Nanavati Max Institute of Cancer Care

An allogeneic transplant is a procedure in which stem cells for transplantation are collected from a matching donor and transplanted into the patient’s body after high-intensity chemotherapy or radiation. The donor can be a sibling, a relative, or an unrelated person who is an HLA match. The Allogeneic Transplant Unit at Nanavati Max Super Speciality Hospital is a fully integrated unit offering comprehensive medical, diagnostic, and surgical services to patients suffering from various diseases. The unit is equipped with advanced technology and the latest therapies to treat complex conditions requiring allogeneic transplantation. The team of skilled hematologists and transplant physicians follows a multidisciplinary approach to create a patient-centric treatment plan.

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The Breast Cancer Program at the Nanavati Max Institute of Cancer Centre is a dedicated program offering the most comprehensive treatment options for breast cancer, irrespective of the complexity of the type of cancer. Our team of highly qualified, compassionate, world-renowned oncologists and reconstructive surgeons hold specialized expertise in treating all types of breast cancer from early to advanced stages and is ascertaining new ways to bring the best care for managing breast cancer. We offer a full spectrum of services such as state-of-the-art infrastructure, cutting-edge technology, on-site multidisciplinary experts, second opinion, and innovative treatment methodologies. We follow a team-based approach for diagnosis and advanced treatment options in breast cancer surgery, radiation Therapy, and chemotherapy and targeted therapy, thereby offering seamless, coordinated breast cancer care under one roof.

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Cancer can affect any region of the body, thus affecting the function and physical appearance. The Cancer Reconstructive Surgery Program at Nanavati Max Super Speciality Hospital provides patients with expert and individualised reconstructive surgery in a caring, supportive environment in order to regain normal function and appearance after cancer related treatment. Our plastic surgeons, work side by side with the onco-surgeons to reconstruct deformities, either at the same time as the removal of cancer or at a later date depending on the individual case. Our team of world-renownedreconstructive plastic surgeons know that the journey from diagnosis to recovery can be overwhelming. With that in mind, we work with each patient to decide on the best reconstructive treatment plan. Depending on which area of the body is affected, the surgical plan is formulated. Our multidisciplinary team consists of medical oncologists, radiation oncologists, surgical oncologists, geneticists, pathologists, anaesthetists & dedicated nursing staff, who will be there to help you every step of the way. Our modern infrastructure, state-of-the-art operating rooms and comfortable recovery roomsare designed keeping your safety and comfort in mind.

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At the Nanavati Max institute of cancer care, we have one of the most comprehensive centres for treatment of colorectal and gastroesophageal cancers. We have a complete armementerium of surgical, medical and radaiation oncology services to cater to this group of cancers. Dr Ganesh Nagarajan leads the GI Cancer surgical team and is a nationally acclaimed surgeon in this speciality. The oncology Operation Suites are state of the art with 4K laparoscopic systems with ICG. we also have the latest and most advanced Da Vinci Xi system which enables high precision technology for oesophageal and colorectal malignancies. We at Nanavati Max institute of cancer care, perform all kind of surgeries for Gastroesophageal and colorectal cancers from conventional open surgeries to minimally invasive surgeries (laproscopy and Robotic surgeries). We are a high volume centre and also have the expertise to perform all complex surgeries like major pelvic exenterations, multiorgan resections and cytoreductive surgeries and HIPEC for certain types of cancers. Patients with colorectal cancers who present with liver metastasis are operated routinely with either liver first approach or synchronous resection and chemotherapy first followed by colorectal and liver resection. This cases are discussed in MDT team to make sure patient is offered the best treatment. We have well equipped interventional radiology department led by Dr Anirudha Kulkarni, who carries out ablative therapies and liver directed therapies. At Nanavati Max institute of cancer care, we also have a team of Medical oncologists who are well versed with all the recent regimens of Targeted therapies and Immunotherapy. Our Radiation oncology department is well equipped with most advanced radiation techniques for rectal cancers (short course and long course). We have a stoma clinic where our nursing staff will carry pre stoma and post stoma counselling of patients. We at Nanavati Max institute of cancer care are fully committed to offering state of the art modalities of Imaging , diagnosis and treatment of international standards under one roof.

