JOINT VENTURE OF GOVERNMENT OF GUJARAT AND THE GUJARAT

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							‘JOINT VENTURE OF GOVERNMENT OF GUJARAT AND THE GUJARAT CANCER SOCIETY’
  GUJARAT CANCER & RESEARCH INSTITUTE
                    (M. P. SHAH CANCER HOSPITAL)




                     REGIONAL CANCER CENTRE
  (Recognised by Ministry of Health & Family Welfare, Government of India)

                             MEMBER OF UICC




                       International Union Against Cancer (UICC)



                         ANNUAL REPORT
                            2007-2008

                              HON. DIRECTOR
                           DR. PANKAJ M. SHAH


                     HON. DEPUTY DIRECTORS
DR. RAJENDRA I. DAVE    DR. KIRTI M. PATEL DR. SHILIN N. SHUKLA


                      HOSPITAL ADMINISTRATOR
                    SHRI NARENDRASINH T. CHAVDA


    Civil Hospital Campus, Asarwa, Ahmedabad 380 016, Gujarat, INDIA
              Tel: 079-22688000 (Hunting); Fax: 079-22685490
       Website: www.cancerindia.org; E-Mail: gcriad1@sancharnet.in
The mission of the GCRI is to provide state-of-the art diagnostic and therapeutic services
to the patients of all types of origin and financial background suffering from cancer. Its
scope also encompasses registering the tumor burden in the population, prevention
through awareness drives, solving local medical problems through research and training of
medical students as well as imparting knowledge to the medical fraternity.


To fulfil the mission, GCRI

   ♦ Conducts OPD and indoor activities for diagnosis, staging, treatment and
       monitoring disease progress.

   ♦ Renders free or subsidized treatment to needy patients without any distinction of
       caste, creed or religion.

   ♦ Provides training to new generation of doctors as well as practicing fraternity.

   ♦ Offers unique experimental and research-oriented diagnosis and treatment
       services to test new forms of diagnosis and therapy in order to improve quality of
       life and expected survival of those afflicted with cancer.

   ♦ Organizes public education programmes, the diagnostic and blood donation
       camps, conferences and other scientific meets.

   ♦ Displays a permanent Cancer Awareness and Anti-tobacco exhibition and arranges
       other preventive efforts.

   ♦ Runs instruction based Hospice Centre, Home-Hospice Services and Rehabilitation
       Service.
GCRI, with a multi-disciplinary close relationship between cancer care, research and
education, intends to provide the greatest hope to the patients and the general population
whose needs, we endeavour to cater to. It strives to see that fruits of modern science
reach up to the last man. GCRI believes that the world class cancer research, state of art
therapeutic efforts and intensive and extensive educational efforts regarding prevention,
detection, treatment and palliation in the field of cancer will improve the quality of life of all
those who suffer from it. GCRI collaboration believes that with other cancer organisations,
research laboratories and pharma-research establishments will bring a better tomorrow.




GCRI is dedicated to:
   ♦ Scientific attitude and humane approach to diagnosis and treatment of cancer.
   ♦ Inquisitiveness, innovation and creativity in the field of research and its translation
       into day-to-day clinical applications.
   ♦ Value oriented as well as information and skill-intensive educational programmes.
   ♦ Respect to all schools of thoughts and endeavours for free exchange of ideas with
       due acknowledgements of contributions by each member of GCRI.
   ♦ Simple, effective and targeted awareness programmes for prevention as well as
       early detection of cancer and anti-tobacco drive directed at the medical profession
       and population at large.
   ♦ Providing hope, sympathy and respect to all those who are terminally ill.

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                                            TABLE OF CONTENTS
       Group                                     Departments & Other Information                       Page
I. PARA-CLINICAL   A. Pathology                                                                            8
   DEPARTMENTS         A1- Histopathology, Cytology, Haematology, Biochemistry                             8
                       A2- Blood Bank                                                                     10
                       A3- Microbiology                                                                   11
                   B. Radiodiagnosis                                                                      12
                         B1- Imaging Services                                                             12
                         B2- Nuclear Medicine                                                             13
II. CLINICAL       C. Surgical Oncology                                                                   14
    DEPARTMENTS          C1- General Surgical Oncology                                                    14
                         C2- Reconstructive (Plastic) Surgery                                             14
                         C3- Urosurgery                                                                   15
                         C4- Musculoskeletal Surgery                                                      15
                         C5- Paediatric Surgery                                                           15
                         C6- Neurosurgery                                                                 16
                         C7- Ophthalmology                                                                16
                        C8 - Interventional Therapeutic Centre (IVTC)                                     17
                   D. Gynaecological Oncology                                                             17
                   E. Medical Oncology                                                                    18
                         E1- Medical Oncology                                                             18
                         E2 - Paediatric Oncology                                                         19
                         E3 - Bone Marrow Transplant Service                                              20
                         E4 - Endocrinology                                                               20
                   F. Anaesthesiology                                                                     21
                   G. Radiotherapy                                                                        22
                   H. Other Services                                                                      23
                         H1- Nursing Services                                                             23
                         H2- Stoma Clinic                                                                 23
                         H3- Prosthesis and Rehabilitation Centre                                         24
                         H4- Physiotherapy                                                                24
                         H5- Hospice Care and Home Hospice Service                                        25
                         H6- Pharmacy                                                                     25
                         H7- Administrative Services                                                      25
III. CANCER        I. Research Wing (Cancer Biology)                                                      27
     RESEARCH &          I1- Cell Biology Division                                                        27
     EDUCATION           I2- Molecular Endocrinology I & II                                               28
                         I3- Receptor and Growth Factor Lab                                               31
                         I4- Biochemistry Research Division                                               32
                         I5- Immunohistochemistry Division                                                33
                         I6- Medicinal Chemistry and Pharmaco Genomics                                    34
                         I7- Joint Activities - Silver Jubilee Celebration                                35
                   J. Educational Activities                                                              36
                        J1- Formal Educational Courses & List of P.G. Dissertations and PhD Thesis        36
                        J2- Complementary Training Programme to Formal Education                          40
                        J3- Professional Training to Doctors and Scientists (Conferences, Workshops)      47
                        J4- Professional Training to Paramedics (Technological Courses)                   48
                        J5- Community Education and Awareness Programmes                                  48
                        J6- Cancer Information Centre                                                     48
                        J7- Staff Training – Intramural and Extramural                                    49
                        J8- Hospital Day – Research and Educational Aspects                               50
                        J9- Clinical Meetings                                                             51
                        J10 - Activities of the Scientific Research Committee                             51
                        J11- GCS Research Bulletin                                                        51
                   K. Library                                                                             51
                   L. Educational Graphics & Medical Photography                                          52
IV. COMMUNITY      M. Cancer Epidemiology & Community Oncology                                            53
    ONCOLOGY           General Statistics of Registered Cases
                   N. Community Oncology Centre, Vasna                                                    57
                         N1- Hospice Service                                                              57
                         N2- Cancer Awareness & Anti-tobacco Exhibition                                   57
                         N3- Health Check-up Plan                                                         57
                         N4- Development of Medicinal Plant Park                                          58
V. OUT- REACH      O. Cancer Detection Camps, Blood Donation Camps, and Cancer Awareness Exhibition       59
   ACTIVITIES      P. Community Lectures by Staff                                                         61
                   Q. Patient Care Evaluation Committee                                                   63
VI. RESEARCH          List of Projects, Publications and Presentations                                    64
      ACTIVITIES
VII. INSTRUMENTS     List of Instruments                                                                 101
VIII. ACCOUNTS       Balance Sheet (2007-2008)                                                           110
                     Academic Activities Initiated in Memory of Dr. T.B. Patel                           135


