Cancer Care/Oncology
Best Cancer Care Hospital in Whitefield Bangalore
Our Centre of Excellence in Oncology practises a holistic approach in treating the entire spectrum of cancers at all the stages. The department has complete spectrum of Clinical Specialties in Oncology including Surgical, Medical (Chemotherapy, Immunotherapy, and Hormone Therapy), Radiation Therapy, Hematology and bone marrow transplant. Our team of experts are extremely adept at diagnosing the most challenging cases, staging the disease, treating with medications, radiotherapy or operating with the advanced technology that Manipal Hospitals is equipped with, to combat cancers across all ages including children. Quaternary care is at the core of our healing ethos and our specialised experts are aces in this discipline.
OUR STORY
Know About Us
Why Manipal?
At Manipal hospitals, we have a dedicated Tumour Board discussion for patients. Each patient is unique and teaches us myriad aspects of cancer treatment. Each case presented to the board is studied in detail, and the best possible treatment approach is suggested. Evidence based, internationally approved chemotherapy guidelines are followed for treatment of various solid and hematological cancers.
Treatment & Procedures
Core Biopsy
A core biopsy is a procedure where a needle is passed through the skin to obtain a sample of tissue from a mass or lump. The tissue sample is then examined under a microscope for any abnormalities.
Chemotherapy has been the accepted therapeutic paradigm for the treatment of advanced cancers. This mode of treatment involves the use of systemic chemotherapy drugs which target specific areas where cancer cells grow.
Colposcopy clinic
A colposcopy is a type of cervical cancColposcopy is a diagnostic procedure in which a colposcope (a dissecting microscope with various magnification lenses) is used to provide an illuminated magnified view of the cervix, vagina, vulva or anus to identify precancerous and cancerous lesions so that they may be treated early.r test. The doctor uses an…
This therapy of cancer treatment uses the body's immune system to kill cancer cells. Biological therapy for cancer is used in the treatment of many types of cancer to prevent or slow tumor growth and to prevent the spread of cancer.
Intracavitary chemotherapy involves the injecting of chemotherapy through a tube (catheter), directly into a body cavity. It gives a very high dose of chemotherapy to the tumour, but only a very low dose to the rest of the body. Intracavitary chemotherapy can be injected into the bladder – intravesical, the abdominal cavity – intra peritoneal, or the…
Day care chemotherapy is extended to those patients who have been advised short therapies or cancer procedures that do not require a night stay in hospital. Domiciliary chemotherapy involves making chemotherapy services available to cancer patients in their homes. This is mostly for the elderly who cannot reach the hospital for chemotherapy sessions.
Bone marrow transplant is a procedure where a person's faulty bone marrow stem cells are replaced by healthy ones. Bone marrow transplants are done to treat patients suffering from leukemia, and severe blood diseases such as thalassemias, aplastic anemia, and sickle cell anemia, as well as multiple myeloma and certain immune deficiency diseases.
In order to reach inaccessible tumours, shorten surgery time or reduce side effects, onco surgeons prescribe innovative robotic surgery.
A PICC is a thin, flexible tube that is inserted into a vein in the upper arm and guided into a large vein above the right side of the heart called the superior vena cava. It is used to give intravenous fluids, blood transfusions, chemotherapy, and other drugs. Bone marrow aspiration is the removal of a small amount of this tissue in liquid form for…
In some cancer patients, chemotherapy is safely delivered through a standard (or “peripheral”) IV line. Other times, infusions must be administered through a central line catheter, such as a PICC, CVC or port.
Palliative care is the holistic approach to cancer care that addresses the patient as a whole, not just their disease. It also means learning to manage the cancer symptoms and side effects.
Child life specialists focus on the optimal development and well-being of infants, children, adolescents, and young adults suffering from cancer. They help in promoting coping skills and minimizing the adverse effects of hospitalization, health care, and other potentially stressful experiences.
Play is a natural part of childhood and is important in child development. Through play therapy, children also learn self-control, self-respect, to express their feelings, problem-solving, communication skills, and to modify problem behaviors. In children afflicted with cancer, play therapy is a comforting tool.
