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Dr. Ayyyappan

Oncologist, Chennai

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Dr. Ayyyappan Oncologist, Chennai
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Ayyyappan
Dr. Ayyyappan is a renowned Oncologist in Mylapore, Chennai. Doctor is currently practising at Dr. Ayyyappan@St.Isabel's Hospital in Mylapore, Chennai. Book an appointment online with Dr. Ayyyappan on Lybrate.com.

Lybrate.com has an excellent community of Oncologists in India. You will find Oncologists with more than 36 years of experience on Lybrate.com. You can find Oncologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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English

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St.Isabel's Hospital

No. 49, Oliver Road, Musiri Subramaniam Road Landmark : Next to Luz ChurchChennai Get Directions
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Dear sir, I have been smoking since 7 years and till now I'm smoking. How to avoid smoking? After how many years do cancer occur in a body?

DNB, MBBS
Oncologist, Faridabad
Dear sir, You must make up your mind, be determined and quit smoking. You can use nicotine gums temporarily to assist you in this task, though I feel You can quit if you are determined. There is no Definite Co relation as there may be inherent resistance to development of cancer in some and some may be more prone due to genetic make up of an individual.
2 people found this helpful
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Aged 31 I suffered from disease name lymphoma since 2014 my treatment is completed abvd kimo and radiation tell me after treatment preconditions and protection about my life secure.

MD - Radiation Oncology, MBBS, DNB (Radiotherapy)
Oncologist, Howrah
You had hodgkin lymphoma. The prognosis of this disease is good. Although rare, recurrence can occur. For that reason regular checkup is necessary. After successful treatment, patients are usually followed up every 3 months for initial 2 years and every 6 months for next 3 years. What investigations to be performed during follow up depends on initial extent of disease.
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I am 49 years old, my problem is that I am suffering from Chronic Leukemia, and my question is how long can such patient live with medication of IMATINIB 400 mg?

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
Hi, imatinib 400 mg, as I understand, is an approved targeted therapy for front-line management of chronic myeloid leukemia (cml), success of which depends on whether or not it has been able to achieve a timely haematological response as expected. Imatinib is good so long as your disease is chronic, not advanced and is not resistant to imatinib. Your medical oncologist can best comment on the overall survival aspects, nevertheless. However, its advisable that you complement conventional care with appropriate alternative medicines so as to fast track treatment, and optimize clinical outcomes.
1 person found this helpful
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Can Viagra Cause Skin Cancer?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Lucknow
Can Viagra Cause Skin Cancer?

Sildenafil (Viagra), whose function is to inhibit a substance called Phosphodiestarase-5 or PDE5 - was initially used only for the treatment of angina pectoris (a cardiovascular problem) and pulmonary hypertension. Incidentally, it was discovered that it could help the issue of erectile dysfunction too, and thus became hugely popular in the late 1990s. The little blue pill, as it was called, ruled more than 50% of the sexual dysfunction market for more than 15 years. However, as its popularity and usage increased, so did the scientific information about this drug, and now there is an increased speculation that it could be contributing to skin cancer, specifically melanoma. This is considered as one of the most dangerous forms of skin cancer and so the safety of Viagra sildenafil came into question.

Research has shown that users of Viagra sildenafil are at a higher risk for developing melanoma. There are reports stating that about 45 million men are at an increased risk of developing melanoma due to associated Viagra sildenafil use. The risk of developing melanoma was found to increase in men using ED drugs by 21%. Though there is no conclusive proof as yet that sildenafil is the cause, research is increasingly pointing out its role in melanoma. For example, PDE5 inhibitors (sildenafil, tadalafil, vardenafil) are known to promote melanin synthesis, which may exacerbate melanoma development.

The analysis of biochemical pathways of this correlation suggests that Viagra sildenafil triggers a special biochemical action involving the growth-stimulating cGMP (cyclic guanosine monophosphate (an intracellular signaling molecule) which in turn promotes the growth of malignant melanoma. In normal cases, the enzyme phosphodiesterase type 5 (PDE5) regulates the cGMP preventing any adverse cellular activity. Sildenafil inhibits the production of this enzyme, and potentiates a specific cGMP-related biochemical mechanism (called cGMP-cGKI pathway) , and thereby contributes to malignant melanoma. This has been proven to happen in mice and is yet to be proven in humans.

However, there are also reports which suggest that this does not happen due to Viagra sildenafil per se, but due to greater exposure to sun, which even otherwise increases the chances of skin cancer in general, and melanoma in particular. The countering theories also say that the population in which skin cancer was detected, comprised mostly of high income individuals who spent a significant amount of time holidaying on beaches and are not connected to the extensive use of Viagra per se. 

