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Dr. Sumeet Shah

Oncologist, Thane

750 at clinic
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Dr. Sumeet Shah Oncologist, Thane
750 at clinic
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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. Sumeet Shah
Dr. Sumeet Shah is an experienced Oncologist in Mira Road (E), Thane. You can meet Dr. Sumeet Shah personally at Thunga Hospital in Mira Road (E), Thane. Book an appointment online with Dr. Sumeet Shah on Lybrate.com.

Lybrate.com has a number of highly qualified Oncologists in India. You will find Oncologists with more than 35 years of experience on Lybrate.com. Find the best Oncologists online in Thane. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Hindi

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Thunga Hospital

Mira Bhyander Road, Mira Road East. Landmark: Opposite Shiva Garden, ThaneThane Get Directions
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My mother is diagnosing with multiple myeloma and bone metastases. She had haemoglobin of 10.4 and m -protien spikes of 4.27 with gamma globulin of 4.47 before radiation therapy. She has gone with radiation therapy for 11 days and a dose of bisphosphonate 3 days ago. 1) Is her treatment is going in right direction? 2) which food is best for her.

MD (Radiation Oncology), DNB (Radiotherapy)
Oncologist, Noida
She also needs chemotherapy /systemic therapy as myeloma is a systemic disease. Food should be normal home food with less oil and spices which makes it easily digestible. Give her synthetic feeds to cover up for calories in case her eating is inadequate.
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Pancreatic Cancer - Which Type Of Surgery Should You Opt For?

M.S. General Surgery, M.Ch Gastro - Intestinal Surgery
General Surgeon, Bangalore
Pancreatic Cancer - Which Type Of Surgery Should You Opt For?

Often referred to as silent cancer, pancreatic cancer has little or vague symptoms in the early stages. Unexplained and significant weight loss is a classic symptom during the initial stages along with symptoms such as yellow skin/eyes, itching, dark urine, and abdominal discomfort or pain. Treatment usually involves evaluation of what stage the cancer is in, the complications that are involved and identifying the right surgical method.

The two major types of surgery include potentially curative surgery and palliative surgery.

Curative Surgery

  • Studies have revealed that partially removing the affected parts of the pancreas and surrounding areas does not increase lifespan by a substantial amount. Hence, potentially curative surgery is recommended by surgeons only if it is ascertained that the whole cancer can be removed. It is a very complex surgery and the recovery time is substantial. The possible benefits and risks need to be evaluated very carefully before going ahead with this form of treatment.
  • Curative surgery is typically preferred to treat cancer that is located in the head of the pancreas since sometimes it can be found early enough to be removed, but the downside is that the method is used only if the entire cancerous growth can be removed.

Palliative Surgery

  • If the surgeon finds that curative surgery might not be of help, especially if the cancer has spread too far to be completely removed, the next best option would be palliative surgery. As the name implies, the surgeon would opt for smaller operations aimed at relieving some of the symptoms, this would not cure the cancer as such but would help manage the symptoms.
  • Whipple procedure (pancreaticoduodenectomy) is the most common form of surgery adopted to treat cancer located in the exocrine pancreas or pancreatic NETs. The Whipple procedure involves the removal of the head of the pancreas and sometimes even the body as well. The nearby structures including the gallbladder, bile duct, small intestine, lymph nodes and sometimes parts of the stomach may be removed too. Then, they are re-attached to the small intestine to allow the bile and digestive enzymes to pass through the small intestine and finally, the small intestine pieces are re-attached to allow the food to travel through the digestive tract.
  • The procedure is highly time-consuming and can take several hours to complete. It requires sufficient surgical experience and skill. The area around the pancreas differs from person to person, making it difficult to perform surgery through the various blood vessels and duct arrangements in the body. If treated at major medical facilities the death rate is under 1%, while in smaller hospitals or if performed by inexperienced surgeons the death rate may be significantly higher.

Hence, when diagnosed with pancreatic cancer, it is generally recommended to go for surgeons who perform many such surgeries each year to get the best possible treatment.

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

2017 people found this helpful

Colon Cancer - Fight It With Ayurveda!

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Rajgarh
Colon Cancer - Fight It With Ayurveda!

According to the American Cancer Society and Colon Cancer Alliance, colon cancer, which is also referred to as colorectal cancer is regarded as the third most commonly diagnosed cancer type as well as the second most important reason of cancer death in the U.S. affecting both men and women. But thankfully, colon cancer can be prevented by changing the food habits.

