Oncology

Department of Oncology

In the last 25 years of operation, the Oncology department at Sohana hospital has come up with the latest updated objectives. The recent and updated objectives are introduced with an aim to ensure safe, advanced, and highly effective treatment for all the cancer patients. At Sohana hospital, we believe in taking an integrated and holistic approach by considering the views of experts in radiotherapy, surgical oncology, and medical oncology.
Our team of cancer specialists specialized in treating cancer affecting different parts of the body including: Abdomen, breast, gallstones removal, lungs, neck, ovaries, prostrate, and many more. We believe in killing cancer by using the most sophisticated technologies like HD PET CT scanner with LSO Crystal Technology, Gamma Camera (Nuclear Scans), CT Scans, MRI, Digital Mammography, High end Ultrasound machines, Dexa Scans etc. for diagnosis. Patients are treated in four hospitalization units: the day clinic, the in-patient unit, the intensive care and the radiotherapy department. Various facilities ranging from immunotherapy, targeted therapy, hormone therapy stem cell transplant, bone marrow transplant, precision medicine and surgeries are available. In addition to the medical staff, the Cancer centre is manned by highly specialized nurses, dieticians, and psychologists as well as oncological revalidation and rehabilitation.
The Expert Oncology Department at Sohana

" We Support the Fighters and Admire the Survivors"

In the last 25 years of operation, the Oncology department at Sohana Hospital has come up with the latest updated objectives. The recent and updated objectives are introduced with an aim to ensure safe, advanced, and highly effective treatment for all the cancer patients. At Sohana hospital, We believe in taking an integrated and holistic approach by considering the views of experts in radiotherapy, Surgical Oncology, and medical oncology. Our team of cancer specialists specialized in treating cancer affecting different parts of the body including: Abdomen, breast, gallstones removal, lungs, neck, ovaries, prostrate, and many more. We believe in killing cancer by using the most sophisticated technologies like HD PET CT scanner with LSO Crystal Technology, Gamma Camera (Nuclear Scans), CT Scans, MRI, Digital Mammography, High end Ultrasound machines, Dexa Scans etc. for diagnosis. Patients are treated in four hospitalization units: the day clinic, the in-patient unit, the intensive care and the radiotherapy department. Various facilities ranging from immunotherapy, targeted therapy, hormone therapy stem cell transplant, bone marrow transplant, precision medicine and surgeries are available. In addition to the medical staff, the Cancer centre is manned by highly specialized nurses, dieticians, and psychologists as well as oncological revalidation and rehabilitation.

Highlight
  • The Oncology department is equipped with all kinds of Diagnostic Facilities for Cancer Patients. The department has added HD PET-CT Scanner as another asset for in-depth diagnosis of Cancer
  • Multi-Disciplinary Cancer Care units are set up in the department for smooth functioning and better patient care with different cancer types
  • A 20 Bedded Day Care Chemotherapy Unit has been set up with a highly experienced nursing staff with round-the-clock doctor/physician available on call
  • The department is well equipped with modern technology to perform different treatments like Targeted Therapies and Immunotherapy
  • The Stem Cell and Bone Marrow transplant are very complex procedures. They need precise attention at every moment. Our Oncologists in the department are highly experienced in these treatments
  • Pain & Palliative Care is also known as supportive care, symptom management, or comfort care. A separate team is assigned to give Palliative care to the patient
  • Endoscopic Therapy for the pancreas & gallbladder helps in relieving the patients from their pain, draining of the cysts, and much more. It is a First-line therapy for treating chronic conditions of the Pancreas & Gallbladder
Oncology Treatments
Treatments:
The abnormal growth of cells in a brain causes tumors or brain cancer. Malignant in nature, the tumor can grow aggressively to the other parts of the body. Brain cancer can be diagnosed by MRI, CT scan, physical examination, Stereotactic brain biopsy or Biopsy through surgery. The treatment of brain cancer involves a complex process with the widely used treatments involving chemotherapy, radiation therapy, and surgery. Many brain tumor patients undergo surgery that involves the removal of tumor with the assistance of image guidance, leaving the healthy brain intact. Neuroendoscopy is another surgical procedure in which the surgeon removes the tumor through small holes in the nose, mouth, or skull. This process allows the neurosurgeons to access areas of the brain where one cannot reach doing traditional surgery. Chemotherapy and Radiation therapy are other ways used to treat brain cancers.

