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Dr. C B Anand Koppiker

Oncologist, Pune

500 at clinic
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Dr. C B Anand Koppiker Oncologist, Pune
500 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. C B Anand Koppiker
Dr. C B Anand Koppiker is a trusted Oncologist in Senapati Bapat Road, Pune. You can meet Dr. C B Anand Koppiker personally at Orchids Center in Senapati Bapat Road, Pune. Don’t wait in a queue, book an instant appointment online with Dr. C B Anand Koppiker on Lybrate.com.

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Senapati Bapat Road, Gokhalenagar. Landmark: Next to Ratna Hospital, PunePune Get Directions
500 at clinic
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Testicular Cancer And Its Treatment!

MBBS, MD - Oncology, DNB - Super Speciality, Immuno Oncology
Oncologist, Delhi
Testicular Cancer And Its Treatment!

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

  1. Seminomas: These grow and spread slowly and respond to radiation therapy.
  2. Non-seminomas: These grow and spread rapidly, do not respond to radiation, and often require surgery.

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

  1. Family history
  2. Prior history of testicular cancer
  3. Undescended testicles
  4. Congenital abnormalities of the penis or urinary tract

Symptoms: While testicular cancer is often not easy to diagnose, the patient will have symptoms, which he may ignore.

  1. Painful lump in one or both testicles
  2. Pain in the lower abdomen and groin area
  3. Enlargement of the testicles, due to fluid collection
  4. Back pain

Often, this type of cancer originates in the testicles and spreads to the adjacent groin lymph nodes. It can also reach distant organs like lungs, liver, and brain via metastasis.

The good news about testicular cancer is that the above symptoms would lead to early diagnosis, confirmed by ultrasound and other tests. Once confirmed, even if diagnosed in the late stages, treatment is quite effective and prognosis is good.

Stages of Testicular Cancer
There are four stages of testicular cancer – 0 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. Chemotherapy: Chemotherapy drugs are used to kill the existing cancer cells and arrest the further growth of testicular cancer. These can be given as tablets or injected into the system.
  2. Radiation: Either internal or external radiation can be used. External is when a beam of radiation is directed at the scrotum to kill the cancer cells. Internal is when a needle, seed or wire is planted in the scrotum, which constantly gives out radiation to kill the cancer cells.
  3. Surgery: If one testicle is involved, then it is removed along with the neighbouring lymph nodes. This may be followed up by chemotherapy or radiation in most cases. If distant organs are involved, it may not be removed. Instead chemotherapy or radiation will help control the spread.
  4. Clinical trials: There are various drugs in final trial phase, and with the risks understood, some men may choose to be part of such trials.

With any of these treatments, surveillance follow-up is very essential, as testicular cancer is known for recurrence. If only one testicle was involved initially, the second one also could be affected later. Infertility is another issue, which needs to be managed in men with testicular cancer.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3954 people found this helpful

Does anyone know the cost of cancer medicine Eribulin? I heard that this is very expensive? My mother is advised 1.4 mg/m2 over 2 to 5 minutes infusion on days 1 and 8 of a 21-day cycle for 3 cycles. Thanks in advance.

MS - General Surgery, M.Ch - Oncology
Oncologist, Guntur
If you can contact company representative, ucan get medicine for lesser price. It is costly medicine. Company gives offers likeone cycle free after some doses.
52 people found this helpful
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Precautions of cancer what tab taken or not in cancer. Which food items we have to avoid or which not? Please suggest.

MBBS
General Physician, Mumbai
For remaining healthy and to prevent cancer Few diet tips - Not to eat fried food items and Can eat All green vegetables, moong , chana , Dal , rice etc And to apply ghee over chappati and don’t apply oil over chappati And to drink milk mixed with turmeric powder twice a day And If possible eat eggs on alternate days And If possible in breakfast eat atleast one bajra ka rotla And Eat seasonal fruit
1 person found this helpful
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Breast Cancer - 4 Common Symptoms

MD, MBBS, Advanced Infertility
Gynaecologist, Jalandhar
Breast Cancer - 4 Common Symptoms

Breast cancer is a type of a cancerous infection that develops in the skin cells of the breast. This condition is more commonly diagnosed after you have skin cancer and is more common in women than men. There are certain signs to identify this disease, which are as follows.

1. Breast lumps - Lumps are patches of skin that occur due to the thickening and swelling of the skin. Breast lumps is a very common phenomenon for women but that does not always lead to a breast cancer; however, frequent and reoccurring instances of the same increases the risk of breast cancer. A breast lump is easily identifiable through the naked eye as it looks different from the surrounding tissues.

2. Blood discharge - The nipple is one of the most sensitive areas in the human body. In case of women, it is meant to emit milk during pregnancy, in order to feed the infant externally. A probable symptom of breast cancer can also be a frequent discharge of blood from the nipple without any visible damage or injury.

