More than 40 cases have been performed so far, with excellent results.

The Department of Surgical Oncology is headed by Dr. Ajit Pai, who trained in surgical oncology at the Tata Memorial Hospital, Mumbai for 6 years. He obtained further specialized training in surgery for liver, biliary and pancreatic cancers at Tokyo, Nagoya and Kyoto Universities, and in keyhole surgery for esophageal cancer at Osaka university school of medicine, Japan. He also completed a fellowship in pancreatic cancer surgery at the University of Heidelberg, Germany. His special interests are in keyhole surgery for esophageal cancer and surgery for liver, pancreatic and gastrointestinal cancers.

The Department Surgical Oncology is aided by an American qualified pathologist and haematopathologist.

 

 in 20 minutes and guides the extent of surgery. Endoscopy, colonoscopy, fibre-optic bronchoscopy are used to identify exact location and extent of disease and during follow-up. The availability of facilities for Bronchoscopy and a Pulmonologist help the Oncology Department to manage lung cancer well.
 

Advanced gadgets like electro-surgical devices, Argon Plasma Coagulator and a wide array of surgical staplers are routinely used here.

High quality MRI Mammography is available for Breast Cancer Management and prevention. The hospital also has a Cytology Department to aid detection of Cervical Cancer

We are planning to start the latest Radiation Oncology Department inside the hospital premises so that all the modalities of a cancer patient’s management will be under one roof. This will be unique in the city of Chennai.

 

Cancer - Is it curable?
Cancer is curable if detected early. Early detection of cancer is possible by screening, and this has led to improved survival in cancers of the breast and cervix. If a person has regular medical check up, and reports immediately to the doctor if he has any of the warning signs (unexplained weight loss, loss of appetite, lump in the breast or bleeding from the nipple, recent change of bowel habits, vaginal bleeding after menopause, change in shape/size or bleeding from a mole, chronic cough), then cancer may be detected at an earlier stage and cure is possible in most cases.

Cancer detection programmes - Screening for cancer
Screening is detection of cancer at a very early stage, by testing normal persons with simple, painless tests. The aim of screening is to decrease the death rate from a particular cancer. Screening programmes exist for breast, colorectal (large intestine), cervix, lung and prostate cancer.

Examples of screening tests are:

MIOT has a Master Health Check up scheme, in which ladies are screened for breast cancer with digital mammography and MR mammography. The Gynaecology department routinely screens all comers for cervix cancer. Many of the early cancer cases treated by the Oncology department are referred from the Master Health check up department.

MIOT Hospitals - Ideally suited for care of cancer patients
Apart from the highly trained Oncologist and state-of-the-art facilities, MIOT has a large verdant campus, with gardens and fountains. Patients are given individual attention, and can recuperate well in the quiet, beautiful surroundings. Patients are extensively counselled before and after surgery, so that they have no doubts or fears. Adequate time for patient-doctor interaction and follow up visits are provided.

 

Cancer treatment at MIOT Hospitals - Cases studies
 

Case Study 1
- Cancer Type: Liver cancer
- Diagnosis:
 

 

- Treatment: TACE

He underwent a procedure called Trans arterial chemo embolisation or TACE, wherein the blood supply to the tumour is blocked through a pinhole puncture in a thigh blood vessel, along with injection of chemotherapy directly into the tumour.
 

 

- Surgery:
Three weeks after TACE, the patient underwent a successful operation to remove the tumour bearing portion of the liver. He is doing well, six months after surgery.

 

(The surgery photos are very disturbing, kindly view at your own risk.)

Case Study 2
- Cancer Type: Parotid Tumour
- Diagnosis and treatment:
Young lady from abroad, presented with a large tumour over the right side of the face and jaw, arising from the parotid gland. She underwent a very major surgery to remove the parotid gland, the skin of the cheek, part of the jaw bone, and then plastic surgery using tissues from her back to fill the defect so created.

 

(The surgery photos are very disturbing, kindly view at your own risk.)

 

Case Study 3
- Cancer Type: Thyroid cancer
- Diagnosis and treatment:

 

(The surgery photos are very disturbing, kindly view at your own risk.)

Case Study 4
- Tumour Type: Esophageal cyst
- Diagnosis and treatment:

 

(The surgery photos are very disturbing, kindly view at your own risk.)

Department of Medical Oncology

 

The Department of Medical Oncology is headed by Dr.Bellarmine who is an Emeritus Member of American Society of Clinical Oncology. Dr.Bellarmine has 30 years of experience as Medical Oncologist and 9 yrs of professional experience as Professor in various prestigious centres in Tamil Nadu, including SRMC. He holds Medical Oncology fellowship from Hershey Medical Centre, Pennsylvania State University, USA and Internal Medicine Residency from West Virginia University, USA.

Here treatment for cancer is provided using Medicine – a) Injection and b) Tablets. The treatment is given once in 3 weeks and approximately for 6 months, depending upon the nature of cancer and patients health condition. All chemotherapy drugs are administered here. Side effects: Nausea and Vomiting for 1 or 2 days. The pioneering Department of Interventional Radiology is practised in the technique of infusing chemotherapy drugs through the artery. Monoclonal Antibodies and Thyrosine Kinase Inhibitors are available for the target therapy of cancers.

Monoclonal antibody therapy: It is the use of monoclonal antibodies (or mAb) to specifically target cells. The main objective is stimulating the patient's immune system to attack the malignant tumour cells and the prevention of tumour growth by blocking specific cell receptors.

We also provide a) pain management, b) colony stimulating factors for improvement of WBC, haemoglobin and platelets. Blood bank is available to assist transfusion.

