Paediatric Haematology Oncology and BMT In Fortis Gurgaon Delhi India

Best Paediatric Haematology Oncology and BMT In Fortis Hospital Gurgaon Delhi India

PAEDIATRIC HEMATOLOGY

Blood disorders are not uncommon among children; however awareness about them is lacking, leading to a delay in diagnosis and treatment. Blood disorders include inherited or acquired problems with red blood cells, white blood cells, platelets, clotting factors or bone marrow. Also, blood disorders in the Paediatric age group are often different from that in adults hence needing specialised care. Paediatric Hematology is a branch of medicine that deals with the diagnosis and treatment of children with blood disorders.

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The department of Paediatric Haematology at FMRI cares for children with all blood disorders including:

Anaemia- such as Nutritional Anemias, Thalassemia, Sickle cell disease, hereditary spherocytosis, Pure red cell aplasia, Diamond Blackfan anemia, etc
Bleeding disorders
Coagulation disorders
Thrombocytopenia or low platelets
Leucopenia (low white blood cell count) or neutropenia (low neutrophil count)
Aplastic anaemia
Inherited bone marrow failure syndromes
Splenomegaly and disorders of splenic function
Hemophagocytic Lymphohistiocytosis (HLH)
Langerhans cell histiocytosis (LCH)
Primary Immunodeficiency disorders
Inborn errors of metabolism
Blood cancers

The Division of Paediatric Hematology at FMRI, Fortis comprises of a team of well qualified and experienced Paediatric Hematologist’s who have been trained in the field from some of the prestigious institutes in the world. We also have the support of an in-house modern, well equipped laboratory with dedicated haematopathology services and an in-house blood bank providing comprehensive care for these children.

We as a team are trusted by many countries and we have treated children from all across the world with excellent outcomes.

Paediatric Bone Marrow Transplant (BMT)

Transplantation is the process of taking an organ or living tissue and implanting it in another body. Bone marrow transplant is performed to replace unhealthy bone marrow stem cells with healthy ones. This is a relatively newer branch of medicine and the first successful Paediatric BMT was performed in 1968 at the University of Minnesota, USA. In India, the first successful Paediatric allogeneic bone marrow transplantation was done at Tata Memorial Hospital on March 20, 1983, on a nine-year-old girl with acute myeloid leukemia. Since then, many sophisticated Paediatric hematopoietic stem-cell transplant centers (HSCT) have been established across the nation. Over 1000 successful BMT have been done in FMRI, Fortis for the past 10 years. For BMT in Paediatric patients, Fortis Memorial Research Institute, Gurugram has a dedicated team of doctors and nurses who are very well trained and experienced in caring for children.

Bone marrow in our bones contains a subset of cells known as “hematopoietic stem cells” or simple “stem cells” which are responsible for the formation of blood cells. These cells have special characteristics i.e. they can renew themselves, and have the capability to develop into any type of blood cells. Nowadays, hematopoietic stem cells can also be obtained from peripheral blood after treatment with certain growth factors or from the umbilical cord. During Paediatric Bone Marrow Transplantation, the stem cells are injected into a recipient after a short course of chemotherapy called conditioning. Today, this is a viable option for several genetic disorders, blood disorders, and childhood cancers and with continued research, success has remarkably improved.

The process of donating stem cells is just like donating blood or platelets and poses no risk to the donor.

Different Types of Paediatric BMT

There are two types of Paediatric BMT:

Paediatric Allogeneic BMT: Donor and Recipient are two separate individuals and BMT is done using the stem cells of the donor. It may be:

Matched Related, where the donor is HLA matched relative usually a sibling.

Matched Unrelated, where the donor is not a relative of the patient and usually found from one of the various national or international registries.

Partially Matched Related, where the donor is from a patient’s family but partially matched (haploidentical).

Paediatric Autologous BMT:Donor and Recipient are the same individuals. BMT is done using the patient’s stem cells. The procedure involves giving a high dose of chemotherapy to the patient to remove the primary disease. Thereafter, an autologous transplant is conducted to rescue damaged bone marrow. This type of transplant has a minimal complication and is preferred for diseases like neuroblastoma, high-risk medulloblastoma, lymphomas, etc.

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Who requires Paediatric BMT?

The following are some of the indications for BMT in children:

Blood cancers:

Acute Myeloid Leukemia (AML)
Chronic Myeloid Leukemia (CML)
Hodgkin Lymphoma (HL)
Non-Hodgkin Lymphoma (NHL)
Myelodysplastic syndrome (MDS)

Non-Cancerous Conditions:

Thalassemia
Sickle cell anemia
Aplastic anemia
Inherited Bone Marrow Failure Syndromes
Metabolic disorders
Immunodeficiency states

HIGHLIGHTS OF OUR UNIT INCLUDE:

Expertise: FMRI is home to a national and international leader in Paediatric bone marrow transplantation and graft-versus-host disease.
Research: Our team of experts leads to groundbreaking research in many aspects of Paediatric BMT and other related fields.
Early Intervention: As Paediatric BMT experts, we specialize in identifying the first signs of this condition to protect your child from severe complications.
Safety: As an experienced transplant program, we take every precaution to ensure all children have a safe procedure

With the technological advances and use of newer agents for Paediatric BMT, the success rate of Paediatric BMT has improved tremendously. The cure rates depend on the disease being treated and the condition of the patient at the time of the transplant. In general, the younger the patient, the better the outcomes.

