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Inlaks and Budhrani Hospital

Oncologist Clinic

#7- 9, Koregaon Park. Landmark: Next Rajini Ashram, Pune Pune
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Inlaks and Budhrani Hospital Oncologist Clinic #7- 9, Koregaon Park. Landmark: Next Rajini Ashram, Pune Pune
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It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you ......more
It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you understand your treatments.
More about Inlaks and Budhrani Hospital
Inlaks and Budhrani Hospital is known for housing experienced Oncologists. Dr. Debanshu.S. Bhaduri, a well-reputed Oncologist, practices in Pune. Visit this medical health centre for Oncologists recommended by 41 patients.

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TUE, THU, SAT
09:00 AM - 05:00 PM

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#7- 9, Koregaon Park. Landmark: Next Rajini Ashram, Pune
Koregaon Park Pune, Maharashtra
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Considered Risk Factors of Testicular Cancer

MBBS, MS - General Surgery, FICS (Surgical Oncology), Fellowship of Association of Indian Surgeons(FAIS), Fellowship in Minimal Access Surgery(FMAS) & Reproductive Medicine, Fellowship of Indian Association of Gastrointestinal Endo Surgeons (FIAGES)
Oncologist, Ghaziabad
Considered Risk Factors of Testicular Cancer

Cancer that starts in the testicles is called testicular cancer. Testicular cancer is more commonly seen in men who are from 25 to 40 years of age. It is generally of two major types. 

  1. Seminomatous: These are less aggressive and respond very well to chemotherapy and radiation therapy 
  2. Non-seminomatous: These grow and spread rapidly, and often require surgery and chemotherapy

While the exact causes for testicular cancer are not clear, the following are considered to be the possible risk factors: 

  1. Family history 
  2. Undescended testicles 
  3. Prior history of testicular cancer 
  4. Genetic abnormalities of some types 

Symptoms:

While testicular cancer is often diagnosed late, the patient can have early symptoms, which are often ignored. 

  1. Painful swelling in one (or both) testicle(s) 
  2. Pain in the lower abdomen and groin area

Often, this type of cancer originates in the testicles and spreads to the lymph nodes inside the abdomen. It can also reach distant organs like lungs, liver, and lymph nodes in chest, neck. If attention to paid to early symptoms such as testicular swelling with or without pain, testicular cancer can be diagnosed early. However, even if diagnosed in the late stages, treatment is quite effective and outcome is good.

Tumor Markers in Testicular Cancers

Tumor markers are very important for diagnosis of testicular cancers. Alpha feto protein (AFP) and human chorionic gonadotrophin (hCG) and lactate dehydrogenase (LDH) are very important markers that are testing in blood. They are very useful in diagnosis, staging and follow up of testicular cancer. 

Stages of Testicular Cancer


There are three stages of testicular cancer – I to III, and treatment and prognosis would depend on the stage at which it is diagnosed. 

Treatment:

Various modalities are used depending on the stage and extent of spread. 

  1. Surgery: Removal of the testicle is usually the first step in testicular cancer treatment. Removal of testicle for cancer is done by a procedure called “high orchidectomy” or radical orchidectomy and not through the scrotum. This may need to be followed up by chemotherapy or radiation in most cases. 
  2. Chemotherapy: Chemotherapy drugs are used to kill the existing cancer cells and arrest the further growth of testicular cancer. Chemotherapy can be given in early cancers to prevent recurrence of cancer and for advanced cancer to cure the advanced cancer. Chemotherapy is very effective in testicular cancer and cures majority of cases in advanced stages too. 
  3. Radiation: External radiation can be used to target nodes in the abdomen. Radiation is very effective in seminomatous cancers. As is true of all cancers, surveillance and follow-up is very essential. History, examination and testing (blood tests for tumor markers) and scanning (CT scan of abdomen, thorax) are used for follow up.

Diagnosis and Treatment for Testicular Cancer

European Society For Medical Oncology certification, DM - Oncology, MD - General Medicine, MBBS, Fellowship in Bone Marrow Transplant
Oncologist, Faridabad
Diagnosis and Treatment for Testicular Cancer

Testicular cancer is a rare and serious disease in which malignant or cancer cells form in one or both tissues of testicles. It is the most common type of cancer in the males aged between 20 to 30 years. Testosterone and sperms are produced in the testicles of the males. Almost all testicular cancerous cells begin from germ cells. There are two types of germ cell tumors - Seminomas and Non-Seminomas respectively.