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The Head, Face and Neck Cancer Program at Nanavati Max Hospital is one of the leading cancer care programs that provide high quality, comprehensive services catering both the physical and emotional needs of the patient. The optimal treatment plan offered by our medical oncologists is customised uniquely for each patient and is most likely to preserve the patient's long-term quality of life.  Our advanced multidisciplinary approach to treat head, face, and neck cancer is complemented by multiple services such as endoscopic procedures, major and minor resections, organ preservation surgeries, as well as complex reconstructions, including free flaps. Our team of medical oncologists, radiation oncologists and head, face, and neck surgeons work together to achieve the most effective health outcomes for cancer patients. We provide our patients with comprehensive care using advanced technology in a spacious, serene, state-of-the-art facility that is designed to offer the best cancer treatment hospital and support services possible, thereby improving the patient’s quality of living. 

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Bone marrow is the soft spongy tissue that lies within the hollow interior of long bones. Bone marrow in large bones produces new blood cells. The bone marrow contains stem cells. These are cells at a very early stage of development that develop into the three different types of blood cell. When the cells are fully mature, they are released into the blood stream. Hence, bone marrow works as a factory for blood. When things go wrong in the blood e.g. blood cancer (leukaemia), aplastic anaemia (empty bone marrow) its origin is in the stem cells in the bone marrow. Hence, bone marrow transplantation or stem cell transplantation can be a curative treatment for such conditions. Bone Marrow Transplant Bone marrow transplant procedure is performed not only for cancerous conditions like blood cancer but also for genetic condition like Thalassemia. Here the cancerous or genetically abnormal stem cells are eradicated by chemotherapy and Immuno suppressive medicines and new functionally normal stem cells are given which later populate the bone marrow and blood with normal non-cancerous cells and genetically normal cells. Bone Marrow and Stem Cell Transplantation The two terms "bone marrow" and "stem cell” transplants are sometimes used interchangeably. Previously, in paediatric and adult age group, bone marrow acquired by aspiration served as the source of stem cells and hence the terminology of BMT was used. Now in adults we use stem cells extracted from the blood, on a machine. All bone marrow transplants are stem cell transplants but not all stem cell transplants are bone marrow transplants Conditions that can be treated with BMT/SCT Leukaemia (Blood Cancer) Lymphoma (Lymph gland cancer) Myeloma (Bone Marrow Cancer) Germ Cell Cancers Thalassemia Sickle Cell Disease Gaucher's Disease Immunodeficiency Conditions Aplastic Anaemia Bone Marrow Transplant Unit (BMT) A bone marrow transplantation programme at Nanavati Max Institute of Cancer Care is a state-of-the-art transplantation unit in the country. All cubicles have a HEPA filtration system and en-suite facilities. The team is committed to providing a quality service to all children and adult needing this procedure. Procedure of Stem Cell Transplant Before stem cell transplant, stem cells are collected from either the bone marrow or the blood. Patient is given very high doses of chemotherapy, usually over a few days. Sometimes, radiotherapy is also given to the whole body, known as total body irradiation (TBI). As well as destroying any remaining cancer cells, the high doses of chemotherapy also destroy the stem cells in the bone marrow. After the chemotherapy, patient is given the stem cells that were collected before the treatment. These stem cells start producing mature blood cells again. Types of Bone Marrow Transplant There are three main types of transplant 1. Autologous Transplant In this procedure patient's own stem cells are used after the high-dose treatment. 2. Allogeneic Transplant This uses stem cells from a donor and is also known as an allograft. An allogeneic transplant is a more complicated procedure than an autologous one and is only carried out in super speciality hospitals like Nanavati Max Super Speciality Hospital. Recovery may take several months or longer. The donor is another person whose tissue has the same genetic type (HLA type) as the person needing the transplant (recipient). Because tissue types are inherited, similar to hair or eye color, it is more likely that the recipient will find a suitable donor in a brother or sister. This, however, happens in only 25 - 30 percent of the time. If a family member does not match the recipient, the request is sent to the bone marrow transplant registry database, to look for a suitable unrelated individual, whose tissue type is a close match. It is more likely that a donor comes from the same racial or ethnic group, as the recipient will have the same HLA type. 3. Umbilical cord blood stem cell transplant Stem cells are filtered from blood in the umbilical cord after a baby is born and those cells are used for transplant if they are a match. Matching is attempted as for other stem cell transplant. This is a good source of stem cells when related or unrelated matched donor is unavailable. Preparing yourself for Transplant There will be a number of tests to be conducted before the treatment. Our specialist nurse will explain what they are and why they are needed. Some of the tests may depend on the stage of your disease and type of cancer or leukaemia. Once the treatment is explained the patient can take time to think things over and start to make practical arrangements. The patient may be required to stay for several weeks. After the chemotherapy, there is a period of neutropenia during which patients can be very unwell, requiring several medicines to prevent and treat infections and nutritional supplements. Post-Transplant Care After the transplant is completed and the patient is discharged, patients needs to continue some medicines to keep the transplant working.

