Dr. Sandeep Nayak
Surgical Oncologist,Laparoscopic Surgeon,Robotic Cancer Surgeon,Oncologist
25 years of experience
MBBS,DNB,MRCS (UK),Fellowship in Laparoscopic and Robotic Surgical Oncology
Questions Answered By Dr. Sandeep Nayak
Asked for Female, 27
FNAC report- Site- Left breast lump Aspirate- Milky fluid Microscopical examination- Smears are hypocellular showing few aggregates of epithelial cells with vacuolated cytoplasm in a lipid rich foamy background. Bare isolated nuclei are also present in the background along with foamy macrophages. The nuclei of the cells have uniform chromatin, regular nuclear margins with abundant cytoplasm. Impression- Galactocele of left breast Note- Kindly correlate clinically
Answered on 20th Sept '24
There is 19 months old girl from Ethiopia. Diagnosed with Hepatoblastoma. Completed 5 cycles of chemo. Referred abroad for surgical resection and possible liver transplant. We are planning to take her to India. Where is the best surgical oncology center in India? How much it will cost us? What is your advice? Thank you!
Answered on 23rd May '24
My mom has been diagnosed with metastatic breast cancer which is the best hospital to deal with this kind of cancer. Please help me out.
Answered on 23rd May '24
I am writing for my father's treatment. He has been diagnosed with stage 4 lung cancer in April 2018. He had gone through 6 cycles of of Alimta and carboplatin till October and then two cylces of Alimta only till December 2018. Up to October, he was doing great, had no side effects and his tumor size went down. After that he became very fatigued and also his tumor size increased significantly. In January 2019, Doctor put him on Docetaxel and so far he is doing good with no side effect. But, we would like to continue his treatment in your reputed hospital. I have attached his initial PET scan (April 2018) and recent PET scan (January 2019) along with few other CT scan. I appreciate if you could suggest me the doctor for his treatment and help me getting the appointments. Also, it would be very helpful if you can give me idea about the expenses. Since he will be coming from Bangladesh, it will take time to get visa and arrange rest of the stuff. Currently I am in Canada and planning to join him during his initial treatment at your hospital, preferably in March.
Answered on 23rd May '24
Asked for Female, 23
Hi I've been getting white discharge since one month why is this and I'm 23 years old
Answered on 23rd May '24
Asked for Male, 67
My father age 67. He is suffer collon cancer. He is colestomy operation done in March 22. What is next treatment???
Answered on 23rd May '24
Asked for Female, 49
Is ascites ovarian cancer the last stage?
Answered on 23rd May '24
Asked for Female, 53
What treatment of uterus cancer in India is available?
Answered on 23rd May '24
Asked for Male, 65
Sir what is malignant ascites cancer life expectancy
Answered on 23rd May '24
My mother is Squamous cell carcinoma on the tongue for one and half year now..Please guide me for cheap treatment as we dont have much money (Name: Jatin)
Answered on 23rd May '24
Please provide your location so that we can guide you for affordable cost of cancer treatment.
Hello Sir, one of my friends found blood in his stool somewhat in 2020. As it was not regular and didn't cause any discomfort, he ignored this. Just 2 months back the blood stated shown frequently and he began to experience acute pain in his pelvis. And he consulted a doctor. Now he has been diagnosed with stage three rectal cancer. He stays near Dehradun. Doctor asked him to consult some other place. He is devastated now and confused about what to do now. I am asking on his behalf. We would be thankful if you could suggest a suitable name experienced in handling these stage cases. His family is ready to take him to another city as well.
Answered on 23rd May '24
Please consult oncologist to guide about future line of treatment.
My father was diagnosed with Esophageal cancer 5 years back and treated with surgery and chemo in Chennai. He was cancer free. But he was recently diagnosed with gastric cancer at an early stage. Doctor asked it is curable but we are anxious cause he is 69 and we really don't know whether he can take this trauma. Please suggest a good hospital in Chennai that is good for Gastric cancer
Answered on 23rd May '24
You can visit Adyar cancer center or apollo . Kindly consult a surgical oncologist
Hello Sir, my mother was diagnosed with salivary gland cancer (parotid gland cancer) on 28th. It is in an advanced stage. She's 69, and on blood thinners. She is really scared and asked me to get a second opinion. Kindly refer someone who can help us through this condition.