Seminomas and non-seminomas occur almost about equally. But a mixture of the two types of cells is treated as non-seminomas only. Further, the seminomas and non-seminomas are subdivided. The seminomas are divided into classical seminoma and spermatocytes-seminoma. And the non-seminomas are further divided into embryonal carcinoma, yolk sac carcinoma, choriocarcinoma and teratoma.

What causes testicular cancer?
The exact cause of testicular cancer is unknown. Researchers have not been able to find out the reason that causes it. However, there are certain risk factors that increase the chances of having testicular cancer. An undescended testicle might be the cause of testicular cancer. Abnormal testicle contributes to the risk factors of the disease. If anyone has had the disease previously in the family, then it increases the risk factor. Also, research shows that white people are 4.5 times at more risk for testicular cancer than black people.

What are the symptoms?
Some may experience no symptoms of it at all, while others have symptoms like aching, the swelling in the scrotum, and sudden weight gain. A lump might also be noticed on either side of the testicles if affected by this disease. Hence, if these symptoms are observed, it is important to get a diagnosis by a medical expert. The symptoms are not yet clearly stated by the researchers, but the above-mentioned symptoms are said to be prevalent in people with testicular cancer.Do not try any measures to diagnose on your own, refer to the concerned doctor as this is a serious disease.

How to diagnose testicular cancer?
If a person, experiences any of the above-mentioned symptoms, the person must seek the medical help immediately. The doctor will prescribe a few tests to diagnose the condition. The tests include an Ultrasound to get the image of Scrotum and testicles and a few blood tests to know the levels of tumor markers in the blood. If these tests confirm a lump then a surgery is done to remove the lump and further test if the lump is cancerous. Also, the type and the stage of the cancer is determined.

What are the treatment options?
Treatments are decided depending on the stage and type of cancer. The different treatment options available are Surgery to remove testicles, Surgery to remove the nearby lymph nodes, Radiation therapy, and Chemotherapy.

What Treatment Should Be Followed For Epithelial Ovarian Cancer?

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Obstetrics & Gynaecology
Gynaecologist, Hyderabad
What Treatment Should Be Followed For Epithelial Ovarian Cancer?

Epithelial Ovarian Cancer is a condition in which malignant tumor emerges from the tissue lining in the outer surface of the ovary. Epithelial tumors are usually benign, but this form of malignancy has been found to be the most common type of ovarian cancer. Moreover, it cannot be diagnosed until in its advanced stage. Medical research shows that factors such as multiple pregnancies, delayed childbirth and early menarche seem to raise the risk of ovarian cancer, while dietary and environmental factors also play a significant role in it.

Symptoms
1. A majority of the patients have been observed to have extensive intra-abdominal growth.
2. They may experience discomfort or swelling of the abdominal region.
3. The feeling of being bloated, lack of appetite, unnatural weight alteration, dyspepsia, malaise, and urinary problems are frequently reported symptoms.
4. Patients also experience constipation and other gastrointestinal problems.

Treatment
The first step towards treatment of ovarian cancer is to diagnose the condition. A thorough pelvic examination (consisting of an examination of the vagina, uterus, ovaries, fallopian tubes, and cervix) will help to pin point any abnormality of the ovary. If the doctor notes nodularity, firmness or lack of tenderness during the examination, these can be taken as symptoms of malignancy of epithelial ovarian tumors. Ultrasound examination of the abdominal region will also help to locate abnormality in the tissues on the outer surface of the ovary. The next logical step towards treatment is getting a biopsy. During this procedure potentially malignant cells are removed and then diagnosed by a pathologist to conclude if the cells are cancerous or not. The process of removal is known as laparotomy.

