Clinics & Sub-clinics
The Department of Medical Oncology in MVR Cancer Centre Consists of a team of highly qualified and dynamic medical oncologists with vast experience in diagnosis and management of various type of Cancer.
The treatment services include Chemotherapy, Hormone therapy, Targeted Therapy and immunotherapy.
Chemotherapy includes the use of drugs to stop the Growth of cancer cells either by killing it or by stopping them from dividing
Hormone therapy: Utilizes use of drugs to block production of hormone or interferes with how hormone acts
Targeted therapy: Drugs or antibodies, which target specific proteins or receptors which help in growth of cancer cells.
Immunotherapy: Also called biotherapy is a form of treatment that stimulates the body’s own immunity to fight against cancer.
Bone marrow transplantation facility has also been introduced recently
Apart from the daycare facility we also run specialty wise clinic all days from 3 pm to 5 pm.
The Paediatric oncology department at MVRCCRI is equipped to give comprehensive cancer care to paediatric and adolescent children upto 18 years of age. The department has consultant paediatric oncologists specially trained in taking care of children. It offers a multi-modality approach with the help of Radiation oncologists , Hematologists and Surgical oncologists. It also has a full fledged radiology wing equipped to do imaging of children including image guided procedures. Children with all malignancies both haematological and solid tumour malignancies receive treatment at our centre. The department takes care of blood cancers (ALL, AML, CML), lymphomas (Hodgkins and NHL) as well as various solid tumours(Neuroblastoma, Wilms tumour, Brain tumours, Hepatoblastoma, RMS etc). Other non malignant conditions like chronic ITP, aplastic anaemia, MDS are also being managed in the unit. MVRCCRI has a dedicated paediatric outpatient area with a play area for children To limit the inpatient care, our hospital has a dedicated paediatric day care unit for chemotherapy .All outpatient chemotherapies are given in the unit including central line care and minor procedures like bone marrow aspiration, intrathecal chemotherapy. Day care transfusions and other short infusions like IV immunoglobulin are given at the facility to minimise time spent at the hospital. Nurses having paediatric experience take care of children in the unit. Designated senior staffs are also available to supervise their work. Inpatient facilities include a children's general ward, private room facilities and a dedicated bone marrow transplant unit.The designated paediatric areas also have playrooms for entertaining children during the period of hospital stay. MVRCCRI also has a dedicated paediatric intensive care unit (level III) with fully trained paediatric intensivist and supporting staff.
Surgical Oncology department works on the principle of site specific, teamwork, which gives our patient the best treatment available with quality at a par with any major cancer centers in the world. In our department that started in June 2017 we have performed about 1800 surgeries, with about 1200 major surgeries in the list. Our department comprises 6 experienced surgeons, which include 2 lead consultants and 4 Consultants, in addition to junior consultants and Senior Residents, who lead the site-specific work. Our department comprises Head and Neck unit, Thoracic oncology unit, Bone and soft tissue oncology unit, Breast oncology unit, Upper and Lower Gastro-intestinal oncology units, Genitourinary oncology unit and Gynecological Oncology unit. We have a dedicated Neuro-oncology surgery unit as well. Our surgeries are conducted in a world-class fully integrated operation theatre complex with 8 operations theatres and a high-end cath lab within the complex.
Surgical Oncology department at MVRCCRI aims at offering not only treatment but also a quality of life for which it is supported by allied departments such as Physiotherapy and Rehabilitation department, Dietary department and Ostomy Care unit. We have a well staffed pshyco-oncology unit for the pre-operative counseling of our patients and they also provide services to preoperative patients and patients on their follow-up, especially for Stoma patients. A state-of- the art Endoscopic unit attached to the department of Surgical Oncology adds quality to our diagnostic procedures and therapeutic procedures like stenting, polypectomy, and so on. MVRCCRI is equipped with a minimally invasive surgical unit, which performs all, laparoscopic surgeries especially in Colorectal and Gynecological Oncology units. MVRCCRI is the first stand-alone cancer center in Kerala to introduce Robotic surgery in our armamentarium in the near future.
Within a span of one and a half years of commencing operations, MVRCCRI, with its world-class care facilities, has already become one of the most sought after facilities for cancer treatment in South India.
