Head and Neck Cancer: Causes, Symptoms and Treatment in Delhi India| Max Hospital
  1. Home
  2. Our Specialities
  3. Cancer Care / Oncology
  4. Treatment For Cancer
  5. Head and Neck Cancer

Get Second Opinion

Please provide your phone number with country code

Doc Connect

Hospital : 
Max Super Speciality Hospital, Saket
Description: 
  • Robotic Urological Surgery: 15 years journey 
    Dr. Rahul Yadav, Dr. Anant Kumar
  • Robotic surgery is the latest in advanced onco surgical procedures 
    Dr. Harit Chaturvedi
  • Percutaneous balloon aortic valvuloplasty & balloon dilatation of aortic coarctation in a 10 year old child 
    Dr. Neeraj Awasthy, Dr. Sushil Shukla
  • Role of CT/MR imaging and echocardiography in evaluation of valsalva sinus aneurysm 
    Dr. Reena Anand, Dr. Raj Kumar, Dr. Divya Malhotra, Dr. Bharat Aggarwal
  • Risk factors for patients undergoing treatment for Breast Cancer
    Ms. Kanika Arora, Ms. Ritika Samaddar
  • Radiology Case of The Month 
    Dr. Nafisa Shakir Batta, Dr. Dhruv Jain
Date: 
October, 2015 :15
Emergency Call Button

DELHI / NCR : 011-4055 4055

MOHALI : 0172-665 2666

DEHRADUN : 0135-667 3666

BATHINDA : 0164-660 1666

 

Bio Medical Waste Report For Shalimar Bagh

Month Red Autoclave(Infected Plastic Waste) Yellow- Incineration(AnatomicalWaste & Soiled Waste) Blue Autoclave (Glass- Bottles) Black Cytotoxic- Incineration( Cytotoxic Contaminated Items) White- Sharp Total Bags Total Weight(In KG's)
  No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's)    
Apr-17 924 2963.50 954 2994.10 239 1017.30 103 279.20 1645 606.40 3865 7861.00
May-17 1175 4624.12 1028 3498.40 276 1524.34 87 195.01 1803 823.85 4369 10665.71
Jun-17 1060 4511.45 902 2886.66 293 1324.05 76 194.00 2057 1100.69 4388 10016.85
Jul-17                     0 0.00
Aug-17                     0 0.00
Sep-17                     0 0.00
Oct-17                     0 0.00
Nov-17                     0 0.00
Dec-17                     0 0.00
Jan-18                     0 0.00
Feb-18                     0 0.00
Mar-18                     0 0.00
YTD 3159 12099.065 2884 9379.155 808 3865.69 266 668.705 5505 2530.94 12622 28543.555

Head and Neck Cancer

Clinical Directorate

For more info please call 8744 888 888 (Delhi – NCR) & 9988 422 333 (Chandigarh Tri-city), or mail at homecare@maxhealthcare.com

Overview

Head and neck cancers begin in mouth (oral cavity), nasal cavity (passage behind the nose), paranasal sinuses (spaces around the nose), salivary glands (glands that make saliva), throat (pharynx), and voice box (larynx). There are several treatment options available such as Surgery (tumour removal), Radiation TherapyTargeted Therapy, Immunotherapy, Chemotherapy, Restoration of swallowing, eating and speaking functions, and Plastic surgery and speech therapy after surgical removal of head and neck tumours. 

