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Overview

The Oncology department at Apollo Hospitals, Gurugram diagnoses and treats cancers and blood disorders in adults and children. It brings together medical oncology, surgical oncology, radiation oncology, haemato-oncology and bone marrow transplant, gynaecologic oncology and paediatric cancer care, along with the diagnostic and supportive services that cancer treatment depends on.

Pathology, molecular testing, imaging, chemotherapy day-care, operating theatres, radiation therapy and intensive care sit within the same hospital. That concentration is what patients look for in the best oncology hospital in Gurugram, because cancer treatment is rarely a single intervention — most patients need some combination of surgery, drug therapy and radiation, sequenced in a specific order, and moving between facilities to receive them costs time that matters.

Treatment decisions are made in a tumour board, a meeting where surgeons, medical and radiation oncologists, radiologists and pathologists review each case together and agree a plan before treatment begins. The same team manages side effects, nutrition, pain and emotional support during treatment, and follow-up afterwards. Every treatment plan is individual, depending on the type and stage of cancer, the results of tissue and molecular testing, and the patient's overall health and wishes. No outcome can be promised in advance.

Our Oncology Team

Cancer care at Apollo Hospitals, Gurugram is delivered by medical, surgical and radiation oncologists alongside haemato-oncologists, gynaecologic oncologists and paediatric cancer specialists, supported by onco-pathologists, radiologists, nuclear medicine physicians, oncology nursing staff, dietitians, physiotherapists and psycho-oncology counsellors. Cases are presented at a multidisciplinary tumour board so that surgery, drug therapy and radiation are planned as one sequence rather than decided separately. Our specialists include:
 

Sub-specialities
 

Medical Oncology
 

Treatment of cancer with medicines — chemotherapy, targeted therapy, immunotherapy and hormonal treatment — given before or after surgery, or as the main treatment where surgery is not appropriate.
 

Surgical Oncology
 

Cancer surgery, including organ-preserving and minimally invasive techniques, removal of lymph nodes, and reconstruction where tissue has to be removed.
 

Radiation Oncology
 

Treatment using precisely targeted radiation, delivered from outside the body or from a source placed close to the tumour, used to cure, to reduce the chance of recurrence after surgery, or to relieve symptoms.
 

Haemato-Oncology and Bone Marrow Transplant
 

Diagnosis and treatment of blood cancers — leukaemia, lymphoma and myeloma — including stem cell and bone marrow transplantation. 

Clinical Haematology
 

Care for non-cancerous blood disorders including thalassaemia, aplastic anaemia, low platelet counts, clotting disorders and complex anaemia.
 

Paediatric Haemato-Oncology
 

Treatment of cancers and blood disorders in children and adolescents, with protocols, doses and supportive care designed specifically for young patients. 

Gynaecologic Oncology
 

Diagnosis, staging and treatment of cancers of the cervix, uterus, ovary and vulva, planned jointly with medical and radiation oncology.
 

Conditions We Treat
 

Breast Cancer

Breast cancer. The most commonly diagnosed cancer among women in India. It may present as a painless lump, a change in breast shape, dimpling or puckering of the skin, nipple retraction or bloodstained discharge, or a lump in the armpit. Many breast cancers are detected at an early stage, when treatment options are widest and breast-conserving surgery is often possible. Men can also develop breast cancer, though far less commonly. 
 

Head, Neck and Oral Cancers
 

Oral cavity and tongue cancer. Strongly associated with tobacco chewing, smoking and areca nut use, and a major cancer burden in India. Warning signs include an ulcer that has not healed in three weeks, a persistent white or red patch, a lump, difficulty opening the mouth, unexplained bleeding or numbness, or dentures that no longer fit.

Throat, voice box and salivary gland cancers. Presenting as a persistent hoarse voice, difficulty or pain on swallowing, a lump in the neck, or a persistent sore throat. Hoarseness lasting more than three weeks warrants examination.

Thyroid cancer. Usually a painless lump in the front of the neck. Most types respond well to treatment, which typically involves surgery and sometimes radioactive iodine afterwards.

Lung and Chest Cancers
 

Lung cancer. Linked chiefly to smoking, though it also occurs in people who have never smoked. Symptoms include a cough that persists or changes, coughing up blood, chest pain, breathlessness, recurrent chest infections and unexplained weight loss. Molecular testing of the tumour is now central, as it identifies patients who can be treated with targeted tablets rather than conventional chemotherapy.

Mesothelioma and chest wall tumours. Less common cancers of the lining of the lung and chest structures, requiring specialised assessment.

