a.
Brief
description: The Department of Surgical Oncology offers comprehensive care for
cancer patients through both inpatient and outpatient services. Since its
inception, this department has been working hard to promote excellence in
cancer surgery. It is one of the most important divisions of NICRH, providing
surgical inputs in the multidisciplinary management of cancers. Within the
department, there are five specialized units dedicated to organ-specific cancer
care services. These are –
i.
Upper
GI unit – This unit focuses on cancers in the upper digestive tract, including
the esophagus, stomach and small intestine. Radical gastrectomies with D2
lymphadenectomies are regularly performed with. Esophageal cancer surgeries
including two-field and three-field esophagectomies are also being done
successfully.
ii.
Lower
GI unit – All colorectal malignancies are successfully managed in this unit.
iii.
Breast
unit – We have a huge load of breast cancer patients at NICRH and the dedicated
breast unit of Surgical Oncology department excels in their surgical management.
Breast-conserving surgery (BCS) and Oncoplastic breast surgeries (OPBS) have
changed the approach to the management of these patients. We also routinely
perform hydrogel marker insertions, SLNB with dual tracers, wire-guided
breast-conserving procedures, and other latest surgical techniques.
iv.
Hepatobiliary-pancreatic
unit: This unit tackles challenging procedures, including Whipple's procedure
for pancreatic and periampullary cancers, extended gallbladder cancer surgery,
and biliary tract surgeries.
v.
Sarcoma
unit: This unit addresses various soft tissue sarcomas of various sites,
including retroperitoneal sarcomas. At present this unit also manages bone
sarcoma patients with regular use of endoprosthesis to facilitate limb salvage
procedures.
Furthermore, the
department conducts various diagnostic and therapeutic procedures as part of
OPD care, including core needle biopsies, incision-excision biopsies, endoscopy
with stenting, colonoscopy, endoscopic polypectomy, CT-guided core biopsy, ERCP
and stenting, PTBD etc.
In recent years, the
department has excelled at minimally invasive surgeries. Gastric, colorectal
and hepatobiliary-pancreatic surgeries are done laparoscopically on selected
patients with promising outcome.
b.
History
and establishment: Initially starting with outpatient service only, the
department formally started as an integral part of the 50-bed institute in
1991. Since then, the department has been graced and guided by various visionary
and charismatic surgeons, who will always be remembered with utmost respect by
all surgical oncologists of Bangladesh. The institute was upgraded to 150-bed
in 2009 and then to 300-bed in 2015, when the Surgical Oncology Department was
run as two units. The year 2021 marks a significant milepost in the history of
the department when for the first time organ based separate units were
established. We are proud to say that we are in a constant state of dynamism,
making every effort to keep pace with the advancements of cancer surgery all
over the world.
1. OPD Consultation
Description: New and referral patients seen at organ-specific OPDs.
Availability: All working days except Fridays and government holidays (8:30 am–2:00 pm).
Appointment Required? Online and walk-in registration.
2. Tumor Board Consultation
Description: Multidisciplinary discussion for a comprehensive management plan for every patient.
Availability: All working days except Fridays and government holidays (9:00 am–2:00 pm).
Appointment Required? OPD referral.
3. IPD (Inpatient Department)
Description:
Pre-operative evaluation and optimization.
Elective and emergency surgeries.
Post-operative care.
Availability: All working days except Fridays and government holidays (8:00 am–2:30 pm).
Appointment Required? No.
4. Endoscopic Procedures
Description:
Upper GI Endoscopy
Colonoscopy
ERCP
PTBD
Availability: Saturday, Monday, Wednesday, Thursday (9:00 am–2:00 pm).
Appointment Required? Yes.
5. Biopsies
Description: Trucut, incisional, and excisional biopsies.
Availability: Monday, Thursday.
Appointment Required? Yes.
Specialized
facilities and technologies
a.
Hand-held
gamma probe for sentinel node detection using radiotracers
b.
C-arm
facilities in Operating room
c.
Modern
energy devices including Ligasure and Harmonic scalpel
d.
3D-laparoscopy
facility
e.
Image-guided
procedures (hydrogel marker, wire localization, biopsy
i. Expanding and further improving the use of laparoscopy in cancer surgeries.
ii. Introducing robotic surgery for cancer management for the first time in Bangladesh.
iii. Implementing screening protocols for early detection of cancers.
iv. Establishing a dedicated facility for interventional procedures to diagnose and treat cancer patients effectively in the early stages.
v. Capacity building through training, workshops, and extensive research efforts
Dr. Topesh Kumar Paul
Serum CA 15-3 levels in breast cancer patients before and after operative management.
Dr. Md. Hasanuzzaman
Study of estrogen and progesterone receptor status in breast cancer: It’s relation to age, axillary lymph node status, tumour size and grade of tumour.