Answered on 23rd May '24
Kindly consult a surgical oncologist for further assessment and deciding on the line of management.
My brother has malignant lesions in his lungs and Doctors have stated that the lesion must be removed at the earliest using Chemotherapy or immunotherapy. However, we'd like to know which hospitals in Nagpur are the best for lung cancer, particularly for Chemo, Targeted Chemo, or Immunotherapy.
Answered on 23rd May '24
Kindly visit a surgical oncologist to stage the disease and to decide on the line of management
I've experienced dark blood in my feces and soreness under my right rib cage for the past three weeks. I'm also losing my appetite and becoming incredibly bloated and uncomfortable anytime I eat anything, even if it's only a small amount. I was diagnosed with pancreas cancer after undergoing numerous tests. But my doctor is not telling me anything clearly, he is not answering my queries. which makes me more anxious. Please suggest something to me. I want to go for a second opinion. I live in Patna.
Answered on 23rd May '24
You need to consult oncologist and provide reports so that he can provide you some clarity.
I am from Jorhat and I was diagnosed with bowel cancer on 27th December. I had a colonoscopy and a CT scan, and the consultant wanted to have an endoscopy, which I have not done yet. But before that I would like to consult with another doctor.
Answered on 23rd May '24
Kindly consult a surgical oncologist for decided on further management
After experiencing a Prostate removal operation on 10th July I was offered Radiotherapy to eradicate the malignancy. Could you tell me the most typical adverse effects of this therapy? My doctor is not explaining things clearly.
Answered on 23rd May '24
Discuss with your radiation oncologist for better clarity. You can develop symptoms of radiation cystistis like painful micturation , radiation proctitis like painful passing of stools
Hello, my aunt was diagnosed with a brain tumor after a bad fall on December 31st. We were advised that surgery would be impossible due to her age and other considerations and she would be unable to undergo chemo, therefore she will be treated solely with steroids. We are not sure about this hence would like to go for a second opinion. She has diabetes also. We are from Kolkata.
Answered on 23rd May '24
Kindly consult a neurosurgeon for deciding on the exact stage and further line of management
Asked for Female, 29
In November I was diagnosed with two lumps in my breast and under my armpit in the lymph nodes, grade 2 cancer. Shared this news only with my elder sister. I am terrified. I am only 29 yrs. Please suggest a reputed doctor in Guwahati and give me an approximate idea of the cost of treatment.
Answered on 23rd May '24
Consult a surgical oncologist. Booroha cancer centre and narayana health care are hospitals you can visit.
Asked for Male, 53
Hi my husband was diagnosed with secondary lung cancer. Doctors asked for immunotherapy. Should we consult for a second opinion or is it fine to go with immunotherapy?
Answered on 23rd May '24
You need to provide more details to oncologist like biopsy report, scan reports to decide on the stage and line of treatment.
Asked for Male, 61
My father has secondary liver cancer and his condition is deteriorating every day. We can't see him like this. Please advise the next course of action.
Answered on 23rd May '24
Kindly consult a palliative care specialist for palliation of symptoms and symptom care
Asked for Male, 65
Hello sir, my dad was diagnosed with bile duct cancer in October. He is currently 65 years old. He refused to treat because of the terrible adverse effects, and he believes he would have died due to the side effects. Is there any other approach to treat him so that he doesn't have to go through the trauma?
Answered on 23rd May '24
Proper counselling and education will help in going through the appropriate treatment. Depending on the stage surgery chemotherapy radiotherapy are the options
Asked for Male, 38
Three years back I was diagnosed with Colon cancer and treated for that. I was cancer-free after the treatment. But recently, I had to do a CT scan for a non-cancer purpose and then the doctor said there is a spot. So he asked me to have some other tests. Then one tumor was discovered during the PET scan, it's a new one. It's a particularly aggressive malignancy, and I'm losing a significant portion of my liver. And I'll have to go through chemo once more. I feel numb to thinking about the trauma I have to go through again. Can you please help with a doctor for a second opinion?
