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Apollo Cancer Institutes,

Apollo Cancer Institutes, Hyderabad is a center of excellence in cancer care. The hospital provides comprehensive cancer care including prevention, treatment and rehabilitation.

Apollo Cancer Institute’s offers services including Radiation Oncology, Medical Oncology, Surgical Oncology, and Head & Neck Oncology along with Specialty Clinics for Breast Cancer, Musculoskeletal Cancers, Oral and Throat Cancers.

The Hospital is equipped with sate of the art technology and was the first hospital to have a PET CT Scanner in India and now the latest addition being Novalis Tx which is a new standard in radiation therapy and radio surgery

The tumor board, which is a unique feature of the Apollo Cancer Institutes, facilitates interaction of oncologists and all the support functions involved in the patient Care on a platform to discuss the best approach for treatment.

As early detection is the key to successful treatment, the hospital offers the Apollo Cancer Check, which includes gender-specific investigations covering all common cancers.


The TomoTherapy system is a pioneering radiation therapy platform that enables precise cancer treatment by tightly conforming the radiation dose delivered to the shape of the tumor. Combined with the option of innovative, TomoHelical TM and TomoDirect TM radiation delivery, the all-in- one system results in more control and greater accuracy in treating a wide variety of cancers.

TomoTherapy is a form of computed tomography (CT) guided intensity modulated radiation therapy (IMRT). Daily low-dose CT imaging helps physicians know that radiation will reach the tumor as planned, and that exposure to healthy tissue will be minimized along the way. And, these daily images can be used to monitor and maintain the prescribed treatment during each and every treatment session.


Novalis TX
Radio Surgery & Radiation Therapy No Knife. No Pain. No Compromises.
Choosing Novalis TX Radiosurgery means making no compromises on your treatment a painless, non-invasive outpatient procedure for cancerous and non-cancerous conditions of the entire body. Novalis TX

Radiosurgery uses a treatment beam contoured to the exact shape of your tumor, precisely delivering treatment while protecting surrounding healthy tissue. And a treatment session lasts just minutes, not hours. Novalis TX Radiosurgery giving new hope to patients with tumors once considered untreatable.


3DCRT Three Dimensional conformal Radiotherapy with multiple beams configurations helps in increasing therapeutic ratio by helping us preferentially treat tumor and protect normal tissues.
IMRT (Intensity Modulated Radiotherapy) is an advanced form of 3D CRT in which conformal radiation is delivered using multiple beams lets of varying radiation intensities leading to a very high degree of precision.


PET-CT Guided (Tumor guided) Radiation Therapy Planning

The PET-CT Scanner combines PET and diagnostic CT to produce a biograph image and measurements, which records in exquisite detail the life process at molecular level of tissues and internal organs from one non-invasive diagnostic procedure.

It has superior diagnostic accuracy and patient management and is used clinically to detect & stage cancer, plan treatment and monitor therapy. PET-CT Scanner images are transferred to 3-D Planning System.

PET-CT Guided Radiotherapy is planned based on Cellular & Molecular Diagnostic information given by PET-CT Scanner. Treatment is based at cellular & molecular level!read-more-button-red

High Dose Rate (HDR) Brachytherapy :

high_doseAs opposed to External Beam Radiation, in Brachytherapy, the source of radiation is placed within or adjacent to tumor tissue itself.

This process is useful for cervical, breast, esophageal, bronchial, bile duct cancers etc. The HDR Brachytherapy Unit has its own dedicated and computerized 3-D Treatment Planning System and the treatment is delivered in a few minutes.

Intensity Modulated Radiotherapy & Radiosurgery (IMRT)


It refers to the use of multiple spatially inhomogeneous energy beams which converge upon a treatment volume in order to create a conformal and spatially homogeneous dose. This is accomplished using so-called inverse planning where the physician defines a set of ideal dose constraints from the standpoint of minimal and maximal allowed doses to the target structure as well as organs at risk. Using this technique, high tumoricidal doses can be delivered to the tumours, with normal tissue sparing, thus increasing the cure rates and improving local control of the disease, which was not possible.

before with conventional 2D/3D conformal modalities. Thus it is considered a revolution in the field of Radiation treatment. It is ideally suited for irregular/concave shaped tumors and for tumors surrounding radiosensitive structures. The technique is delivered by the Linear Accelerator machines with Multi Leaf Collimators (MLC), which shape the radiation beam according to the tumour contour. The smaller the leaf width of the MLC, the better the tumour conformality and normal tissue sparing. The Novalis TX has the smallest leaf width of 2.5mm, to ensure the best possible conformality.

