Kims cancer centre has comprehensive cancer therapy facilities with all the disciplines which are essential to provide a total care for patients .Majority of cancer patients require multimodality treatment and hence it is important that patients are treated in a comprehensive facility where all forms of therapies are available. Being part of a quarternary hospital ,all forms of supportive therapies are available in-house, all of which make care much easier for the patients. The centre has the following individual departments supported by well qualified and experienced medical and nursing staff providing evidence based care with the backup of cutting edge technolog

Medical Oncology

Cancer patients require systematic treatment with drugs as part of their total therapy as majority of the tumours even in early stages, require the same. It is assumed that even in very early stages some cancer cells can spread to distant sites where there remain dormant and get active.At a later time which is called relapse .This is a reason for instituting systemic treatment for cancers. Medical oncology at KIMSHEALTH Cancer Center offers a patient-first approach and our clinicians address various aspects of cancer diagnosis and therapy using advanced medical technology .Even though chemotherapy is part of a total therapy,in very many situations chemotherapy alone is curative.The biggest challenge in systemic chemotherapy is its non selective nature as both cancer cells and normal cells are affected by the drugs.Despite having complications such as hair loss,nausea,vomiting and decreased blood cell count, recent advances in drug delivery and the introduction of more selective targeted agents,chemotherapy has evolved into a much more tolerable treatment. We offer the full range of systemic therapy:

• Chemotherapy:using powerful medicines to target and destroy cancer cells.
• Immunotherapy: harnessing the body's own immune systems to fight cancer.
• Targeted therapy:precison medicines designed to block specific cancer pathways identified through specialized diagnostic tests
• Hormone therapy: used in hormone-sensitive tumours like breast and prostate.

Chemotherapy services is offered at KIMSHEALTH mostly as an outpatient daycare procedure. Patients are followed up after chemotherapy over phone to assess their tolerance and in difficult cases they are advised review.Generally chemotherapy is a time bound programme at definite intervals and given at fixed intervals monitoring their response as well as tolerance.

Hemato Oncology

KIMSHEALTH cancer centre has an exclusive hemato-oncology service for the treatment of haematological malignancies like leukemia, myeloma as well as lymphomas.There is a separate team of doctors particularly trained to offer the services which require intense and constant monitoring of the physical condition of patients. The services also include bone marrow transplant both allogenic and autologous which are administered in specially designed and constructed rooms at KIMSHEALTH CANCER CENTRE.Some of the very latest treatments, such as Car-T cell therapy are also given in our centre for certain select situations.

Radiation Oncology

KIMSHEALTH Cancer centre has a state-of-the-art infrastructure for radiation oncology,and offer radiotherapy treatments of different types such as external beam teletherapy,brachytherapy as well as radionuclide therapy.Teletherapy uses high energy X rays to destroy the cancer cells.We have two high energy linear accelerators fully equipped with a variety of treatment techniques such as 3D CRT, IMRT, IGRT, stereotactic radiosurgery(SRS) A highly skilled team of Radiation oncologists and Radiation physicists offer treatment taking safety aspects to confidential.

In more than 70 percent of situations radio therapy treatment is offered as part of multi modality. treatment.Radiotherapy can cause certain side effects mostly in the treated area including the skin and some of the deep structures through which radiation beam travels.Treatment is offered as an outpatient treatment and will not take more than a few minutes under the machine.During radiation treatment you will not feel any effects and it something like a CT scan and you need to lie still.Your treatment will be monitored on a regular basis for side effects and in majority of case ,this is a well tolerated treatment.

Brachytherapy

This is a procedure wherein radioactive sources are kept within a body a cavity(intracavitary)or closed to the body surface(mould).The common usage of this procedure is as part of treatment in cancers of the uterus.This is also given as an outpatient treatment. Radiotherapy treatment is also offered as palliation for those who are unfit for surgery due to various reasons.

Surgical Oncology

Traditionally surgery was regarded as one of the most important tools in the fight against cancer.Eventhough radical excisions are the norm ,these days conservative and organ preserving surgeries without compromising cure are very popular.

KIMSHEALTH cancer centre has a team of highly experienced surgical oncologist who manage a variety of complex surgical procedures. Reconstructive surgery is provided wherever there is an indication.The hospital stay for most of the common surgeries range from 4 – 10 days.Surgeries are undertaken following a detailed evaluation and discussion at the combined tumour board.

