Oncology

A world-class cancer centre, the Centre of Excellence (CoE) in Oncology offers comprehensive care for management for all types of cancers, in both adults and children. The team of internationally and nationally trained Medical, Surgical and Radiation Oncologists here, with the help of state-of-the-art diagnostic and therapeutic technology, provide patients with optimal, evidence-based and customised treatment plans for removal of cancer cells from the body through medication, surgery and radiation. Multi-disciplinary in approach, the treating Doctor, after understanding the requirement of the patient completely, takes inputs from all concerned Specialities before deciding on the ideal treatment plan. Patients are also provided psychological counselling, dietary advice and rehabilitation services if required and open discussions on all treatment options available, the objective of treatment- whether it is curative, palliative or prevention of recurrence and expected outcomes are encouraged. Equipped with highly advanced technical support for chemotherapy, bone marrow transplantation, radiation and surgery, the CoE is the first facility in Kerala to offer Minimally Invasive Robotic Cancer Surgery.

Medical Oncology

The Medical Oncology Department at the Centre of Excellence in Oncology provides advanced care ranging from home based oral therapies to complex chemotherapy procedures, targeted therapy, biotherapy, bone marrow transplantation and metronomic chemotherapy to patients of all age groups with solid organ cancers and haematological malignancies. State-of-the-art in terms of facilities offered, the division has specialised infrastructure including positive pressure rooms for management of critically ill patients with cancers like leukaemia, a 10-bed Bone marrow transplant unit (hemopoietic cellular therapy) with dedicated apheresis suite, day care infusion therapy unit, cryopreservation unit, step down unit and intensive care enabled service. The team of Oncologists here, with the help of advanced diagnosis and prognosis (diagnostic and prognostic ) tools like molecular methods, genomics, proteomics and theranostic and supportive services from the haematology lab, create personalised and optimal treatment strategies, with strict adherence to NCCN (USA) and ESMO (European) guidelines.

Surgical Oncology

The department of Surgical Oncology at the Centre of Excellence in Oncology offers a wide spectrum of surgeries for cancers in the breast, head and neck, thoracic region, gastrointestinal malignancies, gynaecological malignancies, Pelvic malignancies, bone and soft tissue sarcomas. With focus in cancer surgery shifting from conventional radical resection surgery to conservative surgery, the department, with support from Medical and Radiation Oncology, performs highly advanced organ preservation surgery along with reconstructive surgeries like complete breast reconstruction using flaps and implants, limb preserving surgeries for bone and soft tissue tumours, limb salvage surgery for bone tumours with modular prosthesis, free fibula flaps and extra-corporeal radiation intra-operatively. It is also first facility in Kerala to offer Minimal Access Robotic Surgery for colo-rectal malignancies, uterine cancers and cervical cancers.

Radiation Oncology

The department of Radiation Oncology at the Centre of Excellence in Oncology is a highly advanced facility providing radiation therapy services for management of cancers. The core team, comprising Radiation Oncologists, Medical Physicists, Radiation Technologists and Oncology Nurses, with the help of high-end radiation therapy equipment, render personalised, optimum, evidence-based treatment, with minimal side effects. The department, which believes in educating the patient and their caregivers on radiotherapy, provide ample time for discussing various treatment options with the Consulting Doctor and also give them leaflets outlining the technical aspects of radiation. They are also shown a short film on radiation treatment delivery.

Equipped with state-of-the-art technical support to provide comprehensive radiation treatment services, the department has Varian “True Beam” machine for teletherapy (external) radiation treatment - a first of its kind in Kerala. The most advanced version of Varian’s Linear Accelerator series, its unique feature is the Flattening Filter Free (FFF) technology.

