Surgical Oncology

In oncology treatment, surgery continues to play a vital and crucial role. Balco MedicalCentre is endowed with six operations theaters comprising of five general operationtheaters and one theater to handle emergency procedures. These ultra-modern theatersare carefully placed in the OT complex that is designed to eliminate cross infections andcontaminations. Each OT’s air-conditioning uses ceiling mounted HEPA filters toprovide best protection from airborne microorganisms. Integral to the OT complex is theCSSD (Central Sterile Services Department), equipped with the latest machines whereautomated sterilization is done under controlled conditions.

Our dedicated team of surgeons, anesthetists, nurses and technicians have alreadysuccessfully done all major organ specific operations in Balco Medical Centre.

In Balco Medical Center, treatment protocol for each patient is decided after a through discussion and review by a multidisciplinary team of clinicians consisting of Medical Oncology, Radiation Oncology, Pathology, Radiology and any other related departments. This teams of doctors called “Tumor Board” ensure that the treatment protocols are in accordance with international guidelines.

Nuclear Medicine

Nuclear medicine is an advanced medical specialty that uses radioactive substances in the diagnosis and treatment of cancer, apart from diagnosing cardiac, neurological and infective diseases. The department has superior imported state of the art equipments that are capable of providing detailed hybrid images of internal human organs that reveal highly-specific functionality of the organ/area of intrest and biological processes at the molecular level along with highly-detailed diagnostic quality anatomy.

Balco Medical Centre is a comprehensive oncology centre with one of the region's largest Department of Nuclear Medicine that has capability to provide high dose radioiodine therapy for differentiated thyroid carcinoma and metastases, strontium therapy for bone pain palliation, MIBG therapy for malignant pheochromocytoma / neuroblastoma & Low Dose I-131 Therapy for thyrotoxicosis like Grave’s disease, Toxic MNG & Autonomous toxic Nodules.

    The department has:

  1. PET-CT: Siemens Biograph Horizon.
  2. Headache (Migraine, Tension Headache, Cluster Headache etc.)
  3. SPECT-CT: Siemens Symbia Intevo Excel.

Medical Oncology

Medical Oncology is the use of specialized medications, commonly referred to aschemotherapy drugs, to control and eradicate cancerous cells anywhere in a patient’sbody. Balco Medical Centre has a well-equipped 20 bedded Day Care Centre that isspacious, airy and patient friendly. There is a separate attractive pediatric bay for thecomfort of children.

The Department deals with chemotherapy planning, preparation and administration asper the standard guidelines (NCCN guidelines, NICE guidelines, Cancer therapy advisorprotocols).

At BALCO Medical Centre, all types of chemotherapy administration are conducted including:

  • Conventional chemotherapy
  • Concurrent chemotherapy with radiation
  • Targeted therapy
  • Biological therapy
  • Intrathecal chemotherapy
  • Intraperitoneal and intrathoracic cavity chemo
  • OPD services and second opinion clinic

Pain & Palliative Care

Medically, pain relates to an unpleasant sensation that hurts. It is a sense of discomfort, distress and perhaps agony, depending on the severity of pain. It can be steady and constant, in which case it may be an ache. It might be a throbbing or pulsating pain. It could have a pinching sensation, or a stabbing one. It may be generated at one part of the body and continue to last in the same place, or in some cases also get extended to other parts of the body. Pain can be acute or chronic (based on duration), mild/moderate or severe (based on intensity), Nociceptive or Non-Nociceptive (related to tissue damage). Nociceptive pain (associated with tissue damage) can be either visceral or somatic (based on site of tissue damage). Non-Nociceptive pain (no tissue damage but involvement of nervous system itself) can be either Neuropathic or Sympathetic (based on part of nervous system involved).

More than one-third of cancer pain is due to illness (advancement of tumor) itself. However neuropathy, infections, diagnostic and invasive procedures, chemotherapy, radiation, weak immune anxiety, depression and attention difficulties are also associated with cancer pain.

​Other distressing Physical symptoms related to cancer and its treatment are – Fatigue (tiredness), Anorexia (lack of appetite), Depression (feeling sad), Constipation, Nausea/Vomiting, Difficulty/Pain in swallowing, Dyspnoea (labored breating), Cough, Wounds (haemorrhage, malodour), Lymphoedema (swelling in extremities) etc.