                                                            1
From the Director’s Desk:




         The Gujarat Cancer & Research Institute (GCRI) established in the year 1972, is a
functional autonomous body jointly managed by Government of Gujarat and Gujarat Cancer
Society. It is also a Regional Cancer Centre of Government of India and getting assistance under
National Cancer Control Programme. GCRI is a unique example of cooperation between State
Government, Central Government, and Non-Government Organization – Gujarat Cancer &
Research Institute. It is good and fortunate that Gujarat Cancer Society established in 1961 and is
instrumental in creating initial infrastructure of Cancer Hospital in Gujarat with the donation from
people of Gujarat. It is worth mentioning that Gujarat Cancer Society is blessed by His
Excellency, Governor of Gujarat. Today our Institute has attained the status of premier cancer
institute of the country and caters to patients from Gujarat, Rajasthan, Madhya Pradesh and
neighbouring State of Maharashtra.
           The profile of the Institute presented in this report is the fruit of joints efforts of all staff
members of GCRI, Gujarat Cancer Society, Government of Gujarat and Government of India.
           We have celebrated year 2007-2008 as Dr. T.B. Patel Centenary Year. We are all
fortunate that strong foundation laid by Founder Director Late Dr. T.B. Patel has resulted in an
internationally recognized Gujarat Cancer & Research Institute. Dr. T.B. Patel was associated
with Gujarat Cancer Society from its inception in 1961 under the leadership of the first Governor
of Gujarat Late Mehndi Navab Jung and the first Chief Minister of Gujarat, Dr. Jivraj Mehta. Dr.
T.B. Patel was pioneer in establishing cancer care activities in the State. It is a time to recall that
the future vision for cancer care conceived by Dr. T.B. Patel was supported by Late Dr. Jitendra
Mehta who motivated donors from all walks of life. Dr. T.B. Patel was instrumental in bringing
earmark donation from M.P. Shah Charitable Trust of London. Contribution of Late Dr. T.B. Patel
will be remembered at the Institute forever. We have included a small section mentioning the
academic activities initiated in the name of Late Dr. T.B. Patel – Dr. T.B. Patel Oration Award, Dr.
T.B. Patel Young Scientist Research Award, and Dr. T.B. Patel Travel Fellowship. Institute has
started Senior Citizen Ward for Geriatric cancer patients and conducted series of scientific events
during the year in his memory this year. Dr. T.B. Patel Drug Bank is working for helping poor
patients under the umbrella of Gujarat Cancer Society.
           We are grateful to all members of Governing Board and GCRI-GCS Office Bearers for
their constant support.
           Annual Report preparation was possible because of the untiring contribution by
committee headed by Dr. Shilin N. Shukla, Deputy Director (Research & Education Services).
                                 th
I am happy to present the 36 Annual Report along with audited accounts of Gujarat Cancer &
Research Institute.



Dr. Pankaj M. Shah
Hon. Director
29th August, 2008




                                                     2
Diary of Activities of Dr. Pankaj M. Shah, Hon. Director, from 01.04.2007 to 31.03.2008
    Date                                                    Event
 13th Apr’07    Key Note Address at inaugural ceremony of Searoc Cancer Centre, Sony Cancer Hospital,
                Jaipur, inaugurated by Hon’ble Chief Minister of Rajasthan Sushri Vijaya Raje Schindia
 21st Apr’07    Tobacco Control and Cancer Awareness Programme, Diwan Ballubhai Secondary School,
                Ahmedabad
 26th Apr’07    National Advisory Committee on Technology in Oncology, New Delhi
 29th Apr’07    Chaired session at National Meeting on CML, Bombay Hospital, Mumbai
  1st May’07    Organised Workshop for Village Health Workers, Ahmedabad
 2nd May’07     Honoured by Manav Bhushan Award by Shivanand Ashram, Ahmedabad
 3rd May’07     Attended National Meeting on Telemedicine, ISRO, Ahmedabad
 19th May’07    Chair Person for clinical session for Docetrez launch, Vadodara
 20th May’07    Chief Guest at APA Annual Meeting and Morning Meeting with senior citizens for token fund
                raised for Dr. TB Patel Senior Citizen Ward, Ahmedabad
 24th May’07    Public Lecture on Understanding Cancer, Rotary Club Metropolitan, Ahmedabad
 26th May’07    Tobacco De-addiction Youth Fare of Nareshwar Parivar, Nareshwar, Bharuch
    th
 29 May’07      Meeting of National Cancer Control Programme (NCCP), New Delhi
  rd
 3 June’07      Guest Lecture on Hormone Refractory Prostate Cancer at Conference on Prostate Cancer,
                Muljibhai Hospital, Nadiad
 7th June’07    Meeting with Superintendent and Dean of Civil Hospitals for NCCP Project alongwith
                Mrs. Mona Khandhar, Joint Secretary Health, GOG, Ahmedabad
15th June’07    Workshop for Gynaecologists for Early Detection of Cancer in Women – for Doctors of UHC
                and Chiranjivi Yojana, Ahmedabad, Ahmedabad
16th June’07    Inaugural address at Gujarat Head & Neck Oncology Conference, Ahmedabad
 1st July’07    Chaired Breast Cancer Symposium, Ahmedabad
12th July’07    Indo-German Workshop Presentation - Epidemiology of Cervical Cancer in India,
                Heidelberg, Germany
 21st July’07   ASCO Presentations by GCRIans, Ahmedabad
 23rd July’07   GCRI, GCS and AMC jointly started Shri Madanmohan Ramalal Urban Health Centre
                inaugurated by Hon’ble Chief Minister Shri Narendrabhai Modi, Vasna, Ahmedabad
 29th July’07   Cancer Update - Role of Family Physician in Cancer, IMA , Mehsana
 24th Aug’07    Honoured by Excellence in Oncology Award by Ruby Hall Pune - Citation and 1 lac
                cash received which is donated to GCS for Dr. TB Patel travel fellowship
 26th Aug’07    Chaired the session at Lung Cancer Meeting, Amby Velly, Pune
 14th Sep’07    Guest Lecture on Adjuvant CT in Colorectal Cancer, National Meeting of GI Surgeon,
                Ahmedabad
 22ndSep’07     Joint meeting for Retinoblastoma with Chennai Centre, Ahmedabad
 24th Sep’07    Oraganised Bhajan Sandya by Shri Hemant Chauhan for ADCC Programme, Ahmedabad
 27th Sep’07    Chief Guest at NIOH on Hindi Day, Ahmedabad
  6th Oct’07    Chaired session at Lung Cancer Meet, Lonawala, Pune
 14th Oct’07    Chaired session at Meeting of Haematology, Mumbai
 21st Oct’07    Asian Oncology Meet, Hyderabad
 28th Oct’07    Guest Lecture on Cancer Control Measures in India, Rajkot
 17th Nov’07    Inauguration of Gujarat MP Radiation Oncologist Meet, Ahmedabad
 18th Nov’07    Guest lecture on Targeted Therapy in Malignant Lymphoma, Indo American Lymphoma
                Meet, Hyderabad
 18th Dec’07    Inaugurated Trauma and Cancer Clinic, Sarvajanik Hospital, Modasa
 19th Dec’07    Popular Science Lecture on Cancer at Science City, Ahmedabad
 30th Dec’07    Chaired session at launch of Neudoxa by Zydus, Mumbai
 11th Jan’08    Urooncology Meet, Ahmedabad Prostate Cancer Registry, Ahmedabad
  7th Feb’08    National Adviser and Faculty at Asian Conference on Breast Cancer, New Delhi
 2nd Mar’08     Chaired session on individualizing treatment in leukemia, Ahmedabad
 12th Mar’08    Meeting Directors of RCC for 11th plan allotment for cancer, New Delhi
 19th Mar’08    RCC Meeting, Goa


