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Disease-specific pathways
Seen by someone who treats your cancer every week
Each clinic carries the same core scope, diagnosis review, staging, molecular strategy, planning, board listing and follow-up, with a written disease-specific pathway on top.
The constraint is credibility, not cost. We open a clinic only when a consultant can hold it weekly and there is enough volume to keep the pathway alive. Clinics marked Coming soon are specified and staffed but not yet running, we will not take a booking for one. Cases in those diseases are still reviewed at the board and by tele-clinic.
The pathway
- Receptor and HER2 interpretation, and what each implies for the options
- Hereditary risk triage into counselling, for you and your relatives
- The onco-fertility trigger, before treatment starts
- Lymphedema surveillance built into follow-up
- Survivorship on endocrine therapy, the years most services ignore
Connected services
- Genomic profiling
- Germline + cascade
- Lymphedema programme
- Onco-fertility
- Psycho-oncology
- Rehabilitation
The pathway
- MSI and mismatch-repair status driving the immunotherapy assessment
- Lynch syndrome triage, and cascade testing for the family
- Nutrition and stoma pathway, what determines whether treatment is tolerable
- Residual-disease monitoring candidacy after curative resection
- Gallbladder cancer given specific attention. India has among the world's highest rates, and it is often found incidentally
Connected services
- Comprehensive profiling
- Lynch cascade testing
- Stoma care
- Oncology nutrition
- Serial monitoring
- Gastroenterology OPD
The pathway
- Driver-mutation strategy and the sequencing of targeted therapy
- Liquid-biopsy-first testing where tissue is inadequate or re-biopsy is unsafe
- A written re-profiling protocol at progression, resistance changes the biology
- Tobacco cessation linked into the pathway, not mentioned in passing
Connected services
- Liquid biopsy
- Serial monitoring
- Re-profiling at progression
- Cessation clinic
- Pulmonology OPD
- Palliative care
The pathway
- Pre-radiation dental clearance mandatory, booked before the radiation referral leaves the building, run in our own dental clinic
- Nutrition and swallowing support with texture management
- Tobacco and areca-nut cessation as part of treatment, not as advice
- Speech and voice rehabilitation after treatment
- Community oral screening camps feeding directly into this clinic
Connected services
- Dental clearance
- Oncology nutrition
- Speech rehabilitation
- Cessation
- Oral screening camps
- ENT & dental OPD
The pathway
- HPV-related prevention linked both ways, your treatment, and vaccination and screening for the family
- Hereditary ovarian risk triage into counselling and cascade testing
- The onco-fertility trigger before treatment begins
- Integration with the women's health clinic, so screening does not stop after a diagnosis
- Sexual health and menopause after treatment, a conversation nobody in Indian oncology has
Connected services
- HPV vaccination
- Germline testing
- Onco-fertility
- Women's health screening
- Sexual health after cancer
The pathway
- A distinct diagnostic pathway, marrow, flow cytometry, cytogenetics, routed through partners and read back into the board
- Serial monitoring and residual-disease candidacy assessed explicitly
- An infection and neutropenia protocol as a standing companion, with caregiver education on when to seek urgent care
- Transplant-referral opinion where indicated, performed at a designated unit
- High-frequency follow-up, the interval between visits is itself a clinical decision
Connected services
- Serial monitoring
- Residual disease assessment
- Infection management
- Nutrition
- Psycho-oncology
- Palliative care
Active-surveillance protocols for low-risk prostate disease, where the correct decision is frequently to do less, and where an institution that performs no prostate surgery is a useful place to ask. Hereditary prostate risk triage and onco-nephrology linkage. Available now by tele-clinic and through the board.
Molecular classification-led planning, in this disease group, the classification is the decision. Rehabilitation and neuro-cognitive support, and a caregiver burden pathway, because the family carries more of this illness than almost any other cancer.
A rare-histology pathway with expert-panel review as standard rather than as an exception, functional rehabilitation, and a referral network for the specialised surgery these tumours require. Reviewed at the Complex & Rare Case Board with invited sub-specialists.
A dermatology reflex pathway feeding from our own high-volume dermatology OPD, immunotherapy-first assessment where indicated, and a written surveillance imaging protocol.
The conventional approach is a sequential hunt through one investigation after another while the patient waits. We use comprehensive genomic profiling as a first-line strategy and reason about tissue-of-origin at the board instead, faster, and frequently cheaper than the sequence of scans it replaces. Trial and expanded-access searching is part of the workup.
Why a clinic opens when it opens
The constraint is credibility, not cost. We open one only when a consultant can hold it weekly and there is enough volume to keep the pathway alive.
A clinic that runs empty is worse than one that never opened, because the promise is public.
The clinic leads
Who runs these clinics
Not sure which clinic you need?
You do not have to work that out yourself. Bring what you have, and we will route you, including to a clinic that is not ours, if that is the right answer.
