Medicare clinic offers comprehensive cancer treatment guiding patients with both Medical oncology and Radiation oncology apart from Surgical Oncology.
Surgeries of Cancers are offered by Open , Laparoscopic ( Key hole) and Robotic routes. Surgeries include removal of cancers and reconstruction as per requirement.
Patients are offered direct surgeries or Hybrid procedures which includes offering chemotherapy and radiation followed by surgery as is required for the patient. Patients are offered novel surgical procedures including HIPEC and PIPAC for advanced cancers. Chemoports are placed as an alternative route for administration of Chemotherapy.
Apart from treatment, patients are advised to be in touch with treating teams for follow up to plan further management as required.
Head and neck cancers comprise one fourth of all cancers and is one of the leading cancers in India. Smoking and tobacco consumption are associated with majority of them. At the time of presentation majority of cancers have spread to lymph nodes. Surgery forms a major component of treatment. Early approach minimises the complexity of surgery and produces good results. Hence it is important to seek medical help at the earliest. Management includes identification and treatment of pre cancerous lesions along with life style modification. Treatment is currently multi modality to obtain best results. Even advanced tumours are offered surgery followed by reconstruction to get best cosmetic and functional outcome
Thyroid Cancers – Unlike other cancers, thyroid cancers may present as thyroid swellings or enlarged lymph nodes or with voice change or breathing difficulty . These cancers can present at any age. Some types have a good outcome after appropriate treatment while some present at an advanced stage. Surgical management is the initial step of treatment nevertheless it is followed by iodine therapy and regular follow up. Thyroid cancers need close follow up to prevent recurrence.
Breast cancers are the leading cause of cancers in women globally and in India. They are often ignored until painful or till it spreads. However with the increasing awareness a good proportion of women undergo regular mammograms aiding in early detection of cancers. Removal of diseased breast along with lymph nodes is offered as treatment, but with early diseases being detected, the question of whether entire breast needs to be removed has been answered. Breast conserving surgeries are being offered for very early and small lesions. Advancements in lymph node disease management has also been seen. In early disease without obvious lymph node involvement a sentinel lymph node study can be done to avoid unnecessary surgical complications.
Esophageal cancers are often mistaken for other diseases of esophagus or symptoms are ignored and often present at advanced stage. Management of esophageal cancers now follow multimodality approach. The surgical complications have decreased drastically with a multimodality approach. Surgery is offered by open technique or minimally invasive route. Key hole approach reduces surgical recovery time with minimal complications.
Stomach cancer incidence has increased over the last few decades. Incidence has increased in the western population as well and their disease characteristics are different than the Asian population. Stomach cancer management has changed over the last few decades. Improvements have been seen in the operative techniques, improved surgical recovery and outcomes of treatment
Hepatobiliary cancers have always been diagnosed late and in advanced stage . Dilema exists in diagnosis of cancer in contrast to several non malignant diseases which have similar presentations. Early liver cancers, gall bladder and pancreatic cancers still have a surgical role and with newer equipments and techniques have good surgical outcomes with lesser complications
colonic and rectal cancers management have had a tremendous change in the last 2 decades. On the surgical front key hole and robotic surgeries have taken the leap and addition of chemotherapy and radiation to rectal cancers have improved surgical outcomes and disease survival. Another area of advancement is offering chemotherapy to colorectal cancers that have an advanced presentation with liver spread. These patients are offered combination of therapies that have made surgeries possible with reasonable outcome even in advanced disease.
Most patients with kidney cancer present with large masses and blood clots. management of kidney cancers is primary surgical has taken a key hole surgical route, surgeries are now aimed at preserving the kidney with removal of tumours alone. urinary bladder cancers follow multimodality treatment approach. surgery is followed by chemotherapy or vice versa depending on the extent of the disease. even in advanced diseases , urinary bladder is removed and reconstructed. and testicular cancer has also taken a multimodality approach with chemotherapy being used to prevent spread and surgery used to remove residual disease. penile cancer is primarily a surgical disease. the diseased organ is removed and reconstructed if required .
Ovarian cancers have faced a generation of change with application of chemotherapy along with surgery. To reduce surgical failures, chemotherapy is administered prior to surgery to make the tumours operable. Even stage 4 cancers can be treated with a fairly reasonable outcome with multimodality approach. Uterine cancers management has taken a key hole surgical route with good outcome. Cervical and vaginal cancers management has become more non surgical and surgical treatments are reserved for very early disease or disease relapse.
Skin, Soft Tissue And Bone Cancers management has undergone a major advancement in the last few decades. skin and soft tissue cancers are excised and advancements in plastic surgical speciality has made complex surgeries and reconstructions possible. in bone cancers, amputations are reserved in extreme cases. chemotherapy is offered to convert large tumours treatable and limb is preserved by prosthetic implants thereby preserving the quality of life.