                                                   3
               GCRI Profile At A Glance
      GCRI - Speciality Hospital for Cancer
            Regional Cancer Centre
650 indoor beds - Largest Cancer Hospital of the country
21,488 New Cases
2,12,813 Outdoor patients
20,187 Indoor admissions
12,01,809 Laboratory tests
98,929 Histologic examinations
72,843 Imaging and Radiological investigations
17,662 Major and Minor Surgeries
25,818 Chemotherapy Treatment
14,719 Radiation Treatment

  GCRI - Speciality Medical Education Centre
DM - Medical Oncology : 4 students every year
MCh - Surgical Oncology : 4 students every year
MD – Pathology (3 students), Microbiology (1 student),
Radiodiagnosis (2 students), Gynaecological Oncology
(4 students) , Anaesthesiology (3 students), Radiotherapy
(2 students)
DMRE - Radiodiagnosis; DA - Anaesthesiology
DCP – Pathology; DGO - Gynaecological Oncology
Postgraduate Students – 69 Students
PhD - Life Sciences & Medical Microbiology - 9 Students
Dissertation Students of different universities - 31 Students
Diploma in Medical Laboratory Technologists – 50 Students

                             4
            GCRI Profile At A Glance

           GCRI - Research Organisation
7 well equipped Research Labs
51 on-going Research Projects; 19 Clinical Trials
Scientists are PhD Guides
Additional support from - National Cancer Institute (NCI),
USA/Germany/IARC/DST/DBT/CSIR/ICMR/
DAE/GSBTM/DMER/GUJCOST/GCS
Clinical Research hub for National and International drug trials


        GCRI – Community Commitments

National Registry Programme - ICMR
Ahmedabad District Cancer Control Programme – Govt. of India
under NCCP
Gujarat Cancer Atlas Project - Govt. of Gujarat
Prevention of cancer – Anti-Tobacco drive
Early detection – Vasna Centre & Cancer Detection Camps
Hospice care; Home Hospice care
Helping hand to poor patients
Telepathology and Telemedicine projects
Patient Care Evaluation Committee; Oncology Training Centre
Sanskar Chowk (Entertainment and Education of Patients and
their Relatives)
Night Shelter for Patient’s Relatives


                             5
           GCRI Profile At A Glance

                  GCRI Building 1
               (Constructed by GCS)

Administrative Section/Pharmacy/Drug bank/Matron
Office/Educational Graphics & Medical Photography
 st
1 Extension: Medical OPD/Day Care CT/ Pathology
collection/Store/Blood bank/ Minor OT/Endoscopy/OT complex/
ICCU/ IVTC/Male ward/Female ward
 nd
2 Extension: Gynaec OPD/RMO Office/ Cash
collection/Radiology/Medical ward/ BMT/ Community
Oncology/Staff canteen


                   GCRI Building 2
                 (Constructed by GCS)

New OPD complex: Surgical OPD
Registration/Mandir/BMT/Board room
Nuclear Physics/Nuclear Medicine/ Isolation ward
Radiotherapy Building
Minimal care/Isolation/RT wards/Canteen
Research Building: Research labs/ Library/ Pathology/
Microbiology/ Cytology/ Immunohistochemistry/ Hostel




                            6
               GCRI Profile At A Glance

                    GCRI Building 3
                 (Constructed by GCS)

Cama Hall/Guest House/MRI Building/
Physiotherapy/Prosthesis/Oncology Training Centre
Paediatric oncology 50 bedded hospital
PG Hostel
RMO quarters
Nursing/Technician’s quarters
Dhobi Ghat

                        GCRI HRD
Class I - 97
Class II - 37
Administrative Staff Class III – 79
Technical Staff Class III - 99
Nursing Staff - 278
Class IV – 294
Visiting Consultants - 56
Postgraduates Students - 69
Contract services- Security; Cleaning; Catering; Tailoring;
Laundry etc.




                                 7
                           I. PARA-CLINICAL DEPARTMENTS
(A)      DEPARTMENT OF PATHOLOGY
         The Department of Pathology includes various services like Histopathology, Cytology,
Haematology, Biochemistry, Paediatric Oncology Haematology, Vasna Hospice Haematology,
Blood Bank, and Microbiology.
(A1)     Histopathology, Cytology, Haematology, Biochemistry, Paediatric Oncology
         Haematology and Vasna Hospice Haematology:
         Staff Pattern: There are one Professor, two Associate Professors, three Assistant
Professors, six Junior Lecturers, four Fellows, nine Resident Doctors, five Biochemists and twenty
nine Laboratory Technicians.
         Services: Pathology department is the heart of our Hospital; central to any cancer
management is tissue diagnosis. Metabolic profile and haematological alteration in a cancer
patient plays a pivotal role in overall outcome. The department is well equipped with highly
sophisticated microscopes attached with camera and computer for teaching and record purposes.
It provides services of histopathological diagnosis, frozen section diagnosis, haematological tests,
biochemical tests etc. The department has an internet facility for tele-pathology.
         Service Output:
                                   Histopathology Laboratory
                    No.           Details of Work Done                Number
                    1      Total Specimens                               20994
                    2      Total Sections obtained                       79731
                    3      Frozen Specimens                                410
                                       Cytology Laboratory
                    No.           Details of Work Done                Number
                    1      Fine Needle Aspiration Cytology               4812
                    2      Non-Gynaec Smears                             2807
                    3      Gynaec Smears                                 4827
                    4      Outside/Camp Pap Smears                       4350

