Oncology Consultation

MVR Cancer Centre and Research Institute strives to provide the best cancer care at a reasonable cost bench marking ourselves with the world leaders in personalized medical care, combining cutting edge technology and medical expertise.

Cancer Screening Programs

Cancer has become one of the ten leading causes of death in India. The large scale morbidity and mortality of cancer is easily reversible with well-planned cancer education, organized screening, and early detection programs.

City Care Scheme

The noble intention of CARE Foundation, thanks to the CCSCB for its huge support, have launched a scheme branded the "City Care Scheme" by which in opening a fixed account of INR 10,000 gives a cancer treatment cover of INR 5 Lakhs.

Clinics

MEDICAL ONCOLOGY

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.

PEDIATRIC ONCOLOGY

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

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.

RADIATION ONCOLOGY
Department of Radiation oncology at MVRCCRI strives for clinical excellence at affordable cost as a part of the overall motto of the group. It has access to some of the most modern LINACs for providing a variety of high precision radiation treatments which are manned by a team of experienced doctors, physicists, technologists, radiation nurses and other allied specialties who will take care of your treatment requirements in a professional manner.
What should I know about Radiation?
Radiation therapy is the sue of X rays to destroy rapidly dividing cells of cancer. Generally every patient requiring Radiation, the treatment plan will be initially discussed in a Multi disciplinary Tumor board where doctors from all specialties will be present. Later you will be counseled by a Radiation Oncologist who will describe to you why Radiation is required, how many sessions will be required, what is the technique of Radiation and what are the expected benefits and side effects of treatment. As a part of planning treatment you will have to undergo a dedicated CT scan known as CT simulation. Later the planning will be done by a group of experienced radiation physicists and you will be started on treatment. In MVRCCRI there is a unique program called "Chart rounds" where irrespective of which doctor sees you, all plans will be collectively reviewed by all the doctors in the department and corrections made, if any are required. the daily treatment will be taken care by Radiation technologists and you will need to review with your doctor every week while on treatment. For more details download the "Patient Brochure" or mail to rt.mvrccri@gmail.com
What are the Type of machines in MVRCCRI?
Broadly speaking, the machine to deliver External beam radiotherapy are called LINACs or Linear accelerator. At MVRCCRI, there are two modern LINACs (Elekta Versa HD with add on Apex Dynamic 2.5 mm MLC and 6 D Couch) equipped with all the facilities of treatment including Sterotactic Radiosurgery, Sterotactic Body Radiotherapy, Image Guided Radiotherapy, Arc based therapies, Intensity Modulated treatemtns as well as Cone beam CT verification of treatment. In addition to the actual treatment machines the Radiation Oncology department also has Montecarlo based planning systems and a unique Dolphin System for Quality assurance. The department is also endowed with Nucleotron Microselectron 18 channel HDR brachytherapy machine with an Oncentra Planning System which is used currently for various procedures including Intracavitary brachytherapy for Gynecological malignancies, MUPIT (Martienz Universal Perineal Interstitial Template) based interstitial brachytherapy, catheter based brachytherapy for soft tissue sarcomas and intraluminal brachytherapy for esophagus, endobronchial brachytherapy for lung, endobiliary brachytherapy etc..
Are SRS/SBRT - Stereo tactic Radio surgeries or "Knife" based radio surgeries done at MVRCCRI
MVRCCRI has brought for the first time various advanced radiation technologies to this part of Kerala. SRS and SBRT involves the delivery of a large amount of Radiation to a small target with high degree of accuracy. This type of treatment is most useful for certain brain tumors, small lung tumors and liver cancers. For more details regarding the requirement of these procedures, please mail to rt.mvrccri@gmail.com
Academics and research at MVRCCRI
In addition to clinical excellence academics  and research form the core strength of the Radiation Oncology team at MVRCCRI. In addition to the active participation in the institutional tumor boards and chart rounds, there are structured academic programs and journal clubs happening around the week in the center keeping every one abreast of the latest development in the specialty. The department is keen to build upon its proximity to other technological institutes around our hospital and venture into many path breaking collaborative programs in the near future. For more information please mail to rt.mvrccri@gmail.com
CRITICAL CARE

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

  1. Airway management
  2. Mechanical Ventilation
  3. Hemodynamic monitoring
  4. Vascular Access
  5. Thoracostomy
  6. Tracheostomy
  7. Bronchoscopy
  8. Lumbar Puncture
  9. Hemodialysis
  10. Management of Post-Operative patients
  11. Monitoring of at risk patients
  12. Code blue management
  13. Life support Training
  14. Management of Neutropenic sepsis
  15. Point of care Ultrasonography
  16. End of life care
ANAESTHESIA

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.

