CNS, Head & Neck, Thoracic Tumors
Care Before the Procedure
Diagnostic Workup:
- Imaging: MRI/MRS for CNS tumors; CT/PET-CT for head/neck and thoracic tumors.
- Biopsy: Stereotactic or endoscopic biopsy (e.g., bronchoscopy for lung tumors; transoral robotic surgery for head/neck tumors).
- Molecular Testing: EGFR, ALK, PD-L1 for lung cancer; IDH mutation, MGMT methylation for glioblastoma; HPV status for oropharyngeal cancer.
- Preparative Care: Nutritional support (feeding tubes if needed for head/neck tumors). Pulmonary rehabilitation for thoracic tumors. Speech/swallow evaluation and prehabilitation. Fertility preservation discussions for young patients. Psychological support and advanced care planning.
Care During the Procedure
Treatment Modalities:
- Surgery: Craniotomy for CNS tumors; transoral laser microsurgery for head/neck tumors; lobectomy/pneumonectomy for lung cancer.
Emphasis on maximal safe resection. - Radiation: Intensity-modulated radiation therapy (IMRT) or proton therapy to spare adjacent organs.
Stereotactic radiosurgery (e.g., Gamma Knife) for brain metastases. - Systemic Therapy: Chemotherapy: Temozolomide for glioblastoma; platinum-based regimens for head/neck/thoracic cancers.
- Targeted Therapy: Osimertinib for EGFR-mutant lung cancer; trastuzumab for HER2+ tumors.
Immunotherapy: Checkpoint inhibitors (e.g., pembrolizumab) for PD-L1+ tumors. Supportive Care - During Treatment: Antiseizure medications (CNS tumors). Nutritional support via PEG tubes (head/neck tumors). Management of esophagitis, dermatitis, or pneumonitis from radiation.
Care After the Procedure
Survivorship Care:
- Regular imaging (MRI/CT) and clinical exams to monitor for recurrence. Long-term management of treatment-related effects:
- CNS: Cognitive rehabilitation, seizure control.
- Head & Neck: Speech/swallow therapy, dental rehabilitation.
- Thoracic: Pulmonary function monitoring, cardiac health.
- Lifestyle Modifications:
Smoking cessation programs. Dietary adjustments for swallowing difficulties.
Physical therapy to address functional deficits. - Psychosocial Support:
Support groups for specific cancer types (e.g., brain tumor networks).
- Counseling for anxiety/depression related to functional changes.
- Palliative and Hospice Care: Early integration for symptom control (e.g., pain, dyspnea) in advanced cases.
- Focus on quality of life when cure is not achievable.
Diagnostic Workup:
- Imaging: MRI/MRS for CNS tumors; CT/PET-CT for head/neck and thoracic tumors.
- Biopsy: Stereotactic or endoscopic biopsy (e.g., bronchoscopy for lung tumors; transoral robotic surgery for head/neck tumors).
- Molecular Testing: EGFR, ALK, PD-L1 for lung cancer; IDH mutation, MGMT methylation for glioblastoma; HPV status for oropharyngeal cancer.
- Preparative Care: Nutritional support (feeding tubes if needed for head/neck tumors). Pulmonary rehabilitation for thoracic tumors. Speech/swallow evaluation and prehabilitation. Fertility preservation discussions for young patients. Psychological support and advanced care planning.
Featured Specialities
Our Speciality Services
Oncology
Our Cancer Center offers comprehensive, multidisciplinary cancer care within a quaternary hospital setting, ensuring that every form of therapy and supportive service is available under one roof. With dedicated departments in Medical, Surgical, Radiation and Hemato-Oncology, Nuclear Medicine, Genomics and Palliative Care, our experienced teams deliver evidence-based, personalised treatment through advanced technologies such as linear accelerators, PET-CT, NGS-based precision oncology, CAR-T therapy and bone marrow transplantation. Every patient’s case is reviewed by a multi-specialty tumour board to design an individualised, multimodality treatment plan, supported by outpatient daycare chemotherapy, advanced radiotherapy techniques, minimally invasive surgeries and targeted nuclear therapies. From early detection and screening to rehabilitation, survivorship and end-of-life care, we focus not only on treating cancer but on delivering compassionate, coordinated and patient-centred care at every stage.
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