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Cancer Care / Oncology

Max Institute of Cancer Care

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Overview

At Max Institute of Cancer Care, we offer a holistic and integrated treatment by consolidating views of experts in Surgical Oncology, Radiation Oncology, and Medical Oncology. Our best cancer doctors at Saket, Patparganj, Vaishali, Shalimar Bagh, Gurgaon, Max Smart, Lajpat Nagar, Mohali and Bathinda, specialize in treating cancers affecting Breast, Head and Neck, Lung, Gastrointestinal tract and others.

We believe in treating Cancer with a combination of Chemotherapy, Radiation Therapy, Surgery and Targeted Therapy. We are the first facility in northern India to acquire Novalis Tx for IMRT/IGRT, Radiosurgery, HIPEC and SRS/SRT. Additionally, we are equipped with an advanced Da Vinci XI Robotic System for treating complex conditions like cancers of prostate, cervix, colon/rectum, as well as heart tumors. The procedure is the next frontier for minimally invasive surgery.

Disease Management Group

Breast Cancer

Breast cancer has become the number one cancer among women in metropolitan cities. The cases are rapidly rising, with 1 in 25-30 urban women likely to suffer from breast cancer during their lifetime. This is much lower than the US (1 in 8 women) or UK (1 in 12 women). However, it is much higher than that in rural India (1 in 70 women). The other disturbing fact is that it is rising in the younger age group (between 35 - 45 years). Every woman has some chance of developing breast cancer during her lifetime. The risk increases with age with approximately 77% of women being over the age of 50 at the time of diagnosis. It doubles if there are first or second-degree relatives with breast cancer. However, family history contributes to only 5-10% of breast cancers. Breast Cancer does not spell doom anymore, especially now, with modalities to detect the disease early; however, one should never disregard any lump in the breast that they come across. The earlier the disease is picked up, the better the breast cancer treatment options and the outcome. Other Risk Factors of Breast Cancer are: Early onset of periods Late menopause Null parity or late childbirth Lack of breastfeeding Obesity Hormone replacement therapy Previous history of radiation Previous history of breast surgery

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Gastro Intestinal & Hepatopancreatobiliary Surgical Oncology

Gastrointestinal cancer is the second most common type of cancer present among individuals and represents a heterogeneous complex arrangement of several disorders and diseases. These are divided into rare inherited forms and more frequent sporadic forms. Amongst the cancers affecting the gastrointestinal tract, oesophageal cancer is the commonest followed by colorectal cancers (affecting the colon and rectum) and cancers of the stomach, and the small intestine. The elementary causes for different types of gastrointestinal cancers vary, but some of the key risk factors include smoking, excessive alcohol consumption, increasing age, viral and bacterial infections, chronic pancreatitis, and obesity. Hepato-pancreato-biliary (HPB) cancers include malignant or cancerous tumours originating in the cells of the liver, bile ducts, pancreas and gallbladder. Pancreatic cancer is cancer that takes place in the pancreas, which is a gland that produces digestive juices and hormones. Pancreatic cancer is more commonly seen in older people as compared to people under the age group of 40 years. Liver Cancer, which starts in the liver, depends on where it begins and the type of cell it involves. Bile duct cancer, also termed cholangiocarcinoma, is a very rare form of cancer and occurs when there is abnormal cell growth in a rampant way. Bile ducts are small tubes connecting the liver and gallbladder to the bowel. The bile ducts carry bile which helps in the breakdown of fats in food. GI Cancer Treatment Treatment options for GI cancer and HPB cancer rely on factors like cancer's location, stage as well as aggressiveness. The doctor also considers the general health and preferences while framing a plan of treatment. GI Cancer Surgery The main goal of surgery is to eradicate cancer and some of the healthy tissue around it. Operations used for GI cancer include: Curative surgery: Removing the tumours from the site of origin with a margin of healthy tissue Removing the regional lymph nodes Palliative surgery: Surgery to relieve signs and symptoms. Chemotherapy for GI Cancer Chemotherapy is a type of treatment that uses certain drugs to eliminate cancer cells. Chemotherapy drugs travel throughout the body and kill cancer cells that may have extended away from the site of origin.Chemotherapy sessions can be given before surgery to help constrict cancer so that it can be removed more easily. Chemotherapy is also used post-surgery to kill any cancer cells that might remain in the body. Chemotherapy is often combined with radiation therapy. Radiation Therapy for GI Cancer Radiation therapy involves high-power beams of energy to kill cancerous cells. The energy beams are emitted from a machine that moves around as a patient lie on a table. For advanced stomach cancer, which can't be eliminated with surgery, radiation therapy is used to reduce side effects as pain or bleeding occurs due to enlarged cancer. Targeted Drug Therapy for GI Cancer Targeted drug treatments concentrate on particular weaknesses lying within cancerous cells. Targeted drug treatments cause cancer cells to die by blocking these weaknesses. Immunotherapy for GI Cancer Immunotherapy is a form of drug treatment that helps the immune system to fight cancer. Immunotherapy is used either when the cancer is advanced, if it comes back or if it spreads to other parts of the body.

