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Max Super Speciality Hospital, Saket
Description: 
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    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 
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Date: 
October, 2015 :15
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DELHI / NCR : 011-4055 4055

MOHALI : 77107-77107

DEHRADUN : 0135 719 3333

BATHINDA : +91 0164-5212000

 

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

Breast Cancer

Home >> Taxonomy >> Breast 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

Dr. Devavrat Arya

Dr. Devavrat Arya
Principal Consultant – Medical Oncology
Best Cancer Doctor in Delhi, India - Dr. Devavrat Arya - Max Saket
Memberships: 
  • Indian Co-Operative Oncology Network (ICON)
  • Indian Society of Medical and Paediatric Oncology (ISMPO)
  • European Society of Medical Oncology (ESMO)
  • American Society of Clinical Oncology (ASCO)
  • Association of Physicians of India (API NOIDA  CHAPTER)
     

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PROFESSIONAL JOURNEY

Work Experience: 
  • Sr. Consultant, Medical Oncology at International Oncology Centre, Fortis Hospital, Noida from  1st April 2012 to 2017
  • Hon Associate Consultant, Medical Oncology, Action Cancer Hospital, Delhi from  2011 to 2012
     
Education & Training: 
  • MBBS from Maulana Azad Medical College, Delhi University
  • M.D. (Internal Medicine) from Govt. Medical College, Surat, (South Gujarat University)
  • D.M. (Medical Oncology)  from Gujarat Cancer & Research Institute, B J Medical College, Ahmedabad, (Gujarat University)
     
Awards Information: 
  • European Certificate in Medical Oncology
  • P.I. in multiple trials
  • Many National/ International publications & presentations
     
Speciality Interest: 
  • Breast Cancer, Head & Neck Cancers, Musculoskeletal & Gynae Cancers
     
Duration Of OPD: 

Max Institute of Cancer Care, Lajpat Nagar

  • Tue/Thurs/Sat - 9:00 AM to 11:00AM

What Should be the Post-Surgery Breast Cancer Care?

February 2, 2017 0 51 5 minutes, 28 seconds read

1) How do I take care of my wound?

 Keep the wound clean. There is no need to dress the wound if it is healthy. You only need to touch it with an antiseptic lotion once a day (Betadiene lotion).The drain site dressing has to be changed after 4-5 days.

2) When can I take a bath?

You can take a full body bath after stitch removal i.e. after 2 weeks. Till then, you can sponge the upper half of the body and pat yourself dry. You can wash your head with assistance.

3) How do I dress my wound?

The dressing is removed on the first post-operative day and left open. Staples are usually used to close the wound. The wound is to be dabbed with Betadiene lotion and you are requested to wear clean cotton clothes.

4) How do I take care of the drain? Do I have to wash it every time I empty it?

The drain may be carried around in the bag that we provide you in the post operative kit. You have to empty it once a day on a fixed time and measure it with the measuring cylinder provided in the kit. The specialist nurse will teach you how to handle it and you can also go through the ‘Drain Care’ leaflet provided to you. You don't need to wash the drain box every time you empty it.

5) Can I wash my hair?

Yes you may, with assistance. Lie down with your head beyond the bed and your attendant can shampoo it for you and wash as well.

6) What should I do about the pain in my arm and the feeling of stretching in operation site?

If you have undergone axillary surgery especially axillary dissection, it is not uncommon to feel numbness and tingling in the inner half of the upper arm. This is much less seen after sentinel lymph node biopsy. You may even perceive touch as pain. This is because a nerve that crosses your armpit and reaches the arm is cut or stretched at the time of surgery. The intensity of these abnormal sensations reduces with time and definitely gets better with exercise. They may not go away completely.

7) Can I sleep on the side of surgery?

Yes, you may, provided you don't rest your head on the arm and don't put your weight on the drain tubes.

8) Can I do a few chores at home?

Yes, you can perform several household chores that don't tire you. This could mean dusting, laying the table, supervising in the kitchen, etc. You can slowly scale up your work to normal in 2-3 weeks.