Image - Guided Radiotherapy (IGRT)


It is the integration of various radiological and functional imaging techniques in order to perform high-precision radiotherapy. The main aim is to reduce setup margins which could occur during daily positioning, and internal margins occurring due to the patient body's respiratory or bowel movements, and to account for target volume changes during radiation therapy, such as a tumor volume decrease or weight loss (Adaptive radiotherapy). This is not only an IMRT technique; it enables various radiotherapy techniques, including IMRT, to be delivered more accurately.Therefore, it will allow further dose escalation and/or conformal avoidance than IMRT alone, which will lead to improved treatment outcome.

In Novalis Tx, IGRT is Provided by

  • The ExacTrac (R) system that automatically aligns the target volume with the treatment beam based on infrared tracking of external body markers. It also uses automated registration of bony structures and implanted radiopaque markers using stereoscopic X-ray imaging.
  • The Exactrac 6D Couch enables fast and precise couch correction in all directions to account for any misalignment or rotation.
  • For the treatment of tumors that move with respiration, a respiratory gating system, which makes use of implanted markers, is being used.
  • Daily Cone Beam CT, to match the initial treatment planning CT is done to ensure the best precision.
  • On Board kV X-ray imaging.Stereotactic Radiotherapy (SRT)
    Stereotaxy refers to using a precise three-dimensional mapping technique to guide a procedure. Steriotactic Radiotherapy is delivered by several beams that are precisely focused on a three-dimensionally localized target. A special frame or a thermoplastic mask is used for CNS tumors, while a body frame may or may not be used for extracranial sites.
    • If given in one-five fractions in ablative doses ? stereotactic radiosurgery (SRS)
    • If given in more than five fraction ? SRT.
      Stereotactic Body Radiation Therapy (SBRT)
      Stereotactic Body Radiation Therapy (SBRT)

    SBRT is a novel cancer treatment strategy .Whereas conventional external beam radiotherapy is typically administered in daily doses, or fractions, in the range of 1.8 to 2.0 Gy to total doses of 60 to 70 Gy or so, with SBRT ultra-high doses per fraction are applied, generally in the range of 10 to 20 Gy per fraction, in an abbreviated, hypofractionated regimen of 5 or fewer fractions. Such high doses per treatment were unthinkable in the past because of limitations in treatment delivery technology that raised concerns about potential toxicity if large volumes of normal tissues were exposed to so much radiation in each treatment.

    These are now possible with the best anatomical imaging modalities like MRI, and also biological imaging modalities like PET-CT, MR spectroscopy. The technique is suitable for tumors in the Lung, Liver, Pancreas, Spine and Prostate.

    High Definition RapidArc

    HDRC is a volumetric intensity-modulated arc therapy, which can deliver the required dose distribution with one or a few arcs. For most treatments, this can be performed within few minutes. During the rotation, the dose rate, micro-MLC setting, and speed of the gantry change simultaneously. It can also be used for SRS/SRT. RapidArc combines high conformity with significantly shorter treatment times, which reduce the risk of patient or tumor movement, is more comfortable for the patient and allows a higher throughput of patients,

    enabling lesser waiting times for treatment. It consists of a single arc where MLC (max 5 mm/degree and 2.5 cm/s), dose rate (max 600 MU/min), and gantry speed (max 72 s/turn, i.e. ~5 degrees/s) are optimized simultaneously to achieve the desired degree of modulation. Our Novalis-Tx has got the latest RapidArc Technology with the HD (High Definition) micro-MLCs having leaf width of 2.5 mm enabling the best accuracy with the fastest treatment times.

Breast Cancer

Breast Cancer Prevention, Facts & Treatment

Women are a perfect blend of care, courage, concern, sympathy and love it is these fine qualities in a woman that make this place a better place to live for all of us Women play a critical role and taken upon themselves the responsibility of the well being of their home, their workplaces and the society. It is therefore our responsibility to take care of their well being. Apollo Hospitals is the place to announce the launch of Apollo Breast Clinic.