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HPB cancers are easily the most challenging cancers to operate for any cancer surgeon. These are long and complex surgeries which require a high degree of skill and expertise. At the Nanavati Max institute of cancer care , the HPB cancer surgery program is led by Dr Ganesh Nagarajan who is a renowned expert known for his high volume of work in this challenging field. He and his team are a tertiary high volume referral centre for all liver and pancreatic cancers from all over India and abroad. A large number of liver cancers – both primary ( HCC) and secondary ( metastasis from other cancers ) are routinely treated with major resections including vascular reconstructions with results on par with international standards. The smaller lesions which are suitable for a laparoscopic or robotic resection are treated accordingly. Patients with colorectal and neuroendocrine liver metastasis are operated routinely with excellent long term outcomes. Supra Major resections for bile duct cancers( cholangiocarcinomas) . the interventional radiology team led by Dr anirudha kulkarni is an integral part of the team for ablations and liver directed therapies ( TACE and TARE) . They also closely coordinate with the medical and radiation oncology teams for allied treatments Pancreatic cancer surgery outcomes highly depend on the expertise of the surgeon and the results are much better in high volume centres. Dr Nagarajan and his team perform a high volume of cases for pancreatic cancer. They are ably supported by the interventional radiology teams and the gastroenterologist for pre surgery procedures. Dr Nagarajan and his team also routinely perform laparoscopic and robotic distal pancreatectomy. This is a comprehensive HPB oncology multidisciplinary team offering state of the art treatment for all HPB cancers

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The Lymphoma Cancer Program at Nanavati Max Super Speciality Hospital (one of the best lymphoma treatment hospitals in Mumbai, India) strives to offer world-class care in an intimate personal and convenient setting, where medical excellence and compassion go hand-in-hand. We aim at providing extraordinary care and a wide range of quality medical services for patients diagnosed with every variety of lymphatic system cancer. Our team of highly skilled and nationally recognised lymphoma specialists provides time and effort to restore your health and improve the quality of your life. Highlights Of Our Program Include: We provide compassionate, high-quality healthcare using cutting-edge medical therapies and targeted treatments, for treating Lymphoma. We follow a multidisciplinary patient-focused approach to treatingall types of cancer and offer personalised care to achieve the highest level of patient satisfaction. Our team of professionals consists of lymphoma experts in haematology & medical oncology, radiation oncology, pathology and radiology that offer integrated empathetic care for patients.

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Medical Oncology Treatment in India is best possible at Nanavati Max Institute of Cancer Care where a multidisciplinary approach is followed to treat patients. We have dedicated teams of doctors offering comprehensive patient-centric care along with expertise and assurance using advanced technologies. Our team of fully trained medical oncologists holds years of experience in managing all types of cancers with chemotherapy along with immunotherapy and targeted therapy. The centre also manages the side effects of chemotherapy that may range from common to rarer ones, thereby, helping patients in leading relatively normal lives while receiving chemotherapy. 

