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Progressive Evaluation of Radiotherapy

Radiotherapy, or radiation therapy, is often used in conjunction with other lines of treatment such as surgery, and chemotherapy in patients detected with malignancy. So, patients who are advised radiotherapy are treated under a multidisciplinary team of doctors and medical professionals. Dr. Amish Dalal reviews the patient’s medical condition and, if necessary, recommends radiotherapy.  radiotherapy sessions last about 15 to 30 minutes and have been known to bring about relief in up to 40% of patients followed by alleviation of pain in the bones. It is also known to control other common symptoms of the disease, like bleeding from the lungs and the bladder.

Radiotherapy costs about 6% of each health dollar spent fighting cancer. As pointed out by Doctor Amish Dalal, the effectiveness of radiotherapy depends on the location in the body that has been affected. Cancers affecting the skin, neck, head, breast, prostrate, thyroid, anus, and cervix are believed to respond well with radiotherapy. Dr. Dalal, along with his team of medical practitioners, assesses the affected area and recommends the next course of treatment accordingly.

Doctor Amish Dalal and the multidisciplinary team take into account the lifetime dose limits of radiation that should be administered to every individual. There is a limit to the amount of radiation that can be administered to the area of malignancy, while attempting to shield the unaffected zones. Radiotherapy may not be advised in instances where either the patient is suffering from a different type of cancer or has already received the lifetime allowable dose of radiation.

Dr. Amish Dalal asserts that its low cost makes it a viable option for most of the eligible patients. Dr. Amish, goes on to opine that Radiotherapy serves as an important cog in the wheel of the comprehensive management of the disease.

Here are some of the benefits of radiotherapy according to Doctor Amish Dalal, that make it a worthy contender in the treatment for cancer:

  1. Radiotherapy enables targeting the specific area that has been diagnosed with cancer with a certain level of precision, unlike chemotherapy. As explained by the National Cancer Institute, this makes it possible for the cancer cells to be reduced in number, with minimal damage to the surrounding tissues and organs. Dr. Dalal refers patients to a radiotherapy lab after a thorough check-up of the affected area, and assessing the modality of the treatment.

 

  1. As radiotherapy does not require the patient to be hospitalised, it reduces the cost of the overall treatment. After radiotherapy, the patient can return to his normal lifestyle immediately.

 

  1. A combination of radiotherapy and chemotherapy reduces the chances of an early recurrence after surgery. Depending on several factors, radiotherapy is also known to shrink tumours, making them potentially inoperable and not warranting surgery. Dr. Amish V Dalal, a leading Surgical Oncologist with an experience of over 30 years, and his team of medical experts have successfully treated countless patients who have received radiotherapy.

Patients diagnosed with cancer can book an appointment with Amish Dalal at Jaslok Hospital, Breach Candy Hospital, Bhatia General Hospital, Saifee Hospital or Parsee General Hospital.

Role Of A Surgical Oncologist

History of Surgical Oncology

Surgical oncology, as a specialised method of surgery for cancerous tumours, has evolved since the last three decades. Surgery is usually considered to be the most effective method of treatment of cancer. Ephraim McDowell undertook the first reported cancer surgery for ovarian tumour in 1809.

Who is a Surgical Oncologist?

Surgical oncologists specialise in the treatment of malignant neoplastic disease, with in-depth knowledge and expertise to perform the standard and advanced procedures as considered necessary for each patient. An accomplished surgical oncologist not only possesses the ability to diagnose tumours but has adequate knowledge in haematology, pathology, medical oncology and radiation oncology. Surgical oncologists, when considered necessary, refer patients to radio therapists for tests, and ensure appropriate multimodality care. This, in turn, aids in undertaking the accurate line of treatment. Over the past 30 years, Dr. Amish Dalal has successfully diagnosed and treated patients with cancer.

Multidisciplinary Management of Cancer

As discussed above, surgical oncologists referring patients to radio oncologists denote the multidisciplinary management of the treatment. Solid malignancies can be treated successfully simply through therapy alone, when detected during the early stage. However, in addition to standard therapy treatment, surgeries are indicated in advanced stages. This supports the argument that surgery is usually opted as an effective method in the treatment of cancer. Dr Amish V Dalal, a Surgical Oncologist, is renowned for his expertise in conducting cancer surgeries.

An Overview of the Role of a Surgical Oncologist

The role of a surgical oncologist primarily spans over four areas:

  • Exploring the scope of effective treatment solely through therapy, especially in early stages, which may avoid the need of a resection (removal of a tumour through surgery)
  • Excision of malignant tumours
  • Removal of malignant lymph nodes at the time of surgery
  • Treating any cases of recurrence of the disease

A study of the complete history of a patient and physical examination during consultation helps the surgical oncologist to assess the medical condition of the patient and decide upon the line of treatment, that is, whether it is treatable through therapy alone, or it warrants resection. If managed through surgery, a combination of post-surgical treatment including radiotherapy and chemotherapy is generally followed.

An acclaimed surgical oncologist is adept with removing cancer tumours and a portion of surrounding tissue, which may not look infected macroscopically but carries the risk of being malignant, which may be detected microscopically. This procedure usually helps in preventing the disease from spreading to other parts of the body and recurring in the future. In the case of borderline resection, the oncologist conducts a surgery, referred to as ‘Debulking’, to remove as much tumour as is considered possible and follow-up with post-surgery therapy to relieve pain. Amish Dalal, a renowned Oncologist, is proficient with conducting gynaecological oncological surgeries, after analysing the nature, location and stage of tumours.