Breast diseases are today a leading cause of death in women. Breast cancer especially when diagnosed on time, is completely treatable and with today's technology not a single woman should die of breast cancer. Breast cancer is not just curable without any sequelae.

Apollo  Institutes, Hyderabad is glad to announce the launch of a comprehensive facility for breast cancer and other breast related diseases.

The objective of Breast Clinic is to provide an integrated service staffed by a dedicated multi-disciplinary team specializing in the assessment, diagnosis and treatment of all benign and malignant breast diseases.

It offers comprehensive diagnostic and treatment options for patients who experience breast changes or problems. A multi disciplinary group of care providers work together to meet the needs of each patient. Services include evaluation of breast abnormalities, breast cancer prevention, screening, diagnostic testing, patient education and comprehensive treatment options.

It offers comprehensive diagnostic and treatment options for patients who experience breast changes or problems. A multi disciplinary group of care providers work together to meet the needs of each patient. Services include evaluation of breast abnormalities, breast cancer prevention, screening, diagnostic testing, patient education and comprehensive treatment options.

Management of Breast Problems Includes:

  • Progressive options in screening and diagnostic services, including mammography, ultrasound and more.
  • Comprehensive care provided by a team of professionals from various speciality areas.
  • Innovative treatment strategies and supportive care to make treatment as effective and comfortable as possible.
  • Prevention and counselling for high risk patients.
  • Consultation and second opinions.
  • Up-to-date educational programs for health care professionals, patients and families.

Breast Imaging Procedures

Mammography: A low dose of x-ray examination of the breast using specialised equipment. It is provided for those women complaining of symptoms or for screening purposes, including those with a family history of breast cancer or taking hormone replacement.

Breast Ultrasound: A painless method of scanning the breast to help differentiate solid cyclic lesions. It is particularly appropriate in patients under 35 and to further investigate abnormalities discovered on mammography or clinical examination.

Cytology: An investigation where a fine needle is inserted and a sample taken from the breast under imaging control, if necessary, so that cells can be examined under ultrasound or x-ray guidance, suing computerised stereotactic control.

The doctor might be able to tell you what he or she expects your problem is in the clinic and will want o wait for the result of the tests before giving you your diagnosis.

Oncology & Radiotherapy:

Some patients may need further treatment following surgery for cancer. This is decided when all the results of the specimens taken at operation have been fully analysed. There are several types of treatments available all of which will be discussed with the patient. The treatment chosen will be most appropriate to prevent recurrence.

Information Available for patients regarding various breast problems, including investigations, aignostic procedures and treatments.

Please write down any questions that you think of at home so you can ask your doctor when you see him/her.

Facts About Breast Cancer:

Breast cancer is one of the cancers affecting a large number of women. The causes of Breast cancer are not fully known. Simply being a woman and growing older put you at risk.

However, there are certain known risk factors which are in your control.

Factors You Can Change:

  • Being overweight or gaining excessive weight as an adult
  • Not getting regular exercise
  • Not having been pregnant puts you at higher risk
  • Eating a diet high in fat
  • Breast feeding offers protection against malignancy
  • Smoking
  • Not drinking more than on alcoholic drink per day

Having several risk factors to breast cancer only means that your chances of getting the disease are higher than women who have fewer risk factors

Warning Signs Of Breast Cancer:

  • Finding a lump or change in your breast doesn't necessarily mean you have breast cancer. Breast cancer can be prevented by identifying changes in the breast at an early stage, If you find any of the following symptoms in your breast, you should see an oncologist
  • Hard Lumps, thickening in any part of the breast
  • Unusual swelling, redness or increased warmth of your breast
  • Lump in same side arm pit
  • Change in the size or shape of your breast
  • Dimpling or puckering of the skin your breast
  • Itchy, sore or scaling area on the nipple
  • Pulling in of your nipple or other parts of your breast
  • Nipple discharge

Detection & Prevention Of Breast Cancer:

The following can aid you in identifying breast cancer at an early stage

  • Monthly breast self examination starting at an age of 20
  • Clinical breast examination by a trained medical professional every 3 years staring at an age of 20 an d annually after 40
  • Annual mammography screening starting at an age of 40
  • Women under 40 with either a family history of breast cancer or other concerns about personal risk should consult with a trained medical professional about risk assessment and when to begin mammography