Answered on 23rd May '24
You need to consult an oncologist for further line of treatment.
Asked for Male, 43
How fast does sarcoma grow?
Answered on 23rd May '24
Rate of growth depends on the site and type of sarcoma
Asked for Female, 54
How i knew i had uterine cancer?
Answered on 23rd May '24
You will have to get ultrasound test of abdomen done to see if there is any abnormalities in uterus.
Asked for Male, 37
What is moderately differentiated squamous cell carcinoma lung? What are the treatment options?
Answered on 23rd May '24
It is a type of lung cancer grouped under non small cell lung cancer. The treatment depends in stage. It could be surgery, chemotherapy and/or radiation therapy.
Asked for Female, 46
My wife is 46 and was diagnosed with a pituitary tumor last year. The doctor put her on medication and the condition slightly improved. But of late she has been in pain and I need your help
Answered on 23rd May '24
Kindly provide more details to answer the query. Consult a neurosurgeon for better guidance.
Asked for Female, 44
Hi all. My mom diagnosed with breast cancer grade 3 ... I have done all the reports and looking for a good treatmnt for her with the price I can afford... So kindly send me the details of the surgery to remove the breast and chemotherapy and radiation sessions apprx price. Thank you in advance
Answered on 23rd May '24
Surgery can be a breast conservation surgery or a modified radical mastectomy. Costing will depend on the treatment plan and other factors . Kindly get in touch via consultation and further plan and other factors can be discussed
Asked for Female, 35
I am 35 years old and I have abnormal bleeding .back pain .weight loos dx stage 3 cervical cancer . is stage 3 cervical cancer curable?
Answered on 23rd May '24
It is possible to cure stage 3 cervical cancer with proper treatment.
Asked for Male, 60
I am detected with rectum cancer . I have a tumor at the tip of my anus and doctor has advised a surgery colostomy. I have got a PET SCAN done. The conclusion report of the pet scan says The known hypermetabolic primary rectal neoplasm involving mid and lower rectum. Small sized mesenteric, mesorectal and presacral lymph nodes with no significant FDG activity. Otherwise, no hypermetabolic distant metatases. I would like to know What stage is my cancer in? 1. What will be my lifetime changes after doing this surgery? 2. Is it safe to come to India during this time (COVID pendamic) to do the surgery? ( I stay out of India) 3. How long do I have to be in the hospital and in India for after care treatment ? 4. Will I need a radiation after my surgery? 5. What will be the total cost of my surgery? 6. I would like to get an appointment at your hospital for the surgery. Kindly guide me with my queries.and let me know when can I get an appointment in your hospital.
Answered on 23rd May '24
Oncologist can determine stage after clinical examination and reviewing of the pet scan images. he will need more details to stage the patient .
Asked for Female, 59
Hello doctor, my mother age 59. And she suffers with Bilateral tubo-ovarian high-grade serous adenocarcinoma. Is it possible to cure her conditions completely
Answered on 23rd May '24
Hello depending upon the stage and with appropriate treatment by oncologist, the disease can be cured and controlled . But with cancer chances of recurrence are there
Asked for Male, 45
I am suffering from squamous carcinoma near retromolar. What is the best treatment for this type cancer?
Answered on 23rd May '24
First Oncologist will analyze the report and depending on the stage of the cancer, If operable surgery is the treatment of choice and depending on the stage chemotherapy and radiation might also be required
Asked for Male, 52
Dear sir i am from Bangladesh my patient is suffered from Acute Leukemia (ALL) we need guide line
Answered on 23rd May '24
Need guide line Chemotherapy after appropriate investigation. Treatment is based of the stage and patient condition. Kindly meet a medical oncologist to guide you through the treatment
Asked for Female, 40
I’m a female and have done surgery for my breast cancer and after that they have done chemotherapy it was good after some months I’m experiencing some pain on my right hand and it was swelling when I complained to the doctor he said nothing you have to do exercise but still I haven’t relieved from that pain can you please tell us the remedy for that
Answered on 23rd May '24
You must be developing lymphedema of the upper limb. Kindly do regular exercises. Meet a physiotherapist or lymphedema specialist to guide with the appropriate treatment.