​Palliative care involves relieving all these physical distressing symptoms along with pain and also addressing emotional, psychological, financial, spiritual and family issues. Aim of palliative care is to improve the overall quality of life of the patient and his family. Therefore palliative care plays an important role right from the beginning of the treatment through the disease and end of life. We help patient and his/her family to continue the treatment along with their normal daily routine.

With our team of specialized medical experts, therapists and state-of-the-art technology we not only aims at pain free living but also ensures a better reclamation of the patient of his/her own self, family and environment.

Apart from taking care of Pain and other distressing symptoms in cancer patients, our experts are also highly trained in taking care of any other kind of chronic or acute pain. We are here to deal with any kind of pain in your body (head to toe) viz.

  1. Cancer Pain Management & Palliative Care.
  2. Headache (Migraine, Tension Headache, Cluster Headache etc.)
  3. Face Pain (Trigeminal Neuralgia )
  4. Neck Pain (Muscle strain, Arthritis, Whiplash, Spondylosis, Osteoarthritis etc)
  5. Shoulder Pain (Rotator Cuff injury, Frozen Shoulder, Bursitis etc.)
  6. Hand Pain (Arthritis, Carpal Tunnel Syndrome, Nerve Compression/Peripheral Neuropathy, Raynaud`s phenomenon, Trauma/Sports Injury etc.)
  7. Chest pain (breast pain, rib case pain etc.)
  8. Back Pain (Strain, Disc Prolapse/Bulge, Sciatica, Facet joint arthritis, Vertebral Fracture, Osteoporosis, Scoliosis and Kyphosis etc.)
  9. Pelvic pain (Gynaecological pain etc.)
  10. Hip/Leg & Foot Pain
  11. Knee/Joint Pain (Osteoarthritis, Rheumatoid arthritis, injury etc.)
  12. Neuropathic Pain (neuritis, peripheral neuropathy, herpes zoster, radiculopathy etc.)
  13. Post-surgical pain (post thoracotomy pain, Phantom Limb pain, Phantom breast pain etc)
  14. Post traumatic pain (sports injury, trauma etc.)
  15. Painful syndromes (Fibromyalgia, myofacial pain syndrome etc.)

Proper pain management and palliative care increases overall functionality of both cancer and non-cancer patients. Proper pain diagnosis is the first step towards it. Followed by medications, invasive and non-invasive procedures, counselling and right psychological approach, so that patient’s quality life of life is enhanced.

Radiology

The Radiology department is equipped with all the required and latest imported equipment with updated software for accurate oncological diagnosis. This is a digital filmless and paperless department where images and reports are readily available 24 x 7 across the hospital with the use of PACS (Picture Archiving and Communication System). All the images of studies done at our hospital are digitally stored in hospital premises forever so that patient need not carry any films or reports. Even outside imaging studies with films and CD’s are imported and stored in our hospital server for follow-up. RIS (Radiology Information System) is used for tracking radiology imaging orders and billing information, and is often used in conjunction with PACS. With dedicated high-end diagnostic workstations and upto 12MP monitors, disease identification and reporting has improved substantially. Even the minute details don’t go un-noticed. These imaging software with high-end workstations enable easy time series comparison to monitor the disease progress as well as saving time and cost of treatment to the patients.

Our Radiology department is equipped with:

  • MRI – 1.5 Tesla MRI with Quiet-Suite and dedicated breast coil for MR Mammogram.
  • CT scan – 64 Slice wide bore CT scan with fast and accurate acquisition with reduced radiation.
  • Ultrasonography with Color Doppler – Latest high end machines with advanced application for all kinds of ultrasound scans.
  • Digital Mammography
  • Digital X-ray
  • Interventions - CT and USG guided interventional procedures.