The Department of Anesthesiology and Perioperative medicine comprises of a highly integrated, collaborative group of dedicated anesthesiologists catering to various surgical specialities, lending their expertise to the management of a variety of cases of all age groups along with integrated clinical research and education.
The Department of Anesthesiology came into being in March 2017 headed by Dr. Sreelatha Varma H. A team of six anaesthesiologists are available to provide preoperative evaluation, optimisation intraoperative and postoperative care to the patients. All of them are professionally qualified and have gained experience in perioperative management of patients.
- To provide state of the art and comprehensive care for patients with cancer with both curative and palliative intent.
- To engage in research relevant to onco anesthesia
We have a well-designed operation theatre complex incorporating eight operation theatres with HEPA filters, laminar flow and anesthesia gas scavenging system, a cath lab, a spacious and naturally lit induction bay, pre-operative and post-operative areas, OT pharmacy, discussion room,recreation room for doctors and staff and utility areas.
The operating theatres are well equipped with modern anesthesia workstations,multipara monitors with gas monitoring and advanced hemodynamic monitors including cardiac output, BIS, Ultrasound machine ,and difficult airway gadgets like fibre optic laryngoscopes, videolaryngoscopes, and sets for percutaneous tracheostomy and cricothyrotomy.
The Department runs a preanesthetic clinic 6 days a week in the outpatient department for patients coming for various surgical,non-surgical and diagnostic procedures. The Department provides emergency services with consultant backup 24 x 7 to ensure prompt attention and care of the patients posted for emergency surgery.
We regularly impart perioperative care to surgical procedures like neurosurgeries,head and neck,thoracic,gastrointestinal,urological,gynaecological,orthopaedic,paediatric,surface and soft tissue surgeries and plastic reconstructive surgeries.
The services of the department are also routinely extended for performing procedures outside operating room in the Radiology suite (MRI, CT, and PET), Endoscopy suite,LINAC and Brachytherapy suites. Intrathecal injection of chemotherapeutic agents and bonemarrow aspiration in paediatric patients are routinely performed under anaesthesia.
Department is actively involved in the insertion and care of vascular acess devices like insertion of Central venous catheters, insertion of PICC Lines. We run a PICC Line Clinic to care for the Long term vascular access devices.
The Department has its regular academic activities and also pursues various research activities in the fields of Perioperative Medicine for proposed benefits for the patient. The department has developed protocol and has structured SOPs for better patient management. The department organizes CMEs, conferences and workshops.
Department of Critical care medicine at MVRCCRI has 8 ICU beds, 10 HDU beds along with 4 PICU beds, managed by Critical care medicine Specialsts. The duties are covered 24/7 by Critical care specialists who takes care of patients admitted to ICU. Critical care team provides support to sick patients admitted to ICU, including life support measures such as Mechanical ventilation and Renal replacement therapy.
The team comprises of highly trained Doctors, Nurses, respiratory therapist and support staff who provide State of the art Critical care support. Life support measures such as Mechanical ventilation, comprising of Non-invasive and Invasive Positive pressure ventilation and High Flow nasal cannula.
They also provide difficult airway management and perform specialized procedures like Bronchoscopy, percutaneous tracheostomy, Point of care ultrasound, chest tube insertions, Central venous catheters, Arterial line insertions, temporary hemodialysis catheter insertions, lumbar puncture and emergency pericardiocentesis.
The Critical care team is trained in BLS,ACLS and actively participate in training BLS,ACLS to rest of the hospital. The ICU team leads the Code Blue team and attends to In Hospital emergencies.
The critical care medicine department at MVRCRI is committed to provide state of the art care which is evidence based and quality at par with international standards.
LIST OF SERVICES PROVIDED
- Airway management
- Mechanical Ventilation
- Hemodynamic monitoring
- Vascular Access
- Lumbar Puncture
- Management of Post-Operative patients
- Monitoring of at risk patients
- Code blue management
- Life support Training
- Management of Neutropenic sepsis
- Point of care Ultrasonography
- End of life care
Bone marrow Transplantation are being used for treatment of certain diseases affecting the blood and marrow. It is the only curative treatment options in some of these patients.
It is commonly used in blood cancers such as Leukemia, Lyphoma ,Multiple Myeloma, MDS and in non cancer diseases like Thalassaemia.
