Paediatric Oncology | Max Hospital
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Max Super Speciality Hospital, Saket
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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
Home >> Our Specialities >> Paediatric Oncology

Childhood Cancer

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 bones, blood, 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 and germ cell tumours, it is almost 95%.

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, 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.

  • Primary Cancer and Secondary Cancer - The “Primary Cancer” is where the cancer started. In case some cells break away from the primary cancer site and settle in another part of the body, this cancer is then called as “Secondary Cancer” or metastases. The cancer cells can spread locally by entering the bloodstream or lymphatic system. However, secondary cancers are made up of same type of cells as primary cancer.

  • Leukemia - Found in the blood and bone marrow, this cancer accounts for one third of all childhood cancers. The common cancers found in children are: Acute Lymphocytic Leukemia (ALL) and Acute Myeloid Leukemia (AML). These cancers can cause fatigue, weight loss, bleeding, joint pain and high fever. As acute leukamias have a tendency to grow quickly, they need immediate medical intervention (chemotherapy).

  • Brain and Spinal Cord Tumors - The second most common cancers in children are brain and central nervous system tumors that account for a quarter of all childhood cancers. They commonly occur in lower parts of brain like cerebellum or brain stem. Most common symptoms seen are dizziness, double vision, severe headaches, vomiting, and difficulty in walking or holding things.

  • Lymphomas - They start in lymph nodes and lymph tissues and can also affect bone marrow as well as other organs. The most common symptoms are swollen lymph nodes under neck and armpit, excessive weight loss, and fatigue. 2 types of lymphoma that can occur both in children and adults are:

    • Hodgkin Lymphoma

    • Non-Hodgkin Lymphoma

  • Wilms tumor - This tumor accounts for 5% of childhood cancers and is commonly found in children aging 3-4 years. It usually starts in one or both kidneys, causing swelling or lump in the abdomen with symptoms like loss of appetite, nausea and fever.

  • Neuroblastoma - This cancer develops in infants and young children. Accounting for about 6% of childhood cancers, neuroblastomas can begin anywhere but starts in the abdomen, and may also cause severe bone pain and fever.

  • Bone Cancers - About 3% of childhood cancers are bone cancers that occur in older children and teenagers (though they can develop at any age). Most common types of bone cancers are:

    • Osteosarcoma, which occurs in the areas where the development of bone is quick i.e. long bones in arms or legs. The pain usually becomes severe at night or while doing activity, causing swelling around bone.

    • Ewing Sarcoma is most commonly found in young teenagers. It usually begins in the hip bones, ribs or shoulder bladders or leg bones.

The cancers in children are hard to recognize as the symptoms are common/similar to childhood illnesses or injures. However, if the below mentioned symptoms persist, it requires immediate intervention:

  • An unusual lump or swelling

  • Unexplained paleness and loss of energy

  • Easy bruising or bleeding

  • An ongoing pain in one area of the body including bones, joints, back

  • Limping

  • Unexplained fever or illness that doesn’t go away

  • Frequent headaches, often with vomiting

  • Change or deterioration in walk, balance or speech

  • Sudden eye or vision changes including white spot in the eye, new squint, new blindness, bulging eyeball

  • Sudden unexplained weight loss

Paediatric oncologists diagnose a child's cancer by doing tests to identify the specific type of cancer. This is called as "Confirmatory Testing". Thereafter, a series of tests are done to determine the burden of cancer and where is it located. This is called as "Staging". For this, several investigations are done like:

  • Blood and Urine Tests

  • Imaging with ultrasound, MRI, CT scan, PET CT scan

  • Bone Marrow examination and lumbar puncture

  • Biopsy

To Stage "Solid tumors", the doctor examines the size of tumor and affected lymph nodes as well as where it has spread.

To Stage "Lymphoma", the doctor examines the lymph nodes, bone marrow, liver, spleen, lung and the res t of the body. Also, few special tests like genetic testing of tumors are also done to assess the capability of cancer.

It is most important to get the correct diagnosis so that right treatment can be given to the child. Though not all tests are done on children and what is conducted depends on the type of cancer suspected. For most of these tests, the child is sedated so that he/she may not move or feel any pain. The results may take 3-5 days to come back so this is explained to the parents.

Team That Cares

Dr. A. K. Anand - Max Hospital
Senior Director - Radiation Oncology
Cancer Care / Oncology
Dr Vineeta Goel - Max Hospital
Associate Director - Radiation Oncology
Breast Cancer
Arun Kumar Verma
Principal Consultant - Radiation Oncology
Cancer Care / Oncology
Pediatric/Medical Oncology
Dr. Rashi Agarwal - Max Hospital
Consultant – Radiation Oncology
Cancer Care / Oncology
Untitled-1 - Max Hospital
Consultant – Cardiology
Dr. Vineet Govinda Gupta
Associate Consultant
Breast Cancer
Dr Prachi Jain
Associate Consultant - Pediatric Oncology Hematology and BMT
Bone Marrow Transplant


  • Max Healthcare is at the forefront of participation in multicentre clinical trials related to childhood cancer currently ongoing in India including those for acute lymphoblastic leukemia (InPOG-ALL-15-01) and Hodgkin disease (InPOG-HL-15-01). Where a clinical trial in not available, patients are treated on on contemporary North American and European protocols.

  • We provide a strong backup of on-site paediatric ICU as well as other speciality services like paediatric cardiology, paediatric nephrology, paediatric neurology, paediatric endocrinology, paediatric gastro-enterology and others.

  • We closely work with our paediatric ICU and anesthesia colleagues to provide sedation and immobilisation of the child (when needed) for diagnostic procedures (MRI, PET CT, bone marrow examinations, etc.) as well as for therapeutic reasons (planning and delivery of radiotherapy, intrathecal chemotherapy, etc.)

  • All our patients are discussed in several multidisciplinary tumour boards every week including dedicated musculoskeletal tumour boards and brain tumour boards.

  • We provide patient-centred care with dedicated staff to support the patient and families psychological and social needs.

Clinical Meetings

Relevant tumour boards

Max Super Speciality Hospital, Saket

  Multidisciplinary Tumour   -  Monday 8:30 to 9:30 am and Friday 8:30 to 9:30 am

  Musculoskeletal Tumour   -  Thursday 3:00 to 4:00 pm

  Brain Tumour   -  Thursday 4:00 to 5:00 pm

Max Super Speciality Hospital, Vaishali

  Multidisciplinary Tumour   -  Thursday 8:00 to 9:00 am

Relevant tumour boards

Max Super Speciality Hospital, Patparganj

  Multidisciplinary Tumour   -  Tuesday 8:30 to 9:30 am and Thursday 8:30 to 9:30 am

Max Super Speciality Hospital, Shalimar Bagh

  Multidisciplinary Tumour   -  Wednesday 3:00 to 4:00 pm

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