PAEDIATRIC ONCOLOGY

Paediatric Oncology as a speciality was virtually nonexistent in India until the late 1980s. Most children with cancer were treated by adult oncologists in a few cancer centers. The Paediatric Oncology Group at Fortis Memorial Research Institute, Gurugram comprises of a dedicated team of doctors and nurses who are very well trained and experienced in caring for children with cancer.

Diagnosis of cancer is upsetting at any age, but especially so when the patient is a child. The initial diagnosis can be frightening for the parents as well the child. There is a lot of misconception and lack of information about childhood cancer.

Cancers in children are not always treated like adult cancers. Also, the type of cancers that children get are different from that seen in adults. Paediatric Oncology is a medical speciality focusing on effective treatment of children with cancer and is associated with excellent outcomes. So bottom line is that ALL CHILDHOOD CANCERS ARE TREATABLE AND MAJORITY ARE CURABLE.

In general, cancer can affect any part of the body. The most common cancer being – leukemia (blood cancer), brain tumor, cancer affecting the bone or muscle. The other types of childhood cancers are lymphomas (cancer of the lymph nodes), neuroblastomas (adrenal gland), Wilm’s tumor (kidney), sarcomas (muscle and bone) and other cancers seen in the very young children (embryonal cancers). As of today, >80% of children with cancer are cured, depending on the type of cancer they are suffering from.

We have a dedicated team of well-qualified Paediatric Hematologist/Oncologists here at Fortis Memorial Research Institute, Gurugram, who have been trained in the field from some of the prestigious institutes in the world.

We as a team are trusted by many countries and we have treated children from all across the world with excellent outcomes.

HIGHLIGHTS OF PAEDIATRIC ONCOLOGY SPECIALITY

Individualised treatment

The type of treatment that a child with cancer receives depends on the type and stage of cancer. Common treatments include: chemotherapy, radiation therapy, immunotherapy, surgery and stem cell transplantation. The treatment is based on risk stratification and is individualized.

Dedicated Paediatric Hematology-Oncology-BMT tumor board

We have weekly tumor board meetings where all new cases and medically relevant issues are discussed during these sessions.

Versatility in capability

As a Paediatric Oncology group, we see a gamut of diseases which include Leukemia, Lymphoma, Bone tumors, CNS tumors, sarcomas, neuroblastoma, renal tumors, germ cell tumor, etc.

Survivorship/ Late Effects Clinic

With prolonged survival, late effects of cancer are being recognised which vary with the type of cancer, the child’s age, the type of treatment and other factors. Therefore, it is essential for these survivors to receive follow-up care to monitor their health after completion of treatment.

Support group meetings – They are conducted every 4 months in our hospital, which is a boost for our patients and their families. We also organise Children’s Day and Christmas party for all our patients once a year which is a platform to celebrate our champions (all the children battling cancer).

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Fortis Memorial Research Institute

Number of beds:   1000
ICU Beds:     298
Airport Distance:  17 KMs

Brief About:

Fortis Memorial Research Institute was established in 2001.
It is an outstanding multi-speciality quaternary care hospital,having the top-notch infrastructure, advanced equipment, highly qualified and experienced medical professionals and super sub-specialists.
Fortis Hosptial Gurgaon is an advanced centre of excellence in Robotic Surgery, Neurosciences, Oncology, Renal Sciences, BMT, Organ Transplants, Orthopaedics, Cardiac Sciences and Obstetrics & Gynaecology.

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JCI & NABH Accredited Hospital, NABL Accredited Lab, NABH Certified Nursing Excellence, NABH Accredited Blood Bank
FMRI is a 1000 bedded and 15 Operation theaters and over 400 diagnostics centres (including JVs).
Medical facility endowed with a dedicated team of 200 world-renowned doctors, covering a number of specialities, who aim to provide the best quality medical care to all the patients, national as well as international.
This hospital is well set up with the latest technologies and equipment throughout all the specialties and research labs, which are accredited by NABL.
This ensures that the patients at FMRI receive diagnostic results and treatment with high accuracy and in minimum time.
With a vision for the community, FMRI operates various speciality clinics such as, for Paediatrics, Nephrology, Neurology, Gynecology, Orthopedics, Oncology and many more, which provide long term healthcare management and follow up care.
FMRI is the premium healthcare provider and endeavours to be known as the “Mecca of Medicine” – the ultimate healthcare destination.