Counseling is an integral element of oncology treatment. A counselor is trained to listen to the patient and the physical, mental, emotional and spiritual problems that he or she might face
SBRT is also known as stereotactic ablative radiotherapy. This machine administers very high doses of radiation, using several beams of various intensities aimed at different angles to precisely target the tumor.
SRS refers to the precise and focused delivery of a single, high dose of radiation in a single session and has been used to treat various intracranial and skull base lesions.
This is the latest non-invasive, non-melanoma skin cancer treatment option through delivering a precise and calibrated dose of radiation that penetrates just below the skin's surface, only a mere 5 millimeters. It safely and effectively destroys malignant non-melanoma skin cancer cells.
3D-CRT, involves creating 3-D computer images and delivering highly focused radiation to tumors while sparing nearby healthy tissue. 3D-CRT is a type of external beam radiation therapy (EBRT), which is the most common radiation treatment used for cancer of the inner lining of the chest or lungs.
Palliative radiation therapy is one form of palliative therapy which treats the symptoms of the cancer. The radiation is used to shrink a tumor or tumors that are causing the symptoms.
For tumors in the thorax and abdomen, reducing the treatment margin for organ motion due to breathing reduces the volume of normal tissues that will be irradiated. ABC apparatus is constructed consisting of 2 pairs of flow monitor and scissor valve, 1 each to control the inspiration and expiration paths to the patient. The patient breathes through…
The smart arc machine is designed to provide the tools to create rotational intensity-modulated radiation therapy (IMRT) plans using a conventional linear accelerator and a conventional multileaf collimator (MLC). Plans are delivered while the gantry rotates around the patient. The intensity of the radiation is modulated and the shape of the beam is…
Brachytherapy involves placing radioactive material inside your body. Brachytherapy is one type of radiation therapy that's used to treat cancer and is sometimes called internal radiation. Brachyvision is a complete 3D treatment planning system that introduces a new paradigm of patient-centric, image-based planning.
Two Linear accelerator – Elekta Precise and Elekta Infinity along with Gamma med brachytherapy system offering complete range of radiation oncology service. Manipal Hospital sports the highly advanced brachytherapy system using precision radiation medicine to work towards a future where all patients can benefit from precise and individually tailored…
IGRT is one of the most advanced innovations in cancer technology available. It uses advanced 2D and 3D imaging to ensure that the positioning of the tumor will match the dose delivery on this state of the art machine. Since tumors can move during treatment because of the patient’s breathing, IGRT allows doctors to locate and track the tumor during…
IMRT is an advanced mode of high-precision radiotherapy that uses computer-controlled linear accelerators to deliver precise radiation doses to a malignant tumor or specific areas within the tumor.
The VMAT is a unique radiation therapy technique that delivers the radiation dose continuously as the machine rotates. Why choose Manipal
Brachytherapy treatment involves placing radioactive sources such as a catheter, needle or applicator into a device called an interstitial implant. This device is then inserted into the vagina, uterus or body tissues. The interstitial implant is surgically placed into your pelvis first.
The ICR is a type of internal radiation therapy in which radioactive material sealed in needles, seeds, wires, or catheters is placed directly into a body cavity such as the chest cavity or the vagina. Radiation therapy uses high energy x-rays or radioactive particles to kill cancer cells and may be used for cervical cancer treatment.
IGB uses advanced imaging techniques to make brachytherapy more precise, safe, and effective. Brachytherapy is done through four phases that include the placement of hollow catheters or hollow carriers, CT or MRI imaging of the site, computer calculations of the dose distribution, and robotic radiation treatment.
This expansive discipline includes: - SLNB – Sentinal Lymph Node Biopsy- MIRP – Minimal Invasive Radio-guided Parathyroid Surgery- ROLL – Radio-guided Occult Lesion Localisation for CA breast(early breast cancer)
In women who have undergone breast surgery which involved mastectomy or the removal of the breast, breast reconstruction is the best option. Breast reconstruction is to reform or reshape one or both breasts after a mastectomy, or even lumpectomy where the affected portion of the breast is cut away.
The mammogram or an X-ray of the breast is the most effective screening tool for breast cancer. It can detect breast cancer up to two years before the tumor can be felt by you or your doctor. Women aged 40 - 45 or older, or those at average risk of breast cancer should undergo a mammogram annually.
