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Surgical Oncology

Surgery is one of the main pillars of cancer treatment.
In recent times, treatment approaches like minimally
invasive surgeries and robotic surgeries have made
surgery to be one of the most effective and powerful
cancer management approaches.

Surgical Oncology

Surgery is one of the main pillars of cancer treatment. In recent times, treatment approaches like minimally invasive surgeries and robotic surgeries have made surgery to be one of the most effective and powerful cancer management approaches.

The surgical oncology team at HCG comprises skilled and experienced surgical oncologists who are capable of managing simple to complex primary and secondary cancers while giving equal importance towards preserving the quality of life among the patients. In a few cases, organ removal is necessary to prevent cancer from spreading and improving the survival chances. In these cases, organ reconstruction becomes necessary. HCG has an excellent team of reconstruction experts who are trained in restoring the structure and functioning of the affected organ and helping the patients regain their confidence and lead normal life.

Surgery’s Role in Cancer Management

Surgery removes the tumour along with a small amount of surrounding healthy tissue known as margin. Surgery is used in various stages of cancer management:

  • A surgery or biopsy is considered while diagnosing various cancer types. A biopsy helps oncologists in determining the type, stage and size along with various other parameters related to particular cancer.
  • Surgery removes the tumour and tumour-affected lymph nodes and organs and prevents cancer from spreading to other regions.
  • Surgery might also help reconstruct the body parts that were operated on to treat cancer.
  • Surgery may also be performed as a part of palliative care to ease the cancer symptoms.

There are a number of factors that surgical oncologists consider, before recommending surgery for a cancer patient. The key factors include the type of cancer, size, stage of the tumour, location and grade along with general parameters such as the patient’s age, underlying medical conditions and the overall physical condition.

Surgery is often combined with other treatment modalities such as radiation therapy, chemotherapy or hormone therapy. This multimodal approach is proven to be more effective in managing cancer and preventing recurrence than single line treatment.

Advanced Surgical Procedures at HCG

Organ Preservation Surgery:

During organ preservation surgery, the specialists remove the tumour only and not the entire organ. Organ preservation surgeries play an important role in the management of breast cancer, tongue cancer, throat cancer, prostate cancer, etc.

The key advantages of organ preservation surgeries:

  • Organ preservation surgery promotes faster treatment recovery
  • Organ preservation surgeries cause less damage to the surrounding healthy tissues
  • These surgeries help in preserving the quality of life and sense of confidence among the patients.

Reconstruction Surgery:

For a few cancers, the cancer-affected organ has to be removed along with the surrounding tissues and sometimes lymph nodes, too. These organ-removal surgeries may change the appearance or reduce the functioning of the cancer-affected organ, which could be the head and neck region, breast, bladder, colon, etc. Therefore, post-cancer surgery, reconstruction surgery is needed in order to restore the appearance or functioning of the organ that was once cancer-affected. 

Reconstruction surgery involves the transferring of tissues or bone from a different part of the body to the part where the cancer surgery is performed. These tissues could come from the abdomen, upper back, buttocks or inner thighs.

Reconstruction surgery has the following advantages:

  • Reconstruction surgeries help in restoring the functions of the organ that was affected by cancer.
  • Reconstruction surgeries restore the appearance of the surgically removed organ to a larger extent and positively impacts the aesthetics.
  • These surgeries could help patients regain their confidence and sense of self. Reconstruction surgeries can have an overall positive impact on the psychosocial wellbeing of cancer patients.

Latest technologies like 3D prints are helping surgical oncologists today to convert scanned 2D MRI/ PET/ CT images into a detailed, visible 3D model. This can help oncologists with more efficient treatment planning. The 3D modelling also helps in reconstruction surgeries by giving a better picture of the damage caused by cancer. 

Minimally-Invasive Surgery

Minimally-invasive surgeries, unlike open surgeries, require very few, smaller incisions, to operate and remove the tumours. These surgeries cause less damage to the surrounding healthy tissues. Other advantages of minimally invasive surgeries include lesser pain and blood loss, faster recovery, shorter hospital stay and overall fewer complications. 

Endoscopic Surgery or keyhole surgery uses an endoscope to study the internal organs and look for any abnormalities through very small incisions. During endoscopic surgery, a thin and flexible tube with a camera and light along with a surgical instrument is inserted through small incisions or natural orifices like nostrils and mouth. Thoracoscopy, laparoscopy, gastroscopy and colonoscopy are some of the common endoscopic procedures.

