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Home > Medical Professionals > Clinical Services > Surgical Oncology
 
Surgical Oncology
 
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Introduction

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Staffing
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Surgical Subspecialties
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Cancer Care in the Community
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Training Programmes and Partnerships
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Research

Introduction

The Department of Surgical Oncology is an important cornerstone of clinical services at NCCS. Almost all tumours require surgical expertise to obtain tissues for diagnosis, and first line treatment for nearly all solid tumours is surgical resection.

Staffing

There are seven senior consultants, three consultants, two associate consultants, four registrars and one resident physician in the department. The department hosts visiting surgeons from government, restructured and private hospitals as well as other specialist centres.

Surgical Subspecialties

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Breast Surgery
Colorectal Surgery
Gynaecology Surgery
Head and Neck Surgery
Hepatobiliary and Pancreatic Surgery
Thoracic Surgery
Upper Gastrointestinal Surgery
Urological Surgery


Surgical Procedures

It is rapidly establishing itself as a regional referral unit for complex cancer surgery:


Cancer Care in the Community

Care of cancer patients extends beyond oncology centres into the community where primary care is best delivered by family physicians. NCCS places a high priority on developing good working partnerships with our colleagues in the community. As part of our team based multidisciplinary care, each case would be discussed by oncologists at our centre as far as possible. Our discussion bulletins capture select case discussion from these tumour ward meetings and grand ward rounds. Should you have further questions that require input from our oncologists, we have an ‘ Ask the Experts 'column.

Training Programmes

The Department hosts two to four overseas fellows/ year keen to learn complex surgical oncology procedures.

Research

Singapore has successfully developed novel cancer diagnostics which have enabled their doctors to make early detection of certain types of cancers. This is done by adopting physical science techniques as in photonics imaging and bio-imaging techniques. Not known to many, the Centre is the leader in Singapore in pioneering non-invasive optical methods of cancer diagnosis. The techniques adopted allow what is not normally visible to the naked eye to be detected by optical imaging. [ more ]

Video-assisted minimally invasive surgery has revolutionised the care of patients with either benign or malignant chest problems. Certain surgical procedures can now be performed through smaller incisions, resulting in lesser post-operative pain nad faster recovery: at NCC, for example, we now routinely perform biopsies of the lung, pleura and mediastinal lymph nodes using this approach. [ more ]

Malignant liver tumours are either primary hepatocellular carcinomas (hepatoma, HCC) or secondary metastatic tumours. The optimal treatment modelity for HCC is surgical resection. With metastatic disease to the liver, when the primary site of disease is the coloretum or a neurooendocrine malignancy, there may also be a palliative role for resection of the liver tumours. In some situations, however, liver resection is not possible. [ more ]

There are two types of lung cancer: non-small cell lung cancer and small-cell lung cancer. Non-small cell lung cancer is more common and it tends to grow and spread slowly. On the other hand, small-cell lung carcinoma is less common, and it tends to grow more quickly and spread to other organs. [ more ]

Increasing use of mammography and ultrasound examination has led to a corresponding increase in the detection of non-palpable breast lesions. [ more ]

The case for discussion is a 45 year old patient with metastatic NSCLC, who presented with shortness of breath.
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Customising treatment for cancer patients
Is the cure for cancer already in the market? Is this deadly disease still taking its toll on the patients because they have not been given the right treatment? Are we making the best use of currently available drugs and therapies? These are questions that continually dog medical science even as the search continues for the elusive wonder drug that can cure all cancers. [ more ]

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