9) When can I drive?

Once the drain is out and you are freely mobile, you can drive a car.

10) What should I eat?

You should focus on eating clean, nutritious food with your family on the dining table. You can share everything with them. Remember, cancer is not infectious. If you are a diabetic or are obese, the dietician can prescribe a diet chart to you.

11) How frequently should I exercise?

You should start exercising as early as the first post-operative day and do it more frequently to start with i.e. every hour for 3-5 minutes. You can reduce the frequency to 4-5 times a day, once the full range of movement is established.

12) When do I get to know about further treatment?

Further treatment will be decided on the basis of your histopathology report which comes back after 7-8 days of surgery.

13) What are the possible problems that I am likely to have and how do I deal with them?

There could be pain, swelling at the operation site or fever or leakage from the side of the drain or a malfunctioning drain. All these need to be attended to. You can call our helpline or your doctor for advice.

14) When should I meet the doctor?

Usually, you will be called back to see your operating surgeon 5-7 days after surgery to have a look at the wound and the drain. The drain will be removed once the output over 24 hours is 30-40ml. This usually takes 10 days to 2 weeks. The stitches /staples will be removed 2 weeks after surgery.

15) When will my chemotherapy begin? Is it painful? Do I have to be admitted?

Chemotherapy begins in the third week after surgery. The wound should have healed well before chemotherapy is started. The optimum time to start chemotherapy is 3-6 weeks after surgery.

16) What are the likely side effects of chemotherapy?

Chemotherapy tends to attack all those cells which are rapidly dividing. While cancer cells are rapidly dividing, so are the cells lining the intestine, the hair follicles and the bone marrow. This is also the reason why one feels nauseated during chemotherapy, lose hair and also become susceptible to infections. All this contributes to fatigue as well.

These effects last about a week after chemotherapy and then the recovery begins. The good news is that there are effective medicines to counter a host of these side effects that happen during chemotherapy. Your medical oncologist will explain them to you in detail.

17) What is radiation therapy and when will it happen? How frequently do I have to come for radiation and how long does it last?

Radiation therapy is the process by which high beam X-rays are delivered to either the breast after breast conservation surgery (BCS or) to the chest wall after breast removal (mastectomy). Radiation almost always follows after completion of chemotherapy. The conventional treatment lasts 5-7 weeks and newer techniques can deliver it in 3 weeks in suitable patients. Your radiation oncologist will discuss the details of treatment with you.

18) How do I know that I am disease free? What will be my follow up protocol? And who should I meet for my follow up?

Once you have completed treatment, you will be called back for follow up. You will be assessed for symptoms and seen clinically every 3 months for the first two years, six monthly for the next three years and then annually for a further five years. An ultrasound abdomen and X-ray chest may be done six monthly while a mammogram will be done once a year.

For those undergoing breast conservation surgery, an MR mammogram may be performed a year after surgery. There is no need for intensive investigation, unless a specific symptom needs to be investigated further with CT scans or PET-CT. You should be seeing one clinician each time and if need be, he or she can refer you to the other specialties.

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Cancer specialist in Delhi, India - Dr Vineeta Goel - Max Hospital
Associate Director

Pledge to spread awareness about Breast cancer this October!

October 18, 2016 0 40 2 minutes, 38 seconds read

I am often asked why does breast cancer happen. And the only honest answer I come up with is "I don't know". 

There are risk factors but there is no absolute association of breast cancer with these risk factors’! Not a very confident and inspiring answer but that is the reality. 

The truth is that in a developed country like US, 1 in 8 women will be diagnosed with breast cancer in their lifetime, while in India 25-30 women in the urban population and 1 in 65-70 women in the rural areas will be diagnosed with the same. That may seem reassuring but in absolute numbers we are way ahead of America. 

So what is it that they are doing right which we are not?

The western countries have a well-oiled mammographic screening programme for early detection of breast cancers. We do not have such as system and considering the incidence of the disease, it does not justify. Moreover, in India, and other developing countries, more lives are lost to breast cancer as compared to the west.

