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Dr. Raj Nagarkar has performed over 50,000 cancer surgeries at HCG Manavata Cancer Centre. He specializes in breast and thoracic surgical oncology. Dr. Nagarkar trained at the prestigious Tata Memorial Hospital in Mumbai. He is a Member of the Royal College of Surgeons in Edinburgh.
Dr Shruti Kate trained at the Tata Memorial Hospital, India's most prominent cancer institution, where she specialised in medical oncology for solid tumours.
The doctor is an experienced nuclear medicine specialist at HCG Manavata Cancer Centre with 12 years in the field. The doctor specializes in various nuclear scans, PET-CT scans, and nuclear cardiology services, demonstrating proficiency in radioiodine and Lu-177 RN therapies. Over the course of their career, the doctor has managed more than 30,000 PET scans and treated over 1,000 thyroid cancer patients. Additionally, the doctor has contributed to the field through published papers in various medical journals.
India provides high-precision chordoma treatment through surgical resection and advanced radiation such as Proton Beam Therapy. Multidisciplinary teams at JCI-accredited centres use TrueBeam STx and radiosurgery to treat skull base or spinal tumours. These facilities offer specialised neuro-oncology care for international patients.
Bookimed Expert Insight: Indian oncology centres often offer radiotherapy technologies such as TomoTherapy-H and Versa HD that provide 1 mm accuracy. HCG Manavata Cancer Centre serves 75,000 patients annually and has completed 65,000+ operations. This high volume suggests doctors there have handled virtually every rare case type, including complex chordomas.
Patient Consensus: Patients note surgery is the vital first step and emphasise finding surgeons with deep rare bone tumour experience. Many find combining surgery with high-dose radiation in India provides a clear path for managing stable or residual disease.
Leading Indian hospitals for chordoma treatment include HCG Manavata Cancer Centre and Manipal Hospitals. These facilities provide multidisciplinary care involving neurosurgeons and oncology specialists. Accredited centres offer advanced surgical resection, 4D radiotherapy, and PET-CT diagnostics for these rare bone tumours.
Bookimed Expert Insight: Patients often focus on surgeon reputation, but chordoma requires deep technological support. HCG Manavata Cancer Centre stands out because it combines experienced specialists like Dr Shruti Kate, a former Tata Memorial consultant, with specialised TomoTherapy-H and Versa HD radiation units. This combination of institutional experience and high-end radiotherapy hardware is essential for managing skull base or spinal tumours where 1 mm of accuracy protects vital nerves.
Patient Consensus: Patients emphasise that chordoma treatment starts with confirmed surgical pathology. They suggest choosing Indian hospitals with dedicated neurosurgery departments and discussing these options with local Australian specialists to ensure facility standards match international bone tumour protocols.
Proton beam therapy is available in India for treating chordoma. Specialist centres in cities like Chennai and Mumbai offer this high-precision radiation. It is often used for skull base and spinal tumours. This technology targets cancer cells while sparing nearby healthy tissue.
Bookimed Expert Insight: While India leads the region in proton therapy, access remains limited to major oncology hubs. Clinics like Gleneagles Global Chennai or Manipal use TrueBeam STx and linear accelerators with 1 mm accuracy. These alternatives offer high-precision care for patients who cannot access proton-specific machines.
Patient Consensus: Patients value the precision of proton therapy as it protects surrounding tissues from damage. They also stress monitoring for delayed symptoms. These include headaches or swelling months after treatment ends.
Surgery is not always possible for chordomas in India. Feasibility depends on tumour location, size, and proximity to critical nerves or blood vessels. While radical surgery is preferred, clivus or skull base tumours are often deemed inoperable. Multi-modal care using radiation is common.
Bookimed Expert Insight: Indian hospitals like Manipal and Global Hospital operate at a massive scale, serving millions of patients. This high volume allows surgeons to gain deep experience with rare tumours. Patients should look for NABH-accredited centres. These meet strict national safety standards for complex neuro-oncology.
Patient Consensus: Patients note that skull base tumours are risky to remove and often require multiple corrective surgeries. They highlight that proton beam radiation is a vital alternative to invasive surgery in India.
Chordoma recurrence in India follows global trends. Usually, 50% of skull base cases and 30–40% of spinal cases return. Recurrence often appears within 5–7 years. Leading Indian oncology centres use TrueBeam STx and robotic systems to maximise tumour removal and reduce these risks.
Bookimed Expert Insight: Indian centres like HCG Manavata Cancer Centre report performing over 65,000 surgeries, highlighting high-volume expertise. This experience is vital because recurrence risks drop significantly when surgeons achieve complete resection. Australian patients should prioritise clinics with US-FDA audited research units or JCI accreditation. For example, Manipal Hospitals offers global safety standards for complex neuro-oncology.
Patient Consensus: Patients note that recovery involves managing long-term fatigue and vision issues. It also requires regular MRIs to monitor for any changes. Experience in India shows that verifying a surgeon's specific history with clival lesions helps manage expectations. This includes potential sinus corrections or late-stage radiation effects.
Follow-up care after chordoma treatment in India focuses on lifelong surveillance via 3 Tesla MRI or PET-CT scans to detect recurrence early. Specialists perform regular screenings every 3 to 6 months initially. This process monitors for late radiation effects and manages nerve or sinus complications.
Bookimed Expert Insight: Indian cancer centres like HCG Manavata use nuclear medicine specialists who have reviewed over 30,000 PET scans. This high volume is critical for chordoma patients. It helps spot even tiny recurrences on imaging. Large academic facilities often provide better longitudinal data than smaller private clinics.
Patient Consensus: Patients note it is essential to secure complete medical notes and progress reports before leaving India. This documentation helps Australian GPs manage residual issues like fatigue, dizziness, or nerve palsies after returning home.