Two Major type of Transplant are-
- Autologous - Patients own stem cell being used for Transplant
- Allogenic - Donor stem cell is being used for Process.
Allogenic Transplants can be further sub classified according to the stem cell source-
- Matched sibling
- Matched Unrelated Donor (MUD)
- Haplo Transplant
- Cord Blood Transplant
MVR Cancer Centre & Research institute has State of Art Bone Marrow Transplant Program.
Situated on the seventh floor of MVR cancer centre, Our Unit has 11 Bedded advanced Hepa filtered unit, each with standardized temperature/ air quality control and central monitoring facility.
All standards met as per NABH and Bone marrow Transplant registry guidelines. This makes it one of the biggest BMT centres in South India.
Along with the infrastructure we are aiming to be the most preferred center because of high quality.
Experienced Doctors –Hematology & Medical Oncology Certified specialists/ consultants with training in marrow Transplant program.
Residents dedicated to hemato oncology/marrow Transplants.
Specialised Nursing Professionals—Who has undergone Bone marrow Transplant nursing training.
Excellent Blood Bank & Transfusion medicine Department with advanced pheresis unit and complete storage facility available for stem cells.
Back up team of Hemato pathologists, Infection control, Critical care medicine, Radiation oncology, Radiology and Anaesthesiology departments.
Has separate Pre Transplant Unit, Apheresis room, post transplant recovery area. consultation area/room for Transplant patients on follow up visits.
- Aiming to be the most preferred referral centre for Bone marrow Transplant/ stem cell therapy program , by providing the state of Art treatment for our patients at an affordable costs .
- Collaboration with western universities for exchange programs and data sharing platforms.
- Initiate Research activities on stem cell therapy in future.
Psycho-oncology is an interdisciplinary field that intersects physical, psychological, social, emotional, spiritual and ethical aspects of cancer journey of patients and that of their caregivers. The psycho-oncology services primarily focuses on two dimensions of cancer one is the psychological responses of the patients to cancer at all stages of and that of their caregivers and the other is the psychological, behavioural, emotional, spiritual and social aspects that may influence the disease process. The psycho-oncology services are spread across entire trajectory of cancer and it shares the boundaries with all major specialities in oncology including medical oncology, radiation oncology, surgical oncology, haematology, palliative care, end-of-life care, community oncology, survivorship, rehabilitation, grief and bereavement, clinical trials as well as psychology and psychiatry.
The services rendered by the department of psycho-oncology is grouped in two broad areas, one is psycho-socio-emotional-spiritual support (Psycho-oncology service) and the other is Tobacco cessation program under tobacco cessation clinic.
Psycho-oncology department of MVR Cancer Centre and Research Institute is committed to provide evidence based standard psychological care to the needy cancer patients and their caregivers to improve the mental health, physical health and quality of life in the entire cancer trajectory. The psycho-oncology services to the patients and their caregivers are;
Routine distress screening for all new registered patients and distress management
Psychological screening and assessments
Diagnosis and management of psychological disorders
Pre and Post cancer treatment counselling
Palliative Care Counselling
End-of-life care counselling
Grief and bereavement counselling
Rehabilitation and survivorship counselling
Caregiver support and counselling
Facilitating and organising support group meetings
Committed in disseminating knowledge about psycho-oncology and research on psycho-oncology
Tobacco Cessation Clinic
Tobacco Cessation Clinic (TCC) of MVR Cancer Centre and Research Institute is committed to provide evidence based standard psychological and pharmacological interventions to help the needy to quit tobacco use. The services of TCC is mainly provided to the patients of MVRCCRI and to their caregivers and the services of TCC is open to general public who likes to quit the habit of tobacco use. The services of TCC are as follows;
Screening and assessment of tobacco dependence
Screening and assessment for tobacco related cancers among tobacco users
To provide tobacco cessation counselling and/or pharmacological management for tobacco dependence
Organizing public awareness programs on tobacco use and its ill effects
Organizing and facilitating tobacco quitters support group meeting
Organizing tobacco related cancer screening camps in the community
Organizing tobacco cessation workshop and training programs for health and allied health professionals.
