Department of Pathology and Clinical Laboratory.
We provide a wide range of laboratory procedures that aid physicians in carrying out the diagnosis, treatment, and management of patients. Our lab is equipped with automated machines of the latest technologies. The best equipment cannot produce quality work without a competent and conscientious technologist. We ensure all laboratory team members undergo regular training to maintain their performance level.
Sub Departments
Our lab is dedicated to the quality of reports for which we strictly follow the Quality Lab Management System by WHO and Standard operating protocols on each step from sample collection to dispatch of the report. Quality controls are performed on daily basis with calibrations whenever required. These works are carried out under the supervision of competent Pathologists by trained laboratory technicians. Delta checks are done on each test of the patient with the highly upgraded software system. For critical tests or the tests with borderline/grey zones results, duplicate testing is performed with different methodology and equipment to build up the confidence in replicating data.
More than 700 types of laboratory tests are carried out with fully automated FDA and CE-approved systems and 42 laboratory staff. To ensure smooth and quality report back up of every automated analyzer is ensured with CLIA 2 in number, 2 heat analyzers, and biochemistry analyzer 3 in number. We have MoU with Dr. Lal Path Lab, Delhi for external quality control and sophisticated molecular genetic analysis.
In collaboration with the Radiology department, we perform Ultrasound-guided and CT-guided biopsies and FNACs.
We are further equipping our laboratory with Immunohistochemistry, Frozen section, FISH, and PCR very soon. Our goal is to provide all the essential test facilities in our lab maintaining the quality of reports.
We ensure patients' and clinicians' quality excellence reports.
Interventional radiology is a medical specialization that involves performing a range of imaging procedures to obtain images of the inside of the body. The interventional radiologist carefully interprets these images to diagnose injury and disease, and to perform a range of interventional medical procedures.
Image-Guided FNAC & BIOPSY
Imaging
4DCT Simulator :
4DCT will be used for radiation planning for the treatment of cancer as well as angiography of coronary vessels. It will be useful for all vascular imaging and gives an excellent resolution which will help us in the accurate diagnosis of diseases.
Mammograms are used for screening for early-stage breast cancer. Digital 3D mammography allows radiologists to capture and manipulate the images to make abnormalities visible more easily. A 3D mammogram is also used for screening for breast cancer in women with dense breasts.
At PCH, we understand the real value of the early diagnosis of cancer and how it can lead to better treatment with increased chances of survival. There we have created cancer screening packages for males and females for timely detection of any symptoms.
Positron emission tomography/computed tomography (PET/CT)
is a rapidly growing modality that has made a tremendous impact in the care of patients with cancer.
PET scans use a small amount of a radioactive substance, or tracer, to show differences between healthy tissue and diseased tissue.
The most commonly used tracer is 18F-FDG (Fluoro-deoxy-glucose).
The combination of PET/CT provides complete information about both structure (CT) and function (PET) in the human body.
Application of PET:
Oncological Application (>95%):
Lymphoma, Head and Neck Cancers, Lung cancer, Breast cancers, RCC, Gynaecological malignancies, Metastasis, Carcinoma of Unknown Primary etc.
Useful for:
Non Oncological Application (~5%):
+977-23-546325
Air Ambulance Service
+977-23-546180
The ICU is equipped with 10 beds aesthetically designed and well-equipped with equipment. Ancillary support services are available in physiotherapy, pain management & palliative care, specialized diet & stoma counseling, 24 hrs alert doctors & staff.
Palliative care is specialized medical care that focuses on providing relief from pain and other symptoms of a serious illness. Palliative care specialists work with you, your family, and your other doctors to provide an extra layer of support that complements your ongoing care.
Palliative care is provided by a team of doctors, nurses, and other specially trained professionals. Palliative care teams aim to improve the quality of life for people with cancer and their families. This form of care is offered alongside curative or other treatments you may be receiving.
A branch of medicine that specializes in the diagnosis and treatment of cancer. Medical Oncology uses specialized medications, referred to as chemotherapy drugs, to control and eradicate cancerous cells throughout a patient's body. A medical oncologist is a physician responsible for managing and oversight a patient's chemotherapy regimen and the complications that may be given over several weeks, months, or years.
Surgical oncology is one of the fields of oncology that focuses on treating cancer surgically. Surgery is the mainstay of the treatment of solid organ tumors. Purbanchal Cancer Hospital has a dedicated and experienced team of surgeons who are always keen to work in a team for the betterment of patients. We are backed by a multidisciplinary team of radiologists, pathologists, anesthesiologists, medical oncologists, radiation oncologists, internists, nursing, physiotherapists, and dieticians.
