Thoracic Oncology Services

​​Welcome to the specialty of Thoracic Surgery also called Chest Surgery. We focus on organs of the chest / lung, including the mediastinum, esophagus (tube between mouth and stomach), the trachea (airway) and the chest wall (rib cage and breastbone).

The department works in close coordination with Medical and Radiation oncologists to provide personalized care of thoracic diseases.

The department continuously thrives to provide safe and patient friendly surgery by adopting Minimally invasive surgery using VATS/Thoracoscopy and Robotic surgery.

The Thoracic tumor board meeting helps us provide multidisciplinary approach to thoracic cancer patients and improve their outcomes for survival.

WHO BENEFITS

1. Lung
2. Mediastinum [ thymus, germ cell tumor, Neuroendocrine tumor]
3. Esophagus [food pipe]
4. Ribs
5. Sternum [breast bone]
6. Diaphragm

THORACIC ONCOLOGY DIAGNOSIS

Most of the chest disease are detected during imaging (CXR, CT scan) for chest symptoms or incidentally during routine checkup.

The confirmation of cancer and staging of cancer is critical to starting treatment. Following diagnostic procedure are available under one roof:

• CT scan / MRI scan
• Ultrasound guided biopsy / CT guided biopsy / PET guided biopsy
• Fibreoptic Bronchoscopy biopsy
• Endo-Bronchial Ultra Sound [EBUS] guided biopsy / Radial Probe guided EBUS biopsy [RP-EBUS]
• Upper GI endoscopy and Endoscopic Ultra Sound [EUS] for esophageal / food pipe cancer
• Whole body PET scan
• DOTANOC scans for Carcinoid tumor
• Video-Mediastinoscopy / Thoracoscopy lung biopsy
• Molecular testing for tumors

LUNG CANCER SCREENING PROGRAM at RGCIRC

Early detection of lung cancer using LDCT [Low dose CT chest] has shown to save lives following the NSLT (US trial) and the recent NELSON study (European trial) in up to 20 to 26% of screened population.

Eligibility for LDCT Chest screening at RGCIRC

• Age 45 – 64 years with 20 pack years and smoking cessation < 15 years
• Age 45-64 years with 15 pack years and additional risk factor
• Long-term lung cancer survivors who have completed 4 years of surveillance without recurrence, and who are in good performance status with a life expectancy of 10 years in order to detect second primary lung cancer until the age of 70.
• Willing to undergo counseling for cessation of smoking
• [PACK YEAR –It is calculated by multiplying the no’s of packs of cigarettes smoked per day by the no’s of Years the person has smoked. Example, 1 pack year is equal to smoking 20 cigarettes [1 pack] per day for 1 year.

For appointment contact, Thoracic Oncology OPD [Room no 3155] 011-4702-2062/2053.

THORACIC MULTISPECIALTY TUMOR BOARD

Thoracic cancer patients are evaluated by a specialist team of Thoracic surgeon, Medical Oncologists, Radiation Oncologists, pathologists and Imaging Specialists. Depending on the general condition of the patient and the staging and pathology of cancer a treatment plan is worked out as per accepted International Treatment Guidelines. (NCCN – National Comprehensive Cancer Network)

THORACIC ONCOSURGERY SERVICES

Optimal approach using minimally invasive technique.

• Robotic surgery using Da vinci system
• VATS / Video assisted Thaoracoscopy surgery

• Lung Cancer Treatment

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FEATURED DOCTORS

MS (AIIMS), Fellowship Thoracic surgery (S.Korea)

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Dr. L.M. Darlong Thoracic Oncology

MBBS, MD(Medicine), DM(Medical Oncology), ECMO, FAGE

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Dr. Ullas Batra Medical Oncology

MD Radiation Oncology

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Dr. Kundan Singh Chufal Radiation Oncology

MBBS, MD (Medicine), DNB (Medicine), DM (Medical Oncology)

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Dr. Mansi Sharma Medical Oncology