Therefore, though there is a correlation that has been established, there is no definite proof that Viagra sildenafil causes skin cancer. It is however, advisable to use ED drugs after medical consultation. If a patient has a genetic predisposition to develop melanoma, it is advisable to seek medical advice before the use of ED drugs. Occasional use should not be harmful. Also, when going out in the sun, limiting exposure to direct sun and UV protection should be managed too. If you wish to discuss any specific problem, you can consult a sexologist.

6642 people found this helpful

Cancer - 9 Misconceptions About It!

MBBS, MD - Oncology, DNB - Super Speciality, Immuno Oncology
Oncologist, Delhi
Cancer - 9 Misconceptions About It!

Cancer, or the big C, is always in the news. Use any keyword related to cancer, and there is definitely information overload. Also, with more people surviving cancer, there are too many tales to tell. All this leads to misconceptions and myths, leaving people, who are looking for genuine information, completely confused. The following are some common misconceptions.

  1. Cancer is a new-age disease: There is reference to cancer in ancient Egyptian and Greek stories, so cancer is definitely not new. However, it is true that the incidence has increased tremendously with the modern lifestyle habits.
  2. Food items prevent cancer: There are claims that food items like kale, blueberries, green tea, broccoli, etc., can prevent cancer. It is not true. They do have antioxidant and anti-inflammatory properties, but are not helpful in preventing cancer.
  3. Acidic diet causes cancer: The body’s pH is not determined by the food products that we consume. Neither acidic nor alkaline environment is healthy, and further, the body has its own mechanism to regulate pH; so go ahead and eat what you like.
  4. Sugars cause cancer: Sugar, believed to be the main energy source, is required for growth. Since cancer is linked to uncontrolled growth, it is believed that more sugar leads to more cancer. This again is a false notion, as there is no connection between the two.
  5. Screening is only for breast cancer: Agreed, breast cancer is easy to screen for, but any person with predisposition can go for periodic screening to help in early identification and intervention.
  6. Cancer medicines kill more than they cure: Whether it is chemotherapy or radiation, they do not pick only the cancer cells. When directed at a body part, the radiation affects the entire area. Chemotherapy targets and controls growth of a lot of normal processes, thereby affecting normal life.
  7. There is no cure for cancer: It is not a simple process. Curing cancer involves multiple facets – some of which may not be known or unearthed. While there are some stories, which talk about how they conquered cancer completely, there are a greater number of failures. Do not conclude on either side. Each person and each type of cancer is treated differently.
  8. Tight undergarments are not connected to cancer: As popularly advertised, tight underwear and underwired bras do not cause testicular or breast cancer.
  9. Biopsies spread cancer: This is a misconception. Most people are scared to get a biopsy as they perceive that it may spread the cancerous cells to normal areas.

This is just a short list, and there are far too many false notions. Check with your doctor to validate the information before using it to take any decision. If you wish to discuss about any specific problem, you can consult an Oncologist.
 

3874 people found this helpful

I am 27 years old married lady. I have big breasts and I am uncomfortable with it. Kindly suggest a safe way.

MCh - Plastic and Reconstructive Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Hyderabad
Breast reduction is a proven method by which large breasts can be reduced and made shaplier. Neck and back pain reduction is seen as that much weight is removed and the neck, shoulder and back need not carry them.
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Is reacting is system of breast cancer? Some time I have reacting but when I clean with hot water and apply some lotion then it's ok but after some days it's again started itching .Is there any problem with bra material or skin infection becz I have that skin infection in my childhood days so doctor advice me to clean the breast in night with hot water and then sleep. But when it's again started can suggest me. Exactly what the problem.

MBBS, MS - General Surgery, FBD (Fellowship in Breast Diseases), UICC Fellowship
Oncologist, Pune
Hi! According to your history you might be suffering from eczema dermatitis condition. Show to a breast doctor and take proper treatment. Always apply some thick cream or lotion to avoid this.
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I am someone who take least amount of vegetables. And eat a lot of junk food. What could be possibility for me to get affected by cancer?

DNB, MBBS
Oncologist, Faridabad
Vegetables and fruits contain substances that are cancer protective which junk food lacks. There is no conclusive data as to what percentage of people consuming junk food would definitely have cancer but but there is no harm in avoiding it and you can try variations with your routine healthy food to make it delicious and colorful, with fruits you can try various puddings, fruit cream, custards, with vegetables nice rolls, soups sandwiches etc. Sedentary lifestyle, fatty food are known to be risk factors for cancer.
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My dad aged 58 years recently got his abdominal ultrasound done. Everything is normal except for prostate which is weighing 36 grams. No other issues seen. Please advise if this requires further check-up/testing/medical opinion? Thanks.