 

FAQ
 

1. What is cancer

2. Causes of cancer

3. Symptoms of cancer

4. Organs affected by cancer

5. Spread of cancer

6. Treatment of cancer

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1. What is cancer?
Cancer is the name given to a group of diseases, which have one feature in common: “uncontrolled growth of cells”, which is of no use to the body. Normally cell growth is balanced by death of equal numbers of cells - a process called apoptosis or programmed cell death. When this process is disrupted, a mass of cells is produced - commonly known as a ‘tumour’.

Tumour:
Tumours may be benign or malignant:

 

Cancers are of different types, depending on the tissue from which they arise: Broadly, 4 types are recognized;

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2. Causes of cancer
The cause of cancer is multifactorial - multiple agents may act to produce cancer in a particular person. The risk of developing cancer increases with age - 80% of all cancers occur in those aged above 55 years. The final common pathway is damage to the genetic component of the cell (DNA), which leads to uncontrolled cell growth.

The common causative factors may be:

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3. Symptoms of cancer
Cancer being a disease which affects any organ in the body, the symptoms are varied, and there is no particular symptom which can accurately predict the presence of cancer. The exact symptoms depend on the location of the cancer, which part of the organ is affected, how fast the cancer is growing and whether it has spread to other parts. Cancer occurring in outer parts of the body, such as skin, breast, limbs, testicles or nose and mouth, may present with a visible swelling or ulcer, and may be diagnosed earlier.

There are certain warning signs of cancer, which should be further investigated:

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4. Organs affected by cancer

Cancer can affect every organ and cell type in the body, though some organs such as the eye and heart are rarely affected. Some of the common cancers are:

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5. Spread of cancer
The hall mark of cancer and what makes it a deadly disease, is its ability to destroy surrounding organs and spread [metastasize] to far away organs. Cancer which has spread to a far away organ is called stage IV cancer, and is generally not curable. It is treated with medicines, called chemotherapy. The common organs to which spread occurs are those with rich blood flow, like lung, liver and bone. Each cancer has a preference for certain organs; eg. Stomach cancer spreads to the liver, bone cancer to the lungs.

Once cancer spreads, it causes the patient’s condition to rapidly worsen - weakness sets in, appetite goes down and respiratory or liver failure sets in. Survival after metastases are found is usually less than a year.

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6. Treatment of cancer
The aim of cancer treatment is to relieve symptoms, cure the patient and prolong or save life. All these aims may not be met in every case. When cancer is detected early, treatment is very effective and patients are usually cured.

In patients who present with advanced disease, complete cure may not be possible, and treatment aims to control the disease, improve quality of life and to keep the patient normal and comfortable as long as possible. The treatment of each patient is designed to suit an individual and depends on the age of the patient, general condition, type of cancer and stage of disease. There may be only one treatment or combination of treatments.
 

There are five main modalities of treatment for cancer:

Surgery
Surgery is the most important part of the cancer treatment. Surgery removes cancer cells from the body by cutting away the tumour and any tissues surrounding it which may contain cancer cells, including the lymphnodes. It is a simple, safe and effective method when cancer is small and confined to the site of origin. It is best suited for certain cancers like breast cancer, head and neck cancers, early cancers of the cervix and lung, many skin cancers, soft tissue cancers and gastrointestinal, liver and pancreatic cancers. Surgery may also be used in advanced cases to relieve symptoms such as bleeding and blockage of the food pipe, intestine or urinary passage.

Radiotherapy
Radiotherapy is a form of treatment which uses radiation, a special kind of energy carried by waves or a stream of particles originating from radioactive substances and delivered by special machines. These radioactive x-rays or gamma rays can penetrate the cell wall and damage the nucleus of the cell which prevents growth and division of cells. This also affects the normal cells but these cells recover more fully than cancer cells. Radiotherapy is required in 50% to 70% of patients, usually before surgery to shrink large tumours, or after surgery to destroy cells left behind after surgery at the site of tumour origin. Radiation is also used in patients with metastases, to relieve pain, bleeding or pressure symptoms; eg to relieve paralysis caused by a tumour pressing on the spinal cord.

Modern radiotherapy is very safe, and is technology driven. Recent advances include Intensity Modulated Radiation Therapy [IMRT] which is the delivery of radiation with high precision, so as to spare normal tissues, and reduce side effects. Improvements in radiotherapy equipment, technique and applications, have led to an increasing role both in local treatment and also in its use as a whole-body treatment, as part of bone marrow transplantation techniques for leukaemia’s and lymphomas.

Chemotherapy
Chemotherapy uses drugs which interfere with the growth and division of malignant cells. Once the drugs are administered, they circulate throughout the body. It is advantageous over surgery & radiation for treating cancer that is systemic (spread throughout the body). Chemotherapy is the main modality for cancers like leukemia (blood cancer), lymphomas, certain lung cancers and paediatric cancers. Chemotherapy may be used before surgery to shrink large tumours, and make surgery easier, in breast, esophageal, rectal and bone cancers. Chemotherapy is also used after surgery to treat cells shed in the blood, so as to prevent reappearance of tumours.

The side-effects of the chemotherapy include nausea, vomiting, hair loss, diarrhoea, weakness etc. which are temporary and completely reversible. Modern chemotherapy is very safe and well tolerated and is often given on an outpatient basis.

Hormonetherapy
Hormonetherapy has limited use in cancer treatment since only minority of tumours are hormone sensitive e.g. breast and prostate cancer. This therapy provides systemic means of treatment, i.e. to the whole body, but without the side effects of chemotherapy.

Immunotherapy
Immunotherapy is a form of treatment which stimulates the body’s immune system to destroy cancer cells. It is expensive, and useful only in a few tumours such as melanomas (type of skin cancer) and renal cancers.