Transfusion Medicine & Blood Bank Services

For any oncology center to qualify as a premier cancer hospital the availability of in-house transfusion services is a must. BMC’s blood bank is an ultra-modern facility with many firsts in the entire region with capability to collect, process, test, segregate, store and issue blood and its components. The services offered by the department are:

  • Whole blood and its components viz. Packed Red cells, Platelet Concentrate, Fresh frozen plasma, Cryoprecipitate, Buffy Coat
  • Donor Apheresis:
    1. Plateletpheresis for single donor platelet (SDP) collection
    2. Plasma apheresis, Haematopoitic Stem Cell Apheresis (for Bone marrow transplantation)
    3. Leukapheresis (Granulocyte collection)
  • Therapeutic apheresis:
    1. Therapeutic plasma exchange (TPE)
    2. Red Cell Exchange
    3. Haematopoitic Stem Cell Apheresis
  • Immunohematology Services:
    1. Red Cell Antigen Phenotyping
    2. Antibody screening & identification
    3. Coombs testing (DCT & ICT)
  • Specialized Services:
    1. Facilitation of Intrauterine transfusion (IUT) procedures for severe HDFN (Hemolytic Disease of Fetus and Newborn)
    2. Therapeutic phlebotomy
    3. Leukoreduction & Irradiation of blood products

Laboratory Services

The labs at Balco Medical Centre are state-of-art clinical labs equipped with the latest & most modern medical equipment. Widest possible range of pathological tests required in an oncology facility are on offer in the specialties of Histopathology, Hematology, Biochemistry, Clinical pathology, Cyto-Pathology, and Microbiology. Well qualified and experienced consultant doctors ensure precise and accurate diagnosis which leads to proper and apt treatment. The labs are fully automated and integrated with hospital information systems.

The Histopathology laboratory provides comprehensive anatomical pathology services on a fully automated Leica Histopath workstation (including frozen section biopsies) and Roche Ventana Benchmark for performing IHC markers. We provide the highest quality synoptic reporting according to CAP guidelines. .

The Biochemistry lab has the latest Roche C311 fully automated biochemistry analyzer and Cobas e411 immunoassay equipment. It also possesses a Biorad D10 HPLC to provide the widest range of hemoglobin variant analysis. .

The Hematology lab with the latest Beckman Coulter Navios Flow Cyto meter offers a solution for advanced Cytometry applications and workflows. We have XN350 complete blood count analyzer for routine hematology analysis.

The Microbiology lab provides a wide range of microbiology services on state of the art automated equipment such as the BacT/ALERT and Vitek 2 (Biomeriux). This lab is also capable of undertaking testing of mycology samples.

Anesthesia & Intensive Care

Understanding the importance of this department in the area of oncology treatment, 35 bedded Intensive Care Unit has been provided with earmarked beds for Pre-Op, Post-Op, MICU, SICU and Isolation. Experienced anesthesiologists and trained nursing staff are fully qualified to cater to all the pre & post-operative needs of patients undergoing surgical procedures. The department has the capability to manage all types of critically ill cancer patients.

The well laid out ICU’s are fully equipped with advanced monitoring systems, ventilators, medical gases, etc. The isolation rooms are scientifically designed to prevent the transmission of communicable diseases.

Radiation Oncology

Radiation Oncology cures cancer non-invasively with the help of X-rays and is a very important part of cancer treatment. Considering the importance of radiation therapy, Balco Medical Centre has equipped itself with the best in class equipment in the entire Central India and offers the following services:

  • External Beam Radiation Therapy:  State of the art Varian TrueBeam system that integrates respiratory gating, imaging and treatment delivery enabling a range of treatment techniques such as 2DCRT/3DCRT, Intensity Modulate Radiation Therapy (IMRT), Image-Guided Radiation Therapy (IGRT), Stereotactic Radio Surgery (SRS) and Stereotactic Body Radiotherapy (SBRT)
  • High-Dose Rate Brachytherapy: Using GammaMedplus iX (24-Channels), radioactive seeds are placed near patient’s tumor enabling precise treatment. 

TrueBeam and GammaMedplus iX make us a full-fledged Radiation Oncology Department. Department has been networked to CT, MRI, SPECT CT and PET CT and our highly qualified doctors are able to fuse these images to accurately target the smallest of the tumors while sparing surrounding normal organs.

The department has a complete team of highly trained & experienced Radiation Oncologists, Medical Physicists, Technologists and Nursing Staff who are providing comprehensive care and treatment.