Oncology in Mumbai

Oncology is the branch of medicine that focuses on the research, prevention, diagnosis, and treatment of cancer. A medical professional who specializes in diagnosing and treating people with cancer is called an oncologist.

An oncologist can design a treatment plan based on detailed pathology reports that shows the type of cancer the patient has, how much cancer has developed, how fast the cancer is likely to spread, and what parts of the patient's body are involved.

The field of oncology has three main areas, which include:

• Medical oncologists use chemotherapy, hormonal therapies, and other types of targeted treatments to treat cancer. Most people think of medical oncologist as their primary cancer doctor. Medical oncologists help monitor and maintain patients' well-being, as well as helping patients manage side effects. Often patients follow up with their medical oncologist once their treatment is complete.
• Surgical oncologists perform the surgical removal of the tumor and surrounding tissue. They will help patients prepare for and recover from any surgical procedure they undergo during their cancer treatment. If your primary doctor suspects that you have cancer, a surgical oncologist is likely one of the first doctors you see. Surgical oncologists can perform biopsies, which involves removing a small tissue sample to be checked for cancer cells.
• Radiation oncologists treat cancer using radiation therapy. They use high-energy photon beams to target and destroy cancer cells. Approximately one-half of all cancer patients will undergo radiation treatment during their cancer care.

Because most cancers are treated with a combination of therapies, you could see two or all three different oncologists during the course of your treatment.

Besides the three main areas, there are also several other areas of oncology. These include:

• Pediatric oncologists diagnose and treat cancer in children. Some types of cancer appear more often in children and teenagers, such as leukemia, brain tumors, osteosarcoma, and Ewing’s sarcoma. Some pediatric oncologists focus on conducting research on childhood cancers, while others specialize in certain types of cancer.
• Gynecologic oncologists treat cancers that affect women, such as cancer of the ovary, cervix, uterus, vagina, and vulva. Additionally, they also treat complicated gynecological conditions that are not cancerous, such as fibroid tumors and endometriosis.
• Hematologist-oncologists diagnoses and treats blood cancers, such as lymphoma, leukemia, and myeloma. They may also specialize in the management of solid tumors.

Oncologists usually work with a variety of other medical professionals, including pathologists, diagnostic radiologists, oncology nurses, and oncology social workers. They may also work with doctors from other areas of medicine, such as neurologists, dermatologists, or urologists.

What does Oncology Involve?

There are many types of procedures to treat cancer. The types of procedures that you receive will depend on the type of cancer you have and how advanced it is. Some people who have cancer will only have one treatment. However, most people have a combination of treatments, such as surgery with radiation therapy and/or chemotherapy. Below are the types of procedures to treat cancer:

Chemotherapy

Chemotherapy is a type of treatment that uses drugs to kill cancer cells in the body and prevent them from growing. The drugs can prevent cell division, target the food source of the cancer cells’ (the hormones and enzymes the cells need to grow), and trigger apoptosis (a process in which cancer cells kill themselves).

• Chemotherapy drugs can be given in several different ways, including.
• Oral – taken in a pill or capsule form.
• Intravenously – through an infusion into a vein.
• Shots – injected with a needle.
• Topical – applying creams or gels into the skin. This type is used to treat certain types of skin cancer.

Chemotherapy drugs can also be given directly to cancer or directly to an area of the body, such as the abdomen or central nervous system.

Immunotherapy

Immunotherapy, or biologic therapy, boosts your body’s natural defenses to fight cancer. It uses substances made by your own body, or in a laboratory, to improve or restore your immune system function. It can stop cancer from spreading to other parts of the body, stop or slow the growth of cancer cells, and help your immune system work better at destroying cancer cells.

There are several types of immunotherapy to treat cancer, including immune checkpoint inhibitors, T-cell transfer therapy, monoclonal antibodies, treatment vaccines, and immune system modulators. Different types of immunotherapy may be given in different ways, such as intravenous (IV), oral, intravesical (directly into the bladder), or topical.

Targeted therapy

Targeted therapy uses drugs that are designed to specifically “target” cancer cells without affecting normal cells. It targets the cancer’s specific proteins, genes, or other tissue environment contributing to cancer survival and growth. These proteins and genes are found in cancer cells or in cells related to cancer growth.

The targeted drugs can block or turn off chemical signals that tell cancer cells when to divide and grow, stop making new blood vessels that feed cancer cells, change proteins within the cancer cells so the cells die, trigger the immune system to kill cancer cells, and carry toxins in the cancer cells to kill them.

• There are two types of targeted therapy:
• Small-molecule drugs, which is given through pills or capsules that you swallow
• Monoclonal antibodies, which are given through a needle in a blood vein.

Radiation Therapy

Radiation therapy uses intense energy beams to kill cancer cells and shrink tumors. It most often uses X-rays, but other types of energy, such as protons may also be used.