3. Breast changes - If you are experiencing any visible changes in the size, appearance or shape of the breast, then it is an indicative sign that you may have breast cancer. Thus, it is of paramount importance that you observe, touch and physically examine your breast regularly for changes. If there is any major change detected then it is advisable to consult a doctor.

4. Inverted nipple - The tip of the nipple is generally bulging and pointing outwards both in cases of men and women. But sometimes the tip of the nipple is pushed inside due to excessive suction caused by the skin tissues present inside the breast around the nipple area. This suction forces the nipple to grow inwards which is abnormal and might harm the breast and skin in various ways.

However, apart from these main symptoms, some other signs are also there that increase your chances of being diagnosed with breast cancer. They are redness or pitting of the skin over your breast like an orange, peeling or scaling of the pigmented area around the nipple, dimpling of the skin on the breasts, and such others. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4708 people found this helpful

Sir/Mam I am having a little ball like something in my left breast, when I press it I feel pain, I noticed it almost 2 years ago, I have not consulted any Dr. Yet, I want to know that, is it a serious matter or will it be fine itself?

DM - Oncology, MBBS, MD - Medicine
Oncologist, Mumbai
I don't know how old you are, certainly serious problem for elderly, may not be problem for younger. But can't be said anything without seeing it. My opinion would be to consult good surgeon, do mammogram, and biopsy whenever if on mammogram it is above BIRADS CAT 4.
5 people found this helpful
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I am 32 years old male. Having 6 cycle R-chop chemotherapy & 2 high dose methotrexate in 2015. Got lymphoma which was cured. I dint get my hair back as like before. And its density is not good like before. Can you suggest something?

Membership of the Royal College of Surgeons (MRCS), MS - General Surgery, MBBS
General Surgeon, Mohali
Dear Himanshu, Congratulations on your recovery. Normally the hair growth after chemotherapy is very thick and healthy. You can try Minoxidil. It commes as a solution. Please put 1-2 drops in oil and apply. Don't put more than that as it causes headache. All the Best.
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My mother was attacked by breast tumour in her left breast so it was deducted in 1998 .now she is well but her left arm has been heavy and some time feels pain have its any treatment?

M.Ch - Surgical Oncology, MS - General Surgery, MBBS
Oncologist, Delhi
Lymphedema or swelling of the limb because of collection of fluid or lymph is a common sequelae of breast surgery. The best treatment for it is to wear a pressure garment and to have sessions of lymphapress with a physiotherapist.
35 people found this helpful
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I am 37 years old, female. In my anal area 2 lumps create problem to me. After 3 or 4 months bleed from rectum when stool is went out. It is dark red, no pain at that time, just feel weakness and have seen darkness around eye side. All time feel vomiting tendency. Weight is normal. Am I suffering colon cancer? if I operate it, may it spread?

UICC International Fellow in Oncollogy , ESTRO certification in Head and neck oncology, MD - Radiothrapy
Oncologist, Jamnagar
By your history, it looks like" external piles. Symptomatic care followed by operation if required cures. I don't think its cancer.
1 person found this helpful
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Head & Neck Cancer - Know Everything about it!

MBBS, MS - ENT
ENT Specialist, Chennai
Head & Neck Cancer - Know Everything about it!

Head and neck cancers usually start in the squamous cells and are also referred to as squamous cell carcinomas of the head and neck. It occurs in the nose, throat, mouth and salivary glands. Head and Neck cancers are further classified into various categories on the basis of the area of the neck and head where they occur. Although head and neck cancers are different, they both occur inside the mouth, sinuses, nose, salivary glands and throat, which are considered as a group.

Salivary gland cancers are generally very infrequent. An assortment of cancer causing cells is present in salivary glands, so various types of salivary gland cancers have been found to occur.

Causes

If you are habituated to consuming tobacco and alcohol, then you are at the highest risk of suffering from head and neck cancer; however, it can also be caused in people who suffer from infections caused by human Papilloma virus. Other factors may include:

  1. Oral health- Untreated gum diseases and oral cavity can be the reasons behind the development of the disease.
  2. Sex- Women are less prone to head and neck cancers than men.
  3. Lack of Nutrition- If your body is lacking in certain nutrients; you are more likely to catch the disease.
  4. Age- People above 40 years of age are more susceptible to head and neck cancer.

Symptoms-

  1. Difficulty in swallowing- Inflammation and pain in throat, leading to a problem in swallowing.
  2. Hoarse Voice- Hoarseness or change in the voice.

Apart from this, there are some symptoms which show up in a specific area of your head and neck, such as:

  1. Oral Cavity- A red or white patch on the tongue, the gums or the lining of the mouth.
  2. Pharynx- Trouble in breathing and swallowing followed by a frequent headache.

