it has a reasonable time to show its effects, like you must have seen chronic (long term) smokers will develop lung cancer. HBOT cause local hypervascularization and produce free radicles, so many studies tried see its role as a carcinogen, but tilll date it is not proven carcinogen as per ICAR. Hoping it solves your query. It is nice to see a son is keen and read in-depth about his father's illness. Good luck for further treatment.
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I have been smoking since 4 years now and I am trying to quit but am unable to do so. Please guide me regarding the same and also I wanted to know where can I get a cancer test done with is not expensive. I live in Mumbai.

L L. B..,, M.Sc psychy,, N L P, P.G.D.G.C, M.S psychotherapy,, M.A child care, M A, clinical psy, M.A,social psychiatry,, M.Phil., psychology., Ph.D .,psychology
Psychologist, Vijayawada
Smokers are everyone not effected to cancer. It depends person to person. Because of smoking cancer comes that is healthy advice. It not means everyone affected. So do not worry about this. Better to quit smoking. You have pathophobia means fear of diseases. When you need smoking at that time take chicklets or any other chocolates or eat anything. Refresh your mind with tea, coffee or juice or any other small item of foods. Be sociable and be friendly with others. Do not think about cancer. If you think you are in very trouble. Quit smoking. Feel always I have no bad habits. I am very healthy person. Feel and think in a positive manner. It will be always best for your health. Ok best of luck.
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I am 25 years old please help mi sir. What is the diseases of cancer and malaria?

DNB, MBBS
Oncologist, Faridabad
Dear sir, cancer is a lifestyle related disease usual due to uncontrolled proliferation of the leading to symptoms like palpable lump, ulceration or wound, bleeding from Anywhere, weight loss, difficulty in swallowing, change in voice, altered bowel habits etc depending on organ affected. Malaria is due to parasite plasmodium, carried by mosquito, which gets into our body by its bite, usually presenting as fever with chills and rigor, body ache etc.
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As per biopsy report prostate gland increased and likely to cause cancer in future. Can this disease be cured by Ayurvedic medicines/treatment? Do not want to take allopathy medicines.

BAMS
General Physician, Delhi
As per biopsy report prostate gland increased and likely to cause cancer in future. Can this disease be cured by Ayur...
Sorry no herbal remedy is available so far cancer of prostate, you have to adopt surgical as well chemotherapy without delay.
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Skin Cancer - Can Viagra Be The Cause?

MBBS, M.D Psychiatry , Diploma in Psychological Medicine
Sexologist, Navi Mumbai
Skin Cancer - Can Viagra Be The Cause?

Sildenafil (Viagra), whose function is to inhibit a substance called Phosphodiestarase-5 or PDE5 - was initially used only for the treatment of angina pectoris (a cardiovascular problem) and pulmonary hypertension. Incidentally, it was discovered that it could help the issue of erectile dysfunction too, and thus became hugely popular in the late 1990s. The little blue pill, as it was called, ruled more than 50% of the sexual dysfunction market for more than 15 years. However, as its popularity and usage increased, so did the scientific information about this drug, and now there is an increased speculation that it could be contributing to skin cancer, specifically melanoma. This is considered as one of the most dangerous forms of skin cancer and so the safety of Viagra sildenafil came into question.

Research has shown that users of Viagra sildenafil are at a higher risk for developing melanoma. There are reports stating that about 45 million men are at an increased risk of developing melanoma due to associated Viagra sildenafil use. The risk of developing melanoma was found to increase in men using ED drugs by 21%. Though there is no conclusive proof as yet that sildenafil is the cause, research is increasingly pointing out its role in melanoma. For example, PDE5 inhibitors (sildenafil, tadalafil, vardenafil) are known to promote melanin synthesis, which may exacerbate melanoma development.

The analysis of biochemical pathways of this correlation suggests that Viagra sildenafil triggers a special biochemical action involving the growth-stimulating cGMP (cyclic guanosine monophosphate (an intracellular signaling molecule) which in turn promotes the growth of malignant melanoma. In normal cases, the enzyme phosphodiesterase type 5 (PDE5) regulates the cGMP preventing any adverse cellular activity. Sildenafil inhibits the production of this enzyme, and potentiates a specific cGMP-related biochemical mechanism (called cGMP-cGKI pathway) , and thereby contributes to malignant melanoma. This has been proven to happen in mice and is yet to be proven in humans.

However, there are also reports which suggest that this does not happen due to Viagra sildenafil per se, but due to greater exposure to sun, which even otherwise increases the chances of skin cancer in general, and melanoma in particular. The countering theories also say that the population in which skin cancer was detected, comprised mostly of high income individuals who spent a significant amount of time holidaying on beaches and are not connected to the extensive use of Viagra per se. 

Therefore, though there is a correlation that has been established, there is no definite proof that Viagra sildenafil causes skin cancer. It is however, advisable to use ED drugs after medical consultation. If a patient has a genetic predisposition to develop melanoma, it is advisable to seek medical advice before the use of ED drugs. Occasional use should not be harmful. Also, when going out in the sun, limiting exposure to direct sun and UV protection should be managed too. If you wish to discuss about any specific problem, you can consult a Sexologist.