Radiation therapy can be done in two ways:

• External-beam radiation therapy – this type of radiation therapy delivers radiation from a machine outside the body. You will lie on a table, and the machine (called a linear accelerator) moves around you to deliver radiation from several different angles. It is a quick and painless procedure.
• Internal radiation therapy – also called brachytherapy, involves both temporary and permanent placement of radioactive sources in the body. During the placement of the radioactive sources, you will be given anesthesia.

Hormone therapy

Hormone therapy stops or slows the growth of cancer that uses hormones to grow. It works by blocking your body’s ability to produce hormones or interfere with how hormones behave in your body. It can reduce the chance that cancer will return by stopping or slowing its growth, as well as preventing or reducing symptoms in men with prostate cancer.

Hormone therapy is usually used to treat breast and prostate cancer. It can be taken in many ways, including orally, through an injection, and surgery.

Stem Cell Transplant

People whose blood-forming stem cells are damaged by the very high doses of radiation therapy or chemotherapy can undergo stem cell transplant to restore the cells. Blood-forming stem cells are vital since they grow into different types of blood cells that you need to be healthy. The stem cells will be given to you through an IV catheter. The process is very much like receiving a blood transfusion.

Surgical treatment

Surgical treatment for cancer is a procedure to remove cancer from your body. There are many types of surgeries to treat cancer, which differ based on the part of the body that requires surgery, the purpose of the surgery, the amount of tissue to be removed, and your preference. In general, the surgery can be open or minimally invasive.

• During open surgery, one large incision is made to remove the tumor, some healthy tissue, and some nearby lymph nodes.
• During minimally invasive surgery, a few tiny incisions are made instead of a large one. These incisions are made to insert a laparoscope (a long, thin tube with a camera on its end) and special surgical tools. The laparoscope allows your surgeon to see the inside of the body, and the surgical tools are used to remove the tumor and some healthy tissue.

How Long Should I Stay in Mumbai?

For chemotherapy, radiation therapy, immunotherapy, hormone therapy, and targeted therapy, the treatment schedule may vary. You may have treatment every day, week, or month. It may also be given in a cycle, which is a period of treatment followed by a period of rest to give your body a chance to recover. For surgical treatment, you may need to stay in the hospital for a few days, and you need to stay in Mumbai for at least 10 to 14 days. Your oncologist and/or medical tourism team will advise you on the length of stay in Mumbai.

What's the Recovery Time?

The type of procedure you undergo determines the recovery period. While you may be able to get back to your normal routine within 10 days after laparoscopic surgery, you may need to wait around 6 weeks to fully recover from open surgery. Your oncologist will give you a detailed recovery timeline.

What About Aftercare?

You will be given instructions on how to take care of yourself. Your surgeon or nurse will explain how to control your pain, how to take care of your wound, activities you can and cannot do, and how to spot signs of infections. You may also need to talk to a dietitian to help with eating problems caused by the treatment. You will need to attend follow-up checkups to monitor your condition.

What's the Success Rate?

Cancer survival has improved significantly due to constant advancement and improvements in the field of oncology, including improvement in treatments and screening (allowing for earlier diagnosis). Still, you need to be aware of the risks, such as infection, bleeding, nerve damage, fatigue, nausea, vomiting, and hair loss.

Are there Alternatives to Oncology?

There is no other alternative than to see an oncologist when it comes to cancer treatments. Some people may choose to undergo meditation, hypnosis, and acupuncture as well, usually to relieve the stress, anxiety, and pain that cancer can bring.

Oncology in and around Mumbai

About Mumbai

Mumbai, formerly known as Bombay, is a big cosmopolitan city. It’s the wealthiest city in India with the highest number of millionaires and billionaires. It’s the perfect place for anyone who wants to immerse in tradition and modernity, as the city is a grand mixture of old and new. The city is also home to Bollywood, India’s film industry. Tourists flock to the city for its historical sites, amazing food, unique bazaar, and recently, for its medical tourism.

In line with India’s growing medical tourism, Mumbai has gained a lot of attention as a medical destination. In 2017, 27 percent of medical tourism activities in India took place in the state of Maharashtra. Armed with advanced medical technology, world-class doctors, hospitals with the highest-quality, affordable cost, and a wide range of healthcare, Mumbai is the leading city in the state with 80 percent of patients choose to have a medical procedure there.

Most hospitals are accredited by Joint Commission International (JCI) or National Accreditation Board for Hospitals & Healthcare Providers (NABH). Hospitals like Kokilaben Dhirubhai Ambani Hospital, Global Hospitals Mumbai, and Wockhardt Hospital South Mumbai are patients’ favorite. Among the most popular procedures are cosmetic and plastic surgery as well as eye surgery.

Popular Areas in Mumbai

Tourists are drawn to the city for various reasons. Some want to indulge in its energetic vibe, others want to be fascinated by its history.

