Oncology & Bone Marrow Transplant (BMT) Department – Introduction

The Oncology & Bone Marrow Transplant (BMT) Department is a specialized center dedicated to the comprehensive diagnosis, treatment, and long-term care of patients with cancer and complex hematological disorders. The department delivers evidence-based, patient-centered care using advanced medical technologies and multidisciplinary expertise.

Our services encompass medical oncology, hematologic oncology, and both autologous and allogeneic bone marrow and stem cell transplantation. We manage a wide range of solid tumors, leukemias, lymphomas, multiple myeloma, and other blood disorders, providing personalized treatment plans tailored to each patient’s clinical needs.

The department is supported by a highly skilled team of oncologists, hematologists, transplant physicians, specialized nurses, pharmacists, transfusion specialists, and allied healthcare professionals. We emphasize safety, infection control, supportive care, and psychosocial support throughout the treatment journey.

With a strong focus on quality, innovation, and continuous improvement, the Oncology & BMT Department integrates clinical excellence, research, and compassionate care to achieve optimal outcomes and improve the quality of life for our patients.

ALL TYPES OF ONCOLOGY & BMT PROCEDURES – Pediatric & Adult

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1. Diagnostic Oncology Procedures

Biopsies:

Fine Needle Aspiration Cytology (FNAC)

Core needle biopsy

Excisional / incisional biopsy

Bone marrow aspiration & biopsy

Imaging Studies:

CT scan, MRI, PET-CT, ultrasound, bone scan

Endoscopic Procedures for Diagnosis:

Bronchoscopy, gastroscopy, colonoscopy, cystoscopy, laparoscopy

Laboratory / Molecular Tests:

Immunohistochemistry (IHC), Flow cytometry, Cytogenetics / FISH, Liquid biopsy

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2. Medical Oncology Procedures

Chemotherapy Administration:

Peripheral IV chemotherapy

Central venous access: PICC line, chemo port, Hickman / Broviac catheter

Intrathecal Chemotherapy:

Lumbar puncture, Ommaya reservoir (pediatric brain tumors)

Targeted Therapy / Immunotherapy:

Monoclonal antibodies, tyrosine kinase inhibitors, immune checkpoint inhibitors

Supportive Procedures:

Growth factor injections (G-CSF), blood transfusions, hydration & electrolyte management

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3. Radiation Oncology Procedures

External Beam Radiation Therapy (EBRT)

Stereotactic Radiosurgery (SRS) / Stereotactic Body Radiotherapy (SBRT)

Brachytherapy: intracavitary / interstitial

Total Body Irradiation (TBI) for BMT conditioning

Pediatric-specific: growth-sparing radiation, proton therapy

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4. Interventional Oncology Procedures

Ablation Therapies:

Radiofrequency ablation (RFA), Microwave ablation, Cryoablation

Transarterial Procedures:

TACE (Transarterial chemoembolization)

TARE / SIRT (Yttrium-90 radioembolization)

Embolization for hemorrhage / tumor control

Catheter-based chemotherapy delivery

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5. Hematology & Bone Marrow Transplant (BMT) Procedures

A. Diagnostic & Preparatory Procedures

Bone marrow aspiration & biopsy

HLA typing for donor selection

Peripheral stem cell mobilization and collection (apheresis)

B. BMT / Stem Cell Transplantation

Autologous Transplant: patient’s own stem cells

Allogeneic Transplant: donor stem cells (matched related / unrelated)

Umbilical cord blood transplant

Conditioning regimens:

Myeloablative

Reduced intensity

Graft infusion & engraftment monitoring

C. Post-Transplant Monitoring / Procedures

Bone marrow / peripheral blood chimerism

Graft-versus-host disease (GVHD) monitoring

Immunosuppressive therapy management

Infection prophylaxis and management

Supportive care: transfusions, growth factors

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6. Pediatric-Specific Oncology & BMT Procedures

Central line / chemo port placement for small children

Ommaya reservoir for intrathecal chemotherapy

Pediatric stem cell / bone marrow transplant

Tumor biopsy under anesthesia

Pediatric-specific radiation techniques

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7. Adult-Specific Oncology & BMT Procedures

Complex central venous access (port, PICC, Hickman)

Advanced interventional radiology for tumor control

Stem cell transplantation with TBI or chemotherapy conditioning

Management of post-transplant complications

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8. Palliative / Supportive Oncology Procedures

Paracentesis / thoracentesis for malignant effusions

Nephrostomy for obstructive uropathy

Gastrostomy / jejunostomy for nutrition

Pain management: epidural / nerve blocks, intrathecal pumps