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174 Specialists

Dr. Priya Tiwari: Best Medical Oncologist in Gurgaon, India

Medical Oncologist

Verified

, Gurgaon, India

18 Years of experience

Speaks: English

USD 57 USD 48 for video consultation


Dr Priya Tiwari is one of the best Medical Oncologist in Gurugram, India. The doctor holds over 13 years of experience and is associated with Artemis Health Institute .

Association and Memberships Dr. Priya Tiwari is part of:

  • Associate Editor of Indian Journal of Social, Preventive and Rehabilitative Oncology (IJSPRO)
  • Member of European Society for Medical Oncology (ESMO)
  • Member of American Society of Clinical Oncology (ASCO)
  • Member of Immuno-oncology society of India
  • Member of MASCC society of India

Qualifications :

  • DM Medical Oncology AIIMS
  • MD Medicine AIIMS
  • MBBS, BHU

Hospital Address :

Artemis Hospitals, Sector 51, Gurugram, Haryana, India

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Dr. Amit Updhyay: Best Oncologist in Delhi, India

Oncologist

Verified

, Delhi, India

19 Years of experience

Speaks: English

USD 57 USD 48 for video consultation


Dr Amit Updhyay is one of the leading Oncologist in New Delhi, India. The doctor holds over 19 years of experience and is associated with Pushpawati Singhania Research Institute.

Association and Memberships Dr. Amit Updhyay is part of:

  • European Society of Medical Oncology (ESMO)
  • International Society of Thrombosis & Hemostasis
  • Indian Society of Oncology (ISO)

Qualifications :

  • MBBS,MD

Hospital Address :

Pushpawati Singhania Research Institute, Phase II, Sheikh Sarai, New Delhi, Delhi, India

Medical Expertise of Dr. Amit Updhyay

  • Medical Oncology is his area of expertise
  • Dr. Amit has expertise in Cancer Specialist, Ocular Oncology, Medical Oncology, Head & Neck Cancer, Breast Cancer, Gastrointestinal Cancer, Uro Oncology etc.
  • He also treats patients with other non-cancerous hematological conditions like anemia, low platelets, thalassemia, aplastic anemia and bleeding and coagulation disorders like hemophilia.
  • Dr. Amit Upadhyay is a well-known haematologist in DelhiNCR
  • He has been effectively treating all haematological conditions using the most up-to-date medications and treatment protocols.
  • He is the ideal choice to diagnose and treat blood diseases such as leukaemia, lymphoma, and myeloma because of the experience that he has gained over the years.
  • Dr. Amit is a prestigious member of the European Society of Medical Oncology, the International Society of Thrombosis and Hemostasis, and the Indian Society of Oncology.
  • He has 11 publications and book chapters to his name, all of which are linked to haematology. He has also participated in numerous national and international clinical trials.
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Dr. Peter Ang: Best Medical Oncologist in Novena, Singapore

Medical Oncologist

Verified

, Novena, Singapore

0 Years of experience

USD 570 USD 475 for video consultation


Dr.Peter Ang is a specialized Cancer Specialist. And one of the most sought after medical specialists in Singapore. The doctor has of experience and is associated with , one of the best hospitals in Singapore.
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Dr. Tan Chee Seng: Best Medical Oncologist in Novena, Singapore

Medical Oncologist

Verified

, Novena, Singapore

0 Years of experience

USD 480 USD 400 for video consultation


Dr.Tan Chee Seng is a specialized Cancer Specialist. And one of the most sought after medical specialists in Singapore. The doctor has of experience and is associated with , one of the best hospitals in Singapore.
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Dr. Sajjan Rajpurohit: Best Medical Oncologist in Delhi, India

Medical Oncologist

Verified

, Delhi, India

20 Years of experience

Speaks: Hindi,English

USD 38 USD 32 for video consultation


Dr.Sajjan Rajpurohit is a specialized Cancer Specialist. And one of the most sought after medical specialists in India. The doctor has 20 Years of experience and is associated with , one of the best hospitals in India.
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Dr. Mohit Agarwal: Best Medical Oncologist in Delhi, India

Medical Oncologist

Verified

, Delhi, India

16 Years of experience

Speaks: English

USD 38 USD 32 for video consultation


Dr Mohit Agarwal is one of the foremost Oncologist in New Delhi, India. The medical practitioner holds over 17 years of experience and is associated with Fortis Hospital, Shalimar Bagh.

