Surgical Oncology
12 DoctorsOverview
The Department of Surgical Oncology provides surgical care to patients with solid tumours in combination with adjuvant treatments. Major surgical management of the cancers of the breast, gastro-oesophageal, hepatobiliary, pancreatic, colorectal, genitourinary, gynecological, head and neck, endocrine and musculoskeletal tumours are conducted.
Services
Our Services
Our 24 x 7 in-hospital specialty services include:
Gynaecologic Oncology Services
Surgical experts at the Department of Gynaecologic Oncology offer integrated approach to gynecologic cancers and also for complex benign gynecologic diseases. The department offers:
- Cancer Treatment: For all gynecologic cancers
- Preventive Services: Prevention of cervical cancers, Breast cancer screening
- Special Services: Multidisciplinary Tumour Boards, Oncofertility services
Cancer Treatment
We offer treatment for all gynecologic cancers including cancer of ovary, uterus, cervix and vulva. Each patient is discussed in a multidisciplinary tumor board including medical and radiation oncologists, pathologists and radiologists before planning appropriate treatment.
Surgeries offered
- Endometrial cancer - staging surgeries, debulking surgeries for advanced disease.
- Ovarian cancer - staging surgeries, complete cytoreduction for advanced disease, interval cytoreduction after chemotherapy, surgery for recurrent ovarian cancers, fertility sparing staging surgeries for young women, surgery for borderline ovarian tumors.
- Cervical cancer - radical surgery for early cervical cancer and exenterative surgery for recurrent cervical cancer.
- Cancer of vagina and vulva - radical vulvectomy, inguinal node dissection, radical surgeries for vaginal cancers.
- Benign surgeries - surgeries for complex endometriosis with frozen pelvis.
Latest Surgical Advances
- Minimally invasive surgery and robotic surgery:
At Amrita Hospital, we offer the entire range of minimally invasive surgery from advanced laparoscopy to robotic assisted surgery. AIMS is one of the pioneering Centre in India for robotic assisted surgery in gynecology with over 800 complex gynaecologic surgeries completed robotically so far. - Sentinel Node mapping:
Sentinel node mapping is a method which helps to identify the lymph nodal spread of cancers accurately. AIMS pioneered the sentinel node mapping for endometrial cancer with the help of indocyanine green dye. - Enhanced recovery protocols:
Every patient undergoing surgery at the gynecologic oncology department is managed with the help of enhanced recover protocols which helps in faster recovery. - Intraperitoneal chemotherapy:
Intraperitoneal chemotherapy is a modality used in the management of ovarian cancers. It is offered to suitable patients after ovarian cancer surgery to improve the delivery of chemotherapy to diseased tissues and enhance disease control.
Preventive Services
We offer comprehensive cancer screening services for women.
Prevention of Cervical Cancers
- HPV based screening
- Pap smear tests
- Colposcopy
- Cervical cancer vaccination
Breast Cancer Screening
- Mammography
- Breast ultrasound
- A 1.5 T, 8 channel coil, Breast MRI unit
Ovarian and Endometrial Cancer Screening in Legitimate Population
- Specific tumour markers
- Advanced imaging techniques
Special Services
Multidisciplinary Tumour Boards
At Amrita Hospital, each cancer patient is evaluated by a multidisciplinary tumour board, including medical and radiation oncologists, radiologists, and oncopathologists, to determine the most appropriate treatment plan.
Oncofertility Services
Amrita Hospital offers special onco-fertility clinics for younger women with cancer who desire pregnancy. These clinics provide an opportunity for patients to discuss and implement the best option for preserving fertility in association with a fertility specialist. This helps ensure that cancer treatment does not interfere with the patient's ability to have children in the future.
Genetic Counselling
A dedicated genetic counsellor is available at Amrita Hospital to help patients assess their genetic risks for cancer. With modern genetic testing, patients and their families can determine if they carry an increased risk, allowing them to take preventative measures if necessary. The genetic lab at AIMS has the capability to test for a wide range of genetic mutations that can cause cancer, including the BRCA mutations.
Oncopsychology
The diagnosis of a cancerous lesion and the subsequent treatment period can be stressful for both patients and their caregivers. Amrita Hospital offers the services of a dedicated oncologist to help alleviate this stress.
Lifestyle management
Patients and caregivers often have concerns about diet, permitted activities, exercise, and return to work during and after cancer treatment. Amrita Hospital provides integrated lifestyle management support, including access to experts such as dietitians, counsellors, and physiotherapists.