Treatment

  1. Surgery- Surgery is usually to remove the primary tumour in toto or as much as feasible. Also, clearence of the lymph nodes that are involved is done during surgery at the same time.
  2. Radiation Therapy- Radiation therapy is considered where functions like speech can be conserved.
  3. Chemotherapy- Radiotherapy in combination with chemotherapy can help, if you are suffering from a more advanced form of head and neck cancers. If you wish to discuss about any specific problem, you can consult an ENT specialist.
2435 people found this helpful

There are no lumps on my breasts but they are sagging with wrinkles and tiny pores ,there is pain in my left chest since 1 week, is it breast cancer.

C.S.C, D.C.H, M.B.B.S
General Physician,
It is not breast cancer. Doing pushups may not improve the appearance of the actual breasts, but by strengthening the muscles behind the breasts, it can give your bust a slight lift. (And will be great for your back and shoulders too, of course.)
1 person found this helpful
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Tips to Prevent Breast Cancer

MD - Obstetrics & Gynaecolog, MBBS
Gynaecologist, Hyderabad
Tips to Prevent Breast Cancer

One of the things that Shannen Doherty and Rita Wilson, the wife of Tom Hanks, have in common, apart from their fame is that both were affected by breast cancer. No matter how normal a person may seem, breast cancer can strike anyone. In fact, it usually strikes one in eight women. So, it makes good sense to know what it can appear as!

Breast cancer makes up a rather big amount of the general cancer cases as 15% of the cancer cases which are reported on a yearly basis are usually breast cancer cases. That being said, there are quite a few things which can be done in order to reduce a person’s risk to breast cancer.

Prevention is Prudent-

  1. Get Fit: The first thing which should be done is that a reasonable level of fitness should be maintained. Many studies have found that if a person is significantly heavier than her recommended weight, she is at a far great risk to develop all sorts of cancer and breast cancer, in particular, than a person who is able to keep her weight in check. The difference in cancer risk rates is about 40%. This is because a greater amount of fat leads to more estrogen being produced, which increases the risk of breast cancer.

  2. Quit Smoking: While most people associate smoking as something which increases the risk of cancer to the lungs and are not aware that it increases the risk of breast cancer, too. So, the best solution is to kick the habit!

  3. Get Off the Pill: Once a woman crosses past her mid-thirties, she should try to avoid relying on birth control pills to reduce the risk of pregnancy. This is because these pills have an effect which increases the risk of breast cancer, which heightens as a woman gets older. As long as the woman cuts out the use of the pill, the risk quickly gets cut, as well.

  4. Get Regular Check Ups: While screening for breast cancer by making use of mammograms does not cut the risk of it, the screening helps detect breast cancer early if it does exist. As a result, a woman has a much better chance of fighting breast cancer. So, a woman who is past the age of forty should try to have a mammogram on an annual basis with the frequency of the same increasing as she gets older. However, it is to be kept in mind that going for a mammogram too often is also not a good idea as the tests themselves pose risks of DNA changes.

Women all around the world are susceptible to breast cancer. While there isn’t a 100% chance of avoiding it, taking care of yourself and leading a fit and active lifestyle can significantly cut down your risk of contracting this condition. Remember, your health is in your hands, so the earlier you start, the better! If you wish to discuss about any specific problem, you can consult a gynaecologist.

3294 people found this helpful

Prostrate ,PSA values,fora male 66 I the range of 7.3 comes down(no adverse biopsy).To 5.5 in2 months as per top Urologist advice.Can it come down again ?

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
Dear , Yes, PSA can come down.When this test was introduced it was mainly for the screening of prostatic cancer but it rises in many other conditions as well. If the test is none within 48 hours of per rectal examination or any periurethral procedure like catheterisation, dilatation or cystourethroscopy. Besides it rises in prostatitis. It needs long term antibiotic kike 4-6 weeks and then gradually comes down.4-14 is normal range for benign prostatic enlargement.So you need not worry if it reamins at this level. Dr. Kiran Mehta.
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My father is 89 years old and is suffering from stomach cancer. Cancer was detected about 40 days ago after endoscopy and biopsy. The treating doctor (gastroenterologist) says that there is no point in going for treatment and advised us to go for palliative care. At present the pain is minimal. In case the pain increases and other symptoms like fullness in stomach, vomiting, bloating, difficulty in swallowing and other symptoms get aggravated, he may require palliative care. Please help me in locating a palliative care unit / doctor in Bhubaneswar with specialisation in giving palliative care to stomach cancer patients. With regards.