Our vision is to be the leading standard setter, service provider, and knowledge base, as well as the primary reference in the field of Laboratory Medicine, both locally and regionally, promoting professionalism and excellence in the delivery of laboratory services and to ensure patient-focused and cost-effective core diagnostic services
The Department of Pathology provides comprehensive diagnostic services with emphasis on accuracy, precision and prompt reporting to our patients thereby helping and guiding the clinicians in proper patient management. The department started in 2017 and since then is located at 1st floor of MVRCCRI with easy accessibility to all the clinicians.
Pathology Division has been providing quality diagnosis for optimum patient management through its 4 sections – Surgical Pathology, Cytopathology, Hematopathology and Clinical Pathology.
The department of Pathology at MVRCCRI provides a complete range of diagnostic works using the most advanced modular system and automated analyzers that render accurate and precise test results in the shortest time possible .MVRCCRI is the first center in India to introduce SMART automation, a fully automated histopathology system covering tissue processing, embedding microtomy , staining and cover slipping to shorten the turnaround time.
All the Labs are most modernized and well-equipped with skilled personnel.
The Department of Pathology participates in the external quality assurance programs on a regular basis, namely EQAS in Haematology with ISHTM AIIMS , New Delhi, for Histopathology with with AIIMS, New Delhi. and for Cytology with TATA , Mumbi. Department is also entrolled for NCG EQAS with Tata Mumbi
The samples are tested in Pathology Department and reports are made online. We accept samples / slides / paraffin blocks for special tests & review as part of the referral facility and provide a second opinion on them.
The Department of Pathology is composed of an outstanding faculties of 7pathologist, one chief technologist and 12 technicians,7 for anatomic pathology , 5 for haematopathology and one clerical staff ( Medical Transcription )
We provide diagnostic services to patients within our hospital system and numerous patients regionally, nationally and internationally.
Pathologists and technical personnel are not only knowledgeable but highly experienced in their area of expertise and embrace a team approach to quality care, education, and research.
This department provides the diagnostic services of Histopathology , Cytology , Haematopathology and Clinical pathology
The Histopathology division is excelling itself due to the presence of a state-of-the-art histopathology lab aided with smart automation and availability of special techniques like immunohistochemistry . A complete work up of tissue from various parts of the body can be studied in detail to arrive at “The Final Diagnosis” because of these advancements.
The tissue technologists are well trained senior staff members whose hand skill contributes to the excellent material provided to the pathologists for study. By adopting a system wise pattern of reporting in the department, the pathologists are fine tuned to excel in their chosen field.They are getting national training for the same. A very efficient clinico pathological correlation and discussions has been put into place is streamlining the study,and is helping the patient to get the best of treatment.
By using a unique frozen section technique, rapid diagnoses can be made allowing for immediate decisions regarding intraoperative and postoperative patient management.This is provided within a short span of 15 miniutes
- Routine Tests
- HPE (small biopsies like endoscopic mucosal biopsies, curettings, punch biopsies of oral cavity, cervix, trucut biopsy from breast, prostate, thyroid and small incisional biopsies).
- HPE Medium sized biopsies
- HPE (Large biopsies like hysterectomy, mastectomy, gastrectomy, thyroidectomy, APR,total colectomy,radical prostatectomy, Radical neck dissections, brain biopsy and other organs for histological evaluation.
- Frozen Sections are done on Cryostat machine (Cryo3) and providing reports within 15 mins intraoperatively.
- Decalcification and processing for bone biopsies.
- Special Tests
- Histochemistry - Reticulin, Masson’s Trichrome, Periodic Acid Schiff (PAS), Silver Methenamine, AFB (Acid fast bacilli), Von Geison, Perl's, Acian blue, masson Trichrome stain, PTAH, and Congo red
- Immunohistochemistry- Using a large panel of antibodies we are providing comprehensive immunohistochemistry to aid our histopathological diagnosis & providing therapeutic & prognostic significance for the patient management.
The Hematology lab is squipped with 2 fully automated 5 part complete blood count analyzers Beckmen Coulters, analysing more than 120 samples daily. The coagulation profiles, fibrinogen assay and factor assays, , all done with Stago machine, along with the hematopathologist's inference helps in solving various bleeding abnormalities. The availability of flow cytometry contribute in the work up of leukemia cases. The lab handles more than samples annually.