Oncoplastic surgery is a technique that improves cosmetic outcomes in breast cancer patients. Onco plastic surgeons combine breast cancer tumor removal (a lumpectomy or partial mastectomy) and plastic surgery techniques (reconstructive surgery) at the same time of breast conservation surgery.
This involves removing the tumor and some normal tissue around it but not the breast itself. Some lymph nodes under the arm may be removed as well as a part of the chest wall lining if the tumor is near it.
Voice Prosthesis Surgery for CA Larynx A voice prosthesis is the most common way to restore speech after a total laryngectomy surgery to remove your whole voice box. This is usually the result of laryngeal cancer when cancer starts in the voice box (larynx). It is a rare type of head and neck cancer. Tracheo oesophageal puncture (TEP) is the most common…
Musculoskeletal oncology specialists treat bone and soft tissue tumors including other musculoskeletal system issues in adults and children. These include the efficient treatment of bone cancer, bone metastases, osteomyelitis, and multipla myeloma.
In complex head and neck cancers, patients tend to lose parts of their facial features to cancerous growth. Micro vascular reconstruction of the face and neck region is the only solution. This highly advanced surgical technique to rebuild the face and neck uses the blood vessels, bone, tissue, as well as muscle and skin from other parts of the body.…
The extremely efficient and effective robotic surgery is known for its efficacy and precision in treating gynaecological cancer cases of all types. This technique is also adopted to perform hysterectomies for uterine fibroids, myomectomies for fibroids, and resections for endometriosis.
Proven worldwide, a multidisciplinary approach involving a team of multi-specialists is the standard of care for all cancers. The multidisciplinary Tumour Board at Manipal Hospital provides a forum for cancer specialists to present their cases and discuss the complex nature of the cases with their colleagues across all cancer specialties. This team…
For both gastro-intestinal and digestive diseases, minimally invasive robotic surgery has been the benchmark of treatment procedures. Our multidisplinary team of gastro intestinal surgical oncologists and colorectal surgeons are of high calibre in the domain of treatment.
At Manipal Whitefield, we are a leading cancer care provider renowned for our clinical excellence and the use of the most advanced technology in the diagnosis and treatment of cancer. Our best-in-industry service experts combined with their multidisciplinary approach makes us one of the best cancer hospital in Whitefield, Bangalore. We are at the forefront of addressing the need of providing the most comprehensive and technologically advanced cancer care services.
Almost every organ of the human body and every age can be affected by cancer due to multiple reasons including physical, chemical and biological carcinogens. Ageing also plays a key role in the development of cancer and cancer chances rise with age. Other major risk factors include tobacco & alcohol use, unhealthy diet, and physical inactivity.
Signs & Symptoms of Cancer
Specific signs and symptoms of cancer depend on the type of cancer. Important warning signs include:
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Nagging cough or hoarseness.
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Change in bowel or bladder habits.
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Unusual bleeding or discharge.
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A sore that does not heal.
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Lump in the breast or elsewhere.
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Difficulty in swallowing.
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Obvious change in a wart or mole.
Types of Cancer
There are numerous types of cancer, and they are classified by the type of the body cell affected.
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Major cancer types are: Carcinoma, Leukemia, Lymphoma Sarcoma, and Melanoma.
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Carcinoma: Cancer that originates in the lungs, breasts, pancreas, skin, and other organs and glands.
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Leukemia: Cancer of the blood.
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Lymphomas: Cancers of lymphocytes.
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Sarcoma: Relatively uncommon, sarcomas start in bone, muscle, fat, blood vessels, cartilage, or other soft tissues of the body.
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Melanomas: Cancers of the cells that make the pigment in skin.