Methods of Surgery

The method of surgery followed by the surgical oncologist depends on the location and stage of the disease, as well as other factors including health condition and fitness of the patient. Doctor Amish Dalal has the necessary expertise in the following methods of cancer surgery:

  1. Open Surgery
  2. Laparoscopy, depending on the patient’s medical condition and financial resources
  3. Robotic Surgery

Doctor Amish Dalal, with his knowledge in his field of specialisation and along with the state-of-the-art surgical equipments, is able to provide world-class management of the disease. Dr. Amish Vasant Dalal also conducts Robotic Surgery – one of the most advanced surgical methods in the field of medical science. The surgery provides the surgeon the advantage of 10x magnification along with a 3D view while operating. This method of surgery not only reduces pain considerably but also ensures speedy recovery as compared to Open Surgery.

Role Of A Surgical Oncologist Post-Surgery: Reconstructive Surgery

Many patients, in cases where oncological surgery may have had a disfigurative impact on body aesthetics, may opt for a reconstructive surgery. Reconstruction that follows close to the heels of the oncological surgery is known as ‘Immediate Reconstruction’. Reconstructive Surgery can also be undertaken a few weeks or months later, and is referred to as ‘Delayed Reconstruction’. In such cases, the patient is referred to a plastic surgeon for ‘Oncoplastic Surgery’.

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Cancers are of two types – benign and malignant. Benign cancers do not require any further treatment. For malignant cancers, the results of medical tests determine the next course of treatment. The treatment may be chemotherapy, or surgery, or a combination of both, depending on the size and location of the tumour, or how patients respond to their treatment.

Surgical oncologists may recommend a surgery for gynaecologic cancer as a parallel treatment with chemotherapy. For patients who are already undergoing chemotherapy and their medical oncologists feel the need for a surgery for better treatment, they suggest their patients to seek the opinion of a surgical oncologist. A gynaecological surgery may also be succeeded by chemotherapy. Otherwise, a surgery may be deemed to be the best available treatment for removal of the cancerous tumour. Dr. Amish V Dalal, an expert Surgical Oncologist with over 30 years of experience in the field, advises his patients regarding the necessity of a gynaecological surgery after assessing the medical tests.

GYNAECOLOGICAL SURGERIES

Gynaecological cancer usually involves the removal of the tumour of the ovaries, uterus and cervix. However, different types of surgeries are undertaken depending on the location of the cancerous growth. Dr. Amish Dalal evaluates the medical conditions of his patients before recommending the suitable surgery. Here are some of the gynaecological surgeries:

Debulking surgery: Removal of as much tumour as possible, while the remaining a cancerous growth is treated through chemotherapy. This is usually recommended when the surgical removal of the entire tumour is not advisable.

Staging surgery: This includes the removal of tissues from different parts of the abdomen or pelvis as a sample to evaluate the stage of cancer. This assists oncologists to assess the next line of treatment.

Unilateral salpingo-oophorectomy: Surgery for the removal of one fallopian tube and one ovary is known as Unilateral Salpingo-oophorectomy.

Bilateral salpingo-oophorectomy: This is the surgery for the removal of both the ovaries and both the fallopian tubes.

Radical hysterectomy: This surgery refers to the removal of parts of the vagina, uterus, the ovaries or the fallopian tubes. Lymph nodes may also be removed on the discretion of the surgical oncologist.

Total hysterectomy: Removal of the cancer, including the cervix, is known as ‘total hysterectomy’.

 

METHODS OF GYNAECOLOGICAL SURGERY

Dr. Amish Vasant Dalal is accomplished in conducting all the three methods of surgeries that are available in India. These methods are:

Open Surgery: This conventional method of gynaecological surgery, also referred to as laparotomy, follows the procedure of making an incision to reach the organ with the tumour. The surgical oncologists insert the necessary medical instruments for conducting the surgery in this invasive surgery. The incision made may be horizontal or vertical, as it is considered befitting by the surgeon.

Laparoscopy: This minimally or partially invasive surgery is undertaken through smaller incisions, as compared to the Open Surgery. The surgical instruments, and a camera is inserted through the incision to take images of the inside of the human body. These images are reflected onto the video monitor, which the surgeon closely follows to conduct the surgery with precision.

Robotic Surgery: The robotic-assisted ‘Da Vinci Surgery’ is an advanced minimal invasive surgery that features video monitors with the ability to reflect 3D high-definition images. Wristed instruments can rotate and bend as and when the surgeon needs enabling a clear view of organs. This allows surgeons to conduct the surgery with enhanced vision and dexterity. The surgery induces less pain and surgical wounds, leading to faster recovery.

Amish Dalal, being a highly experienced Gynaecologist, discusses with his patients these surgical methods and mutually decides on the method that will be undertaken.

Patients diagnosed with gynaecological cancer can book an appointment with Amish Dalal at Jaslok Hospital, Breach Candy Hospital, Bhatia General Hospital, Saifee Hospital or Parsee General Hospital.

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