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Nanavati Max Advanced Institute of Radiation Oncology and Radiosurgery Institute of Radiation Oncology and Radiosurgery at Nanavati Max Super Speciality Hospital has a legacy of over 40 years. Our state-of-the-art centre is dedicated to provide comprehensive and personalized radiation treatment with a commitment to excellence and patient care. The department is also very active in the field of research. Multicentric trials with reputed institutes like the International Atomic Energy Agency and Department of Atomic Energy of India have been conducted. We work closely with the Indian Institute of Technology and Bhabha Atomic Research Centre, in our research pursuits. In our pursuit for excellence, we have collaborated with the university of Narsee Monjee Institute of Management Studies (NMIMS) to create Artificial Intelligence based models in Radiation Oncology. These models guide our clinicians to deliver safer and effective treatment to our patients. Advanced Centre for Radiation Oncology is a state of the art clinical facility, with a complete spectrum of modern radiation treatment. Following is the list of available services. Our Services: 3D CRT (3D Conformal radiotherapy) IMRT (Intensity Modulated Radiotherapy) IGRT (Image Guided Radiotherapy) SBRT (Stereotactic Body Radiotherapy) SRS (Stereotactic Radiosurgery) Brachytherapy: ICRT (Intracavitary Brachytherapy) Interstitial Brachytherapy Surface Mold Brachytherapy Total Body Irradiation Disease Management Group based, specialised and hyperlocal Radiation Oncology practice for different anatomical sites of cancer such as: Head and Neck Breast Gynaecological malignancies Gastro Intestinal malignancies Lymphomas Sarcoma Brain Genitourinary malignancies and other sites. Edge with HyperArc Unleashing the power of next-generation high precision Radiosurgery & Stereotactic Body Radiotherapy Edge technology with HyperArc A. Radiosurgery & SBRT Treatment for Brain tumours Lung cancer Prostate cancer Pancreatic cancer Oligometastatic disease Recurrent head and neck cancers Primary and secondary liver malignancy Bone metastasis B. Image guided radiotherapy tool for all major advanced malignancies. C. Can treat benign tumours such as Pituitary Adenoma, AVM & Acoustic Neuroma. Salient Features Versatile Design: Adapts to multiple treatment types. HyperArc™ Technology: Extreme precision in targeting brain tumours. High Precision MLC: Multileaf Collimators (MLCs) with leaf widths of only 2.5 millimeters. Advanced Motion Management: Compensates organ movement for accurate beam targeting. Robotic Couch: Enhances patient positioning. Integrated Machine Intelligence: Optimises treatment delivery & adjusts dose in real-time. Advantages Better motion management. Targets tumours, sparing healthy tissue nearby. Shortened treatment time. Greater patient comfort. Why choose Nanavati Max Hospital? Experience: Our team of doctors and medical staff have extensive experience in performing Edge Radiotherapy procedures. State-of-the-Art Facility: Our hospital is equipped with the latest technology and advanced equipment, including the Edge Radiotherapy machine. Patient Care: We prioritize patient comfort and satisfaction, providing personalized care plans tailored to each patient’s needs. Support Services: We offer a range of support services to assist you through your cancer journey, including counseling, nutrition advice, support group programs, and more. Halycon: Varian Halycon™ Elite v2.0 with Treatment Planning System Eclipse™ Version 15.6 and Record & Verify (R&V) System ARIA® 15.6 – It has an incredibly fast radiation delivery system with an image guided system of exceptional accuracy. HALCYON™ also includes KVCBCT and MVCBCT with high-resolution image results in precise delivery of radiation to the cancer cells. Special features like FFF (Fattening Filter Free) and faster gantry speed enable lower treatment time. Atlas-based contouring, deformable image registration and biological optimization of Eclipse™ version 15.6, truly make the ACRO a full-fledged radiation oncology department. Varian GammaMedplus iX Varian GammaMedplus iX channel is capable of delivering intracavetory, interstitial and surface Brachytherapy. Total Body Irradiation The department of Radiation Oncology is proud to have the first scientific publication on a clinical use of HalcyonTM for Total Body Irradiation in a patient requiring Bone Marrow / Stem Cell Transplant. Extracorporeal Radiotherapy Our centre closely works with the Bone and Soft Tissue Sarcoma Disease Management Group to provide Extracorporeal Radiotherapy which is performed as a speciality procedure at handful centres in the country. Research and Publication The department is also very active in the field of research. Multicentric trials with reputed institutes like the International Atomic Energy Agency and Department of Atomic Energy of India have been conducted. We work closely with the Indian Institute of Technology and Bhabha Atomic Research Centre, in our research pursuits. In our pursuit of excellence, we have collaborated with NMIMS university, to develop Artificial Intelligence based models for Radiation Oncology. These models guide our experts to provide safer and efficient treatment to our patients.