Here in Purbanchal Cancer Hospital, we have a state-of-art operation theatre with a well-equipped intensive care unit and post-operative unit for smooth post-operative recovery of the patients. We provide surgical care in various aspects of surgical oncology. We have the expertise for:
Thoracic and Breast Oncosurgery
GI oncosurgery,
Hepatobiliopancreatic oncosurgery,
Uro-oncosurgery
Every patient is discussed on the tumor board and a consensus is made according to the recent advancements in the field of oncology so that the patient gets the best available care.
Besides treating the patients surgically, we take active participation in diagnosing cancers. We are well trained in different diagnostic procedures like routine upper GI endoscopy, colonoscopy, and bronchoscopy. We also perform therapeutic endoscopic procedures like endoscopic polypectomies, stentings, and band ligations. We are trained in minimally invasive surgeries for various malignancies including VATS (video-assisted thoracoscopic surgery) and laparoscopic procedures. We routinely perform VATS and laparoscopy in diagnosing various intrathoracic and intra-abdominal malignancies as well.
Since Purbanchal Cancer Hospital is a comprehensive cancer center, all the facilities for cancer care are available within the hospital premises. As we have a team of experienced clinical oncologists, our patients get both the neo-adjuvant and the adjuvant treatment in the hospital itself. This prevents the number of treatment defaulters as the patients do not need to be referred to any other centers.
We have been performing various surgical procedures including complex thoracic and abdominal surgeries with good results. In a short journey of 2 years, we have come a very long way and have established ourselves as one of the comprehensive cancer centers in the country. We are working hard to improve further. Patients with a diagnosis of cancer or with suspicion of cancer can visit us. We ensure that our patients will be provided with the best possible cancer care.
We provide a wide range of laboratory procedures that aid physicians in carrying out the diagnosis, treatment, and management of patients. Our lab is equipped with automated machines of the latest technologies. The best equipment cannot produce quality work without a competent and conscientious technologist. We ensure all laboratory team members undergo regular training to maintain their performance level.
Sub Departments
Our lab is dedicated to the quality of reports for which we strictly follow the Quality Lab Management System by WHO and Standard operating protocols on each step from sample collection to dispatch of the report. Quality controls are performed on daily basis with calibrations whenever required. These works are carried out under the supervision of competent Pathologists by trained laboratory technicians. Delta checks are done on each test of the patient with the highly upgraded software system. For critical tests or the tests with borderline/grey zones results, duplicate testing is performed with different methodology and equipment to build up the confidence in replicating data.
More than 700 types of laboratory tests are carried out with fully automated FDA and CE-approved systems and 42 laboratory staff. To ensure smooth and quality report back up of every automated analyzer is ensured with CLIA 2 in number, 2 heat analyzers, and biochemistry analyzer 3 in number. We have MoU with Dr. Lal Path Lab, Delhi for external quality control and sophisticated molecular genetic analysis.
In collaboration with the Radiology department, we perform Ultrasound-guided and CT-guided biopsies and FNACs.
We are further equipping our laboratory with Immunohistochemistry, Frozen section, FISH, and PCR very soon. Our goal is to provide all the essential test facilities in our lab maintaining the quality of reports.
We ensure patients' and clinicians' quality excellence reports.
Image-Guided FNAC & BIOPSY
Core Competencies
Positron emission tomography/computed tomography (PET/CT)
is a rapidly growing modality that has made a tremendous impact in the care of patients with cancer.
PET scans use a small amount of a radioactive substance, or tracer, to show differences between healthy tissue and diseased tissue.
The most commonly used tracer is 18F-FDG (Fluoro-deoxy-glucose).
The combination of PET/CT provides complete information about both structure (CT) and function (PET) in the human body.
Application of PET:
Oncological Application (>95%):
Lymphoma, Head and Neck Cancers, Lung cancer, Breast cancers, RCC, Gynaecological malignancies, Metastasis, Carcinoma of Unknown Primary etc.
Useful for:
Non Oncological Application (~5%):
Purbanchal Cancer Hospital is one of the well-versed comprehensive cancer hospitals in eastern Nepal. Pediatric Hematology-Oncology service has been one of the highlights of this center since it vouches to treat childhood cancer and blood disorders to the best of its abilities.
We offer holistic care for children with malignancy and hematological disorders from 0-19 years of age group. Our multi-disciplinary team of well-trained and experienced pediatric hemato-oncologists, radiation oncologists, surgeons, anesthetists, in-house hematopathologists, and radiologists along with specially trained pediatric/oncology nurses, pharmacists, and paramedical personnel are committed to treating these children with utmost care and dedication.
Our services include outpatient clinics, in-patient care, daycare services, intensive care unit, palliative care, psychosocial and nutritional support, cancer survivor clinics particularly to monitor late effects, and facilities to perform bone marrow examinations, and intrathecal therapies.
Hematology (also spelled as haematology in British English) is the branch of medicine concerned with the study of the cause, prognosis, treatment, and prevention of diseases related to blood. The field of hematology integrates clinical and laboratory medicine. It involves treating diseases that affect the production of blood and its components, such as blood cells, hemoglobin, blood proteins, bone marrow, platelets, blood vessels, spleen, lymphoid tissue, and the mechanism of coagulation.
