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Oncology

Vadamalayan Integrated Cancer Centre

With Update Technology

PET CT, Linear Accelerator with Rapid Arc, Brachy Therapy & SPECT

Integrated Cancer Centre inaugurated by  Padmashri, Padma Bhusan, Padma Vibushan Dr.V.Shanta, Cancer Specialist & chairperson of Adayar Cancer Institute Chennai

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PET CT  inaugurated by  Padmashri Dr.Mayilvahana Natarajan, Orthopaedic Oncology, Chennai & Former Vice Chancellor of Tamilnadu Dr.M.G.R Medical University, Chennai.

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LINAC, HDR Brachytheraphy inaugurated by Shri.M.V.Muthuramalingam, Chairman – The Vellammal Medical College, Madurai.

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SPECT inaugurated by Padmashri. K.G.Bakthavatchalam, Chairman – K.G.Hospital, Coimbatore.

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Services offered

  • Medical Oncology
  • Surgical Oncology
  • Radiation Oncology
  • Nuclear Medicine & Molecular Imaging

 

Facilities offered

  • PET CT
  • Linear accelerator with Rapid arc
  • HDR Brachytherapy
  • Gamma Camera – SPECT
  • Mammography
  • Bone Mineral Densitometry
  • Dedicated Chemotherapy Daycare Centre

Medical Oncology

We in the Department of medical oncology treat cancer patients with chemotherapy or targeted therapy. Chemotherapy means treating cancer with drugs which kill the cancer cells. In our hospital we offer all the latest and sophisticated medicines. We mix Chemotherapy Drug at a separately designated area, under laminar air flow, and every care and precautions are being taken to ensure patient & staff safety and to prevent health hazards. We also adhere to standard pre and post chemotherapy medication protocols in patients undergoing chemotherapy to ensure smooth transition to normalcy

Apart from chemotherapeutic drugs we also have expertise to use agents which are selective to cancer cells without disturbing normal cells. They are called biological agents and the treatment is called targeted therapy

We use chemotherapy or targeted therapy in the following conditions

  • As neoadjuvant therapy to shrink the tumour before definitive surgery.
  • As adjuvant therapy after surgical removal of tumours in breast , colon, lung etc to prevent the recurrence
  • As a curative therapy in leukemias, lymphomas and germ cell tumours
  • As a organ conservation therapy in cancers like breast, larynx, bone etc
  • As a palliative therapy in advanced diseases to improve the quality of life and increase survival.

Treatment is offered for the following cancers

  • Acute lymphoid and myeloid leukemia
  • Chronic leukemias
  • Myeloproliferative disorders
  • Hodgkins and Non-Hodgkins lymphomas
  • Myelodysplasia
  • Multiple Myeloma
  • Childhood cancers like neuroblastoma, hepatoblastoma etc
  • Pediatric leukemias
  • All organ cancers like breast, lung, colon, stomach, pancreas ovary, soft tissue, bone, head and neck etc

Surgical Oncology

HEAD & NECK

  • Resection of cancers of tongue and oral cavity including Commando surgeries,
  • Surgeries for larynx and hypopharynx including gastric pull through procedures,
  • All neck dissections
  • Total thyroidectomy with central compartment clearance, Total Parotidectomies
  • Maxillectomy

 

BREAST

  • Modified radical mastectomies
  • Breast conservation surgeries

 

GASTROINTESTINAL

  • Radical Gastrectomy
  • Whipple resections
  • All bowel resections including anterior resections and APR

 

UROLOGICAL

  • Radical Nephrectomy
  • Radical cystectomy with ileal conduit
  • RPLND Retroperitoneal Lymph Node Dissection
  • Penectomy
  • Ilioinguinal block dissection

 

GYNECOLOGICAL

  • Cytoreduction and staging laparotomy for Cancer Ovary
  • Wertheim hysterectomy
  • Exentration including total pelvic exenteration

SARCOMA AND SKIN MALIGNANCIES

  • Compartmental resections

 

THORACIC

  • Lung resections all lobectomies, Pneumonectomy
  • Mediastinal mass excision
  • Esophageal resections including
  • Transthoracic esophagectomy with three field lymphadenectomy
  • Pulmonary metastatectomies

 

MEDIASTINOSCOPY

VATS – Video Assisted Thoracoscopic Surgery
ALL SCREENING PROCEDURES FOR CANCERS OF BREAST, CERVIX, COLORECTAL, LUNG AND PROSTATE ARE DONE AT OUR INSTITUTE.