Laser Surgery uses high-intensity light beams to damage cancer cells. Laser surgeries can be used to shrink or destroy cancerous and precancerous growths. This form of surgery is most commonly used to manage superficial cancers like early-stage cancers of the cervix, vagina, lungs and skin. Laser surgeries are also used to alleviate the cancer symptoms, control the spreading and delay the disease progression.

Robotic Surgery is a mode of surgical approach that redefines precision and flexibility and thereby makes the surgical management of cancers more effective. Robotic surgeries give more control to the oncologists – this helps them precisely operate the tumour without causing much damage to the surrounding healthy tissues. Just like other minimally invasive procedures, robotic surgery uses tiny incisions to reach the tumour and operate it.

During robotic surgery, the robotic arms perform the surgery, and these arms are controlled by the surgeon who sits at the console. The high-definition 3D imaging available helps the surgeon understand the tumour location and perform the surgery more precisely. 

The key advantages of robotic surgery include lesser pain, reduced infection risks, shorter hospital stay, reduced scarring and faster recovery.

At HCG, we house the groundbreaking da Vinci robotic surgery system that allows the surgeon to perform surgery more freely and precisely than ever. This robotic surgery system allows surgical oncologists to perform complex surgeries comfortably and improve the chances of positive clinical outcomes. The system’s intuitive EndoWrist technology enhances the efficiency of the procedure by offering a wider range of arm motions.

We, at HCG, begin the treatment planning with a thorough assessment of the patient’s overall condition. Then comes the prognosis of various treatment approaches and possible side effects along with methods to proactively manage them. A team of onco dieticians, rehabilitation experts and other clinicians work alongside the surgical oncologist to help the patients heal holistically and have a better quality of life after the surgery.

Frequently Asked Questions

1. Should I get a second opinion on cancer surgery?

A second opinion always helps. However, it is important to go for one as soon as you are diagnosed with cancer and recommended to undergo surgery. Delays may lead to disease progression and reduce the chances of a positive clinical outcome.

2. Can lumpectomy /organ preservation surgery cause a relapse?

Organ preservation surgeries are proven to be extremely safe and effective. The 10-year survival rate is found to be more than 80%. For improved results, these surgeries are often coupled with radiation therapy or chemotherapy. Therefore, the chances of a patient having a recurrence or relapse are negligible.

Before recommending lumpectomy, the doctors make sure to study the prognostic factors and the possible risk of a recurrence. Only after they are sure that lumpectomy is the suitable treatment for a particular patient, will they recommend it as a part of the treatment plan.

3. Is it compulsory to receive chemo or radiation therapy along with my surgery?

It is important to follow what your doctor has recommended. In most cases, the treatment approaches are multimodal for better results after the treatment. So, if your doctor advises you to receive chemotherapy or radiation therapy before or after surgery, you must follow as advised. 

If you have any concerns about receiving chemo or radiation therapy, make sure to discuss it with your doctor.

4. Are there any dietary restrictions for endoscopic procedures?

You will be asked not to eat or drink anything 6-8 hours prior to the procedure. After the procedure, you can start eating anything you want as soon as you feel comfortable.
Usually, the doctor will clearly explain the procedure along with the dos and don’ts right before the surgery. In case there are any concerns, they can be discussed then.

5. Is robotic surgery painful?

Robotic surgeries are relatively less painful than open surgeries.

Patients may experience pain from smaller incisions once the effect of anaesthesia wears off. This pain can be managed through medication. Since these incisions smaller and heal quickly, patients, in most cases, patients don’t experience much pain after the robotic surgery.

