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A Guide on Receiving Treatment for Advanced-Stage Cancers at HCG

11 Feb, 2026

Dr. S. Bhattacharjee, Senior Consultant - Radiation Oncology

This article is medically reviewed by Dr. S. Bhattacharjee, Senior Consultant - Radiation Oncology, HCG Cancer Hospital, Bangalore.

Table of Contents

Understanding Advanced-Stage Cancers

Cancer begins when the body's cells begin to grow uncontrollably. Advanced-stage cancer usually means that the cancer has spread from where it started to other places in the body. Advanced cancers may refer to locally advanced cancers or metastatic cancers.

Early-stage cancers are confined to specific areas and are more amenable to surgical intervention or localized therapy for potential cure. In contrast, advanced-stage cancers demand a multifaceted approach involving systemic therapies to regulate the illness, alleviate symptoms, and enhance quality of life.

What Does "Advanced Stage" Mean?

In advanced-stage or metastatic cancer, cancer cells have spread from the main organ to other parts of the body, such as the brain, lungs, liver, or bones. It spreads through the lymphatic or blood system.

The Role of Cancer Staging in Planning Treatment

Staging cancer helps doctors figure out how to make a treatment plan that works for each patient. Staging is based on:

  • Size of the tumor (T)
  • Involvement of lymph nodes (N)
  • Metastasis or spread (M)

Each of these criteria plays a role in the TNM classification, which helps oncologists figure out the right treatment approach for each case.

At HCG, oncologists employ precise tests for accurate staging. This makes sure that every patient receives a treatment plan that is based on evidence and fits their needs.

Diagnostic Methods

A conclusive diagnosis and accurate staging are critical for personalized treatment planning. The following are the different tests recommended for a confirmed diagnosis of cancer.

Imaging

Imaging investigations are essential for determining cancer dissemination and assessing therapy efficacy. Some common types of imaging are:

  • CT (computed tomography) scans to detect malignancies in soft tissues and organs
  • MRI (magnetic resonance imaging) for malignancies in the brain, spine, and pelvis
  • PET-CT scans for detailed assessments of metabolic activities and anatomical structures in the target area
  • Bone scans to find metastases in the bones

Biopsies and Pathological Assessment

Biopsies are recommended to confirm the diagnosis and determine the type and stage of cancer. Immunohistochemistry (IHC) and molecular profiling are two advanced pathology methods that help oncologists learn more about how the tumor behaves biologically.

Genetic and Molecular Profiling

Molecular diagnostics and next-generation sequencing (NGS) are employed at HCG to find genetic changes that cause cancer to grow. This knowledge helps oncologists choose targeted medicines that work specifically on particular mutations.

Investigations for Staging

Staging investigations combine information from clinical, radiological, and pathological sources. The technique helps figure out if the cancer is in one place, has spread to nearby areas, or has spread to other parts of the body. The stage of the cancer helps oncologists choose the best and least invasive treatment options.

Multidisciplinary Tumor Board Review

At HCG, our doctors consider Multidisciplinary Tumor Board (MDT) reviews to treat advanced-stage tumors. This board comprises oncologists, surgeons, radiologists, pathologists, and other professionals.

A thorough review of each patient's case is done. The MDT makes sure that:

  • The case is analyzed from different angles, and all individual factors are taken into consideration.
  • Doctors from different disciplines share their inputs on the treatment approach.
  • Insights from recent clinical studies pertaining to similar cases, NCCN treatment protocols, and clinical trial possibilities are discussed.
  • The newly available insights are used to create a customized treatment plan, which is then shared with the patient.

This collaborative approach reduces bias in treatment, improves accuracy, and ensures that patients receive the best care possible.

What are Treatment Options for Advanced-Stage Cancers?

HCG uses an integrative paradigm that combines medicinal, surgical, and supportive therapy to treat advanced-stage cancer. The goal is to make the patient live longer, slow the disease's progress, and improve their quality of life.