Dr. Laila Shirin
Serum CA 19-9 and serum CA 125 level as predictors of peritoneal dissemination in patients with carcinoma stomach
Dr. AKM Minhaj Uddin Bhuiyan
Nutritional Indicators for Postoperative Morbidity in Elective Oncological Surgery
Dr. Md Jahangir Kabir
Changes of serum CEA level after resection of colorectal carcinoma.
Dr. Mohammed Abu Kawsar Sarker
Seroprevalence of H.Pylori in carcinoma stomach patients, its association with tumor location, histological type and stage.
Dr. Md. Monzurul Islam
Study of P53 Protein Expression in Gastric Cancer Patients:- Relationship with Tumour Location, Grading & Staging of the Disease.
Dr. Md. Monoar Hossain
HER-2 Status In Carcinoma Stomach
Dr. Mohammad Sahajadul Alam
Clinicopathological relevance of altered hMLH1 gene in gastric cancer patients.
Dr. Md. Rassell
Clinico-Pathological presentation in relation to molecular subtypes of breast Cancer
Dr. Abu Khaled Muhammad Iqbal
“Recurrent Breast Cancer: Its Clinicopathological and Molecular Analysis”.
Dr. Hasan Shahrear Ahmed
Impact of Molecular Factors on the Responsiveness of Neoadjuvant chemotherapy in Locally Advanced Breast Cancer
Dr. Md. Ashiqur Rahman
“Lumpectomy VS Mastectomy in Breast Cancer: Comparison of their early postoperative outcome”
Dr. Tangera Akter
“Assessment of Clinico Pathological Factors as Predictive Markers in Response to Neoadjuvant Chemotherapy in Locally Advanced Breast Cancer (LABC) ”.
Dr. Anindita Paul
“Soft tissue sarcoma: it's clinicopathological status at presentation” .
Dr. Ahmed Mizanur Rahman
“Evaluation of short term outcomes of surgery for colorectal cancer”
Dr. KABM Abdullah Al Hasan
“Outcome of sentinel lymphnode biopsy with methylene blue dye for early stage breast cancer” .
Dr. Md. Nurujjaman Sarker
“Pattern of Recurrence In Rectal Cancer After Surgery.”
Dr. Md. Washif Shakir
“Clinicopathology Charecteristics of Malignant Melanoma: A cross serional study.”
Dr. Shaila Parveen
“Clinicopathological status and surgical treatment outcome of retroperitoneal sarcoma.”
Dr. Girin Chandra Biswas
“Peritoneal Cytology In The Staging Process of Gastric Carcinoma.”
Dr. Mahnaz Tabassum Prova
“Immediate Effect of Mastectomy on the Health-Related Quality of Life of Breast Cancer Patients.”
Dr. Shumona Akhter Azad
“Comparison of hormone receptor status in primary and recurrent breast cancer.”
Dr. Tanveer Hasan Shoaib
“Early Outcome of Gastric Carcinoma Surgery and It’s Correlation with Serum Albumin.”
Dr. Md. Abdus Salam
“Evaluation of short term outcomes of laparoscopic surgery for the treatment of colorectal cancer.”
Dr. Mithun Kumar Mollick
“Outcome Following Breast Conservative Surgery For Early Breast Cancer At NICRH.”
Dr. Mofizur Rahman
“Short-term Surgical Outcome of Patients with Primary Extremity Soft Tissue Sarcoma at NICRH.”
Dr. Sonia Rahman
The Short-term Outcome of Total Radical Gastrectomy in Patients with Proximal Gastric Cancer.
Dr. Md. Ekramul Haque
“Evaluation of Outcome of Uncut Roux-En-Y Gastrojejunostomy for Distal Gastric Cancer in a Tertiary Hospital”
Dr. Mirza Afsana Yesmin Tithi
“Association between BRCA Status and Triple-Negative Breast Cancer at NICRH.”
Dr. Ahmed-Al-Hasan Mahmud
“Outcome of BCS in Patients with Unplanned Lumpectomy for Early Breast Cencer Elsewhere.”
Dr. Md. Tahir Hossain
Health-related Quality of Life (HRQoL) following APER (Abdomino-Perineal Excision of Rectum): Early Effects on Ano-Rectal Cancer Patients.”
Dr. Kallol Dey
“Early Functional Outcome of Wide Local Excision & Endoprosthetic Reconstruction for Bone Sarcoma at National Institute of Cancer Research & Hospital, Dhaka, Bangladesh.”
Dr. Tawhida Khandaker
“Early Postoperative Outcome of Modified D2 Gastrectomy for Gastric Cancer in a Tertiary Hospital.”