MBBS, M S General Surgery ,
General Surgeon, Chandigarh
My dad aged 58 years recently got his abdominal ultrasound done. Everything is normal except for prostate which is we...
Hi prostate is very common, and most commonly it is a benign (non malignant) condition in males. But one must always rules out following tests done Post void residual urine in ultrasound, urine routine, urine culture, serum psa. Get all these tests done as routine check up so that, you will be clear that it is not cancer and then the medication can start. Thank you n get it done n let me know.
2 people found this helpful
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What are the major causes of blood cancers in children's who are less than 18 years of age & they haven't done any smoking or alcohol?

DNB, MBBS
Oncologist, Faridabad
Sir cancer can be caused by multiple factors, smoking alcohol are one of then. It can also be related to viruses like hpv ebv, hiv, radiation exposure, pollution pesticides industrial affluents or genetic. So mostly in young age it could be genetic that means some mutations in genes.
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Hello. I am a 21 year old female. The area below the nipple of my right breast is tender and sore to touch. And there is a lump in. My right underarm. It is also tender and sore to. Touch. Plus it's size is increasing. Should I consult a gynecologist or a surgeon?

DNB, MBBS
Oncologist, Faridabad
There could be some hormonal imbalance which may be causing pain and tenderness. You can see a gynecologist if you are comfortable and they can evaluate and if need be then they can do an ultrasound breast.
1 person found this helpful
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We have mouth cancer over for two days. What should do we? We have headache over for four days. What should do we?

MBBS, cc USG
General Physician, Gurgaon
We have mouth cancer over for two days. What should do we? We have headache over for four days. What should do we?
Do you mean mouth ulcer? you may be having headache because of stress/ refractory problems/ any ENT problem or may be Migraine Headache follow advises given below: You can take(If No drug allergy) : 1. Tablet Crocin (Paracetamol 500 mg) one tablet after food when required for headache after food for 2-3 days (maximum 2 tablets with gap of 12 hour can be taken in a day) Adequate sleep 6-8 hr in a day complete history of your headache for further management like duration, severity, aggravating factors/relieving/ triggering/ associated factor to reach diagnosis consult physician for further management.
2 people found this helpful
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My age is 23. Height 6 ft. Weight 76 kg. My question is that after what size adrenal tumour start producing symptoms?

DNB, MBBS
Oncologist, Faridabad
These are functional tumours, size doesn't matter, even small tumours may produce hormonal imbalance and symptoms.
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I am 48, yrs I have noticed a small lump like in my right breast which was noticed during my menstruation last month and it is still there what should I do there is no pain.?

MD - Radiation Oncology, MBBS, DNB (Radiotherapy)
Oncologist, Howrah
You should do a mammography of bilateral breast. If the lump is highly suspicious, an fnac from the lump should be performed.
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Suffering from pricking pain on right breast here and there .also having pain near armpit that come and goes. Mostly pain on front part of breast. Am prior to periods and also breastfeeding.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
As you have given your gender as "male" I assume you have asked this question on behalf of your wife. Also, you haven't mentioned her age. I assume she is young, as she is breastfeeding. Many women have a slight discomfort in their breasts, commonly during periods and less commonly, during breastfeeding. Some might have even pain. However, it is still worthwhile to consult a surgeon immediately.
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Hello doctor, my grandpa having throat cancer, last month surgery also done. But now hole mouth heated with some equipment and it gets spoiled. Only liquid foods via nose tube. Say any permanent solution.

BHMS
Homeopath, Faridabad
Hello doctor, my grandpa having throat cancer, last month surgery also done. But now   hole mouth heated with some eq...
Hi. I want to help you grandpa. But it would be great if you write down more symptoms of his problem clearly (your question is not clear to me)!
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Mera dost kabhi bhi saraf aur cigrette nahi pita hai. Usko blood cancer kis liye huaa. Aur koi reasons aur solution do plz.

MBBS, MD - Medicine, MD - Oncology
Oncologist, Delhi
Dear cigarette and sharab are not necessarily the cause of blood cancer. There are many more reasons of getting blood cancer the chief of which is genetic followed by some professional exposures, followed by many more causes like viral infections, exposure to dyes and chemicals, working or getting exposed to radiations and so on.
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What are the symptoms of cancer. How this disease are handling the people. Why there is no proper medicine and treatment is there. How the cancer is spread to other.

DNB, MBBS
Oncologist, Faridabad
Cancer is a disease caused by uncontrolled proliferation of cells of body. It can effect any individual can be caused by carcinogens like tobacco alcohol pollution pesticides radiation etc or lifestyle related like lack of exercise, fatty food, spicy food etc, or may be genetic. Since many factors causing this disease it's difficult to identify the cause hence only the symptoms can be treated routinely unless we know exactly in which individual which gene or signel is faulty. It does not spread from one individual to other but people effected in groups may be exposed to similar risk factors.
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