Association and Memberships Dr. Mohit Agarwal is part of:

  • European Society of Medical Oncology (ESMO)
  • Indian Cooperative Oncology Network
  • Indian Society of Medical & Pediatric Oncology (ISMPO)

Certifications :

  • Fellowship - PDCR (Professional Diploma in Clinical Research)

Qualifications :

  • MBBS
  • DNB (General Medicine)
  • DNB (Medical Oncology)

Hospital Address :

Fortis Hospital , Shalimarbagh, Shaheed Udham Singh Marg, AA Block, Poorbi Shalimar Bag, Shalimar Bagh, Delhi, India

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Dr. Tay Miah Hiang: Best Medical Oncologist in Novena, Singapore

Medical Oncologist

Verified

, Novena, Singapore

0 Years of experience

USD 552 USD 460 for video consultation


Dr.Tay Miah Hiang is a specialized Cancer Specialist. And one of the most sought after medical specialists in Singapore. The doctor has of experience and is associated with , one of the best hospitals in Singapore.
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Dr. Leong Swan Swan: Best Medical Oncologist in Novena, Singapore

Medical Oncologist

Verified

, Novena, Singapore

0 Years of experience

USD 480 USD 400 for video consultation


Dr.Leong Swan Swan is a specialized Cancer Specialist. And one of the most sought after medical specialists in Singapore. The doctor has of experience and is associated with , one of the best hospitals in Singapore.
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Dr. Prashant Mehta: Best Medical Oncologist in Faridabad, India

Medical Oncologist

Verified

, Faridabad, India

15 Years of experience

Speaks: English,Hindi

USD 50 USD 45 for video consultation


Dr Prashant Mehta is one of the most skillful Medical Oncologist in Faridabad, India. The doctor holds over 15 years of experience and was associated with the Asian Institute of Medical Sciences.

Association and Memberships Dr. Prashant Mehta is part of:

  • European Society of Medical Oncology (ESMO)
  • American Society of Clinical Oncology (ASCO)
  • Society of Medical Oncology of India (SOMOI)
  • Indian Cooperative Oncology Network (ICON)

Qualifications :

  • MBBS
  • MD
  • DM (Medical Oncology)
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Dr. Vikas Goswami: Best Medical Oncologist in Ghaziabad, India

Medical Oncologist

Verified

, Ghaziabad, India

18 Years of experience

Speaks: English

USD 33 USD 28 for video consultation


Dr Vikas Goswami is one of the leading Oncologist in Ghaziabad, India. The medical practitioner holds over 17 years of experience and is associated with Max Super Specialty Hospital, Vaishali.

Association and Memberships Dr. Vikas Goswami is part of:

  • European Society of Medical Oncologist
  • American Society of Clinical Oncology (ASCO)
  • Association of Physicians of India (API)
  • Indian Society of Medical and Paediatric Oncology (ISMPO)

Certifications :

  • DNB-Medical Oncology

Qualifications :

  • MBBS
  • MD

Hospital Address :

Max Super Speciality Hospital, Vaishali, near Radisson Blu Hotel, Sector-1, Vaishali, Ghaziabad, Uttar Pradesh, India

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Dr. Chandragouda Dodagoudar: Best Medical Oncologist in Delhi, India

Medical Oncologist

Verified

, Delhi, India

21 Years of experience

Speaks: English

USD 60 USD 50 for video consultation


Dr Chandragouda Dodagoudar is one of the leading Medical Oncologist in New Delhi, India. The clinician holds over 21 years of experience and was associated with Aakash Healthcare Super Speciality Hospital.

Association and Memberships Dr. Chandragouda Dodagoudar is part of:

  • Delhi Medical Council
  • Karnataka Medical Council

Qualifications :

  • MBBS,DNB
  • MD

Hospital Address :

BLK-MAX Super Speciality Hospital, Prasad Nagar, Rajinder Nagar, New Delhi, Delhi, India

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Dr. Kevin Tay: Best Medical Oncologist in Novena, Singapore

Medical Oncologist

Verified

, Novena, Singapore

0 Years of experience

USD 540 USD 450 for video consultation


Dr.Kevin Tay is a specialized Cancer Specialist. And one of the most sought after medical specialists in Singapore. The doctor has of experience and is associated with , one of the best hospitals in Singapore.
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Dr. Angela Pang: Best Medical Oncologist in Novena, Singapore