The various haematological parameters tested in this laboratory include the following -
- Routine Tests
- Hemogram are done in automated blood cell counters.
- ESR, Reticulocyte count, Absolute eosinophil count andPeripheral smear study.
- Prothrombin time (PT)/ Activated partial thromboplastin time (APTT)-, D Dimer, Fibrinogen,Factor VIII ,IX & XIII assays
- Parasites: MP, microfilaria.
- Special Tests
- Bone marrow aspiration/ trephine biopsy.
- Bone marrow Iron stain.
- Cytochemical stain: MPO, PAS..
- Urine routine/microscopic
- Stool, occult blood
- Body fluids-cell count
With a dedicated team of pathologists diagnosis is reached for material obtained by fine needle aspiration and exfoliation. The cytocentrifuge, in this department is an important tool in observing the cerebrospinal fluid in leukemia / lymphoma patients .
- FNAC (Fine Needle Aspiration Cytology).
- Exfoliative cytology including PAP smears and body fluids, sputum, bladder and bronchial brushings.
- Cell block
- Anatomic Pathology (AP) , Routine histopathology , Frozen section & IHC
- General Hematology/Special Hematology
- Flow Cytometry
- Specimen Reception
INSTRUMENTS HELD IN HISTOPATHOLOGY DEPARTMENT
|S.N||Name of Instrument||Mfd by||QTY|
|1||RAPID TISSUE PROCESSOR TISSUE TEK XPRESS 120||SAKURA||1|
|2||VACUUM INFILTRATION PROCESSOR HISTO TEK VP1||SAKURA||1|
|3||AUTOMATED EMBEDDING SYSTEM TISSUE TEK AUTO TEK a 120||SAKURA||1|
|4||TISSUE EMBEDDING CONSOLE SYSTEM TISSUE TEK TEC 5||SAKURA||1|
|5||AUTOMATED MICROTOME TISSUE TEK AUTOSECTION||SAKURA||1|
|6||ROTERY MICROTOME ACCUCUT SRM 200||SAKURA||1|
|7||COVERSLIPPER AUTOMATIC TISSUE TEK FILM||SAKURA||1|
|8||MULTISTAINER AUTOMATIC TISSUE TEK PRISMA||SAKURA||1|
|9||CASSETTE PRINTER TISSUE TEK AUTOWRITE||SAKURA||1|
|10||SLIDE PRINTER TISSUE TEK AUTOWRITE||SAKURA||1|
|11||TRINOCULAR RESEARCH MICROSCOPE LM 52||L & M||1|
|13||CRYOSTAT TISSUE TEK CRYO 3||SAKURA||1|
|14||BONE AND MEAT CUTTING MACHINE||YORCO||1|
|15||TISSUE FLOTATION BATH||ROTEK||2|
|16||HOT PLATE WITH ENERGY REGULATOR||ROTEK||1|
|18||MICROPIPETTE FIXED VOLUME||RV||5|
|1||AUTOMATED IHC STAINER VENTANA BENCHMARK XT||ROCH||1|
Instruments in flowcytometry, haematology and clinical pathology.
Beckman Coulter Navios EX Flowcytometer
10 colour 3 lazer
Beckman Coulter DxH 800 haematology analyzer
5 part analyzer
|Vesmatic Easy ESR analyzer.||1|
|STAGO start max semi automated coagulation analyzer.||1|
|Laura smart (Erba) urine analyzer.||1|
The Department of Clinical Biochemistry caters to the growing patient population of MVR Cancer Centre and Research Institute. The 24-hour diagnostic lab is equipped with state-of-the-art fully automated Clinical Chemistry Analysers for routine biochemical investigations as well as Therapeutic Drug Monitoring, an Immunoassay system utilising Chemiluminescence method to measure hormones and tumor markers and Serum Protein Electrophoresis units for specialised investigations.
The lab is connected to the hospital network using Laboratory Information System (LIS) with which reports are generated, authorised by an experienced Consultant and send to the Physician whereby it can be accessed online.
We have a remarkable group of trained laboratory technicians who work round the clock to help deliver quality service for the patients.
Our work is oriented towards offering Quality Assured results for patients and developing and maintaining a Research aptitude to serve as a unique platform for producing exceptional publications in the field of Oncology.