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Gastrointestinal Oncology

Max Institute of Cancer care (MICC) offers comprehensive state of the art services for early diagnosis, staging, treatment and hospital-based care of Disease management group (DMG) – Breast, Gynaecology, gastrointestinal cancers etc. An individualised treatment plan is made for each patient by a specialist multidisciplinary team of medical oncologists, radiation oncologists, surgeons, histopathologists, molecular pathologists, gastroenterologists, interventional radiologists, nuclear medicine, dieticians, physiotherapists and geneticist. There are a constant cross chat between the various specialities at the Respective DMG Tumour Board meeting, The main concept behind the DMGs at MICC is to make the best skills available to our patients. Site-specific oncology allows the clinicians involved in patients care to focus only on certain cancers at which they become world experts. Meetings are held once a week to discuss all patients diagnosed with DMG specific (Disease Management Group- Breast , Gynaecology , GI etc.) cancer and arrive at the best possible management for the patient. The Surgical Medical and Radiation specialists of the respective DMG along with the Pathologists, Radiologist and Molecular Oncologists attend these meetings. All patients seen between these meetings are, however, discussed in the common tumour Boards held once a week. Services available at the GI Disease management group at MICC include: Diagnosis, tests and investigations: primary assessment and diagnosis Specialist review and second opinion Staging and investigation Cancer genetics Pre-operative counselling Site specific surgical oncology    Chemotherapy Immunotherapy Targeted therapy    Radiotherapy with newer techniques     Surgery, including sphincter-sparing surgery and trans-endoscopic microsurgery (TEMS) Critical care     Rehabilitation     Palliative and supportive care   Clinical trials     If you have been directed to the GI DMG Service then you, or your relative, is suffering from either one of the following cancers or spread of another organ cancer to the following sites: Oesophagus Stomach Large intestine (colon), rectum and anus Pancreas Bile duct and Gallbladder Liver Small intestine Retroperitoneum (the deep part of the abdominal cavity) Neuroendocrine system

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Gynecologic Oncology

Gynaecologic cancer is a type of cancer that starts in a woman's reproductive organs. While they are often discussed as a group, each gynaecologic cancer is unique. Each has different signs, symptoms, and risk factors.

