Cancer treatment requires a comprehensive and complete set up with specialist doctors and supporting diagnostics facilities . At CMCS Health , we are associated with best cancer treatment hospitals in India for facilitatingcancer treatments in Indiafor global medical travelers.
Best cancer treatment hospitals in India :
Cancer treatments require a joint and close working of three streams of cancer treatment specialists , the medical oncologists , oncology (cancer ) surgeons and radiation oncologists . Best cancer hospitals in India are regularly conducting tumor board meetings for discussion on treatment protocols for every cancer patient and chalking out best effective treatment plan for every cancer patient. They are ably supported by state of art and latest diagnostic facilities including nuclear medicine for complete and comprehensive cancer treatment in India.
Fortis Healthcare group of hospitals for cancer treatment in India:
Fortis group have many hospitals in India offering complete and comprehensive cancer treatments.
Fortis memorial research institute is flagship hospital of Fortis group. Oncology Department at Fortis memorial research Institute comprises of dedicated medical oncology unit under the chairmanship of renowned Medical Oncology specialist Dr Vinod Raina , Hematology and blood cancer unit under Dr Rahul Bhargava , Surgical Oncology department consisting of Dr Vedant Kabra , Dr Rama Joshi etc. and Radiation Oncology under Dr. A.K.Anand.
Fortis memorial research Institute also had a dedicated nuclear medicine unit and Pathology and diagnostic units for complete and comprehensive cancer treatment .
Medanta - The medicity , Gurugram , Haryana:
The Medanta Cancer Institute comprises the Division of Medical and Haemato- Oncology, Division of Radiation Oncology and multiple organ-specific surgical cancer divisions including Breast Services and Head and Neck Oncology. Highly experienced and trained oncologists work-in-coordination with the surgeons across departments and specialties to provide supreme care to the patient.
With high-end technologies such as CyberKnife VSI Robotic Radiosurgery, VMAT, IGRT, Tomotheraphy and other high end diagnostic and imaging equipment, cancer treatment specialist doctors at Medanta leave no stone unturned to make sure they are giving patients the best possible treatment available anywhere in the world.
Max Institute of Cancer Care, offers a holistic and integrated treatment by consolidating views of experts in Surgical Oncology, Radiation Oncology, and Medical Oncology. Cancer specialist doctors at Max group of hospitals located in Saket, Patparganj, Vaishali, Shalimar Bagh, Gurgaon, Max Smart, Mohali and Bathinda, specialize in treating cancers affecting Breast, Head and Neck, Lung, Gastrointestinal tract and others.
Max healthcare hospitals provides combination of Chemotherapy, Radiation Therapy, Surgery and Targeted Therapy. They are the first facility in northern India to acquire Novalis Tx for IMRT/IGRT, Radiosurgery, HIPEC and SRS/SRT. They are equipped with an advanced Da Vinci XI Robotic System for treating complex conditions like cancers of prostate, cervix, colon/rectum, as well as heart tumors. The procedure is the next frontier for minimally invasive surgery.
HIFU ( high intensity focused ultrasound ) is a nonsurgical procedure for the treatment of prostate cancer. At CMCS Health, we offer cost-effective HIFU treatment with the best and most experienced Indian prostate cancer specialists for medical travelers, seeking prostate cancer treatment in India.
What is HIFU:
HIFU ( high intensity focused ultrasound ) is a novel nonsurgical procedure approved by the US FDA for the treatment of localized and non metastatic prostate cancer. In the HIFU procedure, multiple ultrasound waves are produced at a higher intensity and in a highly focused form aimed at cancerous tissues in the prostate gland.
Which patient are ideal for HIFU treatment for prostate cancer :
Those patients who have a smaller prostate gland and in whom cancer is localized and not metastatic are the best suited for HIFU treatment for prostate cancer.
HIFU can also be used as an alternative or follow-up treatment for those patients where other treatments like surgery or radiation therapy have failed and the tumor is confined to a small area of the prostate gland.
Advantages of HIFU for prostate cancer treatment :
It does not include surgery or radiation therapy
Focal HIFU can treat smaller prostate cancerous tissues without harming surrounding healthy tissues, muscles, and nerves
It is an outpatient ( OPD ) procedure with no hospital stay, the patient can return the home same day and start his work and other activities within 24 hours of the procedure.
