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  3. Dr. Sandeep Nayak - Head of Oncology
  • Cancer

Dr. Sandeep Nayak - Head of Oncology

By Srinjoy Nandy| Last Updated at: 22nd Nov '23| 16 Min Read
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Qualification: MBBS, DNB (General Surgery), DNB (Surgical Oncology), MRCS (UK), MNAMS (General Surgery), Fellowship in Laparoscopic and Robotic Surgical Oncology

Specialty: Surgical Oncologist.

Experience:  More than 20 years.

Expertise: Advanced laparoscopic cancer surgery, robotic surgery, endoscopic surgery.

 

Dr. Sandeep Nayak is one of the leading oncologists in India. He is the founder and chief of surgical oncology at MACS Clinic, Bangalore. It is an exclusive specialty clinic for minimally invasive cancer surgery, including robotic, laparoscopic, and endoscopic surgery.

Further, he is the Director of Surgical Oncology, Professor, and HOD of Minimal Access Surgical Oncology at the Fortis Cancer Institute, Bannerghatta Road, Bangalore.

His major area of interest includes:

Over the course of his career, Dr. Sandeep Nayak has treated thousands of patients from India. They travel far and wide to get themselves treated by an expert cancer specialist in Bangalore.  Nowadays patients from abroad are visiting India for cancer treatment, this is due to the affordable treatment available here.

They have immense faith in him, proving his excellent track record. Very few onco-surgeons are as proficient as he is in this field, and rightly so, he is considered one of the best oncologists in India.

 

He is interested in laparoscopic and robotic surgery and is considered a pioneer of laparoscopic cancer surgery in India. His passion and dedication to his profession inspire him to introduce revolutionary surgical approaches that give patients a fighting chance to overcome cancer.

 

Dr. Sandeep Nayak and his team of highly experienced cancer specialists in Bangalore offer their patients the best evidence-based cancer treatment options at affordable costs. His top objective is to provide ethical and dependable care that meets the highest standards.

 

 

 

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Question and Answers

. Heterogeneous Soft Tissue Nodule in the Right Lower Lobe (RLL) Size: 14 x 8 mm This nodule is described as heterogeneously enhancing, which suggests it may have varying levels of blood flow or different tissue densities within it. This could be indicative of a tumor. 2. Air Space Opacification in the Right Upper Lobe (RUL) Finding: There is patchy air space opacification with interlobular septal thickening in the posterior segment of RUL. This could represent infection, inflammation, or more concerningly, metastatic disease or lung cancer causing these changes. 3. Left-sided Pleural Effusion and Subsegmental Atelectasis Pleural Effusion: Mild left-sided pleural effusion is noted. Pleural effusion can occur in the context of metastatic disease or cancer. Atelectasis: This refers to partial lung collapse, which may occur when there is a mass obstructing the airflow or due to pleural fluid. 4. Enlarged Mediastinal and Hilar Lymph Nodes Lymphadenopathy: There are multiple enlarged and necrotic lymph nodes, most notably in the right hilar region, with the largest measuring 35 x 25 mm. Enlargement and necrosis of lymph nodes can be a sign of metastatic spread. The presence of enlarged lymph nodes in the mediastinum and hilum is typical of malignancy spreading beyond the primary lung site. 5. Liver Lesion Size: 14 x 13 mm lesion in the right hepatic lobe, which is well-defined and peripherally enhancing. A hypodense lesion could indicate a metastatic tumor, especially since it shows peripheral enhancement, a characteristic of some types of metastases. 6. Skeletal Lesions Multiple Lesions: There are mixed lytic and sclerotic bony lesions, some with soft tissue components. These lesions involve the vertebrae, ribs, glenoids, sternum, sacral ala, iliac bones, and femur. Soft Tissue Components: Some of the lesions, such as those in the ribs and iliac bones, have a soft tissue component, which suggests more advanced involvement, possibly indicating metastases. 7. Other Findings: No signs of emphysema, bronchiectasis, or pneumothorax were noted, which is reassuring as it reduces the likelihood of certain types of lung diseases. The liver, spleen, pancreas, kidneys, urinary bladder, and prostate all appear normal on imaging, which helps to rule out major issues in these organs. Impression: The findings of a heterogeneously enhancing solitary pulmonary nodule in the right lung, with associated hilar and mediastinal lymphadenopathy, along with a hepatic lesion and extensive skeletal involvement (with mixed lytic and sclerotic lesions), strongly raise concern for metastatic disease, most likely originating from the lung. The primary lung cancer is a potential consideration, though other primary sites are also possible. Next Steps: Histopathological correlation: This means a biopsy or tissue sample should be taken from one of the lesions (pulmonary, hepatic, or bone) to confirm whether the lesions are malignant and, if so, to identify the type of cancer. This will help determine the best course of treatment. The overall picture suggests a metastatic malignancy, likely of pulmonary origin, but further investigations and biopsy are essential to establish a definitive diagnosis and treatment plan.

Male | 58

Answered on 8th Mar '25

Dr. Donald Babu

Dr. Donald Babu

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Male | 56

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Answered on 12th Feb '25

Dr. Sridhar Susheela

Dr. Sridhar Susheela

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