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Dr. Padmanabhan L

B.Sc, M.B.,B.S, M.D.Radiation Oncology

Oncologist, Chennai

35 Years Experience  ·  550 at clinic
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Dr. Padmanabhan L B.Sc, M.B.,B.S, M.D.Radiation Oncology Oncologist, Chennai
35 Years Experience  ·  550 at clinic
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Personal Statement

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. Padmanabhan L
Dr. Padmanabhan L is a popular Oncologist in Shenoy Nagar, Chennai. He has helped numerous patients in his 35 years of experience as a Oncologist. He is a B.Sc, M.B.,B.S, M.D.Radiation Oncology . He is currently practising at Billroth Hospitals in Shenoy Nagar, Chennai. Book an appointment online with Dr. Padmanabhan L on Lybrate.com.

Lybrate.com has an excellent community of Oncologists in India. You will find Oncologists with more than 25 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.

Info

Education
B.Sc - A.M.Jain College,Chennai, - 1983
M.B.,B.S - Stanley Medical College & Hospital , Chennai, - 1989
M.D.Radiation Oncology - Madras Medical College, Chennai, - 1997
Languages spoken
English
Professional Memberships
Association of Otolaryngologists of India (AOI)
Medical Council of India (MCI)
Foundation for Head and Neck Oncology (FHNO)
...more
Indian Brachytherapy Society
Tamilnadu Medical Council

Location

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Billroth Hospitals

#43, Lakshmi Talkies Road, Shenoy Nagar, Aminjikarai. Landmark: Opp. M.K Mall, ChennaiChennai Get Directions
550 at clinic
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Common Gynaecological Cancers - What Are They & How They Can Be Prevented?

MBBS, MD(General Medicine), Fellowship Hemato - Oncology (Hemat-Oncology), DM(Medical Oncology), DNB(Medical Oncology)
Oncologist, Kolkata
Common Gynaecological Cancers - What Are They & How They Can Be Prevented?

With the modernization of all economies around the world, one health hazard that has become one of the largest perils within both developed and developing nations is the incidence of cancers of the female reproductive system, especially cervical and breast cancer.

Breast cancer

Breast cancer is the formation of malignant tumors within the breast tissues of a woman. Usually, breast cancer affects women in the age range of 40 to 50, but there have been many reports of it occurring earlier. About 48 % percent of the Indian women having breast cancer have been reported to be under 50. This is an almost 17 percent jump compared to figures 25 years earlier.

Alarming Signs of Breast Cancer:

  • The most common symptom of breast cancer is a new lump or mass. A painless, hard mass that has irregular edges is more likely to be cancerous, but breast cancers can be tender, soft, or rounded.
  • Swelling of all or part of a breast (even if no distinct lump is felt)
  • Skin irritation or dimpling
  • Breast or nipple pain
  • Nipple retraction (turning inward)
  • Redness, scaliness, or thickening of the nipple or breast skin
  • Nipple discharge (other than breast milk)

Screening Guidelines for Breast cancer:

  • Mammography: US Preventive Services Task Force (USPSTF) recommends mammography once in every 2 year for females between age group 50-75 years. Women with a family history has a benefit of starting at age 40 years. After 75 years there are insufficient evidence of benefit of screening mammography.
  • Breast Self Examination and annual Clinical examination: breast self examination is easy to learn and and any abnormality should be reported to the oncologist.
  • For High Risk/ Genetic risk factors: screening should start by age 25 or 10 years earlier of youngest relative affected. Annual mammogram and MRI or Doppler ultrasound alternating at 6 month interval can be considered.

Treatment Options:

Some of the common treatment options for breast cancers are:

  • Breast conservation surgery - This is where the tumors are removed without cutting out too much of the surrounding breast tissue.
  • Mastectomy - If the cancer has spread too far then large amounts of breast tissue has to be removed along with the tumor to stop its spread any further.
  • Sentinel lymph node Biopsy - it's part of both surgical procedures, it decreases morbidities of lymph node dissection first draining lymph nodes only are removed in patients with clinically negative axilla. If negative on frozen section further axillary dissection is avoided. It avoids the morbidity of complete axillary clearance.

