Surgical Oncology

At Sharda Care - Healthcity, we are proud to offer exceptional Surgical Oncology services as part of our comprehensive Cancer Care approach. Our team of highly skilled and experienced Surgical Oncologists are at the forefront of this complex and ever-evolving field, dedicated to utilizing advanced Surgical Techniques to diagnose, treat, and prevent cancer.

Our Surgical Oncologists are trained to perform different types of Surgeries depending on the Type, Location, and Stage of Cancer. Their goals include confirming the diagnosis and stage by taking Biopsies or removing Tumours, removing primary Tumours and affected Lymph Nodes or Organs, reducing Cancer risk with preventive Surgery, enhancing treatment effectiveness with supportive Surgery, restoring body function/appearance after Surgery, and Alleviating Cancer-related Pain with Palliative Surgery. Our Surgeons utilize techniques such as open, Minimally Invasive, or Robotic Surgery. We emphasize teamwork among various experts including Medical Oncologists, Radiation Oncologists, Pathologists, Radiologists, Nurses, and others to provide comprehensive care to our patients.

At Sharda Care - Healthcity, we offer a range of Surgical Oncology procedures to treat various types of Cancer. Some common procedures we perform include:

• Colon Surgery: This involves removing part or all of the Colon to treat conditions like Colon Cancer, Diverticulitis, and Inflammatory Bowel disease. We can perform this Surgery through traditional open methods or minimally invasive techniques like Laparoscopic or Robotic-Assisted Surgery.
• Liver Biopsy: This procedure involves taking a small sample of Liver Tissue for examination under a Microscope. It helps diagnose Liver Conditions such as Liver Cancer, Cirrhosis, and Hepatitis. The Biopsy can be done using a needle inserted through the Skin or during Surgery.
• Breast Surgery: We offer both Lumpectomy and Mastectomy procedures to treat Breast Cancer. Lumpectomy removes the Tumour and a small margin of surrounding Tissue, while mastectomy removes one or both Breasts. Our goal is to preserve as much Breast Tissue as possible while effectively treating Cancer.
• Mohs Surgery: This specialized technique is used to treat certain types of Skin Cancer by removing thin layers of Skin and examining them under a microscope until no Cancer Cells are found. Mohs Surgery minimizes damage to healthy Tissue, especially in sensitive areas.
• Sentinel Node Biopsy: This procedure involves removing and examining the Sentinel Lymph Node(s), which are the first Nodes Cancer Cells are likely to spread to from a Primary Tumour. It helps determine the extent of Cancer spread and guides further treatment decisions.
• Endoscopic Mucosal Resection (EMR): EMR is a minimally invasive procedure used to remove abnormal Tissue from the digestive tract, including the Esophagus, Stomach, and Colon. It allows for precise treatment while preserving healthy tissue.

Radiation Oncology

At Sharda Care - Healthcity, we are dedicated to providing comprehensive and personalized care for patients with various types of Cancer. Our team of highly qualified and experienced Radiation Oncologists are at the forefront of the field, combining cutting-edge Technology, world-class facilities, and a multidisciplinary approach to deliver exceptional Cancer care.

Radiation Oncology is a vital branch of medicine that utilizes high-energy Radiation to combat Cancer. It is one of the primary methods of Cancer Treatment, with Radiation Oncologists playing a crucial role in designing and administering the Radiation Therapy. These experts collaborate with other healthcare professionals, such as Radiation Therapists and Medical Physicists, to determine the most suitable type and dosage of Radiation Therapy for each patient.

The primary goal of Radiation Therapy is to effectively eliminate Cancer Cells while minimizing the impact on healthy tissues. This is achieved by strategically damaging the DNA within Cancer Cells, which disrupts their ability to multiply and grow. As the Cancer Cells become damaged, they eventually die, and the body naturally removes them.

Sharda Care - Healthcity is equipped with the latest advancements in Radiation Oncology Technology, ensuring that our patients receive the most effective and precise treatment. Our state-of-the-art facilities, staffed by a dedicated team of experts, provide a comprehensive and supportive environment for every patient's Cancer journey.