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Head & Neck Oncology

Head & Neck cancer (H&N cancer) refers to a group of biologically similar cancers that arise in the head and neck region (comprises the lip, oral cavity (mouth), nasal cavity, sinuses, pharynx, larynx (voice box), salivary glands and the thyroid). H&N cancers together ranks sixth amongst all cancers worldwide, and they comprises about 40% of all cancers in South East Asia, including India. Advances made in the last few decades in all the fields of Oncology (surgical, radiation and medical) have made H&N cancer a better understood and better-managed subject today. Symptoms of H&N cancer vary according to the site of origin of cancer. Initially these may not . Because of this characteristic, patients with H&N cancer often present with advanced diseases - a fact that makes annual cancer screening important in people over 40 years of age, especially if they are addicted to tobacco and/or alcohol. The presence of any of the following, if present for more than four weeks mandates a visit to the Head & Neck surgeon:   A non-healing sore/ulcer in the mouth/tongue or lip A white or red patch on the gums, tongue or lining of the mouth Inability to protrude the tongue Inability to open the mouth properly Swelling of the gums that prevents dentures from fitting properly Unusual bleeding, pain or numbness in the mouth or cheek Thickening of the cheek Loose teeth Earache/headache Feeling of something getting stuck in the throat/ a sore throat that does not go away Slurred speech Change in voice/ hoarseness Painful and/or difficulty in swallowing Difficulty in breathing Swelling around and/or under the jaw which may be accompanied by numbness or paralysis of one side of the face Weight loss Swelling in the midline of the lower neck which moves with swallowing Progressively enlarging lumps in the neck Streaking of blood in sputum

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Hematology Oncology

As its name suggests, this type of cancer affects the production and function of your blood cells. This type of cancer starts in bone marrow which is the integral source of blood production. Stem cells in your bone marrow mature and develop into three types of blood cells: red blood cells, white blood cells, or platelets. In case of cancer, the blood production process is interrupted due to the growth of an abnormal type of blood cell. The various types include Leukemia, Lymphoma and Myeloma.

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Musculoskeletal Oncology

Musculoskeletal / Orthopaedic Oncology Disease Management Group (DMG) at Max Institute of Cancer Care comprises of a dedicated group of specialists whose focus is to provide a comprehensive management to all patients presenting with benign and malignant tumors of bones and soft tissues. It is now established beyond doubt that multidisciplinary involvement is essential for an optimal outcome of the management of these rare diseases, and we at Max Institute of Cancer Care (MICC) boast of a team of experienced doctors specialized in the care of patients with bone and soft tissue tumors. This team consists of orthopaedic, surgical, medical, and radiations oncologists, pathologists, radiologists, physiotherapists, onco-psychologists, nuclear medicine specialists, and molecular oncologists. Treatment of each musculoskeletal cancer patient needs to individualized planning and personalization. At Max Institute of Cancer Care, all such cases are taken up in a multidisciplinary Tumour board where specialists from the field of orthopaedic oncology, surgical oncology, radiation oncology, medical oncology, radiology and pathology discuss each case threadbare and come up with a treatment regimen that not only maximizes survival but also ensures good functional outcomes.

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Neuro Oncology

Neuro Oncology is a branch of medicine that concerns cancers of the brain , spinal cord & peripheral nerves. Cancers of the nervous system are often severe conditions that eventually become life threatening. Cancers of the nervous system may occur as primary tumors or as secondary or metastatic tumors that arise due to cancer that has spread from another part of the body. Primary tumors can occur at any age but they often affect people while they are in their prime. Most primary cancers are more common among males than females, although meningiomas are more common among females. Secondary tumors can spread to the nervous system from another site of origin through metastasis, compression or direct invasion.

