India boasts some of the best pancreatic cancer hospitals in the world, combining advanced medical technology with highly skilled oncologists and utilizing advanced cancer therapies to ensure high success rates for patients. These top hospitals offer treatments like surgery, chemotherapy, radiation, targeted therapies, and immunotherapy, tailored to each patient. They also provide comprehensive care, including counseling and rehabilitation.

We have curated a list of the best pancreatic cancer treatment centers in India and explained stage-wise detailed treatment options, ensuring top care and outcomes for patients.

Understanding Pancreatic Cancer

Pancreatic cancer originates in the pancreas, an organ crucial for digestion and blood sugar regulation. There are two main types: exocrine tumors (most common) and endocrine tumors (rare).

Best Pancreatic Cancer Treatment in India

What are stages of Pancreatic Cancer?

Early-Stage Pancreatic Cancer

Early stage pancreatic cancer includes Stage 0, Stage IA, and Stage IB. In Stage 0, there are abnormal cells in the pancreas that may become cancerous but have not yet formed a tumor. Stage IA is characterized by a tumor confined to the pancreas that is less than 2 cm in size (T1; N0; M0). Stage IB involves a tumor that is larger than 2 cm but still confined to the pancreas (T2; N0; M0). These early stages generally indicate that the cancer is localized and has not spread to nearby tissues, lymph nodes, or distant sites, making surgical intervention and treatment more likely to be successful.

Locally Advanced Stage Pancreatic Cancer

Locally advanced pancreatic cancer includes Stage IIA, Stage IIB, and Stage III. In Stage IIA, the tumor has spread to nearby tissues but has not yet reached the lymph nodes or distant sites (T3; N0; M0). Stage IIB indicates that the tumor has spread to nearby lymph nodes but not to distant sites (T1, T2, or T3; N1; M0). Stage III pancreatic cancer is characterized by the tumor involving nearby blood vessels and possibly lymph nodes but not distant sites (T1, T2, T3, or T4; N2; M0). These stages reflect a more advanced disease where the cancer has begun to extend beyond the pancreas, making treatment more complex and requiring a combination of therapies.

Advanced Stage Pancreatic Cancer

Advanced stage pancreatic cancer is represented by Stage IV. At this stage, the tumor has spread to distant organs such as the liver or lungs (any T; any N; M1). This indicates that the cancer has metastasized, making it the most severe and challenging stage to treat. Advanced stage pancreatic cancer typically requires systemic treatments such as chemotherapy, targeted therapy, or palliative care to manage symptoms and improve quality of life, as surgical options are generally not feasible due to the widespread nature of the disease.

What is Pancreatic Cancer Treatment in India

1)Surgery

Whipple Procedure: Removes the head of the pancreas, gallbladder, part of the small intestine, and surrounding lymph nodes.

Distal Pancreatectomy: Removes the tail and body of the pancreas, sometimes along with the spleen.

Vascular Surgery: Involves removing and reconstructing blood vessels affected by the tumor.

2)Chemotherapy

Uses drugs to kill cancer cells, either given orally or intravenously.

3)Radiation therapy

Uses high-energy beams like X-rays or protons to kill cancer cells, often used before or after Surgery.

4)Targeted therapy

Uses drugs that specifically target cancer cells’ genetic mutations or proteins.

5) Supportive Care

Aims to improve the quality of life by managing symptoms and side effects.

Best Pancreatic Cancer Treatment in India

Stage-wise Pancreatic Cancer Treatment in India

Early-Stage Pancreatic Cancer (Stages 0, IA, IB)

Surgery: The primary treatment for early-stage pancreatic cancer is surgical resection. Common surgical procedures include the Whipple procedure (pancreaticoduodenectomy), distal pancreatectomy, or total pancreatectomy, depending on the tumor's location.
Adjuvant Therapy: Post-surgery, adjuvant chemotherapy or chemoradiation may be recommended to eliminate any remaining cancer cells and reduce the risk of recurrence.
Monitoring: Regular follow-ups and imaging studies are essential to monitor for any signs of recurrence.

Locally Advanced Stage Pancreatic Cancer (Stages IIA, IIB, III)

Neoadjuvant Therapy: Chemotherapy or chemoradiation is often administered before surgery to shrink the tumor and make it more operable. Common chemotherapy regimens include FOLFIRINOX or gemcitabine-based therapies.
Surgery: If the tumor responds well to neoadjuvant therapy, surgical resection may be performed.
Adjuvant Therapy: Post-surgery, additional chemotherapy or radiation therapy may be recommended to target any remaining cancer cells.
Palliative Care: In cases where the tumor cannot be surgically removed, palliative care, including pain management and supportive therapies, is crucial to improve quality of life.