MISSION

  • 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

INFRASTRUCTURE

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.

SERVICES RENDERED

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.

 

ACADEMICS

 

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.

PSYCHO ONCOLOGY

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 service:

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

  • Family counselling

  • Caregiver support and counselling

  • Facilitating and organising support group meetings

  • Committed in disseminating knowledge about psycho-oncology and research on psycho-oncology.

CLINICAL PHARMACOLOGY

Clinical pharmacology encompasses all aspects of the relationship between drugs and humans. It is the medical specialty which focuses on the safe, effective and economic use of medicines. It is a diverse discipline that both sustains and advances best health care. It is underpinned by the basic science of pharmacology, with an added focus on the application of pharmacological principles and quantitative methods in the real human patient's population.

Clinical pharmacists are clinicians with training in clinical pharmacology and therapeutics (CPT). Their core goal is to improve patient care through the safe and effective use of medicines. Clinical pharmacists work directly with physicians, other health professionals, and patients to ensure that the medications prescribed for patients contribute to the best possible health outcomes. Clinical pharmacists practice in health care settings where they have frequent and regular interactions with physicians and other health professionals, contributing to better coordination of care.

Clinical pharmacists are educated and trained in many direct patient care environments, including medical centers, clinics, and a variety of other health care settings. Clinical pharmacists are frequently granted patient care privileges by collaborating physicians and/ or health systems that allow them to perform a full range of medication decision-making functions as part of the patient’s health care team. These privileges are granted on the basis of the clinical pharmacist’s demonstrated knowledge of medication therapy and record of clinical experience.

Clinical pharmacology department functions 9 hours from Monday to Saturday and department have a Head Clinical Pharmacist, a Clinical Pharmacist and two Trainee Clinical Pharmacists. The department started functioning since Jan 2018 and is an important part of the health care team now.

 

PURPOSE

  • Assess the status of the patient’s health problems and determine whether the prescribed medications are optimally meeting the patient’s needs and goals of care.
  • Evaluate the appropriateness and effectiveness of the patient’s medications.
  • Recognize untreated health problems that could be improved or resolved with appropriate medication therapy.
  • Follow the patient’s progress to determine the effects of the patient’s medications on his or her health.
  • Consult with the patient’s physicians and other health care providers in selecting the medication therapy that best meets the patient’s needs and contributes effectively to the overall therapy goals.
  • Advise the patient on how to best take his or her medications.
  • Support the health care team’s efforts to educate the patient on other important steps to improve or maintain health.
  • Provide a consistent process of patient care that ensures the appropriateness, effectiveness, and safety of the patient’s medication use.
  • Apply specialized knowledge of the scientific and clinical use of medications, including medication action, dosing, adverse effects, and drug interactions, in performing their patient care activities in collaboration with other members of the health care team.
  • Call on their clinical experience to solve health problems through the rational use of medications.

 

SCOPE

  • Clinical pharmacists are licensed professionals with advanced education and training who practice in all types of patient care settings. They participate as members of the health care team to provide high-quality, coordinated, patient-centered care to ensure that individuals and populations achieve the best possible outcomes from their medications.
  • Clinical pharmacist enables rational drug use by providing correct drug information including the proper utilization of the drugs utilized as drug therapy, along with all the precautions to be taken as indicated or asked by the pharmacist or the physician.
  • To provide and develop a Clinical Pharmacy service to a variety of Medical and Surgical specialties.
  • Participate in consultant ward rounds, where feasible, providing clinical and financial advice as appropriate.
  • To act as a source of specialist advice and information and support medicines information for inpatient specialties.
  • Participate in antibiotic stewardship programs and ensure a safe use of antibiotics.
  • Responsible for checking the drugs to impress stock, crash cart, disaster kits regularly.
  • To work with the multidisciplinary team and educate patients/nursing staff about prescribed medication regimens (inpatients and discharge) with the aim of improving compliance.
  • To achieve medicines reconciliation processes and enhance patient safety at ward levels.
  • Monitoring of adverse drug reactions, drug interactions and medication errors in an inpatient setup.
  • Check for the appropriateness of the therapy and any untreated indications. Medication review and clinical audits on the floor such as all the in-patient orders for drug name, strength, formulation, dosage and duration of therapy, therapeutic duplication and to check for possible drug interaction, if any as per hospital protocols.
  • Checking the Chemotherapy regimen and rectification of any medication error observed.