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
Please get advice from the oncologist. No age is contraindication for curative treatment if possible otherwise palliative treatment can be given by your family physician. This treatment is a symptomatic treatment and cannot continue for long time. Palliative treatment may involve even surgery as well. So oncologist opinion should be sought.
7 people found this helpful
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I am 29 year old women and suffering pain in right side boob since last one month. I have verified by three doctors but no solution after getting pills it temporary relief but after some time it started again. Give me permanent solution.

MD - Oncology
Oncologist, Nagpur
Pain in breast is mostly not due to cancer. It can be due to mastitis. Some persin experience pain during menstrual period or pre mentrual symptom. Sometimes it can also be caused by some drugs. Fibrocystic disease also sometimes cause pain. You need to consult any doctor to asses the exact cause in your case. You also need to provide more details to regarding factors mentioned above.
25 people found this helpful
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Know About Laser Prostate Surgery

MBBS, MS - General Surgery, DNB - Urology
Urologist, Delhi
Know About Laser Prostate Surgery

One of the most common problems faced by ageing men is benign prostatic hypertrophy. Prostate is the gland at the base of the urethra near the bladder and when it enlarges it can lead to symptoms, mostly related to urination.

1. Frequent urge to pass urine
2. Prolonged urination
3. Frequent nocturnal visits to the toilet
4. Intermittent urination
5. Difficulty to start urinating
6. Inability to completely empty the bladder
7. Urinary tract infections

There are medications available to manage this, but offer only temporary relief. Many men therefore prefer to have the surgery undergone to manage these bothersome symptoms. However, like any surgery, the risks and benefits need to be considered along with other conditions like age, overall health status, other comorbid conditions, etc.

Surgical removal of the enlarged prostate gland is a more definitive approach to manage these symptoms. In addition to providing a quick cure, it also is used in the following cases:

1. Patients who do not respond to medications
2. Presence of blood in the urine
3. Associated bladder stones
4. Frequent infections of the urinary tract
5. Associated damage to the kidneys

Procedure of Surgery
During the procedure, a tube is passed through the tip of the penis into the urethra towards the bladder neck. Once it is in the desired position, laser is passed through it to deliver energy that acts on the prostate to either completely or partially destroy it. There are two methods by which laser acts on the enlarged prostate and making way for free flow of the urine.

1. Ablation: Excess prostate tissue is melted away by the laser by using photosensitive vaporization of the prostate. This is also known as Greenlight laser therapy or KTP laser vaporization. Alternately, Holmium can be used as the source of laser energy to ablate the prostate tissue.

2. Enucleation: Excess prostate tissue is cut and teased out through the urethra. Holmium laser is used to resect the prostate into smaller pieces, which are then removed out through a resectoscope. Another technique uses a tissue morcellator which grinds the enlarged prostate into smaller pieces to enable easy retrieval.

More men now opt for laser prostate removal as it has the following advantages:

1. Reduced risk of bleeding: This becomes essentially important in patients who are on blood thinners.
2. No hospitalization: This can be done either as an outpatient or with minimal one day stay at the hospital
3. Immediate symptom relief: As compared to medications, the relief is felt almost immediately after the surgery
4. No catheter: With laser surgery, a catheter may be required for less than 24 hours unlike in open surgical cases.

As noted above, as with any surgery, once enlarged prostate symptoms set in, have a detailed discussion with your doctor to identify if you are a suitable candidate for laser surgery.

4348 people found this helpful

My father is 59 year age, his prostate psa is 10.35, wht are the reason to increase this. And how it can be control.

MS - General Surgery
Oncologist, Ludhiana
My father is 59 year age, his prostate psa is 10.35, wht are the reason to increase this. And how it can be control.
Most important disease to be ruled-out is cancer of the prostate, other causes of raised psa is benign enlargement of prostate, infection etc. Consult urologist.
3 people found this helpful
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Why the cancer is infect our body and our liver and what thing is leave the cancer.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Cancer infects due to poor lifestyle ..eating junk foods...too much stress Do morning walks daily...drink lots of coconut water and Avoid stress
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Treating Cancer

B.A.M.S.
Ayurveda,
Treating Cancer

Treating Cancer

My mother suffering from second stage rectal cancer with rectal bleeding and also renal failure and diabetes doctor's advice operation but my family should not do. please suggest me what should I do. I am her daughter.

Fellowship in Minimal Access Surgery, MS - General Surgery, MBBS, FICS
General Surgeon, Delhi
My mother suffering from second stage rectal cancer with rectal bleeding and also renal failure and diabetes doctor's...
Treatment of rectal cancer is surgery. Well, patient has to be fit for it. If there are associated medical problems they need to be corrected/controlled before going ahead with surgery. So it is better for your mother to take treated at a multi-speciality / medical college hospital for a well coordinated management. Thanks.
1 person found this helpful
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