It has fewer chances of urinary incontinence or erectile dysfunction as compared to surgery or radiation therapy
Lowest cost - Highest Quality HIFU for prostate cancer treatment in India :
The cost of HIFU treatment for prostate cancer depends on the size of tumor, hospital and experience of the treating doctor .
Best quality HIFU treatment for prostate cancer treatment in India may range from 3500 to 5000 USD .
Cervical cancer usually start as abnormal changes in tissues of cervix . In majority of cases , it is Human Papillomavirus infection that is responsible for these abnormal changes. The cells which undergo these abnormal changes are called atypical cells. Some of the atypical cells go away without treatment, but others can become cancerous.
PAP smear and HPV screening for women at risk of developing cervical cancer plays an important role in early diagnosis of Cervical cancer or CA cervix.
Cervical cancer treatment in India | Onco-Surgery
Cervical cancer treatment in India depends on stage of cancer , overall health of patient and personal preference of patient( If the patient wants to bear a child in future) .
As most of the cancers , Surgery is the gold standard for early stage and localized cervical cancers.
We are offering following surgical procedures for cervical cancer treatment in India .
Conization is surgery for excision of cervical intraepithelial neoplasia. It involves removing a cone-shaped piece of tissue from the cervix.
LEEP or LEETZ :
Leep or Leetz involve removing microinvasive cervical cancer tissues with a thin wire hook heated by electricity.
Hysterectomy is removal of uterus along with cervix. Vagina and pelvic lymph nodes are left as well as ovaries , unless and until there is another reason to remove them.
Hysterectomy can be classified as simple hysterectomy ( removal of uterus along with cervix ) , radical hysterectomy ( removal of uterus with surrounding tissues , cervix and upper part of vagina connected to cervix and some lymph nodes ) and modified radical hysterectomy.
There are different ways for doing the hysterotomy in a patient.
Abdominal Hysterectomy is done through a surgical incision in the front of abdomen. Abdominal hysterectomy may require hospitalization of 3 to 4 days and complete recovery takes almost 4 to 5 weeks.
Vaginal hysterectomy involves removing the uterus through the vagina.
Laparoscopic hysterectomy is done with the help of a laparoscope and small incision or cut as compared to open hysterotomy and uterus is removed through a small cut in vagina. Both Vaginal hysterectomy and laparoscopic hysterectomy require 1 to 2 days of hospital stay and 2 to 3 weeks in complete recovery.
Robot assisted hysterectomy is done with the help of a robot for more precise surgery.
Radical trachelectomy has become an acceptable alternative to a hysterectomy for younger patients who want to bear a child in future. It involves removal of the cervix and the upper part of the vagina but not the body of the uterus , the nearby lymph nodes are also removed using laparoscopy.
After radical trachelectomy some women are able to carry a term pregnancy and deliver a healthy child through C-section.
Pelvic exenteration :
Exenteration removal of the uterus, vagina, lower colon, rectum, or bladder if cervical cancer has spread to these organs after radiation therapy . It is rarely done and not recommended but used only for those cervical cancer patients whose cancer has come back after radiation treatment.
Thalassemia is a genetic disorder which affects the hemoglobin in a patient. The conservative treatment consists of recurrent blood transfusions.These recurrent blood transfusion may cause iron overload in the patient and subsequently bone deformity,liver damage and other health complications follow. Bone marrow transplant is considered a viable treatment option for pediatrics thalassemic patients.At CMCS Health, we offer Child Thalassemia treatment In India | BMT in India ,with the best specialist Indian medical doctors at well equipped and well managed treatment centers and hospitals at an affordable and reasonable cost with very good success rates.
What is Thalassemia?
Thalassemia is a medical condition in which the affected person's body produces abnormal hemoglobin. This abnormal hemoglobin gets the excessive and premature destruction of RBCs subsequently causing anemia in the affected person. A person with thalassemia may require frequent blood transfusions depending upon type and severity. We offer comprehensive thalassemia treatment in India | BMT .
What are the causes of Thalassemia?
