Pediatric Onco Surgery
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Pediatric Cancer Surgery in Bangalore — Expert Onco-Surgical Care for Children
A cancer diagnosis in a child is one of the most overwhelming experiences any parent can face. But with the right surgical team, many pediatric cancers are highly treatable — and surgery is often the cornerstone of curative treatment. At Kshema Pediatrix on Kanakapura Road, Bangalore, our Pediatric Surgical Oncologist works as part of a comprehensive multidisciplinary team that includes pediatric oncologists, radiologists, pathologists, and intensivists to provide state-of-the-art oncological surgery for children in a compassionate, family-centered environment. We are committed to giving every child with cancer the best possible chance at a healthy, normal life.
Why Choose Kshema Pediatrix for Pediatric Onco-Surgery in Bangalore?
- Dedicated Pediatric Surgical Oncologist with subspecialty training in childhood tumors
- Tumor Board — multidisciplinary oncology meetings to plan every child’s treatment collaboratively
- Advanced pre-surgical imaging including CT, MRI, and PET-CT for accurate tumor staging
- Minimally invasive laparoscopic and thoracoscopic tumor resections where appropriate
- Coordination with pediatric hematology-oncology for combined chemotherapy and surgery protocols
- Dedicated PICU support for intensive post-operative monitoring of complex oncological cases
- Psychosocial support for children and families through our Child Psychologist
- Long-term follow-up for recurrence surveillance and late effects monitoring
Conditions We Treat
Wilms Tumor (Nephroblastoma) in Children
Wilms tumor is the most common kidney cancer in children, typically presenting as a painless abdominal mass in a child under five. Modern treatment with combined surgery, chemotherapy, and sometimes radiation results in overall survival rates exceeding 90%. At Kshema Pediatrix, nephrectomy (kidney removal) for Wilms tumor is performed following established protocols, with particular attention to surgical technique to prevent tumor spillage, which can affect staging and treatment.
Neuroblastoma in Children
Neuroblastoma is a cancer arising from the developing nervous system, most commonly in the adrenal glands or along the spinal cord. It is the most common solid cancer in infants. Surgical resection is a key component of treatment, often combined with chemotherapy and/or radiation depending on the stage and risk group. Our Pediatric Surgical Oncologist has experience in resecting neuroblastomas at all anatomical locations, including retroperitoneal and thoracic tumors.
Teratoma in Children
Teratomas are germ cell tumors found in various locations in children, including the sacrococcygeal region (tailbone), mediastinum (chest), ovary, and testes. Sacrococcygeal teratoma is the most common tumor in newborns. Surgical removal is the primary treatment and must include the coccyx (tailbone) to prevent recurrence. Outcomes are excellent for mature teratomas, with ongoing surveillance needed to detect malignant transformation.
Pediatric Liver Tumors — Hepatoblastoma
Hepatoblastoma is the most common liver tumor in children, typically occurring under three years of age and presenting as a large abdominal mass. Treatment combines pre-operative chemotherapy to shrink the tumor followed by surgical resection or liver transplantation in select cases. Our team coordinates closely with pediatric hepatology and transplant surgery for comprehensive management.
Soft Tissue Sarcomas in Children
Rhabdomyosarcoma and other soft tissue sarcomas in children require multidisciplinary surgical management combining wide local excision with chemotherapy and sometimes radiation. Our Pediatric Surgical Oncologist performs resections at all sites — abdominal, pelvic, extremity, and head/neck — with careful planning to achieve negative surgical margins while preserving function.
