Cancer Care
Surgical Oncology
The Surgical Oncologist has a pivotal role in cancer management and research. Despite the advances in medical and radiation oncology, surgery is still the most important modality with the potential to cure most solid cancers. No longer is surgery alone the only treatment for most solid malignancies but a combination of surgery and multi-modal therapies (with highly focused radiotherapy, targeted molecular therapies and poly-chemotherapy) becoming the modern standard of care.
The Surgical Oncology Department aims at:
- Offering cure in case of solid tumours
- Palliate and improved quality of life in advanced cases, emphasizing on multi modal treatment
- Practice evidence-based medicine
- To achieve minimal morbidity and least functional loss with emphasis on organ preservation.
- Good pre-operative preparation, careful per-operative monitoring, and post-operative care
SURGICAL ONCOLOGY SERVICES
The Department of Surgical Oncology is a fast-evolving specialty at Nirali Cancer Hospital. The Department offers the following services:
1. Head & Neck Oncology
- Mouth / Oral Cancer
- Globally, oral cancer is the sixth most common type of cancer, and India contributes to almost one-third of the total cases. In India, around 80,000 new cases are reported annually
- Nose and Paranasal sinus cancer
- Thyroid and parathyroid gland cancer
- Throat: Larynx, hypopharynx cancer
- Skull base tumours
- Salivary gland cancer
- Neck: lymph nodes affected by cancer
2. Breast Oncology
- Breast cancer is the most common cancer in women throughout the world.
- It is the commonest cancer among women in India
- One in eight women will develop breast cancer in her life
Breast cancer management is MULTI-MODALITY. All the three branches, viz., Surgery, Radiation and Medical oncology are required to treat breast cancer optimally. Surgery is the mainstay of treatment for early-stage breast cancer and along with other modalities in advanced stages. In this era almost the whole breasts can either be conserved or reconstructed. Different types of oncoplastic surgeries are available to reconstruct the breast as near normal as possible without any additional problems. Sentinel node biopsy can also be performed when indicated in breast cancer. This avoids the chances of swelling of the arm (Lymphedema).
The facilities provided under breast oncology:
- Screening for breast cancer
- Imaging- 3D and digital mammography, Tomosynthesis, CT scan
- PET CT Scan for metastatic work up in advanced cases
- Sentinel node mapping using Indocyanine green and methylene blue dye
- Image guided biopsies – USG guides, PET guided and CT guided
- Histopathology including immunohistochemistry and FISH testing
- Molecular Testing- BRCA testing and other genetic mutation testing and counselling
- Surgery including breast conservation surgeries, modified radical mastectomy and radical neck dissection, supraclavicular nodal dissection and mastectomy.
- Oncoplastic reconstruction of breast and surgical defects using pedicled and free flaps.
- Rehabilitation by physiotherapist.
3. Gastro-intestinal oncology
- Oesophagus (food pipe) and GE junction cancer
- Gastric (stomach) cancer
- Gall bladder cancer
- Pancreatic cancer
- Liver cancer
- Small bowel tumours
- Colon and rectal (large intestine) cancer
- Retroperitoneal tumours
4. Uro Oncology
- Kidney cancer
- Adrenal gland tumours
- Urinary bladder cancer
- Prostate cancer
- Testicular cancer
- Penile cancer
5. Gynae Oncology
- Ovarian tumours
- Primary peritoneal cancer
- Cervical cancer
- Uterus (endometrial cancer)
- Cancer of vulva
6. Thoracic Oncology
- Lung cancer
- Pleural (covering over lungs) tumours
- Mediastinal (space in chest between lungs) tumours
- Chest wall soft tissue and bone tumours
- Surgery for metastasis (disease spreading from distant organs) to lungs
7. Neuro Oncology
- Brain tumours
- Spinal tumours
8. Orthopaedic Oncology
- Bone tumours
- Soft tissue tumours
9. Paediatric Surgical Oncology
10. Vascular Access Surgery
- Chemo port insertion
- Hickmann catheter
- PICC line
11. Onco - Reconstructive Surgeries
- Pedicle flaps and free flap surgeries to provide cover and reconstruct defects after tumour removal.
12. Palliative Surgeries
- To relieve symptoms in advanced stage cancer with or without removing tumours
FACILITIES
- Two major fully equipped Operation Theatres with laminar air flow
- One Minor OT for performing biopsies, day care and palliative procedures
- One Endoscopy procedure room,
- 3 Chip HD Laparoscopy system with ICG technique
- Operating microscope for oncoplastic and Neurosurgery
- Endoscopy services like Bronchoscopy, Upper GI and Colonoscopy.
- Hopkins rod telescope to visualise and record throat and voice box tumours.
- C – Arm with DSA digital subtraction angiography.
- High end anaesthesia workstation
- Post-operative recovery rooms and Postoperative Wards and Extensive Intraoperative and Postoperative monitoring facilities round the clock.
- Post-operative care is provided by trained doctors and expert nurses.