Hematology treatments are conducted on an outpatient, day-care, or inpatient basis, depending on the specific needs of each patient.
Areas of study
Major areas of study within hematology include Red cell disorders and hemoglobinopathy, hematological malignancies, anemia, and coagulopathy.
Hematology tests
One of the most common hematology tests includes complete blood count (CBC) and peripheral blood smear (PBS). This test is often conducted during a routine exam and can detect anemia, bleeding disorders, blood cancers, immune system disorders, and infections.
Other common hematology tests for diagnosis and treatment include:
Daycare units run every day from Sunday to Friday. With standby Registrar Medical Oncologist, and Nurses to care for the patient.
Procedures Include
1. CHEMOTHERAPY
2.ASCITIC FLUID TAPPING
3. PLEURAL FLUID TAPPING
4. BRACHYTHERAPY (SUPPORTIVE MANAGEMENT)
5. SUPPORTIVE CARE AND PAIN MANAGEMENT
6. IMMUNOTHERAPY
7. BLOOD TRANSFUSION
8. BONE MARROW ASPIRATION
9. BIOPSY
10. IT (INTRATHECAL ) PROCEDURE
We facilitate a fully Air Conditioned General Ward in our Hospital. We are here to serve you.
NUTRITION AND DIETETICS DEPARTMENT
INTRODUCTION
Nutrition and dietetics is the study and art of applying the science of food and nutrients to human beings in their health and disease.
Dietitians are the healthcare professionals who use their knowledge and creative skills based on nutrition in maintaining patients' health.
Nutritional requirements are difficult to predict in cancer patients because of their altered inflammatory response and metabolic rates caused by the disease itself. Optimizing nutritional support in hospitals is important since, it reduces morbidity and mortality, shortens hospital length of stay, improves the quality of life in cancer patients.
Therefore, the dietetics and food service department is an integral part of Purbanchal Cancer Hospital as it serves with providing adequate nutrition and counseling to the hospitalized as well as other onco patients based on their medical needs.
AIM
The aim of the department is to excel in field of onco-nutrition and in-house food service management by providing nutritious and palatable food while maintaining proper hygiene and sanitation for patients.
ONCO NUTRITION DEPARTMENT
The department is located on the 3rd floor of the purbanchal cancer hospital besides PETCT.
INPATIENT DIETARY SERVICE
Dietitians provide normal, modified, and therapeutic diet plans to all patients depending on their respective diagnoses in consultation with treating doctors of the individual patients.
Dietitians take extensive ward rounds, and daily daycare visits and assess the patient's requirements based on their diet history, biochemical parameters, and BMI.
Diet modification is done in case of food allergies, intolerances, oral effects, and proper initiation of enteral feeding is taken care of.
All the patients are provided a detailed diet chart and dietary guidelines at the time of discharge. The patients then visit the OPD for follow-up.
ROLES AND RESPONSIBILITIES OF HOSPITAL DIETITIANS
To provide adequate nutrition to overcome nutrition-related emaciation and cachexia in cancer patients.
To provide nutritional education and knowledge in maintaining healthy dietary habits during and after cancer treatment.
To solve nutrition-related myths and conceptions of cancer patients.
To provide awareness about harmful eating habits and their impacts on patients' health.
To educate and assist patients and families in how to choose meals based on treatment-induced side effects and gastrointestinal symptoms.
To monitor and assess the weight of patients on each visit to the chemo cycle and also manage neutropenic precautions.
To provide therapeutic nutrition to patients on supportive and palliative care.
To provide nutrition education about the role of anti-oxidants rich foods and phytochemicals in the treatment of cancer.
IN-HOUSE DIETARY SERVICE
In-house, the food service department is placed on the ground floor, left side of the lobby area of purbanchal cancer hospital. It has two units:
Therapeutic and ward service unit.
Canteen and Restaurant unit.
In-house dietitian checks the diet order slip forwarded by the hospital dietitian and supervises kitchen staff to prepare food as per the patient's requirements.
TYPES OF DIET OFFERED IN HOSPITAL
Regular or Normal diet
Liquid diet
Pureed or Blended diet
Soft diet
Bland diet
Tube feeding
High protein diet
Diabetic diet
Renal diet
Neutropenic diet
Others ( as advised by a dietitian)
OUTPATIENT DIETARY SERVICE
The personalized diet plan is made for outpatients referred from various departments such as medical oncology, once surgery, gynae oncology, ENT, pediatric oncology, and hematology.
Nutritional recipes are developed according to feasibility of patients.
OPD timing is on Sunday to Friday from 9:00 AM to 5:00 PM
Our Physiotherapists are experts in human movement and have a key role in the prevention, identification, assessment, and treatment.