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Dr. Rahul Bhargava

Specialist: Hematologic Oncologist, BMT
Experience: 23+ years of experience
Hospital: Fortis Memorial Research Institute

About Doctor:

Rahul Bhargava is a Leading Haemato-oncologist in India with over 23+ years of experience.
He has performed 100+ adult bone marrow transplants which are record-breaking in the whole of North India.
He is a Director of Haematology & Bone Marrow Transplant at Fortis Memorial Research Institute hospital, Gurgaon.

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He has successfully completed 400+ transplants to his credit.
Brings along with him an International experience; worked in Vancouver, Canada where he specifically trained in Umbilical cord transplant.
Member of various prestigious organizations, American Society of Bone Marrow Transplant, American Society of Paediatric Haemato-Oncology, International Society of Paediatric Oncology to name a few.
During his extensive career, Dr. Bhargava has dealt with enumerable adult and paediatric patients suffering from a wide range of Congenital and Acquired ailments. This includes Acute and Chronic blood conditions such as Blood Cancers, bleeding disorders along with inherited immune deficiency syndromes and metabolic disorders.
He is the first Indian doctor to perform and propagate a Stem Cell Transplant procedure for patients suffering from Multiple Sclerosis
The first Haploidentical Stem Cell Transplant in Gurgaon was performed by him on a patient suffering from Fanconi Anaemia patient

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Dr. Ankur Bahl

Speciality: Medical Oncologist & Hematologist
Experience: 15 years of experience
Hospital: Fortis Memorial Research Institute

About Doctor:

Dr. Ankur Bahl is a renowned Medical Oncologist with experience of over 15 years.
He offers treatment for Multiple Myeloma, Lymphoma, Breast and Lung Cancer, Gastrointestinal tumors, Gynaecological Tumors, Head, Neck and Brain Tumors and Bone Marrow Transplantation.
He was the recipient of Dr. Rehan Gold Medal for being the best Outgoing Post Graduate student of Internal Medicine in Delhi University.

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He has the membership of several prestigious associations like: American Society of Clinical Oncology (ASCO), American Association of Cancer Research (AACR), European Society of Medical Oncology (ESMO), Indian Society of Medical and Paediatric Oncology (ISMPO).
He is engaged in research work and has published several papers in National and International Journals.

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Dr. Minakshi Vohra

Specialist: Hematologist
Experience: 13 years of experience
Hospital: Fortis Memorial Research Institute

About Doctor:

Dr. Minakshi Vohra is currently working at Fortis Memorial Research Institute hospital, Gurgaon as BMT Specialist.
Dr. Minakshi is a Paediatric Haemato – oncologist and Bone Marrow Transplant physician.
Her expertise lies in treating thalassemia, sickle cell anemia, aplastic anemia, inherited bone marrow failure syndromes, bleeding disorders.

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She has in-depth knowledge about Paediatric malignancies like acute leukemia, neuroblastoma, brain tumors, bone cancers, renal and liver tumors.
Persuaded her MBBS followed by MD in Pediatrics and FIAP (Paediatric Haematology Oncology)

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Dr. Mansi Sachdev

Specialist: Pediatric Hematologist
Experience: 12 years of experience
Hospital: Fortis Memorial Research Institute, Gurgaon

About Doctor:

Dr. Mansi Sachdev is a well-known Pediatric Hematologist, with a thriving experience of more than 10 years.
She has a special interest in Blood Disorders And Bone Marrow Transplant, Pediatric Oncology, Pediatric Bone Marrow Transplant, Pediatric Hematology
Her expertise lies in Pediatric hematologic malignancies (leukemia, lymphoma, histiocytic disorders and others) and Pediatric solid tumors (brain tumors, bone tumors, sarcoma, neuroblastoma).

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Dr.Mansi has several research papers published in national as well as international peer-reviewed journals.

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Dr. Arun Danewa

Specialist: Pediatric Hemato-oncologist and BMT
Experience: 10+ years of experience
Hospital: Fortis Memorial Research Institute

About Doctor:

Dr. Arun Danewa is consultant in the Department of Hematology and BMT at Fortis Memorial Research Institute.
Dr. Arun Danewa is well-known as a Blood Disorders and Bone Marrow Transplant, Pediatric Hematology, Pediatric Oncology, Bone Marrow Transplant Specialist.
Dr. Danewa’s experience of 10 years as a specialist of Haematology & BMT.

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Dr. Arun Danewa MD (Pediatric), FIAP (PHO), FNB (Pediatric Hematology Oncology), BMT Fellowship (NH, Bangalore), is an acclaimed and renowned pediatric Hemato-oncologist and BMT specialist in the country.
Dr. Arun Danewa has been associated with many prestigious organizations like University College of medical sciences, New Delhi, Sir Ganga Ram Hospital, New Delhi, Narayana hospital, Bangalore.
He takes keen interest in educational activities and research.
He is a member of Indian Academy of Pediatrics and National Neonatology Forum.

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