Symptoms of Brain Cancer

  • Seizures
  • Headache
  • Speech Problem
  • Impaired Vision
  • Difficulty in Balancing or Walking
Breast cancer is a global burden. It is the most common form of cancer that is increasingly affecting the lives of women across the globe. The number of women being affected by breast cancer in India is already alarming and one does not see it taking a break. It is on the constant rise, which calls for increased risk. It is a result of various factors including both lifestyle and environmental changes. No matter what the cause is, it is important to know that breast cancer does not mean the end of the world. All thanks to the technical and medical advancement that has made it possible to cure the chronic disease. There can be a life after breast cancer, especially now when cancer can be detected at an early stage. Yes! Early detection is the best prevention against breast cancer. It is essential to self-examination regularly, and get the mammography done at regular intervals to keep a check on the deadly disease. At Sohana hospital, our team of dedicated doctors focuses on educating our women patients to keep a check on themselves while assisting those who become victims to the disease. We strive to ensure that all our breast cancer fighters get the best of treatment and win the battle against cancer.

Symptoms of Breast Cancer

  • Lump in the breast or armpit
  • Irritability on breast skin
  • Swelling or thickening on part of the breast
  • Pain in the nippular area
  • Nipple discharge- Blood or other liquid (except milk)
  • Change in shape or size of the breast
  • Pain in the breast
If you feel that you might have any of these symptoms, do not act ignorant. This might be a sign to see a doctor anytime soon.
Gynaecologic cancer is the second most common malignancy among Indian women and it starts in the reproductive organs of a woman. Though these are generally discussed as a group, each gynaecologic cancer is unique. Each comes with its own signs, symptoms, and risk factors.

The 5 main types of gynaecologic cancer include:

  • Cervical cancer
  • Uterine cancer
  • Vaginal cancer
  • Vulvar cancer
  • Ovarian cancer
Timely diagnosis and treatment of such malignancies are crucial.

Risk Factors

Each gynaecologic cancer has its own risk factors. The most common of all these cancers include:
  • Smoking
  • Drinking
  • Obesity
  • Increasing age
  • Sedentary lifestyle
  • Family history of cancer
  • HPV infections

Symptoms of Gynaecologic Cancer

Each gynaecologic cancer has its own risk factors. The most common of all these cancers include:
  • The symptoms include:
  • Bloating
  • Back or abdominal pain
  • Pelvic pressure or pain
  • Urgent or frequent need to urinate
  • Abnormal discharge or bleeding in vagina
  • Difficulty eating or feeling full too quick
  • Tenderness, itching, pain, or burning sensation of vulva
Neuro oncology is a branch of medicine concerning brain and spinal cord cancer. Cancers concerning the nervous system may occur as primary tumors or secondary/metastatic tumors and often end up becoming life threatening. Primary tumors may occur at any age but these often affect people in their prime age and are more common among males.
Causes of Brain Tumor
Various inherited conditions such as Turner syndrome, Tuberous sclerosis, or Neurofibromatosis may lead to the development of brain tumor. Other factors that may lead to the development of brain tumor include age, weak immunity (mainly due to HIV/AIDs), exposure to radiation, or the use of certain medications (mainly immunosuppressant).