Types of Cancer Treated at Manipal Whitefield
At Manipal Hospitals Whitefield, cancer specialists are experts in providing treatment for all types of cancer for all age groups and genders. Some of them are mentioned below:
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Blood Cancer
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Bladder Cancer
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Brain Cancer
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Bronchial Tumor
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Colon cancer
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Esophageal Cancer
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Hodgkin’s Lymphoma
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Leukemia
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Lung Cancer
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Multiple Myeloma
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Non Hodgkin’s Lymphoma
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Oral Cancer
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Ovarian Cancer
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Pancreatic Cancer
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Prostate Cancer
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Skin Cancer
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Stomach Cancer
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Thyroid Cancer
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Uterine cancer
Early Detection Is Key to Successful Cancer Treatment
Most cancers can be prevented by avoiding the key risk factors and through early detection. Mortality is reduced when cancer is detected and treated early. This can be done through early diagnosis and screening. Early diagnosis is relevant to all cancers. Screening can identify abnormalities suggestive of cancer.
Some cancer screening methods are:
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Mammography for breast cancer
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HPV & visual inspection with acetic acid (VIA) for cervical cancer
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PAP cytology test for cervical cancer
Treatment of Cancer
Treatment of cancer involves three modalities: Chemotherapy (Medical Oncology), radiotherapy (Radiation Oncology) and surgery (Surgical Oncology). In most cancer treatments, a combination of all three is used.
Medical Oncology
Medical Oncology involves the use of specialized medications through Chemotherapy for stopping or slowing down the growth of tumors and cancer cells. Chemotherapy can be done in the outpatient setting and is administered over the course of several weeks, months, or years, either orally, intravenously, subcutaneously etc. Chemotherapy can be administered as a sole treatment option or in conjunction with other modalities based on the requirement.
At Manipal Whitefield, we are equipped to administer chemotherapy for all patients of all age groups and genders. Our skilled, multi-disciplinary team of clinicians follows globally-acclaimed protocols and the latest technology to fight cancer. Specially-trained nurses and expert oncologists ensure that chemotherapy is delivered as per prescribed guidelines in a patient-centric and recreational atmosphere.
Radiation Therapy
Radiation Oncology involves the targeted use of high doses of X-rays, called radiation, to destroy cancer cells. The X-rays only travel only through the part of the body that is affected by cancer and not through any normal cells. There are two types of radiation therapy. First is external-beam radiation therapy, which delivers radiation from a machine outside the body. The second is internal radiation therapy which includes temporary and permanent placement of radioactive medicine material directly into or near a tumor.
At Manipal Whitefield, Cancer specialists use highly sophisticated equipment and the most advanced computers to deliver targeted radiation. Our experienced clinicians meticulously plan radiation therapy to reduce the chances of side effects. Our team of renowned oncologists create a completely individualized treatment plan based on the specific needs of a patient with an eye on the size, and shape of the tumor or cancer ailment in the body.
Surgical Oncology
Surgical Oncology focuses on using surgery to diagnose and treat cancer. Surgical Oncologists often work in coordination with Medical Oncologists or Radiation Therapists to give the most effective clinical outcomes. Surgical Oncologists play a crucial role in diagnostic and treatment for most cancers from counseling through to surgery and post-surgery care. Multiple factors such as the type, size, location as well as physical fitness and other medical conditions determine whether a patient is a candidate for surgery or not.
Some of the types of cancer surgery include:
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Minimally invasive surgery
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Reconstructive surgery (breast oncoplastics, head and neck surgery, bladder replacement techniques).
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Sentinel node biopsy
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Robotic surgery
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Intraoperative chemotherapy and radiation therapy (limb perfusion, HIPEC, IORT)
Cancer Care Expertise at Manipal Whitefield
In the treatment of a cancer patient, it is of utmost importance that the hospital facility is adequately equipped to manage and treat the type of cancer. Superior treatment is possible when the patient is treated by an expert multidisciplinary oncology team. We, at Manipal Whitefield, provide comprehensive cancer treatment supported by the most evolved infrastructure, world-class technology as well as international guidelines.
We are known as one the best cancer hospitals offering superior cancer care for all types of cancers for all age groups and genders. The facility at Whitefield is staffed with a multidisciplinary team of experts who are trained in various institutes of national and international repute to treat every type of cancer. The team of oncologists is supported by an efficient team comprising Oncology-trained nurses, medical physicists and other support staff. Our clinicians operate as a team with support staff to provide results par excellence, every single time a cancer patient reaches out to us.