Symptoms Parents Should Not Ignore
- A painless lump or mass in the abdomen, back, or neck in a young child
- Unexplained rapid increase in abdominal size
- Persistent fever, unexplained weight loss, or loss of appetite
- Bone pain, limping, or visible bone lumps not related to trauma
- Blood in urine (hematuria) in a child
- A firm scrotal mass in a male infant or young boy
- A lump near the tailbone in a newborn or infant
- Night sweats with lymph node enlargement — possible lymphoma
Advanced Diagnostic and Treatment Options
- Ultrasound, contrast CT, and MRI for tumor characterization and staging
- Biopsy — image-guided core needle biopsy or surgical biopsy for histological diagnosis
- Pre-operative chemotherapy (neoadjuvant) to shrink tumors before resection
- Radical nephrectomy for Wilms tumor
- Hepatic resection for liver tumors (segmentectomy, lobectomy)
- Sacrococcygeal teratoma excision including coccygectomy
- Laparoscopic adrenalectomy for adrenal tumors
- Long-term oncological surveillance and late effects monitoring
Benefits of Early Surgical Treatment in Childhood Cancer
- Higher cure rates — early-stage tumors have significantly better surgical outcomes
- Smaller tumors are technically easier to resect completely
- Less chemotherapy and radiation needed for early-stage disease — fewer side effects
- Better organ preservation with early intervention
- Improved long-term quality of life with complete tumor removal
When to See Our Panel of Pediatric Doctors?
Childhood cancer demands a genuinely multidisciplinary approach. At Kshema Pediatrix, the Pediatric Surgical Oncologist works in close collaboration with our Pediatric Hemato-Oncologist and Pediatric Hemato-Onco-BMT Consultant to plan combined chemotherapy and surgical treatment protocols. Every case is discussed at our Tumor Board meeting.
Complex tumors requiring neurosurgical involvement — such as spinal neuroblastoma — are co-managed with our Pediatric Neurosurgeon. Thoracic tumors are addressed jointly with our Pediatric Thoracic Surgeon. Hormonal tumors or endocrine abnormalities from tumors are evaluated by our Pediatric Endocrinologist. Genetic tumor predisposition syndromes are assessed by our Pediatric Geneticist.
Nutritional rehabilitation after major oncological surgery is managed by our team including a Lactation Consultant and nutritionist. Our Child Psychologist and Child and Adolescent Psychiatrist provide essential psychological support for children and families through every phase of cancer treatment — because emotional well-being is inseparable from physical recovery.
Specialized Pediatric Oncology Surgical Care in Bangalore
At Kshema Pediatrix, South Bangalore, we understand that a cancer diagnosis changes everything for a family. Our commitment is to provide not just excellent surgical outcomes but genuine partnership — clear communication, honest counseling, and compassionate support at every step. Our PICU team ensures intensive post-operative care for complex tumor resections. Families from across Karnataka and beyond come to Kshema Pediatrix trusting that their child will receive the most advanced, evidence-based oncological surgical care available in the region.
Conclusion
When a child faces cancer, parents deserve a team that combines world-class surgical expertise with genuine compassion. At Kshema Pediatrix, Bangalore’s dedicated pediatric oncology surgery center, we bring together every specialist your child needs — under one roof, aligned in one goal: complete cure and the best possible quality of life. Early diagnosis, expert surgery, and multidisciplinary care are the three pillars of childhood cancer survival.
Do not wait. If you notice any suspicious mass or symptom, contact Kshema Pediatrix on Kanakapura Road, Bangalore immediately. Early action saves lives.
Frequently Asked Questions
The most common childhood cancers requiring surgical management include Wilms tumor (kidney), neuroblastoma (adrenal/abdominal), hepatoblastoma (liver), rhabdomyosarcoma (soft tissue), teratoma, retinoblastoma (eye, though not typically treated surgically), lymphomas, brain tumors, and bone tumors (osteosarcoma, Ewing's sarcoma). Surgery is often combined with chemotherapy and/or radiation in a multimodal treatment plan.
A Tumor Board is a multidisciplinary meeting of specialists including surgeons, oncologists, radiologists, pathologists, and radiation oncologists who review each cancer case together to agree on the optimal treatment plan. This collaborative approach ensures that no single clinician's perspective dominates — and that your child receives the most evidence-based, comprehensive treatment plan available. At Kshema Pediatrix, all pediatric cancer cases are reviewed by our Tumor Board before treatment begins.
