Services also include:
- Targeted therapies
- Intraperitoneal Chemotherapy
- Early detection and Prevention Clinics
Division of Breast Diseases
Breast cancer unlike other
cancers in the females, is showing increasing incidence in India. The centre
has a comprehensive Breast Clinic, which brings all breast related issues under
one roof with the primary aim of detecting and diagnosing any cancerous lesions
early, which is the first thing that comes to mind when any breast symptoms
like pain, discharge or lump appears, and providing treatment thereof,
including breast reconstructive surgeries. When struck with the disease at the
pinnacle of their youth, the women in urban India has to face several other
issues, right from loss of womanhood, feminity to psychosocial traumas, which
in a modern nuclear family poses multiple problems.
Hence management of breast cancer
in the modern era requires high levels of integration of modern principles of
treatment. Drainless oncoplastic surgery (Thomas Technique) is the latest technique
where in the beauty of breasts are preserved and best oncologic results are
given. The trauma of surgery will be avoided in toto. Knowledge regarding the
availability of such novel techniques will prompt women to come forward for
early detection because we at Renai wish to popularise the concept that in
early detected cancers we preserve the breasts, beauty and womanhood. We
therefore are setting new bars in the quality of care for breast cancer
victims, by offering unique quality of life.
Head and Neck Cancer
Cancer detection in the early
stage is possible in head and neck. Even the person who is at risk could
identify the colour changes occurring in the mouth and throat which forms the
early warning signals. Early detection of disease may avoid even major
surgeries. A simple laser excision could even leave no mark of surgery and
obviate further therapies including radiation or chemotherapy. However
cessation of tobacco habituation is a pre requisite to avoid recurrences.
If the full blown cancer is
picked up at an early stage, depending on which part of the oral cavity the
disease has affected, there are several options available including laser
surgery, organ preservation or cosmetic cancer surgeries which will eradicate
the disease yet offer cosmetic outcomes. These challenging concepts respecting
oncologic principles and plastic surgery have revolutionised cancer surgery of
head and neck region. There are areas like vocal cord cancer where radiation
could control the cancer in early stage. However for tumours of larynx (other
than vocal cord), organ preservation after neoadjuvant chemotherapy and
radiation plays major role. Tumours affecting base skull or paranasal sinuses
also could be attempted without disfigurement.
thyroidectomy is the approach done for thyroid neoplasms for more than a
century. This approach not only leaves behind a scar at the most exposed part
of the neck, but also has several complications including nerve injuries,
parathyroid deficiencies and haemorrhage in many cases. Clinical research with
the aid of 3D digital interactive anatomy has paved way to an innovative
approach to the commonest surgery done in the world, thyroidectomy, called scar
less thyroid surgery or minimally invasive open thyroidectomy or horizontal
lateral thyroidectomy (Thomas Technique).
This is a surgical innovation by
our Dr. Thomas Varughese and hence named as Thomas Technique. Currently our
centre is offering this unique surgery at affordable cost. Patients could go
home in 24-hrs and it’s a blood less surgery avoiding transfusions. It takes
care of the several complications described in Kochers’ surgery and
Thoracic Oncology and Lung
Unlike the past, modern oncology
has shown great hopes for lung cancer victims. Early cancers merit to lung
preserving surgeries (function preserving) like lobectomy which adds to quality
of life in that the performance status is always superior. Even in locally
advanced lung cancer, similar to breast cancer, down staging is possible to
offer salvage/organ preservation/function preservation surgeries.
At our centre, thrust is given to
organ preservation in lung cancers. We have ongoing programs for early
diagnosis and screening. Video endoscopy, thoracoscopy etc have added to the
gadgets for this crusade. Mediastinal tumours of different categories can
affect human beings. Many a time mediastinal dissections form integral part of
cancer treatments in lung cancers, oesophageal cancers, primary mediastinal
tumours, tumours of Thymus gland, or even thyroid neoplasm with metastasis to
mediastinum, as in medullary cancer or papillary cancer. High calibre in
thoracic oncology and understanding of tumour biology are mandatory for perfect
end results. Excellent infrastructure to undertake such surgeries too are set
up at Renai.
Cancer of oesophagus is on the
rise. It has predilection for men who are habituated to tobacco, especially
smokeless. Women are no exception.