At Sharda Care - Healthcity, we offer advanced procedures such as:

• High-Tech Radiation Therapy: We use Elekta Versa HD, a cutting-edge Linear Accelerator. It delivers various Radiation Therapy techniques like IMRT, IGRT, VMAT, SRS, and SBRT. These techniques precisely target Tumours while sparing healthy Tissues, reducing side effects, and improving patients' quality of life.
• Breast Cancer Radiation Therapy: Our Radiation Therapy for Breast Cancer uses X-rays to treat the disease. It can be given after Surgery (Adjuvant Therapy) or before Surgery (Neoadjuvant Therapy). The Therapy may target the whole Breast, Chest Wall, Lymph Nodes, or a part of the Breast (partial Breast Irradiation). For left-sided Breast Cancers, we employ the ABC technique, which minimizes Radiation exposure to the heart.

Paediatric Oncology

Paediatric Oncology is a special area of Medicine that focuses on caring for Children with Cancer. Certain Cancers like Leukaemia, Lymphoma, and Bone Tumours are more common in children. At Sharda Care - Healthcity, we are dedicated to providing comprehensive care for all types of Childhood Cancers to achieve successful treatment outcomes.

Recognizing the unique needs of young Cancer patients, our hospital has specially designed areas for Children, including a dedicated clinic in the outpatient department staffed by Paediatric nurses. Our team of Paediatric Oncology experts is highly skilled and experienced in managing Paediatric cases with care and expertise.

Signs and Symptoms of Paediatric Cancer

• Unexplained Weight Loss
• Headaches
• Swelling or persistent pain in Legs, Back, or Joints
• Lumps, especially in the Abdomen, Chest, Neck, or Pelvis
• Excessive Bruising, Bleeding, or Rash
• Frequent Infections
• Whitish colour behind the pupil
• Nausea
• Constant Fatigue

Types of Paediatric Cancer

• Leukaemia: This Cancer starts in the Blood Cells and affects the Bone marrow. It includes types like Acute Lymphocytic Leukaemia (ALL), Acute Myeloid Leukaemia (AML), Chronic Lymphocytic Leukaemia (CLL), and Chronic Myeloid Leukaemia (CML).
• Lymphoma: It impacts the Lymphoid Tissues and can be Non-Hodgkin Lymphoma or Hodgkin Lymphoma. A common sign is painless swelling of Lymph nodes.
• Neuroblastoma: Beginning in the Neuroblasts of the sympathetic Nervous System, this Cancer is common in Children.
• Wilm’s Tumour (Nephroblastoma): Found in the kidney, it's the most prevalent Abdominal Tumour in Children.
• Rhabdomyosarcoma: This Cancer affects Soft Tissues, often appearing in the Head, Neck, or Urinary Tract.
• Retinoblastoma: A rare Cancer originating in the Retina, often detected by the appearance of Leukocoria.
• Osteosarcoma: A Bone Cancer that usually affects the large Bones of the Arms or Legs, commonly near the ends of Long Bones.

Treatment of Paediatric Cancer

• Surgery: This involves removing the Cancerous Tissue using a Scalpel in a Sterile Medical Setting. Some cases may require more Complex Surgeries like Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy (CRS-HIPEC), where Multiple Abdominal Tumours are removed followed by Heated Chemotherapy.
• Radiation Therapy: Used for localized Tumours, it delivers Ionizing Radiation to a specific area using a machine called a Linear Accelerator. Common for Brain Tumours and Head and Neck Cancers, it's given daily during treatment.
• Chemotherapy: Drugs are used to slow down or Kill Cancer Cells. They're usually given through a Vein or Orally. Some children may need a Central Venous Access Device (CVAD) for safe drug delivery without frequent needle punctures.
• Hematopoietic Stem Cell Transplantation: This replaces destroyed Blood-forming Cells with healthy ones, often after high-dose Radiation or Chemotherapy. It's also used for certain Solid Tumours.

Immunotherapy:

This targeted Therapy boosts the immune system to fight Cancer. Techniques like Monoclonal Antibodies and CAR T-Cell Therapy have improved outcomes for conditions like Acute Lymphocytic Leukaemia (ALL).

Head & Neck Oncology

At Sharda Care - Healthcity, our Head and Neck Oncology Department is dedicated to providing exceptional, personalized care for patients battling complex Head and Neck Cancers. As a specialized Oncology unit, we understand the unique challenges these diseases present and are committed to delivering comprehensive treatment solutions that not only fight the Cancer but also preserve and restore the affected structures.

Head and Neck Cancers can impact various complex structures, including the Mouth, Jaw, and Throat. Addressing these complex diseases requires a collaborative effort from a team of experts. At Sharda Care - Healthcity, our Head and Neck Oncology Department brings together a multidisciplinary team of Oncologists, Surgeons, Radiation Therapists, Rehabilitation Specialists, and Supportive Care providers to develop a personalized treatment plan for each patient.