It is also important to get regular screenings through colonoscopy, which will help you to determine the early or precancerous stage that can be treated with the removal of cancerous cells. Colorectal cancer is deemed to be cancer-related to the food habits and it can be prevented by correcting the same. Here are the top ways through which you can help your condition naturally:

  1. Reduce the amount of red meat consumption: Health studies reveal that people who eat red meat on a regular basis are more prone to developing colon cancer. This is because the chemicals required to digest this food damage the DNA material which in turn is the main reason behind the cause of cancer.
  2. Increase the amount of garlic intake: By consuming more garlic, you can reduce the risk of developing different types of cancer, particularly those of the gastrointestinal tract. Garlic is rich in anti-bacterial properties that can block the pathways of cancer causing elements and boost the repair as well as reduce the proliferation of cells. It is also high in selenium and sodium content which are beneficial for the overall health.
  3. Consume all types of plant antioxidants: The bright coloured fruits and vegetables, as well as herbs and spices, can greatly contribute to adding a wide array of antioxidants in your regular diet. Foods that are rich in anti-oxidants include carrots, pomegranates, cranberries, kale, broccoli, tomatoes, apples, cabbage, turmeric, sage, rosemary, saffron, purple and red grapes.
  4. Cook foods in olive oil: Olive oil is rich in anti-cancer properties and it helps in reducing bile acid and increasing the enzymes that can regulate the growth of the cells on the intestine lining so that tissues can be renewed. Antioxidant compounds called phenolics are present in olive oil and have also proven to be a cancer protective anti-oxidant.
  5. Increase the consumption of Omega-3 fatty acids: It has been reported by several types of research that a diet rich in Omega-3 fatty acids can reduce the occurrence of colon cancer and therefore you must eat a lot of salmon, cod, mackerel and sardines for decreasing the pro-inflammatory levels in your body.

These few alterations to your food habits can greatly help you in preventing colon cancer and you can consult your doctor for a detailed analysis and recommendation based on your individual health condition.

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

3244 people found this helpful

Cervical Dysplasia - 5 Common Causes

MBBS, DGO
Gynaecologist, Delhi
Cervical Dysplasia - 5 Common Causes

Cervical dysplasia is a type of condition which occurs before cancer. This condition is associated with abnormal cell growth occurring in the cervix, uterus, vagina and endocervical canal. Cervical dysplasia is most commonly caused by the human-papillomavirus and is a sexually transmitted infection or STI. This disease is common in young women under 30 years of age. It is worth noting however that cervical dysplasia can occur at any age whatsoever. Here are the causes of cervical dysplasia.
Causes:
1. HPV infection
An infection caused by the human papilloma virus is the main reason why cervical dysplasia occurs. It is worth noting that HPV is most commonly transmitted through sex.
2. Smoking
People who smoke are twice as likely to suffer from cervical dysplasia in comparison to those who do not.
3. Immuno suppresive drugs
These are more likely to cause cervical dysplasia because they weaken the immune system of your body.
4. Organ transplant
Organ transplant also increases your chances of cervical dysplasia due to the fact that it weakens your immune system.
5. HIV-AIDS
This is a disease which also weakens your immune response and therefore increases your chances of contracting cervical dysplasia.
Symptoms:
There are not too many symptoms of cervical dysplasia and it can only be diagnosed using a Pap test without which more complicated tests have to be performed.
Treatment:
Once the diagnosis for is complete, several factors will have to be considered before deciding which treatment to give the patient. These include the age of the patient and the severity of the condition. However, in most of the cases women who have cervical dysplasia are not treated and the cell growth goes away on its own however when it is treated the following treatments are used.
1. LEEP
2. Cone biopsy
3. Cyrosurgery
4. Electrocauterization
5. Laser surgery 

If you wish to discuss about any specific problem, you can consult a gynaecologist.

4556 people found this helpful

Nipple Pain And Discharge

BHMS
Homeopath, Ludhiana
Nipple Pain And Discharge

Discharge from nipple (galactorrhoea)

Secretion of milk-like discharge from one or both breasts unrelated to childbirth is called galactorrhea. Nipple discharge is most often due to a benign process. This common breast problem has been reported in 10 to 15 percent of women with benign breast disease and in 2.5 to 3 percent of women with breast cancer. There are generally two different types of nipple discharge

Non-spontaneous

Occurs when the breast is manually squeezed, can happen to any woman and is usually not concerning.