 

ABBREVIATIONS

  • Clinical pharmacology and therapeutics (CPT)
  • OP - Out patient
  • IP - In patients
  • SOPs – Standard operating procedures
  • MOM – Management of medication
  • ADR - Adverse drug reactions
  • PV – Pharmaco-vigilance

DEFINITIONS

  • Adverse drug reactions (ADR): A response to a drug which is noxious and unintended, and which occurs at doses normally used in man for the prophylaxis, diagnosis, or therapy of disease, or for the modification of physiological function.
  • Adverse event (AE): any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment.
  • Pharmacovigilance: Pharmacovigilance (PV) is defined as the science and activities relating to the detection, assessment, understanding and prevention of adverse effects or any other drug-related problem.
  • Drug interaction: an effect produced by combining two or more drugs together which is different from the sum of the effects which those drugs would each produce if used alone.
  • Antibiotic stewardship: a set of coordinated strategies to improve the use of antimicrobial medications with the goal of enhancing patient health outcomes, reducing resistance to antibiotics, and decreasing unnecessary costs.

 

LIST OF SERVICES PROVIDED:

  1. Patient medication reconciliation and discharge counseling
  2. OP-IP Prescription auditing
  3. Monitoring drug interaction
  4. Optimizing Medication Use
  5. Patient Education And Counseling
  6. Pharmacovigilance
  7. Antibiotic stewardship
  8. Chemotherapy Preparations
  9. Medication Safety
  10. Developing Supportive Care Guidelines
  11. Drug Information Services
  12. Continuing medical/nursing education
  13. Renal & Hepatic dose calculation
NUTRITIONAL ONCOLOGY

The department of nutrition oncology was established in MVR Cancer centre and Research Institute on April 9, 2018. As Nutrition Oncology is a new weapon in cancer treatment, the department strives to provide a scientific and systematic Medical Nutrition Therapy to Oncology patients through diet planning, patient and bystander counselling, Nutrition assessment and screening, Outpatient and Inpatient consultation etc. Thus, the department has become an incredible part of healthcare team.

Scope of Services

Department aims to improve the health and well being of oncology patients through food and nutrition. Clinical nutrition division focus on providing evidence based medical nutrition therapy through nutrition screening& assessment, diagnosis, intervention and monitoring& evaluation. Dietitics division aims to provide nutritious food which met patients individual requirement through diet planning ,energy requirement calculations and counselling.
Overall, Nutrition Oncology department works as an inevitable member in the multidisciplinary medical team.

1.nutrition screening & assessment
2.medical nutrition therapy to oncology patients
3.pre operative and post operative patient counselling
4.radiation patients referred consultations
5.chemo patients's food safety counselling
6.therapeutic diet planning
7.nutrition counselling for cancer survivors
8.conducting academic workshop and classes on subjects related to nutrition
9.conducting researches in the field of nutrition

Sub-clinics

BONE MARROW TRANSPLANT

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-

  1. Autologous - Patients own stem cell being used for Transplant
  2. 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.

Our vision

  • 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.
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.

PULMONARY MEDICINE

Department of Pulmonary medicine plays a pivotal role in patient care. Our dedicated team is proficient in managing all acute and chronic lung disorders in cancer patients. Expertise in Interventional Pulmonology and a highly sophisticated Endoscopy suit aids in early diagnosis and staging of lung cancer and dealing with complications of cancer like central airway obstruction with minimally invasive procedures. With our multi disciplinary team approach we aim at delivering the most advanced and explicit care in thoracic cancer.

