Best Musculoskeletal Oncology Hospital in Kabul

Overview

Musculoskeletal / Orthopaedic Oncology Disease Management Group (DMG) at Max Institute of Cancer Care comprises of a dedicated group of specialists whose focus is to provide a comprehensive management to all patients presenting with benign and malignant tumors of bones and soft tissues. It is now established beyond doubt that multidisciplinary involvement is essential for an optimal outcome of the management of these rare diseases, and we at Max Institute of Cancer Care (MICC) boast of a team of experienced doctors specialized in the care of patients with bone and soft tissue tumors. This team consists of orthopaedic, surgical, medical, and radiations oncologists, pathologists, radiologists, physiotherapists, onco-psychologists, nuclear medicine specialists, and molecular oncologists.

Treatment of each musculoskeletal cancer patient needs to individualized planning and personalization. At Max Institute of Cancer Care, all such cases are taken up in a multidisciplinary Tumour board where specialists from the field of orthopaedic oncology, surgical oncology, radiation oncology, medical oncology, radiology and pathology discuss each case threadbare and come up with a treatment regimen that not only maximizes survival but also ensures good functional outcomes.

Surgical Oncology:

Surgical management of all malignant and benign bone and soft tissue tumours

Limb salvage surgery for malignant bone tumours (osteosarcoma, Ewing sarcoma, chondrosarcoma, and others) - use of the prosthesis, bone grafts, extracorporeal radiation (ECRT), cryosurgery, etc.
Precision bone tumour removal using modern imaging ensuring complete tumor removal and maximizing form and function.
Limb salvage surgery for soft tissue sarcomas
Curettage for benign bone tumours (Giant cell tumours, chondroblastoma, osteoblastomaetc)
Non-surgical management like sclerotherapy and radiofrequency ablation of benign bone tumorseg. (Aneurysmal bone cysts, simple bone cysts, osteoid osteoma etc.)
Management of metastatic bone disease , ie involvement of bone due to spread of cancer cells from other organs like lung / breast/ prostate cancer etc. Therapeutic and prophylactic fixations with adjuvant helps to achieve early mobilisation.
Spine tumors – primary or metastatic tumors are treated with decompression, stabilisation. Minimally invasive technique like vertebroplasty, ballon kyphoplasty, can be done.

Medical Oncology:

Chemotherapy for bone and soft tissue sarcomas include modern protocols accepted worldwide
- Expertise in NeoAdjuvant and Adjuvant Chemotherapy for paediatric and adult bone and soft tissue sarcomas
- Palliative chemotherapy/ targeted therapy for advanced stage diseases
- High Dose Chemotherapy with Stem Cell Transplantation in appropriate cases
- Exclusive paediatric oncology unit for chemotherapy of children with sarcomas
Focus on maximizing survival with preservation of organ and function
Expert pathology and radiology inputs with clinical correlation through Orth- Radio Patho meets for optimum diagnosis and treatment
An ethos of personalized evidence-based care with an emphasis on solutions optimized for each individual patient
Weekly DMG (Disease Management Group) clinic and musculoskeletal tumour board

Radiation Oncology:

Radiation Therapy (RT) for bone and soft tissue tumors
- Radiation Therapy for bone as well as soft tissue sarcomas is done in definitive, pr- op, Intra op (During surgery) and post operation as required for a given case
- For bone tumors like Ewing's sarcoma, we do high dose precision radiation therapy (with high doses ) with or without surgery as per indication

Peri-operative interstitial brachytherapy: In soft tissue sarcomas as much as possible we do interstitial brachytherapy with brachytherapy catheter placement in tumour bed at the time of surgery and treatment in immediate postoperative phase. It gives high doses of radiation therapy with less side effects and avoidance of long duration RT after surgery.
Extra Corporeal RT (ECRT)- In some limb tumoursit’s possible to surgically remove tumours bone and take this bone out of a body and give it a single shot of high dose radiation therapy (while bone is outside patients body). This bone is then put back in patient’s body. This is called extracorporeal radiation therapy. Purpose of this high dose radiation is that all tumour cells and normal bone cells get killed by high dose radiation therapy and this bone segment can be used as a customized prosthesis for the patient. Since Radiation therapy is given to bone outside the patient’s body, there is no impact of RT on the patient.
Pre-op Radiation therapy
- We also practice preoperative Radiation therapy (in place of postoperative RT) whenever indicated in any soft tissue or a bone tumour with the idea of shrinking tumour for the better surgical outcome and decrease late side effects of postoperative radiation therapy.
- Precision Radiation therapy
- At Max Institure of Cancer Care (MICC), we practice Radiation therapy using focused techniques like 3DCRT, Intensity Modulated Radiation Therapy (IMRT) and Image Guided Radiation Therapy (IGRT). These techniques help us significantly reduce immediately and delayed adverse effects of treatment.
- For treating metastases form bone and soft tissue sarcomas we practice Stereotactic Body Radiation therapy (SBRT)- which deposits high radiation dose with minimal dose to surrounding organs

Musculoskeletal Oncology explained

Musculoskeletal Oncology explained

Dr. Akshay Tiwari

Associate Director & Head - Musculoskeletal Oncology Cancer Care/Oncology, Musculoskeletal Oncology, Paediatric (Ped) Oncology, Surgical Oncology , Musculoskeletal Surgical Oncology

Tumor Board Timings

Musculoskeletal - Wednesday 3:00 pm - 4:00 pm

Central Tumour Board - Monday 8:30 - 9:30 AM

Central Tumour Board - Friday 8:30 - 9:30 AM

Musculoskeletal - Wednesday 3:00 pm - 4:00 pm

Central Tumour Board - Monday 8:30 - 9:30 AM

Central Tumour Board - Friday 8:30 - 9:30 AM

Central Tumour Board - Friday 4:00 pm - 5:00 pm

Central Tumor Board - Monday & Thursday 8:30am-9:30am

Virtual Tumour Board PAN Afghanistan - Wednesday 3:00 PM - 4:00 pm

Virtual Tumour Board PAN Afghanistan - Saturday 9:00 AM - 12:00 AM

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Nidarr Hamesha - Atharv Tiwari

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Nidarr Hamesha - Atharv Tiwari

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