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We at Nanavati Max Super Speciality Hospital strive to offer the most comprehensive  paediatric cancer care in Mumbai, combining world-class science and technology to pioneer new ways to prevent, detect, and treat paediatric cancer. For many of the malignancies that occur in childhood, the paediatric cancer program provides diagnostic evaluation and treatment plan under one roof. Our patient-centric approach to treat patients with the broadest possible range of available chemotherapies and access to potential therapies, help provide treatment to the most complex type of paediatric cancer cases. With a large number of Paediatric Oncology and Haemato-oncology patients, Nanavati Max Hospital has become one of the largest oncology care centres in Mumbai. Cancer patients requiring bone marrow transplant/ haematopoietic stem cell transplant after chemotherapy, as a final curative option have also benefited at the facility. Our BMT Centre is one of the biggest in Mumbai and offers services in Autologous Transplant and various types of Allogeneic Stem Cell Transplants. We believe that no child should suffer from the ill effects of cancer and we are constantly engaged in this ongoing struggle to make their treatment a better experience because we understand the emotions and physical tills that the child and the family experience.

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The Robotic Surgical Program at Nanavati Max Super Speciality Hospital offers a wide range of oncological procedures with the expertise of experienced robotically-skilled surgeons. The program is supported by multidisciplinary teams offering advanced robotic surgery treatment for adult and paediatric patients suffering from cancer. Robotic Surgery has become a new standard of care for many oncological (cancer) specialties including head and neck, thorax and lung, thyroid, gynaecological, gastrointestinal and urological cancers. Our team of internationally-trained oncologists offers an integrated robotics program to deal with complex oncological cases through small incisions with the advantages of enhanced 3-dimensional vision, combined with the precision, dexterity and control of the robotic platform

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The Thoracic Cancer Program at Nanavati Max Super Speciality Hospital offers the most comprehensive care to patients suffering from early advance stages of thoracic cancer. Our multidisciplinary team of oncologists, thoracic cancer specialists, medical oncologists, radiation oncologist, pulmonologists, gastroenterologists, and pathologists use latest advanced technologies and state-of-the-art facilities, to provide holistic care to rapidly diagnose and treat cancer. We offer a comprehensive patient-centric treatment plan that is designed to meet the unmet medical needs of the patient. It comprises of radical surgery, chemotherapy, radiation therapy and complex reconstructive approaches that offer the lowest risk and greatest chance of cure. Our vision is to create a world where no one fears cancer. We are home to internationally recognised surgeons, medical oncologists, radiation oncologists, and pathologists who offer comprehensive patient-centric care to patients with both early-stage and complex cases of lung cancer.

