Best Doctors in India for Ewing Sarcoma Treatment

Best Hospitals in India for Ewing Sarcoma Treatment

Hospital Highlights:

  • One of India’s best and largest multi-specialty hospitals, Medanta was built with the aim to bring India to the highest standards of medical care. The hospital has been providing the best medical services to its patients, since its inception, with care, commitment, and compassion.
  • Equipped with 1250 beds, the hospital was founded by Dr. Naresh Trehan in the year 2009 with an aim to provide the best medical care at affordable costs. The hospital is spread across 43 acres and includes 45 operation theatres and 350 beds dedicated solely to ICU. The hospital includes over 800 doctors, and more than 22 specialty departments and has a dedicated floor for individual specialty in order to offer the best services under one roof.
  • The hospital is considered one of the premier institutes in India for Cardiac Care and includes staffs and members of high caliber. The hospital has 6 distinct centers of excellence.

Hospital Highlights:

  • Artemis Hospital, established in 2007 in Gurugram, India, is a leading multi-specialty institution known for its excellence in patient care and advanced medical technology, offering comprehensive services across specialties like Cardiology, Oncology, Neurology, Orthopedics etc.
  • Renowned for its patient-focused care, Artemis Hospital combines state-of-the-art infrastructure with a team of internationally trained doctors and surgeons, ensuring the highest standards of medical treatment.
  • Accredited by JCI and NABH, Artemis Hospital meets global healthcare quality and safety standards, reflecting its commitment to providing compassionate, personalized care.
  • The hospital is recognized for utilizing cutting-edge diagnostic and ther*peutic techniques, ensuring patients receive accurate diagnoses and effective treatments tailored to their needs.

Hospital Highlights:

  • The Apollo Proton Cancer Centre in Chennai is the most sought-after private cancer hospital in India. It is an integrated facility that provides cutting-edge, all inclusive cancer treatment to patients all over the globe.
  • The hospital is a part of the renowned Apollo Group which has a large network of over 74 hospitals in India and across the globe. Out of the 74 hospitals, 21 of them are cancer centres. However, Apollo Proton Cancer Centre is the only cancer hospital to have JCI accreditation.
  • The Centre, which was established on the principles of excellence and expertise, unites a formidable medical staff led by some of the most illustrious figures in cancer treatment.
  • The hospital follows the global ASTRO Model Policy. It is the same global policy which is followed by countries like USA, UK, and Europe.
  • Apollo Proton Cancer Centre is among the very few hospitals in India to receive patients from First World countries such as USA, Canada, New Zealand, Australia, Singapore, Thailand, etc.
  • Apart from that, it is also the first hospital in Chennai to receive patients from several countries like Uzbekistan, Kazakhstan, Turkmenistan, Georgia, Armenia, Azerbaijan, SAARC countries (Bangladesh, Nepal, Sri Lanka, Maldives, Bhutan, Afghanistan, and Pakistan), South Africa, Turkey, Egypt, etc.
  • In fact, there is a dedicated team at the Apollo Proton Cancer Centre that serves only international patients. Thus, on a monthly basis, the Centre receives patients from across 32 countries.
  • Moreover, there are certain treatments in Apollo Proton Cancer Centre that are not available in any other centre. APCC addresses all types of possible cancers that are usually not covered by any other centre.

Hospital Highlights:

  • Over the last 33 years, the Fortis Escorts Heart Institute has set new standards in cardiac treatment with groundbreaking research. It is now known around the world as a centre of expertise for Cardiac Bypass Surgery, Interventional Cardiology, Non-invasive Cardiology, Paediatric Cardiology, and Paediatric Cardiac Surgery.
  • The hospital has cutting-edge laboratories that perform a wide range of diagnostic tests in Nuclear Medicine, Radiology, Biochemistry, Haematology, Transfusion Medicine, and Microbiology.
  • Fortis Escorts Heart Institute boasts a diverse group of bright and experienced doctors who are backed up by a team of highly qualified, experienced, and devoted support professionals as well as cutting-edge equipment such as the recently installed Dual CT Scan.
  • Approximately 200 cardiac doctors and 1600 personnel currently collaborate to manage over 14,500 admissions and 7,200 emergency situations each year. The hospital now has a 310-bed infrastructure, as well as five cath labs and a slew of other world-class amenities.

Hospital Highlights:

  • Fortis Memorial Research Institute (FMRI) is a premier multi-super-specialty, quaternary care hospital, known for its exceptional international faculty, top-tier clinicians, super-sub-specialists, and specialized nurses, all supported by cutting-edge technology.
  • It is the flaship hospital of Fortis Healthcare Limited, part of IHH Healthcare Berhad, a leading integrated healthcare services provider in India. As one of the country’s largest healthcare organizations, Fortis operates 28 healthcare facilities with over 4,500 operational beds (including O&M facilities) and more than 400 diagnostic centers (including joint ventures).
  • Recognized as one of the top hospitals in India, FMRI serves as a leading referral center and aspires to be the ‘Mecca of Healthcare’ for India and beyond. Its 11-acre campus is a testament to its commitment to providing world-class healthcare.
  • Accredited by JCI and NABH, FMRI is dedicated to maintaining the highest standards of healthcare quality and safety, ensuring that every patient receives the best possible care. The hospital’s reputation is further enhanced by its state-of-the-art facilities and innovative medical practices.