Apart from a handful of stage one patients, most women with epithelial ovarian cancer receive chemotherapy. The standard treatment for this type of ovarian cancer is the surgical elimination of tumor. This includes total abdominal hysterectomy, a surgery in which the uterus and cervix is removed through an incision in the abdomen. Post surgical treatment consists of taxane-platinum chemotherapy. Patients with minimal residual cancer undergo external radiation therapy or intraperitoneal chemotherapy (radioactive liquid is channelled into the abdomen with the help of a catheter).

A lot of research has been done in this field and a variety of clinical trials are available for a patient, if he/she wishes to be a part of it. Leading methods are immunotherapy and targeted therapy are also available. Immunotherapy uses the immune system of the patient to battle cancer. Bodily substances or substances created in the lab are used to restore and boost the body’s natural defence mechanisms against cancer. Targeted therapy, on the other hand, uses substances to identify the cancer and attack the malignant cells without jeopardizing non-cancerous cells.

My mother had adenocarcinoma of lung which was diagnosed on 5/6 when pet ct was performed and has egfr mutation in exon 19. She also has neurological symptoms like vision loss, hearing loss, vomiting and headache. There is suspicion of metastatic to brain but csf cytology has been negative for 5 consecutive times at regular intervals. How can we confirm if it has metastized or no?

MBBS, M.S. General Surgery, M.R.C.S. England, M.Ch. Surgical Oncology, DNB Surgical Oncology, FEBS Surgical Oncology, DNB General Surgery, MNAMS, FMAS, FIAGES, FAIS, FICS, FEBS Breast Surgery, FACS, Fellowship IFHNOS & MSKCC USA, Fellowship in breast and oncplastic Surgery
Oncologist, Mumbai
MRI brain was done? Usually it is diagnosed on mri rather than CSF cytology. Pet ct is not good to detect brain mets. What is the pet report? What is the local stage and any mets? If metastatic or advanced inoperable, since the egfr mutation is present, she is a candidate for Geftinib or preferably osimertinib. I would be able to opine better if you could share all her reports. Feel free to contact me directly if you want to discuss this further.
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My father have urinary tract infection and prostate problem. PSA level is also high. Is this can be cured by medicine or biopsy is important for this?

MBBS
General Physician, Trichy
My father have urinary tract infection and prostate problem. PSA level is also high. Is this can be cured by medicine...
Hey, It depends on the value of PSA. If it is more than 10 ng/ml, you need biopsy. If it is less than 10 ng/ml, we give a course of antibiotics and if the PSA comes down, no need biopsy. If it does not you need to biopsy. Mostly in oldage, you need to rule out BPH and cancer prostate. Visit in private with reports and USG abdomen so that I can explain you regarding management.
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MY daughter is having SOL in her Rt breast and she is 15 years of age. USG has been done but report is not given. But while doing usg sol appeared in the screen. What does it mean and is my daughter is going to have cancer type anything?

MBBS, M.S. General Surgery, M.R.C.S. England, M.Ch. Surgical Oncology, DNB Surgical Oncology, FEBS Surgical Oncology, DNB General Surgery, MNAMS, FMAS, FIAGES, FAIS, FICS, FEBS Breast Surgery, FACS, Fellowship IFHNOS & MSKCC USA, Fellowship in breast and oncplastic Surgery
Oncologist, Mumbai
It may be a fibroadenoma or a fibrocystic change. Cancer is quite rare at this age. Better to see a breast surgeon who will examine her clinically if not already done. Also wait for the ultrasound report. Feel free to contact me directly if you want to discuss this further.
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Ayurvedic Treatment Of Prostate - प्रोस्टेट का आयुर्वेदिक उपचार

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
Ayurvedic Treatment Of Prostate - प्रोस्टेट का आयुर्वेदिक उपचार

लगभग 60 वर्ष की उम्र से ज्यादा के लोग ही प्रोस्टेट की समस्या से परेशान होते हैं. हलांकि लगभग तिस फीसदी लोग 30 या उससे ज्यादा के उम्र के भी हैं. प्रोस्टेट डिसऑर्डर की समस्या उत्पन्न होने का कारण प्रोस्टेट ग्लैंड का बढ़ जाना है. आपको बता दें कि प्रोस्टेट ग्लैंड को पुरुषों का दूसरा दिल भी कहा जाता है. हमारे शरीर में पौरुष ग्रंथि कई आवश्यक क्रियाओं को अंजाम देती है. इसके कुछ प्रमुख कामों में यूरिन के बहाव को कंट्रोल करना और प्रजनन के लिए सीमेन निर्मित करना है. प्रारंम्भ में ये ग्रंथि छोटी होती है लेकिन बढ़ते उम्र के साथ इसका बिकास होता जाता है. लेकिन कई बार अनावश्यक रूप से इसमें वृद्धि नुकसानदेह है, इस समस्या को बीपीएच कहा जाता है.
 