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The Nanavati Max Institute of Cancer Care is a centre of clinical and surgical excellence backed by the expertise of a highly experienced and specialized team of Urological Oncosurgeon, radiation oncologists, medical oncologists, oncopathologists, radiologists, interventional radiologists and nuclear medicine specialists supported by a highly specialized and state of the art infrastructure, working towards ensuring the best outcomes for all patients afflicted with urological and genital cancers. The urological malignancies represent complex malignancies that affect organs that comprise the urological system in men and women; and the male genital system, including adrenal, kidney, bladder, ureteric, prostate, testicular, penile and urethral cancers as well as retroperitoneal tumours. We are a tertiary care high volume centre that provides a comprehensive, evidence-based, multidisciplinary, individualized treatment aimed at ensuring the most optimum outcomes in terms of improved cure rates with reduced morbidity, and organ, function, fertility preservation in suitable patients and providing a good quality of life to the patients. We specialize in complex surgical procedures and multiorgan resections for urogenital cancers. We also offer robotic surgery with the state of the art Da Vinci Xi robot for management of urological cancers and endoscopic treatment for bladder cancers. The common surgical procedures carried out in our centre include partial nephrectomy (nephron sparing surgery), radical nephrectomy, IVC thrombectomy, metastasectomy for kidney cancer, radical cystectomy with urinary diversion/reconstruction, transurethral resection for bladder cancer, robot assisted radical prostatectomy for prostate cancer, partial or total penectomy as well as conservative surgery and groin node dissection for penile cancer, inguinal orchidectomy and nerve sparing retroperitoneal lymph node dissection for testicular cancer; and adrenal mass excision for adrenal tumours. Types of Urogenital Cancers There are several types of urological and genital cancers, depending on the organ of origin. They are as follows: Kidney cancer: It is of two main varieties viz. renal cell carcinoma and urothelial carcinoma of the renal pelvis. Traditionally considered a disease of middle aged and elderly, it is now seen more and more commonly in the younger age group. Majority are asymptomatic in nature and are often diagnosed incidentally by ultrasonography as a part of health check up or during a course of investigations for some other ailment. Bladder cancer: Second commonest urological cancer. Seen commonly in the older age group and more prevalent in males. More common among smokers and those with long-term contact with certain dyes and chemicals. Prostate cancer: Commonest urological cancer and second most common cancer among males. Usually seen after the age of 60 years. A blood protein (tumour marker) prostatic specific antigen (PSA) can help to diagnose this disease early. Can be genetically transmitted. Testicular cancer: Develops in the germ cells of the testis. It is a cancer of the young men where preservation of fertility and sexual function are as important as cure from the disease. They are further broadly classified into seminomas and non-seminomas. Penile cancer: An uncommon cancer seen in middle aged and elderly patients. Phimosis (inability to retract the penile skin) is a high risk factor for this cancer. Ureteric cancer: is the cancer that arises in the tubes that drain the urine from the kidneys to the bladder. Urethral cancer: Arises in the outflow tube that carries urine from the bladder to outside. Adrenal tumours: Adrenal glands are situated above the kidneys like a cap. Cancers arising in these are called adrenocortical carcinomas or malignant pheochromocytomas. Retroperitoneal tumours: Situated behind the bowels in the vicinity of major blood vessels and can be of various types eg sarcomas, lymphomas, metastatic cancers etc. Urogenital Cancers Symptoms While the symptoms of each of these cancers are specific, there are several common symptoms and signs, which may indicate the presence of these cancers, viz. Painless haematuria (blood in the urine), which may be episodic or persistent Difficulty in passing urine, frequency of urination, burning or pain during urination, weak urinary stream, urgency, hesitancy and sense of incomplete evacuation of urine Inability to void urine or urinary retention Abdominal, pelvic pain or backache of recent origin Abdominal or pelvic mass Testicular swelling Lump or swelling in the groin Penile growth or ulcer on penis that does not heal with medical treatment Abdominal distension or bloating Swelling (oedema) of the lower extremities Cough, breathlessness, blood in the sputum Loss of appetite Sudden or unexplained weight loss Weakness, fatigue Bone pains Nausea, vomiting Fever of unknown origin which is