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Advanced TreatmentWith Utmost Care

Oncology is a branch of medicine that deals with the prevention, diagnosis and treatment of cancer. Globally, cancer incidences are increasing. In India, amongst males, head and neck, lung, esophagal, colorectal, stomach and prostate cancer are on the rise. Amongst females, breast, lung, oral, cervical and ovarian cancer are showing increasing trends. To decrease the incidence of cancer deaths we require a proper awareness and good screening modalities. Cancers are often managed by a multidisciplinary approach including surgery, chemotherapy, radiation and hormone therapy.

Surgery remains the mainstay for the diagnosis and treatment of malignant solid tumours. The department of surgical oncology aims to provide holistic, all-round surgical care for solid tumours. Our department offers a multidisciplinary approach to modern cancer therapy with clinical research and applied basic laboratory investigations related to the etiology, diagnosis and treatment of solid tumours. The primary goal of the surgical oncology programme is to provide quality treatment in state-ofthe- art facilities.

We have an eminent team of surgical oncologists. The team is highly experienced in management of head, neck, breast, gynecological, lung, esophagus, gastrointestinal & colorectal, liver, hepato-billiary and pancreatic cancers. We also have a specialized team for the management of genitor-urinary, bones and soft tissue cancers. All types of organ preservation surgeries, such as breast conservation, sphincter preservation in an affected rectum, partial nepherectomies, and more, are performed successfully, providing a better quality of life to the patients.

We have a state-of-the-art operation theatre with excellent facilities for pre-operative and postoperative care including an intensive care par excellence. Complemented by the finest nursing care, and ably supported by the Nuclear Medicine and Radiology Departments with a state-of-the-art PETSCAN and 3 Tesla MRIs.

The department actively co - operates and communicates with medical and radiation oncology. We have frequent tumour board meetings with all the team from the various departments. This allows for a comprehensive and holistic treatment programme that incorporates and integrates all the cancer treatments modalities so as to provide best results for patients. We also take serious measures for the prevention of cancers in the form of frequent screening for many cancers such as mammography, sonography, PAP smear as well as cancer awareness programmes.

Everything, to provide cancer treatment par excellence, delivered with care and compassion.

Medical Oncology services are provided by a multidisciplinary team. The team has medical oncologists, physicians, nurses and clinical pharmacists. This team provides care through all stages of cancer, including supportive care, when required. The department specializes in the treatment of cancer with chemotherapy and other biological therapies. There is a monthly tumor board meeting with team members. Communication between team members allows the staff to help patients and family members understand the treatment and finish the course. Patient and family members are also educated and encouraged to act as active participants.

The interdisciplinary management of malignant diseases is the scope of care at Nanavati Hospital. The Department is responsible for diagnosing and treating all cases of hematological malignancy, as well as for providing chemotherapy to the majority of solid tumors. And is committed to improving the diagnosis and treatment of adult and paediatric cancer patients.

To meet this mission there is a broad range of basic research, clinical research, patient care, and teaching. In-patient services are run round-the-clock. Five beds are earmarked for Daycare Oncology. Leukemia and Lymphoma patients are treated exclusively with international treatment protocols. On an average, 550 patients are administered chemotherapy every month. Advanced cancer patients are also treated with the best supportive care.

The Medical Oncology Department has actively been working with various NGO’s to increase cancer awareness in schools and communities. The department’s faculty have been participating in many continuing education programs and workshops on various topics conducted regularly over the last several years including hematooncology, cancer screening and awareness, lung cancer, cancer team management, colorectal cancers, hematopoietic stem cell transplants, etc.

The consultants of this department are highly qualified and experienced. By committing themselves to patient care, their efforts have resulted in improved survival rates and reduced morbidity. The department practices high-dose rate chemotherapy, day care chemotherapy, etc. All the nursing staff as well as junior doctors are taking care of patients with long term venous access devices and implantable ports.

Our state-of-art-radiation therapy department was started in 1980 as a part of a comprehensive cancer centre. A small sapling then, over the next 25 years it has grown into a mammoth banyan tree offering shade and succor to all those in need. Today, it comes well-equipped with a dual energy photon and multiple Linear accelerator (Elekta- Precise) and a multileaf collimator for intensity modulated radiation. The online imaging is supported by an amorphous silicon panel. Precise plan with inverse planning is networked with CT, MRI and PET. The fusion of images creates precise anatomical and functional details. The work horse Theratron 780 C, a telecobalt machine, is still operational. ASHA – a 3D system networked with CT & MRI add to our armamentarium.

Hyperthermia involves heating tissues to a temperature between 42 and 45 degree C. An RF based heating system from Japan was installed a few years back. A record number of head and neck cancer patients have been treated so far. We have also recently conducted a positive randomized trial for head and neck cancer. The study was supported by the Indian Council for medical research.

Research and publication has always been an ongoing activity at the Advanced Centre for Radiation Oncology. The division of Radiation Oncology has continuously reinvented itself to fulfill the needs of all patients. ACRO is the latest ‘avatar’, but compassionate care has remained unchanged.

 

Treatment & Surgeries

What is Oral Cancer?
Oral Cancer, also known as head and neck cancer, is a cancer that develops in the tissues of the Mouth, Teeth, Gums, Lips and the Buccal Mucosa (known as the oral cavity).

Over 90% of Oral Cancers begin in the flat cells (squamous cells) that cover the surface of the mouth, the tongue and the lips.

What are the various risk factors for Oral Cancer?