Spontaneous discharge

Which spots on the clothing, should be evaluated by a physician and may warrant further testing.

Evaluation

Physiologic discharges

Characterized by discharge only with compression and by multiple duct involvement. These discharges are frequently bilateral. With either type, the discharge fluid may be clear, yellow, white or dark green.

Pathologic discharges

Spontaneous, bloody or associated with a mass. These discharges are usually unilateral.

Causes

- excessive production of milk-stimulating hormone prolactin by pituitary problems, malfunction of hypothalamus.

- menstrual problem such as amenorrhea problems with cervical part of spine.

- drugs such as oral contraceptives, tranquillizers, and diuretics.

- injury, burns, or surgery,

- neurological problems such as shingles,

- breast cancer

- athletes may experience small amounts of galactorrhea from constant rubbing of the nipples against clothing. Frequent sexual stimulation of the breasts may have similar effects.

Probable diagnosis

- milky discharge: may be due to physiological (lactation); oral contraceptives; galactorrhea

- bloody discharge: may be due to intraductal papiloma; intraductal cancer; malignancy; duct ectasia; fibrocystic disease.

- purulent discharge: may be due to infection

- serous or sticky discharge: fibrocystic disease

- discharge from the surface of breast is seen in paget’s disease;

- skin diseases such as eczema and psoriasis; rare causes such as chancre may also cause discharge.

Self care

- stimulation of the nipple (i. E, squeezing to check for discharge) actually promotes discharge; patients with a physiologic discharge should avoid checking for discharge. A physiologic discharge often resolves when the nipple is left alone.

- all patients with spontaneous or unilateral nipple discharge needs surgical evaluation. This is true for patients with bloody discharges and for those with clear or serous discharges.

Homeopathic symptoms and cure

Homeopathic remedies are prescribed on the basis of symptoms rather than conditions, as each case of a particular illness can manifest differently in different people. There are many symptoms which can be effectively treated by homeopathy few symptoms are given below.

. Nipples sore and fissured, intense suffering on putting child to breast, pain starts from nipple and radiates all over body. Breast feels like a brick, lumpy and nodular.
. Premenstrual breast congestion in women with abundant periods, weight gain and nervousness before the period.
. Cyst in the breast, hard and painful but, itchy, with stitching pains in the nipple. Discomfort worse just before and after the period; woman wants to press breasts hard with hand.
. Bluish-red lumps in the breast, with gradual loss of fatty tissue, and tendency to feel hot all the time.
. Intensely sensitive nipples, sticking pains, like a splinter, cracks, nipples discolored.
. Nipples inflamed and very tender, can hardly bear the pain of nursing, intolerant of pain: “cannot bear it!” very irritable.
. Sore nipples with dry hard deep cracks on it. Dry itching and crusty.
. Cheesy and offensive discharge from nipple.
. Deep sore cracks across crown of nipple.

For proper diagnose consult a homeopath. Start treatment to get rid of these problems.

breast pain
13 people found this helpful

CANCER [CANCER]

BHMS, Certificate in Gynaecology & Obestric, MD - Homeopathy, Ph.D Homeopathy
Homeopath, Delhi
Cancer is the term that is used to describe a wide variety of malignant diseases. It is the second commonest cause of death in the world.


CAUSES:

• The exact causes for cancer is not known.
• It is multi-factorial disease – many factors contribute or predispose this condition.
• Modern diet – increased intake of junk food and decreased intake of fibers and roughage.
• Age, environmental pollutants or social, emotional factors influence the disease.
• Family tendency.
• Exposure to radiations.
• Occupational exposure to pollutants – lung cancer.
• Increased consumption of cigarettes - lung cancer.
• Tobacco chewing – oral cancer.
• Chronic alcoholics – liver cancer.
• Use of contraception, excess sexual freedom, virginity, women with no children – cervical and uterine cancer
• Late marriages, women who have not breast fed there children – breast cancer.
• Non vegetarian diet especially high consumption of meat and red meat.
• Obesity hypertension and diabetes have been seen to be associated symptoms.