Some things are obvious that they have better access to uniform healthcare and are quite aware of the problems of breast cancer. 

How to examine your breasts?

A woman, without doubt, is a multitasker- balancing her home and her work with dexterity unique to her. It is impossible to overemphasize the role a woman plays in the lives of the many depend on her for their day-to-day needs. In the process, she often pushes back her requirements. Her health always takes a backseat as she believes there are better things to do – FOR OTHERS!

Try to Practice this- Breast Self examination (BSE) is an extremely easy procedure. You do not require a special time to execute it as it can be done while taking bath. When you hand slips over your breast, you can easily detect any abnormal area in the breast quite easily. BSE should be performed once a month, or a week after your periods or if your post menopausal then on a fixed day every month that coincides with your anniversary or birthday.

Some breasts can be lumpy or bumpy. You may perceive this as abnormal when you start examining yourself but a trip to a breast cancer doctor can allay your fears. What a regular breast self examination achieves is quite remarkable: it familiarizes you with the usual undulations in the breast in the same way as you are completely aware of all the speed breakers, curves and kerbs we encounter on our way from work to home even on a dim lit road.

The incidence of breast cancer is increasing every day, and we are doing everything that we can do to turn the tide. It is rather unfortunate that about 50-60%of breast cancers in our country are detected in advanced stages. It is therefore not surprising that more than 50% of patients diagnosed with breast cancer would succumb to the disease. For a country like ours, the only useful tool to tackle breast cancer would be –EARLY DETECTION! For us, becoming familiar with our own breasts and making others around us breast aware is the need of the hour. 

 

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Cancer specialist in Delhi, India - Dr Vineeta Goel - Max Hospital
Associate Director

Surgery for Breast cancer is not ALWAYS about removing Breasts!

October 13, 2016 0 83 3 minutes, 51 seconds read

When 32 year old, a HR consultant in an MNC, walked into my clinic, accompanied by her husband and parents, I could sense an air of hopelessness surrounding this good looking young lady. The papers that were laid in front of me carried a needle biopsy report, which confirmed the diagnosis of breast cancer. Fortunately, for her, the size of the lump was about 2cms and there were no lymph nodes that I could feel in the armpit. There was no evidence of spread to the other organs on imaging. She had come to me for a second opinion and I soon found out why. She had been advised a modified radical mastectomy (complete removal of the breast along with the lymph nodes in the armpit) and she wanted to know if she could keep her breast without compromising outcome. She was a successful career woman with everything going for her till yesterday and today she was grappling with this tough predicament- of losing an organ, an integral part of her femininity to cancer- it was almost cruel!.......... And there was really no choice then because the doctors treating her were also convinced that sacrificing the breast was the only chance of getting well.

The treatment of breast cancer has undergone significant evolution and this shows how outcomes have changed dramatically for the better. While curing the disease is a priority, maintaining quality of life is as important. The journey that has been covered before us is no less fascinating and the constant endeavor to make it better for the patient has driven the change.

Do you know that in the 20th century, mutilating surgeries in the form of amputation of the breast and then radical mastectomy (removal of the breast, muscles of the chest and the lymph nodes in the armpit) or the extended radical mastectomy(same as radical mastectomy but with the additional removal of lymph nodes inside the chest) remained in vogue for a larger part of the 20th century.

However, in the 1960s, the conviction that breast cancer was a systemic disease and not a local disease, prompted trials to address one question- ‘Are we doing too much? Radical mastectomy was replaced by modified radical mastectomy-“A procedure not as mutilating as radical mastectomy but still involved loss of an organ”. But, to a woman it meant much more than the loss of an organ as it entailed a psychological blow besides casting a shadow on her femininity.

Some smart minds in the medical field started questioning the necessity of performing such radical surgeries to get optimum results. There were trials conducted to compare mastectomy and breast conservation surgery in the 1970s.  The conclusions were if breast conservation surgery (removal of the lump with a surrounding 1 cm margin of normal breast tissue) was followed by radiation therapy to the rest of the breast in selected patients, it required complete removal of breast. Finally, women with breast cancer had a choice.