Nuclear Medicine & Molecular Imaging

PET CT

Discovery-IQ1

GE/Discovery IQ PET CT – First in South Tamilnadu to have a PET CT 
PET CT is revolutionizing Cancer care
The value of Whole body Positron Emission Tomography–Computed Tomography (PET/CT) for diagnostic imaging in oncology is well established with its capabilities to combine anatomical and functional aspects of the whole body to provide a complete picture of patient’s disease status.
PET CT can help speed up treatment, because metabolic changes in a tumor occur more frequently than structural changes. It is a more accurate and reliable solution that can help clinicians determine how well a treatment is working especially in lymphomas after as few as 1 to 2 cycles of chemotherapy, and they will be able to tailor the treatment according to individual patient’s response and needs. Thus Molecular imaging using PET CT is a decisive tool for early diagnosis, treatment staging as well as monitoring the progress of treatment, while also reducing overall treatment cost.
Most common uses of PET/CT are found in Oncology, Cardiology and Neurology practices.

  • FDG PET/CT is an integral part of cancer management in Evidence Based Practice. PETCT is used for initial staging of various cancers, Radiotherapy planning, treatment response assessment, restaging and surveillance in Oncology practice.It changes treatment decision in significant proportion of cancer patients.
  • In Cardiology practice, FDG PET/CT is the gold standard test for detection of myocardial viability. It provides evidence for selection of heart disease (coronary artery disease) patients for revascularization (stenting / bypass surgery).
  • In Neurology practice, FDG PET/CT is used to provide differential diagnosis for Dementia it helps Neurosurgeons in mapping the brain for surgical resection, in cases of drug resistant Epilepsy.

 

Linac with IGRT, IMRT, Rapid arc facility

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Gamma Camera – SPECT

GoldSeal-Millenium

GE-Millenium MG

Millennium MG, Multi-Geometry Nuclear Medicine System is used to perform a range of Nuclear Imaging studies. Imaging with Gamma Camera involves preparation and injection of radiopharmaceuticals that specifically trace the function of Organ of Interest. Radiopharmaceuticals are prepared in the well-equipped Hot Lab in the Department of Molecular Imaging. These specific radiopharmaceuticals are administered to patients and images are acquired. Static, dynamic and parametric images can be obtained under a Gamma Camera.
Diagnostic Services:

  • PETCT for initial staging, Detection of Unknown Primary, Radiation therapy Planning, Response assessment, Surveillance
  • Sentinel Lymph Node Lymphoscintigraphy
  • Radio-guided Occult Lesion Localization (ROLL)
  • MDP Bone scan
  • MIBG, HYNICTOC and DMSA (V) Imaging for endocrine tumors
  • Parathyroid Imaging
  • Whole body Iodine Scan for thyroid cancer

 

Radiation Oncology

Varian Clinac IX with Rapid Arc

This powerful workhorse treats thousands of patients around the world every day. Designed to deliver a wide range of imaging and patient treatment options, the Clinac system offers advanced features to facilitate state-of-the-art treatments including IMRT, IGRT, RapidArc and stereotactic body radiotherapy.

Rapid Arc delivers the precise dose distribution and conformity of IMRT and IGRT in a fraction of the time, often two minutes or less. By simultaneously shortening treatment times and improving treatment accuracy.

These latest radiation therapy treatment techniques offers advantages of

  • Delivering higher dose to the target- tumor thereby increasing cancer control rates
  • Decreasing side effects and long term complications by reducing dose to the nearby normal organs such as spinal cord, heart, lungs etc..

 

HDR Brachytherapy

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Gammamed plus iX

  • 24 channel or 3 channel system
  • Unique design ultra-flexible solid core source cable, Iridium-192 source
  • High dose rate (HDR) and so shorter treatment time
  • OPD treatment, no need to stay in bed for long time
  • Intra-cavitary brachytherapy for cancers of uterus and cervix
  • Painless and comfortable procedure
  • Interstitial implants for soft tissue sarcomas, tongue cancers