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KIMSHEALTH 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 multi-modality 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 quaternary 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 technology
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 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- ONCOLGY
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:
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:
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 is 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:
Palliative care is embedded within our oncology pathways, ensuring that patients 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.
A blood bank for oncology ensures timely availability of safe, screened blood and blood components for cancer patients, supporting chemotherapy, radiation, and surgical treatments while improving recovery, survival rates, and overall patient care.
Bone marrow is the soft tissue inside bones, which produces the red and white blood cells and platelets, which are vital for the body’s immune functions. When certain diseases of the blood, like leukaemia, occurs, the high dose of chemotherapy used to destroy the cancer cells can also damage the normal blood cells, requiring a BMT.
Procedures & Treatments
One way of transplanting bone marrow is to take it from a donor’s hip bone, separate the stem cells and then infuse it into the patient’s veins. This will be naturally carried to the bone cavities, where it will generate fresh marrow. But this is a painful procedure and is done under anesthesia. But now after discovering that a good yield of stem cells can be harvested directly from blood, we use the method called Peripheral Blood Stem Cell Transplant (PBSCT) for drawing stem cells, which are then transplanted on the patient. Stem cells are taken from the peripheral blood using an apheresis machine.
There are 2 types of bone marrow transplant called autologous and allogenic transplants. Autologous transplant involves isolation of healthy marrow or stem cells from the patient’s own blood before he undergoes high-dose chemotherapy. This is cryo preserved and re-infused to the patient’s body after completion of the chemo treatment.
Allogenic transplant involves a donor, usually a sibling, whose tissue exactly matches the patient’s. Stem cells harvested from the donor are then put into the patient’s veins after giving high dose chemotherapy.
Diseases which require autologous transplant are Multiple myeloma, Lymphoma and few cancers in children like neuroblastoma. It is mandatory to have a reasonable disease control before doing a transplant. Diseases which require allogenic transplant are usually high risk blood cancers.
This is a very complicated procedure as despite a perfect tissue match there is always the possibility of graft rejection.
The post-transplant period is highly critical because the patient’s immune system will not be functioning properly and he/she will be at serious risk of developing infections. The recovery period could be anywhere from three to six weeks.
The decision as to which of these procedures can be opted for a patient depends on the type of the disease and how far it has damaged the bone marrow. If the marrow has undergone extensive damage, an autologous transplant may not be possible. In the case of leukaemia, allogenic transplant is required.
A bone marrow transplant is not a procedure for every one and is adopted for those who fail the standard treatment or whose cancer has been coming back.
It requires machinery for stem cells separation and cryo preservation also a specialised unit with highly sterile environment for post transplant recovery.
KIMSHEALTH Cancer centre has acquired a modern bone marrow transplant (BMT) unit, which will help the institute offer both autologous and allogeneic bone marrow transplants to those suffering from myelomas, lymphomas and acute leukemias at very affordable cost.
One in eight women will be diagnosed with breast cancer during her lifetime. It accounts for more than 30 percent of all cancers found in women. Breast cancer is not selective.
Procedures & Treatments
The majority of women diagnosed with breast cancer have no family history of the disease and while it occurs more often in women who are over the age of 50, younger women are at risk too. KCC Breast Cancer Centre is solely dedicated to the prevention, early diagnosis and treatment of cancer.
Our Breast Cancer Centre will provide screening for early diagnosis using the mammogram and ultrasound and will conduct programmes for both medical personnel as well as public awareness. The Gynecological Oncology will focus on pap smears for prevention and early diagnosis of cervical cancer as well as combined modality approach for the treatment of cancer in the cervix, uterus and ovary.
Gynecologic oncology is a specialized field of medicine that focuses on cancers of the female reproductive System.
KCC offers the entire range of hemato-oncology services including the diagnosis and management of the entire spectrum of acute and chronic leukemia, lymphomas and myelomas.
Complete range of hematology, biochemistry, histopathology services, all type of open and minimally invasive biopsies
Immunotherapy is a type of treatment that strengthens or enhances the body’s natural immune system to fight diseases like cancer. It works by boosting immune responses or training the system to recognize and attack cancer cells more effectively.