Cervical cancer ( Carcinoma Cervix)

Cervical cancer is the cancer of the cervix, which is the opening of the uterus and connects the uterus to the vagina. Indian women in particular are susceptible to cervical cancer as more than 1/3rd of the cervical cancer related deaths in the entire world happens here in India, which is about 74000 deaths annually. The leading cause for cervical cancer is HPV or Human Papillomavirus infection, which if left untreated and unchecked will result in cancer.

Alarming Signs of Cervical Carcinoma:

  • Early lesions and precancerous lesions have no symptoms
  • Abnormal vaginal bleeding such as bleeding after vaginal intercourse, bleeding after menopause, bleeding and spotting between periods or longer/heavier periods
  • Abnormal vaginal discharge
  • Pelvic pain
  • Late stage disease may cause lower extremity swelling, problem with urine and/or stool passage

Screening Guidelines:

  • Cervical cancer screening is most effective screening programme of any cancer disease resulting in significant decrease in mortality from carcinoma cervix
  • United state preventive services task force (USPSTF) recommend cervical cancer screening starting at age 21 yrs.
  • Between age 21-30 years cytology recommended at 3 year interval and HPV testing is not recommended.
  • Between 30-65 years cytology every 3 year or cytology +HPV testing every 5 year.
  • If previously adequately screened screening can be discontinued after 65 years.
  • Women with prior total hysterectomy and no CIN can discontinue screening.

Apart from breast and cervical cancers, certain other cancers have also reported an alarming increase such as:-

Ovarian cancer (Carcinoma Ovary)

Starting in the ovaries, diagnosis of this type of cancer is usually delayed due to lack of visible symptoms in the initial stages. About 85% to 90% of ovarian cancers are epithelial ovarian carcinomas. Epithelial ovarian cancers tend to spread to the lining and organs of the pelvis and abdomen (belly) first. This may lead to the buildup of fluid in the abdominal cavity (called ascites). As it advances, it may spread to the lung and liver, or, rarely, to the brain, bones, or skin. The main treatments for ovarian cancer are surgery and chemotherapy.

Cancer of the endometrium (Carcinoma Endometrium)

Endometrium is the lining of the uterine wall and has along with ovarian, uterine and cervical cancer is also increasing in occurrences throughout India and the world.

The grade of an endometrial cancer is based on how much the cancer forms glands that look similar to those found in normal, healthy endometrium.

  • Grade 1 tumors have 95% or more of the cancerous tissue forming glands.
  • Grade 2 tumors have between 50% and 94% of the cancerous tissue forming glands.
  • Grade 3 tumors have less than half of the cancerous tissue forming glands. Grade 3 cancers tend to be aggressive and have a poorer outlook than lower-grade cancers.

Treatment Options:

Cervical cancer along with Ovarian, uterine and endometrial cancer can be treated using the following methods:

1. Surgery: Radical Hysterectomy primarily preferred option for early stage disease. Both open and minimal invasive approaches are suitable.

  • For precancer high grade lesion conisation is also option for compliant patient.
  • In young suitable patient willing for childbearing trachelectomy is also possible in very early lesion.
  • Depending on risk factors after surgery adjuvant treatment may be advised.

2. Radiation therapy or Combined Radiation therapy+Chemotherapy: Alternative to surgery in early stage and choice in late stage.

Prevention:

Certain prevention techniques that would be advisable to detect cancer in its early stages would be,

  • Regular Pap smear tests for cervical cancer
  • Taking vaccines for cervical cancer
  • Regular mammograms and checkups for breast cancer
  • Changing lifestyles to reduce stress
  • Changes in diet to reduce risks
  • Leading a healthy lifestyle with regular exercise

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

3202 people found this helpful

I have been diagnosed with an irregular multiobulated lesion measuring 2.1*0.9*0.8 with macro calcification in the breast I am a diabetic what is this please help me.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Hello, Thanks for the query. The lesions mentioned are due to deposition ofcalsium in the breast tissue and duct. There are benign (not harmful) lesions. Thanks.
1 person found this helpful
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I feel lots of lumps in my breast, earlier pain was not there. But now I feel pain in my breast. Special in lumps. What should I do?