With improvements in chemotherapy, radiation therapy, hormonal treatment and targeted therapy, breast conservation therapy has become a sole treatment choice in selected patients. While it is possible to conserve the breast in early stages of breast cancer, it is also possible to offer this treatment in patients with locally advanced breast cancer, where chemotherapy is administered first to shrink the tumor. If the tumor shrinks towards the centre and is marked while the patient is on chemotherapy, it may be possible to conserve the breast when surgery is performed after completion of chemotherapy.

Checkout the best cancer specialists in Delhi.

………..And that brings us back to the 32year old. An MR mammogram was done keeping in view her age and dense breasts. The MR mammogram showed a solitary 2cm lump in upper half of the breast with no significant lymph nodes in the armpit. With this newfound information, I offered her breast conservation surgery with oncoplasty (surgical technique to restore shape to the breast) and sentinel lymph node biopsy (few nodes in the armpit sampled instead of all nodes ). Her joy knew no bounds and she opted to go ahead with breast conservation surgery. The surgery went off well and fortunately for her, the sentinel node biopsy came back as negative for spread. She did not require all the nodes in the armpit to be removed with its attendant 20% risk of developing arm swelling. Her risk of arm swelling is probably less than 5% now. She was discharged the next day, without any tubes coming out of her body. She was complete in a sense………….and there was really no way to tell she had undergone surgery for breast cancer!

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Cancer specialist in Delhi, India - Dr Vineeta Goel - Max Hospital
Associate Director

Dr. Geeta Kadayaprath

Memberships: 
  • Association of surgeons of India
  • Association of Breast Surgeons of India
  • Indian Association of Surgical Oncologists
  • Indian Society of Oncology
  • Oncology Forum

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Biography

Biographical Sketch: 

Dr. Geeta has over 21 years of experience as a surgeon and has 17 years of experience in surgical oncology. Breast Cancer is her area of interest. She has wide experience in performing the entire array of breast surgeries and has pioneered the establishment of sentinel lymph node biopsy and oncoplastic breast surgery as standard procedures in Max Hospital. She has spearheaded the formation of a Breast Support Group, a forum which extends ‘Care beyond cure’ to breast cancer patients twice a month. She has also done MCh Breast Oncoplasty Master class in collaboration with University of East Anglia, UK

PROFESSIONAL JOURNEY

Work Experience: 
  • Junior Consultant, Surgical Oncology, Indraprastha Apollo Hospital, 2001-2003
  • Research Fellow, Breast Unit, Surgical Oncology, Royal Marsden Hospital, UK,2003-2004
  • Consultant Rajiv Gandhi Cancer Institute,Delhi, 2004-2009
  • Senior Consultant, Max Cancer Centre, Saket, 2009-2014
  • Head, Breast Surgical Oncology,Max Super Speciality Hospital Patparganj, since 2014
Education & Training: 
  • MBBS- Lady Hardinge Medical College, Delhi 1991
  • MS- Maulana Azad Medical College, Delhi 1997
  • FRCS-Fellow of the Royal College of Physicians and Surgeons of Glasgow 2001
     
Awards Information: 
  • Founder and Hony. Secy of the Delhi Breast Oncology Group (DBOG)
  • Secretary Oncology Forum, Delhi NCR
  • Executive Member, Association of Breast Surgeons of India
  • Executive Member, Indian Society of Oncology
     
Speciality Interest: 
  • Malignant diseases of the Breast Sentinel lymph node biopsy, Breast conservation surgery and Oncoplastic breast surgery
Duration Of OPD: 

   Max Super Speciality Hospital, Patparganj

  • Mon - Sat : 9 am – 1 pm

   ​Max Super Speciality Hospital, Vaishali

  • Tuesday: 08:00 am - 10:00 am; 02:00 pm - 04:00 pm
  • Thursday: 08:00 am - 10:00 am; 02:00 pm - 04:00 pm
  • Saturday: 08:00 am - 10:00 am