Self Examination:

How to conduct a routine self examination for Breast Cancer

  • Examine your breasts in a mirror. Has there been any change in size? Has one nipple become turned in? Any sign of discharge? Is there any puckering, dimpling or change in skin texture?
  • Raise hands above your head and examine breasts leading to armpit. Any swelling or skin puckering? Lower and raise your arms while watching your nipples. Do they move the same distance?
  • Lying down, start with left breast using right hand. Use the flat of your hands to feel for any lumps, thick or bumpy area. Press firmly and feel the entire breast and lastly arm pit also.
  • Repeat the whole examination on right breast. If you detect anything, consult

Breast Surgery:

Apollo Hospitals, Hyderabad established an outstanding reputation for its healthcare service and is a benchmark for service quality. If you have been a patient before, you already know something about hospitals.

If not it may be very strange at first. It's not easy being a patient, but knowing the following things ahead of time can help you.

This is that general information about breast cancer and your daily plan of care if your are in the hospital for Breast Surgery. Please realize that everything may not pertain to you, and care will be individualized for your specific needs.

The average length of stay for breast surgery is approximately 1-2 days.

Please give us a chance to help you out in case you have any queries. Please feel free to contact your doctor or your nurse.

During Your Hospital Stay:

Goal: You will understand the importance of increasing activity.

Diet and Medication

  • You will resume your usual diet.
  • Drink plenty of fluids
  • Continue to use the pain scale to describe your pain (0=no pain; 10=worst pain)
  • You may be able to resume your usual home medications.
  • They must first be reviewed by your doctor/nurse.

Tip: Ask for pain medicine before pain gets too severe and before any activity

Tip: To help the incision heal, include protein from meat, chicken, fish, eggs or beans and low fat dairy products such as milk, yogurt, & cheese. Fruits and vegetables are a great source of vitamin C to promote healing

Social Services

  • A social work evaluation will be available to you

Rehabilitation & Physical activity:

  • You may be assisted out of bed to go to the bathroom.
  • You will get out of bed to walk in the halls at least 4-6 times a day.
  • Continue to do leg exercises while in bed.
  • Continue to use your incentive spirometer every 1-2 hours.
  • If you have a drain, raise tour arm no more than shoulder height.

Tip: remember not to lift your arm higher than the level of your shoulder. This will help promote wound healing.

Day of Surgery:

Goal: You will understand your surgery and diagnosis.

  • If you have a breast cancer diagnosis upon admission, a social worker can be made available to you.
  • It is very important to take deep breaths and to cough.
  • It is important to do leg exercises while in bed to prevent blood clots.
  • You will be assisted in getting out of bed.
  • Bend and straighten your elbow.
  • Open and close your hand.
  • Oxygen may be provided
  • Your vital signs will be taken.
  • No blood pressures will be taken on the arm where lymph nodes have been removed.
  • Your nurse will routinely evaluate you, including your pain level.
  • Your nurse will assist you with breathing exercises.
  • If you had lymph node removal, the nurse will care for your drains. We fluids and injections will not be given on the operated side.

Day of Discharge:

Goal: To understand how to care for yourself at home

Diet & Medication:

  • You may eat your usual diet.
  • Be sure to drink plenty of fluids.
  • Review discharge diet ask any questions you have regarding your diet.
  • Ask your nurse about the pain medication that you will receive when you are home.
  • Review all medications and side effects with y our nurse before leaving the hospital.

Rehabilitation & Physical Activity:

  • Ask questions about activities to avoid
  • Once your drain is removed, shoulder movements can progress as prescribed
  • Avoid anything heavy until okay with your doctor
  • If lymph nodes are removed, do not lift heavy weights with that arm and do not perform strenuous exercises.

Patient Education:

  • Your surgery (pathology) report may be available.
  • Ask your doctor to review it with you and be sure you are comfortable with understanding the answers.
  • If you are a smoker, smoking may slow your healing process.
  • You will be offered smoking cessation information to help you quit

Don't Forget:

  • Eat a nutritious, well- balanced diet.
  • Take your medications as you were instructed.
  • Call your doctor for any fever, increase in bleeding or ion pain.
  • Follow activity instructions.
  • Fresh fruits and vegetables are a great source of vitamin C and help promote healing.

