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Annual Report 2011-12

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Thiruvananthapuram, India • Established as per Govt. of India letter No. T. 200125/79 of October 1980 as one among 6 such Centres in India. • Registered under Travancore Cochin Literary Scientific and Charitable Societies Registration Act 1955 vide No. 567/81 dated 19.08.1981. • Designated as a Science & Technology Centre in health sector by State Government as per G. O. (Rt) No. 1521/85/11 H & FWD dated 18.11.1985. VISION To emerge as a global leader in cancer control. MISSION To • Deliver highest quality cancer care at affordable cost. • Create cancer awareness among public and health professionals. • Generate trained manpower in cancer control. • Organize outreach programmes in cancer control. • Conduct focused cancer research relevant to our society. • Lead cancer control activities in the state. ANNUAL REPORT 2011-2012 THIRUVANANTHAPURAM - 695 011, KERALA, INDIA. i REGIONAL CANCER CENTRE Thiruvananthapuram - 695 011, Kerala, India. Telephone : +91 471 2442541 Director (Dir) : +91 471 2443128 Fax : +91 471 2447454 E-mail : [email protected] Website : www.rcctvm.org Published by Director, Regional Cancer Centre, Thiruvananthapuram ii CONTENTS Page No. I Director’s Review vi II Divisions 1. Radiation Oncology 2 2. Surgical Oncology 4 3. Medical Oncology 7 4. Paediatric Oncology 9 5. Pathology 11 6. Imageology 14 7. Nuclear Medicine 16 8. Anaesthesiology 18 9. Radiation Physics 20 10. Clinical Laboratory Services 22 11. Microbiology 25 12. Transfusion Medicine 27 13. Palliative Medicine 29 14. Dental Care 31 15. Nursing Services 33 16. Clinical Services & Medical Records 35 17. Community Oncology 39 18. Cancer Research 42 19. Molecular Medicine, Drug development and Chemo-informatics 45 20. Cancer Epidemiology & Clinical Research 47 21. Library & Information Services 53 22. Information Systems 56 23. Outreach Centres i. E.C.D.C., Ernakulam 58 ii. E.C.D.C., Palakkad 59 iii. N.B.R.R., Karunagapally 60 III Multidisciplinary Clinics ‘A’ Clinic (Haematological, Lymphoreticular, Bone & Soft tissue Sarcoma) 62 ‘B’ Clinic (Head & Neck) 63 ‘C’ Clinic (Breast & Central Nervous System) 64 ‘D’ Clinic (Gynaec, Genito-urinary & Others) 65 ‘E’ Clinic (Chest & Gastro-intestinal) 66 ‘F’ Clinic (Paediatric Oncology) 67 ‘G’ Clinic (Thyroid) 68 IV Functions, Workshops & Conferences Organized 69 V Honours, Awards and Recognitions Received 70 VI Distinguished Visitors/Talks Delivered 71 VII Conferences Attended and Papers Presented by Staff & Students 72 VIII Ongoing Research Projects 90 IX Publications 102 X Administration, Standing Committees & Right to Information Act 108 XI Events 118 XII Accounts 121 XIII Acknowledgements 136 iii GOVERNING BODY 1. Shri. V.S. Achuthanandan (Till 17.05.2011) Hon’ble Chief Minister of Kerala Chairman 2. Shri. Oommen Chandy (From 18.05.2011) Hon’ble Chief Minister of Kerala Chairman 3. Smt. P.K. Sreemathy Teacher (Till 17.05.2011) Hon’ble Minister for Health & Social Welfare, Govt. of Kerala Vice-Chairman 4. Shri. Adoor Prakash (From 18.05.2011) Hon’ble Minister for Health & Coir, Govt. of Kerala Vice-Chairman 5. Dr. Davendra Kumar Dhodavat, IAS (Till 24.05.2011) Secretary to Govt. (Health & Family Welfare Dept.), Govt. of Kerala Alt.Vice-Chairman 6. Shri. Rajeev Sadanandan, IAS (From 25.05.2011) Principal Secretary to Govt. (Health & Family Welfare Dept.), Govt. of Kerala Alt.Vice-Chairman 7. Dr. A.K. Dubey, IAS (Till 23.08.2011) Principal Secretary to Government (Finance Dept.), Govt. of Kerala Member 8. Shri. V.P. Joy, IAS (From 24.08.2011) Principal Secretary to Government (Finance Dept.), Govt. of Kerala Member 9. Shri.Subrata Biswas, IAS Secretary to Govt. (Planning & Economic Affairs Dept.), Govt. of Kerala Member 10. Dr. K. Radhakrishnan Director, Sree Chitra Tirunal Institute for Medical Sciences & Technology, Thiruvananthapuram Member 11. Dr. R.K. Srivastava (Till 30.11.2011) Director General of Health Services Ministry of Health and Family Welfare, Govt. of India Member 12. Dr. Jagdish Prasad (From 01.12.2011) Director General of Health Services Ministry of Health and Family Welfare, Govt. of India Member 13. Shri. K. Chandramouli, IAS Secretary to Government Ministry of Health and Family Welfare, Govt. of India Member 14. Dr. S.C. Gupta ‘Vidya’, Pulayanarkotta Road, Thiruvananthapuram Member 15. Dr.V. Geetha Director of Medical Education, Thiruvananthapuram Member 16. Dr. Ramdas Pisharody Principal, Medical College, Thiruvananthapuram Member 17. Dr. Paul Sebastian Director, Regional Cancer Centre Convener iv EXECUTIVE COMMITTEE 1. Dr. Davendra Kumar Dhodavat, IAS (Till 24.05.2011) Secretary to Govt. (Health & Family Welfare Dept.) Govt. of Kerala Chairman 2. Shri. Rajeev Sadanandan, IAS (From 25.05.2011) Principal Secretary to Govt. (Health & Family