Medical Oncologist

Verified

, Novena, Singapore

0 Years of experience

USD 450 USD 375 for video consultation


Dr.Angela Pang is a specialized Cancer Specialist. And one of the most sought after medical specialists in Singapore. The doctor has of experience and is associated with , one of the best hospitals in Singapore.
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Dr. Sunny Garg: Best Medical Oncologist in Gurugram, India

Medical Oncologist

Verified

, Gurugram, India

10 Years of experience

Speaks: English,Hindi

USD 60 USD 50 for video consultation


Sunny Garg is a specialized Cancer Specialist. And one of the most sought after medical specialists in India. The doctor has 10 Years of experience and is associated with, one of the best hospitals in Gurugram, India.

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Consult Online with Best Medical Oncologist

About Medical Oncologist

A medical oncologist is a physician who specializes in the diagnosis, treatment, and care of patients who have cancer of any tissue or organ. He provides treatment of cancer using systematic therapies- like chemotherapy, targeted therapy, hormone therapy, immunotherapy- and biological agents. A medical oncologist usually works in conjunction with other multi-disciplinary cancer specialists, for instance, surgical oncologists, radiation oncologists, radiologists or interventional radiologists, to give the best treatment outcomes. Your medical oncologist takes care of your chemotherapy, hormone therapy, and immunotherapy.

Medical Oncologists are the specialist that you are going to visit most often and for the longest period of time in the duration of your cancer treatment. This is because your oncologist is the specialist who will modulate your general care and coordinate your course of treatment with other specialists as well.

Procedures Performed

A medical oncologist performs the below, but not limited to, procedures:

  • Blood tests – to look for the markers of cancer
  • Imaging tests
  • X-Rays
  • CT scans
  • MRI
  • SPECT scans
  • PET scans
  • Tissue biopsy
  • Bone scans
  • Bone marrow aspirate or biopsy
  • CAR T therapy
  • Chemotherapy
  • Hormone therapy
  • Immunotherapy

Top Medical Oncologists

DoctorAssociated Hospital
Dr. Urfan Ul HaqBurjeel Hospital, Abu Dhabi, Abu Dhabi
Dr. Abir El AhmadieBellevue Medical Center, Mansourieh
Dr. Aziz YazarAcibadem Altunizade Hospital, Istanbul
Dr. Rakesh OjhaFortis Hospital, Noida
Dr. Nadire KucukoztasBaskent University Istanbul Hospital, Istanbul
Dr. Ozlem ErAcibadem Maslak Hospital, Istanbul
Dr. Wichit ArpornwiratPhyathai 2 International Hospital, Bangkok
Dr. Sumant GuptaSarvodaya Hospital and Research Centre, Faridabad

Reasons to avail Online Consultation with Medical Oncologist

Cancer is a complicated condition that makes patients feel frightened. Cancer patients are at a higher risk of infection than the average healthy person due to a weakened immune system that controls their body's defensive mechanism. Early identification, screening, and diagnosis are critical in cancer care. Virtual consultations have been a boon for cancer patients in these continuous epidemic scenarios and in this tech-advanced world. Patients can receive complete assessment and care regardless of their location by requesting an online consultation with an oncology specialist. At MediGence (Telemedicine service), we can help you by providing expert cancer consultation from highly experienced and board-certified Medical oncologists in 20+ countries. This is your way to address all of your worries, so it's critical that you prepare all of your inquiries in advance of the appointment. Following are some more reasons to avail an online consultation with a Medical oncologist-