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Paediatric (Ped) Oncology

Pediatric oncology deals with treating cancer found in children and adolescents. Even though most types of cancers are common in adults and children, children have different needs. They must be treated by someone who understands these needs thoroughly. With timely diagnosis and correct treatment, pediatric oncologists can cure more than 80% of children with malignant disease. But thanks to the ever-developing medical technology, for many cancers more than 90% of cancer patients who are kids can be treated entirely. Opting for a pediatric oncologist is vital since they are professionally trained to treat kids and young adults. Types The different types of cancer that can be found in children are as follows: Primary cancer: The place where cancer first starts is called primary cancer. Secondary cancer: When the cancer cells break down and spread through the other areas of the body, it is known as secondary cancer. Spinal cord and brain tumours: There are one of the most common kinds of cancer in children. They are primarily found in the brain and the the spinal cord. Symptoms for such types of cancers may include dizziness, double vision, vomiting, etc. Leukaemia: This type of cancer is found in the blood and bone marrow of children. It causes sudden weight loss, bleeding, and joint pain. Lymphoma: Cancer that originates in the lymph node of lymph tissue is known as lymphoma. They can be of two types, Hodgkin's lymphoma and non-Hodgkins lymphoma. Wilms tumour: This tumour mainly originates in the kidney and may cause lumps in the abdomen. Symptoms include nausea, vomiting, and weakness. Neuroblastoma: This type of cancer is usually found in infants. It commonly begins in the abdomen and may cause severe pain and high fever. Retinoblastoma is a common type of eye cancer in children that begins in the retina. It usually occurs when genetic mutations occur in the retina's nerve cells. It is a severe condition and must be treated immediately to extend the child's life expectancy. Sarcoma: It is a type of cancer that begins in the muscles and bones. It can be completely cured if it is diagnosed and treated in the early stages. Germ cell tumours: These tumours occur when the reproductive organs of an unborn baby don't develop correctly. Most of the children diagnosed with germ cell tumours are usually entirely cured. Symptoms may include constipation, difficulty holding urine, etc. Symptoms Children must be checked for cancer if they showcase the following symptoms: Sudden weight loss Extreme weakness Unexplained paleness Sudden change in vision Unusual swelling Fever that doesn't go away Constant Headaches with vomiting Bruising and bleeding easily These symptoms could be related to other infections, too. However, it's advised to check for cancer if the symptoms sustain for long periods of time. How to find a pediatric oncologist? You will be consulting a pediatric oncologist once your child is diagnosed with cancer. Your paediatrician will mostly refer you to a pediatric oncologist. Cancer in children is rarer than cancer in adults making it vital to research the doctors before choosing the right one for your child. Children are prone to contracting several infections, which could display the same symptoms as cancer. Only a pediatric oncologist will be able to diagnose it properly. Thus, relying simply on referrals won't be enough. To choose an excellent pediatric oncologist, you will have to: Find doctors’ names by researching the database of medical associations Compare the credentials of all the doctors Speak to the staff of the doctors Try to find out how many years of experience the doctor holds in the field Enquire about the number of patients the doctor has treated so far in his career Try to connect with a few past patients of the doctor Find online reviews, if any Ensure that the doctor is taking new patients Check if the doctor searches for clinical trials which are suitable for his patients Figure out if the pediatric oncologist is up to date with the latest advancements Book an appointment with the doctor you feel would be the right fit. Sometimes pediatric oncologists might ask to retake specific tests or get additional tests done just to be sure and be prepared for it. After the tests, if they confirm it to be cancer, the doctor will suggest treatments based on the nature of the tumour. Cancer can be overwhelming both for the patients and parents; an excellent pediatric oncologist is one who understands this and provides you with mental and emotional support by referring you to a few psychologists. How do pediatric oncologists diagnose cancer? Doctors conduct a number of tests to diagnose pediatric cancer. Some of them are: Biopsy: Here, a small part of the tissue is extracted and examined under a microscope to determine the type of tumour. The location of the tumour determines the type of biopsy to be performed. Blood tests: Blood tests are vital to diagnosing blood-related cancers like leukaemia. They help determine the amount of red and white blood cells in the body. If the presence of specific cells is too high or too low, it usually indicates cancer. Bone marrow aspiration: A small amount of the fluid is extracted using a needle and then sent to the lab to thoroughly examine and study the fluid. Lumbar puncture: Here, a sample of the cerebral spinal fluid is extracted using a needle and examined in the lab to detect cancer cells. Patients will be administered anaesthetics before the test to numb their lower back area. Ultrasound: It is an imaging test that uses sound waves to give the doctor a picture of the internal organs. CT and MRI scan: A CT scan uses X-rays to give the doctor a clear image of the internal organs of the body, whereas an MRI scan does the same using magnetic fields. PET scan: It is an imaging scan that makes use of radioactive substances to reveal a clear picture of the internal organs of one’s body. A safe amount of radioactive substance is injected inside the body, after which a scanner is used to detect the substance and create a picture of the body's internal organs. If the above-mentioned tests confirm the presence of cancer, the doctor will suggest treatments based on the nature of the cancer. These tests help categorise and describe the nature of cancer thoroughly so that no additional diagnostic tests would be required. However, your doctor may repeat them during treatment to determine their success rate. Last Update Reviewed by Dr. Ramandeep Singh Arora, Associate Director, Paediatric (Ped) Oncology on 30-Oct-2022.

