Best Doctors in India for Ewing Sarcoma Treatment
Best Hospitals in India for Ewing Sarcoma Treatment
- City: New Delhi, India
Hospital Highlights:
- Equipped with 650 beds, BLK-Max Super Speciality Hospital is the largest stand-alone private sector hospital in Delhi.
- With over 1500 healthcare providers and 150 globally renowned super specialists, the hospital is one of Asia’s largest BMT Centres. The hospital is known for having some of the best cancer doctors in the country.
- The hospital is NABH and NABL accredited and was inaugurated by the first Prime Minister of India. Pt. Jawahar Lal Nehru.
- City: Hyderabad, India
Hospital Highlights:
- Located in the vibrant city of Hyderabad, Apollo Health City is a world-renowned medical facility that provides outstanding care and treatment to patients coming from different parts of the world.
- Founded in 1988, this 550-bed multispecialty hospital with 50 specialties and 12 Centres of Excellence continues to deliver outstanding outcomes for patients with the simplest to the most complicated medical conditions.
- Backed by the latest medical equipment and a dedicated team of professionals, the hospital provides comprehensive treatment across various specialties including, cardiology, critical care, neurosciences, cancer, orthopedics, gynecology, ENT, transplants, gastroenterology, etc.
- Apollo Health City is a cutting-edge healthcare facility that combines various facilities under one roof. These may include state-of-the-art physical medicine, rehabilitation, and wellness services with education, research, telemedicine, innovative medical devices, disease management programmes, and medical talents.
- The hospital is known for offering top-notch cancer treatment accompanied by cutting-edge facilities and technology.
- The hospital also offers a broad spectrum of cosmetic procedures that improve not just appearance but also comfort.
- In 2011, Apollo Health City was the recipient of the Asian Hospital Management Award (AHMA).
- In 2013, the Government of India recognized Apollo Health City as the top medical tourism destination in the country.
- City: Mumbai, India
Hospital Highlights:
- Kokilaben Dhirubhai Ambani Hospital, Named after the wife of Indian industrialist Dhirubhai Ambani, the founder of Reliance Industries, this is one of the top hospitals in Mumbai. This 750-bed multi-specialty hospital became operational in 2009. Known as one of India’s most advanced tertiary care facilities, the hospital is designed to raise India’s global standing as a healthcare hub, with an emphasis on excellence in clinical services.
- Kokilaben Dhirubhai Ambani Hospital uses Protocol and Care Pathway based treatment models to ensure the best outcomes for patients.
- The hospital represents a confluence of top-notch talent, cutting-edge technology, state-of-the-art infrastructure, and, most importantly commitment.
- The hospital also holds the accreditation of the NABH, NABL, CAP, and JCI.
- The hospital has been recognized as the No. 1 Multispecialty Hospital in Mumbai and the West Zone for the fifth year in a row in 2020 by The Week.
- City: Chennai, India
Hospital Highlights:
- Apollo Cancer Centre in Teynampet, Chennai is one of the best super speciality hospitals in India. It is the country’s first ISO-certified healthcare facility.
- Additionally, it is the first hospital in Chennai and the first oncology hospital in India to receive NABH accreditation.
- The hospital provides advanced tertiary care in oncology, orthopedics, neurology and neurosurgery, head and neck surgery, and reconstructive and plastic surgery.
- Additionally, it offers specialized healthcare of international standards with results comparable to those of the best hospitals in the world.
- It is outfitted with 300 beds, the newest and greatest technology, a large pool of highly qualified specialists, and a committed team of medical and paramedical professionals.
- It is one of the first few medical facilities in India to offer comprehensive cancer care. A team of skilled medical, surgical, and radiation oncologists makes up the Tumour Board, which is a component of the complete treatment planning system. After reviewing reported cases, the Board determines in concert with diagnostic specialists what course of action is best for each individual patient. The panel is further supported by dieticians, medical counselors, speech therapists, and other pertinent specialists.
- The hospital launched the first ExcelsiusGPS® Spine Robot in South India and has completed over 50 surgeries till date.
- It is also one of the few cancer hospitals in India to offer Cyber Knife therapy. Till now it has completed 1320 Cyber Knife therapies.
- The institution is also one of the few in India with the capacity to do transplants and find a prospective unrelated donor. The hospital has performed over 1000 BMTs till now.
- Furthermore, it has an exceptional milestone of performing exultant Micro vascular free tissue transfer and Aesthetic surgeries on more than 1000 patients with success.
- City: Chennai, India
Hospital Highlights:
- Apollo Hospitals, Chennai, is one of the best hospitals for heart care in India. Over the years, Apollo has expanded all over India, as a healthcare chain.
- India’s first ‘Only Pancreas’ transplant was performed in Apollo Hospital. The hospital is known for successfully performing Asia’s first en-bloc combined heart and liver transplant, and over the years, it has attained a remarkable achievement in the global healthcare space. Around 3-4 organ transplants are performed in the hospital per day.
- Equipped with over 500 beds, this hospital in Chennai was established in 1983 and since then has been among the most preferred hospital for patients from all over the world.
- The hospital holds accreditation of the NABH and JCI and is the first hospital in India to be ISO 9001 and ISO 14001 certified. It is also the first South Indian Hospital to receive subsequent reaccreditation from the JCI USA 4 times.
- City: Chennai, India
Hospital Highlights:
- Established in 1999, Gleneagles Global Hospital, Chennai, is one of the top healthcare facilities in Southern India. It is part of the Gleneagles Hospital Chain, which is the fourth largest healthcare chain in the country. The hospital specializes in multi-organ transplants of kidneys, liver, lungs, heart, etc.
