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CANCER CARE AT RAJIV GANDHI CANCER INSTITUTE & RESEARCH CENTER. RGCI & RC. HISTORY. Comprehensive cancer care set-up with all facilities for diagnosis and treatment of all types of cancers under one roof.
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CANCER CARE AT RAJIV GANDHI CANCER INSTITUTE & RESEARCH CENTER RGCI & RC
HISTORY • Comprehensive cancer care set-up with all facilities for diagnosis and treatment of all types of cancers under one roof. • Started functioning on 1st July, 1996; inaugurated by the President of India, Dr. Shankar Dayal Sharma, on 20th August 1996 • Initiated as a 152 bedded hospital - growing steadily. Presently 220 (+21) bedded with an impending need for further expansion to meet the growing demand. • RGCI & RC is an exclusive Oncology Tertiary Cancer Care Centre, catering to North India and neighboring countries
ABOUT THE SOCEITY Indraprastha Cancer Society & Research Centre - a non-profit public society managed by a group of socially responsible, selfless, philanthropists. RGCI & RC - Visionary Project of Indraprastha Cancer Society and Research Centre aimed at providing the best of Oncological Care to those who need it. RGCI & RC is managed by a Governing Council appointed by Indraprastha Cancer Society and Research Centre.
VISION ‘The philosophy of RGCIRC is to constantly strive towards excellence in onco-care through combination of latest technology, competent personnel and a humane touch’
MISSION STATEMENT “To do things right the first time & every time with empathy” • Reliable and internationally compatible diagnostic and therapeutic services related to the field of Oncology • Committed to continuous quality improvement of diagnostic services, therapeutic services and environmental performance through up-gradation • Acquisition of environmentally sound technology in order to reduce impact of our activities on the environment • Prevent pollution and comply with all applicable environmental legislation and regulation.
WHY RGCI & RC ? • Comprehensive cancer care set-up with all the facilities for diagnosis and treatment of all types of cancers available under one roof. • State-of-the-art diagnostic equipment. • Strong clinical research Department. • Emphasis on Multi modal & evidence based medicine
WHY RGCI & RC ? • Highly qualified and experienced faculty. • First to have been awarded concurrent ISO 9001 and 14001 • Revamping the IT infrastructure & striving to be totally paperless. • RGCI moves with the latest technology. • Our aim is ‘care & cure’ both.
SERVICE CLIENETELE • Approximate 10,000 patients are registered every year in which about 51% are from Delhi, 45% from other state of the country and 4% from abroad excluding NRI. • Among all the registered cases in the Institute 53% are male and 47% are female
DIAGNOSTIC SERVICES • PET CT ,CT Scan, MRI and PET-MR Fusion. • MRI guided Breast Biopsy – another first in India. • Mammography with 3D Stereotactic Attachment for Biopsy. • Fully computerized laboratory with facilities for Tumor Markers, Immuno histochemistry and Frozen Section. Round the clock Blood Bank with facilities for Component therapy.
DIAGNOSTIC SERVICES • Multislice Spiral CT Scan with facilities for CT angiography, Virtual Endoscopy & CT guided Biopsies. • Color Doppler, Digital X-ray and Ultrasound with FNAC & Biopsies. • Nuclear Scans (Bone, Thyroid, Thallium Etc.) Double Headed Gamma Camera
PET CT PET CT
THERAPEUTIC SERVICES • Fully equipped 7 OT’s, 4 more being added. • Two Mevatron Linear Accelerators for Photon, Electron, 3DCRT & IMRT. • Image Guided Radiation Therapy (IGRT) – 4 machines, one Varian being added. • Computerized Treatment Planning and Simulator
THERAPEUTIC SERVICES • Radiofrequency ablation of Liver Tumors. • Bone Marrow Transplant Unit. • Dedicated Day Care ward for Chemotherapy and day care procedures. • Centre of excellence for High Intensity Focused Ultrasound (HIFU)
CANCER STATISTICS • 10 lakh new cases/year. 24 lakh prevalent cases • Over 75% of patients seek treatment at a late stage. • Common cancers in women – Breast and cervix 47% of all cancers in women. • Common cancers in men – Tobacco related (45%) (Oral, lung, pharynx and oesophagus) • Tobacco-related cancers amenable for primary prevention (48% in men and 20% in women) • Oral cancers can be diagnosed early and treated successfully
EUROSCOPE • Live in UK - For Fixtures • Live in Germany - For Sturdy cars • Live in Luxemberg - Highest wages • Live in Portugal - High life expectancy (DESIRE OF HEALTHY PERSON) Desire of cancer patient - All facilities under one roof. (KASHI)
TREATING CANCER • Because cancer is a complicated disease that takes many different forms, it is treated in many different ways. Treatment is tailored to the specific needs of the patient. Cancer treatments vary depending upon four main factors: • Type of cancer • Stage of cancer • Your overall condition • Goal of treatment
MULTIMODAL TREATMENT Total care of patient by combining various methods of treatment by multi - professional team with intent of cure or palliation. Social Doctor Psycho. G.P Clinician Imaging C.T Surgeon R.T Palliative Treatment Treatment Diagnosis Bereavement Nuclear Medicine Anaesth. Rehabilitation Reconst. Clergy Pathology. Surgeon Nurse Family Patient and Referring clinician is a part of decision making team
LATERAL PROFILE SHOWING RESECTION OF ARCH OF MANDIBLE COSMESIS AFTER ORAL SURGERY TONGUE COMMANDO SPECIMEN TONGUE COMMANDO
TRACHEOSTOMA CONSERVATIVE LARYNGEAL SURGERY
CRANIOFACIAL RESECTION Facial nerve NTT + BILATERAL FND SUPERFICIAL PAROTIDECTOMY
THORACOTOMY PNEUMONECTOMY SPECIMEN SPECIMEN OF RADICAL CHOLECYSTECTOMY CA CARDIA SPECIMEN
TOTAL PANCREATECTOMY + SPLENECTOMY RADICAL GASTRECTOMY SPECIMEN LIMB PRESERVING SURGERY (popliteal vessels exposed) COLECTOMY SPECIMEN
‘SAVE LIMB’ SPECIMEN OF OSTEOSARCOMA TIBIA
‘SAVE BREAST’ MAMMOGRAM B.C.S + AXILLARY DISSECTION
PALLIATIVE CARE • Having a good quality of life is a highly significant aim for patients with cancer, whether or not cure is possible. • Cancer pain relief and palliative care are important and integral parts of cancer care. • Home Cancer Care Team of RGCI & RC provides holistic services at doorstep of terminally ill cancer patients.
“Cancer cures smoking, eventually...”
CANCER IS CURABLE IF DETECTED EARLY • The warning signals of cancer are an alert. • Education plays a great role in Primary prevention of various cancers. • Quit smoking and chewing tobacco. • Maintain healthy body weight, regular exercises. • More than 50% of cancers can be prevented at your end.
WARNING SIGNALS CHANGE IN BOWEL OR BLADDER HABITS. ASORE THAT DOESN’T HEAL. UNUSUAL BLEDDING OR DISCHARGE. THICKENING OR LUMP IN BREAST OR ELSEWHERE. INDIGESTION OR DIFFICULTY IN SWALLOWING. OBVIOUS CHANGE IN WART OR MOLE. NAGGING COUGH OR HOARSENESS.