Advanced Stage Pancreatic Cancer (Stage IV)

Chemotherapy: Systemic chemotherapy remains the mainstay of treatment for advanced-stage pancreatic cancer. Regimens like FOLFIRINOX or gemcitabine plus nab-paclitaxel are commonly used.
Targeted therapy: For patients with specific genetic mutations (e.g., BRCA mutations), targeted therapies like PARP inhibitors may be an option.
Immunotherapy: Emerging immunotherapy treatments may be considered for certain patients, often as part of clinical trials.
Palliative Care: Focus on symptom management, including pain relief, nutritional support, and psychological care. Procedures to relieve biliary obstruction, such as stent placement, may also be performed.

Advanced-Stage, Inoperable Pancreatic Cancer: Exploring Treatment Options

When surgery isn’t an option, the focus shifts to extending life and enhancing comfort:

Chemotherapy: Drugs like Gemcitabine and FOLFIRINOX are commonly used.
Targeted therapy: Medications like Erlotinib target specific cancer cell pathways.
Palliative care: Pain management, nutritional support, and psychological care.

Specialized Pancreatic Cancer Treatments

Targeted therapy: Drugs like Erlotinib inhibit cancer cell growth by targeting specific proteins.
Immunotherapy: Uses the body’s immune system to fight cancer; Pembrolizumab is an example.
Radiation therapy: External beam radiation or stereotactic body radiotherapy (SBRT) can precisely target cancer cells.

Diagnostic Tests and Costs in India

Endoscopic Ultrasound (EUS) :Uses an endoscope with an ultrasound to create images of the digestive system and nearby tissues, including the pancreas.
Biopsy:Involves taking a tissue sample for microscopic examination, usually during an EUS procedure.
Blood Tests:Tests for tumor markers such as CA19-9, although not all pancreatic cancers produce these markers.
Genetic Testing:Blood or saliva samples are tested to identify genetic mutations associated with cancer risk.

Top Hospitals and Doctor for Pancreatic Cancer Treatment in India

India is home to several esteemed hospitals equipped with cutting-edge facilities and experienced medical professionals specializing in pancreatic cancer treatment. Notable hospitals include Tata Memorial Hospital in Mumbai, renowned for its excellence in oncology and affordable care, and All India Institute of Medical Sciences (AIIMS) in New Delhi, which offers state-of-the-art treatment and research.Fortis Memorial Research Institute in Gurgaon provides specialized care with a multidisciplinary approach. Additionally, Artemis Hospital in Gurgaon offers advanced surgical and oncological treatments.


Some of India's top doctors for pancreatic cancer treatment includeDr. Shailesh Shrikhandeat Tata Memorial Hospital, Mumbai, renowned for his expertise in pancreatic surgery.Dr. Rajesh Rajanat Kokilaben Dhirubhai Ambani Hospital, Mumbai, is known for advanced oncological treatments. Dr. Vinay Dhir at Lilavati Hospital, Mumbai, specializes in endoscopic procedures for pancreatic diseases. Dr. Subodh Chandra Pandeyat Max Super Speciality Hospital, Delhi, focuses on surgical oncology, and Dr. Sanjay Sharma at Lilavati Hospital, Mumbai, offers comprehensive care for pancreatic cancer patients.

Treatment Abroad vs. Indian Options

Indian Advantages:

Cost-effective with comparable quality to international standards.
Access to advanced technology and treatments.
Shorter waiting times for treatment.

Abroad Advantages:

Access to experimental treatments and clinical trials.
Availability of specialized centers with global expertise.

Success Rate for Pancreatic Cancer Treatment in India

Early Stage Pancreatic Cancer (Stages 0, IA, IB)

5-Year Survival Rate: Nearly 90% for Stage 0 and approximately 20-30%. for Stage I patients

Locally Advanced Stage Pancreatic Cancer (Stages IIA, IIB, III)

5-Year Survival Rate: Approximately 10-15% for Stage II and lower, around 6% for Stage III
Median Survival: About 6-12 months with aggressive chemotherapy regimens for non-resectable tumors.