   ​Max Multi Speciality Centre, Noida

  • Monday: 05:00 pm - 06:00 pm

Dr. Dinesh Singh

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Biography

Biographical Sketch: 

Dr. Dinesh Singh is practising in Delhi NCR region for the last two and half decades. He has a vast experience of image guided radiotherapy, Intensity Modulated Radiotherapy, Stereotactic Radiotherapy, Conformal Radiotherapy and Brachytherapy. He has created awareness among doctors of Delhi NCR regarding modern radiotherapy treatment.

PROFESSIONAL JOURNEY

Work Experience: 
  • Tata Memorial Hospital, Mumbai
  • Memorial Sloan Kettering Cancer Centre, New York, USA
  • Ohio State University, Columbus, Ohio, USA
  • Long Beach Memorial Medical Centre, Long Beach California, USA
  • Stadt Kliniken Frankfurt University, Germany
Education & Training: 
  • M.B.B.S. - U.C.M.S, University of Delhi, Delhi
  • M.D. (Radiotherapy) - Maulana Azad Medical College,  Delhi
  • Fellowship from Universities in Germany and USA
Awards Information: 
  • Publications – Have written various papers in renowned medical journals.
  • Citations – Research work has been cited in various journals by national and international scholars.
  • During his leadership Radiotherapy department of renowned Hospitals got NABH.
  • Secretary of Men’s Health Society, India (Delhi branch)
Speciality Interest: 
  • Brain Tumors
  • Breast Cancer
  • Thoracic Cancers
Duration Of OPD: 

      Max Super Specialty Hospital, Vaishali

  • Monday: 09:00 am - 12:00 pm
  • Wednesday: 09:00 am - 12:00 pm
  • Friday: 09:00 am - 12:00 pm

      Max Super Specialty Hospital, Patparganj

  • Tuesday - 10 am - 12 pm
  • Thursday - 10 am - 12 pm
  • Saturday - 10 am - 12 pm

      Max Multi Speciality Centre, Noida

  • Wednesday - 9 am to 11am 

Dr. Pramod Kumar Julka

Dr. Pramod Kumar Julka
Senior Director
Cancer specialist in Delhi, India - Dr Pramod Kumar Julka - Max Hospital
Memberships: 
  • The American Society of Clinical Oncology (ASCO) has awarded him by bestowing on him the emeritus membership.
  • He has been a member of the Indian Council of Medical Research Task Force for setting up cancer research projects across the country
  • He is also a member of the Society of Cancer Research and the national advisory committee of Global Cancer Summit – 2015 

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PROFESSIONAL JOURNEY

Work Experience: 
  • He had higher training at the M.D. Anderson Hospital, Houston, Texas, under World Health Organisation fellowship & thereafter at the Long Beach Memorial Cancer Centre, Long Beach, California.
  • Dean - Academics and Professor, Depat. of Radiotherapy and Oncology, All India Institute of Medical Sciences, New Delhi, India
  • The other positions held by Dr. Julka are: Former President - Association of Radiation Oncologists of India (Northern Chapter)
  • Former Chairperson - Indian College of Radiation Oncology (2000-2009)
Education & Training: 
  • M.D. (Radiotherapy & Oncology), Maulana Azad Medical College, New Delhi, India
  • Fellow (FAMS) of the National Academy of Medical Sciences 
Awards Information: 
  • Recipient of ‘Padma Shri’ Award (the fourth highest civilian award in the Republic of India), 2013
  • Life Time Achievement Award by Association of Radiation Oncologists of India (AROI), 2013
  • Felicitated as Fellow (FAMS) of the National Academy of Medical Sciences, 2013
  • Indian Medical Association (IMA) Best Orator of the Year Award, 2009
  • P K Haldar Oration at AROI Conference on Translational Research, 2007
  • Indian Medical Association (IMA) Award for Clinical Oncology, 2006
  • Awarded Dr. G.D. Pandey Oration at Haldwani, Uttarakhand on Breast Cancer, 2006
  • IMA NDB Oration, 2005
  • IMA Award for Medical Education and Research, 2000 - 2001
  • International Biographical Centre of Cambridge, England’s “Leading Scientist of the World 2005” Award
  • OISCA Foundation Award for outstanding contribution to Cancer Treatment and Research (UN Award) 2001
  • IMA Award for Medical Education and Research, 2000 - 2001
  • Performed a Peripheral Blood Stem Cell transplant following high dose chemotherapy in Metastatic Breast Cancer on May 9, 1995 (the first in the country – this feat has Limca Book of Records, 1998)
  • WHO Fellowship at MD Anderson Hospital, Houston, Texas and Long Beach Memorial Cancer Centre, Long Beach, California, USA, 1995
Duration Of OPD: 