Procedures & Treatments
Immunotherapy is a treatment that uses certain parts of a person’s immune system to fight diseases such as cancer. This can be done in a couple of ways:
In the last few decades immunotherapy has become an important part of treating some types of cancer. Newer types of immune treatments are now being studied, and they’ll impact how we treat cancer in the future.
Immunotherapy works better for some types of cancer than for others. It’s used by itself for some of these cancers, but for others, it seems to work better when used with other types of treatment.
Your immune system is a collection of organs, special cells, and substances that help protect you from infections and some other diseases. Immune cells and the substances they make travel through your body to protect it from germs that cause infections. They also help protect you from cancer in some ways.
The immune system keeps track of all of the substances normally found in the body. Any new substance that the immune system doesn’t recognize raises an alarm, causing the immune system to attack it. For example, germs contain substances such as certain proteins that are not normally found in the human body. The immune system sees these as “foreign” and attacks them. The immune response can destroy anything containing the foreign substance, such as germs or cancer cells.
The immune system has a tougher time targeting cancer cells, though. This is because cancer starts when cells become altered and start to grow out of control. The immune system doesn’t always recognize cancer cells as foreign.
Clearly, there are limits on the immune system’s ability to fight cancer on its own, because many people with healthy immune systems still develop cancer. Sometimes the immune system doesn’t see the cancer cells as foreign because the cells aren’t different enough from normal cells. Sometimes the immune system recognizes the cancer cells, but the response might not be strong enough to destroy cancer. Cancer cells themselves can also give off substances that keep the immune system in check.
To overcome this, researchers have found ways to help the immune system recognize cancer cells and strengthen its response so that it will destroy them.
The main types of immunotherapy now being used to treat cancer include:
These are man-made versions of immune system proteins. Antibodies can be very useful in treating cancer because they can be designed to attack a very specific part of a cancer cell.
These drugs basically take the ‘brakes’ off the immune system, which helps it recognize and attack cancer cells.
Vaccines are substances put into the body to start an immune response against certain diseases. We usually think of them as being given to healthy people to help prevent infections. But some vaccines can help prevent or treat cancer.
These treatments boost the immune system in a general way, but this can still help the immune system attack cancer cells.
At KCC we have specially trained doctors in immunotherapy and we are one of the hospitals which started this type of treatment successfully in Kerela. At present this treatment is mainly used for lung cancer, renal cell carcinoma, melanoma and lymphoma.
Blood cancers and many solid cancers have already spread to the entire body even at the time of their detection. Even when a tumor like breast cancer is detected in an apparently localised early stage, many a times, the disease comes back if surgery alone is performed for its treatment. It is assumed that even in some of the earliest tumors, some cancer cells might have spread to distant sites where they remain dormantly for an indefinite time period before eventually relapsing. That is why we need to treat the disease with medicines that can reach each and every site in our system- this forms the basis of systemic treatment for cancers.
Procedures & Treatments
Over the last 50 years, tremendous advances have happened in our understanding of many cancers. Many paediatric solid tumors and leukemias are now eminently curable with chemotherapy. Systemic chemotherapy has also been established as important components of treatment of cancers like testicular cancer, breast cancer, ovarian cancer and colonic cancers. The biggest challenge about systemic chemotherapy lies in its nonselective nature. That is, the drug cannot distinguish between cancer cells and many normal rapidly dividing cells..
Most of the dreaded complications of chemotherapy like hairloss, decreased blood cell counts and life threatening infections are due to this nonselective effects on normal cells. But with recent advances in drug delivery and the introduction of the whole new gamut of more selective targeted agents, chemotherapy has evolved into a much more tolerable treatment
Autologous and allogenic bone marrow transplants have also extended the limits of modern day medical oncology in the management of blood diseases like leukemias and myeloma.
KCC Neuro-oncology Offers evaluation and treatment of primary and secondary tumors of the brain, spinal cord, and the membranes that surround the brain and spinal cord (meninges).
Procedures & Treatments
Nuclear medicine is a medical specialty that uses small amounts of radioactive substances to diagnose and treat diseases. It provides detailed imaging of organ function and structure, while also offering targeted therapies for specific conditions, such as cancer.
