Cancer Hospital – Malla Reddy Narayana Multispeciality Hospital

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Malla Reddy Cancer Hospital And Research Institute

We at Malla Reddy Cancer Hospital & Research Institute offer comprehensive Cancer care in diagnosing and treating patients of all groups (adults and children). suffering from solid tumours & haematological malignancies with 100+ bed facility.

We have the best minds in cancer with Multidisciplinary Super speciality clinicians to discuss & deliver the emerging trend to treat all types of cancers under one roof.

Medical Oncology department provides treatment for Cancer through Chemotherapy. Targeted Therapy & Hormonal Therapy. Surgical Oncology department performs a full range of Cancer surgeries & reconstructive procedures with high precision & efficiency.

Radiation Oncology department provides state-of-the-art radiation treatment including external beam & Brachytherapy-HDR along with PET CT based Radiation planning.

Nuclear Medicine department offers an extensive range of clinical facilities in Radio Nuclear Imaging.

Medical oncology

We have a team of fully trained Medical Oncologists with rich experience of managing all types of cancers with Chemotherapy.
They are also experts in treating cancers more effectively by using Immunotherapy and Targeted Therapy in combination with Chemotherapy.
In addition, they manage the side effects of Chemotherapy, ranging from common to rare, so that patients can lead relatively normal lives while receiving Chemotherapy.
Our Centre offers OPD, Emergency and Day Care Services for your convenience.
The OPD services are designed on an organ specific approach where each patient is evaluated by a specialist oncologist dealing with a specific system.
The OPD services guarantee a minimum lag period between registration, consultation and runs 6 days a week.
The Centre is backed by round-the-clock, fully equipped emergency services and critical care unit to handle oncologic emergencies
In order to provide world class state of art, personalize patient care we work closely with multidisciplinary specialty & super specialty departments.
At Malla Reddy Cancer institute & Research Centre the Department of Medical Oncology team consist of medical oncologist, trained nursing staff,, nutritionist, palliative care & physiotherapist.

Our Strengths

24×7 Availability of Medical Oncologist

Well Equipped Super Specialty Hospital

Palliative Care

Genetic Counselling

OUR APPROACH

MULTIDISCIPLINARY APPROACH

We at Malla Reddy Cancer Hospital & Research Institute provide holistic care comprising of Medical, Surgical, Radiation Oncology & Oncoimaging with integrated support from all other Broad & Superspeciality Departments.

TUMOR BOARD

Our Expertise Cancer Team, provide numerous benefits in preventing and diagnosing cancer, planning treatment and evaluating the decision. Our research team frequently modifies the treatments based on the information discussed with other cancer specialists at tumour boards.

ELEKTA INFINITY

Elekta Infinity is truly multifunctional. High precise linear accelerator to provide quality treatment with advanced technology.

BRACHYTHERAPY-HDR

Brachytherapy-HDR is a procedure that involves placing radioactive material inside your body to treat cancer. It allows your doctor to use a higher total dose of radiation to treat a smaller area in a shorter period than conventional external beam radiation therapy (EBRT).

Positron Emission Tomography (PET) –Computerized Tomography Scan

A positron emission tomography (PET) scan is an imaging method using positron emitting radionuclides labelled with different pharmaceuticals and studies their bio-distribution (Emission scan).This when combined with CT scan (transmission) scan is called as PET-CT scan

The tracer may be injected, swallowed or inhaled, depending on which organ or tissue is being studied by the PET scan. The tracer accumulates in areas of your body that have higher levels of chemical activity, which often correspond to areas of disease. On a PET scan, these areas show up as bright spots.

A PET scan is useful in detecting and staging/Grading various ailments like cancer, coronary artery disease, tuberculosis and other inflammations

Why it’s done & it’s Risks; How to prepare; What you can expect; Results

PET –CT scan is an effective procedure, which assists in detecting chemical activity levels in the body. It is helpful in ruling out various disorders in brain and heart, including cancers. It is more effective than CT and conventional MRI has molecular changes appear earlier than morphological changes. There can be multiple conditions where PET- CT scan is very useful. Some of the disease conditions are as mentioned.

Brain Disorders

Alzheimer’s Disease
Brain Tumors
Parkinson’s disease
Stroke
Seizures (Epilepsy)

Cancer Cells

Cancerous lesions are often seen as bright spots in a PET-CT scan as the cancer cells have high levels of metabolic rate as compared to the normal cells. Thus the PET scans are helpful in the following scenarios:
- Characterizing tumors
- Staging of the cancer(whether it is localized or it has spread throughout the body)
- Suspected progression of disease (whether treatment is effective or non- effective)
- Recurrence of cancer
It is very important to read the findings on a PET scan very carefully as some benign lesions show abnormal metabolic activity. There can be multiple types of cancers, which can be detected and diagnosed by PET scans. Some of these are highlighted below.
- Breast cancer
- Brain cancer
- Lung cancer
- Esophageal cancer
- Cervical cancer
- Colorectal cancer
- Lymphoma
- Melanoma
- Head
- Neck
- Thyroid
- Prostate
- Pancreatic

Heart disorders

Multiple different types of heart related disorders can be diagnosed with PET scans. Some of these disorders include.
- Examine decreased blood flow in the arterial territories
- Myocardial inflammation.

How Should You Prepare for PET CT Scan?

Patient should be on fasting (6-12 hours) prior to scan.
Appointment will be given prior to the day of scan.
If patient is diabetic, and is on medication like METFORMIN, please notify the doctor as Metformin should be stopped two days before .
If patient is diabetic and using insulin, then should withhold insulin on the day of scan and fasting blood glucose should be less than 150mg/dl.
Kidney function test should be done.(within 1 weak of scan is acceptable)
Patient should be cooperative. If not inform doctor especially if needing sedation.
If patient had underwent chemotherapy or radiotherapy, notify doctor.
Scan is not done for pregnant women unless there is no other test available

Know More About PET CT Scan

During the procedure:

The PET-CT scan machine is similar to a CT-Scan machine. In terms of shape, the machine is big hollow circular shaped.
The procedure takes around 3-4 hours to complete and no hospitalization or admission is required and the procedure can be performed in an out-patient facility in the Nuclear Medicine Department.
During the procedure, a radioactive drug known as tracer is given to the patient. It can either be inhaled, swallowed or injected, depending upon the tissue or organ to be examined.
The patient is then asked to wait for about 60 minutes(based on tracer)for the tracer to get absorbed in the body.
Further, the patient is asked to lie down on a thin padded examination table, which slides into the scanner.
The patient is asked to stay still during the scan, as the images from the scan can get blurred, if the patient moves during the scan. This step takes approximately 30 minutes to complete.
The PET scan is a painless procedure. However, the patient might feel a little anxiety while in the scanner especially if the patient is claustrophobic. However, if the discomfort level increases, the patient must inform the technician or nurse. In such cases, a drug can be given to calm the patient.
The images captured during the scan are sent to the lab for further interpretation.

After the procedure:

After the procedure, the patient is asked to change into normal clothes and is advised to drink plenty of water/fluids in order to flush out or remove the tracer from the body. The patient can go home after the PET-CT scan is performed and resume normal routine activities. The patient can drink and eat normally after the PET –CT scan procedure is complete.

The nuclear physician interprets the images from the scan and prepares the report, which will further be handed over to the concerned doctor. The doctor examines the report carefully and discusses the results with the patient in detail. If the report is normal, it means the patient is fit and healthy with no abnormality detected. If the report is abnormal, it means that there are some abnormalities, which would need the attention of the doctor. The cancerous cells appear as bright spots in the image. The bright spots indicate cancer cells with high metabolic activity.