»

Departments

»

Orthopaedics

 

-

Overview

 

-

Knee Replacement

 

-

Hip Replacement

 

-

Shoulder and Upper Limb (Elbow and Wrist)

 

-

Spinal Surgery

 

-

Orthopaedic Trauma Surgery

 

-

Oral and Maxillofacial Surgery

»

Thoracic and Cardio Vascular Care

»

Cardiology (MIOT Heart Revive Center)

»

Paediatric Cardiology

»

Interventional Paediatric Cardiology

»

Paediatric Surgery

»

Nephrology

»

Gastroenterology & Liver Diseases

»

Liver Transplant & Pancreatic Diseases

»

Upper GI and Bariatric Surgery

»

MIOT - Laboratory Services

»

Urology

»

MIOT Institute of Cancer Cure

 

-

Surgical Oncology

 

-

Medical Oncology

 

-

Radiation Oncology

»

Institute of Haematology / Haemato - Oncology & Bone Marrow Transplant

»

Neurology & Neurosciences

»

Neurosurgery

»

Craniofacial and Cosmetic Surgery

»

Plastic And Reconstructive Surgery

»

Diabetology

»

Endocrinology

»

General Surgery

»

Internal Medicine

»

Ophthalmology

»

Dermatology

»

Radiology and Imaging Sciences

»

Interventional Radiology

»

Nuclear Medicine

»

ENT, Head & Neck Surgery

»

Obstetrics & Gynaecology

»

Anaesthesiology

»

Pulmonary, Critical Care and Sleep Medicine

   

 


Departments » Surgical Oncology

 

Dr. Ajit Pai
M.Ch. DNB. MRCS
Consultant - Surgical Oncologist

 

 

Department of Surgical Oncology
The Department of Surgical Oncology at MIOT hospitals was started in September 2008, and currently has 2 consultants. Major cancer operations are regularly performed, including

Head and Neck cancer

Breast cancer

Thoracic cancer operations

Liver, Pancreatic and Gastro Intestinal cancer

Gynaecologic and Colorectal cancer

Bone and Soft tissue cancer


More than 400 cases have been performed so far, with excellent results. The approach at most centers is to remove the entire organ, which can be disfiguring and traumatic to patients. Our aim at MICC is to preserve the organ as far as possible, so that you retain the joys of life.

We adopt a more conservative approach using pre-operative treatments like chemotherapy, radiation, interventional radiology etc., wherever possible. These treatments shrink the tumour to a size that allows our skilled and experienced onco surgeons to perform keyhole surgery that is minimally invasive. This not only helps save the organ but hardly leaves any scars.

Our surgical team also includes plastic surgeons and surgeons from other specialties who help reconstruct organs and limbs, as our aim is to give you back a normal life as far as possible. Infact at MICC over 70% of women with breast cancer are offered breast conservation.

The Department of Surgical Oncology is headed by Dr. Ajit Pai, who trained in surgical oncology at the Tata Memorial Hospital, Mumbai for 6 years. He obtained further specialized training in surgery for liver, biliary and pancreatic cancers at Tokyo, Nagoya and Kyoto Universities, and in keyhole surgery for esophageal cancer at Osaka university school of medicine, Japan. He also completed a fellowship in pancreatic cancer surgery at the University of Heidelberg, Germany. His special interests are in keyhole surgery for esophageal cancer and surgery for liver, pancreatic and gastrointestinal cancers.

The Department Surgical Oncology is aided by an American qualified pathologist and haematopathologist.

 

 

Dual Head Nuclear Scan

Facilities
MIOT Hospitals is equipped with state-of-the-art diagnostic support services like MRI and 64-slice CT scanner with 3-Dimensional reconstruction abilities. It gives exact information about cancer spread to various adjacent organs and blood vessels. Interventional radiology helps to block tumour blood supply and to give chemotherapy inside the tumour. The Dual head GAMMA camera in nuclear medicine detects even minute spread like bone metastasis. Bone Tumour patients get the best care as MIOT’s Orthopaedic Department is one the best in the country.

MIOT has a full fledged histopathology lab with immuno-histochemistry and also frozen section facilities which gives report in 20 minutes and guides the extent of surgery. Endoscopy,

colonoscopy, fibre-optic bronchoscopy are used to identify exact location and extent of disease and during follow-up. The availability of facilities for Bronchoscopy and a Pulmonologist help the Oncology Department to manage lung cancer well.

