Medical Oncology

Medical Oncology is a discipline which deals with the systemic therapy of cancer including chemotherapy, hormonal therapy, targeted therapies, supportive care and bone marrow transplantation.
A medical oncologist is a physician, responsible for the management and oversight of a patients Chemotherapy regimen, the complications, given over the course of several weeks, months, or years.

Chemotherapy is a method of cancer treatment in which anti-cancer drugs are given intravenously, by injections, or by mouth. Anti-cancer drug referred to as chemotherapy are special drugs which can only be prescribed by a doctor, trained in this speciality. They are used to control and eradicate cancerous cells throughout a patient’s body. In the last two to three-decade chemotherapy has made a significant impact on the overall survival of many cancer patients.

How is Chemotherapy Administered?

Chemotherapy administration is complete in several treatment cycles. Depending on the doctor’s prescription and how the patient body reacts, chemotherapy can be delivered daily, weekly, or monthly followed by a period of rest. This period of rest is vital to continuing chemotherapy because it allows the body to recover and rejuvenate to produce healthy new cells.
Chemotherapy administration is through, the following ways:
  • Intravenous (IV): The chemotherapy is administered directly into the vein.
  • Injection (Intramuscular – IM): The chemotherapy administration is by an injection into the muscle.
  • Oral: The chemotherapy in pill, capsule or liquid form is to swallow.
  • Intra-arterial (IA): The chemotherapy is administered directly into the artery.
  • Intra-peritoneal (IP): The chemotherapy is administered directly into the peritoneal cavity comprised of organs such as the stomach, intestines, and liver.
  • Topical: The chemotherapy in a cream form is to apply on the skin.

What We Do?

Our thrust is to use the latest protocols of treatment at a reasonable cost.
Our specialized work includes solid tumours like:
  • Breast
  • Gynecologic malignancies
  • Colorectal
  • Lung
  • Prostate
  • Head & Neck cancer
  • Brain tumour
  • Neuroendocrine tumours
  • Renal tumours, etc.

The Surgical Oncology Department at Sanjeevani CBCC USA Cancer Hospital provides diagnostic and consultative service for individuals with problems related to Solid Tumors. Specifically, the department provides expertise in the care of patients with malignancies of the Breast, Head and Neck, skin, soft tissue, gastrointestinal tract, liver, pancreas, spleen, lymph nodes, Lung, Genito-urinary and gynecological systems. The department has a close interaction with other departments within the hospital.

Our surgical oncologists work as a part of the multidisciplinary team, working closely with the other specialists like radiologists, pathologists, medical oncologists, radiation oncologists, plastic and reconstructive surgeons, cancer care nurses, psychologists, nutritionists and physiotherapists to ensure best outcomes for our patients.

  • Daily outpatient clinics in all specialties from Monday to Saturday
  • Multidisciplinary clinics
  • Second opinion forums
  • All latest surgeries including oncoplastic and reconstructive surgeries are done
  • Patient support services including physiotherapy and lymphedema care.
  • Regular screening and awareness camps
  • Structured community outreach program for clinics and educational activities.
Our Surgical Oncology Department comprises experts for different kind of Cancers depending on the cancer sites such as:
  • Brain Tumor
  • Breast Cancer
  • Head & Neck Cancer
  • Gastrointestinal & Hepatobillary Cancer
  • Genitourinary Cancer
  • Bone & Soft Tissues sarcoma
  • Thoracic and lung cancer

Radiation oncology is a modality of treatment that involves the controlled use of radiation beams to treat cancer and other symptoms caused by cancer. Radiation therapy is also known as radiotherapy is the term used to describe the actual treatment delivered by the radiation oncology team.

The Department of Radiation Oncology provides state-of-the-art and quality radiation treatment to cancer patients. It offers comprehensive treatments includes External Beam Therapy.

Radiation therapy can be delivered to treat a wide range of cancers and may be used alone or in conjunction with surgery, chemotherapy and other treatments. Radiation Therapy is usually non-invasive and does not require patient admission in the hospital.

Our radiation oncology department is devoted to being a leader in innovative treatment methodologies. Our team of specialists continually reviews and researches evolving treatment methods and invests in sophisticated, leading-edge technology as it becomes available.

The department offers a wide array of treatments enlisted:

  • Stereotactic Body Radiation Therapy (SBRT)
  • Image-Guided Radiation Therapy (IGRT)-

Image-guided radiation therapy (IGRT) applies imaging during radiation therapy to improve the precision and accuracy of treatment delivery. IGRT is used to treat tumours in areas of the body that move, such as lungs. Radiation therapy machines are equipped with imaging technology to allow your doctor to view the tumour before and during treatment.

