Dr Jagandeep S. Virk - Bone Cancer Specialist

Happy to share, that we have successfully started the "Limb Salvage Surgery" program at Paras Health, Srinagar. The first of its kind surgery in the Valley/ Srinagar.

Operated upon a 20yrs young male with a Large-sized Biopsy-proven Lower end femur Osteosarcoma -- Subtotal Femur resection and Megaprosthetic Reconstruction was done while preserving all the vital Neuro-vascualar structures.

Glad to have made a difference in the lives of my patients and give them a pain-free and disease-free Diwali🪔, as all are discharged from hospital to celebrate this festival with their loved one's at home..!

Orthopedic-Oncology takes u on an interesting journey more often than not..!
Total Talectomy (Removal of complete Talus - one of the bones in our feet) for an aggressive Recurrent Giant Cell Tumour (GCT) for a young female.
Will post the reconstruction and function soon.

Another unique case of "Limb Salvage by Cryotherapy technique" in which the resected cancerous bone (in selected cases) is sterilized with Liquid Nitrogen at minus196° celsius and re-implanted back in the patient, done for a young 12yrs girl from Jammu- Non- Metastatic, Biopsy-proven Tibia.

*Sharing an interesting small intra-op video of part of the sterilization process in which the resected specimen is dipped inside Liquid Nitrogen.

**"Team-work" from all ends and thorough "Planning" potentiates the "Uniqueness" of such procedures.!
I would be more than glad to share details of the procedure with anyone, can DM me.

"Knowledge Shared is Knowledge Squared"
2 stimulating Orthopaedic- Oncology meetings this week.. Hospitals Panchkula (In-house) with Oncologists and another with a few prominent Orthopaedic Surgeons at Ambala.

CT-Guided Radiofrequency Ablation (RFA) for an exquisitely painful Bone Tumour -- "Osteoid Osteoma" in the Tibia (Leg) bone for a young 18yrs old kid, family came all the way from Patna for getting the procedure done.

* CT-Guided RFA is an eloquent, effective, safe with super-fast recovery and done as a Day-care procedure.

With Rajan Sahu

As we observe "July", as the "sarcoma awareness month", let's remind people "Not to neglect soft tissue swellings because, at times they can assume large sizes that makes taking them out a challenge"

Although salvaging the limb can be done majority of the time but it does pose serious surgical challenges occasionally.

A large neglected Gluteal mass in a 67yrs old female (Biopsy- proven Dermatofibromasarcoma protuberans/ DFSP, Non-metastatic) taken out with wide margins and salvaging all vital structures to ensure a good functional outcome.

Mobilization of patients from the very next day is possible even after major Limb Salvage Surgeries for Bone Tumors and Cancers.
A young female from Katra, Jammu troubled by a Recurrent GCT (Giant Cell Tumour) in her leg, walking comfortably bearing full-weight with Walker assistance from post-op day 1 after undergoing a Long-segment Proximal tibial resection and EndoProsthetic reconstruction.

🎗️*July is Sarcoma awareness month*🎗️

A wonderful interactive academic meeting with Orthopaedic Surgeons of Patiala on the scope of "Limb Salvage Surgery for Bone Cancer and Bone Tumor patients".
"Limb Salvage nowadays, has indeed become the norm for sarcoma/bone cancer patients, and can be offered to more than 90percent patients"

Early detection and correct intervention is the key to successful outcome.

It's always motivating as a surgeon to see your Follow-up patients who have undergone major Limb Salvage Surgeries (LSS) doing good.

A young lady from Gurgaon, operated 1.5years back for a large Proximal Tibial Giant Cell Tumour (GCT) undergone Proximal tibial resection and EndoProsthetic reconstruction, disease- free and leading an active lifestyle.!

Young Mohammad Rizwan along with his brother and Abbu made their journey all the way from Prayagraj, Allahabad to our centre for a Recurrent Giant Cell Tumour (GCT) in his leg causing Delibitating pain and discomfort in walking.
We underwent Surgery, and is well on his path to recovery.
He aspires to be a Chartered Accountant (CA) and is preparing well for the same.! We wish him all the best.!

The joy of Standing and walking finally after 1.5years.!

Patient from Abohar, Punjab, presented to us with :
*DLBC (Diffuse Large B-cell) variant of Non-Hodgkins Lymphoma (NHL), primarily of Bone (Femur), post- systemic CT (Chemotherapy) and RT (Radiation therapy) to local site with
**Pathological Fracture in femur bone (post- irradiated) with no signs of healing at the fracture site and broken plate in-situ
***Unable to bear weight over this limb and practically, bed-ridden for the past almost 1.5years

He was Planned for Limb Salvage Surgery - Subtotal Femur Resection + Endo/Mega Prosthetic Reconstruction. Performed successfully and the patient was made to stand and walk full-weight bearing from the very next day post-surgery.