SIGN AND SYMPTOMS:

• Most of the time there is no presentation no pain, cancer usually is detected accidentally and by the time it is detected it has spread in the whole body.
• Painless swelling in breast or at the site of cancer.
• Intracranial space occupying lesions can present with fits, severe headaches, vomiting, papilloedema.
• Abdominal lesions can cause constipation.
• Bronchial lesions present with cough & shortness of breath.
• Hemorrhage from various orifices.
• Pain either due to nerve compression or due to distension of an organ.
• There can be deep bone pains or referred pains.
• In terminal cases depression, loneliness & irritability.
• Tumor may cause obstruction affecting ingestion, digestion absorption, malabsorption through secondary intestinal changes.
• Pain, fatigue, depression, Anxiety, Nausea vomiting and diarrhea.
• Taste changes- mouth blindness develops – bitter and sweet thresholds are altered. Patient will avoid chocolate, coffee, tea, red wine, citrus fruits red meat cheese due to altered taste
• Low intake of food can cause severe weakness
• Anorexia.
• Anemia.
• Loss of weight.
• Cachexia.
• Food aversion
• Early satiety
• Loss of body cell mass
• Emaciation- loss of subcutaneous fat and body protein leading to weight loss and muscle weakness.
• Metabolic disorders – altered metabolism of fats, proteins, carbohydrates, glucose, vitamins, minerals and electrolytes.
• Hyperglycemia
• Immunodepression- changes in the function of the immune system.
• Hyponatraemia and Hypercalcaemia
• Acid-base imbalance
• All these symptoms can be exacerbated by cancer treatment like chemotherapy or radiation.


DIETARY MANAGEMENT:

• Give high energy and high protein diet.
• Wide variety of food should be selected to ensure all vitamins and minerals are included in the diet.
– Increase intake of antioxidants like vitamin A, vitamin C, vitamin E, selenium.
• Include Japanese sea vegetables (arame, hijiki, kombu, nori) in diet if available, they are remarkably nutritious.
• Wheat grass juice is recommended – grow wheat grains in a pot – grass comes up in a weeks time so its advisable to plant seven pots so as to have every days supply. Extract juice from these grass and consume twice a day. It helps you to develop immunity and remove toxins from the body.
• Consume ½ cup of bitter gourd every morning. Advisable to add little ginger and turmeric to it. You can also add honey or jaggery to it, to alter its bitter taste if required.
• Daily eat 3-4 mint and basil leaves.
• Have high energy food / drink like sugarcane juice, fats.
• Consumption of sesame seed / oil is advised as it is a very good tonic and has anti-cancer properties.
• During the cancer affections and treatment, there is high demand for energy hence fats are required in high amount. Hence it is recommended to fry food rather than grilling them.
• Vegetarians should increase their consumption of pulses and legumes (peas and beans).
• Consumption of fresh fruits and raw vegetables is advised.
• Milk and milk products should be avoided to those patients with intestinal damage who are also lactose intolerant or those who cannot tolerate, digest or absorb a normal diet in such case liquid supplement formula can be used.
• Multivitamin supplements may be required in case of digestive and metabolic disorders. Should be taken as indicated by your physician.
• Tube feeding can be used in patients who cannot or are unwilling to take food orally.
• Parentral feeding – is considered when there is gastro-intestinal tumors or gastro-intestinal tract is not functioning
Dr Mrs Neeraj Gupta
Gupta Computerised Homeopathic Clinic
9811022908
3 people found this helpful

Patient of breast cancer pathologic grade 3 and no lymph node involvement size more than 3 cm but less than 5 cm .on upper inner part of left breast. Modified radical mastectomy done adjuvant chemotherapy going on .ER neg. PR neg. HER 2 by IHC method neg as reported by TATA Cancer hospital Mumbai .but same hospital showed last impression as uninterpretable when FISH method is used .

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
It's a grade 3 tumour with size more than 3 cm. If mastectomy done and no lymph nodes positive patient does not need radiotherapy. However triple negative are aggressive cancers and for these chemotherapy is a must for any tumour greater than 0.5cm in size. You should complete all the prescribed doses of chemotherapy and be on regular follow up. That gives a best chance for cure/control.
1 person found this helpful
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Diabetes and Cancer - How They Are Spreading Like Fire?

MBBS, MD - Medicine, DNB - Endocrinology, Diabetes, Metabolism
Endocrinologist, Indore
Diabetes and Cancer - How They Are Spreading Like Fire?

There was an era where we had deadly infections like plague and polio causing death of thousands of people. We still have occasional outbreak of swine flu, but by and large, infections are quite controlled. The new killer diseases are caused because of the lifestyle we have adapted and the damage we have done to the environment. High intake of processed foods, artificial chemicals in our foods, sedentary lifestyle with very minimal to no physical activity, couching over the computers; the list is quite long.

