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Met Dr. Dinshaw, very humble, very polite to speak, friendly in nature. He made the situation very clear and made us prons and cons of the surgery. Any cancer patient who wants to take opinion then pls visit this doctor. Also hospital staff is very polite and cooperative.
My wife has pain in right side breast ,she also feeding my 18 month old child, there is no smell in his breast milk ,shall it might due to milk blockage or some other reason.
Patients with metastatic renal cell carcinoma (RCC) to the brain have a very poor prognosis of three months if left untreated. SRS is an effective treatment modality in numerous patients. This case exemplifies the utility of stereotactic radiosurgery (SRS) in prolonging survival and maintaining quality of life in a patient with RCC.
- This 64-year-old female patient initially presented to her primary care physician 22 months after a left nephrectomy for RCC with complaints of mild, intermittent headaches and difficulty with balance. An MRI revealed five cerebellar lesions suspicious for intracranial metastasis. The patient's first GKRS treatment targeted four lesions with 22 Gy at the 50% isodose line. She underwent a total of seven GKRS treatments over the next 60 months for recurrent metastases to the brain.
- 72 months and 12 months have now passed since her brain metastases were first discovered and since her last GKRS treatment, respectively, and this woman is alive with considerable quality of life and no evidence of metastatic reoccurrence. This case shows that repeated GKRS treatments, with minimal surgical intervention, can effectively treat multiple intracranial lesions in select patients, prolonging survival and avoiding iatrogenic neurocognitive decline while maintaining a high quality of life.
In case you have a concern or query you can always consult an expert & get answers to your questions!
My uncle age 79 years is suffering from enlarged prostrate, urine bag has also been fixed, since, he was not able to pass urine, Doctor has advised Ultra sound & biopsy, rest of blood & urine tests are ok, his hb is low and feeling weak, when should he undergo surgery?
I am 59 yrs, and I have developed prostate, since two and half years back. What would be the best treatment?
Cancer is an uncontrolled proliferation of transformed cells in any part of the body. Neoplasm or tumor are used variably to describe any swelling or new growth. Benign growths don't have the potential to spread to other organs or parts of the body while malignancy or malignant growths have uncontrolled proliferation and metastatic potential. Transformation is a multistep process with genetic alterations by which normal cells acquire malignant potential, uncontrolled proliferation capacity and capacity to spread to other parts of the body (metastasis) worldwide cancer is responsible for 1 in 8 deaths. Most common cancers are:
Men: oral cancer (in India), prostate, lung
Women: breast, cervix and endometrium, colorectal, lung
What causes cancer? cancer is usually multifactorial
1. Age- more in age group greater than 60 yrs compared to younger age group
2. Obesity- body mass index greater than 30
3. Tobacco - cigarette, cigar, bidi, hookah, smokeless tobacco like gutka, zarda etc. There is no safe form of tobacco.
4. Pan masala and supari
6. Ultraviolet rays exposure
7. Radiation exposure
8. Genetic factors
9. Others- pollution, certain chemicals, infections
Prevention of cancer:
1. Stay away from tobacco products
2. Eat healthy and daily physical activity- fresh fruits and vegetable are good, maintain optimal body weight
3. Be safe in sun
4. Cancer awareness and early detection: alarming signs are (caution)-
- Change in bowel or bladder habits
- A sore that will not heal
- Unusual discharge or bleeding
- Thickening or lump in the breast, testicles or elsewhere
- Indigestion or difficulty swallowing
- Obvious change in a wart or mole
- A nagging cough or hoarseness
5. Cancer screening: screening is for healthy individuals with education. Rather than going for unnecessary blind tests, a programme for screening should be planned in consultation with your oncologist as requirements are different for different cancers and differ as per age groups and gender. Also, screening is not effective in all cancers. Cancer education and awareness have due importance. Some cancers in which screening has been shown to be effective includes breast, colon, rectum, cervix, prostate, lung in high-risk groups but as mentioned earlier it is planned with participation of both individual and oncologist.
Types of cancer treatment:
Cancer treatment is now a multidisciplinary management in which different surgical, medical and radiation oncologist plan treatment protocol for best possible chances of cure. Advancement in all these fields and their contribution in comprehensive management results in 25-30% improvement in cure rate over previous decades.
- Surgery: involves surgical principles to remove the tumor with adequate margins and possible draining lymph nodes regions. Improvements and understanding of surgical principles even make resection of distant disease or cure of stage iv disease in some selected cases.
