Axillary Lymph Node Dissection (ALND) is a specialised breast cancer operation in which the lymph nodes of the armpit are removed to stage the disease and to clear proven nodal cancer. At Apollo Hospitals Lucknow, this surgery is planned within a multidisciplinary breast cancer pathway that brings together surgical oncology, medical oncology, radiation oncology, radiology, pathology and rehabilitation before a single decision is made.
Debulking surgery, also called cytoreductive surgery, is a major cancer operation in which the surgical team removes as much visible tumour as safely possible when complete removal in one clean margin is not achievable. It is most often used for advanced ovarian, fallopian tube and primary peritoneal cancer, and in selected cases of pseudomyxoma peritonei, appendiceal and colorectal peritoneal spread, gastric peritoneal disease, some sarcomas and certain neuroendocrine tumours.
Cytoreductive surgery (CRS), often combined with hyperthermic intraperitoneal chemotherapy (HIPEC), is one of the most demanding operations in surgical oncology. It needs a dedicated peritoneal surface malignancy team, high-dependency and intensive care backup, blood bank support, stoma and nutrition services, and an anaesthesia team experienced in long abdominal procedures.
Radiation therapy at Apollo Hospitals Lucknow is delivered by a dedicated radiation oncology team working within a full-service cancer programme, so planning, treatment delivery, supportive care and follow-up happen under one roof.