All these have led to diseases like diabetes and cancer that were not so common about say few decades ago:

Detailed observation has revealed that both these new epidemiologic diseases have a close correlation. There are factors, which induce diabetes and diabetes in turn and in some cases, diabetes inducing agents, can cause cancer also. It has also been observed that mortality is severely increased if diabetic patients are diagnosed with cancer. There are two types of diabetes. While type 1 is mostly hereditary, type 2 is lifestyle induced and the age at which this is being diagnosed is taking a severe plunge. Adolescents and teenagers are being diagnosed for diabetes. Cancer, on the other hand, is of various types (leukaemia, melanoma, myeloma, etc.) and can affect various organs (lung, breast, prostate, stomach, liver, etc.).

The medical community is yet to decipher the disease pattern of both these conditions. While there is no definite correlation between diabetes and all types of cancer, some types of cancer are definitely correlated with a definite reason identified, pancreatic and liver cancer for instance. The high amounts of insulin that diabetic patients are exposed to causes changes in liver and pancreas including fatty liver and cirrhosis, here the incidence of cancer is higher. The linkage is not very clear in lung and intestinal cancers and also there is no link between prostate cancer and diabetes.

Diabetes is considered as a state of chronic inflammation and leads to conditions like hyperinsulinemia (higher levels of insulin in the blood) hyperglycemia (higher levels of sugar in the blood). These are believed to aggravate the neoplastic process of cancer formation, thereby inducing cancer at a greater pace and also increasing the mortality rates.

The following are risk factors that are applicable to both age, physical activity, diet, obesity, drinking and smoking. It is also possible that onset of one can be followed by the other. As noted earlier, more detailed research is awaited to establish a definite linkage, but the correlation cannot be ignored at all.

Both these new epidemics are here to stay and since they have a common set of factors, we need to work on ways to contain them.

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

2975 people found this helpful

Prostate Biopsies - Ways You Can Avoid It!

Urologist
Urologist, Gurgaon
Prostate Biopsies - Ways You Can Avoid It!

One of the most common issues with old age in men is the enlarged prostate. Any difficulty with urination (no constant stream, difficulty initiating, or incomplete emptying of the bladder for instance), and the first suspect is an enlarged prostate. These symptoms are followed by a digital rectal exam to check for an enlarged prostate. Once confirmed, the next step is to check for levels of prostate-specific antigen (PSA). If both the exam and the PSA are positive, it could mean prostate cancer. As with any cancer, it is believed that sooner it is diagnosed and the treatment is started, the better.

Historically, the best way to rule out the prostate cancer had been to do a prostate biopsy. This is a minor invasive procedure, wherein biopsies are taken from various regions of the prostate which are known to develop cancer (about 12). A disadvantage of this procedure includes missing out on the front part of the prostate which can also develop cancer. Secondly, it is not a very pleasant experience and given a chance, most men would not want to have it done.

There is good news for these men who would like to avoid prostate biopsies. The first is the multiparametric MRI which uses no x-rays and is considered very safe with extremely accurate results. This MRI exam requires about an hour, and once the images are obtained, the doctor will analyse these images and check for several parameters to assess for prostate cancer. The absence of cancer can be confirmed with up to 90% accuracy, which is far greater than with usual biopsies. If there is a possibility of cancer, then a biopsy can be done to confirm it.

Also, these images indicate the exact region where cancer likely is, and this guides the doctor to biopsy only where absolutely essential. The chances of false positive and false negative results are reduced drastically. The one disadvantage here is that MRI detected biopsies usually tend to be of a higher grade which requires immediate treatment.

Another way to reduce chances of the biopsy by 30% to 50% is by the 4K test. It helps detect a variety of prostate issues including cancer. It can be used once higher levels of PSA is identified and before going for a biopsy. It combined 4 prostate-specific biomarkers with clinical information to accurately provide men with a risk of developing prostate cancer. It can be used even after negative biopsies to confirm the diagnosis of prostate cancer.

These two measures can drastically reduce the incidence of prostate biopsies, which is neither pleasant for the patient nor very effective for the doctor.

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

3400 people found this helpful

What are told symptoms of cancer? If it passes by jeans or hereditary? If it passes from father to a son?

MBBS
General Physician, Mumbai
Loss of appetite and decrease in weight and organ specific- are few symptoms of cancer and it can be hereditary but the symptoms will arise only at a later stage of life
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