- The hospital has an excellent infrastructure and state-of-the-art lab and equipment set-up. The hospital boasts cutting-edge technologies, a highly skilled team of doctors and surgeons, and trained support staff. Located in Perumbakam, Chennai, it is one of India’s premier health care destinations. The hospital has performed some of the most complex surgical and clinical procedures in India including multi-organ transplantations.
- The hospital’s lung transplantation program is one of the best in the country. The hospital is known for having performed India’s first single lung transplant and first minimal invasive lung transplant. It is also the only Indian hospital to be associated with King’s College Hospital, London, United Kingdom for liver transplantations.
- City: Hyderabad, India
Hospital Highlights:
- KIMS Hospital (a brand name of Krishna Institute of Medical Sciences) is one of the largest and best multi-speciality hospitals in Hyderabad. The hospital provides various treatments to an enormous number of patients.
- The hospital has a capacity of more than 3000 beds. KIMS Hospitals offers different healthcare services in more than 25 specialities and super specialities.
- The hospital is equipped with modern medical equipment and technology. It has robotic equipment to provide minimal invasive techniques for patients.
- The hospital is aimed at providing world-class healthcare facilities and services at an affordable cost for patients.
- The various specialities and departments of the hospital include neurosciences, gastroenterology & hepatology, robotic science, reproductive sciences, dental science, oncological sciences, organ transplantation, heart and lung transplantation and mother and child care.
- City: Kolkata, India
Hospital Highlights:
- Established in 2003, Apollo Gleneagles Hospitals is a 750-bed multispecialty tertiary care hospital situated in Kolkata.
- With 33 Centres of Excellence and more than 50 specialties, Apollo Gleneagles Hospitals, Kolkata is capable of handling all sorts of patients.
- This tertiary care hospital, which is a 100% subsidiary of Apollo Hospitals Enterprise Ltd., India, is regarded as one of Kolkata’s top hospitals.
- The facility is a complete blend of cutting-edge technology, state-of-the-art infrastructure, and genuine hospitality.
- Focusing on numerous specialties, the hospital provides all-inclusive medical treatments supported by cutting-edge technology and a staff of highly qualified medical specialists.
- Patients across the globe come to Apollo Gleneagles Hospitals Kolkata for their treatment. Moreover, international patients receive full attention and assistance for their treatment and are provided with a hassle free experience.
- Apollo Gleneagles Hospitals, Kolkata is the only hospital in Eastern India to hold the Joint Commission International (JCI) certificate.
- It is also the only hospital in Kolkata to hold the NABL accreditation in six different categories, which includes Clinical Biochemistry, Clinical Pathology, Hematology & Immunohematology, Microbiology & Serology, and Histopathology & Cytopathology.
- Furthermore, Apollo Gleneagles Hospitals, Kolkata is known for performing the first ever Reverse Shoulder Prosthesis Replacement in East India.
- City: Bengaluru, India
Hospital Highlights:
- Established in 1991, Manipal Hospital, Old Airport Road, Bangalore is the flagship facility of the Manipal Hospitals Group, which is one of the largest networks of Multispecialty Private Hospitals in India.
- The facility is well-known for its state-of-the-art technology, performance-driven, patient-centric, and evidence-based approach.
- The facilities offered at Manipal Hospital meet the highest international standards, allowing the hospital to attract a large number of national and international patients.
- Their expertise encompasses the diagnosis and treatment of a wide range of diseases in several specializations that address both simple as well as complex medical procedures.
- There are total 600 beds accessible in the hospital for the in-patients so they may heal while being closely watched after by the medical team. In addition, it has 144 critical care units, including NICUs, ICCUs, and ICUs. Apart from that, the hospital also offers 20 contemporary, modular state-of-the-art operating rooms with all the amenities needed.
- The hospital has several departments that are overseen by highly skilled, certified, and experienced medical experts.
- One of the best departments in the hospital is that of the Cancer department which is known for its advanced cancer diagnosis and treatment facilities such as Intracavitary Chemotherapy, Biological Therapy, HIPEC, PIPEC, Nuclear Medicine, Radiation Therapy, etc.
- It is one of the few hospitals in Bangalore that provides full range of pediatric services, including pediatric emergency services, pediatric gastroenterology, pediatric neurology, pediatric cardiology, pediatric orthopaedics, pediatric allergies, pediatric immunology, and infectious diseases.
- Furthermore, Manipal Hospital, Old Airport Road, Bangalore is also regarded as one of the best hospitals for bone and spine related disorders.
- City: Mumbai, India
Hospital Highlights:
- Established in 2016, Apollo Hospitals, Navi Mumbai is one of Maharashtra’s most advanced multispecialty hospital. This 500-bed hospital provides sophisticated treatments and integrated super specialty services under one roof.
- The hospital features a cutting-edge infrastructure that houses 13 state-of-the-art operating rooms, advanced laboratory and medical diagnostics, and 120 ultra-modern I.C.U. beds, including N.I.C.U. and P.I.C.U., monitored round the clock by critical care specialists.
- With 57 specialties and subspecialties, the hospital boasts a team of renowned medical specialists who offer accurate diagnosis and treatment with easy accessibility to their patients.
- Additionally, the hospital offers highly customized, individualized health check programs that are made to fit each person’s needs in terms of lifestyle.
- Apollo Hospitals, Navi Mumbai has been accredited by both the National Accreditation Board for Hospitals and Healthcare Providers (NABH) and the Joint Commission International (JCI).
- Apollo Hospitals Navi Mumbai has been awarded the “Best Practices-International Services Award” at the annual awards for service excellence and operations excellence.
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.