Symptoms of Brain Tumor

  • Fatigue
  • Seizure
  • Headache
  • Sleep issues
  • Nausea/vomiting
  • Changes in memory
  • Changes in the ability to walk
Out of a million children in India, around 150 get diagnosed with cancer. Leukemia, Lymphoma, and Bone tumors are the most common paediatric malignancies among children. Diagnosis at the initial stage can be very stressful for both child and parents. The emotions are natural but the lack of information and misconceptions makes the situation worse. The situation can be very painful for the parents to see their child in such condition but the good news is that all childhood cancers are treatable. In fact, most of them are curable as well. The most common body parts affected by cancer include blood, bones, brain, and muscles. The familiar forms of cancer include blood cancers (leukemia), lymphatic system cancer, (lymphomas), brain and spinal cord cancer, muscle and bone cancers and other cancers(embryonal cancers) seen in the very young children. More than 80% of children with cancer get cured but it also depends upon the type of cancer they suffer from. Like for some cancers the cure rate is 90%, while for others, it is almost 95% (provided the disease is detected at an initial stage and treated properly).

Symptoms of Paediatric Cancer

Cancer among children becomes often challenging to recognize as the symptoms are common to childhood illness or diseases. However, if the following symptoms persist, the child might require immediate attention:
  • Limping
  • Persistent fever
  • Sudden weight loss
  • Easy bleeding or bruising
  • Lack of energy and paleness
  • Sudden eye or vision change
  • Change in speech and balance
  • Continuous pain in bones, joints, or back
Also known as urologic oncology, it is the field of medicine concerned with research and treatment of urinary system cancer of both the genders. Usually, these include kidney and lung bladder, as well as testes and prostate. The cancer occuring in the sexual organs of a female is treated by a gynaecologic oncologist.

Symptoms of Uro-Oncology

  • The common symptoms of kidney, bladder, and prostate cancer include bleeding in the urine, pain or burning sensation while peeing, and feeling the need to urinate more often (especially during the night).
  • Kidney cancer may also lead to fever, pain in the side, fatigue, and weight loss.
  • Prostate cancer will affect the flow of the urine and patients may experience difficulty while starting or stopping the urination. It may also lead to difficulty in achieving an erection.
  • Testicular cancer often results in the swelling or enlargement of testicles. It may also lead to pain in the groin/scrotum/back/lower abdomen.

