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Apollo Cancer Institute performs Fluorescence-Guided total resection of brain tumour in Chennai



Chennai August 2017: The neurosurgical team of Apollo Cancer Institute performed the total resection of brain tumor using fluorescence-guided surgery in Chennai. This technique marks a significant progress in the field of Neuro-Oncological surgery as it enables removing of the tumor with high accuracy. Four-year-old girl child from Assam is, healthy and living pain free after the removal of a life threatening brain tumor 5X5 cms large (size of a tennis ball) that left her with frequent seizures.

A Four-year-old girl child from Assam reported with multiple episodes of drop attack, around 4 to 5 times a day and was diagnosed with a malignant brain tumor EXTRAVENTRICULAR EPENDYMOMAa rare brain tumorthat caused walking disorder, balance coordination and repeated seizures.
Neurosurgery team, Apollo Cancer Instituteperformed a lifesaving surgery using a new technique called Florescence Guided Surgery (FGS)to completely remove the tumor that was buried in the area of her brain causing frequent seizures.

In this FGS technique a special dye is ingested an hour before the surgery, thatspreads over the whole body, but the highly active cells (like tumor cells) takes up the dye more as compared to normal cells. When seen under yellow 560 filter (a special filter integrated in the microscope) makes the tumor cells look distinctly different (fluorescence) as compared to normal cells. This guides the surgeon to clearly distinguish the tumor from the healthy areas minimizing damage to the brain and avoiding post-operative complications.

Dr. Balamurugan, Neurosurgeon, Apollo Cancer Institute, said, “This breakthrough procedure using Fluorescence guided surgery (FGS) sets the stage for us to performthe procedure with precision on young patients with centrally-located largetumors.The greatest advantage of this technique is that it clearly identifies the tumor and distinguishes it from the healthy zone helping us to remove the tumor completely”.
The histopathology of this child reported as “ExtraventricularEpendymoma”, which is an extremely rare tumor and only 7 cases have been reported in the literature. The life expectancy in

this type of tumor is directly related to the amount of tumor resected and postoperative radiotherapy. In this case radiation therapy was a challenge due the age of patient. But we succeed to give 30 days radiation to the child with sedation. Following this child continues to be healthy and living free of pain and seizures.
FLUORESCENCE GUIDED COMPLETE EXCISION FOLLWED BY RADIOATION THERAPY AS A COMPREHENSIVE TEAM CARE WAS THE KEY IN THIS CASE.

ABOUT APOLLO HOSPITALS

It was in 1983, that Dr. Prathap Reddy made a pioneering endeavour by launching India’s first corporate hospital – Apollo Hospitals in Chennai. Over the years Apollo Hospitals has established itself as home to the largest cardiac practice in India with over 160,000 cardiac surgeries. Apollo Hospitals is also the world’s largest private cancer care provider and runs the world’s leading solid organ transplant program.
As Asia’s largest and most trusted healthcare group, its presence includes 9,215 beds across 64 Hospitals, 2,500 Pharmacies, over 90 Primary Care and Diagnostic Clinics, 110 plus Telemedicine Centres and 80 plus Apollo Munich Insurance branches spanning the length and breadth of the Country.

As an integrated healthcare service provider with Health Insurance services, Global Projects Consultancy capability, over 15 medical education centres and a Research Foundation with a focus on global Clinical Trials, epidemiological studies, stem cell & genetic research Apollo Hospitals has been at the forefront of new medical breakthroughs with the most recent investment being that of commissioning the first Proton Therapy Center across Asia, Africa and Australia in Chennai, India. Every four days, the Apollo Hospitals Group touches a million lives, in its mission to bring healthcare of International standards within the reach of every individual.

In a rare honour, the Government of India issued a commemorative stamp in recognition of Apollo’s contribution, the first for a healthcare organization. Apollo Hospitals Chairman, Dr. Prathap C Reddy, was conferred with the prestigious Padma Vibhushan in 2010. For more than 30 years, the Apollo Hospitals Group has continuously excelled and maintained leadership in medical innovation, world-class clinical services and cutting-edge technology. Our hospitals are consistently ranked amongst the best hospitals globally for advanced medical services and research.

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