Advanced gadgets like electro-surgical devices, Argon Plasma Coagulator and a wide array of surgical staplers are routinely used here.

High quality MRI Mammography is available for Breast Cancer Management and prevention. The hospital also has a Cytology Department to aid detection of Cervical Cancer.

We also house the Radiation Oncology Department with latest technological advancements and best of the class equipments inside the hospital premises which enables efficient, hassle-free and timely management of cancer patients under one roof. This will be unique in the city of Chennai.

 

Cancer - Is it curable?
Cancer is curable if detected early. Early detection of cancer is possible by screening, and this has led to improved survival in cancers of the breast and cervix. If a person has regular medical check up, and reports immediately to the doctor if he has any of the warning signs (unexplained weight loss, loss of appetite, lump in the breast or bleeding from the nipple, recent change of bowel habits, vaginal bleeding after menopause, change in shape/size or bleeding from a mole, chronic cough), then cancer may be detected at an earlier stage and cure is possible in most cases.


Cancer detection programmes - Screening for cancer
Screening is detection of cancer at a very early stage, by testing normal persons with simple, painless tests. The aim of screening is to decrease the death rate from a particular cancer. Screening programmes exist for breast, colorectal (large intestine), cervix, lung and prostate cancer.


Examples of screening tests are:

Mammography - for breast cancer

Pap Smear - for cervix cancer

Colonoscopy - for colon cancer

Blood tests - to detect a substance called PSA in prostate cancer and

CT scan - for lung cancer.


MIOT has a Master Health Check up scheme, in which ladies are screened for breast cancer with digital mammography and MR mammography. The Gynaecology department routinely screens all comers for cervix cancer. Many of the early cancer cases treated by the Oncology department are referred from the Master Health check up department.

 

MIOT Hospitals - Ideally suited for care of cancer patients
Apart from the highly trained Oncologist and state-of-the-art facilities, MIOT has a large verdant campus, with gardens and fountains. Patients are given individual attention, and can recuperate well in the quiet, beautiful surroundings. Patients are extensively counselled before and after surgery, so that they have no doubts or fears. Adequate time for patient-doctor interaction and follow up visits are provided.

 

Cancer treatment at MIOT Hospitals - Case studies

Case Study 1
- Cancer Type: Liver cancer
- Diagnosis:

 

 

CT scan of Liver

67 year old man

Abdominal pain of 1 week duration

On examination, good general condition, no jaundice

Liver was enlarged

CT scan liver/ Liver function tests/Tumour markers[AFP]were done

 

- Treatment: TACE

He underwent a procedure called Trans arterial chemo embolisation or TACE, wherein the blood supply to the tumour is blocked through a pinhole puncture in a thigh blood vessel, along with injection of chemotherapy directly into the tumour.

 

TACE of ruptured HCC

 

Post Embolisation CT Scan

 

- Surgery:
Three weeks after TACE, the patient underwent a successful operation to remove the tumour bearing portion of the liver. He is doing well, six months after surgery.

 

Click to view bigger

  Click to view bigger   Click to view bigger   Click to view bigger

(Viewers discretion is advised while watching the images.)


Case Study 2

- Cancer Type: Parotid Tumour
- Diagnosis and treatment:
Young lady from abroad, presented with a large tumour over the right side of the face and jaw, arising from the parotid gland. She underwent a very major surgery to remove the parotid gland, the skin of the cheek, part of the jaw bone, and then plastic surgery using tissues from her back to fill the defect so created.

 

Click to view bigger

  Click to view bigger   Click to view bigger   Click to view bigger

(Viewers discretion is advised while watching the images.)

 

Case Study 3
- Cancer Type: Thyroid cancer
- Diagnosis and treatment:

40 year old man, presented with a hard Thyroid swelling of 3 years duration

Needle biopsy confirmed it was a Thyroid cancer, and he underwent complete removal of the Thyroid gland, and post operative Radioiodine treatment, and is doing well.

 

Click to view bigger

  Click to view bigger   Click to view bigger   Click to view bigger

(Viewers discretion is advised while watching the images.)


Case Study 4
- Tumour Type: Esophageal cyst
- Diagnosis and treatment:

24 year old lady from sudan

Dysphagia since 1 year

CT scan showed a posterior mediastinal mass

At surgery, a cyst was removed from the esophageal wall

 

Click to view bigger

  Click to view bigger  

(Viewers discretion is advised while watching the images.)