Hospital Highlights:

  • The Indian Spinal Injuries Center (ISIC), provides state-of-the-art facilities for the management of all types of spinal ailments.
  • Staffed with internationally trained, acclaimed, and dedicated spine surgeons, the hospital provides cutting-edge medical & surgical technology. The hospital provides comprehensive management of spinal injury, back pain, spinal deformities, tumors, osteoporosis, etc.
  • The hospital performs motion-preserving spine surgeries including disc replacement and dynamic fixation, and minimally invasive spine surgeries such as endoscopic disc excision.
  • The orthopedic service of the hospital covers all orthopedic ailments including trauma, joint diseases & replacements, oncology, pediatric orthopedics & upper limb ailment.

Hospital Highlights:

In the sprawling city of Faridabad, where healthcare needs are diverse and ever-evolving, one institution has consistently stood out as a beacon of excellence in the field of medicine—Marengo Asia Hospital. Established with a vision to provide world-class healthcare services to the community it serves, Marengo Asia Hospital has emerged as a trusted name synonymous with quality, compassion, and innovation in healthcare.

Hospital Highlights:

  • Indraprastha Apollo Hospital is a 700-bedded multispecialty hospital in the heart of the capital of India. It is a part of Apollo Hospital group, one of India’s most reputed healthcare chains. Indraprastha Apollo Hospital has been accredited by Joint Commission International, making it the first internationally accredited hospital in the country in 2005.
  • There are 52 specialties in the hospital with one of the best cardiology centers in the country. The hospital is also equipped with State of the art infrastructure facilities with the largest Sleep Lab in Asia and the largest number of ICU bed facilities in India.
  • The latest and highly advanced technologies that are installed in the hospital include Da Vinci Robotic Surgery System, PET-MR, PET-CT, Cobalt-based HDR, Brain Lab Navigation System, Tilting MRI, Portable CT scanner, 3 Tesla MRI, 128 Slice CT scanner, DSA Lab, Endosonography, Hyperbaric Chamber and Fibro scan.

Hospital Highlights:

  • One of the well-regarded providers in India committed to the highest standards of clinical excellence and patient care, Max Super Specialty Hospital is a part of Max Healthcare, which is the second-largest healthcare chain in India. Regarded as one of the most well-regarded healthcare providers in the country, Max Super Specialty Hospital is committed to the highest standards of clinical excellence as well as patient care. The hospital is also equipped with the latest technology as well as cutting-edge research. The hospital is known to deliver and ensure the highest level of patient care.
  • The hospital has more than 500 beds and offers treatment for over 35 specialties. The hospital also holds the credit of having installed the first Brain Suite in Asia. This is a highly advanced Neurosurgical machine that allows MRI to be taken while surgery is ongoing.
  • Other advanced and latest technologies are also installed in the hospital such as the 1.5 Tesla MRI machine, 64 Slice CT Angiography, 4D ECHO, LINAC, and 3.5T MRI machine.

Hospital Highlights:

  • Founded in 2017, the HCG EKO Cancer Centre is a committed, all-inclusive cancer care facility in Kolkata.
  • The hospital was collaboratively established by India’s leading cancer care provider HCG (HealthCare Global Enterprises Ltd.), and EKO Diagnostic Pvt. Ltd., a top diagnostic and imaging chain in Eastern India.
  • With 88 beds, the hospital provides a full spectrum of services including diagnosis, prevention, screening, second opinions, treatment, rehabilitation, follow-up, and palliative care.
  • Additionally, the hospital contains a day-care chemotherapy ward, Neutropenic ward, medical ICU, pharmacy, blood bank, and an IPD wing.
  • At HCG EKO Cancer Centre Kolkata, a large team of cancer experts with experience in medical oncology, surgical oncology, radiation oncology, hemato oncology, BMT, and nuclear medicine collaborate to offer a variety of treatment options under one roof.
  • Furthermore, the hospital is also known for employing the most advanced radiation technology such as, the Radixact, a next-generation TomoTherapy equipment that provides greater radiation delivery precision.

Ewing Sarcoma

Ewing Sarcoma is a type of cancerous tumor that grows in the bones or the soft tissue around your bones, such as your nerves or cartilage. It is rare, and mostly affects people between the ages of 10 to 20. It also has a high rate of being cured.

It mostly affects people of white ethnicity. In the US, around 200 children and young adults every year are affected by Ewing Sarcoma. Adults can get Ewing sarcoma as well, but it is generally uncommon.