Max Cancer Care, Lajpat Nagar

  • Mon - Sat: 8:30 AM - 4:00 PM

Max Smart Super Speciality Hospital, Saket

  • Wed: 2:30 PM - 4:30 PM
Research & Publication: 
  • Dr. Julka has published many articles, over 250 of them, in national and international peer reviewed journals that has benefited eminent researchers across the globe.
  • He has also authored a book under the name, Becoming A Successful Clinical Trial Investigator

Dr. Shubham Jain

Memberships: 
  • American Society of Clinical Oncology
  • European Society of Surgical Oncology
  • Indian Association of Surgical Oncology
  • Association of Surgeons of India
  • Delhi Medical Council
  • Maharashtra Medical Council
  • International Naturopathy Organisation
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PROFESSIONAL JOURNEY

Work Experience: 
  • Consultant (Surgical Oncology), Max Institute of Cancer Care, New Delhi
  • Specialist Senior Resident, Tata Memorial Centre, Mumbai
  • Senior Resident (Casualty) and Senior Resident (General Surgery), Dr. Ram Manohar Lohia Hospital, Delhi
  • Advanced Trauma and Cardiac Life Support Provider
     
Education & Training: 
  • M.Ch. (Surgical Oncology) – Tata Memorial Centre, Mumbai
  • M.S. (General Surgery) – Lady Hardinge Medical College, Delhi
  • M.B.B.S. – Maulana Azad Medical College, Delhi
  • Fellowship of Association of Surgeons of India
     
Speciality Interest: 
  • Thoracic, Breast and GI & HPB oncology
     
Duration Of OPD: 

   Max Super Speciality Hospital, Saket

  • Tue, Thurs: 6 PM – 8 PM
  • Sat: 4 PM – 6 PM

   Max MedCentre, Lajpat Nagar

  • Tue, Thurs, Sat: 12 PM – 2 PM  

   Max Multi Speciality Centre, Panchsheel Park

  • Tuesday 1-3, Thursday 1-3

Dr. Vimal Pandita

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Biography

Biographical Sketch: 
  • Dr. Vimal Pandita has 12 years of experience in the field of Medical Oncology. He has received training in institutes of National & International repute. His areas of interest include solid tumor oncology, lymphomas & multiple myeloma. He has many publications in National & International journals. 

PROFESSIONAL JOURNEY

Work Experience: 
  • Associate Consultant, Medical Oncology, Hematology and Stem Cell Transplant- FMRI Gurgaon
  • Sr. Registrar Clinical Hematology TMH, Mumbai
Education & Training: 
  • MBBS, GMC, Jammu
  • MD Medicine (SKIMS) Srinagar
  • Medical Oncology (SKIMS)
  • Post Doctoral Fellowship Solid Tumour Medical Oncology – TATA Memorial Hospital Mumbai, 2011 to 2013
Speciality Interest: 
  • Solid Tumours
  • Multiple Myeloma Lymphomas
Duration Of OPD: 

       Max Super Speciality Hospital, Dehradun

  • Monday to Saturday 10:00 AM to 5:00 PM
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