Thalassemia is a mutation in genes responsible for hemoglobin production. It is a genetic or hereditary disorder, which means the disease is passed on to the patient by the parents who are the carrier of the disorder.
What are the Types of Thalassemia?
Thalassemia can be broadly classified as Alpha and Beta Thalassemia. There are many subtypes of Thalassemia.
Hemoglobin molecules are made up of Alpha and Beta parts. Both Alpha and Beta parts are prone to genetic mutations.
Alpha Thalassemia :
Alpha Thalassemia is more common among the south east Asians , south china,India, Africa and middle eastern countries.
Four Genes are involved in formation of Alpha Hemoglobin chain. A child will acquire two each from both father and mother.
One mutated gene either from father or mother out of the four genes,causes either no symptoms or mild symptoms in child,the child will grow as healthy human being but will be called a silent carrier of Alpha Thalassemia.
Two mutated genes either from father or mother,the symptoms will be mild in child, such a thalassemia is called Alpha thalassemia minor.
Three mutated genes will cause moderate to severe anemia in child. The child will have chronic anemia and will require regular blood transfusions throughout his/her life.This medical condition is also referred as Hemoglobin H disease.
Mutation in all four genes is called Alpha Thalassemia major or Bart hydrops fetalis. Fetuses with mutations in all four genes do not survive or die shortly after birth. Blood transfusion given to fetus with four gene mutations rarely works and have very low success rates.
Beta Thalassemia is more common among the people of Mediterranean region. The prevalence is high in North Africa and west asia. Substantial population in Maldives and certain islands in Indian ocean are the careers.
Two genes one each from the father and mother constitutes Beta hemoglobin chain.
One gene mutation causes mild symptoms and are referred as Beta Thalassemia minor.
If both the genes have mutation, the signs and symptoms may vary from moderate to severe.The affected condition is called Cooley's Anemia or Beta Thalassemia Major. Babies born with mutationsin both genes are usually born as healthy child but develops complications of thalassemia within two years of birth.Another form of Beta Thalassemia with both genes mutation but with milder symptoms is called Beta Thalassemia Intermedia.
What are signs and symptoms of Thalassemia?
The signs and symptoms of thalassemia depends on it's type.
Signs and Symptoms of Alpha-Thalassemia:
Majority of children with Alpha-Thalassemia or Hemoglobin-H disease are healthy in general.Symptoms may vary from mild to moderate anemia,Fatigue,drowsiness,pale skin or jaundice,abnormally cold hand and feet ,chest pain,frequent headaches,shortness of breath, dizziness and feeling of impending being faint.enlarged spleen and possibly soft to touch and enlarged liver,they may also have deformity of bones,forehead,cheeks ans jaw may overgrow.
Signs and Symptoms of Beta Thalassemia:
Signs and symptoms of Beta Thalassemia ( thalassemia major or Cooley's anemia ) is generally severe and patient may require regular blood transfusions, the symptoms may include jaundice, frequent infections,cold hand and feet,shortness of breath,a general feeling of malice and being tired,poor appetite,skeletal deformity,delayed growth and delayed puberty,iron overload in body that can harm spleen,heart and liver.
How Thalassemia is diagnosed
Different diagnostics tests are recommended by treating doctor,if he/she suspects the patient to have Thalassemia.
Complete Blood Count ( CBC) is recommended for hemoglobin levels,as thalassemia patients usually have lower hemoglobin.
Microscopic examination: is conducted to ascertain any abnormality in RBCs,Thalassemia patients RBCs are smaller in size as compared to an unaffected person.RBCs with uneven hemoglobin distribution,that gives Bull's eye appearance under the microscope.
A reticulocyte Count is done to ascertain how fast RBCs are formed by the bone marrow and released in blood.
Hemoglobin electrophoresis separates different molecules in RBCs,allowing identification of abnormal RBCs.
DNA Analysis is done to diagnose thalassemia or to ascertain if the person is carrier of mutated hemoglobin gene cells.
Iron tests in blood are done to ascertain if the patient's anemia is because of thalassemia or iron deficiency,as thalassemic patient's do not have Iron deficiency.
Physical examination is conducted to ascertain enlarged spleen.