  • The doctor extensively checks the patient's condition and the medical reports are shared online in a video calling consultation, just as they do in face-to-face consultations.
  • Online medical care is economical and very time-efficient. Additionally, it does not scare cancer patients who have been already going through a great deal of agony.
  • Patients can get qualitative & prompt medical attention, consultation, and second opinions at a single stop
  • It can reduce the distress of cancer patients regarding their course of treatment, complications, medications, follow-up consultations, etc.
  • ‘Onco's virtual care management approach’ by oncologists ensures that cancer patients and caregivers receive the best possible guidance and treatment from specialists.
  • Beyond surgical treatment modalities, there has been a dramatic launch of various radiation therapies, targeted therapies, and others. Medical Oncologists will help you to explore those options.
  • You won't have to answer the same questions over and over; your medical history will be saved online and may be accessed at any time.
  • An online cancer consultation before the treatment could assess your condition better, and can give you the hope and assurance that you need in choosing a safe and reliable treatment option that you deserve.
  • You will be offered a better treatment plan that has the potential to prevent a misdiagnosis. And, perhaps even save a life.
  • In other circumstances, if a misdiagnosis has already occurred with you, the second opinion could better reveal it.
  • The oncologist will analyze your medical history and test data before either confirming or denying your cancer diagnosis and your eligibility for the surgery.
  • It's also possible that extra examinations will be required of you. The oncologist will go into detail about your condition and give you a chance to ask questions.
  • You can plan your treatment, travel date, visa application, and further treatment procedures, accordingly
  • Consulting with a doctor online can reduce the chances of catching any new infectious illness
  • The expert will help you maintain a positive attitude towards the situation
  • Online consultation with a cross-border expert Medical Oncologist via Telemedicine can cost you between 123 USD- 456 USD

About Medical Oncologist

Which are the countries where we can find Cancer Specialist?

Popular Cancer Specialist in Top Countries are :

Type of Cancer Specialist available Worldwide?

Top Speciality Doctors Worldwide:

Top Rated Hospitals Where We Can Find Cancer Specialist Worldwide?

List of Top Rated Hospitals where we can find Cancer Specialist Worldwide are as followed:

Can we get the list of Cancer Specialist worldwide in any other language?

Yes, we provide the list of Cancer Specialist worldwide in the following languages:

Frequently Asked Questions

Who are the top Medical Oncologists offering online consultation?

Listed below are some of the top medical oncologists available for online consultation:

Which are some of the conditions treated by Medical Oncologist?

Most common conditions performed by medical oncologists are:

  • Breast and Prostate Cancer
  • Colon Cancer
  • Brain Cancers- Astrocytoma
  • Pancreatic Cancer
  • Cervical Cancer
  • Kidney Cancer
  • Ovarian Cancer
  • Uterine cancer
  • Stomach Cancer
  • Certain Types of Cancer that have been Resistant to Chemotherapy and Radiation Treatment (e.g. Melanoma)
  • Skin Cancer
  • Oligodendrogliomas
  • Larynx Cancer
  • Metastatic Cancer
  • Lung Cancer
  • Leukemia
  • Breast Cancer
  • Ependymomas
  • Primitive Neuroectodermal Tumors
  • Lymphoma
  • Mixed Gliomas
  • Prostate Cancer
  • Oral or Mouth Cancer
  • Meningiomas
  • Colorectal or Colon Cancer
  • Brain Cancer
  • Rectal Cancer
Who is a Medical Oncologist?

A medical oncologist has training in diagnosing and treating cancer using hormonal therapy, chemotherapy, biological therapy, and targeted therapy. A medical oncologist often is the key healthcare professional for someone who has cancer. They also give supportive care and might coordinate treatment suggested by other specialists.

A medical oncologist strives to give cancer patients effective treatment results. This medical professional also provides counseling to patients as well as their families. Medical oncologists also participate in clinical research. Working with a dedicated multidisciplinary team is part of a medical oncologist’s job. It involves advising on all the aspects of cancer treatment.

Overseeing and scheduling the treatments are part of a medical oncologist’s role. A medical oncologist can also treat the complications that a patient may face after each treatment session. A medical oncologist also supports and guides the patient even after the cancer treatment is done. They have a caring relationship with patients.

What are the qualifications of a Medical Oncologist?

Oncology is the branch of medical science that deals with the study, diagnosis, and treatment of cancer. A person who wants to become a medical oncologist has to first clear a medical entrance test. Then the student needs to complete a five-and-half-year MBBS course. This is the common course for all doctors irrespective of their specialization.

After completing the MBBS course you will have to complete the MD course. After this, the aspiring doctor needs to apply for the OCTT course or Oncology Clinical Trials Training. The total duration of this course is one year. After graduating from medical school, future medical oncologists must complete the residency program, especially, in general surgery or internal medicine followed by a fellowship in their preferred oncology subfield.

What conditions do Medical Oncologists treat?