 

Signs and Symptoms

Each type of head and neck cancer may be associated with specific type of symptoms. Please consult neck surgeon if you notice the following symptoms:

Head and neck cancer symptoms include:

  • a ulcer in the mouth that does not heal or that bleeds on touch
  • a persistent red or white patch in the mouth
  • inability to open the mouth completely (sub mucous fibrosis ) have high risk of development of cancer
  • multiple episodes of bleeding from nose,  nasal congestion, or chronic sinus infections that do not respond to treatment
  • a lump or swelling in the neck
  • persistent sore throat not responding to treatment
  • persistent hoarseness or a change in the voice(slurring of speech)
  • persistent pain in the neck, throat, or ears
  • blood in the sputum
  • difficulty chewing, swallowing, or moving the jaws or tongue
  • numbness in the tongue or other areas
  • loosening of teeth
  • dentures that no longer fit

Causes of Head and neck cancer

In India, most common type of head and neck cancer (H & N) seen is mouth and oral cancer.  An increased consumption of tobacco in the form of jarda, ghutka, different forms of smokeless tobacco as well as betel nut with or without paan is the major risk factor for causing mouth cancer. It is often observed that several people have the habit of keeping tobacco quid against the cheek and gums, which has led to serious cancer cases of gums, cheeks, and inner side of cheeks. 

Common symptoms are:

  • Alcohol consumption
  • Tobacco chewing
  • Cigar smoking
  • Exposure to textile fibers
  • Poor dental and oral hygiene

Risk Factors

  • constant irritation of the gums or cheek by sharp teeth or dentures
  • poor nutrition,
  • infections due to the human papilloma virus (HPV)

Treatment

Treatment depends on the stage of cancer:

For early cancer with size <4cm without spread to lymph glands in the neck, the treatment is surgery , radiation is added if other risk factors of cancer coming back are identified in the final histopathology report.

For locally advanced cancers size >4 cm or involving adjoining structures or spread to lymph glands in the neck,the treatment is surgery, radiation with or without chemotherapy.

For very advanced cancers where it has spread near brain or involving vitals structures or spread to other parts of the body, then treatment is not aimed at cure. Life span and quality of life can be improved with palliative radiation therapy+ chemotherapy or immunotherapy depending on the general health of the patient.

The overall focus is to improve patient’s quality of life and preserving functions such as swallowing, speech, taste and hearing.  If these cancers are diagnosed early they are curable. The three modalities of head and neck cancer are Surgery, Chemotherapy and Radiation Therapy.  Surgery/ or Radiotherapy are the primary modalities while Chemotherapy is used as adjuvant/adjunct treatment. However, the treatment plan may vary from patient to patient depending upon stage of tumour, location of tumour, patient’s age, general condition and occupation of patient. 

  • Surgery – When surgery is the main option for cure, the whole tumour and the lymph nodes are removed. Depending on the afflicted area, a Wide Excision is done like in some cases, a rim or segment of jaw may be removed so that there is no compromise in getting a microscopic clean margin.  We are equipped with advanced minimally invasive endoscopic instrumentation (Co2 laser with microscope for vocal cord surgery, Da Vinci Robot for TORS (trans oral robotic surgery ) for early tonsil and base of tongue cancers .This sophisticated method of treatment preserves the organ function, reduces the hospital stay as well as side effects of open surgery. 
  • Radiation Therapy – Entails use of high energy X-rays to kill cancer cells. The source of radiation may be from a machine outside the body (external beam radiotherapy) or from radioactive materials inserted into the involved organ.
  • Neck Dissection – H & N Cancers generally spread to lymph glands in the neck. Even if the neck glands are not involved, these might have to be removed for control of cancer. Today, selective or a modified neck dissection is done so that the appearance and shoulder function are well preserved. It, however, causes some swelling of the face which comes down in 2-3 months, more so in patients undergoing post surgery radiation therapy.
  • Chemo-Radiation: Many locally advanced H & N Cancer are treated with combination of Radiation and Chemotherapy. This treatment takes advantage of both the modalities of treatment for improving the cure rates and conserving the organ affected by the disease. It gives hope of conserving larynx to allow patient to have near normal speech and swallowing. 
  • Chemotherapy: Many patients with H & N Cancer will require chemotherapy or biological therapy (includes monoclonal antibodies). A combination of drugs is usually used. The Medical Oncologist will plan therapy according to your individual case. 

