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Department of Surgical Oncology
The Department of Surgical Oncology at MIOT hospitals
was started in September 2008, and currently has 2
consultants. Major cancer operations are regularly
performed, including
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Head and Neck cancer |
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Breast cancer |
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Thoracic cancer
operations |
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Liver,
Pancreatic and Gastro Intestinal cancer |
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Gynaecologic and
Colorectal cancer |
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Bone and Soft
tissue cancer |
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More than 400 cases have been performed so far, with
excellent results. The approach at most centers is to
remove the entire organ, which can be disfiguring and
traumatic to patients. Our aim at MICC is to preserve
the organ as far as possible, so that you retain the
joys of life.
We adopt a more conservative approach using
pre-operative treatments like chemotherapy, radiation,
interventional radiology etc., wherever possible. These
treatments shrink the tumour to a size that allows our
skilled and experienced onco surgeons to perform keyhole
surgery that is minimally invasive. This not only helps
save the organ but hardly leaves any scars.
Our surgical team also includes plastic surgeons and
surgeons from other specialties who help reconstruct
organs and limbs, as our aim is to give you back a
normal life as far as possible. Infact at MICC over 70%
of women with breast cancer are offered breast
conservation.
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.
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Dual Head Nuclear Scan |
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Facilities
MIOT Hospitals is equipped with state-of-the-art
diagnostic support services like MRI and 64-slice CT
scanner with 3-Dimensional reconstruction abilities. It
gives exact information about cancer spread to various
adjacent organs and blood vessels. Interventional
radiology helps to block tumour blood supply and to give
chemotherapy inside the tumour. The Dual head GAMMA
camera in nuclear medicine detects even minute spread
like bone metastasis. Bone Tumour patients get the best
care as MIOT’s Orthopaedic Department is one the best in
the country.
MIOT has a full fledged histopathology lab with
immuno-histochemistry and also frozen section facilities
which gives report 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 also house the Radiation Oncology Department with
latest technological advancements and best of the class
equipments inside the hospital premises which enables
efficient, hassle-free and timely management of cancer
patients 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:
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Mammography -
for breast cancer |
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Pap Smear - for
cervix cancer |
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Colonoscopy -
for colon cancer |
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Blood tests - to
detect a substance called PSA in prostate cancer and |
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CT scan - for
lung cancer. |
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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 - Case studies
Case
Study 1
- Cancer Type: Liver cancer
- Diagnosis:
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CT scan of Liver |
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67 year old man |
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Abdominal pain
of 1 week duration |
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On examination,
good general condition, no jaundice |
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Liver was
enlarged |
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CT scan liver/
Liver function tests/Tumour markers[AFP]were done |
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- 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.
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TACE of ruptured HCC |
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Post Embolisation CT Scan |
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- 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.
(Viewers discretion is advised while watching the
images.)
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.
(Viewers discretion is advised while watching the
images.)
Case
Study 3
- Cancer Type: Thyroid cancer
- Diagnosis and treatment:
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40 year old man,
presented with a hard Thyroid swelling of 3 years duration |
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Needle biopsy
confirmed it was a Thyroid cancer, and he underwent complete
removal of the Thyroid gland, and post operative Radioiodine
treatment, and is doing well. |
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(Viewers discretion is advised while watching the
images.)
Case
Study 4
- Tumour Type: Esophageal cyst
- Diagnosis and treatment:
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24 year old lady
from sudan |
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Dysphagia since
1 year |
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CT scan showed a
posterior mediastinal mass |
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At surgery, a
cyst was removed from the esophageal wall |
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(Viewers discretion is advised while watching the
images.)