Oesophagus cancer is one of the
best examples of cure if detected early and lethal if diagnosed late. In early
cancers (mucosal types) a non invasive endoscopic surgery also is possible
called EMR (Endoscopic Mucosal Resection).
We have pioneered novel treatment
for down staging of cancers of the Gastro oesophageal cancers and give better
cure rates than upfront surgery.
Cancer of Stomach, Pancreas Colon
Several novel concepts in the
management of these organs have appeared. The most important being down staging
of the cancers with upfront targeted or other type of medication so that better
cure rates and quality of life could be offered in otherwise inoperable
situations. Several challenges for organ preservations like pyloric preserving
Whipples’ pancreaticoduodenectomies, anterior resections or Low anterior
resections after neo adjuvant chemotherapy for rectal cancers, neo adjuvant
targeted chemotherapies for colon cancers have revolutionised treatments of
Gastrointestinal malignancies. Our experts have undergone extensive training in
GI cancer management.
Early detection of Cervix cancer,
the second commonest cancer in women could result in cure. Awareness of sexual
hygiene and proper bath has reduced cervix cancer incidence in India. We are
aware that vaccination against cancer cervix is a reality and cervix cancer is
preventable. A pap smear examination could detect cancer cervix years before
the actual cancer sets in. Hence at Renai we are committed at the women’s
cancer initiative of early detection and prevention. We have strategies for
those who present even in a locally
advanced condition by adopting novel targeted anti cancer drugs to downstage
the disease so that many cases who otherwise will have imminent death could be
helped to have better disease control which was not there few years ago. Many
patients unlike in other sites with similar cancers could even get a cure.
Surgical oncology unit at Renai
also has got the technical knowhow to perform extensive pelvic exenteration for
those who develop local recurrences after radiation for cervix cancer.
State of the art strategies are
adopted for ovarian cancers. Those who present early and in whom fertility
preservation is needed it is offered. Young unmarried girls benefit from this
approach. Advanced cancers are down staged and our surgical oncology leader Dr.
Thomas Varughese received special training to offer total Peritonectomy from
Dr. Paul Sugarbaker of Washington Cancer Hospital, DC. Total Peritonectomy is today regarded as the
ONLY approach that could impart a meaningful difference in the survival
patients with ovarian cancer. Total Peritonectomy for such patients is not done
in any centre in south India. Neo adjuvant chemotherapy also offers quality of
life in that it avoids unwanted bowel resections. Once tumour bulk is reduced
this even provides spillage free resections and hence better survival.
Cancers of Vulva also poses big
issue for women. Early cancers are curable. Locally advanced cancers could be
tackled with neo adjuvant chemotherapy and state of the art plastic and
Genito - Urinary Cancers
Cancers affecting the Kidney,
Ureter, Bladder, Prostate and Penis
Kidney cancers present in
different stages. Early cancers necessitating nephron sparing nephrectomies are
offered the same. There is changing philosophy in the management of locally
advanced kidney cancers to adopt a down staging principle. This not only helps
to downsize the tumour but also helps to prevent distant dissemination but
makes surgery easier and gives long term disease free survival.
Early bladder cancers requiring
conservative approaches and others requiring total cystectomies are offered
state-of-the-art treatment. Ureteric cancers which are highly malignant merits
comprehensive cancer care and are offered the same.
Prostatic cancers both hormones
responsive or otherwise too get advanced treatment protocols. Early detection
programme for prostate cancer also is in full swing. Conservative approaches
for early penile cancers and radical surgeries for other cases are done.
Soft Tissue Sarcomas and Bone
Organ preservation emerged in the
field of oncology for the first time in the management of bone and soft tissue
tumours. At Renai, limb salvage surgeries are the approach than amputations.
Primary bone tumours are common in paediatric age group requiring comprehensive
The centre is ably supported by
high end radiology and pathology services. We also provide comprehensive cancer
rehabilitation by a team of health care professionals including oncologists,
physical therapists, occupational therapists, dieticians, psychologists,
psychiatrists and speech-language pathologists. They work closely with each
patient to help them recover physically and emotionally.
Together with the message of
cancer prevention, early detection, organ and function preserving, late
cosmetic oncology and implementing path breaking concepts, Renai Medicity’s
centre for Function & Organ Preserving Cancer Surgeries is truly world
class and stand alone.