• Gateway of India was built in 1924 and is the most valued structure in India. It’s located at the tip of Apollo Bunder, overlooking the Mumbai harbor. The structure is designed in Indo-Saracenic style with traces of Muslim architectural style. It was built to welcome King George V and Queen Mary to Mumbai. Tourists can take a stroll and learn the history of this unique landmark.
• Siddhivinayak Temple will leave anyone in awe. Built-in 1801 by Laxman Vithu and Deubai Patil, it is a Hindu temple dedicated to Lord Shri Ganesh. The temple evolved from a small place of worship to a grand temple. Politicians and Bollywood film stars frequently visit this temple. Tourists can find many interesting facts and cultural insight here.
• Elephanta Caves are a collection of cave temples mostly dedicated to the Hindu god Shiva. The caves are a UNESCO World Heritage Site. People visit to see its fine specimens of the ancient Hindu culture and tradition as well as for their rock-cut sculptures. The statue of Trimurti Sadasiva form of Lord Shiva is the most famous sculpture in this cave. The caves were named Elefante (morphed to Elephanta) by the colonial Portuguese because they found elephant statues on it.
• Marine Drives is an important destination for tourists visiting Mumbai. It’s a 3km long road in southern Mumbai which forms a natural bay. Its fantastic sunset view is very popular among locals and international tourists. People also come for its perfectly lined palm trees that offer scenic beauty.
• Film City is where most iconic scenes from India’s film were shot. It’s located near Sanjay Gandhi National Park at Goregaon East. With all the essential equipment and world-class facilities, it’s one of the largest indoor shooting facilities in India. This attraction offers tourists a world of wonder.

Weather and Climate in Mumbai

Mumbai has a tropical, wet, and dry climate. Summer starts approaching the city in late March and ends in May. It might not be the best time to visit since the temperature can get as high as 40 °C and the humidity can also be very high. If you can bear hot temperatures and high humidity, there are many festivals worth visiting during these months.

June to October is the monsoon season which sees continuous rain showers, making traveling more difficult. The temperature is not as high as the Summer.

Winter has the most pleasant weather. It starts in November and lasts until February. The temperature is not too hot or too cold and the humidity is very low, so tourists can enjoy many outdoor activities and sightseeing. The coolest month in Mumbai in January, with the temperature ranging between 13 °C to 30 °C.

Getting Around in Mumbai

Chhatrapati Shivaji International Airport is the main international airport in Mumbai. It’s the second busiest airport in India. The airport serves domestic and international flights to major cities in Asia and Europe. Budget airlines such as GoAir, flydubai, and AirAsia India.

Taxis, auto-rickshaws, and car rentals are available to travel from the airport to Mumbai’s city center. Taxis will take tourists around 25 minutes (depending on the traffic) to the city center. There are two taxi options; metered taxis and pre-paid taxis. Auto-rickshaws are metered and available from Terminal 1, they are cheaper than taxis. Car rentals are the best option if you want to have more flexibility and independence, you can rent directly at the airport.

There are various transportation modes to get around Mumbai. The local Train has 120 stops so you can get off on your nearest destination easily, trains start at 4.00am and stop at 2.00am. While the second class ticket is very cheap, it’s usually very crowded and uncomfortable. Tourists can buy a tourist ticket for 275 INR which allows them to travel in first class for the whole day.

The Mumbai Metro is a cheaper option, with the fares ranging from 10 to 40 INR. The train leaves every 4 minutes during busy hours and 8 minutes on non-busy hours. Buses in Mumbai are known as Brihanmumbai Electric Supply and Transport (BEST), they run from 5.00am to midnight.

Taxis are cheap and easy to find. The minimum fare is 21 INR for the first 1.5 km and then 1 INR for every 100 meters. Make sure to check the meter yourself before paying because some drivers are known to cheat. Auto-rickshaws are widely available, the base fare should be 18 INR and 1 INR to 2 INR for every 100 meters.

Tourist Visas in Mumbai

Citizens of Nepal and Bhutan are granted visa-free entry. Visa on arrival is available for citizens of Japan and South Korea. India provides e-Visa for 150 countries, the visa is valid for 60 days. If you come for medical treatment, you can apply for the medical attendant e-visa. Citizens of other countries are required to apply and obtain a visa to enter the country.

Additional Information

1. Local Currency: The local currency is the Indian rupee (INR). 1 USD is equivalent to 70 INR.
2. Money & Payments: tourists can find ATMs everywhere. Credit cards are accepted in most hotels and restaurants but it is advisable to always bring cash. Tipping is optional.
3. Local Language: Marathi is the state and city official language. Hindi is widely spoken. English is widely used in most places and many locals speak broken English.
4. Local Culture and Religion: Due to the growth of various communities and migrants, there are many religions in the city. Most people are Hindus, Muslims, Zoroastrians, Christians, Jains, and Buddhist.
5. Public Holidays: Mumbai celebrates almost all major religious holidays. The city hosts several annual festivals such as Ganesh Chaturthi and Holi Festival.