Digestive System Cancers
 

Colorectal cancer. Cancer of the colon or rectum, presenting with a persistent change in bowel habit, blood in the stool, abdominal discomfort, unexplained weight loss or iron deficiency anaemia. It usually develops from polyps over years, which is why removing polyps at colonoscopy prevents cancer from forming.

Stomach and oesophageal cancer. Difficulty swallowing that progresses from solids to liquids, persistent indigestion not responding to treatment, vomiting, early fullness and weight loss are the typical features. Progressive difficulty swallowing should always be investigated promptly.

Liver, pancreatic and gallbladder cancers. These may present with painless jaundice, upper abdominal pain, weight loss or new-onset diabetes in an older adult. Gallbladder cancer is notably more common in northern India than in most parts of the world, often found when a gallbladder is removed for stones. [VERIFY regional epidemiology phrasing]

Gynaecologic Cancers
 

Cervical cancer. Caused almost entirely by persistent infection with high-risk HPV, and one of the most preventable cancers through vaccination and screening. Early disease has no symptoms; bleeding after intercourse, between periods or after menopause needs assessment.

Uterine (endometrial) cancer. Most often presents as bleeding after menopause. Any bleeding after periods have stopped for a year requires evaluation, even though most causes turn out to be benign.

Ovarian cancer. Symptoms are frequently vague — persistent bloating, feeling full quickly, pelvic discomfort, urinary frequency — which is why they are often attributed to digestive problems. Symptoms that are new, persistent and occurring most days warrant assessment.

Urological Cancers
 

Prostate cancer. Common in older men and frequently slow-growing. It may cause urinary difficulty, though many cases are detected through testing before symptoms appear. Not every prostate cancer requires immediate treatment; some are monitored under active surveillance.

Bladder and kidney cancer. Blood in the urine, whether visible or detected on testing, is the most important symptom and should always be investigated, even if it occurs only once and is painless.

Testicular cancer. A painless lump or swelling in a testicle, most common in younger men. It responds very well to treatment, particularly when found early, which is why any testicular lump should be examined promptly.

Diagnostics & Investigations

  • Biopsy
  • Molecular and genomic testing
  • Bone marrow aspiration and biopsy
  • PET-CT scan
  • CT, MRI and ultrasound
  • Mammography and breast ultrasound
  • Tumour markers
Biopsy

Removal of a small sample of tissue for laboratory examination, and the only way to confirm a cancer diagnosis definitively. It may be taken with a needle under local anaesthesia, during an endoscopy, guided by ultrasound or CT, or at surgery. A needle biopsy typically takes 15 to 30 minutes and causes pressure and brief discomfort rather than significant pain.

Molecular and genomic testing

Tests examining specific genetic changes within the tumour, which identify patients who may benefit from targeted drugs or immunotherapy. They are performed on the same tissue sample or, in some cases, on a blood sample. [VERIFY molecular testing available in-house or through partner laboratories]
 

Bone marrow aspiration and biopsy

A needle sample of marrow taken from the back of the hip bone under local anaesthesia, used to diagnose and monitor blood cancers. It takes around 20 to 30 minutes, causes a brief sharp sensation and aching afterwards, and you can usually go home the same day.
 

PET-CT scan

A whole-body scan combining functional and anatomical imaging, in which a small amount of radioactive tracer highlights areas of active disease. It requires fasting and a resting period before scanning, takes a few hours in total, and is used for staging, checking response to treatment and detecting recurrence. [VERIFY]
 

CT, MRI and ultrasound

Cross-sectional imaging used to determine the size of a tumour, its relationship to surrounding structures and whether it has spread. MRI is preferred for brain, spine, pelvic and soft tissue assessment; CT is faster and used widely for staging.
 

Mammography and breast ultrasound

Low-dose X-ray imaging of the breast, with ultrasound used alongside it particularly in younger women whose breast tissue is denser. Mammography involves brief compression of the breast, which is uncomfortable for a few seconds.
 

Tumour markers

Blood tests measuring substances produced by certain cancers. They are useful for monitoring treatment and detecting recurrence in specific cancers, but they are not reliable screening tests on their own and can be raised for non-cancerous reasons.
 

Procedures & Treatments

Most patients receive more than one form of treatment. The order matters — drug therapy or radiation is sometimes given before surgery to shrink a tumour, and sometimes afterwards to reduce the risk of return. The sequence is set by the tumour board after staging is complete.
 