Advantages of True Beam

  • High precision treatment delivery
  • Treatment time reduced to 1/3rd of normal time
  • Enhanced patient comfort and compliance
  • Reduced side effect profile
  • Delivers high dose rates (1000 MU (6MV) 2400 MU (10 MV)
  • The Elekta machine for HDR -Brachytherapy (Internal radiation) has sophisticated applicators for various sites including head and neck, breast, cervix, endometrium and oesophagus. This machine ensures high-precision treatment, maximum comfort and minimal side effects.
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Dr. Vivek Radhakrishnan
Consultant
Dr. Vivek Radhakrishnan
Dr. Vivek Radhakrishnan, Consultant, CoE Oncology is a Haemato-Oncologist and Medical Oncologist with more than 4 years of experience. Trained extensively in Haemato-Oncology, Bone Marrow Transplantation (BMT) and Solid Organ Cancers at some of the best institutions in USA, Europe and India. He is an expert in comprehensive management of of blood cancers like Leukemia, Lymphoma and Myeloma and solid organ tumour.

He has special interest in BMT, which includes autologous and allogeneic and alternative donor transplant. He has also undergone training in the application of personalised medicine in oncology.

Qualifications

Fellowship in Cellular therapy & Haematological Malignancies (MD Anderson Cancer Center, Houston, Texas) | ESMO Fellowship in Translational Research (Personalised Medicine) in Oncology (Innsbruck Medical University, Austria) |Pfizer-ASBMT Fellowship in Haematopoietic Cell Transplantation/ Alternative Donor Transplants (Duke University, Durrham, North Carolina) |Post Doctoral Fellowship in Bone Marrow Transplantation and Haematology (Tata Medical Center) | European Certification in Medical Oncology - ECMO (European Society of Medical Oncology, Lugano, Switzerland) |DM in Medical Oncology( Madras Medical College, Chennai) | MD in Oncology ( Madras Medical College, Chennai)| MBBS (JSS Mysore, Karnataka)

Achievements

Consultant in Medical Oncology & Haemato-Oncology, and Head, Bone Marrow Transplant (BMT) Division, Apollo Cancer Institute, Apollo Hospitals, Bangalore;
Specialist training at MD Anderson Cancer Centre, Houston
Faculty and Attending Physician in Dept. of Clinical Hematology/Oncology and BMT, Tata Medical Center, Kolkata, India
Post-Doctoral Fellowship in BMT under the mentorship of Prof. Mammen Chandy
Specialist training at Duke University, North Carolina, USA
Travel award to train at the University of Frankfurt, Germany: Childhood hematological malignancies and BMT
Head, Department of Medical Oncology & Haemato-Oncology, MIOT Hospitals, Chennai
Won awards for exceptional academic performance
Written research articles in international journals and Chapters in textbooks
Proficient in English, Malayalam Hindi

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Dr. Arun R Warrier
Consultant
Dr. Arun R Warrier
Dr. Arun R Warrier is Consultant, Department of Medical Oncology, with 5 years of experience in comprehensive cancer care. He specialises in medical oncology and has special interest in gastro intestinal malignancies, lymphomas and stem cell transplantation. He believes in delivering compassionate cancer care to patients, with a multidisciplinary approach to determine an optimal and customized treatment pattern.

Qualifications
DM Medical Oncology| MD General Medicine| MBBS (Govt. Medical College, Calicut)
Achievements
Medical Oncology training at Adyar Cancer Institute, Chennai
Madras Cancer Care foundation at Apollo Hospitals, Chennai
Department of Oncology, Lakeshore Hospital, Cochin.
Foresees Genomic Oncology as the next big thing in Cancer care
Training in various malignancies, paediatric to adult and solid tumours to blood cancers at The Adayar Cancer Institute
Has conducted CMEs in collaboration with IMA and various social organizations
Actively involved in cancer prevention, screening programmes and Continuing Medical Education endeavours
Internal Medicine training has gives added advantage when treating patients with multiple comorbidities.
Adopts a comprehensive and compassionate treatment style with a multidisciplinary team approach and hence involves professionals from other modalities like surgical oncology and radiation oncology
Intends to provide personalized cancer care, in a holistic manner
Determines optimal treatment suited to the patient, keeping in mind the patient profile and several other parameters to reach narrow therapeutic spectrum
Educates the importance of pre-treatment Counselling and involvement of Counsellors to the patients to help them navigate through the seemingly complicated and stressful period of cancer care
Promotes active discussion with patients about the various options available and helps them to take an informed decision.
Strong advocate of protocol based treatment according to standard guidelines
In advanced cases, where cure is not possible, tries to provide meaningful palliation of symptoms thus improving the quality of life of the patient
Participated in various programmes to educate people about the necessity of a healthy diet and lifestyle as well as avoidance of carcinogens, the main one being tobacco
Proficient in English, Hindi, Malayalam and Tamil