Surgery

Surgery is often the first line of treatment for early-stage cancers. In advanced-stage cancer cases, surgery is recommended to:

  • Remove as much cancer tissue as possible
  • Help with symptoms caused by bleeding or blockage
  • Combined with other treatments to improve the overall effectiveness of the treatment

HCG offers robotic and minimally invasive surgeries, which benefit patients with enhanced accuracy, faster recovery, and fewer problems after surgery.

Chemotherapy

Chemotherapy is often recommended as the mainline treatment for advanced-stage cancers. It uses strong anti-cancer drugs to kill cancer cells all over the body.

Oncologists make personalized treatment plans based on the type of tumor, the patient's genetic makeup, and their overall health. Patients are closely monitored for side effects like fatigue, nausea, and neuropathy using supportive care measures.

Chemotherapy alone may not cure most stage 4 malignancies, but it can prolong survival and ease symptoms.

Radiation Therapy

Radiation therapy is an important aspect of treating advanced malignancies. HCG houses highly advanced radiotherapy platforms to deliver radiation treatments through modern techniques:

  • Image-Guided Radiation Therapy (IGRT) for pinpoint accuracy
  • Stereotactic Body Radiation Therapy (SBRT) for tiny, well-defined malignancies
  • Brachytherapy for certain cancers, where tumors are targeted from a much closer distance by placing a radiation source inside the body

These approaches cause less damage to healthy tissues and fewer side effects by precisely targeting the tumor.

Immunotherapy and Targeted Therapy

Targeted treatments, like therapy and immunotherapy, are gradually gaining prominence in modern oncology. By specifically identifying the cancer cells and targeting them only, these treatments effectively control cancer growth. These treatments are often combined with other treatment approaches to improve the overall effectiveness of the treatment.

Advanced Therapies (CAR T-cell therapy and Stem Cell Transplants)

HCG is one of the few cancer institutes in India that offers CAR T-cell therapy, a new treatment that alters the patient’s immune system so that it can identify and launch an attack against cancer cells.

Stem cell transplants are also crucial for treating advanced blood malignancies like leukemia and lymphoma.

HCG implements these innovative therapies with very high safety and quality protocols.

Palliative Care and Supportive Care

Palliative care and supportive care are important aspects of advanced-stage cancer management.

At HCG, our palliative care approaches focus on:

  • Managing pain
  • Providing relief from symptoms like tiredness, shortness of breath, and nausea
  • Helping manage emotions and improve mental health
  • Guiding caregivers on improving the quality of life for patients

The goal is to help patients feel comfortable and have a good quality of life while they are getting treatment.

Research and Clinical Trials

Clinical trials can also be recommended as one of the options for patients with advanced-stage cancers, which provide patients with access to the most advanced treatments. People with advanced-stage malignancies can benefit from:

  • New drug tests
  • Studies on combination therapy
  • New immunotherapy and gene therapy tests

For more information on enrolling in clinical trials, patients should speak to their doctors.

Patient Resources and Guidance

At HCG, patients who are undergoing treatment for advanced-stage cancers receive prompt care and support every step of the way. They are also provided with helpful patient resources and necessary guidance, which will help them navigate their journey with more clarity and confidence:

  • Survivorship programs that help you have a swift treatment experience and recovery
  • Nutritional guidance to help you stay strong while you're getting treatment
  • Programs for physiotherapy and rehabilitation to help you get your energy and mobility back
  • Psycho-oncology and therapy to help you stay strong emotionally
  • Workshops for families that teach them how to deal with the issues of caring for a sick person

With this holistic approach, we uphold HCG's conviction that we treat the patient as a whole, not just the illness.

Why Choose HCG for Advanced-Stage Cancer Treatment?

Complete Cancer Care

HCG's integrated model combines diagnosis, treatment, research, and rehabilitation all in one place, making sure that patients get the best care possible.

Access to Newer Treatment Approaches

Through modern technologies and innovative treatment approaches, HCG strives to deliver the best quality treatments with enhanced precision.