Our Surgical Oncology Doctors

Dr. Amarendra S

Dr. Amarendra S

MBBS, MS, MCh (Surgical Oncology), FRCS (Glasgow)

Specialty: Surgical Oncology

Location: Bengaluru - Double Road
Dr. Jyoti Ranjan Swain

Dr. Jyoti Ranjan Swain

MBBS, MS, FICS, FACS, MCh (Surgical Oncology)

Specialty: Surgical Oncology

Location: Cuttack - N H - 16, Telengapentha
Dr. Karan Sehgal

Dr. Karan Sehgal

MBBS, MS (General Surgery)

Specialty: Surgical Oncology

Location: Kolkata - New Town
Dr. Kapil Dev

Dr. Kapil Dev

MBBS, MS (General Surgery), MCh (Onco Surgery)

Specialty: Surgical Oncology

Location: Jaipur - Shipra path- Mansarovar
Dr. Harish Dara

Dr. Harish Dara

MBBS, MS (General Surgery), DNB (Surgical Oncology) and FMAS

Specialty: Surgical Oncology

Location: Bengaluru - Double Road
Dr. Shalini Thakur

Dr. Shalini Thakur

Maxillofacial Surgery, Fellowship in Oral Oncosurgery

Specialty: Surgical Oncology

Location: Bengaluru - K. R. Road
Dr. Mayur V Kaku

Dr. Mayur V Kaku

MBBS, MCh (Neurosurgery)

Specialty: Surgical Oncology

Location: Bengaluru - K. R. Road
Dr. Shailendra S Inamdar

Dr. Shailendra S Inamdar

MBBS, MS (ENT)

Specialty: Surgical Oncology

Location: Parklands, Nairobi
Dr. Mariusz Marek Ostrowski

Dr. Mariusz Marek Ostrowski

Specialisation in General Surgery

Specialty: Surgical Oncology

Location: Parklands, Nairobi
Dr. Anand Subash

Dr. Anand Subash

MS, DNB, FHNS, Fellowship RCS (London), IFHNOS Fellow, Fellowship in Robotic Surgery

Specialty: Surgical Oncology, Robotic Surgery

Location: Bengaluru - K. R. Road
Dr. Akash Umesh Tiwari

Dr. Akash Umesh Tiwari

MDS (Oral and Maxillofacial Surgery)

Specialty: Surgical Oncology

Location: Mumbai - Colaba
Dr. Krunal Khobragade

Dr. Krunal Khobragade

MBBS, MS (General Surgery), MRCS (Royal College of Surgeons, Edinburgh), FIAGES, MCh (Surgical Oncology)

Specialty: Surgical Oncology, Gynaecologic Oncology

Location: Nagpur - Kalamna Ring Road
Dr. Arundhati Marathe Lote

Dr. Arundhati Marathe Lote

MBBS, MS (General Surgery)

Specialty: Surgical Oncology

Location: Nagpur - Kalamna Ring Road
Dr. Yash Mathur

Dr. Yash Mathur

MDS (OMFS), FHNS (Head & Neck Oncosurgery)

Specialty: Surgical Oncology

Location: Mumbai - Borivali -Dahisar Link Road
Dr. Tushar Pawar

Dr. Tushar Pawar

MBBS, MS (General Surgery), MCh (Surgical Oncology)

Specialty: Surgical Oncology, Gynaecologic Oncology

Location: Mumbai - Borivali -Dahisar Link Road
Dr. Gopichand Mamillapalli

Dr. Gopichand Mamillapalli

MBBS, MS, MCh (Surgical Oncology), DNB (Surgery)

Specialty: Surgical Oncology

Location: Vijayawada - Machawara Down, Gunadala
Dr. Saleem Shaik

Dr. Saleem Shaik

MBBS, MS (General Surgery), DNB (Surgical Oncology)

Specialty: Surgical Oncology

Location: Vijayawada - Machawara Down, Gunadala
Dr. Prakash Bhagat

Dr. Prakash Bhagat

MBBS, DNB (General Surgery), MCh (Surgical Oncology)

Specialty: Surgical Oncology

Location: Ranchi - N H - 33, Irba
Dr. Prashant Pawar

Dr. Prashant Pawar

MBBS, DORL, FCPS ENT, MS (ENT)

Specialty: Surgical Oncology

Location: Mumbai - Colaba
Dr. Ankit Mahuvakar

Dr. Ankit Mahuvakar

MBBS, MS (ENT), DNB (ENT), MCh (Head & Neck Oncosurgery)

Specialty: Surgical Oncology

Location: Mumbai - Borivali -Dahisar Link Road
Mumbai - Colaba
Dr. Y Ramakrishna Reddy

Dr. Y Ramakrishna Reddy

MBBS, MS (General Surgery), MCh (Surgical Oncology)