Nuclear Medicine

We have a well established nuclear medicine facility run by experienced nuclear medicine physicians.Nuclear medicine is a medical speciality which involves the application of radioactive substances with short half life both in the diagnosis and therapy of diseases including cancer.

Diagnostic Nuclear Medicine

Our hospital offers diagnostic nuclear medicine tests using very small amounts of radioactive materials to create images for what is happening inside your body at a cellular level. Some of the key scans we provide include:

• PET-CT SCANS- To detect cancer, understand its spread ,and monitor treatment response.
• SPECT CT IMAGING- Single photon emission computerised tomography test is used for precise organ and tumor characterization.
• BONE SCANS-For metastatic evaluation to the bones

By utilising radio isotopes that target specific biological pathways, nuclear medicine enables functional imaging at a molecular level, often identified disease processes before structural changes appear. All procedures are performed under stringent safety protocols by trained nuclear medicine specialists supported by physicists and technologists.

Nuclear scans have a wider application in very many benign situations and is useful to diagnose conditions affecting the lungs,GI Tract,thyroid and parathyroid,kidneys and liver and spleen.The facilities all these are possible at our nuclear medicine facility.

Radio Nuclide Therapy

Some of the commonly used medicines in therapeutic nuclear medicine are listed as follows:

• Radioiodine Therapy – Treats hyperthyroidism and thyroid cancer.
• 177Lu-DOTA Therapy – Used for neuroendocrine tumours.
• 177Lu-PSMA Therapy – Targets prostate cancer.
• Samarium / Strontium Therapy – Relieves pain from bone cancer spread.
• 90Y Radiation Synovectomy – Treats painful, inflamed joints.
• 131 Iodine or 90Y Lipiodol TARE – Advanced targeted therapy for liver cancer.

Multi Speciality Tumor Board at KIMSHEALTH Cancer Centre

All newly diagnosed cancer patients awaiting treatment are discussed in a multi-specialty combined tumour board to decide their total treatment care. Apart from oncologist ,this ia attended by experts from pathology,radiology and nuclear medicine.This combined approach ensures the best possible care as per international standards to all our patients and provides the best treatment outcomes.We conduct an exclusive tumour board for deciding the management of patient with GI Tract tumours including liver and decisions regarding transplants for liver cancers are discussed at this meeting.

Genomics

Cancer is different in every person and we use genomic testing to study the unique DNA changes in a patients cancer.This helps us understand what is driving the diseases and choose treatments that will work best.Through genomic testing we can identify(1) the exact type of cancer (2) find targeted medicines that match your cancer profile (3)avoid unnecessary therapies.

Precision Oncology: The genomics programme at our hospital forms the cornerstone of precision oncology, integrating molecular insights into routine cancer care.

We utilise advanced next generation sequencing (NGS),gene panels and molecular diagnostics to identified actionable mutations, biomarkers and tumour specific signatures.

By combining genomics with tumour board deliberations,molecular imaging and medical oncology.Our programme ensures truly individualised cancer management.

Pain & Palliative Cancer Care

Cancer treatment is not just about curing the disease-it is also about caring for the person .Our palliative care service provides comprehensive support for patients with advance cancer,focusing on symptoms management, quality of life and holistic well-being.

Our team of oncologist,pain specialists,trained palliative care nurses,nutritionist and counsellors deliver integrated care to patients with advanced cancers.The services include:

• Pain and symptom control using drugs like oral morphine and interventional techniques
• Supportive eoncolgy for managing fatigue,nausea, breathlessness and treatment related effects
• Psycho social care for patients addressing emotional ,social and spiritual needs
• End-of-Life Care(EOLC)emphasizing comfort,dignity and family-centred decision making

Palliative care is embedded within our oncology pathways,ensuring that patienst receive continuous support from diagnosis through survivorship.Home care services are also available on request.

Early Detection

We offer early detection and screening facilities to anybody who walks in and chooses to receive our advice. Experienced clinicians after careful history taking including family history and proper physical examination, direct them for appropriate investigations. For women there are special packages at subsidised rates (Sakhi)which would also cover investigations like mammogram and pap smear.