Young 1.5yrs toddler, Mohd. Rawshan, been discharged after surgery for a painful bone tumor in his leg(tibia) bone. The child is finally pain-free and the parents relieved..!
The family made their journey all the way from Dhaka, Bangladesh here for the surgery.

Young 10yrs old kid, finally pain-free after 6months of disturbed sleep and night pains due to an extremely small yet notoriously painful benign bone tumor (Osteoid Osteoma).

*She underwent CT- Guided Radiofrequency Ablation (RFA) here at Paras Hospitals under Dr Jagandeep S. Virk - Bone Cancer Specialist

**The family came from Pinner, London, UK for the procedure.

Soft tissue tumours like the "Giant Cell Tumour of Tendon Sheath (GCT-TS)" can assume large sizes if neglected.
Although, salvage can be done in over 95percent cases, timely intervention can make life easier for both Patients and Surgeons alike.!
On the occasion of World-health Day, let's prioritise our health and get timely check-ups from an expert in case of any doubts.

Punjab and North-India's First and Exclusive Bone Tumour and Sarcoma (Bone Cancer) clinic , Centre for Orthopaedics, HM128, PHASE-3-B-1 SECTOR 60 MOHALI PUNJAB.
For appointments Call: 9915706734

It is always heartening to see professionals from our same profession reposing faith and trust in you for their own treatments.
Pic with Dr RS Dhillon who is all set to fly back to Calgary, Canada after his Tumor Surgery with us couple of years back. Disease-Free and doing wonderfully well on his Follow-up visit..!

for Orthopaedics, JJ Clinics, HM128, Phase-3-B-1 Sector 60 Mohali, Punjab - 160059, For Appointments: 99157 06734

"Beauty lies in the eyes of the beholder.!"

Salvage is not always an option, especially for Resistant Recurrent Tumors.

This young girl with two times Recurrent Chondromyxoid Fibroma (CMF) in her foot (operated outside) presented with a large painful swelling in her foot, we counselled and performed a RAY AMPUTATION for her 2nd and 3rd Rays of the foot.

Although, she has a 3-toe foot, the normal columns and heel of her native foot, allow her to do all normal activities without any restriction..!

Standing tall..! Young Sarcoma survivor back on his feet, walking independently after having been detected with Ewing's Sarcoma (Bone Cancer) in his Proximal Tibia/ Leg bone with pathological fracture and undergoing Chemo and Limb Salvage surgery.

“Cancer is only going to be a chapter in your life, not the whole story” — Joe Wasser.

🎗️This World Cancer Day, we recognise the power of working together and "Close the Care Gap"

🎗️Availability of required expertise and guidance is definitely a step in the right direction to manage these conditions

🎗️Operated Bone Tumor cases for two young kids at Kanpur with the able assistance of Dr Aditya Narula on world cancer day observed on 4th of February every year.

Kudos to the entire surgical team'..!

Young 9yrs kid with a large disfiguring Chest wall tumor arising from his ribs causing Intercostal Neuralgia (Pain), after a Segmental Rib and Tumor Resection to give him relief from the same, all smiles 😊 on his Follow-up visit.!

Happy Faces..!
Young boy with an aggressive recurrent tumour in his foot (Desmoid Fibromatosis), finally walking independently with a customized shoe following a function-preserving double Ray Amputation and Reconstructive surgery with us.
All set to join back school 🎒 and meet his friends.!

Beautiful flowers on a gloomy foggy day certainly boost ur spirits especially when they come from a thankful patient in whom u operated and salvaged her hand from a notorious Bone Tumour..!

It's always heartening to see your Sarcoma patients doing good...young boy operated 3.5years back [Limb Salvage Surgery] for Ewing's Sarcoma Proximal Tibia and also underwent Chemotherapy, is Now not only a sarcoma survivor, but also doing good for himself in life..!

Young Ankit Raj from Patna, a 3 years follow-up case of Osteosarcoma (Bone Cancer) in his lower thigh bone, for which he had undergone Chemotherapy and a Limb Salvage Surgery came to show here.
*The kid is now 15 years old, a Sarcoma Survivor and doing exceedingly well in his studies..!
**Indeed, these Cancer Survivors are our Real-life Heroes.!

Wishing young Harpreet all the very best for her future career in Bioinformatics at Canada..as she had a wonderful recovery out of a Bone Tumor (Giant Cell Tumour/ GCT) in her Hip bone for which she underwent a Hip Preservation Surgery with us, almost 2years back.

We wish young Sanskriti all the best for her future, who travelled all the way from UP, with her father for getting relief from a Recurrent Bone Tumor in her lower leg.
Performed a Limb Salvage surgery for her and she is well on her way to recovery.!

Size does matter for Sarcomas!

Soft tissue swellings are usually ignored in our part of the world as normal lumps and bumps and patients present quite late, when usually they have attained large sizes.!

Although, Limb Salvage (Limb Preservation) is the norm in over 90percent case's, this one was a challenge with a Large Soft Tissue mass (Myxoid Liposarcoma) with the main Neuro-vascular bundle compressed by the mass...done meticulously, patient had a good surgical and functional outcome and on adjuvant chemotherapy presently.