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Dr. Ramkumar P
Senior Consultant
Dr. Ramkumar P
An anaesthesiologist who is an expert in pain management and palliative medicine, Dr. Ramkumar P has more than 20 years of experience to his credit. Trained at some of the best medical institutions in the country, he excels in multi-modal analgesia and interventions for chronic head ache, neck pain, shoulder pain, lower back pain, gluteal pain, chronic abdominal and pelvic pain, knee pain, peripheral vascular disease, post herpetic neuralgia, phantom limb pain and also the total care/ palliative care for cancer patients.

He is also an expert at managing recurrent ascites and pleural effusions with indwelling catheter.

Qualifications

PG Diploma Medicine - Palliative Care (Edith Cowan University, Perth, Australia) | MD in Anaesthesia (Govt. Medical College, Baroda) | MBBS (Govt. Medical College, Thrissur)

Achievements

Expertise in interventions like:

Trigeminal Nerve Block

Occipital Nerve Block

Stellate Ganglion Block

Thoracic Splanchnic Block (Coeliac Plexus Block)

Chemical Lumbar Sympathectomy

Hypogastric Plexus Block

Ganglion Impar Block

Cervical & Lumbar Epidural Steroid Injection

Transforaminal Epidural Steroid Injection

PARS Block

Facet Joint Block

RFA of Facet / Median branch of Dorsal Nerve

Pulsed RF for Shoulder Pain and Knee pain

Dry Needling or IMS for the Myofascial Trigger points

Clinical Professor in Anaesthesia & Head of the Division of Pain & Palliative Medicine

Pain and palliative care department, Kasturba Medical College Manipal

In charge of Pain and Palliative care clinic, Amala Cancer Hospital

In charge of Pain & Palliative Care Clinic, West Fort Hi Tech Hospital Thrissur

Part of the Comprehensive Cancer Care Team, which aims at bettering the quality of life of cancer patients

Published research articles

Proficient in Malayalam, English, Hindi, Gujarati, Kannada

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Dr. Syam Vikram
Consultant
Dr. Syam Vikram
Dr. Syam Vikram is Consultant, Surgical Oncologist, CoE Oncology. Trained extensively in Breast Oncology, he is an expert in Breast Reconstruction, Gastrointestinal Oncology including Pelvic and Retroperitoneal malignancies and Gynecological Oncology. He is also trained in Hepatobiliary Surgery and Minimally invasive procedures in Oncology. He is former Associate Professor, Malabar Cancer Centre, Thalassery.

Qualifications

DNB Surgical Oncology (RCC, Thiruvananthapuram) | DNB General Surgery (Amrita Institute, Kochi)| MBBS (Mysore University)

Achievements

Associate Professor, Surgical Oncology, Malabar Cancer Center, Thalassery

HOD – in-Charge, Department of Surgical Oncology, Malabar Cancer Centre, Thalassery

6 Publications in National and International Journals

Actively participates in Oncology based research activities

Proficient in English, Malayalam, Tamil, Kannada

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Dr. Subin Sugath
Consultant
Dr. Subin Sugath
Dr. Subin Sugath is Consultant Orthopaedic Oncosurgeon, with more than 8 years of experience in treating bone cancers. Trained extensively in management of bone tumours both adults and children, he is an expert in limb preserving surgeries for both benign and malignant bone tumors and also surgical treatment for metastatic lesions in spine and other bones.

Qualifications

Fellowship in Orthopaedic Oncology (Tata Memorial Hospital, Mumbai)| DNB Ortho (Medical College, Thiruvananthapuram) | D Ortho (Medical College, Thiruvananthapuram)| MBBS (Medical College, Thiruvananthapuram)

Achievements

Bone cancer management in children and adults.