प्रोस्टेट में अवरोध का कारण
प्रोस्टेट ग्रंथि में ज्यादा वृद्धि हो जाने के कारण मूत्र उत्सर्जन में परेशानी आने लगती है. इसके आकार में वृद्धि के कारण ही मूत्र नलिका का मार्ग अवरुद्ध हो जा जाता है. इसकी वजह से पेशाब रुक जाता है. अभी तक प्रोस्टेट ग्रंथि में वृद्धि के कारणों का पता नहीं लगाया जा सका है. बढ़ती उम्र के साथ ही हमारे शरीर में होने वाला हार्मोनल परिवर्तन इसका एक संभावित कारण हो सकता है. आइए प्रोस्टेट के आयुर्वेदिक उपचार को जानें.
 

प्रोस्टेट ग्रंथि में गड़बड़ी के लक्षण
* पेशाब करने की आवृति में वृद्धि.
* पेशाब करने जाने पर धार के चालू होने में अनावश्यक विलम्ब होना.
* बहुत जोर से पेशाब का अहसास होना लेकिन पेशाब करने जानें पर बूंद-बूंद करके निकलना या पेशाब रुक-रुक के आना.
* मूत्र विसर्जन के पश्चात् मूत्राशय में कुछ मूत्र शेष रह जाना. इससे रोगाणुओं की उत्पति होती है.
* पेशाब करने  में पेशानी का अनुभव करना.
* अंडकोष में लगातार दर्द का अनुभव करते रहना.
* मूत्र पर नियंत्रण नहीं रख पाना.
* रात्री में बार-बार पेशाब की तलब लगना.
* पेशाब करते समय जलन का अनुभव करना.
 

प्रोस्टेट का आयुर्वेदिक उपचार

  • अलसी के बीज: प्रोस्टेट का उपचार करने के लिए आयुर्वेद काफी उपयोगी औषधियां उपलब्ध कराता है. अलसी का बीज प्रोस्टेट के उपचार में महत्वपूर्ण भूमिका निभाता है. इसके लिए अलसी के बीज को मिक्सी में पीसकर पाउडर बनायें. फिर प्रतिदिन इसे 20 ग्राम पानी के साथ लें.
  • सीताफल के बीज: सीताफल के बीज में कॉपर, मैग्नीशियम, मैंगनीज, आयरन, ट्रिप्टोफैन, फ़ॉस्फोरस, फाइटोस्टेरोल, प्रोटीन और आवश्यक फैटी एसिड आदि पोषक तत्व मौजूद होते हैं. इसके अलावा सीताफल के बीज को जिंक का भी स्त्रोत माना जाता है और इसमें बीटा-सिस्टेरॉल की भी मौजूदगी होती है जो कि टेस्टोस्टेरॉन को डिहाइडड्रोटेस्टेरॉन में परिवर्तित होने से रोकता है. प्रोस्टेट ग्रंथि के बढ़ने की संभावना को ख़त्म करने के लिए आप सीताफल के बीजों को कच्चा, भूनकर या फिर दुसरे बीजों के साथ मिश्रित करके भी ले सकते हैं. यही नहीं आप इन बीजों को सलाद, सूप,पोहा आदि में भी डालकर खा सकते हैं. इनमें बहुत सारे पोषक तत्वों की मौजूदगी होती है.
  • सोयाबीन: प्रोस्टेट से छुटकारा दिलाने में सोयाबीन भी महत्वपूर्ण भूमिका निभाता है. सोयाबीन की सहायता से आप प्रोस्टेट का उपचार कर सकते हैं. प्रोस्टेट का उपचार सोयाबीन से करने के लिए आपको रोजाना सोयाबीन खाना होगा. ऐसा करने से आपका टेटोस्टरोन के स्तर में कमी आती है.
  • पानी के इस्तेमाल से: अपने दैनिक जीवन में हम सभी पानी पीते ही हैं. लेकिन कई लोग इसे ज्यादा महत्त्व नहीं देते हैं और वो उचित अंतराल या उचित मात्रा में पानी नहीं पीते हैं. ऐसा करने से आपके शरीर में कई अनियमिताएं आने लागती हैं. प्रोस्टेट की परेशानी के दौरान आपको नियमित रूप से पानी पीना लाभ पहुंचाता है.
  • चर्बीयुक्त और वसायुक्त भोजन का परहेज करें: जब भी आपको प्रोस्टेट की समस्या हो तो आपको चर्बीयुक्त और वसायुक्त भोजन का परहेज करें. आप देखेंगे कि चर्बीयुक्त और वसायुक्त भोजन का परहेज करने से प्रोस्टेट डिसऑर्डर में काफी लाभ मिलता है.
  • टमाटर नींबू आदि का खूब इस्तेमाल करें: टमाटर, नींबू आदि में विटामिन सी की प्रचुरता होती है. प्रोस्टेट डिसऑर्डर के दौरान आपको विटामिन सी की पर्याप्त मात्रा लेनी चाहिए. इसलिए इस दौरान विटामिन सी की प्रचुरता वाले खाद्य पादार्थों का सेवन करना चाहिए.

