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Gastrointestinal & Hepatobiliary Oncology
Gastrointestinal & Hepatobiliary Oncology
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Call Us+91 92688 80303Overview
Surgical Oncology:
Surgical management of all malignant and benign bone and soft tissue tumours
- Limb salvage surgery for malignant bone tumours (osteosarcoma, Ewing sarcoma, chondrosarcoma, and others) - use of the prosthesis, bone grafts, extracorporeal radiation (ECRT), cryosurgery, etc.
- Precision bone tumour removal using modern imaging ensuring complete tumor removal and maximizing form and function.
- Limb salvage surgery for soft tissue sarcomas
- Curettage for benign bone tumours (Giant cell tumours, chondroblastoma, osteoblastomaetc)
- Non-surgical management like sclerotherapy and radiofrequency ablation of benign bone tumorseg. (Aneurysmal bone cysts, simple bone cysts, osteoid osteoma etc.)
- Management of metastatic bone disease , ie involvement of bone due to spread of cancer cells from other organs like lung / breast/ prostate cancer etc. Therapeutic and prophylactic fixations with adjuvant helps to achieve early mobilisation.
- Spine tumors – primary or metastatic tumors are treated with decompression, stabilisation. Minimally invasive technique like vertebroplasty, ballon kyphoplasty, can be done.
Medical Oncology:
- Chemotherapy for bone and soft tissue sarcomas include modern protocols accepted worldwide
- Expertise in NeoAdjuvant and Adjuvant Chemotherapy for paediatric and adult bone and soft tissue sarcomas
- Palliative chemotherapy/ targeted therapy for advanced stage diseases
- High Dose Chemotherapy with Stem Cell Transplantation in appropriate cases
- Exclusive paediatric oncology unit for chemotherapy of children with sarcomas
- Focus on maximizing survival with preservation of organ and function
- Expert pathology and radiology inputs with clinical correlation through Orth- Radio Patho meets for optimum diagnosis and treatment
- An ethos of personalized evidence-based care with an emphasis on solutions optimized for each individual patient
- Weekly DMG (Disease Management Group) clinic and musculoskeletal tumour board
Radiation Oncology:
- Radiation Therapy (RT) for bone and soft tissue tumors
- Radiation Therapy for bone as well as soft tissue sarcomas is done in definitive, pr- op, Intra op (During surgery) and post operation as required for a given case
- For bone tumors like Ewing's sarcoma, we do high dose precision radiation therapy (with high doses ) with or without surgery as per indication
- Peri-operative interstitial brachytherapy: In soft tissue sarcomas as much as possible we do interstitial brachytherapy with brachytherapy catheter placement in tumour bed at the time of surgery and treatment in immediate postoperative phase. It gives high doses of radiation therapy with less side effects and avoidance of long duration RT after surgery.
- Extra Corporeal RT (ECRT)- In some limb tumoursit’s possible to surgically remove tumours bone and take this bone out of a body and give it a single shot of high dose radiation therapy (while bone is outside patients body). This bone is then put back in patient’s body. This is called extracorporeal radiation therapy. Purpose of this high dose radiation is that all tumour cells and normal bone cells get killed by high dose radiation therapy and this bone segment can be used as a customized prosthesis for the patient. Since Radiation therapy is given to bone outside the patient’s body, there is no impact of RT on the patient.
- Pre-op Radiation therapy
- We also practice preoperative Radiation therapy (in place of postoperative RT) whenever indicated in any soft tissue or a bone tumour with the idea of shrinking tumour for the better surgical outcome and decrease late side effects of postoperative radiation therapy.
- Precision Radiation therapy
- At Max Institure of Cancer Care (MICC), we practice Radiation therapy using focused techniques like 3DCRT, Intensity Modulated Radiation Therapy (IMRT) and Image Guided Radiation Therapy (IGRT). These techniques help us significantly reduce immediately and delayed adverse effects of treatment.
- For treating metastases form bone and soft tissue sarcomas we practice Stereotactic Body Radiation therapy (SBRT)- which deposits high radiation dose with minimal dose to surrounding organs
1. What are the common types of musculoskeletal tumours?
Ans: Common types of musculoskeletal tumours include osteosarcoma, chondrosarcoma, Ewing's sarcoma, giant cell tumour, malignant fibrous histiocytoma, and chordoma.
2. How does surgery help in the treatment of musculoskeletal oncology?
Ans: Surgery is the primary treatment for musculoskeletal oncology. It involves the removal of the affected bone or tissue and, in some cases, reconstruction using prosthetics or bone grafts.
3. Can muscle cancer spread?
Ans: Sarcoma cells can invade different areas of the body. For example, sarcoma cells in arm muscles can spread to the lungs and develop there. This process is known as metastasis.
4. Can musculoskeletal oncology recur after treatment?
Ans: Musculoskeletal oncology can recur after treatment, although the risk of recurrence is generally low. Close monitoring and follow-up care are crucial to detect any potential recurrence early.
5. What are the side effects of musculoskeletal oncology treatment?
Ans: Side effects of musculoskeletal oncology treatment may include pain, fatigue, nausea, hair loss, skin irritation, and decreased immune function.