persistent or recurrent Urogenital Cancers Causes Although the precise cause is not known, there are certain associated factors or conditions that predispose to these cancers; Smoking or tobacco use Contact with dyes or chemicals Infections like schistosomiasis Chronic irritation of urinary tract with stones, repeated inflammation etc. Human papilloma virus infection Advancing age Obesity Lack of physical activity Consumption of fatty or processed food and red meat Family history of cancer especially for prostate cancer Urogenital Cancers Treatment Options The management of urological cancers is multimodal, with surgery as the mainstay of treatment, supported by systemic chemotherapy or immunotherapy and radiation therapy. Surgery Surgical treatment of urological cancers is often complex and requires a high degree of expertise, precision and experience. Prostate cancers and some renal cancers are managed by advanced robotic surgery, which reduces the recovery time and hospital stay; and ensures a faster return to full daily activities. Our surgical team has a huge experience in treating these cancers for over 35 years, with excellent outcomes. In fact, our urologic surgical oncologist has been an important member of the team that has pioneered and standardized these surgeries and other treatment approaches in India. Many patients from across the country that need extensive or complex surgical options are referred to our centre for surgical treatment. Prostate cancers and some renal cancers are managed by advanced robotic surgery, which reduces the recovery time and hospital stay; and ensures a faster return to full daily activities. Our focus is also on organ and function preservation through conservative surgery (for renal and penile cancers) or with use of non-surgical modalities of treatment (for bladder and prostate cancers). At our centre, we offer a comprehensive array of surgical interventions including but not limited to the following: Kidney cancer: Partial nephrectomy (nephron sparing surgery), Radical nephrectomy, Nephroureterectomy, IVC thrombus excision, Metastasectomy Bladder cancer: Transurethral resection, Radical cystectomy with urinary diversion, Partial cystectomy, Urethrectomy Prostate cancer: Robot assisted radical prostatectomy Penile cancer: Conservative surgery (wide excision, glansectomy), partial or total penectomy, radical or modified inguinal node dissection Testicular cancer: High inguinal orchidectomy, Retroperitoneal lymph node dissection Adrenal tumours: Excision of adrenal tumours Systemic Chemotherapy Chemotherapy involves the use of a combination of drugs that make the existing tumours smaller by killing the cancer cells and/or prevent growth of new cancer cells. Since these drugs are injected into the bloodstream, they reach all parts of the body and act on cancer cells even at sites distant from the primary tumours. In urological cancers management, chemotherapy is used either before surgical treatment or after surgical treatment to improve the outcomes. It can also be used with radiation therapy in bladder preservation protocols. It is the main line of treatment when the cancer has spread to distant organs. Radiation Therapy Can be given externally for prostate and bladder cancers or internally using radioactive material delivered through special equipment for conservative treatment of penile cancer. With modern radiotherapy machines and advanced techniques of radiation delivery, the results of radiation therapy in properly selected patients are good in terms of survival and side effects. Immunotherapy This boosts the patient’s own immune system to target and destroy cancer cells. It is now being increasingly used in the treatment of kidney, bladder, and prostate cancers. Other Novel Therapies Targeted drug therapy implies the use of drugs that target specific molecular targets associated with certain cancers e.g. kidney cancer. Radio-isotope therapy with Lutetium (theranostics) is used to alleviate pain and control disease in patients with advanced metastatic prostate cancer. What Factors Should Be Considered When Choosing a Urologic Cancer Hospital? When choosing a urologic cancer hospital, several factors should be considered, including the hospital's experience and expertise in treating urologic cancers, the availability of advanced diagnostic and treatment technologies, the hospital's location and accessibility, and the quality of its support services, such as nursing care, rehabilitation, and counselling. What are The Long-Term Outcomes for Urologic Cancer Patients? The long-term outcomes for urologic cancer patients depend on factors like the type and stage of cancer, the patient's age and health, and effectiveness of the chosen treatment. With appropriate treatment at Nanavati Max Hospital, many patients with urologic cancer can achieve long-term remission and maintain a good quality of life.

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