5195 people found this helpful

Hello sir my father have a prostate problem before 2 years lot of medicines he try but no improvement so what should he do.

General Surgeon,
Hello sir 
my father have a prostate problem before 2 years lot of medicines he try but no improvement so what should...
U r father is diabetic? what is size of prostate on sonography. What postvoide residual volume of urine? is there enlarge prostate or else. Which you have not mention. What medicine taken? this will clue some diagnosis. From this basic reports further line of treatment depends.
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What are the symptoms of skin cancer. If a person suffer from the skin cancer. How can he will be safe from the skin cancer and what is the limit of the skin cancer.

DNB, MBBS
Oncologist, Faridabad
Skin cancers may present as nonhealing ulceration or growth over skin. It may also present as sudden change in size of black mole. Chemical exposure, ultraviolet radiation, viruses, burn may be risk factors, watch for any abnormal lump of skin, if present then seek doctor's advise.
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I am married for last two month. My wife have a problem with her breast. She feels some kind of pain in her breast. When we having sex I pressed her boob sometime.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
May be due to pressing she feels the pain ,does she have pain when it is not pressed ,get back to us for further advice if needed.
2 people found this helpful
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I am taking phytolaccberry tablets 2 for three times morning noon and night will it show any side effects because I took for one day that night around 3 am I had sharp paid under my right breast felt little swelling what would be the cause my ecg is normal but BP was 140/80mmhg.

DHMS (Diploma in Homeopathic Medicine and Surgery), FWT (W.B)
Homeopath, 24 Parganas
Hi Lybrate user, if you take phytolacca Berry 3x for reducing your body weight as a homoeopathic Dr. I say it's hasn't any side effects, sometimes electric like sharppain may be happen neurons of sympathetic nerve, you can try to control your b.p within normal range (systolic 120). Take care.
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There my gf have some stone like structure in the breast and its so painful we consult with the Dr. But they can't b treat with in a month.Now what should I do?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I need to know what the diagnosis is to be able to helpyou will need a bilateral breast usg if not already done.
1 person found this helpful
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What are the symptoms of breast cancer? What are it's causes and treatment methods?

DNB, MBBS
Oncologist, Faridabad
Dear mam, breast cancer generally present as pain less lump usually felt while taking bath or on self examination. It may also present as retraction of nipple, skin thickening, dimpling of skin, firmness of breast as compared to the other one. Breast cancer is a lifestyle related disease. Sedentary lifestyle, lack of exercise, obesity, fatty food etc. It may also be hormone related, nulliparity or not having children, not breast feeding, late marriage and conception or hormone replacement etc may also be one of the causes. In some women it is genetic and may present in multiple members of family. Routine self breast examination and screening helps in early diagnosis. It can be treated by combination of surgery, chemotherapy, radiotherapy, hormonal therapy.
2 people found this helpful
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I have been used to smoking from last 2years but before 6 month ago I quite smoking would like to know will I be suffering from cancer or can I control.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , Post Graduate Diploma In Hospital Administration (PGDHA), Certificate in Diabetes update
Ayurveda, Navi Mumbai
thanks for expecting Health n fittness with Ayurved, its great u quite smoking n started smiling!! its unlikely u land in worst case, bit effect on respiratory system n heart but ur Healthier habits now make enough strong to deal powerfully, consult AYURVEDIC Dr for detox n Rasayan Therapy
5 people found this helpful
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My prostate size has gone to 146 gms. Urination in the mornings is intermittent. Please suggest some medicine for free flowing urination and reduction in size of Prostate gland. Rajan Tandon.

MBBS
General Physician, Jalgaon
My prostate size has gone to 146 gms. Urination in the mornings is intermittent.
Please suggest some medicine for fre...
Please take tab himplasia by himalaya 2 2 tab veltam plus 30 1 re consult me on lybrate after 1 month.
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I have a lump in my left breast so can you tell me the symptoms of breast cancer.

Ex Sen.V.Surgeon/Research Scientist, M.D.(Alternative Medicine/tibetan/chinese/acupuncture), Vaida/ Unani, Homeopath
Unani Specialist, Moga
Hi dear in my opinion - lumps are the ist stage of any cancer. When ignored -- these turn into notorious cancers. Symptoms for both may be-- pain, swelling, oedema, pus etc
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What are the most common skin cancers? What are the warning signs of skin cancer? What are the treatments for skin cancer? Is skin cancer becoming more common? What are some of the risk factors? What can we do to protect ourselves from the sun?

DNB, MBBS
Oncologist, Faridabad
Squamous cell carcinoma of skin are more common in our country rather than melanoma due to natural protection of our skin by melanin pigment. Warning signs are non healing ulcer or progressive increase in already existing mole. Treatment is most commonly surgery, otherwise if inoperable then radiation therapy or chemotherapy. No skin cancers are not so common as compared to head and neck cancer, You can apply adequate sunscreen before you are exposed to sun. Use umbrellas
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