My wife has gone through stage 2nd Stage of breast cancer in 2019 and operated on the right breast. Then went through 12 cycles of chemotherapy. According to the reports, Doctors said she is now cancer free. But we are very confused as we are asked to visit hospital every year for check ups. We are in a dilemma now. She is still very weak and has not overcome the hassle yet. Is there any chance of regrowing cancer? Is that what the doctor suspected and asked for a checkup every year?
Answered on 23rd May '24
Even after complete treatment of cancer there is remote chance of recurrence or cancer coming back . This is the reason that patient has to be on regular check up with oncologist to detect any recurrence early.
In August, I was diagnosed with a tumor and opt it, but it has already spread to my bladder wall. From next week my chemotherapy will start. I'm not sure if I want to go through with the chemotherapy. I did a lot of research and read a lot. I am worried about the side effects. Would you like to advise me anything?
Answered on 23rd May '24
Kindly follow the instructions of your oncologist and start treatment accordingly. Side effects of chemotherapy can be controlled and treated adequately
How to minimize chemotherapy side effects
Answered on 23rd May '24
You can minimize side effects of Chemotherapy by maintaining a balance diet. Regularly exercising and by following the instructions of the medical team
What are the best foods to eat while on chemotherapy
Answered on 23rd May '24
It is important to eat a healthy, balanced diet during chemotherapy to keep your body functioning optimally. Foods that are mild in flavor, easy on your stomach, and nutrient-dense are some of the best options. Diet consisting of fruits vegetables and lot of fibers .
I am from Delhi. My father is 63 years old. We have suffered through the wrong treatment. In July, he was diagnosed with a spot in the right lung called a pulmonary nodule. And we were relieved to know that it was benign. Since mid-December, he has started falling ill several times and even lost appetite. Then two weeks back we asked for some tests again. We did a PET scan and some other tests and found that it is malignant and cancer has now spread across both lungs. We are all shattered by this news. We are about to lose him with the wrong treatment. Please refer to the best lung cancer doctor who can deal with this situation. We are not in a condition to trust a doctor based on reviews. Please help us. Please.
Answered on 23rd May '24
It looks like it was misdiagnosed. So, suggest you visit an oncologist and take the treatment forward
Asked for Male, 10
He is suffering since may first week with limph node . Now from few days auto urine pass without feeling , petient age is 10 years male
Answered on 10th Oct '24
There could be many underlying causes resulting in this condition, and with a lack of testing & diagnostic abilities, there's not much that can be said or deduced.
Please take him to a physician - General Physicians.
Let the clinicspots team know if you have any location-specific requirements.
Asked for Female, 43
I am 43 yr old female diagnosed lobular carcinoma undergon mastectomy radiation and chemotherapy by 2020 Done petscan which is showing multiple skeletal sclerotic lesion kindly advice
Answered on 23rd May '24
A high possibility that these are metastasis or emerged from cancer. I would advise you to see your treating clinician.
If there are still any doubts or your situation just doesn't seem to be improving, then you can reach out to others, but by now your doctor would have a better idea - Oncologists In India.
If you have any location-specific requirements for any specialist, then let the clinicspots team know, take care!
Asked for Female, 46
CA-125 marker result came for my mother's report. The result is 1200 u/ml and the reference is 35u/ml. She was diagnosed with a ovarian tumor three days ago and is going to be operated on 19-7-21. the tumor is early stage but the CA-125 result really bothers me. could u please clear my doubts?
Answered on 23rd May '24
In my opinion, there are other options apart from surgery, they should be tried and surgical options can wait till a later stage.
She needs a stage-wise diagnosis and treatment which may include CT scan or PET CT.
But with virtual platform, it's highly possible that some important detail pertaining to your mother's course of treatment could have been overlooked.
If the surgery has been performed by now and she doesn't present with severe symptoms that are difficult to handle, then things may have worked, but if her condition is critical, then we will advise you to reach out to other specialists - Oncologists In India.
If you have any other doubt, then reach out to me, clinicspots team or other specialists, also let clinicspots know if you have any location-specific requirements for finding desired specialists, take care!