Onco Gynaec and Onco Surgery

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Onco Gynecology

Onco Gynaec

Gynae Oncology is defined as a specialised field of medicine that focuses on diagnosing and treating cancers related to the female reproductive system, including ovarian cancer, uterine cancer, vaginal cancer, cervical cancer and vulvar cancer.

A woman’s body goes through a plethora of changes in a lifetime. While puberty is the first step, hormonal changes, physical growth, functioning of the reproductive organs, conception, childbirth, menopause, and the list goes endless. Unfortunately, women’s health is still an underplayed and ignored topic in our society and doesn’t hold great significance even among the most educated families.

One of the health conditions that can wreck a woman’s life and her loved ones is cancer, and it can happen to anyone, at any age. It is imperative for women to take care of their health as they age, get tested regularly and be aware of changes in the body. Gynaecological cancers amount to the majority of deaths among women in our country and worldwide.

  • Cervical Cancer:

    Cervical cancer is one of the prevalent gynaecological cancers in India. Cervical cancer happens when the cells present in the cervical lining starts dividing abnormally. Chronic HPV infection is the biggest risk factor for cervical cancers.

  • Ovarian Cancer:

    Ovarian cancer occurs when the cells present in the ovaries start dividing uncontrollably and form a cancerous mass. Ovarian cancer is often detected in advanced stages.

  • Uterine Cancer or Endometrial Cancer:

    Endometrial cancer refers to the formation of cancerous mass in the lining of the endometrium. It is one of the rare cancers in India.

  • Vaginal Cancer:

    Vaginal cancer happens when the cells present in the vaginal lining start dividing abnormally. Smoking, chronic HPV infection, having multiple sexual partners, etc., are some of the risk factors for vaginal cancers.

  • Vulvar Cancer:

    Vulvar cancer is one of the rare gynaecological cancers, wherein the cells present in the vulva (outer part of the female genitals) start dividing abnormally.

  • Fallopian Tube Cancer:

    Fallopian tube cancer is a rare gynaecological cancer. It occurs when the cells present in the fallopian tube start multiplying uncontrollably and form an abnormal mass.

We aim to provide the most scientifically advanced treatment to women diagnosed with or suspected to have any form of gynecological cancer or precancer. We have a team of expert Gynecologic Oncologists who provide dedicated care and support, much required by the cancer patients.

the patients coming to OPD are examined thoroughly, clinically staged and triaged as per their disease status. The following tests and investigations are performed in the OPD: PAP smear, HPV testing including high risk m-RNA E6, E7 Colposcopy and directed biopsies Cervical biopsies and smears such as vault smear and vulvar smear Endometrial aspiration Antiseptic dressings, catheter care.

  • Minor OT:

    Biopsies such as vulvar biopsy, cervical biopsy and vaginal wall biopsy, resuturing, antiseptic dressing electrocautery for preinvasive cervical lesions (CIN I, CIN II) or persistent cervical erosions.

  • Major OT Procedures:

    We have one of the most advanced operating suites in the country providing state of the art facility for a wide variety of oncological surgeries.

  • Minimal Access Surgery:

    We perform laparoscopic surgeries that is especially suited for very obese, diabetic and hypertensive patients.

  • Laparoscopic Surgery:
    • B/L Salingo Oophorectomy
    • Laparoscopic Hysterectomy with B/L Salpingo-Opherectomy with plnd
    • Diagnostic Laparoscopy
  • Major Open Surgery:

    Staging laparotomies, Primary and Secondary Cytoreductive surgeries for ovarian cancer Simple hysterectomy, Radical hysterectomy for ca cervix, Pelvic lymph node dissection, Simple vulvectomy, Radical vulvectomy, Inguinal lymph node dissection

Onco Surgery

Unique surgical expertise in surgical cases

The Surgical Oncology department aims at the following:

Cure or Palliate and improve quality of life emphasizing on multimodal treatment Practice evidence based medicine.

To achieve minimal morbidity and near zero mortality which is acceptable by any International norms.

Good preoperative preparation, careful preoperative monitoring and postoperative care.

Head & Neck Cancer services team provides Comprehensive Cancer Care from Prevention to Palliation. We also educate the patient regarding his/ her disease, bust the myths related to its management, and guide him on the path to recovery.

  • What is Head and Neck Cancer?:

    Most head and neck cancers begin in the cells that line the mucosal surfaces in the head and neck area, e.g., mouth, nose, and throat. Mucosal surfaces are moist linings of hollow organs and cavities of the body. Normal mucosal cells look like scales (squamous) under the microscope, so head & neck cancers are often referred to as squamous cell carcinomas. Some head & neck cancers begin in glandular cells and are called adenocarcinomas.

Head & Neck Cancer includes:

  • Mouth / Oral Cancer

  • Nose and Paranasal Sinus Cancer

  • Thyroid and Parathyroid Gland Cancer

  • Throat: Larynx, Hypopharynx Cancer

  • Skull Base Tumors

  • Salivary Gland Cancer

  • Neck: Lymph Nodes Affected by Cancer

Thyroid and Parathyroid Gland Cancer

The thyroid is a small gland located in the front of the neck. It has two lobes and is shaped like a butterfly. As part of the endocrine system, this gland makes hormones that affect us from head to toe including our heart rate, temperature, mental function, and metabolism.

    Most common symptoms:

    Painless lumps or swellings in the front or sides of the neck.

    Hoarseness.

    Difficulty in swallowing.

    Difficulty in breathing.

    Pain in the throat or neck not responding to conservative management.

    Dry cough not responding to conservative management.

    Pain in the throat or neck not responding to conservative management.

    Dry cough not responding to conservative management.

How do we diagnose?

To find the cause of symptoms, a surgical oncologist evaluates a person’s medical history, performs a physical examination, and orders diagnostic tests. The examination and tests conducted may vary depending on the symptoms. Examination of a sample of tissue under the microscope is always necessary to confirm a diagnosis of cancer.

    Most common symptoms:

    Painless lumps or swellings in the front or sides of the neck.

    Hoarseness.

    Difficulty in swallowing.

    Difficulty in breathing.

    Pain in the throat or neck not responding to conservative management.

    Dry cough not responding to conservative management.

    Pain in the throat or neck not responding to conservative management.

    Dry cough not responding to conservative management.

We insist on clinical examination. Physical examination includes thorough examination of neck -thyroid, nodes, position of trachea, any signs of hyper or hypothyroidism, eye signs etc. An Ultrasound-guided Fine Needle aspiration Cytology test is usually used to diagnose diseases of thyroid and parathyroid. IDL/DL to see vocal cords.

Laboratory tests examine samples of blood(Especially Thyroid function tests, serum calcium, PTH etc), urine, or cells from the nodes. CT scan /Magnetic resonance imaging (or MRI) in locally advanced cases.


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