Dr. Md. Abdul Munim Sarkar
“Short-term Evaluation of Bowel Dysfunction after Anterior Resection for Carcinoma Rectum or Rectosigmoid Junction.”
Dr. Md. Abdullah Yusuf Jamil
“Evaluation of application of hydrogel marker clip in breast cancer patient before neoadjuvant chemotherapy and breast conserving surgery.”
Dr. Muhammad Syeef Khalid
“Clinicopathological attributes of Gastric Cancer based on molecular classification.”
Dr. S.M. Sakib Kabir
“Evaluation of Prognostic Factors for Local Recurrence of Extremity Soft Tissue Sarcoma: Observational Study in A Tertiary Care Hospital.”
Dr. Suzon Kumar Mazumder
“The effect of neoadjuvant chemotherapy on locally advanced gastric adenocarcinoma at NICRH.”
Dr. Rajib Kumar Shil
“Risk Factors for Perineal Wound Infection after Abdominoperineal Excision of Rectum in Rectal Cancer.”
Dr. Hasan Shahriar Md. Nuruzzaman
“Short term outcomes of Oncoplastic Breast Surgery at NICRH”.
Dr. K. M. Sakib, Resident
“Factors Associated with Locoregional Recurrence in Locally Advanced Breast Cancer in a Tertiary Hospital”.
Dr. Shariful Alam
“Effects of the covid-19 pandemic on gastric cancer surger : experience at NICRH.”
Dr. Ashrafur Rahman
Comparative analysis of p53 protein expression in early and late onset colorectal cancers in NICRH.
Dr. Ahmed sami-Al-Hasan
Association of serum LDH with the post operative morbidities in Malignant melanoma patients in NICRH.
Dr. Md. Ashek Ullah Khan
“Early outcome of colorectal cancer surgery and its correlation with preoperative Glasgow Prognostic Score”
Dr. Zeenat Mahzabin
“Comparative Study of Outcomes of Breast-Conserving Surgery with and without Intraoperative Frozen Section Analysis at a Tertiary Cancer Center”
Dr. Bushra Nur Al Chowdhury
“The Factors Influencing Operability of Gall Bladder Cancer Patients in NICRH”
Dr. A.H.M. Bahauddin Kowsar
“Evaluation of early postoperative outcomes of latissimus dorsi myocutaneous flap in immediate breast reconstruction after mastectomy for breast cancer at NICRH”
Dr. Jahidul Islam Khan
“Comparison of Conventional vs Station Wise Retrieval Technique of Lymph Node Assessment in Radical Gastrectomy-A Prospective Comparative Study”
Dr. Sajib Chandra Mandal
“Correlation Between Tumour Size and Site with Axillary Lymph Node Metastasis in Breast Cancer”
Dr. Tanzina Bhuiyan
“Comparison between Single and Dual Tracer Techniques in Sentinel Lymph Node Biopsy in Breast Cancer Patients”
Dr. Md. Khademul Bashar
“Nutritional Risk Is an Independent Clinical Predictor of Postoperative Morbidity and Mortality in Surgery for Gastrointestinal Tract Cancers”
Dr. Md. Safiqul Islam
“Microsatellite Instability Status Among Admitted Gastric Adenocarcinoma Patients at Surgical Oncology Department of National Institute of Cancer Research and Hospital”
Dr. Rakib Ahmad Khan
“Role of Immunohistochemistry in management of Soft Tissue Sarcoma in a tertiary care centre”
Dr. Tarun Kanti Paul
“C-Reactive Protein and Albumin Ratio: A Tool for Predicting Anastomotic Leakage in Colorectal Cancer Surgery”
Dr. Umme Humyra Kaneta
“Breast and tumor volume measurements using anthropometry & mammography for objective decision making in onco-plastic breast surgery”
Dr. Md. Mehedi Hasan Chowdhury
“Feasibility of Targeted Axillary Dissection by tattooing with India Ink of previously cytology proven positive axillary Lymph node in A Tertiary Care Hospital”
Dr. Arjun Deb
“Relationship of Microsatellite Instability with the Clinicopathological Factors in Colorectal Carcinoma”
Dr. Milton Mallick
“Impact of Different Gastrointestinal Reconstruction Technique on Early Postoperative Results after Distal Radical Gastrectomy for Distal Stomach Cancer”
Dr. Zereen Jesmin Bithy
“Significance of PIK3CA Mutations in Breast Carcinoma: An Observational Study at NICRH”
·
Head
of Department (HOD): Prof. Dr. Laila Shirin
·
Designation:
Professor & Head
·
Contact
e-mail and phone: dr.lshirin@gmail.com, 01819296903
·
Office
location: B block (7th floor)
·
Working
hours: 8.00 am – 2.30 pm