Symptoms

Signs and symptoms of Ewing’s sarcoma generally include the following:

  • Pain, swelling or tenderness near the affected area
  • Unexplained tiredness
  • Fever with unknown cause
  • Bone pain
  • Unexpected weight loss

 

If you or your child, experiences any such persistent symptoms, then you might consider making an appointment with your doctor.

Causes

The exact causes of Ewing sarcoma are still unknown. It is however known to doctors that Ewing sarcoma begins when a cell develops changes in its DNA. The DNA of a cell contains the instructions telling it what to do. These changes instruct the cell to multiply quickly and go on living, whereas healthy cells would die normally. This leads to a mass of abnormal cells which can invade and destroy any healthy body tissue.

In Ewing sarcoma, the DNA changes generally affect a gene known as EWSR1. If your doctor suspects that you might be having Ewing sarcoma, your cancer cells might be tested to look for any changes in this gene.

Few factors that can increase the risk of Ewing sarcoma include:

  • Your age- Though Ewing sarcoma occurs at any age, it is much more likely to occur in children, teenagers, and young adults.
  • Ancestry- This condition is also known to be more common in people of European Ancestry. In people of African or East Asian ancestry, it is rarer.

Diagnosis

Your doctor might recommend a number of tests to see if you have Ewing’s sarcoma. If you do, they will also try to find out if the tumor has spread and to what extent.

Physical Exam

Physical exam involves your doctor checking around the painful areas for redness, swelling, or lumps.

Bone scan

This method helps in finding out whether cancer cells are in your bones. First, a small amount of radioactive dye is going to be injected into one of your veins. The dye will then collect in the bones having any tumors. When you lie beneath the bone scanner, your doctor is able to detect where the radioactive dye has gathered.

X-rays

This method is able to take an image of a certain area of your body where the tumor is suspected. If the X-rays show any problems, your doctor can order other imaging tests.

Blood test

Though blood tests cannot confirm Ewing’s sarcoma, a complete blood count, or CBC, can check how many red blood cells, white blood cells, and how much hemoglobin you are having.

Magnetic resonance imaging (MRI)

For this test, you will need to lie flat and still on a surface that will slide you inside the tube-shaped MRI machine. The machine uses a magnetic field and radio waves for creating detailed, 3-D images of inside your body.

Computed tomography scan (CAT/CT scan)

Similar to an MRI, you lie flat inside a CT scanner, which takes X-ray pictures while it is linked to a computer. Generally, the MRI is preferred over the CT scan.

Positron emission tomography scan (PET scan)

First you will lie inside the PET scanner while a technician will inject a small amount of radioactive sugar into your vein. The cancer cells are going to show up brighter in the scan since they use more sugar than healthy cells.

Biopsy

Biopsy involves your doctor removing a piece of your tissue with either a needle or during surgery. This sample is then viewed under a microscope to see if it is cancerous. This helps to confirm Ewing’s sarcoma.

Bone marrow aspiration and biopsy

This method involves your doctor numbing an area of your body, usually in the hips, after which they insert a needle and takes a small piece of bone marrow and bone, which they will examine under a microscope.

Treatment

For Ewing sarcoma, there are various types of treatment that your doctor can consider.

Chemotherapy

Chemotherapy is the most common form of cancer treatment, which involves using powerful drugs to kill cancer cells. Generally, chemotherapy treatment combines two or more drugs which can be administered as an infusion into a vein, in pill form, or in some cases, through both methods.

The drugs can help in shrinking the tumor and make it easier to remove cancer with surgery or radiation therapy if needed.

Surgery

Surgery is performed with the objective to remove all of the cancer cells. But before you plan, you will need to consider how it will affect your ability to go about your daily life.

Surgery for this condition may involve removing a small portion of the bone or in some cases, removal of the entire limb. Whether surgeons are able to remove all of cancer without removing the entire limb depends on several factors, such as the location and size of the tumor and whether it shrinks after chemotherapy treatment.

Radiation therapy

This method uses high-energy beams like protons and X-rays, to kill the cancer cells. During radiation therapy, the beams of energy are going to be delivered from a machine that revolves around you as you will lie on a table. To reduce the risk of damage to healthy tissues, the beams are carefully directed to the area.

Sometimes radiation therapy might also be recommended after surgery in order to kill any cancer cells that remain.

If your Ewing sarcoma is advanced, then radiation therapy helps to slow its growth, as well as help in relieving any pain.

Complications

Ewing sarcoma and its treatment can lead to multiple side effects which include:

  • Cancer that spreads (metastasizes)- Ewing sarcoma can spread from where its starting area, which makes treatment and recovery harder. Ewing sarcoma generally spreads to the lungs and to the other bones.

 

  • Long-term side effects of treatment- The aggressive treatments needed for controlling Ewing sarcoma can lead to substantial side effects, both in the short term as well as long term. Your healthcare team might help you manage the side effects that happen during treatment. They are also likely going to provide you with a list of side effects that you need to watch for, in the upcoming years after treatment.

How we help

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