Sir, Chemotherapy or radiation to bahut kahtarnak lekin metabolic therpy India Mai suru ho gya hai kya iske alava koi ilaj.

MBBS, M.S. General Surgery, M.R.C.S. England, M.Ch. Surgical Oncology, DNB Surgical Oncology, FEBS Surgical Oncology, DNB General Surgery, MNAMS, FMAS, FIAGES, FAIS, FICS, FEBS Breast Surgery, FACS, Fellowship IFHNOS & MSKCC USA, Fellowship in breast and oncplastic Surgery
Oncologist, Mumbai
Depends on which cancer you have. There are many alternative medicines given for cancer in India without any proven efficacy. Many contain steroids which would suppress most of the cancers for a short period of time without curing it. It may come back with a vengeance. I would be able to opine better if you could share your reports and details. Feel free to contact me directly if you want to discuss this further.
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Hi Sir, My aunt is 50 years old. She had suffered from breast cancer 15 years back which was successfully treated with surgery, radiation and chemotherapy. 2 years back she was again treated for uterine cancer. Now one month back she is diagnosed with Lung cancer. Doctors are still conducting tests and not yet started with treatment. She is experiencing cough and pain in chest area. Can we go ahead with Chemotherapy again? She is scared of the side effects? Why it is re occurring again and again? What is the prognosis now? What is the way ahead please suggest.

MBBS, MS - General Surgery, FBD (Fellowship in Breast Diseases), UICC Fellowship
Oncologist, Pune
Lung cancer will give more symptoms as compared to uterine and breast cancer. Check her receptors as lung cancers have got another treatment called immunotherapy. Lesion of lung needs to be biopsied and send for pathology as well as receptors than only treatment can be finalised.
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Hi sir, I am only 20 years what can I do? I am suffering from first stage oral tumor after treatment my life is good or bad and after treatment Pura take see think ho jayenge na pls sugest.

MBBS, M.S. General Surgery, M.R.C.S. England, M.Ch. Surgical Oncology, DNB Surgical Oncology, FEBS Surgical Oncology, DNB General Surgery, MNAMS, FMAS, FIAGES, FAIS, FICS, FEBS Breast Surgery, FACS, Fellowship IFHNOS & MSKCC USA, Fellowship in breast and oncplastic Surgery
Oncologist, Mumbai
First stage oral cancer is curable with good prognosis. There is less chance of recurrence. Hopefully the treatment was proper and completed. But you need regular follow up to detect recurrence earlier if it occurs. Also there is chance of second primary due to field cancerisation. You need to quit habits like tobacco, alcohol or supari if any. I would be able to opine regarding the stage and treatment of your cancer better if you send me the reports. Feel free to contact me directly if you want to discuss this further.
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