  • Intensity Modulated Radiation Therapy (IMRT)-

IMRT is an advanced type of high-precision radiation which improves the ability to conform the treatment volume to concave tumour shapes.

  • Most advanced Linear Accelerator Varian Clinac DMX-

S.C.C.H is the first hospital to introduce Linear Accelerator to the state.

  • Rapid Arc-

Rapid Arc radiotherapy technology is a new approach to image-guided, intensity-modulated radiation therapy (IGRT/IMRT) that delivers precise treatments in shorter times than conventional IMRT. Rapid Arc delivers a precise treatment much faster than other technologies.

  • 3D CRT, 2D-RT
  • Electron Boost Therapy
  • Electron Beam Therapy.

Brachytherapy

Brachytherapy is a form of radiotherapy where a radiation source placed inside or next to the area requiring treatment. Brachytherapy is commonly used as an effective treatment for cervical, prostate, breast, and skin cancers, and can also be used to treat tumours in many other body sites.

Brachytherapy is used alone or in combination with other therapies, such as surgery, external beam radiotherapy (EBRT) and chemotherapy.

Radiation therapy uses targeted, high-energy radiation to shrink tumours and kill cancer cells by damaging their DNA. Radiation is administered either by a machine from outside the body or by placing radioactive material directly into your cancerous area.

 

Gyaneoncology

Gynaecology malignancies are the second most common malignancy in Indian women. Timely management of these cancers is crucial. 

ENHANCING YOUR CARE

At Sanjeevani, we provide the most up-to-date diagnostics (tests) and treatment for gynae cancers.

Our Tumor Board which is the 1st & the oldest Tumor Board in Chhattisgarh comprising of world-class specialists who will customize your care plan through a panel discussion to diagnose cancer-related malignancies & personalize an effective treatment plan well in time for the patients. 

We treat multiple types of cancers including 

 

  • Cervical cancer
  • Fibroids
  • Ovarian cancer
  • Uterine cancer
  • Endometriosis
  • Pelvic masses
  • Vulvar cancer
  • Vaginal cancer.

Gynae cancers can happen in any area of the female sex or reproductive body parts.

Crucial parts of the female sex and reproductive system include:

 

  • Cervix
  • Vagina
  • Clitoris
  • Uterus (womb where a baby grows)
  • Ovaries
  • Fallopian tubes
  • Skin folds (lips) around the vagina.

FOCUSING ON YOU

Putting you at the centre of everything we do, we focus on understanding your condition. To do this, our doctor will find out where your cancer is, where it started (what type of cell) and if it is growing or not.

 

 

Ocular oncologists at Sanjeevani Cancer Hospital are skilled in diagnosis and treatment for cancers of the eye and surrounding tissues. Using the most advanced diagnostic and treatment methods available, we guide patients one-on-one with the best possible outcome.

Advanced Care for Cancer of the Eye and Surrounding Areas

Cancer that develops in the eye or nearby tissues can be complex to treat because vision can be affected. Our eye cancer specialists have extensive training and skill in diagnosing and treating cancer, as well as treating eye conditions (ophthalmology). We provide comprehensive care for the successful treatment of cancer with a full spectrum of diagnosis and preserve sight.

 Our partners include oculoplastic surgeons for reconstructive surgery, as well as oncologists, radiologists, neurosurgeons, interventional neuroradiologists, and ear, nose, and throat surgeons.

Eye Cancers We Treat

  • Choroidal melanoma: Skin cancer that develops in the choroid, the layer behind the retina at the back of the eye
  • Conjunctival tumour: Cancers such as melanoma, lymphoma, and squamous carcinoma that develop in the conjunctiva, the membrane that covers the front of the eye and inner eyelids
  • Eyelid tumour: Skin cancer that develops in or on the eyelid
  • Iris tumour: Cancer such as melanoma that develops in the iris, the coloured part of the eye
  • Lacrimal gland tumours: Cancer that develops in the lacrimal (tear) glands, which produce tears
  • Orbital tumour: Cancer that develops within the eye socket, behind the eye, and often causes the eye to bulge outward
  • Retina tumour: Cancer such as retinoblastoma that develops in the retina, the back of the eye where images are focused
  • Tumours metastatic to the eye: Cancer that first develops elsewhere in the body, such as the breast or lung, and spreads (metastasize) to the eye
  • Tumours of the optic nerve: Cancer in, on, or near the optic nerve, which transmits images to the brain
  • Tumours related to leukaemia and lymphoma: Lymphoma (cancer of immune system cells) and leukaemia (cancer of white blood cells) that starts in the eye

WHAT IS OCULAR ONCOLOGY?

Just like in other parts of the body, eyes too can develop tumours. The tumours may be benign or malignant that is, they may isolate in the eye, or spread outside. Eye tumours can threaten the eyesight, and even be fatal for health and life. Ocular oncology is the speciality dealing with eye tumours.