Heavy tobacco and alcohol use are the biggest risk factors. Other risk factors include:

  • Human Papillomavirus (HPV)
  • Oral Pre-cancerous Lesion
  • Betel Quid (Tobacco Paan) use
  • Ultraviolet light and excessive sun exposure
  • Consumption of drugs to prevent Organ Transplant rejection or to treat Autoimmune diseases
  • Certain Genetic Syndromes
  • Poor Oro-dental Hygiene
  • Sharp Dentition and Dentures

What is the standard treatment for Oral Cancer?
Oral Cancer treatment almost always involves surgery. But that surgery can never be classified as “standard” since each cancer is different and thus requires a personalized approach to treatment. The severity or spread of the cancer will determine whether surgery is minor or if it requires an extensive removal of the surrounding tissue. Post-surgery treatments may include:

  • Radiation Therapy or Chemotherapy
  • Targeted Drug Therapy
  • Physical and Occupational Therapies
  • Focussed Pain Management

Head and Neck Oncology deals with various endoscopic procedures, major and minor resections, organ preservation surgeries, as well as complex reconstructions, including free flaps. Nanavati Head and Neck Cancer Centre aims to maximize the quality of life of our patients. Our resources are devoted to ensuring maximum comfort to the patient by minimizing the impact of cancer and helping them cope with the side effects of intervention.

Program highlights include:

  • Approaches to head and neck cancers focusing on preserving function, appearance and achieving cure
  • Minimally invasive surgery wherever possible, for e.g. endoscopic laser laryngeal surgery
  • Advanced radiation therapy and chemo-radiation approaches that limit toxicity and improves results
  • Skull base surgery, endoscopic or open, in conjunction with highly experienced teams that work together closely with neurosurgeons and radiation oncologists
  • State-of-the-art reconstructive surgery and rehabilitation to minimize the morbidity of treatment
  • Intra-operative irradiation for highly (selected) recurrent tumours

What is Breast Cancer screening?
Breast screening is a method of identifying breast cancer at an early stage. It is done by performing x-rays of the breast known as mammograms. A mammogram can detect small changes in breast tissue, which may indicate cancers which are too small to be felt either by the woman herself or by a doctor. By the time a lump can be felt, it is likely to have been there for quite some time, and the longer it has been there undetected, the more the chance it has had to grow and spread.

What is a Mammogram?
It is an x-ray of the breast which is performed by exposing the breast to a low dose of radiation. During the procedure, the breasts are compressed between two plates for a few seconds. This is not painful but some women may find it slightly uncomfortable. The mammogram is reported by a specialist breast radiologist.

Would you need more tests after a Mammogram?
If the mammogram is reported as normal, you need not go for any further tests. However, further tests will be required if the radiologist detects an abnormality. These include a breast ultrasound and in a few cases, a breast MRI. A needle biopsy of the lump may be recommended and this can be done as an outpatient procedure.

What are the advantages of screening?
Apart from saving vital time, which is crucial in fighting cancer, screening also gives the patient the following advantages:

  • It detects cancers at a stage when cancer treatment is most likely to be successful
  • As the cancer is detected when it is very small, the chances of breast conservation surgery increases. This allows the patient to save her breast
  • It saves lives by reducing the risk of dying from breast cancer

Our team ofOncology

 

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Dr. Nagraj G. Huilgol
Chief Radiation Oncologist

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Dr. Sanjay Dudhat
Head, Department of Oncosurgery

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Dr. Sudeep Sarkar
Sr. Consultant Surgical Oncology

Patient Success Story - Video

Equipped with Latest Technology & Facilities

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Cancer Ward

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Cath Lab

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Centre for Liver & Digestive Diseases and Day Care

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Centre for Liver & Digestive Diseases and Day Care

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Corridor

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Critical Care Unit 1

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Critical Care Unit

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CT Scan

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Deluxe Hospital Room

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Doctors Lounge

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Executive Lounge

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Critical Care Unit ICU Wing (CCU 3)

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Spine OT

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Isolation Room

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MRI

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Nanavati Suite Room FIN New

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Nanavati Premium Room

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Nanavati Deluxe Bougainvillea

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Nanavati OT

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Nanavati ORTHO OT

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Nanavati Spine OT With MicroScope

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Nanavati Robotic OT FIN

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Nanavati NEURO OT

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Nanavati Hemodialysis Machine

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Nanavati Birth Centre OT

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Nanavati Birth Centre Recovery Room

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Nanavati BMT Corridor

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Nanavati Birth Centre Delivery Room

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Nanavati BMT Room

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Nanavati Birth Centre Recp

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Nursing Stationm

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OPD 2

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Paediatric Ward

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Twin Sharing Room

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About Nanavati Hospital

The iconic healthcare institution of Mumbai, Dr. Balabhai Nanavati Hospital, blessed by Mahatma Gandhi and inaugurated in 1950 by India’s first Prime Minister Jawaharlal Nehru, is now reintroduced as Nanavati Super Speciality Hospital.

Nanavati Super Speciality Hospital has been at the forefront of healthcare for 65 years. Today the 350 bed facility housing 55 speciality departments offers a plethora of services in practically every field of modern medicine and health care. Our well-equipped hospital rooms, state-of-the-art departments and technologically advanced systems are all backed by the expertise and reputation of over 350 consultants, 100 resident doctors, 475 nursing staff and 1500 employees.

The hospital’s state-of-the-art Imaging Centre, spanning over 10,000 sq. ft, houses 3 Tesla 32 channel wide bore Magnetic Resonance Imaging (MRI) scanner with MR guided Focused Ultrasound Surgery (MRgFUS) and High-Intensity-Focused-Ultrasound, 64 slice Positron Emission Tomography–Computed Tomography (PET CT) with cardiac capability. The Catheterization Lab at Nanavati Heart Centre which is the first of its kind in Mumbai, has a team of highly experienced and qualified faculty providing 24x7 Interventional Cardiac Services.

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