Causes of Uro-Oncology

For Bladder Cancer
  • Smoking
  • Certain bacterial infection
  • Chemical exposure (occupational)
For Kidney Cancer
  • Smoking
  • Obesity
  • High blood pressure
  • Exposure to heavy metals
For Prostate Cancer
  • Age
  • Family history
For Testicular Cancer
  • Family history
  • Congenital abnormalities
  • Birth defect of testes, kidneys, and penis
Head and neck cancer ranks 6th among all the cancers and comprises about 40% of all cancers in India. It refers to a group of biologically similar cancers that occur in the head and neck region. The major reasons behind head and neck cancers include chewing tobacco, excessive consumption of alcohol, paan, and smoking cigarettes. The presence of any of the below mentioned problem (if happening for more than 4 weeks) means that one must pay a visit to the Head & Neck surgeon:
  • Loose teeth
  • Sore throat
  • Changed voice
  • Mumbling speech
  • Difficulty breathing
  • Difficulty swallowing
  • Swelling on cheeks
  • Headache/earache
  • Inability to open mouth
  • Unusual pain/bleeding/numbness
  • Blood in sputum (thick phlegm)
  • Lumps in the neck (progressively enlarging)
Symptoms of Head And Neck Cancer
  • A lump in the neck
  • Difficulty in opening the mouth
  • A sore in the mouth (if not healed for more than 3 weeks)
  • Continuous change of voice
  • Chewing and swallowing difficulty
  • Bleeding, pain or numbness in the nose or mouth
  • Facial, neck or ear pain
As the name suggests, this type of cancer affects the functioning and production of the blood cells. The cancer occurs in bone marrow- the essential source of blood production. Stem cells in the bone marrow mature and develop into 3 types of blood cells: white blood cells, red blood cells, or platelets. In case of cancer, the process of blood production gets interrupted due to the growth of an abnormal type of blood cell. The various types include Myeloma, Leukemia, and Lymphoma.
Types of Blood Cancer
  • Leukemia - When the production of abnormal blood cells increases rapidly, it results in leukemia. The rapidly increasing abnormal blood cells affect the ability of bone marrow to produce white blood cells, red blood cells and platelets.
  • Lymphoma - Lymphoma affects the lymphatic system- responsible for the production of immune cells and the removal of excess fluids from the human body. Lymphocytes are the one of a kind of white blood cell that keeps infection at bay. The abnormal lymphocytes turn into lymphoma cells and start to grow uncontrollably in your lymph nodes and other tissues.
  • Myeloma - Myeloma is the kind of a blood cancer that affects the plasma cells. Plasma cells are white blood cells that help produce disease-fighting antibodies in a human body. Myeloma adversely affects plasma cell production leading to a weak immune system.
Symptoms Of Hematology Oncology
Some of the common symptoms of blood cancer are:
  • Anorexia
  • Weight loss
  • Bleeding in gums
  • Difficulty breathing
  • Frequent vomiting
  • Confusion and delirium
  • Weakness and fatigue
  • Hot lashes while sleeping
  • Easy or excessive bruising
  • Recurring fever of infection
  • Abdominal/bone/back pain
  • Headache and difficulty with vision
  • Difficulty while urinating and decreased urination
The Musculoskeletal Oncology is the branch of medicine that specializes in treating soft tissue and bone tumors of the pelvis, shoulders, and limbs, benign and malignant tumors, primary bone malignancy, sarcoma, metastatic disease of bone, and pathologic fractures due to malignancy in children and adults. The treatment of bone cancer usually involves a multidisciplinary approach involving several specialists such as medical oncology, orthopaedic oncology, radiology, radiation oncology, and pathology. The treatment process depends on the location, size, and grade of the cancer. Bone Cancer: It occurs due to the abnormal growth of tissue that forms when cells divide uncontrollably. It may weaken the bones and cause a break/fracture. Soft Tissue Sarcomas: It is a whole family of cancers that arise in the connective tissues of the body which include muscle, fat, blood vessels, bones, nerves, deep skin tissues, and cartilage.
Symptoms of Musculoskeletal Sarcoma:
A great number of bone tumors are metastatic from other organs of the body including colon, breast, or lung. Sarcomas occur in bone and may arise anywhere in the body. Bone sarcomas usually occur around the shoulder, knees, or pelvis, or, in the long bones of the body. It is important to diagnose sarcomas at the initial stage of the disease formation. Risk factors for musculoskeletal sarcoma are:
  • Any past treatment done with radiation therapy
  • A change in the retinoblastoma gene
  • Having certain conditions, including Li-Fraumeni syndrome, Paget disease, and, Rothmund-Thomson syndrome
It is believed that multidisciplinary involvement is required for the management of these rare diseases. We at Sohana hospital boast of a team of experienced doctors specialized in the care of patients with soft tissue and bone tumors. This team consists of oncologists, physiotherapists, orthopaedic, medical, nuclear medicine specialists, surgical, radiations pathologists, radiologists, onco-psychologists, and molecular oncologists. Treatment of each musculoskeletal cancer patient needs to be individualized, planned and personalized. At Sohana hospital, all such cases are handled with care and a proper treatment regimen is followed to not only maximize the chances of patient’s survival but also to ensure good functional outcomes.
Lung cancer occurs due to abnormal and uncontrolled growth of cells in the lungs. Such abnormal growth of cells does not allow the lungs to function normally and restrict the development of healthy lung tissues. As the cells start to grow in both the lungs, they divide and start developing in the form of tumors. A major risk with lung cancer is that, if not diagnosed and treated early, it may spread to the other parts of the body. The tumors that occur at one place in the lungs and do not become noticeable to spread are called “benign tumors”. Tumor that spreads to other parts of the body through the bloodstream or the lymphatic system is known as “malignant tumors”. Usually, the abnormal cells do not grow in lungs with healthy tissues. Some of the most common factors leading to the occurrence of lung cancer are exposure to radon, certain chemicals in the workplace, air pollution, active passive smoking, and family history of lung cancer. Lung cancer is one of the leading causes of deaths (due to cancer) among both male and female. It claims more lives each year as compared to ovarian, prostate, and breast cancers combined.
Symptoms of Lung Cancer
Common symptoms of lung cancer may include:
  • Fatigue
  • Headache
  • Pain in bones
  • Sudden weight loss
  • Difficulty breathing
  • Appetite loss
  • Constant coughing
  • Coughing phlegm/blood in a very small amount
  • Chest pain that gets worse when taking deep breath, coughing, oir laughing
There is a possibility that the patient might be suffering from recurrent respiratory infections such as bronchitis or pneumonia. When cancer spreads, the additional symptoms depend on the body part where new cancer is formed. Tumors that are formed on the top of the lungs may affect facial nerves, leading to small pupil, drooping of an eyelid, or lack of perspiration on one side of the face. These symptoms are called Horner syndrome and may cause shoulder pain.
Gastro-Intestinal Oncology deals with malignancies related to the Stomach, Liver, Gut/Intestine, Gallbladder, Pancreas, Colon, Oesophagus, Rectum, Anus, Bile Duct etc The cancer can form an ulcer or mass within the stomach and it may also spread diffusely throughout the walls of the stomach. Also known as gastric cancer,stomach cancer is usually found in people between 50 and 70 years of age. It is more common in men. Options for treating gastrointestinal cancers include Radiotherapy, Surgery, and Chemotherapy.
Symptoms of Gastrointestinal Oncology
Symptoms of gastrointestinal cancer usually varies, depending on the type of cancer. The common symptoms may include:
  • Fatigue
  • Bloated stomach
  • Rectal bleeding
  • Loss of appetite
  • Unusual weight loss
  • Nausea and vomiting
  • Change in bowel habits
  • Abdominal discomfort and pain
Causes of Gastrointestinal Oncology
The causes of gastrointestinal oncology can be:
  • Obesity
  • Smoking
  • Age factor
  • High salt intake
  • Alcohol consumption
  • Chronic pancreatitis
  • Consuming foods with high animal fat
Clinical Team in Sync, Surgeries Go Well