Specialty: Surgical Oncology

Location: Ongole - Muktinutala
Dr. Ramana Reddy Naru

Dr. Ramana Reddy Naru

MBBS, MS (General Surgery), MCh (Surgical Oncology)

Specialty: Surgical Oncology

Location: Ongole - Muktinutala
Dr. Sandesh K R

Dr. Sandesh K R

MBBS, MS (General Surgery)

Specialty: Surgical Oncology

Location: Shimoga - B H Road
Dr. Roshan B A Rao

Dr. Roshan B A Rao

MBBS, DNB (General Surgery), DNB (Surgical Oncology)

Specialty: Surgical Oncology

Location: Shimoga - B H Road
Dr. Santosh B Chikaraddi

Dr. Santosh B Chikaraddi

MBBS, MS (General Surgery), MRCS, MCh (Surgical Oncology), FMAS

Specialty: Surgical Oncology

Location: Hubli - Deshpande Nagar
Dr. Rudresh Tabali

Dr. Rudresh Tabali

MBBS, MS (General Surgery), MCh (Surgical Oncology)

Specialty: Surgical Oncology

Location: Hubli - Deshpande Nagar
Dr. Parag Ingle

Dr. Parag Ingle

MBBS, MD (General Surgery), MCh (Surgical Oncology)

Specialty: Surgical Oncology

Location: Nagpur - Kalamna Ring Road
Dr. Ajay Mehta

Dr. Ajay Mehta

MBBS, MS, FACS

Specialty: Surgical Oncology

Location: Nagpur - Kalamna Ring Road
Dr. Pavan Karella

Dr. Pavan Karella

MBBS, DNB (General Surgery), MCh

Specialty: Surgical Oncology, Gynaecologic Oncology

Location: Vishakapatnam - Chinagadili, Arilova
Dr. Abhishek Pareek

Dr. Abhishek Pareek

MBBS, MS (General Surgery), DNB (General Surgery), MCh (Surgical Oncology)

Specialty: Surgical Oncology

Location: Jaipur - Shipra path- Mansarovar
Dr. Sachender Pal Singh

Dr. Sachender Pal Singh

MBBS, MS (ENT)

Specialty: Surgical Oncology

Location: Ranchi - N H - 33, Irba
Dr. Amitesh Anand

Dr. Amitesh Anand

MBBS, MS (General Surgery), MCh (Surgical Oncology)

Specialty: Surgical Oncology

Location: Ranchi - N H - 33, Irba
Dr. Ankit Shah

Dr. Ankit Shah

MBBS, MS (General Surgery), DNB (Surgical Oncology)

Specialty: Surgical Oncology

Location: Vadodara - Sun Pharma Road
Dr. Shishir Shah

Dr. Shishir Shah

MBBS, MD (General Surgery), MCh (Surgical Oncology)

Specialty: Surgical Oncology

Location: Vadodara - Sun Pharma Road
Dr. Sachin Wani

Dr. Sachin Wani

MBBS, DNB (General Surgery), IFHNOS Fellowship (Head & Neck Oncology)

Specialty: Surgical Oncology

Location: Vadodara - Sun Pharma Road
Dr. Rajiv Bhatt

Dr. Rajiv Bhatt

MBBS, MS, Fellowship From TMS

Specialty: Surgical Oncology

Location: Vadodara - Sun Pharma Road
Dr. Sharankumar Shetty

Dr. Sharankumar Shetty

MBBS, MS (ENT), MCh (Head and Neck Surgical Oncology), FSOG (NIMMS)

Specialty: Surgical Oncology

Location: Hubli - Deshpande Nagar
Kalaburagi - Station Road
Dr. Sharanbasappa Hatti

Dr. Sharanbasappa Hatti

MBBS, DNB (Surgery)

Specialty: Surgical Oncology

Location: Kalaburagi - Station Road
Dr. Ahmer Arif Shaikh

Dr. Ahmer Arif Shaikh

MDS (Oral & Maxillofacial Surgery)

Specialty: Surgical Oncology

Location: Nasik - Manavata Cancer Centre
Dr. Lalit Banswal

Dr. Lalit Banswal

MBBS, MS, FMAS, DMAS (Colorectal Surgery)

Specialty: Surgical Oncology

Location: Nasik - Manavata Cancer Centre
Dr. Aditya Adhav

Dr. Aditya Adhav

MBBS, MS, FBS (Fellow Breast Surgeon)