Treatment for moderate to severe thalassemia may involve frequent blood transfusions.Frequent blood transfusions may cause iron overload in patient's body which in longer run may damage spleen,heart and liver.
Iron Chelation is removal of excess iron from the blood. Patients may be prescribed subcutaneous injections of deferoxamine or oral deferasirox.
Bone Marrow or Stem Cell transplant is a better treatment option for Thalassemia. Chemotherapy cycles given to the patient prior to BMT for destroying abnormal cells and once the patient is in remission phase,bone marrow from a compatible donor preferably a sibling is transplanted in thalassemia patients.
Surgery is also done for some patient with bone deformity and sometimes surgery removal of spleen and gall bladder is also done.
Dr Vikas Dua is consultant Pediatrics bone marrow transplant specialist at Fortis Memorial Research Institute Gurgaon,India.
Dr Vikas Dua did his advanced Fellowship in Pediatrics Bone Marrow Transplant from National University Hospital Singapore and also did his training in child BMT from world's No.1 institute in pead.BMT ,St. Jude's Children research Hospital Memphis,USA.
Sickle cell disease is a blood disorder that is passed on from the parents to a child. Patients of sickle cell disease have damaged hemoglobin. Hemoglobin is a protein that is responsible for carrying oxygen to all the cells and tissues of the body. In a sickle cell disease patient the faulty hemoglobin fails to deliver oxygen to body tissues. Sickle cell disease patients suffer from severe anemia. Sickle cell disease if untreated can damage liver, heart, kidneys, gallbladder, eyes, bones, and even joints. At CMCS Health , we are associated with best Indian Hematologist and BMT specialists for Sickle cell treatment in India | BMT for patients seeking sickle cell disease treatment in India.
Sickle cell Disease - An Overview :
Sickle cell disease is a severe form of anemia caused by genetic mutation in the Red blood cells. It is a genetic disorder which is inherited by the patient from the two faulty hemoglobin genes from both the parents. Sickle cell disease is rampant in Africa. Sub-Saharan African countries have the highest number of Sickle cell disease patients.
Current studies indicates that 4.4 million people have sickle cell disease worldwide and about 43 million are carrier of sickle cell trait.
Prevalence of sickle cell disease is highest in sub-Saharan Africa and accounts to almost 80% of all sickle cell disease cases worldwide.
Nigeria has highest percentage of population affected with sickle cell anemia.
Sickle cell anemia is common in Nigeria , Democratic republic of Congo, Ghana, Uganda, Cameroon, Tanzania , Gabon,Sudan, Zambia and Kenya.
At CMCS Health , we are associated with Top Sickle cell anemia treatment doctors of India at Best Sickle cell treatment hospital in India. Many patients from African continents had successful Sickle cell anemia treatment in India with our assistance.
Etiology of Sickle cell disease :
Because of the genetic mutation,the shape of RBC ,which is flexible circular disc shaped changes to rigid sickle or crescent shaped rods. Hemoglobin a protein in RBCs,works as a transporter of nutrients and oxygen to cells all across the body.Normal RBCs are disc shaped,with the centers partially scooped out. They are flexible and soft and therefore have the capacity to squeeze through even the tiniest of blood vessels to reach every cell in the body.Due to genetic mutation the RBCs acquire the shape of a crescent moon or Sickle and become rigid and brittle.These Abnormal shaped RBCs which are not flexible get struck in small blood vessels causing slow or blockage of blood flow to other tissues of body and disrupt supply of Oxygen to those parts. Moreover the lifespan of abnormal sickle shaped RBCs is only 10-20 days as compared to 120 days of normal RBCs.Human body keeps on forming new RBCs to replace the old ones,but in a person with sickle cell disease the balance in formation of new RBCs and Destruction of existing RBCs is disturbed. This results in lower RBC count or anemia in a person suffering with Sickle cell disease. AllogenicBone marrow transplant in India offers a viable option for Sickle cell disease patients.
At CMCS Health , we offer cost effective and comprehensive Sickle cell disease treatment in India with best sickle cell anemia doctors in India at Top sickle cell treatment hospitals in India.
Sickle cell disease signs and symptoms :
Signs and symptoms of sickle cell disease may vary from person to person. Sickle cell disease symptoms may include :
Patients of sickle cell disease get fatigued easily. The reason is anemia.
