Speciality 09 · Paediatric Surgical Oncology

Small brave swimmers deserve the calmest possible waters.

Nothing prepares a parent for this sentence. Childhood cancers are different from adult ones — more treatable than most people fear, and best treated with protocols, patience, and words gentle enough for a child to keep trusting the grown-ups around them.

Chemo-first protocols honoured Growth-aware surgery Parent present where possible School-return focus
Understanding

How childhood cancer care works here

This service covers Wilms’ tumour (kidney), neuroblastoma, rhabdomyosarcoma, hepatoblastoma (liver), teratomas including sacrococcygeal tumours, and childhood soft-tissue masses — treated in coordination with dedicated paediatric oncology teams.

The first difference parents notice: chemotherapy often comes before surgery. This is not delay — many childhood tumours shrink dramatically with protocol-driven chemo first, which makes the operation smaller, safer and kinder to growing bodies. The reason is explained fully before anything begins.

Then the details adults overlook: a parent present at anaesthesia where possible, explanations built for the child’s age, surgery planned around growth plates and future development, and recovery measured against school terms — because returning to classmates is part of healing too.

“બાળકો આપણી કરતાં વધુ બહાદુર હોય છે.” — Children are braver than we are.

Signs parents notice

When a child should be seen

Most of these have everyday causes — but a sign that persists deserves investigation rather than reassurance alone.

  • A tummy that keeps growing or looks unevenly swollen.
  • A lump anywhere — neck, armpit, groin, limb or abdomen.
  • Limping or refusing to walk without a fall to explain it.
  • Bruising or unusual tiredness that keeps returning.
  • A white glow in the pupil, noticed especially in photographs.
  • Weight loss or appetite fading over weeks.
  • Fever coming back again and again without clear infection.
  • A child who is simply “not themselves” — less play, less sparkle, for longer than expected.
Scope of care

Childhood tumours treated here

Wilms’ Tumour

Kidney tumours of early childhood — among the most successfully treated of all.

Neuroblastoma

Managed within staged protocols with paediatric oncology teams.

Rhabdomyosarcoma

Muscle-origin tumours treated through combined chemotherapy and surgery.

Hepatoblastoma

Liver tumours of infancy — often chemo-first, then precise resection.

Teratomas

Including sacrococcygeal tumours, removed with future function in mind.

Soft Tissue Masses

Any persistent childhood lump assessed calmly and completely.

Approach

What treatment here looks like

  • Protocol-honoured sequencingChemotherapy first when guidelines call for it — never surgery for its own schedule.
  • Child-life friendly explanationsWords sized to the child’s age, so trust stays intact throughout.
  • Parent present at anaesthesia where possibleNo child drifts off surrounded only by strangers.
  • Growth-aware surgeryPlanned around growth plates, organs still maturing, decades ahead.
  • Coordinated paediatric teamsOperated alongside paediatric oncologists and anaesthetists who treat children daily.
  • School-reintegration focusSurvivorship planning aims at classrooms and playgrounds, not just scans.
Your family’s pathway

From first visit to full recovery

  1. Listen first

    Parents heard fully; your child met gently, never as a chart.

  2. Confirm carefully

    Child-sized imaging and biopsy coordinated without wasted days.

  3. Explain the sequence

    If chemo comes first, you will understand exactly why before it starts.

  4. Treat together

    Protocol-driven care with paediatric oncology beside us at every step.

  5. Recover as a family

    Parents present at anaesthesia; updates every single day.

  6. Back to school

    Surveillance scheduled around reintegration — life resuming its rhythm.

Honest answers

Questions parents usually ask

Because many childhood tumours shrink remarkably with protocol chemo first — turning a large operation into a smaller one and protecting surrounding tissue. It follows evidence-based schedules, and the reasoning is explained to you before the first dose.

Wilms’ tumour is one of paediatric oncology’s great success stories, with most children cured under modern protocols. Each child’s stage brings its own numbers — which will be shared honestly at diagnosis.

Surgery here is deliberately growth-aware — planned around growth plates and developing organs. Where treatment carries long-term effects, they are discussed openly beforehand and monitored through survivorship follow-up.

Age-appropriate honesty, usually less frightening than secrecy — children sense far more than we think. We help you find the words, and the team explains procedures to the child directly in language they can hold onto.

Your presence is part of the treatment plan — including being there at anaesthesia wherever safely possible. You will never be left guessing what is happening behind a door.

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