Specialty: Surgical Oncology

Location: Nasik - Manavata Cancer Centre
Dr. Sirshendhu Roy

Dr. Sirshendhu Roy

MBBS, MS

Specialty: Surgical Oncology

Location: Nasik - Manavata Cancer Centre
Dr. Gaurav Medikeri

Dr. Gaurav Medikeri

MBBS, MS (ENT)

Specialty: Surgical Oncology

Location: Bengaluru - K. R. Road
Dr. Krithika Murugan

Dr. Krithika Murugan

MBBS, MRCS, CCBST

Specialty: Surgical Oncology

Location: Bengaluru - K. R. Road
Dr. Kali Prasad Mishra

Dr. Kali Prasad Mishra

MBBS, MS (General Surgery), MCh (Urology)

Specialty: Surgical Oncology

Location: Cuttack - N H - 16, Telengapentha
Dr. Prabhu Nesargikar

Dr. Prabhu Nesargikar

MBBS, MRCS (RCSEng), MA (Medical Education), MD (Research), MFSTEd (RCSEd), FRCS (RCSEd), CCT (UK)

Specialty: Surgical Oncology

Location: Bengaluru - K. R. Road
Dr. Vibhawari Dhakharia

Dr. Vibhawari Dhakharia

MBBS, MD ( Obst & Gynaec ), Fellowship (Gynaecologic Oncology)

Specialty: Surgical Oncology, Gynaecologic Oncology

Location: Bengaluru - K. R. Road
Dr. Nitish Ranjan Acharya

Dr. Nitish Ranjan Acharya

MBBS, MS (General Surgery), MCh (Surgical Oncology)

Specialty: Surgical Oncology

Location: Cuttack - N H - 16, Telengapentha
Dr. Prashant Chandra Das

Dr. Prashant Chandra Das

MBBS, MS, MCh (Surgical Oncology)

Specialty: Surgical Oncology

Location: Cuttack - N H - 16, Telengapentha
Dr. Jagannath Dixit

Dr. Jagannath Dixit

MBBS, MS, MCh (Surgical Oncology)

Specialty: Surgical Oncology, Robotic Surgery

Location: Bengaluru - K. R. Road
Dr. Manjunath NML

Dr. Manjunath NML

MBBS, MCh (Surgical Oncology)

Specialty: Surgical Oncology

Location: Cuttack - N H - 16, Telengapentha
Prof. Dr. Krupasindhu Panda

Prof. Dr. Krupasindhu Panda

MBBS, MS (Surgery)

Specialty: Surgical Oncology

Location: Cuttack - N H - 16, Telengapentha
Dr. Raghunath S K

Dr. Raghunath S K

MBBS, MS (General Surgery), DNB (Urology)

Specialty: Surgical Oncology, Robotic Surgery

Location: Bengaluru - K. R. Road
Dr. Tanay Shah

Dr. Tanay Shah

MBBS, MS (General Surgery), DNB (Surgical Oncology)

Specialty: Surgical Oncology

Location: Ahmedabad - S. G. Highway
Dr. Parin Patel

Dr. Parin Patel

MBBS, MS (Otorhinolaryngology)

Specialty: Surgical Oncology

Location: Ahmedabad - S. G. Highway
Dr. Rajendra Toprani

Dr. Rajendra Toprani

MBBS, MS (Gen Surgery), MCh (Surgical Oncology)

Specialty: Surgical Oncology, Robotic Surgery

Location: Ahmedabad - S. G. Highway
Dr. Purvi Patel

Dr. Purvi Patel

MBBS, MS

Specialty: Surgical Oncology

Location: Ahmedabad - S. G. Highway
Dr. Nitin Sharma

Dr. Nitin Sharma

MBBS, DLO, Fellowship (Head & Neck Surgery)

Specialty: Surgical Oncology

Location: Ahmedabad - S. G. Highway
Dr. Devendra G. Parikh

Dr. Devendra G. Parikh

MBBS, MS (General Surgery), MCh (Surgical Oncology)