- Chemotherapy: cytotoxic drugs are given either in injectable or oral forms which acts on uncontrolled cancer cells. Advances in this fields result in drugs with better efficacy and less side effect profile and at the same time resulting in better cancer control. Targetted therapy acts on specific pathways of cancer growth. Hormone therapy targets specific hormone receptors for controlling cancer.
- Radiation therapy: is the delivery of radiation generated by radioactive source over the region of cancer. More and more advances in radiation technologists are emerging like imrt, sbrt to focus radiation over the specific location so as to avoid toxic effect over surrounding area.
My father got prostate surgery on 14/12/2016. Nowadays he is facing problem of constipation, is there any remedy for it, is it the side effects of surgery.
Dear Sir, Can we break radio therapy in cancer treatment (mouth cancer ). Here in my case Radio therapy is started (allahabad Location ) and we want to concert with Doctors in Delhi.
Hi. My aunty had throat cancer. It was detected last year. Can you pls tell me treatment for the throat cancer. Which hospital can give the good treatment. Thank you.
My sister is suffering with throat cancer from 6 years she is of 52 years she is not able to eat or drink anything we consulted a doctor in yashodha hospital they tested her and declared as throat cancer before 6 years so is there any treatment for the prevention
I am under medication of prostrate enlargement, having problems with sex, how it can be improved, taking Alfusin-D one bed time daily since last Oct'16.
I have a tendency of tumor .i had a benign tumor in ear. Then I have multiscopy giant cell tumor at femur. So what is the remedy of removing tumor?
Those who inherit damaged copy of bra 1 from parent have a greater chance of developing breast n ovarian cancer. As a faculty bra1can not repair damage DNA
Since I have type2 diabetics, there is a prostate slight prostrate enlargement. Also problem with erection. (i am 64 yrs).
Cancer, the name itself sends chills down the spine! But every time we hear someone has cancer, though we feel sorry for them, we never think it could happen to us. But even though the probability of it may not be high at all, a disease that is rare can still hit you like a bolt from the blue! This is exactly the case with anal cancer, which is a very rare form of cancer. But, since the rates of its incidence are rising, it is well worth learning a few things about it.
Who is at Risk?
While it is unlikely that a person will contract anal cancer over the course of his life, asking himself a few questions about it so as to assess the risk he or she is at makes sense. To start off, age is an important factor. If a person is somewhere between middle age and old age, there is a far greater risk of anal cancer than a person who is not.
A person can easily reduce the risk of contracting anal cancer quite dramatically by doing something which is quite simple: refraining from anal sexual activity. This goes a rather long way as it means that a person is at a much lower risk of contracting HIV or HPV. HPV is far more common and affects most adults in sexual contact with each other. That being said, it is usually the type 16 variant of HPV which is linked to anal cancer. In order to reduce the chance of this, making good use of condoms is a very good idea but this does not eliminate the risk of transmission of HPV.
Smoking a cigarette may be great for a person to obtain a little bit of mental peace, but it has a really disastrous effect on the prospects of developing anal cancer at the same time. The chemicals that the body takes in are as harmful as they affect so many body tissues. There are many reasons to quit smoking but the fact that smokers have an eight time higher risk of developing anal cancer is probably among the good ones!
If a person is suffering from low immunity, it is quite possible that he or she is at a higher risk of developing the cancer, at least on a relative basis. This is because the ability of the body to fight back is lower. A person is especially weak after an organ transplant has taken place and if a person has HIV it further increases his or her risk of developing anal cancer.
Now, cutting the risk of anal cancer also involves possibly getting an HPV vaccination. The doctor is the person to talk to regarding this! When the risk of anal cancer is anyway minimal, it makes sense to cut it even further, by following a fit and healthy lifestyle. Consult an expert & get answers to your questions!
My mothers age is 54 years. Before 5-6 months she found a tumor on her left under arm. After checkup and ct scan it is found that she is suffering from breast cancer having tumor on right breast right (metastatic carcinoma, iv stage). We are taking treatment from bhagwan mahaveer cancer hospital. After 6 times chemo the doctors found that the tumor size on breast is increased, so now they are using target therapy. After this report they refused for operation because of fast growing cancerous cells. And told us the only option is chemo, hormonal and target therapy and also said it is not curable they are only trying to stop the speed of cancer. Please sir help us and guide us what to do next.
I have a enlarged prostate , since few days back I am feeling burning sensation after urine flow. what does it signify and remedy cure for the same.
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.
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. If you wish to discuss about any specific problem, you can consult a Urologist.