Chemotherapy may be administered as:

  • Neoadjuvant chemotherapy – prior to definitive treatment (surgery)
  • Adjuvant chemotherapy – following surgery
  • Chemo-radiotherapy – with radiotherapy
  • Palliative chemotherapy – in advanced setting

Chemotherapy is intended to:

  • Decrease the chances of recurrence following surgery
  • Shrink cancer before surgery if it is large to downstage the cancer
  • Control the disease when it has spread to the other areas of body

It slows the growth of cancer cells or kills them. Chemotherapy is given in cycles spread over a few weeks or months. It is usually administered in the day care area of the hospital. You will be required to undergo frequent physical examinations and blood tests to ensure everything is going well. 

At Max Hospital, we have the best cancer specialists in India who specializes in treating head and neck cancer with surgery, radiation therapy, neck dissection, chemotherapy and chemo-radiation.

Head and Neck Cancer Specialists/Doctors

Dr. Harit Chaturvedi
Chairman – Cancer Care, Director & Chief Consultant - Surgical Oncology
Cancer Care / Oncology
Dr. Rudra Prasad Acharya
Director & Head- Surgical Oncology
Cancer Care / Oncology
Dr. Sandeep Agarwal
Director - Radiation Onco
Cancer Care / Oncology
Dr. Anil Kumar Anand
Senior Director - Radiation Oncology
Cancer Care / Oncology
Dr. Arun Goel
Director (DMG) - Surgical Oncology
Cancer Care / Oncology
Dr. Pawan Gupta
Director - Surgical Oncology (Head and Neck)
Cancer Care / Oncology
Dr. Pramod Kumar Julka
Senior Director - Oncology Daycare Centre
Cancer Care / Oncology
Dr. Geeta Kadayaprath
Director - Surgical Oncology
Cancer Care / Oncology
Dr. Pravas Chandra Mishra
Director - Hematology, Hemato-oncology & BMT
Cancer Care / Oncology
Cancer Care / Oncology
Dr. R.Ranga Rao
Senior Director- Medical Oncology
Cancer Care / Oncology
Dr. Dinesh Singh
Director(DMG) - Radiation Oncology
Cancer Care / Oncology
Dr. Meenu Walia
Director-Medical Oncology & Haematology
Cancer Care / Oncology
Dr. Sandeep Batra
Associate Director- Medical Oncology
Cancer Care / Oncology
Dr. Vineeta Goel
Associate Director - Radiation Oncology
Cancer Care / Oncology
Dr. Gagan Saini
Associate Director – Radiation Oncology
Cancer Care / Oncology
Dr. Gagan Gautam
Head - Urologic Oncology & Robotic Surgery
Cancer Care / Oncology
Dr. Akshay Tiwari
Head & Principal Consultant - Musculoskeletal Surgical Oncology
Cancer Care / Oncology
Dr. Sowrabh Kumar Arora
Principal Consultant - Surgical Oncology (Head and Neck Oncology)
Cancer Care / Oncology
Dr. Amal Roy Choudhary
Principal Consultant
Cancer Care / Oncology
Dr. Kanika Gupta
Principal Consultant- Gynae Oncology
Cancer Care / Oncology
Dr. Gopal Sharma
Principal Consultant – Medical Oncology
Cancer Care / Oncology
Dr. Arun Kumar Verma
Principal Consultant - Radiation Oncology
Cancer Care / Oncology
Dr. Rashi Agrawal
Senior Consultant – Radiation Oncology
Cancer Care / Oncology
Dr. Puneet Ahluwalia
Senior Consultant - Urology Oncology & Robotic Surgery (Max Smart)
