Oncology



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Oncology Treatment Techniques

Over one thousand new patients receive chemotherapy of the highest standards at Apollo every year. Conventional and aggressive (high dose) chemotherapy are routinely performed at Apollo Speciality Hospital, Chennai. Paediatric Oncology is under the care of specialised consultants, while Haemato-oncology is one of the most successful areas of Medical Oncology. The Department routinely performs chemotherapy for different solid tumours and drug combinations.


Surgical Oncology

Complicated and delicate tumour removal is skilfully performed by Apollo's highly trained and motivated surgical oncologists. They are ably supported by dedicated operating theatre, recovery and ICU staff. Apollo's success rate of Oncology surgeries is comparable to the best centres in the world. Surgical oncologists remove tumours with the maximum possible surgical safety. This may result in defects - a challenge that Apollo's reconstructive team is well-equipped to handle. Specialised surgeries like skull base, commando and liver resection are performed with high success rates.


Radiation for Cancer Therapy

The two kinds of Radiation for Cancer Therapy are External Beam Radiotherapy (EBRT) and Brachytherapy (Internal Irradiation). Apollo Speciality Hospital, Chennai, has 2 Linear Accelerators for External Beam Radiotherapy. Multi Leaf Collimators (MLC) with Intensity Modulated Radiotherapy (IMRT) are the latest developments for improvements in accuracy and precision, resulting in optimum radiation. Micro Multi Leaf Collimators (MMLC) are also deployed for Intensity Modulated Radiotherapy and Intensity Modulated Radiosurgery (IMRS), specifically for intracranial lesions. The Department at Apollo Speciality Hospital, Chennai, treats 100-120 patients per day. Around 10% of these patients are on High Precision Irradiation (SRT, IMRT). National and international expertise in Radiation Oncology and Medical Physics assures quality to match the best institutions worldwide.

Other facilities like the High Dose Rate (HDR) Micro-Selectron Brachytherapy Unit, computerised 3D treatment planning system for both traditional and inverse planning, and permanent or temporary isotope implantation are available for treating early carcinoma of the prostate. The Department uses the Iodine 125 Seed Implant technique or Ir 192 HDR Brachytherapy. The procedure requires short hospitalisation. In terms of convenience, it is superior to the conventional radical Prostatectomy and External Beam Radiotherapy. Apollo Speciality Hospital, Chennai, is among the pioneers of Intensity Modulated Radiotherapy (IMRT). It has additional capabilities for special radiotherapies like Whole Skin Electron Irradiation or Whole Body Irradiation. These are used against skin lymphoma or leukaemia and are powerful tools in the hands of Apollo's expert radiation oncologists. Several forms of High Precision Irradiation (HPI) are used at Apollo. The Department also has the additional capability of modulating the radiation intensity using a Multi Leaf Collimator.


Stereotactic Radiosurgery and Radiotherapy

Apollo Speciality Hospital, Chennai has performed groundbreaking results with Stereotactic Radiosurgery (SRS) in South Asia. SRS is a widely accepted, cost-effective and non-invasive radiation technique employed to treat various types of intracranial lesions like Arteriovenous Malformation, Meningiomas and Acoustic Schwannomas. This is usually recommended when the risks involved with open surgery are higher. This procedure enables deep-seated lesions to be visualised, analysed and treated precisely.


IMRT and IMRS

Multi Leaf Collimator is a field-shaping device that provides all kinds of irregular shapes to the radiation fields coming out of the Linear Accelerator (LA). This device consists of several leaves moving under remote computer control. Leaves can also be used for modulation of the intensity of radiation emerging from the Accelerator. This very complex form of High Precision Irradiation is capable of covering irregularly shaped target volumes with never before seen precision. It can save surrounding critical organs with previously unimaginable efficiency. Large numbers of patients with solid tumours benefit from this type of treatment.


Bone Marrow Transplantation

(BMT) Bone Marrow Transplants are performed to treat malignant conditions like Acute Myeloid Leukaemia, Lymphatic Leukaemia, Myeloma and Hodgkin's disease. Specific cases of solid tumours and genetic disorders like Thalassemia have also benefited from this treatment. The BMT unit at Apollo has expertise in both Autologous and Allogenic bone marrow transplants. It has performed over 140 bone marrow transplants with clinical outcomes on par with the best in the world.


First Cord Blood Cell Transplantation in India

Cord blood, which is rich in stem cells, is now being used across the world for overcoming the HLA compatible factor. The first successful Cord Blood Transplant in India was performed at Apollo. Facilities for both Autologous and Allogenic Transplantation are available at Apollo along with additional facilities for peripheral stem harvest. Allogenic Transplantation uses a cell-separator and a freezing system to cryo preserve cells for future use.

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