Best Doctors in India for Osteosarcoma Treatment

Profile Highlights:

  • Dr. Ramesh Sarin is one of the best surgical oncologists in India, with a mammoth experience of 49 years.
  • She is practicing as a Senior Consultant at Indraprastha Apollo Hospital, New Delhi.
  • Furthermore, the veteran oncologist focuses on managing breast cancer and related disorders like sentinel node biopsy.
  • She is also interested in Phyaryngeal Cancer, Uterine Cancer, Bladder Cancer, Cervical Cancer, Liver Cancer, Fallopian Tube Cancer, Bone Cancer, Lung Cancer, Colon and Rectal Cancer, Lymphedema, and Brain Cancer.
  • Dr. Sarin also founded the only podium to stage India’s oncology meeting.
  • She has also participated in several oncological pieces of research and authored numerous articles for medical journals.

Profile Highlights:

  • With 20+ years of experience, Dr Niranjan Naik is one of the reputable names in the field of oncology, currently associated with Fortis Memorial Research Institute.
  • He has performed more than 12000 onco-surgical operations so far, including many advanced and complex onco-surgical operations.
  • He is generally considered as one of the best Breast Cancer surgeons in India.
  • He is also well versed in diagnostic and therapeutic endoscopic procedures.
  • His outstanding performance has gained him quite a few prestigious honors and accolades.

Profile Highlights:

  • Dr. Ashok Rajgopal is often considered as the best Orthopedic Surgeon in India
  • He was awarded the Padma Shri by the President of India in 2014 for his impeccable service towards Orthopedics in India.
  • He is a highly knowledgeable and skilled orthopedic surgeon with more than 25,000 Total Knee Replacement surgeries to his name. He also holds credit of more than 3200 joint replacement surgeries and over 9950 arthroscopic surgeries and 28,000 arthroplasties.
  • He holds a unique stint of performing 28 Total Knee Replacement surgeries in less than 12 hours and has achieved several other milestones in his career.
  • With an experience of more than 3 decades, Dr. Ashok has revolutionized Orthopedics and Knee replacement procedures in India.
  • His primary interest lies in knee replacements and in an expert in Minimally Invasive Total Knee Replacement surgeries and Trabelur Metal Implants. He introduced several new and advanced orthopedic techniques in India.
  • He is constantly involved with developing new and advanced techniques for knee surgery and developed the PERSONA KNEE SYSTEM in 2013 in association with Global Persona Developer Team. This system provides a personalized knee replacement system for the patient and is a great advancement in the field of knee replacement surgery.
  • Dr. Rajgopal has several firsts in India to his name. This includes the first Bilateral Total Knee Replacement surgery in 1987, the first Minimally Invasive Unicompartmental surgery in 2002, the first Robotic Joint replacement surgery and the first virtual Total Knee Replacement with patient-specific instruments in 2017.
  • Prior to joining Fortis, he has worked at various other prestigious Orthopedic Centers in India and has helped in reforming the units in each of those centers.
  • His contribution to research is enormous and has several publications to his credit in renowned national and international orthopedic journals. He is editor of the book “Knee Surgery” which was released in 2014 at the American Association of Orthopedics Surgeons meeting.

Profile Highlights:

  • Dr. Harit Chaturvedi is the Chairman of Max Institute of Cancer Care and the Director and Chief Consultant of Surgical Oncology at Max Super Speciality Hospital, Saket
  • He is considered among the best surgical oncologists in India.
  • He has over 3 decades of experience in Surgical Oncology and provides services for the surgical treatment of various types of cancers affecting the breast, head and neck, oral, abdomen and GI regions.
  • He performs surgeries for cancer patients for the removal of both breasts and lymph nodes, removal of part or entire thyroid gland, breast conserving surgery, surgery for removal of part or entire small intestine, surgery for prostate cancer, etc.
  • He is an exceptionally skilled and experienced surgical oncologist and leads a team of more than 80 oncologists practicing at the various centers of Max Healthcare.
  • Along with using traditional surgical methods, he is also an apt in using robotic procedures and radiofrequency ablation for cancer surgeries.
  • He is active supporter for cancer awareness and has been involved in awareness campaigns against Tobacco for more than a decade for different cancer foundations.
  • Dr. Chaturvedi has a major role to play in making the Max Institute of Cancer Care one of the primary centers for cancer treatment in India.
  • He is a member of several medical associations both in the national and international platform.
  • He has numerous publications on surgical oncology to his credit in renowned national and international medical journals.