Advanced Stage Pancreatic Cancer (Stage IV)

Median Survival: Approximately 6-11 months, depending on the response to chemotherapy regimens such as FOLFIRINOX or gemcitabine-based treatments.
5-Year Survival Rate: Less than 3% for Stage IV.
Factors Affecting Success: Stage at diagnosis, overall health, and response to treatment.

What are Causes and Risk Factors?

Causes: Genetic mutations in pancreatic cells.

Risk Factors:

  • Smoking: Major risk factor.
  • Diabetes: Long-term diabetes increases risk.
  • Chronic Pancreatitis: Persistent inflammation.
  • Family History: Genetic predisposition.
  • Obesity: Linked to increased risk.

First Sign of Pancreatic Cancer and Its Address

First Sign: Jaundice (yellowing of skin and eyes).

Addressing:

Immediate evaluation: Imaging tests like CT or MRI.
Biopsy: To confirm diagnosis and determine the stage.

What are Latest Advancements in Treatment in India?

Intraoperative Cryosurgery

Intraoperative cryosurgery is a minimally invasive procedure that involves freezing and thawing tumors to destroy cancer cells during surgery. Using a cryoprobe, liquid nitrogen or argon gas is applied directly to the tumor, effectively killing the cancerous tissue while minimizing damage to surrounding healthy areas. This technique is increasingly being adopted in leading Indian cancer centers like Tata Memorial Hospital and AIIMS for treating locally advanced pancreatic cancer, particularly when complete surgical removal is challenging.

CyberKnife Treatment

CyberKnife treatment is a non-invasive, robotic system that delivers high-dose radiation to tumors with exceptional precision. Utilizing real-time imaging, it adjusts radiation beams to target tumors from multiple angles, reducing exposure to healthy tissue. Available in premier Indian hospitals such as Apollo Hospitals and Fortis Healthcare, CyberKnife is ideal for treating inoperable or hard-to-reach pancreatic tumors, offering a minimally invasive option with minimal recovery time and side effects.

NanoKnife Treatment

NanoKnife treatment, or irreversible electroporation (IRE), uses electrical pulses to create microscopic pores in cancer cell membranes, leading to cell death without generating heat. This minimally invasive procedure preserves surrounding healthy tissues and is particularly useful for tumors near vital structures. Advanced oncology centers in India, such as Medanta – The Medicity and Max Super Speciality Hospital, are incorporating NanoKnife for treating primary and metastatic pancreatic tumors in patients with limited surgical options.

Best Pancreatic Cancer Treatment in India

Tumor Board Approach for Pancreatic Cancer Treatment

What is a Tumor Board?

The tumor board is a multidisciplinary team of specialists who meet to discuss and plan the treatment of cancer patients. It involves various healthcare professionals such as surgical oncologists, medical oncologists, radiation oncologists, pathologists, radiologists, and other experts.

How Does the Tumor Board Work?

During tumor board meetings, specialists review the patient's medical history, diagnostic tests, imaging results, pathology reports, and previous treatments. They collaborate to develop personalized treatment plans that consider all aspects of the patient's condition.

Benefits of the Tumor Board Approach

Comprehensive Expertise: Involves diverse specialists to ensure a thorough evaluation and personalized treatment plan.
Customized Treatment: Tailors treatment plans based on collective expertise and discussion.
Optimal Decision-Making: Facilitates informed decisions to maximize treatment benefits and minimize risks.
Adaptability: Updates treatment strategies based on the latest research and clinical guidelines.

Pancreatic Cancer Prevention and Early Detection

Prevention Strategies

Quit Smoking: Smoking is a significant risk factor for pancreatic cancer. Quitting can reduce your risk.
Maintain a Healthy Weight: Obesity increases the risk of pancreatic cancer. Eat a balanced diet and exercise regularly.
Limit Alcohol Consumption: Excessive alcohol intake is linked to higher pancreatic cancer risk. Drink in moderation.
Eat a Healthy Diet: Include fruits, vegetables, and whole grains. Limit red meat and processed foods.
Manage Diabetes: If you have diabetes, control your blood sugar levels to reduce pancreatic cancer risk.
Consider Genetic Counseling: Family history of pancreatic cancer or genetic syndromes may increase risk. Genetic counseling can provide guidance.