"PUNJAB and NORTH-INDIA'S FIRST AND ONLY DEDICATED BONE CANCER/SARCOMA AND BONE TUMOR SPECIALIST CLINIC"

at DR. JAGANDEEP S. VIRK - CENTRE FOR ORTHOPAEDICS, at MOHALI, PUNJAB CLINICS, HM128, PHASE-3-B-1 SECTOR 60 MOHALI, PUNJAB

A challenging Limb Salvage surgery for a young boy with a Large Proximal Tibial Osteosarcoma (Bone Cancer) - Biopsy-proven Telangiectatic variant of Osteosarcoma and Post Neoadjuvant Chemotherapy.

*All vital structures were preserved to give a good knee and leg function and hopefully will have a long disease-free free survival outcome.

Article as part of "Sarcoma awareness" in Indian Express Newspaper today.

The joy of finally being able to stand up on his feet and walk after almost 1.5years.!
A 56yrs old gentleman was diagnosed with "Plasma-Cell Osteomyelitis" and Pathological fracture in his femur bone and multiple intra-muscular abscesses in his thigh. He underwent chemotherapy (under Heamato-Oncologist) and staged surgeries with Debridement, Femoral resection Nd Antibiotic Cement-Nail spacer insertion and finally received a "Total Femur Replacement" once his disease entered remission and inflammatory biomarkers settled.
*It's the first "Total Femur-replacement" surgery for Paras Hospitals, Panchkula and first for this region.
**"Plasma-Cell Osteomyelitis" is an extremely rare entity and a diagnostic and treatment challenge [worthy of a publication soon].
*** All-round support from colleagues and a cancer-specific/tumour-board approach always goes a long-way is giving good outcomes to such patient's.

is Curable...Sharing case video of a 50yrs old female with Non-metatsatic high grade sarcoma (Bone Cancer - Telangiectatic Osteosarcoma) in her proximal arm bone, operated 2years back and also underwent adjuvant chemo, doing well and disease-free on her follow-up.


https://youtu.be/dNxnqSYYTiY

Osteosarcoma (Bone Cancer) | ऑस्टियोसार्कोमा | ऑस्टियो सार्कोमा | Limb Salvage | लिंब सैल्वेज सर्जरी #ऑस्टियो सार्कोमा ( ) क्या होता है?ऑस्टियो सार्कोमा हड्डियों में होने वाला ऐसा घाव है जो कैंसर (Cancer) में बदल जाता ह...

Young, Chitra Bahadur from Kathmandu Nepal came to us last year troubled by long-standing Heel pain due to a bone tumour (Osteoid Osteoma) which he was enduring for the past many month's.

*We did a well-planned CT-Guided RFA for him and he was relieved of the pain from the very next day and back to what he loves the most..!..Playing Cricket with his mates in the Valley of Kathmandu.

*CT-Guided RFA is an eloquent and effective procedure for benign bone tumours such as Osteoid Osteoma, Chondroblastoma, Osteoblastoma and sometimes for pain palliation in Metastatic and Myeloma lesions in some cases.
**Done as a day-care procedure most times, but does require detailed and precise planning and coordination from Radiology, Orthopaedic-Oncology and Anaesthesia teams to deliver favourable results..!


https://youtu.be/fKhiTdfiO90

Know about Radiofrequency Ablation (RFA) in Osteoid Osteoma | Calcaneum/ Heel bone | OSTEOID OSTEOMA A short video on CT-guided Radiofrequency Ablation Treatment (RFA) for Osteoid Osteoma treatment for a national citizen in his heel bone/

Patient from Srinagar with Large Scapular Mass (secondary bone cancer) entrusted to have his Bone Cancer surgery done from us. Going back home, pain-free and from a heavy burden off his shoulder!.

Dr Jagandeep S. Virk - Bone Cancer Specialist is now on WhatsApp.

Revision Surgeries are always challenging and especially Recurrent pathologies like Giant Cell Tumour of Bone.

Patient travelled to us all the way from the city of Bhilai, to get himself operated for a large Recurrence of Giant Cell Tumour of bone in his femur/thigh bone, who had already undergone two previous surgeries at his native place.

We offered him, a Limb Salvage Surgery involving a Subtotal Femur Resection and Endoprosthetic reconstruction, corrected his stiff knee and limb length discrepancy.

A happy patient always gives one more motivation to work harder for better results!

https://youtu.be/y0mJmLC9cCQ

RECURRENT GIANT CELL TUMOUR #femur #giantcelltumor #gctrecurrence #GCT #bonetumor #bonetumordoctor Giant Cell Tumour has very high chances of recurrence/ coming back again if not treated properly.The video is about Giant Cell Tumour recurrence, diagnosed i...

"Gratitude" spurs one to do better..always thankful for the blessings.

Successful Bone Tumour Surgery for patient - कानपुर, UP, India. News featured in local Hindi dailies of UP.