Expertise in Limb preserving surgeries for bone tumours that avoid amputations like Megaprosthetic replacement, re-implanting the same bone after sterilization with radiation, expandable implants which increases in length as the patient grows

Expertise in advanced surgical treatment for malignant lesions in spine and bones in other parts of the body

Published 10 articles in prominent Indian medical journals

Proficient in Malayalam, English, Hindi

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Dr. Arunlal M
Consultant
Dr. Arunlal M
A Radiation Oncologist with more than 4 years of experience, Dr. Arunlal is trained extensively in radiotherapy. His areas of expertise are advanced modalities of conformal radiation therapy including intensity modulated radiotherapy, stereotactic radiosurgery, stereotactic body radiotherapy and interstitial brachytherapy.

Qualifications

Fellowship in Advanced Techniques in Radiation Oncology (Rajiv Gandhi University of Health Sciences, Bangalore) | MD in Radiotherapy (Madras Medical College, Chennai) | MBBS (Govt. Medical College, Kottayam)

Achievements

Instrumental in initiating the SBRT programme while working at AIMS, Kochi

Clinical Assistant Professor at Amrita Institute of Medical Sciences, Kochi

Lecturer in Radiotherapy at Medical College, Kottayam

Published articles in peer reviewed journals

Proficient in English, Malayalam and Hindi

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Dr. Jose Paul
Consultant
Dr. Jose Paul
Dr. Jose Paul is Consultant, Department of Radiation Oncology. Specialising in Radiation Oncology, his areas of special interest are head and neck, cns gastrointestinal and breast radiation oncology and also gynaecological, urologic malignancies and carcinoma of the lung. He is an expert in advanced procedures like IMRT, RapidArc, IGRT, SRS, SBRT and Brachytherapy. He is former Assistant Professor at the Adayar Cancer Institute.

Qualifications

MD in Radiation Therapy (Adayar Cancer Institute, Chennai) | MBBS (Madras Medical College)

Achievements

Assistant Professor at Adayar Cancer Institute

Radiation Oncologist at Baby Memorial Hospital, Calicut

Best Outgoing student of the batch in Radiation Oncology

Recipient of the Dr. Muthulakshmi award

Awarded the Dr. N. Kalavathy Prize for the best paper at AROI –TNCON 2009

Well versed in the application of Radiation in various Curative and palliative clinical scenarios.

Sites of prime interest are Head &Neck malignancies, CNS tumours, GastroIntestinal and Breast Cancers, especially organ conservation protocols

Keen focus on Gynaecological and Urologic malignancies as well as Carcinoma Lung

Involved in the multidisciplinary management of Soft tissue Sarcomas, Paediatric Malignancies etc.

Expertise in clinical application of modern radiation techniques including 3DCRT, IMRT,IGRT and Rapid Arc.

Active interest in Brachytherapy, especially Gynaecological

Believes in a multidisciplinary Team Approach to management of cancer
Adheres to internationally accepted standard of care treatment protocols
and guidelines.
Attends conferences & workshops on regular to keep up with the latest
developments.
Proficient in English, Hindi, Malayalam and Tamil

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Dr. Reghu KS
Senior Specialist
Dr. Reghu KS
A Paediatric Oncologist trained in comprehensive management of childhood and adolescent cancers, Dr. Reghu KS has more than 7 years of experience as a Paediatrician (including 3 years in Paediatric Oncology). His fields of special interest include paediatric leukaemia, solid tumours, pediatric brain tumours, paediatric hematology and Bone Marrow Transplantation.

Qualifications

DM in Paediatric Oncology (Regional Cancer Centre, Thiruvananthapuram) | Fellow in Paediatric Hematology and Oncology (Tata Medical Centre, Kolkata) | MD in Paediatrics (Govt. Medical, Calicut) | MBBS (Govt. Medical College, Thiruvananthapuram)

Achievements

Consultant Paediatrician, Ananthapuri Hospital, ThiruvananthapuramAssistant Professor in Paediatrics SUTAMS, Trivandrum ThiruvananthapuramTrained in multimodality management of cancers in children, with thrust on their special needs, growth and development and long-term survivorship.

Published 4 research articles

Proficient in English, Malayalam & Hindi

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Dr. Sreelesh KP
Senior Specialist
Dr. Sreelesh KP
A Medical Oncologist, Dr. Sreelesh’s areas of special interest include management of thoracic, breast and gastrointestinal cancers.

