Best Doctors in India for Ewing Sarcoma Treatment

Best Hospitals in India for Ewing Sarcoma Treatment

CK Birla Hospital, Gurugram

Hospital Highlights:

  • The CK Birla Hospital in Gurugram is a NABH-accredited multi-specialty hospital.
  • The hospital strives to increase the quality of healthcare by focusing on UK NHS nurse and midwife training requirements. Policies and practices derived from the National Institute for Health and Treatment Excellence (NICE) recommendations in the United Kingdom ensuring that a strong focus on safety, high-quality clinical care, and sanitation is maintained.
  • The hospital’s cutting-edge technology and facilities allow for real-time communication and seamless collaboration among caregivers, ensuring accuracy and the best possible results. Those with foreign experience and accreditations make up part of the hospital’s team of clinicians.

KIMS Hospital, Hyderabad

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.

Fortis Hospital, Shalimar Bagh

Hospital Highlights:

  • Fortis Hospital in Shalimar Bagh is a multi-super specialty hospital that strives to provide world-class patient care by leaving no stone unturned.
  • Fortis, Shalimar Bagh, with 262 beds and a 7.34-acre footprint, provides the best level of medical care through its team of doctors, nurses, technicians, and management professionals.

Reliance Hospital, Mumbai

Hospital Highlights:

  • Reliance Hospital is one of the best super-specialty care hospitals in Navi Mumbai.
  • The main purpose of this hospital is to become a trustworthy place for the best health and hope for society. The hospital is well connected to the suburbs of Mumbai and Navi Mumbai.
  • The hospital has various specialty departments, viz., Accident & Emergency, Anesthesiology, Dental Services, Dermatology, Diabetology, Dietetics Nutrition, Endocrinology, ENT, Gastroenterology, General Surgery, Gynaecology And Obstetrics, Hepato Pancreato Biliary Surgery, Infectious Disease, Internal Medicine, Interventional Radiology, Laboratory Medicine, Minimal Access Laparoscopic Surgery, Nephrology, Neurosciences, Opthalmology, Orthopaedics, Paediatrics, Pain Management Palliative Care, Physical Medicine Rehabilitation, Plastic And Reconstructive Surgery, Psychiatry, Pulmonary Medicine, Radiology, Rheumatology, Transplant, Urology Andrology, Vascular Surgery

Lilavati Hospital & Research Centre, Mumbai

Hospital Highlights:

  • Lilavati Hospital & Research Centre is India’s premier multi-speciality tertiary care hospital and has been recognised as a global medical excellence centre.
  • Lilavati Hospital & Research Centre has built an unrivalled level of trust with its patients over the years, thanks to a solid foundation that comprises cutting-edge facilities, the best medical competence, research, education, and charity endeavours.
  • The hospital is quite proud of the fact that it now serves patients from all kinds of backgrounds, not just from the United States but from all around the world.
  • The hospital has a total of 323 beds, one of the largest Intensive Care Units (ICUs), 12 Operation Theatres with modern amenities, over 300 consultants, and almost 1,800 personnel.

MGM Healthcare, Chennai

Hospital Highlights:

  • Located in Chennai, India, MGM Healthcare is a top multispecialty hospital that provides all medical services under one roof.
  • Since its founding in 2019, MGM Healthcare has quickly become a leading national referral centre, creating several innovative flagship initiatives.
  • MGM Healthcare combines next-generation medical and digital technologies to provide better patient results.
  • With 12 centres of excellence, more than 400 inpatient beds, 100 intensive care unit beds, and 24/7 emergency care, MGM Healthcare leaves no chance in redefining the patient experience in Chennai.
  • MGM Healthcare boasts 250+ expert doctors across 30+ departments, including Cardiology, Pulmonology, Neurology, Obstetrics & Gynaecology, and more.
  • They house 12 specialized Centres of Excellence, including Neurosciences, Orthopaedics, and Multi-Organ Transplantation.
  • Their team of doctors, nurses, and paramedics works together to give every patient individualized treatment.

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.

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