Department of Transfusion Medicine , MVR Cancer centre and Research Institute is being developed as Centre of Excellence, not just for addressing the needs of the mother hospital but also reaching out to the community in the nearby geographical area. Since we attained our blood bank licence on April 2018, we have travelled a long distance in a very short span of time.
We try to maximise voluntary blood donation by alligning with local blood donor organisations, educational institutions, religious organisations, political parties and NGOs. We are regularly conducting camps , both inhouse and field .We strive to provide the best donor experience to the donors thereby transforming donors into repeat regular voluntary donors.We have been working as a 100% blood component facility. We are regularly providing pRBCs, random donor platelets , fresh frozen plasma and cryoprecipitates on a regular basis. When needed we are providing processed and tailored components as required by the patient , namely leukofiltered , irradiated, reconstituted, washed and aliquoted blood components. We have completed our licensing inspection for apheresis derived platelets,plasma, rbcs and granulocytes and waiting for the upgraded license to broaden our product portfolio. We perform enhanced chemiluminescence for Transfusion Transmissible Infection detection and is in the process of acquiring Nucleic Acid Technology into our armament to maximise donor safety. Basic and advanced immunohematology workup is being performed in our facility and we use
Column Agglutination Technology for immunohematology workup. On request,we even function as areferral centre for advanced immunohematological workup for other hospitals.
Quality assurance is considered as a priority and we strictly adhere to the requirements. Standard operating procedures are strictly followed , participation in EQUAS, regular Hospital Transfusion Committee Meetings, regular audits , staff training and proficiency testing are quiet a few of them.
We regularly interact with the society to understand the requirements of the nearby hospitals and patients in the surrounding areas ,to encourage donor recruiters and students and to imbibe the idea voluntary blood donation in them.We plan to develop ourselves as a training centre for dispersing knowledge in the field of transfusion medicine for clinicians ,blood bank medical officers, laboratory technicians, nurses and donor recruiters. We have significant number of blood component issued to other hospitals thereby trying to fulfill the requirement of not alone the MVR Cancer Centre but the region as a whole.
Clinical Microbiology Laboratory
Clinical Microbiology Laboratory is involved in diagnostic service, handling
clinical samples for culture and sensitivity, microscopy, serological studies and
syndromic molecular testing .
In a culture and sensitivity test a patient’s sample from the site of suspected
infection is inoculated on growth media on which the bacteria grow. The
pathogenic organism which has grown is subjected to sensitivity testing. This test
will identify the antibiotics which will work best on the pathogenic organism. This
will help the doctor decide the antibiotics to be used in the patient. Anaerobic and
Fungal culture of various clinical samples is also performed. A wide range of
samples like blood, body fluids, urine, pus, respiratory secretions, stool, catheter
tips, tissues, and so on are received for culture and sensitivity.
Microscopy – There are various tests under this technique. Either the unstained
patient’s sample or a smear of sample which has been suitably stained is viewed
under the microscope and the findings are reported. Acid fast staining for
bacteria causing Tuberculosis is also performed.
Serology- When a patient suffers from an infection, he develops antibodies to
antigens of the organism which caused infection. Detecting the presence of
specific antibodies/antigens in a patient will also help make a diagnosis of
infection. Emergency sepsis marker procalcitonin, Emergency cardiac marker
Troponin I are also offered under serology.
Syndromic Molecular testing – This test approaches diagnosis of infectious
diseases with a different perspective. It has been designed as a single test to
detect the cause of an infection be it Meningitis/Encephalitis, Respiratory
disease, Gastrointestinal disease or Blood stream infection. It enables
simultaneous testing of nucleic acid of bacteria, viruses, yeast, parasites and/or
antimicrobial resistance genes in different clinical samples. The organisms
detected by different panels are based on the most probable pathogens of that
The microbiology laboratory works round the clock with no holidays to provide
continuous services to patients.
1.BacT Alert automated blood culture system
2. Vitek 2 automated bacterial, fungal , identification and susceptibility systems
3. Vidas ,automated benchtop immunoanalyzer
4. Biofire Filmarray a fast and simple automated multiplex PCR system
The tests for which there are occasional orders are outsourced to an NABL
Mycology (Fungal infections)
Serology including viral serology