Early Detection and Screening

Pancreatic cancer is often diagnosed at an advanced stage, but early detection can improve outcomes. Consider the following:

Know the Symptoms: Symptoms include jaundice, abdominal pain, weight loss, and digestive problems. Consult a doctor if symptoms persist.
Screening Tests: High-risk individuals may benefit from screening tests such as imaging (CT scan, MRI) or blood tests (CA19-9).
Genetic Testing: Individuals with a family history of pancreatic cancer or genetic mutations may consider genetic testing for early detection.

Patient Testimonials

Best Pancreatic Cancer Treatment in India
An pancreatic cancer survivor’s story: Mr. Umashankar - Max Healthcare Pancreatic cancer Surgery
Best Pancreatic Cancer Treatment in India
An pancreatic cancer survivor’s story: Mr. Subodh Kumar - Dharamshila Narayana Superspeciality Hospital, Delhi - Suffered from abdominal pain and jaundice
Best Pancreatic Cancer Treatment in India
An Chemotherapy for Stage 4 Pancreatic cancer survivor’s story: Mr. Satyaveer Singh - Max Super Specialty Hospital

Best Pancreatic Cancer Treatment in India
An pancreatic cancer survivor’s story: Mrs. Gurmeet Kaur - Max Super Specialty Hospital
Best Pancreatic Cancer Treatment in India
70-year-old, Mrs. Manju Modi - Inspirational Stories of an Oral Cancer - BLK-Max Super Speciality Hospital
Best Pancreatic Cancer Treatment in India
An advanced pancreatic cancer survivor’s story: Mr. Saha, 79-year-old man - Max Super Specialty Hospital

Frequently Asked Questions about Oral Cancer

1) Questions about Cancer Testing

1. What tests will I have?

You'll undergo imaging tests like CT scans, MRI, and possibly an endoscopic ultrasound, along with blood tests and biopsies.

2. Do the tests have any risks?

Most tests have minimal risks, such as slight discomfort or bleeding from biopsies, and low radiation exposure from imaging tests.

3. Do I need to do anything to prepare for testing?

Preparation may include fasting, avoiding certain medications, or arranging transportation if sedation is required.

4. Should I bring someone with me to the appointments?

It's a good idea to bring someone for support and to help remember information given during the appointment.

5. Where do I go for testing, and how long will it take?

Tests are usually done at a hospital or specialized clinic; the duration varies from a few minutes to several hours.

6. If any tests will hurt, what will you do to make me comfortable?

Pain relief options, such as local anesthetics or sedation, will be provided to ensure your comfort during painful procedures.

7. How soon will I know the results and who will explain them to me?

Results typically come within a few days to a week; your doctor will discuss them with you during a follow-up appointment.

8. How can I get a copy of the pathology report and other test results?

You can request copies from your healthcare provider or access them through the hospital's patient portal.

9. Is there an online portal with my test results?

Many healthcare facilities provide online portals where you can view your test results and medical records.

2) Questions about Treatment Options

1. What are my treatment options?

Options include surgery, chemotherapy, radiation therapy, targeted therapy, and participation in clinical trials.

2. Is a clinical trial an option for me?

Your doctor can determine if you are eligible for any clinical trials based on your specific condition and medical history.

3. What will happen if I do nothing?

Without treatment, the cancer will likely progress, leading to worsening symptoms and potentially decreasing survival time.

4. Are you suggesting options other than what NCCN recommends? If yes, why?

If alternatives are suggested, it's due to your unique case or new advancements in treatment not yet included in guidelines.

5. How do my age, sex, overall health, and other factors affect my options?

These factors influence your treatment plan, as they can affect how well you tolerate and respond to certain treatments.

6. What if I am pregnant, or planning to become pregnant?

Treatment plans will need to be adjusted to protect both you and your baby, and may require coordination with a specialist.

7. Does any option offer a cure or long-term cancer control?

Surgery offers the best chance for a cure if the cancer is localized, while other treatments can help control the disease long-term.

8. What are the side effects of the treatments?

Side effects vary but can include nausea, fatigue, hair loss, and increased risk of infection, among others.

9. How do I get a second opinion?

You can request a referral from your current doctor or contact another specialist directly for a second opinion.

10. How long do I have to decide about treatment, and is there a social worker or someone who can help me decide?

Your doctor will provide a timeline for decision-making; a social worker or patient navigator can assist you in making informed choices.

3) Questions about Side Effects

1. What are the possible complications and side effects of treatment?

Side effects depend on the treatment but can include infection, bleeding, organ damage, and long-term health issues.

2. Does the cancer itself cause any side effects?

Yes, pancreatic cancer can cause jaundice, pain, weight loss, and digestive issues.