Profile Highlights:

  • (Prof) Raju Vaishya is a well-known Orthopedic Surgeon in India with expertise in arthroscopic surgery (hip and knee) and joint replacement procedures.
  • He has been in the field of joint replacement and arthroscopy for more than 30 years and is highly skilled at the management of chronic arthritis and performing joint replacement surgeries for hip, knee, elbow, shoulder, and finger joints.
  • Dr. Raju Vaishya is among the first orthopedic surgeons to introduce shoulder arthroscopy in India and is the best surgeon for knee and hip arthroplasty in the country.
  • His interest also lies in cartilage regeneration and restoration along with management and treatment of ligament injuries.
  • Currently, Dr. Raju Vaishya is one of the lead orthopedic surgeons in Indraprastha Apollo Hospital and is also a Professor in the department. He is part of a highly efficient team of orthopedic doctors and surgeons in the hospital which makes it one of the best orthopedic centers in India.
  • He runs a fellowship training program in orthopedic surgery under Indraprastha Apollo Hospital and has trained over 300 national and international orthopedic surgeons.
  • Dr. Vaishya is known to have introduced the personalized knee surgery plan that uses a customized patient-centric approach for arthroplasty.
  • Dr. Raju Vaishya regularly attends national and international scientific meetings and gets invited to speak and deliver talks at such conferences and seminars. He has chaired various orthopedic and arthroscopic sessions and delivered presentations.
  • He has done a large number of research on the different aspects of Arthroscopy and joint replacement procedures. His work has been published in renowned peer-reviewed journals and holds the credit for over 175 publications in national and international journals and medical textbooks.
  • Dr. Raju Vaishya’s name has been featured in the Limca Book of Records four times for his contributions towards orthopedics.
  • An esteemed member of numerous medical associations and organizations, Dr. Vaishya is a well known name in orthopedic surgery of the world.

Profile Highlights:

  • Dr. Vedant Kabra is a reputed Surgical Oncologist with specialization in the surgical treatment of breast, head and neck, thoracic, urological and GI cancers.
  • He has more than 20 years of experience in the field and has performed more than 12,000 cancer surgeries related to breast, GI, head and neck, Thoracic and GI cancers.
  • He received his trainings in surgical oncology from some of the premier institutes of the world that include National Cancer Center, Singapore and Tata Memorial Hospital, Mumbai
  • He has been a part of several prestigious hospitals in India and performed several complex cancer surgeries.
  • Dr. Kabra constantly takes part in Cancer awareness programs and campaigns that speak of prevention, detection and treatment of cancer.
  • He has been a part of Anti-tobacco campaigns for many years and actively participates in workshops for cancer care.
  • He is a member of various medical associations and has also been invited as a faculty to attend national and international conferences and seminars all over the world.

Profile Highlights:

  • Dr. S K S Marya is a highly renowned and acclaimed Orthopedic Surgeon in India and has performed over 15,000 joint replacement surgeries till date.
  • He is one of the most experienced orthopedic surgeons specializing in joint replacement surgery of upper and lower limb joints (both primary and revision) and Trauma management according to AO principles.
  • He has been in the field of orthopedics and joint replacement surgery for over 30 years now and has taken up numerous complex cases and performed surgeries with successful results.
  • His surgical career in numbers is quite high with 3500 simultaneous knee replacement surgeries and over 3000 hip replacement surgeries.
  • Dr. Marya has been instrumental in introducing Computer Assisted Knee and Hip Replacement surgery and holds expertise in Unicompartmental replacement surgery.
  • He trained in reputed orthopedic institutes of the world under the best surgeons and has brought the skills and knowledge to India.
  • He has been an excellent student and received numerous awards and fellowships during his academics.
  • He is a well known name in the world of Orthopedics and an esteemed member of several medical associations. He has more than 90 publications in renowned national and international journals.
  • He regularly gets invited to present and speak at conferences and seminars across the world and holds credit of conducting more than 280 lectures worldwide.

