CRS, HIPEC & Adjuvant chemotherapy
Advanced treatment procedures for cancers in the abdominal cavity
SRJ – CBCC Cancer Hospital, Indore, in recent times, conducted a successful CRS, HIPEC & Adjuvant chemotherapy session for a fifty-eight year old post menopausal lady. The patient denounced abdominal distension and bloating with frequent urination.
For complete diagnosis, an ultrasonogram was conducted which showed adnexal masses, a growth that occurs in or near the uterus, ovaries, fallopian tubes and the connecting tissues with ascites, the abnormal build-up of fluid in the abdomen.
Hyperthermic Intraperitoneal Chemotherapy (HIPEC) & Cytoreductive surgery (CRS) is a complex operation procedure in which doctors remove all visible tumors within the abdomen. Immediately following surgery, doctors deliver a heated chemotherapy solution (HIPEC) directly into the abdomen to kill any remaining microscopic tumor cells. Adjuvant chemotherapy is one of the types of chemotherapy that one gets after the primary treatment, such as surgery or radiation.
The case was performed by Dr. Ashvin Rangole, a Senior Consultant Surgical Oncologist with 15 years of Oncology practice. A member of Indian American Cancer Association, he received ‘Excellence in Oncology’ award in 2017. He has performed the 2nd HITHOC (Hyperthermic Intrathoracic Chemotherapy) procedure in India for Pleural Cancer, he was also an invited speaker on the topic of HIPEC at World Cancer Congress – 2017, which happened in Barcelona, Spain. Over the period he has now developed expertise in management of peritoneal malignancies.
A CT Scan of abdomen and pelvis was advised by the specialised doctor, that uncovered the pelvic adnexal masses with moderate ascites. An ultrasound-guided tru-cut biopsy was then recommended which confirmed the presence of serous adenocarcinoma ovary. Ultrasound-guided tru-cut biopsy is an efficient and minimally invasive, accurate and safe diagnostic method for the management of advanced, recurrent or atypical abdominal and pelvic tumors.
The patient was counselled regarding disease prognosis and the treatment for the same which included neoadjuvant chemotherapy followed by cytoreductive surgery, HIPEC and Adjuvant chemotherapy. Neoadjuvant chemo is a coverage treatment given as a first step to shrink a tumor before the main treatment, which is usually surgery. It is also performed during primary chemotherapy (interval cytoreduction) and after disease recurrence (secondary cytoreduction) with HIPEC. She then underwent neoadjuvant chemotherapy followed by cytoreductive surgery with HIPEC and subsequent adjuvant chemotherapy.
The patient tolerated the treatment well and was discharged within a few days. She has been living a disease-free and good quality life for more than 6 years now.
The Team Cares
At SRJ – CBCC Indore, our well trained and experienced doctors, like Dr. Ashwin Rangole’s first priority is the precise diagnosis of the ailment and conduct treatment required for the same. We at CBCC are dedicated to providing comprehensive diagnostic, interventional, surgical, and preventive services for all patients regardless of age, complexity, or severity of their condition.
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