FAQs reviewed by Dr. Akshay Tiwari, Director & Head, Musculoskeletal Oncology.
Our Gastrointestinal & Hepatobiliary Oncology Hospital Network
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All Technologies
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Edge technology with HyperArc
Image guided radiotherapy tool for most malignancies in the body
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Bone age estimation with BoneXpert Software
BoneXpert is an automated software that provides an accurate and quick analysis of bone age estimation
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Versius Next Generation Robotic Surgery
Robotic surgery or robot-assisted surgery is a technique used to perform common as well as advanced procedures with more flexibility, precision, and control. VERSIUS is the NEXT generation Surgical robot that is transportable, portable, affordable.
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State of Art 3 Tesla MRI
The newly installed high end 3 Tesla MRI (MAGNETOM Lumina) at Max Superspeciality Hospital Patparganj, gives excellent clinical imaging with unique Biomatrix technology that understands the bio variability of different patients
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Radixact x9 TomoTherapy
Radixact Tomotherapy is a significantly advanced, next generation TomoTherapy for treatment of cancer patients.
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PET CT
This high powered machine is a medical imaging technique using a device which combines in a single gantry...
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TrueBeam Linac with Exactrac
The traditional aim of radiation therapy is to increase the cure rate with minimal toxicity.
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Intra-Operative & Portable CT scanner with Navigation
A portable intraoperative multi-slice
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Digital Orthopedic Suite for Hip and Knee Joint Surgery
This technology allows image guided surgery for hip and knee. It maps the complete surgery
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Endoscopic Ultrasound (EUS)
Endoscopic ultrasound is a minimally invasive procedure to assess digestive
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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
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Bi-Plane Digital Cathlab
BiPlane technology aids in the Diagnosis as well as treatment of disorders related to brain spinal cord
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HIPEC
Hyperthermic Intraperitoneal Chemotherapy (HIPEC) treats advanced stage abdominal cancers
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Extra Corporeal Membrane Therapy (ECMO)
ECMO (Extra Corporeal Membrane Therapy) is a high end rescue therapy for patients suffering
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C-arm
Philips FD10 cardiovascular X-ray system offers versatile automatic positioning movements
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Femtosecond Laser Platform
This state of the art laser machine directs laser energy precisely to create a thin
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Da Vinci Xi Robotic System
Da Vinci XI Robotics system is the next frontier for minimally invasive surgery.
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SPY Elite Imaging
The SPY Elite allowes surgeons to capture, review, print and archive high-quality image
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Retinal Green LASER
Features the traditional green laser used as the standard in photocoagulation for decades.
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EMG (Electro Myogram)
An electromyograph detects the electrical potential generated by muscle cells
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NCV (Nerve Conduction Velocity)
It is the speed at which an electrochemical impulse propagates down a neural pathway.
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Intra Cranial Pressure Monitoring
Intracranial pressure monitoring uses a device, placed inside the head. The monitor senses the pressure
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MRI 3.0 Tesla
This hefty machine is well known for utilizing shorter scan times and maximizing patient comfort
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Ultrasound
This method uses soundwaves to create images of parts of the body to help diagnose and determine
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X-Ray
X-Ray generator comprises of electrode pair - cathode and anode. When the highly negatively charge
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Interventional Radiology Suite (Cath Lab) | X-ray
The state of the art machine helps in producing high quality images using advanced medical imaging
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Fluoroscopy
Designed on the lines of the X Ray generator, this records live movements of the patient
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Mammography
Its a machine which uses low-energy X-rays to examine the human breast, which is used as a diagnostic
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Dexa Scan (Bone Densitometry)
The DXA scan machine is used to measure the Bone Mineral Density(BMD). Comprising of dual
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Novalis Tx
This highly powerful radiosurgery system, offers a combination of advanced technologies
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Optical Coherence Tomography (OCT)
The OCT machine uses light wave to take cross section pictures of the retina. this machine
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EEG Electro Encephelogram
EEG) is an electrophysiological monitoring method to record electrical activity of the brain
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LASER for Glaucoma
This machine comprises of argon laser equipped slit lamp, using a Goldmann gonioscope lens
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Automated Perimetry
It uses a mobile stimulus moved by a perimetry machine. The patient indicates whether he sees
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Lasik Allegrato Machine
The Allegretto Wave Eye-Q excimer laser uses a series of technical innovations to optimize laser vision
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CRRT
Delivers a complete range of continuous extracorporeal blood therapies with a highly versatile platform
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Real Patients, Real Stories
Reconstructive Surgery for Osteosarcoma Treatment
Treated by Dr. Vivek Verma, Max Super Speciality Hospital, Vaishali
Oct 5, 2023
Limb Salvage Surgery for Osteosarcoma
Treated by Dr. Akshay Tiwari, Max Super Speciality Hospital, Saket
Jul 31, 2023
Radicalisation of Ulna for Giant Cell Tumour
Treated by Dr. Akshay Tiwari, Max Super Speciality Hospital, Saket
Jul 7, 2023
Reconstructive Surgery for Osteosarcoma Treatment
Treated by Dr. Vivek Verma , Max Super Speciality Hospital, Vaishali