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Thoracic Oncology

Lung cancer is an uncontrolled and abnormal growth of cells in lungs, this growth of abnormal cells do not carry out the functions of the normal lung cell and also do not help in developing healthy lung tissue. As these cells start growing in both the lungs; they divide swiftly and develop in the form of tumors, Lung cancer may spread to other parts of the body if not discovered and treated early. Mostly tumors that are in one place of the lung and not become noticeable to spread are called “benign tumors”. Tumor that spread to other parts of the body through the bloodstream or the lymphatic system is known as “malignant tumors”; usually the abnormal cells don’t develop in healthy lung tissues. Lung cancer is more difficult to treat when it spreads. One of the most common factors that can cause lung cancer are exposure to radon, air pollution, certain chemicals in the workplace; active passive smoking; or family history of lung cancer. Lung cancer is one of the leading causes of cancer deaths among both male and female, it claims more lives each year than do prostate, ovarian and breast cancers combined.

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Uro-Oncology

Cancers of the organs covered by uro-oncologist inclube the kidneys, adrenal glands, ureters, urinary bladder, urethra and the male reproductive organs (testes, epididymis, vas deferens, seminal vesicles, prostate and penis).

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Our Medical Experts

Max Healthcare is home to 4800+ eminent doctors in the world, most of whom are pioneers in their respective fields. Additionally, they are renowned for developing innovative and revolutionary clinical procedures.

Our Medical Experts

Max Healthcare is home to 4800+ eminent doctors in the world, most of whom are pioneers in their respective fields. Additionally, they are renowned for developing innovative and revolutionary clinical procedures.

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Tumour Board

At Max Institute of Cancer Care (MICC), we understand that each cancer and cancer patient is different from the other. A team of experts from surgical oncology, radiation oncology, medical oncology, pathology, imaging and related disciplines come together in the Tumor Board meetings to discuss each and every case and form a customized/ joint decision and a treatment plan.

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Our Technological Advancements

Da Vinci Xi Robotic System

Da Vinci XI Robotics system is the next frontier for minimally invasive surgery. The surgeons operate through a few incisions by utilizing a high resolution 3D vision system, which allows the surgeons to view anatomical structures in natural colors.

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Stereotactic Body Radiation Therapy (SBRT)

Stereotactic body radiation therapy (SBRT) is a non-surgical radiation therapy that delivers a high dose of radiation to destroy the tumour while reducing the possibility of damaging the healthy tissues.

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HIPEC

Hyperthermic Intraperitoneal Chemotherapy (HIPEC) treats advanced stage abdominal cancers, including appendiceal (appendix) cancer, colorectal cancer, primary peritoneal cancer, peritoneal mesothelioma, ovarian and stomach cancer.

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TrueBeam Linac with Exactrac

The traditional aim of radiation therapy is to increase the cure rate with minimal toxicity. To achieve this aim, various techniques have been developed in recent past such as 3 DCRT, IMRT and IGRT. 

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Brachytherapy

The state of the art machine has proven to be a successful treatment for cancers of the prostate, cervix, endometrium, breast, skin, bronchus, esophagus, and head and neck, as well as soft tissue sarcomas and several other types of cancer.

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Mammography

It's a machine which uses low-energy X-rays to examine the human breast, which is used as a diagnostic and screening tool.

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Radixact x9 TomoTherapy

Radixact Tomotherapy is a significantly advanced, next generation TomoTherapy for treatment of cancer patients. This groundbreaking, cutting-edge technique destroys or reduces tumors by combining the precision of intensity-modulated radiation therapy and image guided scan.

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PET CT Scan

This high powered machine is a medical imaging technique using a device which combines in a single gantry system both a positron emission tomography (PET) scanner and an x-ray computed tomography (CT) scanner, so that images acquired from both devices can be taken sequentially, in the same session, and combined into a single superposed (co-registered) image.