A medical oncologist uses various methods to treat cancer, such as chemotherapy, hormonal therapy, biological therapy, and targeted therapy. Chemotherapy uses powerful chemicals to destroy fast-growing cells in the body. It is generally used to treat cancer, as cancer cells grow and multiply very quickly than normal cells in the body. Hormonal therapy blocks, adds, or removes hormones to either slow or stop the overall growth of cancer cells that require hormones to grow. Biological therapy is used to stimulate or regain the ability of the immune system.

Below are some conditions treated by a medical oncologist:

  • Leukemia
  • Lymphoma
  • Hodgkin's disease
  • Multiple myeloma, sarcoma
  • Breast, lung, and ovarian cancers
  • Prostate cancer
  • Endometrial cancer
  • Adrenal cancer
  • Skin Cancer
  • Oligodendrogliomas
  • Larynx Cancer
  • Metastatic Cancer
  • Ependymomas
  • Primitive Neuroectodermal Tumors
  • Lymphoma
  • Mixed Gliomas
  • Oral or Mouth Cancer
  • Meningiomas
  • Brain Cancer
  • Rectal Cancer
What diagnostic tests are required by Medical Oncologist?

Effective diagnostic tests are used to detect or treat disease, closely monitor the disease process, and evaluate the effectiveness of the treatment. Diagnostic procedures for cancer might include imaging, laboratory tests (such as tests for tumor markers), endoscopic examination, tumor biopsy, genetic testing, or surgery.

A medical oncologist may order the below-listed diagnostic tests to detect cancer:

  • X-ray
  • Computed tomography (CT) scan
  • Computed axial tomography (CAT) scan
  • Bone scan
  • Lymphangiogram (LAG)
  • Mammogram
  • Reflection imaging
  • Ultrasound
  • Biopsy
When should you visit a Medical Oncologist?

You may need to see a medical oncologist after you have been diagnosed with cancer. This is generally the first step of your cancer treatment journey.

The medical oncologist can help you understand your diagnosis the complete timeline of cancer treatment. You would also want to consult a medical oncologist to clarify the questions you might have.

Consult a medical oncologist if you experience the below signs:

  • Urinary changes
  • Rectal bleeding
  • Bowel changes
  • Testicular changes
  • Vaginal bleeding between periods
  • Breast changes
  • Fatigue or extreme tiredness
  • Eating problems
  • Swelling or lumps in the body
  • Pain that doesn’t go away or gets worse
  • Skin changes
  • Persistent cough or hoarseness
  • Unusual bleeding and bruising
  • Change in bowel habits
  • Bladder changes
  • Fever or nights sweat
  • Headache
  • Vision/hearing problems
  • Mouth changes
What can you expect from your first visit with a Medical Oncologist?

A medical oncologist will assess the patient by observation. The doctor may ask the patient a few questions. They will ask about the patient’s medical as well as family history. Patients can also show a lump and talk about pain. Weight loss is also a common presentation.

The medical oncologist will order a CT scan, X-ray, biopsy, and blood tests. For a biopsy, the oncologist will take a sample of the tumor. A pathologist will then observe the sample tissue. Microscopic and biochemical features will find the type of cancer.

The medical oncologist will discuss other health problems the patient is facing and relay the diagnosis. The oncologist will also discuss the treatment plan.

Which are the most common procedures performed by a Medical Oncologist?

Some common procedures performed by a medical oncologist are:

  • CAR T therapy
  • Chemotherapy
  • Hormone therapy
  • Immunotherapy
  • Tissue biopsy
  • Targeted therapy
  • Bone marrow aspirate or biopsy

FAQs related to

Who is a Medical Oncologist?

A medical oncologist has training in diagnosing and treating cancer using hormonal therapy, chemotherapy, biological therapy, and targeted therapy. A medical oncologist often is the key healthcare professional for someone who has cancer. They also give supportive care and might coordinate treatment suggested by other specialists.

A medical oncologist strives to give cancer patients effective treatment results. This medical professional also provides counseling to patients as well as their families. Medical oncologists also participate in clinical research. Working with a dedicated multidisciplinary team is part of a medical oncologist’s job. It involves advising on all the aspects of cancer treatment.

Overseeing and scheduling the treatments are part of a medical oncologist’s role. A medical oncologist can also treat the complications that a patient may face after each treatment session. A medical oncologist also supports and guides the patient even after the cancer treatment is done. They have a caring relationship with patients.