Procedures & Treatments
Nuclear medicine, in a sense, is “radiology done inside out” or “endoradiology” because it records radiation emitting from within the body rather than radiation that is generated by external sources like X-rays. In addition, nuclear medicine scans differ from radiology as the emphasis is not on imaging anatomy but the function and for such reason, it is called a physiological imaging modality. Single Photon Emission Computed Tomography or SPECT and Positron Emission Tomography or PET scans are the two most common imaging modalities in nuclear medicine
Heart:
Brain:
Skeletal System:
Gastrointestinal:
Hepatobiliary/Liver - Spleen:
Genitourinary:
Endocrine:
Oncology:
Blood:
Radionuclide Therapy:
CT Contrast (PET CT):
Oncopathology is a subspecialty of pathology focused on diagnosing and studying cancers at the cellular and molecular level. It involves examining biopsies, surgical specimens, and lab tests to identify tumor type, stage, and behavior—guiding accurate treatment planning and personalized cancer care.
Pain and Palliative Medicine focus on improving the quality of life for cancer patients by managing pain, symptoms, and emotional distress. It provides holistic care—addressing physical, psychological, and spiritual needs throughout treatment and beyond.
Expert cancer care for children with advanced diagnostics, chemotherapy, and supportive therapies. Our pediatric oncology team ensures holistic, compassionate treatment tailored to young patients’ needs.
Cancer incidence is on an alarming rise. Many environmental factors are held responsible for this increase. Unfortunately, many of these factors, like pollutants in atmosphere, soil and water and background radiation are beyond our power to avoid altogether.
Procedures & Treatments
Adopting healthy life style practices like complete abstinence from the use of tobacco and alcohol, avoidance of excess meat, processed foods and animal fat containing diet, inclusion of more of fruits and vegetables and regular exercises are all important steps in the direction of a cancer free living. Some cancer causing viruses may be kept away by vaccination.
Certain individuals may be recognised to have high risk of some cancers, based on strong family history and genetic testings. These individuals may go for frequent screening tests, and in extreme situations, even removal of a normal organ at risk of developing future cancer, as Angelina Jolie did by removing her normal breasts.
High energy Xrays are used to induce genetic damage in cancer cells, resulting in their eventual elimination by body defense mechanisms.
Procedures & Treatments
This forms the basis of radiotherapy, which is the most important method of nonsurgical treatment of localised cancers. Old generation Cobalt machines were effective, but resulted in significant toxicity and morbidity to the patient. Nowadays they have more or less been replaced by new generation Linear Accelerators that allow more precise treatment delivery with fewer side effects. This makes radiation a still more attractive option in patients who are not willing for; or due to medical reasons, unfit for surgery.
Other refinements that have revolutionized radiation treatment is three-dimensional planning, dose painting and image-guided radiotherapy have resulted in lesser toxicity and more efficacy by sparing of critical structures, and by correcting issues related to patient movement, respiration or tumor shrinkage during treatment.
Yet another advancement is in the field of brachytherapy where radioactive materials may be placed within the tumor to deliver continuous radiation with least amount of side effects to normal tissues. Precision techniques and image guidance has also allowed the focussed use of radiation beams as gamma knife to treat tumors within critical and surgically inaccesible locations.
The information will be added soon
Traditionally, surgery had been regarded as one of the most important weapons in the fight against cancer, and it’s status is still unchanged. But rather than trying to remove more and more to push for a possible cure, conserving functioning tissue with out compromising cure has become the key to successful cancer surgery.
Procedures & Treatments
The power of conservatism has slowly spread across the fields of surgery in breast cancer, bone and soft tissue cancer, cancer of the kidney and urinary bladder, laryngeal cancer and rectal cancer now. Surgical steps have become more or less standardised, and due care is exercised to harvest enough number of lymph nodes to ensure oncological adequacy. The evolution of surgeons who exclusively perform cancer surgeries is a step towards the right direction, so is the recognition that results of treatment and better with high volume centres.Rightly done surgery is now recognised as an important prognostic factor in many cancers. The surgeon’s role has become even more critical as an active member of multidisciplinary team in present day cancer management.`
