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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, 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 treatment options are and the outcome. Other risk factors 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 Signs & symptoms of breast cancer include: A lump in the breast  Nipple discharge Nipple retraction  Dimpling /ulceration of skin Lump in the armpit

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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. 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. 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: 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: 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: Targeted drug treatments concentrate on particular weaknesses lying within cancerous cells. Targeted drug treatments cause cancer cells to die by blocking these weaknesses. Immunotherapy: 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 etc. cancers . 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. The five main types of gynaecologic cancer are: Cervical cancer: Begins in the cervix, the lower part of the uterus (or womb)  Ovarian cancer: Begins in the ovaries, located on each side of the uterus  Uterine cancer: Begins in the uterus, a pear-shaped organ in a woman's pelvis  Vaginal cancer: Begins in the vagina, the hollow, tube-like channel between the bottom of the uterus and the outside of the body.  Vulvar cancer: Begins in the vulva, the outer part of the female genital organ, which includes the inner and outer lips of the vagina, the clitoris, and the opening of the vagina and its glands.

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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

Cancer in childhood is uncommon. Out of 10,000 normal children, one will develop cancer during their childhood. The initial diagnosis can be frightening and stressful for child and his/her parents. These emotions are not out of place and quite understandable but they are also compounded by lack of information as well as some misconceptions. In most cases, there is no specific reason or cause for the child to have developed cancer as it is no one’s fault, so parents should not feel ashamed or guilty. The good news is that all childhood cancers are treatable and most are curable. The cancers can affect any part of the body- the most common affected are blood, brain, bones and muscles. The familiar cancers include: blood cancers (leukemia), cancers of the lymphatic system, (lymphomas), cancer of the brain and spinal cord, muscle and bone cancers (sarcomas) and other cancers seen in the very young children (embryonal cancers). As of today, more than 80% of children with cancer get cured, depending upon the type of cancer they are suffering from. Like for some cancers acute lymphoblastic leukemia and Wilms tumour, there is 90% cure rate, while that for Hodgkin disease, it is almost 95% provided the disease is detected early and treated appropriately. Children are not adults; their needs are different and need to be treated by someone who is trained to look after them. Paediatric oncologists are responsible for treating all malignant conditions among children like leukemia, bone cancers, wilms tumor, neuroblastoma, brain and spinal cord tumors among several others. With timely, appropriate and complete treatment, majority of children with cancer get cured and can lead their lives peacefully. Information and support are important to feel sure about the treatment. The more you know about cancer, the less confused or unprepared you will feel. Regular parent support group meetings should be attended, which will be an opportunity for parents of children with cancer to meet other parents whose children are either being treated or have completed treatment.

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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 2500+ 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 2500+ 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.

Tumour Removal: Success Story | Patient Recuperates from Late-Stage Malignant Tumour

Treated by Dr. Rohit Nayyar, Max Hospital, Gurgaon

Laparoscopic Surgery for Throat Cancer | Patient Success Story

Treated by Dr. Devavrat Arya, Max Institute of Cancer Care Lajpat Nagar

Testicular Cancer (Germ Cell Tumor) Treatment | Patient Success Story

Treated by Dr. Bhuvan Chugh, Max Hospital, Gurgaon

Smoking Cigarette led To Stage 2 Lung Cancer - Patient Success Story

Treated by Dr. Archit Pandit, Max Super Speciality Hospital, Shalimar Bagh

Mrs. Chitra Gopalan's Winning Story Against Cancer at Max Hospital - Patient Success Story

Treated by Dr. Ankur Bahl, Max Super Speciality Hospital, Saket

Mr Sowrabh Sisodiya Fight Against Cancer at Max Hospital - Patient Success Story

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

Battle Against Ovarian Cancer - Mrs. Raheema Shakeer

Treated by Dr. Meenu Walia, Max Super Speciality Hospital, Patparganj

Nidarr Hamesha - Mrs. Etalemahu

Treated by Dr. Archit Pandit, Max Super Speciality Hospital, Shalimar Bagh

Successful Hip Transplant at Max Vaishali

Treated by Dr. Nikhil Agrawal, Max Super Speciality Hospital, Vaishali

Jaiveer’s successful treatment at Max Vaishali

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

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Tumour Removal: Success Story | Patient Recuperates from Late-Stage Malignant Tumour

Treated by Dr. Rohit Nayyar , Max Hospital, Gurgaon

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Cancer Care / Oncology Blogs

Do Blood Cancer Treatments Affect Fertility?

Blood cancer is one of the most devastating diseases that have affected millions of people across the world. This disease occurs in the bone marrow and significantly affects the body's immune system. The causes of blood cancer are still unknown. However, there are some risk factors associated with blood cancer including a weak immune system, ageing, and family history. Treating this disease is in itself a tough task. Only well-renowned hospitals who have highly qualified oncologists and latest treatment

Dr. Pravas Chandra Mishra In Cancer Care / Oncology

Da Vinci-The Next Level Technology in Surgical Excellence and Patient Safety

Robotic surgery is the next frontier in medical technology advancement. Through specialised instruments and real-time imaging, robotic surgery helps to get better results while reducing operating time & a shorter hospital stay. Dr. Gagan Gautam , head of Urologic Oncology and Robotic Surgery of Max Smart Super Speciality Hospital , Saket, says that one of the pioneering robotic surgical systems is the Da Vinci surgical system. Introduced in 2000, it has quickly achieved a reputation of helping surgeons p

Dr. Gagan Gautam In Surgical Oncology , Cancer Care / Oncology

HIPEC- An Advanced Chemotherapy Treatment to Destroy Cancer Cells

HIPEC - Also known as IPHC/Chemo-bath/HIIC (Heated Intraoperative Intraperitoneal Chemotherapy)/Intra-abdominal hyperthermic chemoperfusion Dr. Arun Goel says, HIPEC is a specialised multi-modal treatment given to selected patients who are diagnosed with tumours involving the peritoneum (a serous membrane covering the stomach and intestines), which is due to either a primary malignancy (cancers starting in the peritoneum) or a secondary malignancy (cancer spreading to peritoneum from digestive or gynaeco

Dr. Arun Goel In Surgical Oncology , Cancer Care / Oncology

The early symptoms and signs of lung cancer

Last year, the Indian Council of Medical Research (ICMR) gave a report citing the rapid emergence of lung cancer cases, which are estimated to touch an alarming figure of 1.4 lac in 2020.

Dr. Pramod Kumar Julka In Cancer Care / Oncology, Thoracic 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, Patparganj
4.10
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Max Super Speciality Hospital, Shalimar Bagh
4.20
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Max Super Speciality Hospital, Mohali
4.00
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Max Super Speciality Hospital, Bathinda
4.20
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Max Hospital, Gurgaon
4.40
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Max Super Speciality Hospital, Vaishali
4.50
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Max Smart Super Speciality Hospital, Saket
4.40
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Max Institute of Cancer Care Lajpat Nagar
4.30
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