                                       Haematology Laboratory
No.        Details of Work Done            Number No.       Details of Work Done           Number
1     Haemoglobin                            116638   13    RBC Count                       112268
2     Total WBC Count                        116638   14    Fluid Microscopy                  1422
3     Differential Count                      62133   15    LE Cell                             168
4     Platelet Count                         116638   16    Rheumatoid Arthritis Factor         370
5     Erythrocyte Sedimentation Rate          23230   17    Stickling Test                      158
6     Urine analysis                          49364   18    Sucrose Lysis Test                  236
7     Urine Bile Salt / Bile Pigment           4934   19    CSF Microscopy                    1819
8     Malarial Parasite                        9536   20    Fibrinogen Degradation              429
                                                            Product
9     Activated Partial Thromboplastin        26521   21    Prothrombin Time                 26521
10    Glucose-6-Phosphate                       300   22    Osmotic Fragility Test              302
      Dehydrogenase
11    Fetal Haemoglobin                         150   23    Stool Test                        5203
12    Reticulocyte Count                       1628   24    Plasma Fibrinogen                   639


                                                 8
                                       Biochemistry Laboratory
 No.    Details of Work Done           Number      No.    Details of Work Done       Number
 1     Blood Sugar                        29822    19    S. Calcium                       1822
 2     Blood Urea Nitrogen                34256    20    S. Phosphorus                    1516
 3     Creatinine                         33028    21    S. Amylase                          32
 4     Sodium                             24613    22    S. Acetone                          24
 5     Potassium                          24613    23    Urine for Urobilinogen               8
 6     Chloride                           24288    24    BJ Protein                          38
 7     S. Alkaline Phosphatase            31062    25    24 hours Urinary Protein            24
 8     SGOT (Transaminase)                29672    26    CSF                                832
 9     SGPT (Transaminase)                29977    27    Plasma Fibrinogen                     -
 10    S. Total Protein                   27432    28    S. Magnesium                     2538
 11    S. Albumin                         27829    29    S. Triglyceride                  4864
 12    S. Globulin                        27430    30    S. HDL Cholesterol               4864
 13    S. Bilirubin (Total)               26870    31    S. VLDL Cholesterol              4810
 14    S. Bilirubin (Direct)              26870    32    S. LDL Cholesterol               4810
 15    S. Bilirubin (Indirect)            26870    33    S. IgA                             170
 16    S. Acid Protease                      753   34    S. IgG                             170
 17    S. Uric Acid                         9031   35    S. IgM                             170
 18     S. Cholesterol                   4945
         Activities: Clinical: The department of Pathology conducts blood collections for special
investigations at Out Patients’ Department (OPD) at the hospital especially for early detection of
pre-invasive and invasive malignancy. Pap Smear Tests and Serological Tests are performed
free of charge and biopsies are taken at nominal charge. The department also examines and
gives expert opinion for the outside biopsies and specimens, and also performs
immunohistochemistry tests thereon. The outdoor Blood Donation Camps are conducted at
various places in Gujarat. The department also actively participates in GCRI academic meetings.
         Academic: Practical/Theory training to post-graduate students/doctors for MD and DCP
Degrees. Practical/Theory training of routine laboratory investigations to students for Diploma in
Medical Laboratory Technologists Course is also given by the department.
         Research: Maintenance of patient’s record and statistical data analysis is done.
         Conference Organised: The department has organised CME on Surgical Pathology –
2007 and Launching of Gujarat Cancer Atlas Project on September 8, 2007. Total 150 delegates
have attended the conference. The faculties were Dr. Dipen Maru (USA), Dr. Nirag Jhala (USA),
and Dr. Geeta Chackoo. Dr. Priti Trivedi was the Organising Secretary and Co-Secretary was
Dr. Dhaval Jetly. International Cytology Conference, through Video Conferencing was arranged
on February 8-9, 2008 under the banner of Tata Memorial Hospital, Mumbai, and GCRI. Total 50
delegates have attended the video conferencing.
         Complementary Training Programme:
                                 No.        Programme          Students
                                 1     Observership                   15
                                 2     MD                              7


                                                   9
(A2)    Blood Bank
        Staff Pattern: This division works within the Department of Pathology. There are one
Blood Transfusion Officer, two Medical Officers, four Senior Laboratory Technicians and four
Junior Laboratory Technicians.
        Services: Division of Transfusion Medicine collects blood from voluntary as well as
replacement donors in the hospital and outside the hospital by arranging the outdoor blood
donation camps. All the serological tests mandatory by the Food and Drug Control Administration
(FDA) like HBsAg, HIV, HCV, VDRL and malaria are done with collected blood units.
        Service Output:
              No.                  Details of Work Done                 Number
              1      Blood Banking
                     Blood tapping                                          14513
                     Replacement donors                                     11449
                     Voluntary donors                                        3064
                     Out door camps                                             87
                     Transfusion                                            30137
                     Blood Transfusion                                       1935
                     PCV (Packed Red Cell)                                  12314
                     PRP (Platelet Rich Plasma)                              9156
                     FFP (Fresh Frozen Plasma)                               6199
                     Single donor platelet                                    533
                     Autologous & Allogenic Bone Marrow Collection               8
                2                  Tests               For Patients   For Donors
                     Blood Groups                               9928        14513
                     Coomb's Test                                   -         183
                     D'U' test for weak antigen                     -         852
                     HBsAg                                    23771         14513
                     HIV                                      23771         14513
                     HCV                                            -        1123
                     VDRL                                           -       14313
                     Malarial parasite                              -       14313
         Activities: Clinical: The division does blood grouping of donors and patients, and
supply the blood after cross-matching to the patients. Three components of blood like PCV, PRP
and FFP are separated with modern equipments and supply to the patients according to their
requirements. Different Apheresis procedures like Platelet pheresis and Therapeutic Apheresis
with the help of Cell Separator Equipment are being done. PBSC collection (Peripheral Blood
Stem Cell) is also done. The division is well equipped with all the modern equipments like Gel
Technology, Cross-Matching, Cell Separator Procedures, Blood Irradiation and Equipment of
Leukodepletion of Components.
         Academic: The department is actively involved by giving practical/theory training related
to transfusion medicine to students for Medical Laboratory Technology Course. DNB Students
from the Prathma Blood Centre are coming for training under Dr. Jayshree Shukla. Doctors and
Technicians from Gujarat are also coming frequently for training of component separation and
apheresis procedures.
         Professional Contribution and Recognition: Dr. Jayshree Shukla, Blood Transfusion
Officer and Dr. Tarak Patel, Medical Officer, have been invited for giving training to Medical
Officers and Technicians in Training Programme conducted by NACO, Ahmedabad.