Specialty: Surgical Oncology, Robotic Surgery

Location: Ahmedabad - S. G. Highway
Dr. Bharat Prajapati

Dr. Bharat Prajapati

MBBS, MS

Specialty: Surgical Oncology, Robotic Surgery, Gynaecologic Oncology

Location: Ahmedabad - S. G. Highway
Dr. Ashay Shah

Dr. Ashay Shah

MDS (OMFS) - cranio maxillofacial surgery

Specialty: Surgical Oncology

Location: Ahmedabad - S. G. Highway
Dr. Aditya Joshipura

Dr. Aditya Joshipura

MBBS, MS (General Surgery), MCh (Surgical Oncology)

Specialty: Surgical Oncology

Location: Ahmedabad - S. G. Highway
Dr. Dushyant Mandlik

Dr. Dushyant Mandlik

MS, FUICC (Geneva), FGOLF (MSKCC USA)

Specialty: Surgical Oncology, Robotic Surgery

Location: Ahmedabad - S. G. Highway
Dr. Daxesh Patel

Dr. Daxesh Patel

MBBS, MS (ENT), MCh (Head & Neck Surgery and Reconstruction)

Specialty: Surgical Oncology, Robotic Surgery

Location: Ahmedabad - S. G. Highway
Dr. K S Gopinath

Dr. K S Gopinath

MBBS, MS, Honorary FRCS, Honorary FAMS

Specialty: Surgical Oncology

Location: Bengaluru - Double Road
Dr. Aravind S Kapali

Dr. Aravind S Kapali

MBBS, MS (General Surgery), DNB (General Surgery), MCh (Surgical Oncology)

Specialty: Surgical Oncology

Location: Bengaluru - MSR Nagar
Dr. Harish K

Dr. Harish K

MBBS, MS (Surgery), DNB (Surgical Oncology), MCh (Surgical Oncology)

Specialty: Surgical Oncology

Location: Bengaluru - MSR Nagar
Dr. S K Bala

Dr. S K Bala

MBBS, MS (General Surgery), DNB (Surgical Oncology), DNB (General Surgery)

Specialty: Surgical Oncology

Location: Kolkata - New Town
Prof. Dr. Raj Nagarkar

Prof. Dr. Raj Nagarkar

MBBS, MS, MRCS (Edin), DNB (General Surgery), BSS

Specialty: Surgical Oncology

Location: Nasik - Manavata Cancer Centre
Dr. Supriya Bambarkar

Dr. Supriya Bambarkar

MBBS, MCh (Surgical Oncology), DNB (General Surgery)

Specialty: Surgical Oncology

Location: Mumbai - Colaba
Dr. Mahesh Bandemegal

Dr. Mahesh Bandemegal

MBBS, MS (General Surgery), MCh (Surgical Oncology)

Specialty: Surgical Oncology

Location: Bengaluru - K. R. Road
Dr. Vishal Rao

Dr. Vishal Rao

MBBS, MS

Specialty: Surgical Oncology, Robotic Surgery

Location: Bengaluru - K. R. Road
Dr. Kaustubh Patel

Dr. Kaustubh Patel

MBBS, MS (General Surgery), MCh (Surgical Oncology)

Specialty: Surgical Oncology, Robotic Surgery

Location: Ahmedabad - S. G. Highway
Dr. Jagdish Kothari

Dr. Jagdish Kothari

MBBS, MS (General Surgery), MCh (Surgical Oncology)

Specialty: Surgical Oncology, Robotic Surgery

Location: Ahmedabad - S. G. Highway
Dr. D G Vijay

Dr. D G Vijay

MBBS, MS, MCh (Surgical Oncology)

Specialty: Surgical Oncology

Location: Ahmedabad - S. G. Highway
Dr. Rajeev Sharan

Dr. Rajeev Sharan

MBBS, MS (Surgery), MCh (Head and Neck Surgical Oncology)

Specialty: Surgical Oncology

Location: Kolkata - New Town
Dr. Sarat Chandra Pingali

Dr. Sarat Chandra Pingali

MBBS, MS (General Surgery), MCh (Surgical Oncology), FMAS, DMAS (Colorectal Surgery)

Specialty: Surgical Oncology

Location: Vijayawada - Machawara Down, Gunadala
Dr. Ninad Katdare

Dr. Ninad Katdare

MBBS, MS, DNB (Gen Surgery), MSc (Advanced Oncology), Diplome Universitaire - Surgical Endoscopy

Specialty: Surgical Oncology

Location: Mumbai - Borivali -Dahisar Link Road
Mumbai - Colaba