Qualifications

DM in Medical oncology (Regional Cancer Centre, Thiruvananthapuram) | MD in General medicine (Govt. Medical College, Thiruvananthapuram) | MBBS (Govt. medical College, Calicut)

Achievements

Published research articles

Proficient in English, Malayalam

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Dr. Atma S Raj
Specialist
Dr. Atma S Raj
A General Physician, Dr. Atma S Raj has training in medical oncology. Her field of special interest is medical management of cancers.

Qualifications

MD in General Medicine (Govt. Medical College, Coimbatore)
MBBS (Govt. Medical College, Calicut)

Achievements

Dr. A R Vijayakumar gold medal for poster presentation at TAPICON

Proficient in Malayalam, English, Hindi & Tamil

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Aster Facilities
Outpatient Services
Outpatient Services
  • Physician Consultation,
  • Follow up / Survivorship clinics
  • Bone marrow transplant (BMT) clinics
  • Day care infusion chemotherapy
  • Day care surgical procedures
  • Stoma care clinic
  • Radiation therapy- External radiation therapy and Brachytherapy services
Inpatient Services
Inpatient Services
  • Evaluation, diagnosis and management of cancer cases
  • Intensive and prolonged chemotherapy protocol delivery
  • Cancer surgeries and reconstructive surgeries
  • External and Internal radiation treatment
  • Integrated palliative and supportive care
Allied Services
Allied Services
  • Counselling and patient education programmes
  • Physiotherapy
  • Occupational & Vocational therapy
  • Rehabilitation Services
  • Patient Assistance Program
  • Patient Centric Clinical Research
  • Community Outreach – early cancer screening centers through DM Foundation Health Camps
Robotic Surgery
Robotic Surgery

First facility in the State to offer Minimally Invasive Surgery using da Vinci Surgery Robot

Multi Disciplinary Tumor Board

Site specific disease management groups:

  • Haemato oncology and BMT
  • Neuro-Oncology,
  • Orthopedic Oncology,
  • Gastro Intestinal, hepatobiliary and pancreatic oncology group,
  • Womens Cancer clinics
  • Genito Urinary Oncology clinics
  • Pediatric Oncology group
  • Head and Neck oncology group
  • Thoracic Oncology group
Teletherapy (external ) Radiation
  • Rapid arc treatment
  • IMRT (Intensity modulated radiation therapy)
  • IGRT (Image guided radiation therapy)
  • Respiratory Gating
  • Stereotactic Radiosurgery (SRS)
  • Stereotactic Radiotherapy (SRT)
  • Three dimensional conformal radiotherapy (3-DCRT)
  • Electron radiation treatment
HDR -Brachytherapy treatment
HDR -Brachytherapy treatment
  • Intra cavitary radiation
  • Interstitial radiation
  • Intraluminal radiation
Allied Radiation Services
  • CT simulator
  • Advanced Treatment planning soft wares
  • PET-CT planning and MRI fusion
  • Organ preservation protocols
  • Total Skin Electron Beam Therapy (TSEBT)
  • Total body irradiation (TBI)
Medical Oncology
  • Systemic Therapies: Chemotherapy, Targeted therapy and Metronomic Therapy
  • Day care chemotherapy Infusion service
  • Haemato-Oncology - Care of Blood and Lymphoid disorders
  • Cellular Therapy (Bone Marrow Transplantation)
  • Child hood and Adolescent cancers
  • Personalized Medicine in Oncology using Molecular techniques, Genomics, proteomics and theranostics in designing individual patient specific therapeutic decisions
  • Onco-pathology and Hemato-Pathology
Surgical Oncology
  • Cancer Surgery
  • Robotic Surgery
  • Organ Preservation Surgeries
Nuclear Medicine
  • PET-CT scanning, and Nuclear Medicine Therapy using Radio-pharmaceuticals like Iodine-131
  • PET –CT based radiotherapy planning
Imaging
  • CT scan based radiotherapy planning
  • CT Simulator
  • CT –MRI fusion
  • Image based interventional ooncology (RFA , TACE)
Cancer Screening
  • Early screening of cancers in the Breast, Cervix, Head and Neck, Colorectum, Prostate and Lung
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