3. Which side effects are most common and how long do they usually last?

Common side effects include nausea, fatigue, and pain; duration varies by individual and treatment type.

4. Which side effects are serious or life-threatening?

Serious side effects can include severe infections, bleeding, and organ failure, which require immediate medical attention.

5. Are there any long-term or permanent side effects?

Some treatments may cause long-term effects such as diabetes, digestive problems, or nerve damage.

6. What symptoms should I report right away, and whom do I contact?

Report severe pain, fever, excessive bleeding, or signs of infection to your healthcare provider immediately.

7. What can I do to prevent or relieve the side effects of treatment?

Follow your doctor’s recommendations, maintain a healthy lifestyle, and take prescribed medications to manage side effects.

8. Do any medications worsen side effects?

Some medications can exacerbate side effects, so inform your doctor of all medications you are taking.

9. Do any side effects lessen or worsen in severity over time?

Side effects may vary, with some diminishing as your body adjusts to treatment and others potentially worsening.

10. Will you stop or change treatment if there are serious side effects?

Treatment plans can be adjusted or halted if side effects become too severe, prioritizing your safety and well-being.

4) Questions about Clinical Trials

1. Do you recommend that I consider a clinical trial for treatment?

Your doctor may recommend a clinical trial if it offers a potential benefit or new treatment option for your condition.

2. How do I find clinical trials in which I can participate?

Your healthcare team can help you find suitable trials, or you can search online databases like ClinicalTrials.gov.

3. What are the treatments used in the clinical trial?

Treatments vary by trial and may include new drugs, combinations of existing treatments, or innovative therapies.

4. Has the treatment been used for other types of cancer?

Some treatments may have been tested on other cancers, providing insights into their effectiveness and safety.

5. What are the risks and benefits of this treatment?

Risks include unknown side effects and outcomes; benefits may include access to cutting-edge treatments and closer monitoring.

6. What side effects should I expect and how will they be managed?

Side effects depend on the treatment and will be managed with supportive care and medications as needed.

7. How long will I be in the clinical trial?

Trial durations vary, ranging from a few weeks to several years, depending on the study's goals and treatment protocols.

8. Will I be able to get other treatment if this doesn't work?

You can pursue other treatments if the trial is ineffective, and your care team will guide you through the options.

9. How will you know if the treatment is working?

Regular monitoring through tests and assessments will determine the treatment's effectiveness.

10. Will the clinical trial cost me anything?

Costs vary by trial; some are fully funded, while others may have associated expenses, which will be clarified beforehand.

Discover the Best Oncologists and Cancer Hospitals in India

When it comes to cancer treatment, finding the right specialist and hospital can make a significant difference in the outcome. In this blog, we’ve compiled a list of the top oncologists and cancer hospitals across major cities in India, ensuring that you have access to the best care available.

Top Oncologists in Major Cities

For those seeking expert oncologists, we have identified the best specialists in key cities:

Leading Cancer Hospitals

In addition to finding the right specialist, choosing the right hospital is crucial for comprehensive cancer care. Here are the top hospitals in major cities:

Conclusion

Finding the right oncologist and hospital is the first step in your cancer treatment journey. Explore the links above to learn more about the top specialists and hospitals in your area.

Discover the Best Oncologists and Cancer Hospitals in India

When it comes to cancer treatment, finding the right specialist and hospital can make a significant difference in the outcome. In this blog, we have compiled a list of the top oncologists and cancer hospitals across major cities in India, ensuring that you have access to the best care available.

Top Oncologists in Major Cities

For those seeking expert oncologists, we have identified the best specialists in key cities:

Leading Cancer Hospitals

In addition to finding the right specialist, choosing the right hospital is crucial for comprehensive cancer care. Here are the top hospitals in major cities:

Conclusion

Finding the right oncologist and hospital is the first step in your cancer treatment journey. Explore the links above to learn more about the top specialists and hospitals in your area.

Related Resources

At ArogyaJivan, we strive to provide you with the most accurate and up-to-date information to help you make informed decisions about your healthcare. Whether you are searching for the Best Doctors in India or the Top 5 Doctors in India, our resources are tailored to guide you through your medical journey. Additionally, our comprehensive guides on the Best Hospitals in India and the Top 5 Hospitals in India will assist you in choosing the right healthcare facility for your needs. Explore these resources to ensure you receive the best possible care.