  • Chemotherapy
  • Targeted therapy
  • Immunotherapy
  • Stereotactic radiosurgery and stereotactic body radiotherapy
  • Brachytherapy
Chemotherapy

Medicines that destroy rapidly dividing cells, given intravenously or as tablets in cycles over several months, usually in a day-care unit with the patient going home the same day. It may be given before surgery to shrink a tumour, after surgery to reduce recurrence risk, or as the primary treatment in advanced disease.
 

Targeted therapy

Drugs directed at specific molecular features of a tumour, such as particular receptors or gene changes. They are used only where testing shows the relevant target is present, and they generally have a different and often milder side effect profile than chemotherapy.
 

Immunotherapy

Treatment that enables the immune system to recognise and attack cancer cells. It is effective in certain cancers and not in others, and eligibility is determined by tumour testing. Side effects differ from chemotherapy and require specific monitoring.
 

Stereotactic radiosurgery and stereotactic body radiotherapy

Highly focused radiation delivered in one or a few sessions to small, well-defined tumours in the brain, lung, liver or spine.
 

Brachytherapy

Radiation delivered from a source placed inside or next to the tumour, used particularly in cervical and some other cancers, allowing a high dose to the tumour with less exposure to surrounding tissue. [VERIFY]
 

Frequently Asked Questions
 

1 What are the warning signs that should be checked for cancer?
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A lump anywhere in the body, a sore or ulcer that has not healed in three weeks, unexplained weight loss, persistent change in bowel or bladder habit, blood in stool or urine, unusual bleeding including after menopause, a cough or hoarse voice lasting more than three weeks, difficulty swallowing that is worsening, or a mole that changes. Most of these turn out to have non-cancerous causes, but all of them warrant examination rather than waiting.
 

2 Does a biopsy cause cancer to spread?
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No. This is a widespread and harmful belief. A biopsy does not spread cancer, and modern techniques are specifically designed to avoid seeding tissue. Refusing or delaying a biopsy postpones diagnosis and allows the disease to advance, which is the real risk.
 

3 How long does it take to get a diagnosis?
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The biopsy report usually takes several days, and additional immunohistochemistry or molecular testing can add one to two weeks. Staging scans are done in parallel. The wait is frustrating but necessary — treatment chosen without the full pathology and stage may be the wrong treatment.
 

4 Is chemotherapy always as difficult as people describe?
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Chemotherapy varies enormously between regimens. Side effects depend on the specific drugs, the doses and the individual. Nausea is far better controlled than it once was with modern anti-sickness medication, and not all chemotherapy causes hair loss. Most patients receive treatment in a day-care unit and go home the same day. Your team will explain the specific side effects of your regimen and how each is managed.
 

5 Will I lose my hair?
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Some chemotherapy drugs cause hair loss and others do not. Where it occurs, it is almost always temporary, and hair begins regrowing after treatment finishes, sometimes with a change in texture. Targeted therapies and hormonal treatments generally do not cause hair loss.
 

6 Does radiotherapy hurt, and will I become radioactive?
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External radiotherapy is painless — you lie still for a few minutes and feel nothing during the session. You do not become radioactive and are completely safe around family, including children and pregnant women. Certain internal treatments, such as radioactive iodine or some brachytherapy, do require short-term precautions, and these are explained in detail if they apply to you.
 

7 Can I work during cancer treatment?
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Many people do, particularly during targeted or hormonal therapy and between chemotherapy cycles, though energy levels fluctuate and some adjustment is usually needed. It depends on your treatment, your job and how you tolerate the regimen. Discuss it with your oncologist, who can advise on timing and on precautions where your immunity is low.
 

8 Should I try alternative or herbal treatments alongside my treatment?
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Tell your oncologist about anything you are taking. Some herbal and traditional preparations interact with chemotherapy and targeted drugs, reducing their effect or increasing toxicity. The greater harm, though, comes from delaying or abandoning proven treatment in favour of unproven remedies, which allows a treatable cancer to progress beyond the point where it can be treated effectively.
 

9 Should I get a second opinion?
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Yes, if you want one. Seeking a second opinion on a diagnosis or a treatment plan is a normal and reasonable step, and reputable oncologists expect and support it. Bring your pathology slides or blocks, imaging and reports, as a meaningful second opinion requires reviewing the original material rather than just the summary.
 

10 When should palliative care be involved?
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Palliative care is symptom-focused care that can run alongside active cancer treatment from the point of diagnosis. It is not restricted to the end of life, and early involvement is associated with better pain control, fewer symptoms and improved quality of life. Asking about it does not mean giving up on treatment.
 

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