Breast Disease Division
The Breast Diseases Division at Amrita Hospital is unique in its approach to breast health, offering a full range of services dedicated to total breast care. The goal of the division is to provide:
- Comprehensive breast health services with a focus on holistic health
- Dedicated team of breast cancer experts and compassionate clinical staff
- State-of-the-art facility for best possible patient experience
- Promotion of breast cancer awareness and education through various programs
- Early breast cancer detection through screening mammograms
- Excellent multidisciplinary treatment options including surgical, medical, reconstructive and radiation
- Integrated lifestyle management services including counselling and rehabilitation and cosmetology
- Oncoplastic surgical techniques for breast cancer removal while preserving the breast aesthetically
- Expert multidisciplinary team for complete and comprehensive care for all breast problems
- Technologically advanced imaging, pathology, and treatment departments for one-stop solution for all breast issues
- Evidence-based and ethical treatment approach with weekly tumour boards and multi-disciplinary breast team.
Services Offered
- Evaluation of all breast diseases by a team of surgeons including surgical oncologists, female breast oncoplastic surgeons and reconstructive surgeons trained in premier International and Indian Institutes.
- Our team offers the whole spectrum of breast surgeries available at present across the globe which include:
- Breast conservation surgeries with latest oncoplastic techniques
- Immediate and delayed post mastectomy breast reconstruction with implants and tissue flaps
- Hidden and cosmetic scar surgery for breast
- Excision of small non-palpable lesions with wire and ultrasound guidance
- Sentinel LN biopsy
- Cosmetic breast procedures like breast reduction, augmentation and breast deformity correction
- Management of complete range of benign breast diseases including infective, autoimmune and hormone related
- A complete breast radiological evaluation by dedicated internationally trained breast radiologist which include
- Breast cancer screening
- Mammography with digital breast tomography
- Breast ultrasound with a complete range of USG guided interventional procedures like biopsies, wire localization therapeutic intervention
- A 1.5 T, 8 channel coil, Breast MRI unit for diagnostic evaluation of challenging breast problems.
- Facilities for stereotactic breast biopsies.
- A fully equipped pathology lab with highly trained breast pathologist and facilities for complete immunohistochemistry panel evaluation of breast tumours.
- A highly advanced radiotherapy facility with dedicated breast radiation oncologists. Our facilities include:
- LINAC with 3D CRT for breast radiotherapy
- Tomotherapy for breast radiation
- Brachytherapy for breast cancer
- Accelerated partial breast radiotherapy
- Active breast coordinated left-sided breast radiotherapy for cardiac sparing.
- Medical oncologists trained in chemotherapy for breast cancer offering
- Conventional chemotherapy
- Targeted molecular chemotherapy
- Targeted Immunotherapy
- The only center in Kerala to provide scalp cooling technique for chemotherapy related hair loss prevention.
- A fully equipped nuclear medicine center with facilities for
- Radio isotope imaging in small breast tumors
- Lymphoscintigraphy and sentinel lymph node biopsy
- Tc99 Bone scan
- PET CT and PET MRI for metastatic workup in breast cancer
- Facilities for post breast cancer rehabilitation including provision of
- Lymphedema care, surgical management and compression garments
- External breast prosthesis and post mastectomy garments
- Facilities for provision of wigs
- Clinical psychologist and breast counsellor
- Pain and palliative management for advanced breast cancer
Head and Neck Oncology Services
The head and neck oncology division treats all malignancies of the head and neck region and has the expertise to perform complex craniofacial surgeries and microvascular reconstruction.
GI Oncology Services
The Gastrointestinal Oncology division undertakes the care of all GI malignancies including oesophagus, pancreas, liver, colon, rectum and anus. Our division has considerable expertise in procedures such as hepatectomy, Whipple’s Procedure, total mesorectal excision and laparoscopic oncologic procedures.
Neuro-Oncology Services
An active Neuro-Oncology programme under the Department of Neurosurgery has the facilities for the comprehensive management of all central nervous system and craniospinal neoplasms. These include cavitron ultrasonic surgical aspirator (CUSA), neuro-endoscopic and stereotactic biopsy, transsphenoidal surgery for pituitary tumors and advanced skull-base and micro neurosurgical techniques.
Orthopaedic Oncology Services
The Centre for Orthopaedics provides surgical treatment of muscle and bone tumours and works closely with the Cancer Centre to coordinate additional follow-up care for cancer patients. Pre and post-operative chemotherapy improves the prognosis to a large extent and is carried out with the help of the Oncology Department.