Our eye is a unique structure – treatment of an eye tumour will be planned to cure the tumour as well as restore the structure and function of the eye. The opthalmologist knows the eye. The oncologist knows about cancer. The ocular oncologist has knowledge of the eye as well as cancer; hence ocular oncologist is the best choice to plan treatment of eye cancer. The work is a team effort, including the ocular oncologist, pathologist, medical oncologist for any chemotherapy, and radiation oncologist for radiation therapy.

HOW DO WE IDENTIFY AN EYE TUMOR?

Most eye tumours are easily visible changes. It is identifiable at an early stage. Treatment can be started in good time, and save the eye and life of the patient.

  • OCULAR SURFACE TUMORS

The tumours affecting the white/black part of the eyeball (the conjunctiva and cornea)

  • EYELID AND ORBITAL TUMORS

The eyelid tumours appear as nodules or ulcers on the eyelid. Do consult your doctor for a nodule which is not improving with treatment. After removal of the nodule from the eyelid, a pathology testing is essential to identify whether it is a tumour.

Orbital tumours develop behind the eye and can cause a bulging eye, double vision, or loss of vision. Usually, a CT scan or MRI scan is required to identify the presence of a tumour. Only a surgery followed by pathology testing can tell us what kind of tumour it is, and whether further testing and treatment is necessary.

  • INTRAOCULAR TUMORS AND RETINOBLASTOMA

These tumours grow inside the eye and can present with decreased vision.

  • RETINOBLASTOMA (CHILDREN WITH EYE CANCER)

Retinoblastoma is a life-threatening eye cancer that affects children. India has the highest number of new cases in the World, owing to its large population. The treatment is both expensive and complicated.  If appropriate treatment provided on time, it will be possible to save the child’s life and have vision preserved. 

Our team of oncologists, pediatric, retinal and oculoplastic specialists can ensure that every child receives comprehensive range

Haematology is the branch of medicine concerned with the study of the cause, prognosis, treatment, and prevention of diseases related to blood.

It involves treating a disorder that affects the production of blood and its components, such as blood cells, haemoglobin, blood proteins, bone marrow, platelets, blood vessels, spleen, and the mechanism of coagulation.

Physicians specialized in haematology are known as Haematologists.

S.C.C.H is the first hospital in Chhattisgarh possessing Haematology and Bone Marrow Transplant Unit with an advanced blood bank.

Haematoncology is related to all kinds of blood cancers that amount up to one-tenth of global cancers. The person who deals with such cases is known as a Haematoncologist

The Department of Clinical Haematology and Haemat-Oncology of the hospital looks after and treats people with blood-related disorders are:

  • Myeloma
  • Leukaemia / Acute Leukemia
  • Thalassemia
  • Aplastic Anemia<
  • Sickle Cell Disease
  • Hodgkin’s & Non-Hodgkin’s Lymphoma
  • Lymphoma
  • Myelodysplastic Syndrome
  • Myelofibrosis
  • Disorders of platelets like Thrombocytopenia,
  • Bleeding disorders (Haemophilia and others)
  • Other rare diseases.

Bone Marrow Transplant Unit

The Bone Marrow Transplant unit at the hospital is holding 3 Bone marrow transplant rooms set according to international standards and dedicated to providing outstanding care and support to the patients who can be healed by transplantation therapy.

The therapy adds transplant as a treatment option for a variety of acquired and congenital disorders of children and adults including

  • Acute and chronic blood conditions like Hematopoietic Malignancies,
  • Anaemia and Bleeding Disorders;
  • Inherited immune deficiency syndromes
  • Metabolic diseases.

Thoracic malignancies are major, global health problems. Lung cancer is the most common cancer and cause of cancer death in the world, with more than 1.5 million deaths per year.

Oesophagal cancer is the 6th most common cause of cancer deaths worldwide, and the 4th most common cause in developing nations.

The Department of thoracic oncology primarily treats patients with all thoracic malignancies such as tumours of the lung, oesophagus, mediastinum and chest wall. It also serves patients with pulmonary metastases from other cancers. Most patients require multidisciplinary treatment. Based on the latest available evidence, the patient has choices like surgery (including minimally invasive surgery to improve operative outcomes) or a combination of chemotherapy/radiation therapy and surgery.

We treat the following types of cancers:

  • Oesophagal cancer
  • Lung cancer
  • Mediastinal Cancer
  • Chest wall tumour
  • Pulmonary Metastases
  • Tumours of the airway (trachea & bronchus)
  • Malignant Mesothelioma

Cancer in childhood is uncommon. Out of 10,000 normal children, one will develop cancer during their childhood. The initial diagnosis can be traumatic and stressful for the child and his/her parents. 