Services Provided:
- Management of acute and chronic lung diseases
- Asthma and COPD Clinic
- Smoking cessation clinic
- Pulmonary function test lab

Interventional Pulmonology:
- Diagnostic Bronchoscopy [Flexible and rigid bronchoscopy]
- Central airway tumor debulking
- Tracheo-bronchial stenting
- Medical Thoracoscopy
- Indwelling Pleural catheter

Diagnostic Centres

RADIOLOGY

Department of Radiology at MVR cancer center offers a complete spectrum of the leading edge technologies that the medical world operates on. A team of radiologists work relentlessly dedicated to the current and future welfare of their patients through imaging research and development in onco- radiology. They bring in unparalleled expertise in both clinical and interventional radiology operating with the help of state of the art machinery screening and guiding the management of cancer. Endowed with a modern diagnostic CT, MRI, USG, digital mammography with tomosynthesis, PET-CT scanner and an interventional suite they are equipped to handle any diagnostic or treatment concerns. Multiple interventional cancer therapies like that of tumor ablation, local chemo embolization, biliary drainage/ stenting, various other drainage procedures and palliative care with emphasis on pain management are on offer to those in need.

PATHOLOGY

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

Histopathology

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

  1. 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.
  1. 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.

Hematology

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 -

  1. 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.
  1. Special Tests
  • Bone marrow aspiration/ trephine biopsy.
  • Bone marrow Iron stain.
  • Cytochemical stain: MPO, PAS..

Clinical Pathology

  • Urine routine/microscopic
  • Stool, occult blood
  • Body fluids-cell count

Cytopathology

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 .

Tests done

  • FNAC (Fine Needle Aspiration Cytology).
  • Exfoliative cytology including PAP smears and body fluids, sputum, bladder and bronchial brushings.
  • Cell block

Services

  1. Anatomic Pathology (AP) , Routine histopathology , Frozen section & IHC
  • Cytology
  • Hematology
  • General Hematology/Special Hematology
  • Coagulation
  • Flow Cytometry
  • Specimen Reception
  • Phlebotomy
  • Processing

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
12 CYTOCENTRIFUGE CYTOTEK SAKURA 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
17 MAGNETIC STIRRER ROTEK 1
18 MICROPIPETTE FIXED VOLUME RV 5
RENTAL INSTRUMENT
1 AUTOMATED IHC STAINER VENTANA BENCHMARK XT ROCH 1

 

Instruments in flowcytometry, haematology and clinical pathology.

 

INSTRUMENTS NUMBERS
Beckman Coulter Navios EX Flowcytometer

10 colour 3 lazer

1
Beckman Coulter DxH 800 haematology analyzer

5 part analyzer

2
Vesmatic Easy ESR analyzer. 1
STAGO start max semi automated coagulation analyzer. 1
Laura smart (Erba) urine analyzer. 1
BIOCHEMISTRY

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.

TRANSFUSION MEDICINE

Department of Transfusion Medicine , MVR Cancer centre and Research Institute is being developed as a 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 traveled a long distance in a very short span of time.

We try to maximise voluntary blood donation by aligning 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 a referral 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 a 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.

MICROBIOLOGY

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 region.
The microbiology laboratory works round the clock with no holidays to provide continuous services to patients.
Facilities available:
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 accredited laboratory.

Services offered:
 Bacteriology
 Mycology (Fungal infections)
 Mycobacteriology (Tuberculosis)
 Parasitology
 Serology including viral serology
 Molecular diagnostics

MOLECULAR ONCOLOGY

Molecular Oncology has become pivotal in understanding the genetic alterations and cellular manipulations at the molecular scale that drive the disease processes sequentially leading to human tumor development. This department is constituted with a focus towards establishing novel concepts of clear clinical significance in diagnosis, prognosis and cancer prevention. Medical oncologists, Pathologists and Molecular biologists join hands to offer advanced genetic and genomic level variance detection in cancer diagnostics.

The Molecular Oncology laboratory essentially has been established consisting of two main divisions

(1) Research and Therapeutics (2) Molecular Diagnostics.

The department has all the advanced facilities for DNA/RNA analysis such as PCR based anger sequencing, NGS and real time PCR (quantitative PCR, qPCR), which are rapidly changing the landscape of molecular and cytogenetic based genetic and genomic testing. High-resolution molecular cytogenetic analysis using FISH and karyotyping to detect chromosomal translocation, gene amplification and deletions or duplication of DNA is also being offered for breast and lung adenocarcinomas.