Multidisciplinary Tumour Boards
The availability of all associated departments under a roof makes the management of most malignancies easier for the patient and physician. There is a strong emphasis on multi-disciplinary approach to treat the patient with tumor board meetings being held regularly to discuss the cases and decide the best management options for the patient.
| Clinic | Day | Details |
| Leukemia and Lymphoma Tumour Board | Monday | The doctors from Pathology, Radiation Oncology and Medical Oncology involve in this tumour board and the cases are discussed for management with the best outcome. |
| Neuro Oncology Multidisciplinary meeting | Tuesday | A team of neuro surgeons, radiation oncologists and medical oncologists discuss all brain tumour cases. The clinical information and scans and other investigation results are reviewed and the best treatment strategy for each patient is formulated through these combined discussions. |
| Urology Tumour Board | Alternate Tuesdays | Urological cancers are discussed in this tumor board comprising of Urologist, radiation oncologist and medical oncologist and the best treatment strategy is decided for each patient. |
| Chest Tumour Board | Alternate Tuesdays | Lung cancers are discussed in this tumour board comprised of a pulmonologist, cardiothoracic surgeon, radiation oncologist, and medical oncologist and the best treatment strategy is decided for each patient. |
| Head and Neck Oncology Multidisciplinary meeting | Wednesday | A panel of head and neck oncology surgeons, plastic and reconstructive surgeons, radiation oncologists, medical oncologists, and pathologists discuss every head and neck case and the best treatment modality for each patient is decided. |
| Breast and Gynecology Tumour Board | Wednesday | All breast cancer cases, and gynecology related cases are discussed by gynaecologists, surgical oncologists, radiation oncologists and medical oncologists. All relevant case records and investigations are reviewed before arriving at the best possible treatment plan. |
| GI Tumour Board | Thursday | All cases of gastrointestinal cancers are discussed by a surgical gastroenterologist, radiation oncologist and a medical oncologist. The optimal sequencing of each modality of treatment for each individual patient is discussed and planned in this meeting. |
Contact
Phone: 0484 - 6683040, 0484 - 2853040, 0484 - 6683041, 0484 – 2853041
Email: surgicaloncology@aims.amrita.edu
Doctors
Overview
The Department of Surgical Oncology provides surgical care to patients with solid tumours in combination with adjuvant treatments. Major surgical management of the cancers of the breast, gastro-oesophageal, hepatobiliary, pancreatic, colorectal, genitourinary, gynecological, head and neck, endocrine and musculoskeletal tumours are conducted.
Services
Our Services
Our 24 x 7 in-hospital specialty services include:
Gynaecologic Oncology Services
Surgical experts at the Department of Gynaecologic Oncology offer integrated approach to gynecologic cancers and also for complex benign gynecologic diseases. The department offers:
- Cancer Treatment: For all gynecologic cancers
- Preventive Services: Prevention of cervical cancers, Breast cancer screening
- Special Services: Multidisciplinary Tumour Boards, Oncofertility services
Cancer Treatment
We offer treatment for all gynecologic cancers including cancer of ovary, uterus, cervix and vulva. Each patient is discussed in a multidisciplinary tumor board including medical and radiation oncologists, pathologists and radiologists before planning appropriate treatment.
Surgeries offered
- Endometrial cancer - staging surgeries, debulking surgeries for advanced disease.
- Ovarian cancer - staging surgeries, complete cytoreduction for advanced disease, interval cytoreduction after chemotherapy, surgery for recurrent ovarian cancers, fertility sparing staging surgeries for young women, surgery for borderline ovarian tumors.
- Cervical cancer - radical surgery for early cervical cancer and exenterative surgery for recurrent cervical cancer.
- Cancer of vagina and vulva - radical vulvectomy, inguinal node dissection, radical surgeries for vaginal cancers.
- Benign surgeries - surgeries for complex endometriosis with frozen pelvis.
Latest Surgical Advances
- Minimally invasive surgery and robotic surgery:
At Amrita Hospital, we offer the entire range of minimally invasive surgery from advanced laparoscopy to robotic assisted surgery. AIMS is one of the pioneering Centre in India for robotic assisted surgery in gynecology with over 800 complex gynaecologic surgeries completed robotically so far. - Sentinel Node mapping:
Sentinel node mapping is a method which helps to identify the lymph nodal spread of cancers accurately. AIMS pioneered the sentinel node mapping for endometrial cancer with the help of indocyanine green dye. - Enhanced recovery protocols:
Every patient undergoing surgery at the gynecologic oncology department is managed with the help of enhanced recover protocols which helps in faster recovery. - Intraperitoneal chemotherapy:
Intraperitoneal chemotherapy is a modality used in the management of ovarian cancers. It is offered to suitable patients after ovarian cancer surgery to improve the delivery of chemotherapy to diseased tissues and enhance disease control.