Welfare Dept.), Govt.of Kerala Chairman 3. Dr. A.K. Dubey, IAS (Till 23.08.2011) Principal Secretary to Government (Finance Dept.), Govt. of Kerala Member 4. Shri. V.P. Joy, IAS (From 24.08.2011) Principal Secretary to Government (Finance Dept.), Govt. of Kerala Member 5. Shri. Subrata Biswas, IAS Secretary to Govt. (Planning & Economic Affairs Dept.), Govt. of Kerala Member 6. Dr.V. Geetha Director of Medical Education, Thiruvananthapuram Member 7. Dr. Ramdas Pisharody Principal, Medical College, Thiruvananthapuram Member 8. Dr. Paul Sebastian Director, Regional Cancer Centre Convener v Dr. Paul Sebastian Director vi The Regional Cancer Centre, Thiruvananthapuram, (RCC) now DIRECTOR’S REVIEW in its 31st year of leadership towards becoming a global leader in cancer control, is an autonomous scientific institution sponsored jointly by the Government of Kerala and the Government of India receiving financial assistance from both. During this report period 1,78,523 patients including 14,282 new patients reported to the Centre for specialised cancer care. Towards our mission of providing highest quality cancer care, we strengthened the existing infrastructure by adding new equipment. To augment the facilities for comprehensive breast care, we acquired an advanced breast imaging and biopsy unit, which incorporates Full Field Digital Mammography, Prone Table Biopsy, and Sentinel Node Biopsy with ultrasonography. The system ensures minimum discomfort to patients for biopsy, high resolution images and speedy report generation. It was installed under a generous funding worth Rs. 2.5 crores provided by Government of Kerala. Similarly our divisions of Radiation Oncology, Surgical Oncology, Radiation Physics, Anaesthesiology, Clinical Laboratory Medicine, Transfusion Medicine and Cancer Research have added new facilities and started new services for the benefits of our patients. These included HDR brachytherapy unit Microselectron (digital model-18 channel) with Oncentra planning system, new generation LEICA microscope, Video hysteroscope, MRI compatible anaesthesia workstation and infusion pump, Beckman Coulter LH 780 fully automated 5-part haematology analyser, Automatic Component Extractor (T-ACE), Automated Haematology Analyser and Chemiluminescence-Fluorescence Imaging System. Newly started services include Rapid Arc, Respiratory Gating, Stereotactic Radiotherapy (SRT), Stereotactic Radio Surgery (SRS) and Image Guided Brachytherapy for cervix cancer, laser surgeries using advanced LUMINIS system for oral and laryngeal cancers, limb salvage surgeries for bone sarcomas and sentinel node biopsy for early breast cancers. Towards our mission of generating trained manpower for cancer control, we have been conducting various academic programmes. In addition to the ongoing DNB programmes, fellowship programmes, post-doctoral programmes, PhD programmes and other training programmes in various disciplines, we commenced super-speciality courses in oncology for the first time in Kerala. They include Medical Council of India approved MCh (Surgical Oncology) and DM (Medical Oncology) courses affiliated to Kerala University of Health Sciences. DM Programme in Paediatric Oncology, MD programmes in Radiotherapy and Radiodiagnosis are in the pipeline awaiting approval of Medical Council of India. One year Post-Basic Diploma in Oncology Nursing under accreditation of Nursing Council of India was also started. Programmes in early cancer detection and treatment and awareness classes were conducted as usual and health care professionals in Kerala were the major beneficiaries. vii The efforts of our research resulted in 97 scientific papers, which included journal articles, chapters in books and conference papers. Out of the 41 journal articles, 34 were published in peer-reviewed indexed journals. An International Breast Cancer Conference was organised in collaboration with National Cancer Centre, Singapore to discuss novel developments in this field. ‘Excellence in cancer surgery through innovations’ was the theme of the two-day CME organised in association with Indian Association of Surgical Oncology (IASO), which was attended by over 300 cancer surgeons across the country. To uphold role of carers in cancer management and to address psychosocial, financial and physical aspects of cancer treatment, we observed the World Cancer Day with the theme ‘Cancer patients and their family’. Interactive sessions with participation of patients, their care givers and experts, marked the event. World Palliative Care day was observed with education programmes for voluntary workers, sociologists and nurses. We took many initiatives and organised many programmes as part of our commitment towards creating cancer awareness among public, health professionals and in organising outreach programmes
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