Profile Highlights:

  • Dr. Sameer Kaul is a surgical oncologist at Apollo Cancer Institute of Indraprastha Apollo Hospital, New Delhi
  • He is the head of an independent Surgical Oncology Unit that comprises senior and junior consultants along with oncology nurses and other staff.
  • Dr. Kaul performs all kinds of cancer surgeries related to the head and neck, breast, thoracic region, GI, genitourinary, soft tissues, and bones.
  • He has 26+ years of experience in Surgical Oncology and has received his training from leading cancer centers of the world.
  • Prior to joining Apollo, Dr. Sameer Kaul served in various other hospitals in India taking up different cancer cases and providing successful treatment.
  • Dr. Sameer Kaul has extensive experience in Robotic surgeries and performs several of his procedures through Robotic techniques.
  • He constantly works towards providing the best cancer care to the underprivileged section of society and therefore founded BCPBF – The Cancer Foundation, an NGO that works towards spreading cancer awareness.
  • Dr. Kaul has been responsible for bringing various new and advanced techniques for cancer treatment to the country.
  • He popularized Radio Frequency Ablation, Reconstruction for CA breast, and Post insertion in India

Profile Highlights:

  • One of the finest oncologists in India, Dr. Ruqaya Ahmad Mir has been practicing surgical oncology for the past 20 years and is currently functioning as a Senior Consultant, Oncology at Indraprastha Apollo Hospital, New Delhi.
  • Dr. Ruqaya Mir is  known for her outstanding performance in some of the advanced surgical techniques which include Uterus and Ovary and Limb Conservation surgery and Cytoreductive surgery and Hyperthermic Intraperitoneal chemotherapy for advanced colorectal and recurrent ovarian malignancies.
  • She is also a well trained Robotic Surgeon practicing implementation of minimal invasion in surgical oncology.

Profile Highlights:

  • Dr. Akshay Tiwari is the principal consultant of the department of Musculoskeletal Surgical Oncology at Max Institute of Cancer Care at Max Super Speciality Hospital, Saket
  • He holds an extensive experience of close to two decades and finds interest in the treatment of musculoskeletal cancer patients.
  • He is trained in surgery for cancers of the bone and soft tissues and has performed more than 1000 surgeries for bone and soft tissue tumors.
  • He is famous for starting the first Musculoskeletal/ Orthopedic Oncology unit in Delhi and NCR.
  • Dr. Tiwari has received his trainings in Musculoskeletal Surgery from well known institutes of the world- Tata Memorial Hospital, Mumbai and Rizzoli Orthopedic Institute, Italy.
  • He is among the very few onco surgeons in the country to specialize in the surgical treatment of benign and malignant bone and soft tissue tumors.
  • At Max Institute of Cancer Care, Dr. Tiwari with his team of specialists has performed several complex and high risk cancer surgeries.
  • He is a reputed member of several medical associations and has delivered speeches and given presentations at various conferences for Musculoskeletal Oncology.
  • He has published numerous papers and abstracts on Musculoskeletal Oncology in renowned national and international medical journals.

Best Hospitals in India for Osteosarcoma Treatment

Medanta-The Medicity, Gurgaon

Hospital Highlights:

Medanta-The Medicity, Gurgaon | Founded by world-renowned Heart Surgeon, Dr. Naresh Trehan, Medanta has developed to one of the most reputed super-specialty hospitals in India. Medanta today serves patients from across the world for all major ailments | Contact for Appointment & assistance!

Osteosarcoma

Osteosarcoma, which is also termed as osteogenic sarcoma, is a type of bone cancer. It occurs when the cells that grow new bone form a cancerous tumor. If the disease is diagnosed early, then treatment procedures such as surgery or chemotherapy are successfully able to remove the tumor, before it can spread.

However, after the treatment is complete, lifelong monitoring is important to avoid any late side effects.

Anyone can have osteosarcoma, but it is generally the most common kind of bone cancer prevalent among children and teenagers. It occurs mostly among teenage boys.

Symptoms

Some of the signs and symptoms of the condition can include any of the following:

  • Swelling or lumps around the bones or the ends of bones
  • Pain at night
  • Pain after exercise
  • Bone or joint pain or soreness. This pain may come and go for months.
  • Broken bones without a clear reason
  • Limping

 

Although some limb pain and swelling are common among active and growing children, it is best to talk to your doctor if these signs do not go away in a couple of weeks, or if they worsen.

Causes & risk factors

What exactly causes osteosarcoma is not known. Doctors know this cancer forms when something goes wrong in one of the cells, that are responsible for making the new bone.