A Clinical Team in an Operation Theatre is a combination of surgeon doctors, anesthesiologists, scrub tech, circulating tech, and nurses. The success of an operation depends on the flawless work of every individual in the operating room. One slip or delay in the process can affect the health of the patient on the operating table. The Clinical Team of Sohana Hospital is well trained and experienced. Every procedure is discussed before it begins, every patient's report is studied well by the doctors, every equipment used is properly sanitized each time it is required, circulating tech keeps the equipment ready to use at the time of need as per the procedure. Special care is given to sterile fields to avoid the risk of infections for the patient. The success of the surgeries is because of every member's efforts and passion put together for the patient's well-being. The entire team is perfectly synced with each other. The magic of life is always top priority for us. Hence, we take extra precautionary steps to ensure that the surgeries are safe and smooth.

Oncology Patient Testimonials
“Thank you Dr. Sandeep Kukkar for everything you have done for me and my family! You are a wonderful caring doctor who was always friendly and comforting to your patients. Keep smiling and keep doing what you do so well You truly make a difference in the medical field with your amazing staff"
My grandmother was diagnosed with breast cancer some years back. We consulted many doctors for the treatment. Dr. Sandeep Kukkar in Sohana Hospital was most assuring and knowledgeable. He actually cared, unlike the other doctors. I highly recommend him and this hospital. My grandmother is better now.
My mother got diagnosed with Ovarian Cancer. Sohana Hospital is the one we preferred for the treatment due to the caring staff and doctors. She is going through Chemo but is better now. The cancer cells have reduced. Thank You Dr. Sandeep Kukkar.
My sister has cervical cancer. We were getting treatment at another hospital but she was treated badly. We shifted to Sohana Hospital a few months back. Things are looking better now. Dr. Kukkar has been very patient with us and our questions.
I recommend Sohana Hospital and Dr. Kukkar for the cancer treatments. Thank You.. My brother is much better now after his long fight with blood cancer.

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