Preventive Services
We offer comprehensive cancer screening services for women.
Prevention of Cervical Cancers
- HPV based screening
- Pap smear tests
- Colposcopy
- Cervical cancer vaccination
Breast Cancer Screening
- Mammography
- Breast ultrasound
- A 1.5 T, 8 channel coil, Breast MRI unit
Ovarian and Endometrial Cancer Screening in Legitimate Population
- Specific tumour markers
- Advanced imaging techniques
Special Services
Multidisciplinary Tumour Boards
At Amrita Hospital, each cancer patient is evaluated by a multidisciplinary tumour board, including medical and radiation oncologists, radiologists, and oncopathologists, to determine the most appropriate treatment plan.
Oncofertility Services
Amrita Hospital offers special onco-fertility clinics for younger women with cancer who desire pregnancy. These clinics provide an opportunity for patients to discuss and implement the best option for preserving fertility in association with a fertility specialist. This helps ensure that cancer treatment does not interfere with the patient's ability to have children in the future.
Genetic Counselling
A dedicated genetic counsellor is available at Amrita Hospital to help patients assess their genetic risks for cancer. With modern genetic testing, patients and their families can determine if they carry an increased risk, allowing them to take preventative measures if necessary. The genetic lab at AIMS has the capability to test for a wide range of genetic mutations that can cause cancer, including the BRCA mutations.
Oncopsychology
The diagnosis of a cancerous lesion and the subsequent treatment period can be stressful for both patients and their caregivers. Amrita Hospital offers the services of a dedicated oncologist to help alleviate this stress.
Lifestyle management
Patients and caregivers often have concerns about diet, permitted activities, exercise, and return to work during and after cancer treatment. Amrita Hospital provides integrated lifestyle management support, including access to experts such as dietitians, counsellors, and physiotherapists.
Breast Disease Division
The Breast Diseases Division at Amrita Hospital is unique in its approach to breast health, offering a full range of services dedicated to total breast care. The goal of the division is to provide:
- Comprehensive breast health services with a focus on holistic health
- Dedicated team of breast cancer experts and compassionate clinical staff
- State-of-the-art facility for best possible patient experience
- Promotion of breast cancer awareness and education through various programs
- Early breast cancer detection through screening mammograms
- Excellent multidisciplinary treatment options including surgical, medical, reconstructive and radiation
- Integrated lifestyle management services including counselling and rehabilitation and cosmetology
- Oncoplastic surgical techniques for breast cancer removal while preserving the breast aesthetically
- Expert multidisciplinary team for complete and comprehensive care for all breast problems
- Technologically advanced imaging, pathology, and treatment departments for one-stop solution for all breast issues
- Evidence-based and ethical treatment approach with weekly tumour boards and multi-disciplinary breast team.
Services Offered
- Evaluation of all breast diseases by a team of surgeons including surgical oncologists, female breast oncoplastic surgeons and reconstructive surgeons trained in premier International and Indian Institutes.
- Our team offers the whole spectrum of breast surgeries available at present across the globe which include:
- Breast conservation surgeries with latest oncoplastic techniques
- Immediate and delayed post mastectomy breast reconstruction with implants and tissue flaps
- Hidden and cosmetic scar surgery for breast
- Excision of small non-palpable lesions with wire and ultrasound guidance
- Sentinel LN biopsy
- Cosmetic breast procedures like breast reduction, augmentation and breast deformity correction
- Management of complete range of benign breast diseases including infective, autoimmune and hormone related
- A complete breast radiological evaluation by dedicated internationally trained breast radiologist which include
- Breast cancer screening
- Mammography with digital breast tomography
- Breast ultrasound with a complete range of USG guided interventional procedures like biopsies, wire localization therapeutic intervention
- A 1.5 T, 8 channel coil, Breast MRI unit for diagnostic evaluation of challenging breast problems.
- Facilities for stereotactic breast biopsies.
- A fully equipped pathology lab with highly trained breast pathologist and facilities for complete immunohistochemistry panel evaluation of breast tumours.