Oral Throat Cancer

(Mouth Cancers, Cancer of the Mouth)

The Facts on Oral Cancers

Oral cancers are cancers of the mouth. They can occur in the lining of the mouth or in the deeper tissues such as the bone, muscle, and nerves.

Oral cancer is cancer of the mouth. It can occur in the lining of the mouth or in the deeper tissues such as the bone, muscle, and nerves. Cancer of the skin of the mouth lining is called a carcinoma and makes up 90% of all oral cancer, whereas a sarcoma is a cancer of the deeper tissues. Cancer of the mouth is most common in people over 50 years of age, but it can occur in people younger than this.

Bone Marrow Transplantation

Bone marrow is a soft, sponge-like material found inside the bones. It contains immature cells known as hematopoietic stem cells which divide to form more blood forming stem cells. Bone Marrow transplantation is a process that restore stem cells that have been destroyed by high doses of chemotherapy and /or radiotherapy. It is used for management of benign conditions like aplastic anemia, sickle cell disease etc and malignant diseases like lymphoma, leukemia, myeloma and neuroblastoma. Our hospital started the BMT Unit in July 2011 and we have the facility to treat six patients simultaneously in our dedicated BMT unit.

Day Care Center

The Medical Oncology Department is augmented by our “ Day Care ” with exclusive specialized staff, trained in in oncological emergencies and anti-cancer drug administration.

Bone Soft Issue Tumour

Deals with

  • Bone and Soft tissue Cancers
  • Non Cancerous Tumors of Bone and Soft tissue.

Specialization in Organ Conservation

  • Limb Salvage Surgery with Prosthesis.
  • Compartment resections.


  • Surgical Oncologist
  • Radiation Oncologist
  • Medical Oncologist
  • Bone Tumor Protocol
  • Evaluation / Biopsy / MRI / PET-CT Scan
  • Neoadjuvant Chemotherapy
  • Limb Salvage Surgery
  • Adj. Chemotherapy if required.

Results Bone Tumors

  • 60 cases successfully completed (till date).

Soft tissue Sarcomas Protocol

Evaluation - MRI

  • Surgical Resection
  • Post op Radiation

First Limb Salvage Surgery in 2004.

Radiation Oncology :

The Radiation Oncology Department has sophisticated Novalis Tx (Varian) and Siemens Linear Accelerator with multi-energy photons and electron beam facility enabling us to treat all types of tumors. These machines are capable of arc therapy, total skin electron therapy and total body irradiation. The accuracy of this specialized treatment is checked with the EPID (Electronic Portal Imaging Device).

These ultra modern technology can deliver high precision external Beam Radiotherapy like High Definition RapidArc, IGRT (Image Guided Radiotherapy), 3D-CRT, IMRT (Intensity Modulated Radiotherapy), 3-D CRT (3-Dimensional Conformal Radiotherapy), PET-CT Guided Radiotherapy, Syngo Fusion Technology, 3-Dimesional Treatment Planning System, Simulator, high precision external beam Radiotherapy. The CT scan, MRI & PET-CT Scan has networking with Radiotherapy Planning & Treatment which makes the entire treatment procedure highly precise.

Medical Oncology Facilities :

The Medical Oncology Department is augmented by a 'Day Care Centre' with exclusive specialized staff, trained in oncological emergencies and anti-cancer drug administration

Surgical Oncology :

The Surgical Oncology Department has specialists well versed with intricacies of oncological practice, as well as in tune with organ preservation protocols including limb salvage surgery for Osteosarcomas & soft tissue sarcomas.

Head & Neck Oncology :

We have a dedicated Head & Neck department exclusively for screening & treatment of head & neck malignancies. Experienced Head & Neck Surgical Oncologists do complex surgeries including skull base procedures, reconstructions, free flaps, function preservation surgeries etc.

Breast Clinic :

Breast related problems and malignancies are handled by an expert team of Surgical, Medical and Radiation Oncologists and re-constructive surgery specialists to provide not only excellent cure, but also aesthetic breast reconstruction. It is a one stop clinic for all breast related problems.

Bone Sarcoma Clinic :

All Bone Sarcoma patients are discussed in all expert tumor board meetings and the best possible treatments like Limb Salvage Surgeries and Neo-adjuvant Chemotherapy are offered for excellent functional outcomes and negligible chances for amputation.