Cancer can infiltrate any part of the body- the most commonly affected are bones, blood and, muscles other cancers seen in the very young children (embryonal cancer)

As of today, more than 80% of children with cancer are curable, depending upon diagnosis of the type of cancer. 

Paediatric oncologists are responsible for treating all malignant conditions among children like leukaemia, bone cancers, Wilms tumour, brain and spinal cord tumours among several others. With timely, appropriate and complete treatment, the majority of children with cancer get cured and can lead their lives peacefully.

 

MOST COMMON TYPES OF CHILDHOOD CANCER

  • Primary Cancer and Secondary Cancer - 

“Primary Cancer” is where cancer started. 

In case some cells break away from the primary cancer site and settle in another part of the body, this cancer is then known as “Secondary Cancer” or metastases. 

The cancer cells can spread locally by entering the bloodstream or lymphatic system. However, secondary cancers comprise the same type of cells as primary cancer.

  • Leukaemia 

It is detectable in the blood and bone marrow. This cancer accounts for one-third of all childhood cancers. The common cancers found in children are Acute Lymphocytic Leukemia (ALL) and Acute Myeloid Leukemia (AML). These cancers can cause fatigue, weight loss, bleeding, joint pain and high fever. As acute leukaemias tend to grow fast, they need immediate medical intervention (chemotherapy).

  • Brain and Spinal Cord Tumors - 

The second most common cancer in children is the brain and central nervous system tumours, that account for a quarter of all childhood cancers. They commonly occur in lower parts of the brain like cerebellum or brain stem. Most common symptoms seen are dizziness, double vision, severe headache, vomiting, and, difficulty in walking or holding things.

  • Lymphomas 

They originate in lymph nodes and lymph tissues and can also affect bone marrow as well as other organs. The most common symptoms are swollen lymph nodes under neck and armpit, excessive weight loss, and fatigue. 2 types of lymphoma that can occur both in children and adults are:

  • Hodgkin Lymphoma- Hodgkin lymphoma(HL)

 This type of lymphoma in which cancer originates from a specific type of white blood cells called lymphocytes. Symptoms may include fever, night sweats, and weight loss. Often there will be non-painful enlarged lymph nodes in the neck, under the arm, or in the groin. Those affected may feel tired or be itchy. 

  • Non-Hodgkin Lymphoma-

Non-Hodgkin's lymphoma is cancer that originates in your lymphatic system, the disease-fighting network spread throughout your body. In non-Hodgkin's lymphoma, tumours develop from lymphocytes — a type of white blood cell.

  • Wilms tumour - 

This tumour accounts for 5% of childhood cancers and is frequently evident in children ageing 3-4 years. It usually starts in one or both kidneys, causing swelling or lump in the abdomen with symptoms like loss of appetite, nausea and fever.

  • Neuroblastoma 

This cancer develops in infants and young children. It accounts for about 6% of childhood cancers, neuroblastomas can begin anywhere but begins in the abdomen and may also cause severe bone pain and fever.

  • Bone Cancers -

 About 3% of childhood cancers are bone cancers that occur in older children and teenagers (though they can develop at any age). 

Your radiation therapy treatment plan will depend on your type of cancer, the location of your cancer, your medical history and the recommendations of your cancer care team.

We offer several types of specialized radiation therapy, such as:

·         External beam radiation therapy – Radiation is delivered from a machine outside the body and directed to the part of the body where cancer is present. This energy kills the tumors and malignant cells.

·         Internal radiation therapy – This therapy is also called brachytherapy or seed implantation. Radiation is delivered directly from within the body through radioactive materials which are placed, temporarily or permanently, as close to the affected area as possible. This form of therapy delivers a high dose of radiation over a shorter time period directly to the cancerous area.

·         Systemic radiation therapy - Radioactive iodine therapy uses iodine to send out radiation,      specifically to treat thyroid cancer.

 

Use of targeted therapies and monoclonal antibodies in various cancers.

We implant long term catheters (Ports) for safe and painless chemotherapy.

Precision Cancer Care at Sanjeevani CBCC USA Cancer Hospital

In recent years, cancer treatment and therapies have progressed significantly. Countless patients heal, while others lives have been extended far longer than possible with these advanced treatment options.

S.C.C.H provides comprehensive cancer management powered by a multi-disciplinary opinion of surgeons, radiation oncologists to give better care to patients, clinical excellence, world-class technology as well as international protocols. Sanjeevani stands at the vanguard of treatment excellence offering precision cancer care for all types of cancers for all age groups and genders.

We follow recommended protocols to maintain uniformity of treatment. Our nurses are well trained, proficient, committed to administering chemotherapy. They regularly undergo training for better care.

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