The Head & Neck Surgeon at Sharda Care - Healthcity manages a variety of conditions in the Head and Neck region, including:

• Oral Cancer, Tumours of the Mouth and Tongue, and Jaw Tumours
• Throat Cancer affecting the Larynx and Pharynx
• Thyroid Gland Lumps and Thyroid Cancer
• Tumours of the Salivary Glands, including the Parotid and Submandibular Glands
• Sinus Cancer and Tumours affecting the skull base
• Neck Swellings, including those caused by TB, Lymphomas, and Sarcomas
• Orbital Tumours
• Any other Tumours or related conditions occurring in the Head and Neck area

Signs to Watch for Head & Neck Cancer:

• A Sore or Ulcer in the Mouth or Tongue that doesn't Heal in three weeks
• Continuous Bleeding from the Gums or Mouth
• Nasal Blockage with Nosebleeds
• Voice changes or trouble Swallowing lasting over three weeks
• Pain-free Lump in the Neck or Thyroid
• Changes in Size, Colour, or Bleeding of a Wart or Mole

Gynecologic Oncology

At Sharda Care - Healthcity, our Gynecologic Oncology department focuses on the early Screening, Diagnosis, and effective treatment of Cancers affecting the Female Reproductive Organs. Our team of Gynecologic Oncologists are dedicated healthcare professionals trained to address these specific conditions.

Within the Department of Gynecological Oncology, we offer an integrated approach to the prevention, early detection, diagnosis, and management of cancerous and precancerous conditions related to the Female Reproductive System. Our highly skilled teams, supported by a multidisciplinary Tumour Board, employ a comprehensive and multidisciplinary approach to caring for women with Gynecological Cancers.

With a commitment to personalized care and utilizing the latest advancements in Oncology, we strive to provide the best possible outcomes for our patients battling Gynecological Cancers at Sharda Care - Healthcity.

Symptoms of Gynaecologic Cancers

• Unusual Vaginal Bleeding or Discharge, except for Vulvar Cancer.
• Feeling full quickly, difficulty Eating, Bloating, and Abdominal or Back Pain, often associated with Ovarian Cancer.
• Pelvic Pain or Pressure, which can occur with Ovarian and Uterine Cancers.
• Increased frequency of Urination and Constipation, typically seen with Ovarian and Vaginal Cancers.
• Burning, Itching, Pain, or Tenderness of the Vulva, along with changes in Vulva Color or Skin, such as Rash, Sores, or Warts, are indicative of Vulvar Cancer.

Types of Gynecologic Cancers:

• Cervical Cancer: This Cancer develops in the Cervix, the entrance to the womb from the Vagina. It ranks as the fourth most common Cancer in women worldwide.
• Ovarian Cancer: Ovarian Cancer forms malignant Tumours in the Tissues of the Ovaries.
• Uterine Cancer: This Cancer occurs when healthy Cells in the Uterus undergo Abnormal growth, forming Tumours. It includes two main types: Endometrial Cancer, which is more common, and Uterine Sarcoma, which is rare.
• Gestational Trophoblastic Disease (GTD): GTD encompasses a range of rare conditions where Abnormal Trophoblast Cells develop in the womb after conception.
• Vaginal Cancer: Vaginal Cancer arises when Abnormal Cells in the Vagina grow uncontrollably.
• Vulvar Cancer: This rare condition typically affects Postmenopausal Women, involving Abnormal Cell growth in the Vulva.

Treatment Options for Gynecologic Cancers:

• Surgery: Doctors remove Cancerous Tissue through various Surgical procedures, including Staging, Debulking, and Radical Hysterectomy, Omentectomy, and Lymph node removal.
• Cytoreductive Surgery for Ovarian Cancer: This Surgery is the primary treatment for advanced Ovarian Cancer.
• Robot-Assisted Hysterectomy: Surgeons use Robotic Arms to remove the Uterus, offering a minimally invasive approach.
• Chemotherapy: Special medications are used to shrink or kill Cancer Cells. These drugs can be taken Orally or through Intravenous Infusion.
• Hyperthermic Intraperitoneal Chemotherapy (HIPEC): This surgical procedure is a promising treatment for Abdominal Cancers.
• Radiation Therapy: High-energy rays, such as X-rays, are used to destroy Cancer Cells.
• Video Endoscopic Inguinal Lymphadenectomy (VEIL): This minimally invasive technique is used to treat Vulvar Cancer.