Cancer Care / Oncology
Dr. Devavrat Arya
Senior Consultant
Cancer Care / Oncology
Dr. Ankur Bahl
Senior Consultant – Medical Oncology
Cancer Care / Oncology
Dr. Amish Chaudhary
Senior Consultant - Surgical Oncology(Gynae & Breast)
Cancer Care / Oncology
Dr. Sharan Choudhri
Senior Consultant
Cancer Care / Oncology
Dr. Shubham Garg
Senior Consultant
Cancer Care / Oncology
Dr. Neeraj Goel
Senior Consultant
Cancer Care / Oncology
Dr. Vikas Goswami
Senior Consultant – Medical Oncology
Cancer Care / Oncology
Dr. Sachin Gupta
Senior Consultant
Cancer Care / Oncology
Dr. Jyotika Jain
Senior Consultant
Cancer Care / Oncology
Dr. Rahul Naithani
Senior Consultant-Bone Marrow/Stem Cell Transplantation & Clinical Hematology
Cancer Care / Oncology
Dr. Alok Narang
Senior Consultant
Cancer Care / Oncology
Dr. S. VEDA PADMA PRIYA
Senior Consultant - Breast Oncology
Cancer Care / Oncology
Dr. Vimal Pandita
Senior Consultant
Cancer Care / Oncology
Dr. Rajat Saha
Senior Consultant – Medical Oncology
Cancer Care / Oncology
Dr. Swasti
Senior Consultant - Gyne Oncology
Cancer Care / Oncology
Dr. Rajesh Vashistha
Senior Consultant - Radiation Oncology
Cancer Care / Oncology
Dr. Vaishali Zamre
Senior Consultant - Surgical Oncology
Cancer Care / Oncology
Cancer Care / Oncology
Cancer Care / Oncology
Cancer Care / Oncology
Dr. Gaurav Chanana
Consultant - Pain & Palliative Care
Cancer Care / Oncology
Dr. Gaurav Dixit
Consultant - Haematology & Bone Marrow Transplant
Cancer Care / Oncology
Dr. Gautam Goyal
Consultant Medical & Hemato-Oncology
Medical Oncology
Dr. Saurabh Gupta
Consultant - Surgical Oncology
Cancer Care / Oncology
Dr. Monisha Gupta
Consultant - Gynae Oncology
Cancer Care / Oncology
Dr. Alok Gupta
Consultant - Medical Oncology
Cancer Care / Oncology
Cancer Care / Oncology
Dr. Sushil Kumar
Consultant (Incharge – MCAP), Coordinator - Oncology
Cancer Care / Oncology
Dr. Archit Pandit
Consultant – Surgical Oncology
Cancer Care / Oncology
Dr. Ritesh Pruthy
Consultant-Surgical Oncology
Cancer Care / Oncology
Dr. Anirudh Punnakal
Consultant- Radiation Oncology
Cancer Care / Oncology
Cancer Care / Oncology
Dr. Tripti Saxena
Consultant - Radiation Oncology
Cancer Care / Oncology
Cancer Care / Oncology
Dr. Bhawna Sirohi
Consultant Medical Oncologist – GI & Breast Cancers
Cancer Care / Oncology
Cancer Care / Oncology
Dr. Amit Verma
Consultant - Molecular Oncology & Cancer Genetics
Cancer Care / Oncology
Dr. Vivek Verma
Consultant - Orthopaedic Oncosurgeon
Cancer Care / Oncology
Dr. Kaushal Yadav
Consultant – Surgical Oncology
Cancer Care / Oncology
Dr. Shubha Garg
Associate Consultant
Cancer Care / Oncology
Dr. Vineet Govinda Gupta
Associate Consultant
Cancer Care / Oncology
Dr. Neerja Gupta
Associate Consultant
Cancer Care / Oncology
Dr. Kanika Batra Modi
Associate Consultant – Gynaecologist Oncologist
Cancer Care / Oncology
Dr. Vikram Singh
Associate Consultant
Cancer Care / Oncology
Dr. Sunandan Sharma
Senior Consultant - Surgical Oncology
Cancer Care / Oncology
Book an Appointment