Organ-Specific Care

We have dedicated specialists for specific types of cancer, like breast, lung, gastrointestinal, brain, or gynecologic oncology. An organ-specific care approach ensures that you receive individualized care from professionals who have specialized expertise in managing these cancers.

Comprehensive Palliative Care and Survivorship

The hospital's interdisciplinary teams offer both palliative and survivorship care programs to help with symptoms, stop them from coming back, and support mental health.

Patient-Centric Care

At HCG, every treatment plan is made with the patient's needs, goals, and quality of life in mind. Along with focusing on the patient's safety, we also focus on ensuring that the patient is comfortable throughout their treatment journey.

Conclusion

At HCG, patients with advanced cancers receive personalized care designed to extend life and enhance quality of life through accurate tests, teamwork in planning, and innovative treatments like immunotherapy and CAR T-cell therapy.

To know more about treatment options for advanced-stage cancers or get a second opinion on your current diagnosis, get in touch with HCG's cancer experts.

Frequently Asked Questions

People with stage 4 cancer can live. Many patients with stage 4 cancer do well with systemic medicines such as targeted medications, immunotherapy, and combinational treatments.

Chemotherapy can slow the growth of the disease and reduce symptoms, but it cannot eliminate stage 4 cancer.

The prognosis for advanced-stage cancer depends on the type of cancer, how far it has spread, its molecular profile, and how well it responds to treatment. For more information on how your treatment is going to manage your condition, please speak to your doctor.

Some new treatments are CAR T-cell therapy, checkpoint inhibitors, targeted therapy, and precision medicine that uses genetic profiling.

Unexplained weight loss, constant pain, weariness, loss of appetite, and symptoms that are specific to the organ where the cancer has progressed are some of the common signs caused by cancer that is spreading throughout the body.

Tiredness, nausea and vomiting, hair loss, and changes in appetite are some of the common side effects caused by advanced-stage cancer treatments. Most side effects wear off after the treatment ends. However, if they are severe, patients should remain in touch with their care team for necessary interventions.

Targeted medicines stop certain biochemical pathways that help cancer cells grow or spread. This approach reduces harm to healthy cells in the body. They usually have fewer side effects than regular chemotherapy.

Palliative care should start early in the treatment of advanced-stage cancer. Palliative care plays a significant role in managing pain, discomfort, and emotional anguish associated with advanced-stage cancer and its treatments.

Yes. Many of the clinical studies at HCG are for people with advanced or hard-to-treat malignancies, which allows them to try out new treatments.

Many patients with advanced-stage cancers can live for months or years after their diagnosis with continued therapy and supportive care, depending on how well they respond and how healthy they are overall.

If cancer keeps getting worse despite treatment, the focus may change to controlling symptoms and improving quality of life. In such cases, patients and their doctors can decide together.

Family members and caregivers are very important because they provide emotional support, help the patient adhere to the treatment recommended, and assist the patient in carrying out their day-to-day activities.

When normal therapies stop working, patients may contemplate clinical trials, alternative pharmacological options, or palliative care to manage their symptoms and improve their quality of life.

Dr. Basant Mahadevappa, Consultant - Liver Transplant Surgery

About the Reviewer

Dr. S. Bhattacharjee

Senior Consultant - Radiation Oncology MBBS, MD (Radiation Oncology)

Dr. S. Bhattacharjee is a senior radiation oncologist at HCG Cancer Centre, Bengaluru, with expertise in advanced radiotherapy techniques including IMRT, IGRT, CyberKnife, TomoTherapy, brachytherapy, and chemotherapy. With over two decades of experience, he has treated thousands of cancer patients across India and abroad. He discovered the immunomodifier Immuvac, approved by the USFDA. His work is widely published in international journals, and he actively contributes to research, education, and cancer awareness initiatives.

Appointment Link: Book an Appointment with Dr. S. Bhattacharjee.

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