apollo-cancer-hosptials

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.

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.

 
Medical Oncology

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

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.

Personel

  • 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.

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.

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.
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.

(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.

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.

Haemato Oncology

The department of Haemato oncology looks after all the disease of blood and Lymphatics.  We cover Benign Haematology, Malignanat Haematology, Bleeding and thrombosis problems along with Bone marrow Transplantation.

We work alongside Medical, Radiation and surgical oncologists and share the infrastructure whose primary focus is solid tumors like Breast, colon, Lung etc.

We provide world class care mainly following UK based treatment approach and you will be provided with clinical letter addressing the issues discussed regarding Management plan.

Our Oncology department has six bedded dedicated Transplant unit on level 5 with spacious rooms which are microbiologically tested regularly and all are HEPA filtered.  We have dedicated Leukemia ward and Neutropenic ward, general ward and Chemotherapy day case area with good nurse patient ratio.

We have well established multidisciplinary Transplant team with trained nurses providing one to one care, on site aphaeresis machine, stem cell storage facility, Transplant Immunology lab with excellent support of transfusion lab along with world class qualified Transplant Consultants.

Our specialist have knowledge in laboratory medicine as well, along with clinical care provides a unique opportunity to combine clinical skills with cutting edge science in making diagnosis and choosing appropriate treatment plan and monitor progress in world class standards.

We frequently contribute to diagnosis and management in other specialties and in intensive care setting as blood disorders can present in various forms and at times diagnosis can be very difficult.

Treatment of blood cancers depends on particular type and can vary considerably from patient to patient.

We would risk stratify the cancer at the time of diagnosis to understand how the disease will behave on the long term which can influence treatment plan.

The treatment majority of the times are chemotherapy, rarely combined with Radiotherapy. There is limited role for surgery in Haematological Malignancies.

Many of our patients are surprised to hear in some cases treatment may not need to be started immediately. This is referred to as “watchful waiting “who needs periodic follow up and need for treatment can be in years.

 

Urological Oncology (Cancer)

cancer

What is Urological Oncology?

Urological oncology is a sub-speciality of oncology that deals with cancer related to Urological organs. The different organs that come under this sub-speciality include:

• Kidney
• Prostate
• Bladder
• Adrenal gland
• Testis
• Penis

What is Cancer?

Cells are the basic building blocks of human tissue and organs. Cancer is a disease that results from abnormal uncontrolled growth and division of cells. Under normal circumstances, cells reproduce in an orderly fashion to replace old cells, maintain tissue health and repair injuries. However, when growth control is lost and cells divide too much and too fast, a cellular mass -or "tumour"- or cancer is formed.

Can we cure cancer?

Majority of the cancers can be cured if they are caught in early stages. This is especially true with respect to testicular and prostate cancers, which can be cured in almost 99% of the patients if caught early. However, the treatment needs to be a delivered through a multi-disciplinary team comprising of specialists from medical and radiation oncologists along with specialist cancer surgeons. There is is very good evidence to indicate that cancer outcomes are better from larger cancer treatment centres compared to individual small practices.

What are the symptoms of Urological cancer?

Haematuria: Presence of blood in the urine is one of the cardinal symptom of urological cancers. This could be blood that is visible to the naked eye or blood in the urine picked up on urine testing.

Urinary symptoms: Presence of urinary symptoms indicated a problem of either the bladder or the prostate gland. The symptoms include going to the toilet to pass urine frequently, needing to strain to pass urine, need to rush to the toilet to pass urine or urinary leakage.

Pain: Pain in the loin area (on either side of the backbone between the ribcage and hip bone) can be indicative of problem with the kidneys. Pain in the lower part of the abdomen, below the umbilicus which radiates to the penis or the testicles is an indication of problem with the prostate or bladder.

Feeling of a lump: Any lump (mass/growth) that is easily felt anywhere in the body needs a specialist doctors review and further investigations. Cancers related to urological organs can cause a palpable mass either in the loin area, lower abdomen or in the testicles. Any lump in the testicle needs urgent specialist review.

Non-healing ulcer on penis: All ulcers on the penis need review and further investigation by a specialist to rule out a cancer.

Urgent/Emergency symptoms: Patients who have sudden onset of back pain, which is not controlled with normal painkillers with/without weakness or unsteadiness in the legs, loss of control over either motions or urine should seek urgent clinical advice. These symptoms can be caused by compression of spinal cord by cancer spread to the spinal canal and these patients need emergency treatment.

What are the advantages of Precision oncology at Apollo:

The principle objective of the urological oncology team is to deliver a high quality precision oncology in a compassionate manner. The team comprises of diagnostic doctors (Radiology and histopathology), medical and radiation oncologists and organ specific cancer surgeons working in collaboration as a team and delivering state of art treatment as a standard of care. The holistic needs of the patient are taken into account before the tumour board discussion to device patient specific treatment plans.

The advanced technologies that are available at Apollo Cancer Institutes, Jubilee hills, Hyderabad that help the team deliver high quality precision cancer care include

• PSMA PET CT: For precision in Prostate cancer staging
• PET CT: For precision in urological cancer staging
• Tomotherapy: For precision in delivery of radiotherapy
• da Vinci Si Robot: For precision in cancer surgery
• Liquid Biopsy: For precision in diagnosis

In spite of all the technical advances, it is always the man/women behind the machine or the doctor who is operating the machine or robot who determines the outcome for the patient. At Apollo cancer institutes, we have highly qualified senior personnel involved at every step of decision-making, planning and delivery of treatment to ensure high quality of care is ensured as a standard.