Apollo Cancer Check :

The incidence of cancer is multiplying globally. Chance of cure is high if detected early & treatment initiated. We offer a subsidized package to detect malignancies early so as to nip them in the bud. The investigations are relevant to gender and the common cancers in India. These packages are for a nominal Rs. 2550/- for women and men. They include CBP with ESR, Urine Routine, X-Ray Chest-PA view, Ultrasound Abdomen, Stool for Occult Blood, Oral Examination, Hbs Ag, Discussion (risk factors), and free consultation with Oncologist with the Pap smear & Mammogram for women.

Supportive Services and Rehabilitation:

The hospital is supported by a support group consisting of Medical Counselors, Physiotherapist, Speech Therapist, Dietician and others, providing comprehensive care to patients.

Radiation Oncology            
Dr.P.Vijay Anand Reddy View Doctor's Profile
Dr.Kausik Bhattachrya View Doctor's Profile
Dr.Y. Nalini View Doctor's Profile
Dr.Prashant Upadhyay View Doctor's Profile


Surgical Oncology               
Dr.Chandrasekhar RaoView Doctor's Profile
Dr.T.P.S BhandariView Doctor's Profile
Dr.Chinna BabuView Doctor's Profile
Dr Hemanth VudayarajuView Doctor's Profile


Head & Neck Oncology 
Dr.Umanath NayakView Doctor's Profile
Dr. Arsheed Hussain HakeemView Doctor's Profile
 Dr. Rahul.B View Doctor's Profile


Medical Oncology            
Dr.S.V.S.S. PrasadView Doctor's Profile
Dr.Srinivas ChakravarthyView Doctor's Profile
Dr.Vamsi KrishnaView Doctor's Profile


Doctor's Name 
 Dr. Padmaja Lokireddy View Doctor's Profile
Tumor Pathology  
Dr.Swarnalatha.GView Doctor's Profile
Dr.Michelle De PaduaView Doctor's Profile
Dr.Meenakshi Swain 
Dr.Tejal Mody 


Tumor & Radiology           
Dr.Balaji PatelView Doctor's Profile
Dr.K.Jitender ReddyView Doctor's Profile
Dr.Sreekanth P. DakarajuView Doctor's Profile
Dr.Sharada JoshiView Doctor's Profile
Dr.Shalini ReddyView Doctor's Profile
Dr.Surjeet SinghView Doctor's Profile
Dr.VenkateshwarluView Doctor's Profile


PET-CT- & Nucler Medicine 
Dr. Jyotsna RaoView Doctor's Profile

Apollo Tumor Board is a group of eminent Radiation, Medical and Surgical Oncologists, diagnosticians and other specialists. Together they concur on an accurate diagnosis and evolve the best unbiased scientific option for every patient even for the most baffling cases.

Every patient gets only the very best and personal treatment plan from Tumor Board. Individual bias is ruled out by this team effort.

Chairman Tumor BoardDr. S.S. Reddy
Radiation OncologyDr. Vijay Anand P. Reddy, Dr. Kaushik Bhattachrya, Dr.Prashant Upadhyay,Dr. NaliniY
Medical OncologyDr. S.V.S.S. Prasad, Dr. Srinivas Chakravarthy,Dr.Vamsi Krishna
Surgical OncologyDr. C.S. Rao, Dr. T.P.S. Bhandari, Dr.Chinna Babu, Dr Hemanth Vudayaraju
Head & Neck OncologyDr. Umanath K. Nayak, Dr.Arsheed Hakeem,Dr.Rahul.B
Haemato oncologistDr.Padmaja Lokireddy
Head & Neck OncologyDr. Umanath K. Nayak, Dr.Arsheed Hakeem,Dr.Rahul.B
Tumor PathologyDr. G. Swarnalatha, Dr. Meenakshi Swain, Dr. Michelle D. Padua, Dr. Tejal Mody
Tumor RadiologyDr. K. Jitender Reddy, Dr. Sreekanth P. Dakaraju, Dr. Sharada Joshi, Dr. Shalini Reddy, Dr. Surjeet Singh, Dr. Venkateshwarlu, Dr. Balaji Patel
PET-CT SpecialistsDr. Jyotsna Rao
CURE FoundationPhysiotherapists, Dieticians, Social workers