                                               10
         Public Services: The department performs apheresis procedure and irradiation of the
blood components for patients coming outside the Hospital.
(A3)     Microbiology
         Staff Pattern: There is one Professor, one Fellow, one Resident Doctor, one PhD
student, one Biochemist and two Senior Laboratory Technicians in the department.
         Services: This department looks after the diagnosis of infectious diseases complicating
cancer involving bacteria, fungi, serodiagnosis of viral diseases, and molecular diagnosis of the
infection in patients. It also caters to bring out guidelines for prevention of hospital acquired
infection, performs periodical surveillance and conducts frequent training programme for nursing
staff.
         Service Output:
                        No.         Details of Work Done              Number
                         1    Culture and Antibiotic Susceptibility
                                                           Aerobic       2272
                                                        Anaerobic             -
                                                            Fungal       2223
                                                             Blood       1549
                                                          H. Pylori         80
                         2    Microscopy
                                                   Sp. Gram Stain           80
                                                        Z. N. Stain       584
                                       Pneumocystis Carinii Stain           05
                         3    Serology
                                                        Widal Test        131
                                                       VDRL Test            17
                                                        CMV Test          104
                                                         HSV Test           64
                                           HBeAg & Anti- HBeAg            397
                                                C-reactive Protein          20
        Activities: Clinical: The department is mainly concerned with clinical diagnostic and
cancer related diagnostic and research work. As far as the diagnostic work is concerned, patients
referred by surgical oncology / medical oncology / paediatric oncology / BMT units /
gynaecological oncology / neurooncology / urooncology / radiotherapy departments and OPD’s
are screened for infection, identification and sensitivity tests, and diagnosis of particular infection
by various tests. The tests performed during the year April 2007 to March 2008 are shown in the
above table. Routine day-to-day laboratory diagnostic culture methods of all clinical samples are
performed. Serological diagnosis of different infectious diseases is performed.
         No.     Ward/ Unit /OT/ Instrument       Surveillance Programme conducted
          1    New BMT                                            2
          2    Old BMT                                            3
          3    Main OT                                            3
          4    Pathology A/C Machine                              2
          5    Chemical testing                                   2
          6    ICU                                                1
          7    Paediatric Leukemia Cabins                         1


                                                  11
         Academic: This year one student joined MD course under guide ship of Dr. Parijath
Goswami. On following topics: rapid diagnosis in infectious diseases, identification of bacteria,
different stains of bacteria, fungi and parasites, urinary tract infection, drug resistance, lectures
were conducted for PG students.
         Research: Detection of high and low risk Human Papilloma Virus subtypes prevalent in
cancerous and non-cancerous lesions of the uterine cervix in Indian women.
         Professional Contribution and Recognition: Dr. Parijath Goswami, Professor,
contributed as a Judge of Science in fun at Vikram Sarabhai Community Science Centre on
October 2007. She has also contributed as a Technical expert of scrutiny of kits at Gujarat State
AIDS Control Society in October 2007.
         Conference Organised: Dr. Parijath Goswami, Professor, and her team organised
International Standards for Infection Prevention focusing on Surgery Related Infections under the
banner of GC & RI and HIS – Gujarat Chapter on October 7, 2007. Total 175 delegates and 6
faculties participated in the programme. The CME was inaugurated by Dr. NB Dholakia, Director,
CMSO, Gandhinagar. Other dignitaries present were Dr. Bharat Gadhavi and Dr. Manjul
Joshipura. At the time of inauguration the first News Letter of HIS-India, Guajart Chapter was
released.
         Complementary Training Programme:
                                  No.    Programme      Students
                                  1      MD                      1
                                  2      PhD                     1


(B)     DEPARTMENT OF RADIODIAGNOSIS
(B1)    Imaging Services
        Staff Pattern: The department is served with one Professor, three Associate Professors,
two Assistant Professors, one Junior Lecturer, one Visiting Radiologist, ten Residents, twenty
three Radiographers, Technicians and Dark Room Assistants.
        Services: The Department is fully equipped with 500 MA Siemens X-ray units, OPG
machine-Siemens, Siemens Seroscope-DSA Machine, Siemens IITV guidance Fluoroscopy
machine, Mammomat-Mammography machine, Logic 200 Pro-series USG machine, GE
Advantage II–USG machine, Logic alfa 100-Portable USG machine, Siemens G-50–Doppler
Machine, Fuji CR system, ISSA- Department networking and data storage system, CT W2000
Spiral CT scanner Hitachi, Seimens 6 Slices (Emotion) CT scan and 0.4Tesla Hitachi Aperto MRI
Machine.
        Service Output:
No.            Procedure           Number      No.               Procedure                  Number
1      X-Ray                          44307    8      USG Guided Biopsy                        1899
2      Intravenous pyelography           241   9      CT Guided Biopsy                           717
3      Ultrasonography (USG)          16810    10     Angiography + Embolization                   7
4      CT SCAN                          9059   11     PT BD / PCN                                 34
5      Mammography                      2731   12     Magnetic Resonance Imaging               1664
                                                      (MRI)
6      Barium Swallow & Meal            3391   13     Colour Doppler                           1584
7      Barium Enema                       12
        Activities: Clinical: The department of Radiodiagnosis conducts radiological part of
health checkup programme at COC, Vasna. X-ray, Mammography and Ultrasonography are

                                                 12
performed at cheaper rates, for early detection of pathology. Department also support
radiological part in various camps and health checkup programme managed by institute. The
department also participates in GCRI academic meetings.
        Academic: Regular lectures, case presentation, journal presentation, and interesting
case discussion conducted for resident doctors in the department.
        Research: The department maintains patient’s data and images, and generates statistical
data and studies which are presented in national and international conferences.
        Public Services: The department is conducting radiological investigations of health
check-up programme, being conducted at COC, Vasna. We are also conducting radiological part
of IAS Officers health checkup programme and finalizing IAS health check up reports at our
department.
        Complementary Training Programme:
                                 No.     Programme       Students
                                 1      DMRE                        4
                                 2      MD                          6
                                 3      Observership               19