What are the qualifications of a Medical Oncologist?

Oncology is the branch of medical science that deals with the study, diagnosis, and treatment of cancer. A person who wants to become a medical oncologist has to first clear a medical entrance test. Then the student needs to complete a five-and-half-year MBBS course. This is the common course for all doctors irrespective of their specialization.

After completing the MBBS course you will have to complete the MD course. After this, the aspiring doctor needs to apply for the OCTT course or Oncology Clinical Trials Training. The total duration of this course is one year. After graduating from medical school, future medical oncologists must complete the residency program, especially, in general surgery or internal medicine followed by a fellowship in their preferred oncology subfield.

What conditions do Medical Oncologists treat?

A medical oncologist uses various methods to treat cancer, such as chemotherapy, hormonal therapy, biological therapy, and targeted therapy. Chemotherapy uses powerful chemicals to destroy fast-growing cells in the body. It is generally used to treat cancer, as cancer cells grow and multiply very quickly than normal cells in the body. Hormonal therapy blocks, adds, or removes hormones to either slow or stop the overall growth of cancer cells that require hormones to grow. Biological therapy is used to stimulate or regain the ability of the immune system.

Below are some conditions treated by a medical oncologist:

  • Leukemia
  • Lymphoma
  • Hodgkin's disease
  • Multiple myeloma, sarcoma
  • Breast, lung, and ovarian cancers
  • Prostate cancer
  • Endometrial cancer
  • Adrenal cancer
  • Skin Cancer
  • Oligodendrogliomas
  • Larynx Cancer
  • Metastatic Cancer
  • Ependymomas
  • Primitive Neuroectodermal Tumors
  • Lymphoma
  • Mixed Gliomas
  • Oral or Mouth Cancer
  • Meningiomas
  • Brain Cancer
  • Rectal Cancer
What diagnostic tests are required by Medical Oncologist?

Effective diagnostic tests are used to detect or treat disease, closely monitor the disease process, and evaluate the effectiveness of the treatment. Diagnostic procedures for cancer might include imaging, laboratory tests (such as tests for tumor markers), endoscopic examination, tumor biopsy, genetic testing, or surgery.

A medical oncologist may order the below-listed diagnostic tests to detect cancer:

  • X-ray
  • Computed tomography (CT) scan
  • Computed axial tomography (CAT) scan
  • Bone scan
  • Lymphangiogram (LAG)
  • Mammogram
  • Reflection imaging
  • Ultrasound
  • Biopsy
When should you visit a Medical Oncologist?

You may need to see a medical oncologist after you have been diagnosed with cancer. This is generally the first step of your cancer treatment journey.

The medical oncologist can help you understand your diagnosis the complete timeline of cancer treatment. You would also want to consult a medical oncologist to clarify the questions you might have.

Consult a medical oncologist if you experience the below signs:

  • Urinary changes
  • Rectal bleeding
  • Bowel changes
  • Testicular changes
  • Vaginal bleeding between periods
  • Breast changes
  • Fatigue or extreme tiredness
  • Eating problems
  • Swelling or lumps in the body
  • Pain that doesn’t go away or gets worse
  • Skin changes
  • Persistent cough or hoarseness
  • Unusual bleeding and bruising
  • Change in bowel habits
  • Bladder changes
  • Fever or nights sweat
  • Headache
  • Vision/hearing problems
  • Mouth changes
What can you expect from your first visit with a Medical Oncologist?

A medical oncologist will assess the patient by observation. The doctor may ask the patient a few questions. They will ask about the patient’s medical as well as family history. Patients can also show a lump and talk about pain. Weight loss is also a common presentation.

The medical oncologist will order a CT scan, X-ray, biopsy, and blood tests. For a biopsy, the oncologist will take a sample of the tumor. A pathologist will then observe the sample tissue. Microscopic and biochemical features will find the type of cancer.

The medical oncologist will discuss other health problems the patient is facing and relay the diagnosis. The oncologist will also discuss the treatment plan.

Which are the most common procedures performed by a Medical Oncologist?

Some common procedures performed by a medical oncologist are:

  • CAR T therapy
  • Chemotherapy
  • Hormone therapy
  • Immunotherapy
  • Tissue biopsy
  • Targeted therapy
  • Bone marrow aspirate or biopsy