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Real Patients, Real Stories.

Combination of Chemotherapy for Breast Cancer Treatment

Treated by Dr. Devavrat Arya, Max Super Speciality Hospital, Saket

Jun 24, 2022

Reeta - Battling endometrial cancer

Treated by Dr. Monisha Gupta, Max Super Speciality Hospital, Shalimar Bagh

Nov 1, 2021

Pancreatic Cancer Treated with Whipple's Procedure in 78 Year Old | Max Hospital, Patparganj

Treated by Dr. Geeta Kadayaprath, Max Super Speciality Hospital, Patparganj

Nov 11, 2018

Breast Cancer Treatment & Surgery: Story Of Savita

Treated by Dr. Geeta Kadayaprath, Max Super Speciality Hospital, Patparganj

Feb 19, 2015

Cancer Patient Testimonial

Treated by , Max Super Speciality Hospital, Saket - West

Jul 6, 2010

Mr Vinay won his cancer battle again post immunotherapy procedure at Max Hospital, Saket

Treated by Dr. Sandeep Batra, Max Super Speciality Hospital, Saket

11 Year old Sada's struggle to reclaim her life from Bone Cancer

Treated by Dr. Vivek Verma, Max Super Speciality Hospital, Patparganj

Rare fungal Infection Basidiobolomycosis & Intestinal Complications | Max Hospital Vaishali

Treated by Dr. Vivek Mangla, Max Super Speciality Hospital, Patparganj

Pradip - Recovering from prostate cancer | Max Vaishali

Treated by Dr. Puneet Ahluwalia, Max Super Speciality Hospital, Patparganj

Mr. Sardar- fighting rare cancer| Max Shalimar Bagh.

Treated by Dr. Saurabh Gupta, Max Super Speciality Hospital, Shalimar Bagh

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Combination of Chemotherapy for Breast Cancer Treatment

Treated by Dr. Devavrat Arya , Max Super Speciality Hospital, Saket

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Cancer Care / Oncology Blogs

Blood Cancer Awareness

It is pertinent to think about how far we have come in managing one of the worst enemies of humanity: cancer. As my expertise lies in treating blood cancer, I would like to share my thoughts about it.

Dr. Rayaz Ahmed In Cancer Care / Oncology

Common Questions Regarding Cervical Cancer

The cervix is the lowermost part of the uterus and is a common site of cancer in women. Unlike most other cancers, cervical cancer is preventable, can be diagnosed early, and can be cured.

Dr. Kanika Batra Modi In Cancer Care / Oncology

Cervical Cancer: Understanding the Basics

Cervical cancer is cancer that affects the cells of the cervix, the lower part of the uterus that connects to the vagina. It is a common type of cancer that affects women and is preventable with early screening and treatment.

Dr. Kanika Gupta In Cancer Care / Oncology

Cancer Stigma: Understanding and Overcoming It

Cancer is a disease that affects millions of people worldwide and is often accompanied by feelings of shame, guilt, and discrimination. This is known as cancer stigma, and it is a major barrier to both diagnosis and recovery. In this blog, we will explore what cancer stigma is, how it affects individuals and their families, and what can be done to overcome it.

Dr. Runu Sharma In Cancer Care / Oncology

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Our Cancer Care / Oncology Hospital Network

Max Super Speciality Hospital, Saket
4.20
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Max Super Speciality Hospital, Vaishali
4.50
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Max Super Speciality Hospital, Patparganj
4.10
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Max Smart Super Speciality Hospital, Saket
4.40
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Max Hospital, Gurgaon
4.40
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Max Super Speciality Hospital, Mohali
4.20
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Max Super Speciality Hospital, Shalimar Bagh
4.30
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Max Super Speciality Hospital, Dehradun
4.30
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Max Multi Speciality Centre, Noida
4.20
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Max Institute of Cancer Care Lajpat Nagar
4.30
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Max Super Speciality Hospital, Bathinda
4.20
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