(B2)     Nuclear Medicine
         Staff Pattern: The department has one Professor, one Medical Officer, one Nuclear
Health Physicist and four Technologists.
         Services: The department is well equipped with instruments like Gamma Camera (GE
Infinia, Siemen’s Dicom), two dose calibrators, survey meter, surface contamination monitor, L-
bench, thyroid uptake system, two fume hood (one in radiopharmacy other in iodine therapy
ward), decontamination kit, lead lined decay drum and four lead barrier for I-131 therapy ward.
There is one new instrument Dual Head Gamma Camera (GE Infinia).
         Service Output:
No.      Details of Work Done          Number     No.           Details of Work Done      Number
 1     Bone scan                         1843     8     Large dose therapy                    52
 2     Renal scan (DTPA, MAG-3            605     9     Bone SPECT                            10
       & DMSA)
                                                        99m
 3     Meckel study                          2    10          TC04 thyroid scan              394
 4     DMSA (V) scan                          2   11    ECD brain SPECT                        5
 5     IDA hepato biliary scan                6   12    MIBI scan for cardiac and tumor        2
                                                        imaging
 6     Transplant study                      2    13    Scintimammography                      2
 7     Thyrotoxicosis therapy                50   14    Sr-89 therapy                          6




                                                  13
                                 II. CLINICAL DEPARTMENTS
(C)       DEPARTMENT OF SURGICAL ONCOLOGY
          There are five Surgical Oncology Units (C1) and 6 Superspeciality Oncology Units (C2-
C8), which are as follows: Reconstructive (Plastic) surgery (C2), Urosurgery (C3),
Musculoskeletal surgery (C4), Paediatric surgery (C5), Neurosurgery (C6), and Ophthalmology
(C7). The department also runs the Interventional Therapy Centre (C8).
(C1)      General Surgical Oncology
          Staff Pattern: There are five Surgical Units. Each Surgical Unit has one Professor, one
Associate Professor, three Residents, and one or two Fellows.
          Services: The department offers services in diagnosis, treatment, and palliative care of
the patients. Different surgical teams occupy five major surgical operation theatres. Day stay unit
facilities are provided for biopsy and evaluation of lesion before planning of surgery. The
department is involved in perioperative care, follow up and care of terminally ill patients.
          Service Output:
                             No.   Details of Work Done      Number
                             1     Major surgeries              4164
                             2     Minor surgeries              9650
                             3     Endoscopy procedures         8946
         Activities: Clinical: Camps for early detection of cancer are conducted at various places
in Gujarat and the neighbouring states, including organisations such as ONGC, Air Force and
Armed Forces etc. Total 38 camps have been organised at various places in this year. The
department also participates in GCRI academic meetings.
         Academic: Regular lectures and teaching programmes are conducted for Resident
Doctors and Fellows in the department.
         Research: Maintenance of patient’s records and statistical data analysis is done. The
data is presented in national level conferences and published in national/ international journals.
         Professional Contribution and Recognition: The department received Vimla Agarwal
Trophy for maximum research paper publications during the year 2007-2008.
         Dr. Rajendra Dave, Deputy Director (Surgical Services) was awarded Motilal Patel
Oration Award in November 2007. He was also awarded with Col. Brig (Dr. Ganguly) Award by
Association of Surgeons of India in 2008.
         Dr. Kiran Kothari, Professor, was elected as Governing Council Member of Indian
Association of Surgical Oncology for the years 2007-2009. He was invited for Guest Lectures on
‘Where do we stand in MIS for GI Cancer’ and ‘Role of MIS in Colorectal Cancer Surgery’ during
the Golden Jubilee Celebration of Chittranjan Cancer Centre, Kolkata, on November 3-4, 2007.
         Dr. Rajen Tankshali, Professor was elected as Executive Committee Member of Indian
Association of Surgical Oncology for the years 2007-2009.
         Dr. Rohan Vinayak, Resident, won KS Gopinath Oncoquiz in IASO Conference in
September 2007.
         Complementary Training Programme:
                            No.         Programme            Students
                            1       MCh                             12
(C2)   Reconstructive (Plastic) Surgery
       Staff Pattern: This service is run with the help of three Visiting Plastic Surgeons.
       Services: Apart from attending OPD once a week, reconstructive surgeries are done in
main operation theatre twice per week. Reconstructive Surgeries for head and neck cancer

                                                14
patients and CFRs with the help of neurosurgeons are done. Screening of patients requiring
prosthesis is done in OPD and they are guided about the artificial limbs and body parts.
        Service Output:
                                No.    Details of Work Done      Number
                                1      Skull base surgery               48
                                2      Flaps                           635

        Public Services: The department offers services to the patients from all over Gujarat who
require reconstruction of lost body parts and guides them about prosthesis.
(C3)     Urosurgery
         Staff Pattern: This service is run with the help of three Visiting Urology Surgeons and
one Fellow.
        Services: The department offers services in OPD, operation theatre and day stay unit,
twice per week. They examine, investigate, and treat patients of urogenital cancer.
        Service Output:
                                No.    Details of Work Done      Number
                                1      Major Surgeries                 128
                                2      Minor Surgeries                 222

          Activities: Academic: The department is actively involved in teaching programme of
MCh students.
(C4)      Musculoskeletal Surgery
          Staff Pattern: Two Senior and two Assistant Visiting Orthopaedic Surgeons are providing
their services.
          Services: It has two OPD days in a week. The operation theatre of Musculoskeletal
Oncology is well equipped with ultra-modern instruments and equipments like oscillating saw,
oscillating drill, universal assimilating drill, laminar air flow, radiolucent operation theatre table with
all necessary attachments, Image Intensifier Television (IITV), etc.
          Service Output:
                 No.                   Details of Work Done                       Number
                 1     Major Surgeries                                               150
                       Limb salvage of primary bone tumour (malignant)                74
                       Curettage for benign bone tumours                              28
                       Amputations                                                    36
                       Palliative fixation for metastatic skeletal disease            12
                 2     Minor diagnostic procedure (biopsy)                           228
(C5)    Paediatric Surgery
        Staff Pattern: Three Visiting Paediatric Surgeons run the service.
        Services: The department offers its services to paediatric OPD, Day Stay Unit and
operation theatre for treatment of paediatric cancer patients. The department does the procedure
of Hickman catheterisation, a very important central catheter, for paediatric patients. The
procedure is done under radiological guidance.
                            No.        Details of Work Done          Number
                            1       OPD Cases                             626
                            2       Major and Minor Surgeries                37
                            3       Hickman’s Catheter Insertion             83


                                                    15
(C6)     Neurosurgery
         Staff Pattern: The department has three Neurosurgeons and three Medical Officers.
         Services: The department is well equipped with two operation theatres. The operation
theatre is well equipped with Laminar Air Flow and state of the art anaesthesia system by British
Oxygen Company, Microscope with C.C.T.V. by Zeiss, Ultrasonic Surgical Aspirator by Valley
Lab, Modern Diathermy Generator by Valley Lab and Bovi, C-Arm with DSA facilities, Operation
table with remote control, Radio Frequency Lesion Generator, Intensive Care facilities with state
of the art cardio respiratory monitoring system and its own dedicated Central Sterile Supply
Department.
         Service Output:
         No.                       Details of Work Done                          Number
         1     Brain Tumor, Infection, Vascular Malformation, Craniovertebral        482
               Anomaly, Skull Base Tumors, Spinal Tumours
         2     STB (CRW Frame), STB (Komai Frame)                                      67
         3     Stereotactic Craniotomy                                                  7
         4     Posterior Fossa Surgery                                                 59
         5     Lateral Ventricle Tumors                                                 1
         6     Transphenoidal Approach                                                 13
                rd
         7     3 Ventricle Tumour                                                       2