What are complications of Sickle cell disease?
Sickle cell anemia may have different complications in different people at different stages of disease,but the major and severe complications for a person suffering from sickle cell anemia can be broadly classified as Acute and chronic.
Acute Complication of Sickle cell disease :
Acute complications of Sickle cell anemia have a sudden onset. It means the complications occur in a short time.
Sickle cell crisis:
Sickle cell crisis or VAS ( Vaso occlusive crisis ) manifests as acute severe pain.Sickle cells disrupts blood supply through smaller capillaries resulting in ischemia. Sudden pain across body that may persist from a few hours to a few days.The pain usually occurs in limbs,chest and back.
Fever and infections:
Patients with sickle cell disease are prone to severe bacterial infections because of reduction or absence of splenic function. This may expose the patient to extremely high risk of septicemia and meningitis.Pneumonia is the most common infection ,meningitis,influenza and hepatitis are other infections occurring in sickle cell disease patients.
Sickle cell disease may cause a a stroke in an affected person because of oxygen deprivation due to blockage in supply of blood to tissue of brain. Some of the sickle cell anemia patients may experience a Transient ischemic attack.
Acute Chest Syndrome:
Pneumonia like complications in a child or adult suffering from sickle cell disease. The reason could be an infection or sickle cells trapped in micro capillaries of lungs.
Hepatobiliary tract abnormalities are common in sickle cell disease patients.They may include cholelithiasis, acute cholecystitis, biliary sludge, and acute choledocholithiasis,acute Hepatic Sequestration and acute intrahepatic cholestasis.
Acute renal failure:
A decrease in kidney functions due to dehydration or obstruction or even because of intrinsic renal disease.
May be because of Splenic sequestration.
Multisystem Organ failure:
A systemic failure of lungs,liver and kidney is a life threatening medical condition for sickle cell anemia patients.
Chronic complications of Sickle cell anemia :
Chronic complications of Sickle cell disease occur over a period of time. They are not sudden like in acute complications of sickle cell disease.
A sickle cell disease patient may develop vision problems over a period of time.It may include proliferative sickle retinopathy and vitreous hemorrhage. Complete vision loss is also possible.
Avascular or aseptic necrosis can occur when capillaries are occluded by sickled erythrocytes at distal portions of a bone, near a joint, where hypoxia is maximal and collateral circulation is inadequate .The most common site for sickle cell anemia induced avascular necrosis is femoral neck.
Leg ulcers appear in patients of sickle cell anemia.
Pulmonary hypertension occur in sickle cell disease patients.
Sickle cell treatment in India | BMT
Sickle cell anemia patients are usually referred to a Hematologist ( A doctor who has specialized in blood disease management). Treatment of sickle cell anemia may involve determining many factors by the treating hematologist. Treatment of sickle cell anemia includes regular monitoring and follow up with a hematologist, Medications for management of symptoms and complications,pain management,blood transfusions, oxygen supplementation and allogeneic Bone Marrow transplant.
Sickle cell disease treatment in India | Bone marrow transplant:
Stem cell or Bone marrow transplant is a viable treatment option for those young sickle cell anemia patients where the diseases condition is severe and can not be managed with conventional methods. A sickle cell anemia child who is having a matching sibling donor is referred for a bone marrow transplant by the hematologist considering all the pros and cons. Risk involved is big but a stem cell or bone marrow transplant is the only cure for sickle cell anemia child or young adult. We offer cost effective bone marrow transplant ( BMT ) for sickle cell disease treatment in India | BMT.
Before the transplant, bone marrow cells are taken from a close matching healthy brother or sister. The patient with sickle cell disease is then treated with chemotherapy and radiation that destroy his or her bone marrow cells. After that, the donated bone marrow stem cells are transplanted in the patient.
Best Doctors for Sickle cell disease treatment in India:
India offers hope for Sickle cell disease patients from all across the world. Bone marrow transplants are successfully being done at many hospitals in India by the best Indian hematologists/BMT specialists of India for patients from Nigeria, Tanzania, Cameroon, Democratic republic of Congo, Ghana, Uganda, Kenya, Gabon, Sudan, Zambia and many other African countries.