The condition generally begins when a healthy bone cell develops significant changes in its DNA. A cell’s DNA contains all the instructions telling it what to do. These changes tell the cell to start making new bone when it is not required. This results in a mass or a tumor of poorly formed bone cells that might invade and cause damage to healthy body tissue.

Some of these factors are known to increase the risk of osteosarcoma:

  • Having undergone treatment previously with radiation therapy
  • Other bone disorders, such as fibrous dysplasia or pagel’s disease
  • Certain inherited or genetic conditions

Diagnosis

Your appointment might include any of the following:

A medical history and a physical exam

Your doctor is going to inquire about your personal and family medical history. They will also be checking for any unusual lumps around the bones.

Imaging Tests

X-rays, CT scans, MRIs, PET scans and bone scans, can show unusual changes in bones that might be signs of osteosarcoma. They might also show areas where a tumor might have spread.

Biopsy

Your doctor is going to take a tiny sample of bone or tissue from a painful or swollen area. They might use a needle or make a cut in the skin. This tissue will be sent to the lab for testing.

Treatment

Treatment is going to depend on several factors, including the tumor’s location, how fast it’s growing, and whether it has spread. Your age and overall health is also considered.

Treatment is the most effective when you start it before the cancer has spread beyond your bones to any other tissues or organs. People are generally able to find tumors early since they cause pain, swelling or a limp. It is best to let your doctor know about warning signs like these so that you can start treatment early.

Most people who are having osteosarcoma require surgery along with chemotherapy. Some also choose to get radiation therapy.

Surgery

The goal of the surgery is removing all of the cancer. Even a few cells which are left behind might grow into a new tumor. Depending on your case, your doctor can choose any of the following procedures:

Limb-sparing surgery

In this procedure, your doctor takes out the tumor in one arm or leg along with some of the tissue around it. A medical device, or prosthesis, will fill in part or the entire gap left in the bone. You might also have a bone graft, which involves using a piece of bone from another part of your own body or from a donor.

Amputation

If the tumor is big and has got into nerves or blood vessels, your doctor might choose to amputate, or remove, part of your leg or arm or the entire organ. After this is done, you can choose to get fitted for an artificial or a prosthetic limb.

Rotationplasty

If your doctor requires removing your leg above the knee, they can reattach part of your lower leg and foot to your thigh bone. With the help of a prosthesis, your ankle will work as a new knee joint.
If your osteosarcoma is in your pelvis, jawbone, spine, or skull it may be difficult to completely remove it with surgery. Radiation therapy might also be required in addition. If the cancer spreads to your lungs or any other part of the body, your doctor will need to take out those tumors as well.

Chemotherapy

This treatment method involves using strong drugs to kill the cancer cells as well as to stop their further growth. They are usually administered into your vein through an IV.

Doctors treat most osteosarcomas with chemotherapy. The drugs help to shrink the tumor, which can help to make surgery easier, if it is required later. They are also able to get rid of small clusters of cancer cells that doctors might not see during medical scans.

Side effects generally include nausea and vomiting, diarrhea, along with a loss of appetite. Children generally have less severe side effects from this treatment as compared to adults, so they might receive higher doses of medication.

Radiation therapy

In this method, high-energy X-rays are used to kill cancer cells.

Radiation doesn’t work as effectively on osteosarcoma cells as compared to other cancers.

However, your doctor might choose to use a procedure known as external beam radiation therapy if they are unable to remove all of the cancer through other methods.

Complications

Complications of osteosarcoma as well as its treatments can lead to the following side effects:

  • Cancer that spreads- Osteosarcoma can spread from where the area where it started to other areas of the body, which makes treatment and recovery even more difficult. Osteosarcoma that spreads is mostly known to spread to the lungs and other bones.
  • Adapting to limb amputation- Surgery that removes the tumor and spares the limb is used whenever it is possible. However, it might be necessary to remove part of the affected limb to remove the cancer. In such cases, an artificial limb or prosthesis will be required but it requires time, practice and patience.
  • Long-term treatment side effects- The aggressive chemotherapy which is required to control osteosarcoma can lead to substantial side effects, in the short term as well as in the long term. Your health care team can help you manage the side effects that occur during the treatment and provide you with a list of side effects to watch for in the years following your treatment.

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