         Activities: The department is running OPD on Monday and Thursday every week where
new patients are examined and the follow up patients are regularly attended in the OPD. The
indoor references are regularly attended. The services to the poor patients for neurosurgical
diseases are offered. The department also provides emergency services to the patients. The
regular teaching to the Medical Officers and Research Fellow is carried out during the ward round
and operation. The clinical meeting of the institute is being regularly attended by all the medical
staff and the presentations are made in the clinical meeting as per the schedule. All the medical
staff remain update with reading of the standard neurosurgical text books and the journals at the
library. The department is also having interactions with other departments of the hospital e.g.
Surgical Oncology, Reconstructive (Plastic) Surgery, Medical Oncology, Endocrinology,
Biochemistry, Pathology, Radiotherapy, Radiodiagnosis, and Physiotherapy. The medical staff is
regularly presenting the clinical research paper at the national and international conferences.
There is also potential to start DNB courses in the speciality of Neurosurgery at the institute.
         Public Services: The department has participated in the programme of tobacco de-
addiction being carried out at the Institute.
(C7)     Ophthalmology
         Staff Pattern: One Visiting Ophthalmologist runs the service.
         Services: The department offers services in OPD, operation theatre and day stay unit,
twice per week. They examine, investigate and treat patients of urogenital cancer.
         Service Output:
                            No.    Details of Work Done      Number
                            1     Cases seen                      126
                            2     Surgeries - Ennucleation          16

         Activities: Retinoblastoma tumor board initiation along with paediatric oncologists,
radiation oncologists, pathologists and consultants from M & S Institute of Ophthalmology (for
laser biopsy of retinoblastoma cases).

                                                16
(C8)   Interventional Therapeutic Centre (IVTC)
       Staff Pattern: There are one Associate Professor and three Visiting Surgeons in the
department.
       Services: Routine diagnostic and therapeutic upper and lower Gastrointestinal
Endoscopy is performed. For diagnosis, biopsies are taken to know the nature of disease.
Therapeutic procedures like dilatation of oesophagus, endoprosthesis, stoppage of haemorrhage,
common bile duct (CBD) stenting, stone extraction, polypectomy, central nervous catheterisation
(CVC), Percutaneous Endoscopic Gastrostomy (PEG) etc. are performed. Also, flexible
diagnostic as well as therapeutic bronchoscopies are carried out for diagnosis of lung diseases.
       Service Output:
            No.                       Details of Work Done                        Number
            1       Gastroscopy                                                     2321
            2       Endoscopic Retrograde Choledocopancreatography (ERCP)            104
            3       Bronchoscopy                                                     447
            4       Colonoscopy                                                      495
            5       PEG                                                                5
            6       Endoprosthesis                                                    26
            7       Dilatation                                                       341

        Activities: Training of Gastrointestinal Endoscopy procedures is being given to Resident
Doctors of Civil Hospital, Ahmedabad.
(D)     DEPARTMENT OF GYNAECOLOGICAL ONCOLOGY
         Staff Pattern: There are one honorary Visiting Gynaecologist, one Professor, two
practicing full time additional Professors, two Associate Professors, two Assistant Professors, two
Junior Lecturers and three Fellows.
         Services: The department offers services in following areas (1) Well Woman Clinic for
early detection of gynaecological malignancies, especially Pap smears for cervical cancer, (2)
Colposcopy Clinic Referral Centre for pre-invasive cervical cancer. Colposcopies are performed
and directed biopsies taken, (3) Conservative management of pre-invasive cervical cancer by
Large Loop Excision of the Transformation Zone (LLETZ), (4) Referral Centre for diagnosis and
management of all premalignant and invasive gynaecological malignancies such as cervical
cancer, trophoblastic disease, ovarian tumors, vulvar cancer, endometrial cancer etc.
         Service Output:
        No.                          Details of Work Done                         Number
        1         Radical Hysterectomy + Bilateral Pelvic Lymph Node Dissection        87
        2         Laparotomy for Ovarian Tumours                                      156
        3         Staging Laparotomy for Endometrial Cancer                            34
        4         Radical Vulvectomy + Groin Dissection                                17
        5         Other Major Surgeries                                                64
        6         Minor surgical procedures                                           550
        7         Colposcopies                                                        849

        Activities: Clinical: The gynaecological department conducts a well woman clinic daily at
the hospital especially for early detection of pre-invasive and invasive cervical malignancy. Pap
smears and Colposcopy are performed free of charge and biopsies are taken at nominal charge.
Camps for early detection are conducted at various places in Gujarat and the neighbouring states,
including organisations such as ONGC, Air Force, and Armed Forces etc. Total 38 camps are
done at various places in this year. Also, participates in GC & RI clinical meetings.

                                                   17
         Academic: Regular lectures and teaching programme conducted for resident doctors.
         Research: Maintenance of all records, data and statistics of the department. Study of
various cases / articles for presentations and publications is also done.
         Professional Contribution and Recognition: Dr. Kalpana Dave, Professor and Head,
has participated in ‘Hello Doctor’ at DD1 channel on Doordarshan regarding public awareness for
cancer in January 2008. She has also participated in ALL INDIA Radio Programme regarding
gynaecological cancer in February 2008. She has also participated in In-Cable TV channel on
endometrial cancer and role of fat consumption in March 2008. She has taken special training at
TMH, Mumbai, for Rural Cancer Control Programme on May 14-15, 2007.
         Dr. Ava Desai, Additional Professor, was elected as President of Association of
Gynaecological Oncologists of India for the year 2007.
         Dr. Meeta Mankad, Additional Professor, got best presentation award for Apani Bat
(Audio Visual Presentation addressing the patients and relatives) on Hospital Day Celebration on
April 7, 2007
         Dr. Pariseema Dave, Associate Professor, was the Managing Committee Member of
Association of Gynaecological Oncologists of India for the year 2007.
         Dr. Anjana Chauhan, Assistant Professor, recieved Dr. TB Patel Silver Medal (Young
Scientist) for oral paper presentation during Hospital Day Celebration on April 19, 2008.
         Dr. Apoorva Gupta, Resident, was awarded ‘Indumati Jhaveri Award’ for best paper
presentation for the topic ‘Vaginal delivery of breech, still a role after Hannah trial - A study of 361
patients’ at FOGSI Conference, Calcutta, 2007. He also won runner-up prize in Quiz on
Obstetrics PPH at Yuva FOGSI, Ahmedabad, 2007.
         Public Services: Camps for cervical cancer screening organised at various places and
also under district cancer control programmes. Thirteen camps were organised at Victoria Jubilee,
Ahmedabad, and about 28 patients attended the same. During the year, total 4228 Pap’s Smears
taken of which 2088 from Ahmedabad, 1443 from rural area and 697 from urban area.
         Conference Organised: The department has organised Workshop on Common Cancer
of Women for doctors of Chiranjeevi Yojna and Gynaecologists of Ahmedabad on June 15, 2007.
The department has also organised Workshop on Common Cancer of Women for gynaecologists
of district hospitals of Gujarat and doctors of urban health centres of Ahmedabad Municipal
Corporation on January 11, 2008.
         Complementary Training Programme:
                                   No.    Programme       Students
                                   1     Observership              2
                                   2     Fellowship                6
                                   3     Dissertation              8
                                   4     Project work              3