Yes, in selected cases. Laparoscopic adrenalectomy for neuroblastoma, thoracoscopic resection of small mediastinal tumors, and laparoscopic nephrectomy for small Wilms tumors are examples where minimally invasive approaches are used in specialized centers. However, the priority is always achieving complete (R0) tumor resection with negative margins — which in some cases still requires open surgery.
Wilms tumor has one of the best survival rates among childhood cancers. With combined surgery and chemotherapy, overall survival exceeds 90% for localized disease. Even Stage IV (metastatic) Wilms tumor has a 70–80% long-term survival with aggressive multimodal treatment. Early detection — often as a painless abdominal mass — and prompt referral to a specialized center are the most important factors.
Any new, painless, firm abdominal mass in a child warrants urgent medical evaluation. While not all lumps are cancerous — enlarged lymph nodes, constipation, and benign cysts can also cause masses — a thorough examination and ultrasound are the first steps. If malignancy is suspected, CT scan and biopsy will confirm the diagnosis. The key is not to delay: bring your child to Kshema Pediatrix promptly for evaluation.
This depends entirely on the type and stage of tumor. For Wilms tumor, pre-operative chemotherapy is standard in many protocols (SIOP protocol) to shrink the tumor and reduce surgical complexity. For neuroblastoma, chemotherapy is usually given before surgery for high-risk tumors. For teratomas and some other tumors, surgery-first is the standard approach. Our Tumor Board will determine the optimal sequencing for your child's specific tumor.
Yes, laparoscopic surgery in children requires general anesthesia. Our dedicated pediatric anesthesiologists use age-appropriate protocols with the latest agents that allow rapid awakening and minimal nausea. Children are carefully monitored throughout the procedure and into the recovery room until they are fully awake and comfortable.
Absolutely — the majority of children treated for cancer with curative intent go on to live full, healthy lives. Long-term follow-up is essential to monitor for late effects of chemotherapy, radiation, and surgery. Our long-term follow-up program at Kshema Pediatrix tracks not just oncological recurrence but also growth, endocrine function, cardiac health, neurodevelopment, and psychological well-being, ensuring the best possible quality of life after treatment.
Several genetic syndromes are associated with elevated childhood cancer risk, including Beckwith-Wiedemann syndrome (Wilms tumor risk), neurofibromatosis (brain tumors and MPNST risk), Li-Fraumeni syndrome (multiple cancers), familial retinoblastoma, and WAGR syndrome. Our Pediatric Geneticist evaluates children with suspected genetic predisposition and provides family counseling and surveillance recommendations.
Contact Kshema Pediatrix on Kanakapura Road, South Bangalore by phone or through kshemapediatrix.clinic. Bring all existing scans, biopsy reports, and treatment records. Our Pediatric Surgical Oncologist will review all materials and present the case at our Tumor Board before providing a complete, personalized treatment plan. We accept urgent referrals and will prioritize cases where time is critical.
Our Services
- General Pediatric Surgery
- Advanced Minimal Access Surgery
- Pediatric Robotic Surgery
- Pediatric Urology
- Pediatric Orthopaedic Surgery
- Pediatric ENT Surgery
- Pediatric Plastic Surgery
- Antenatal Counselling
- Pediatric Onco-Surgery
- Pediatric Hepato-Biliary Surgery
- Pediatric Thoracic Surgery
- Pediatric Colorectal Surgery
- Pediatric Ophthalmology
- Pediatric Dentistry
- Pediatric Neurosurgery
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For inquiries, please contact us at: [email protected]
Kshema Pediatrix - Dr. Ramesh Santhanakrishnan
#110, 1st Floor, 560019, Bull Temple Road Hanumanthnagar, Banashankari 1st Stage, Bengaluru, Karnataka 560050
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Phone/WhatsApp: +91 7204261631 Phone: +91 9019161631