Facilities & Services
What makes pinpointing the area of the cancer affliction and planning the best mode of treatment for patients possible are the modern scanning and diagnostic tools at our Centre of Excellence in Cancer Care. Offering both outpatient and inpatient services in medical and surgical oncology, hospital visits are made comfortable and relaxing for patients and their family during their delicate time. Our scope of services includes medical, radiation and surgical oncological services that include: MEDICAL ONCOLOGY: - Outpatient and inpatient services - Chemotherapy for malignant solid tumours and malignant blood diseases - Biological Therapy for treatment of cancer - Intra Cavitary Chemotherapy - Day care and domiciliary chemotherapy - Bone Marrow Transplant for benign and malignant diseases - Peripherally inserted central catheter insertion, bone marrow aspiration and biopsy - Central line and chemo port use - Palliative care - Child Life Care - Play therapy clinic - Counselling RADIATION ONCOLOGY: - Outpatient and inpatient services - Two Linear accelerator – Elekta Precise and Elekta Infinity along with Gamma med brachytherapy system offering complete range of radiation oncology service - Image Guided Radio Therapy (IGRT) with onboard Cone Beam CT (CBCT) - Volumetric Modulated Arc Therapy (VMAT) - Intensity Modulated Radio Therapy (IMRT) - Stereotactic Body Radio Therapy (SBRT) - Stereotactic Radio Surgery (SRS) - Flattening filter-free- faster SRS delivery (FFF) - Electrons for superficial tumors - 3 Dimensional Conformal Radio Therapy (3DCRT) - 2 Dimensional Palliative Radio Therapy - 4 Dimensional big bore CT Simulator for assessing respiratory motion of the tumor with tumor lock (4DCT) - Active Breath Hold controller for reducing tumor motion due to respiration (ABH) - 2 dimensional Varian acuity simulator - Smart arc and dynamic treatment planning - Brachyvision planning for brachytherapy - Interstitial implants – Head and neck, Gynaecological , Soft tissue sarcoma (ISBT) - Intra Cavitary Radio Therapy for cervix, common bile duct tumors, etc (ICR) - Image-guided brachytherapy SURGICAL ONCOLOGY: - Outpatient and inpatient services - Robotic assisted cancer surgery - Radio guided cancer surgery – - SLNB – Sentinal Lymph Node Biopsy - MIRP – Minimal Invasive Radio-guided Parathyroid Surgery - ROLL – Radio-guided Occult Lesion Localisation for CA breast - Early Detection of Breast Cancers - Breast Reconstruction - Breast Conservative Surgery - Vascular access – PORT –A – CATH - Voice Prosthesis Surgery for CA Larynx - Intra Peritoneal (IP) chemotherapy port - HIPEC- Hypertheic Intra Peritonal Chemotherapy - CRS- Major Peritonectomy Cytoreductive Surgery - Microvascular Reconstruction - Breast Oncoplasty Procedures - Musculo Skeletal and Ortho Oncology - Colposcopy clinic - Robotic Surgery for Gynaecological cases – Uterus and Cervix - Robotic GI cancer surgeries - Robotic Oesophageal cancer surgeries - Scarless Robotic Thyroidectomy - Trans Oral Robotic Surgery - Robotic surgery for lung and Mediastinum and Chest Tumours - Multi- disciplinary Tumour Board
FAQ's
A core biopsy is a procedure where a needle is passed through the skin to obtain a sample of tissue from a mass or lump. The tissue sample is then examined under a microscope for any abnormalities.
(1) A change in bowel or bladder habits (2) A sore that doesn’t heal (3) Unusual bleeding or discharge from any opening in the body (4) Unexplained weight loss and loss of appetite (5) Difficulty in swallowing or chronic indigestion (6) An obvious change in a wart or mole (7) A nagging cough or persistent hoarseness of voice
Cancer is not a single disease, but many different ones. Understanding this, Manipal Hospitals is committed to partnership and patient-centred care, and hence, collaborates and works with every patient to identify the optimal treatment plan and care to given them the best odds to beat cancer. Contact us to know more about cancer care and book an appointment with one of our Oncologists today.
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.jpg "Benefits of Early Cancer Screening- Dr. Ashwin Rajagopal, Manipal Hospitals Whitefield")