- A highly advanced radiotherapy facility with dedicated breast radiation oncologists. Our facilities include:
- LINAC with 3D CRT for breast radiotherapy
- Tomotherapy for breast radiation
- Brachytherapy for breast cancer
- Accelerated partial breast radiotherapy
- Active breast coordinated left-sided breast radiotherapy for cardiac sparing.
- Medical oncologists trained in chemotherapy for breast cancer offering
- Conventional chemotherapy
- Targeted molecular chemotherapy
- Targeted Immunotherapy
- The only center in Kerala to provide scalp cooling technique for chemotherapy related hair loss prevention.
- A fully equipped nuclear medicine center with facilities for
- Radio isotope imaging in small breast tumors
- Lymphoscintigraphy and sentinel lymph node biopsy
- Tc99 Bone scan
- PET CT and PET MRI for metastatic workup in breast cancer
- Facilities for post breast cancer rehabilitation including provision of
- Lymphedema care, surgical management and compression garments
- External breast prosthesis and post mastectomy garments
- Facilities for provision of wigs
- Clinical psychologist and breast counsellor
- Pain and palliative management for advanced breast cancer
Head and Neck Oncology Services
The head and neck oncology division treats all malignancies of the head and neck region and has the expertise to perform complex craniofacial surgeries and microvascular reconstruction.
GI Oncology Services
The Gastrointestinal Oncology division undertakes the care of all GI malignancies including oesophagus, pancreas, liver, colon, rectum and anus. Our division has considerable expertise in procedures such as hepatectomy, Whipple’s Procedure, total mesorectal excision and laparoscopic oncologic procedures.
Neuro-Oncology Services
An active Neuro-Oncology programme under the Department of Neurosurgery has the facilities for the comprehensive management of all central nervous system and craniospinal neoplasms. These include cavitron ultrasonic surgical aspirator (CUSA), neuro-endoscopic and stereotactic biopsy, transsphenoidal surgery for pituitary tumors and advanced skull-base and micro neurosurgical techniques.
Orthopaedic Oncology Services
The Centre for Orthopaedics provides surgical treatment of muscle and bone tumours and works closely with the Cancer Centre to coordinate additional follow-up care for cancer patients. Pre and post-operative chemotherapy improves the prognosis to a large extent and is carried out with the help of the Oncology Department.
Multidisciplinary Tumour Boards
The availability of all associated departments under a roof makes the management of most malignancies easier for the patient and physician. There is a strong emphasis on multi-disciplinary approach to treat the patient with tumor board meetings being held regularly to discuss the cases and decide the best management options for the patient.
| Clinic | Day | Details |
| Leukemia and Lymphoma Tumour Board | Monday | The doctors from Pathology, Radiation Oncology and Medical Oncology involve in this tumour board and the cases are discussed for management with the best outcome. |
| Neuro Oncology Multidisciplinary meeting | Tuesday | A team of neuro surgeons, radiation oncologists and medical oncologists discuss all brain tumour cases. The clinical information and scans and other investigation results are reviewed and the best treatment strategy for each patient is formulated through these combined discussions. |
| Urology Tumour Board | Alternate Tuesdays | Urological cancers are discussed in this tumor board comprising of Urologist, radiation oncologist and medical oncologist and the best treatment strategy is decided for each patient. |
| Chest Tumour Board | Alternate Tuesdays | Lung cancers are discussed in this tumour board comprised of a pulmonologist, cardiothoracic surgeon, radiation oncologist, and medical oncologist and the best treatment strategy is decided for each patient. |
| Head and Neck Oncology Multidisciplinary meeting | Wednesday | A panel of head and neck oncology surgeons, plastic and reconstructive surgeons, radiation oncologists, medical oncologists, and pathologists discuss every head and neck case and the best treatment modality for each patient is decided. |
| Breast and Gynecology Tumour Board | Wednesday | All breast cancer cases, and gynecology related cases are discussed by gynaecologists, surgical oncologists, radiation oncologists and medical oncologists. All relevant case records and investigations are reviewed before arriving at the best possible treatment plan. |
| GI Tumour Board | Thursday | All cases of gastrointestinal cancers are discussed by a surgical gastroenterologist, radiation oncologist and a medical oncologist. The optimal sequencing of each modality of treatment for each individual patient is discussed and planned in this meeting. |
Contact
Phone: 0484 - 6683040, 0484 - 2853040, 0484 - 6683041, 0484 – 2853041
Email: surgicaloncology@aims.amrita.edu
Doctors