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
lybrate-user, Thanks for the query. If you feel there lumps in the breast and they are paifull, then it is better to consult a surgeon. Usually painfull lumps may be due to some inflammatory changes. However, it better to get properly examined. Thanks. That relieve of the tension. Thanks.
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What are the symptoms of breast cancer. And how we can prevent our breast from this problem.

CCPH, BHMS
Homeopath, Bhilai
Breast cancer usually starts off in the inner lining of milk ducts or the lobules that supply them with milk. A malignant tumor can spread to other parts of the body. A breast cancer that started off in the lobules is known as lobular carcinoma, while one that developed from the ducts is called ductal carcinoma symptom is only felt by the patient, and is described to the doctor or nurse, such as a headache or pain. A sign is something the patient and others can detect, for example, a rash or swelling. The first symptoms of breast cancer are usually an area of thickened tissue in the woman's breast, or a lump. The majority of lumps are not cancerous; however, women should get them checked by a health care professional. Women who detect any of the following signs or symptoms should tell their doctor: A lump in a breast A pain in the armpits or breast that does not seem to be related to the woman's menstrual period Pitting or redness of the skin of the breast; like the skin of an orange A rash around (or on) one of the nipples A swelling (lump) in one of the armpits An area of thickened tissue in a breast One of the nipples has a discharge; sometimes it may contain blood The nipple changes in appearance; it may become sunken or inverted The size or the shape of the breast changes The nipple-skin or breast-skin may have started to peel, scale or flake.
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Hi, My aunt is suffering from breast cancer (stage 3) and her age is 75 years. Cyto Pathology-FNAC report says, Cytological features are in favour of Ductal Hyperplasia with moderate atypia Cytology report: FNAc is positive for malignant cells, suggestive of mucinous carcinoma/mixed mucinous and invasive ductal carcinoma (NOS) Do we need to surgery? Considering her age is the surgery best option for her?

MD - Radiothrapy, MBBS
Oncologist, Pune
Before planning treatment we should consider her age and General health. If she is fit then for stage 3 there are two ways of treatment. We can go ahead with surgery if operable or we can give chemotherapy first to reduce tumor size and then do the surgery. She will need radiation therapy also for stage 3 disease.
21 people found this helpful
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I have lumps on breast they always come back leave scars do not form heads open and close up on there own.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, you are experiencing acne and folliculitis over your breast skin. This can be controlled by keeping the local area moisture free and clean/dry t avoid any follicular infection.
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Hi doctor, My father recently diagnose with cancer and I just want to confirm the same and need to know exactly how can I verify and be 100% sure about it.

MD - Pulmonary, DTCD
Pulmonologist, Faridabad
Can get second opinion on slides which confirm diagnosis of cancer from any good cancer tenter/pathologist.
6 people found this helpful
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Hi, i'm 27, female. I got a small lump in my underarm 5 days ago. It's hard and doesn't pain.

UICC International Fellow in Oncollogy , ESTRO certification in Head and neck oncology, MD - Radiothrapy
Oncologist, Jamnagar
Hi. You should get examined by either surgeon or a gynaecologist. If require usg local + fnac can be done. Sometimes its just hair root infection. Bt better to investigate.
2 people found this helpful
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Lung Cancer

MD - Pulmonary, DTCD
Pulmonologist, Faridabad
Play video

Causes, types, symptoms of Lung Cancer

3784 people found this helpful

Hello doctor does melanoplakia cause cancer? does it creates cancer cell in body? even at young age. Please advice doctor thanks.

MDS Prosthodontics, BDS
Dentist, Jaipur
Hello doctor does melanoplakia cause cancer? does it creates cancer cell in body? even at young age. Please advice do...
It is a precancerous condition you must get biopsy done and stop the factors which can worsen it like tobacco or smoking or any other such habits.
1 person found this helpful
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