(E)     DEPARTMENT OF MEDICAL ONCOLOGY
(E1)    Medical Oncology
        Staff Pattern: There are three Professors, one Additional Professor, two Associate
Professors, four Assistant Professors, one Junior Lecturer, three Medical Officers and twelve
Resident Doctors. The clinical trial wing has two Medical Officers, three Data Managers and one
Nursing Assistant.
        Services: The department of the Medical Oncology includes the services to adult
patients.



                                                  18
       Service Output:
                    No.             Details of Work Done          Number
                    1     New and refer cases                         7062
                    2     Follow-up cases                           42183
                    3     Day care chemo administration             22037
                    4     Minor operation procedures
                          Bone marrow aspiration/biopsy (adult)       3462
                                                       Others         3026
        Activities: Clinical: There are about 100 bedded indoor facilities for adult oncology.
        Academic: The department runs DM Course with active training for DM Residents (4 per
year - total 12 Residents); discussion of clinical topic and case presentation by DM resident
everyday, Telemedicine conference with discussion of topic with RCC Trivendrum and Tata
Memorial Hospital.
        Research: The department has undertaken research projects supported by GCS, ICMR,
and Pharma companies.
        Professional Contribution and Recognition: Dr. Pankaj Shah, Hon. Director,
honoured by ‘Excellence in Oncology Award’ by Ruby Hall, Pune, on August 24, 2007. He
delivered a key note address at inauguration of Sony Cancer Hospital, Jaipur, on April 13, 2007.
He presented 'Epidemiology of Cervical Cancer in India' as a part of Indo-German Workshop at
Heidelberg, Germany.
        Dr. Kirti Patel, Hon. Deputy Director (Medical Services) and Professor, awarded two
orations Dr. Minda Oration and Dr. Pranlal Mehta Oration at IMA GSB for the year 2007-2008.
        Dr. Shilin Shukla, Hon. Deputy Director (Research and Education Services) and
Professor, has studied and passed Postgraduate Diploma in Health Care and Hospital
Management from IGNOU. He has revised book on Cancer in Gujarati, which consists of 408
pages. He was invited as a Chairperson in the Global Conference in Medical Oncology held at
Hyderabad. He has also given a keynote address in the national conference of Indian Association
for Cancer Research. He has participated in ‘Hello Doctor’ at DD1 channel on Doordarshan
regarding public awareness for cancer in January 2008 and also participated in ALL INDIA Radio
Programme regarding cancer in February 2008.
        Dr. Bharat Parikh, Professor, is editorial board member of Indian Journal of Medical &
Paediatric Oncology. He is also Executive Committee Member of Indian Co-Operative Network
(ICON). He was Organising Committee Member for various GCRI-GCS Public Events.
        Dr. Apurva Patel, Assistant Professor, is representative of Central Zone, Gujarat State.
        Dr. Sonia Parikh, Assistant Professor, has given a lecture on 'Factor G in cancer-
Importance of predictive Diagnostics' for GenDioT training programme on genetic diagnosis
organised by Gujarat State Biotechnology Mission in December 2007.
        Public Services: The department has organised public awareness camps and early
detection camps at various places of Gujarat.
        Conference Organised: The department participated in Post ASCO Highlights 2007 on
July 21 and 28, 2007, and Clinical Excellence Programme on July 31, 2007.
        Complementary Training Programme:
                                No.    Programme     Students
                                1      DM                   12

(E2)   Paediatric Oncology
       Staff Pattern: The doctors of Medical Oncology cater their services to paediatric
oncology.


                                               19
        Services: The department of the Medical Oncology provides services to paediatric
patients. The paediatric surgery is done by three Paediatric Surgeons mentioned in C5.
        Service Output:
                            No.         Details of Work Done          Number
                            1       New and refer cases                     684
                            2       Follow-up cases                        10546
                            3       Day care chemo administration           5227
                            4       Minor operation procedures             1339
                            5       Others                                  2723
          Activities: Clinical: There are about 50 bedded indoor facilities at Paediatric Oncology
Centre.
      Conference Organised: The department has organised CME on Retinoblastoma on
September 22, 2007.
(E3)      Bone Marrow Transplant Service
       Staff Pattern: Bone Marrow Transplant Service is run by doctors of Medical Oncology.
       Services: The department of the Medical Oncology provides service to Bone Marrow
Transplant patients.
       Service Output:
                      No.               Details of Work Done                Number
                      1         Total BMT                                          13
                                BMT-Allogenic                                      10
                                              Acute Myeloid Leukemia               03
                                             Acute Lymphoid Leukemia               01
                                             Chronic Myeloid Leukemia              01
                                                     Aplastic Anaemia              01
                                                    Thalassemia Major              04
                                BMT-Autologous                                     02
                                                      Hodgkin’s Disease            01
                                                       Multiple Myeloma            01
                                Umbilical cord stem cell transplantation           01
                                                    Thalassemia Major              01
      Activities: Clinical: This unit carries out management of acute leukemia and
immunocompromised patients at the special sterile isolated leukemia ward on the medical floor.
(E4)      Endocrinology
        Staff Pattern: Three Visiting Consultant Endocrinologists and one Visiting Physician run
the service.
        Services: This department is actively involved in clinical diagnosis, treatment and regular
follow-up of diabetes, thyroid disorders, pituitary related dysfunction and other hormone
abnormalities. Follow-up and new cases are seen quarterly in a week on Monday, Tuesday,
Thursday, and Friday.




                                                      20
        Service Output:
                        No.          Details of Work Done            Number
                        1      New Cases                                  451
                        2      Thyroid Dysfunction                      1971
                        3      Diabetes                                   902
                        4      Pituitary Adenoma                           82
                        5      Growth Hormone (GH) Deficiency             252
                        6      Cushing Syndrome                            11
                        7      Others                                     426

(F)     DEPARTMENT OF ANAESTHESIOLOGY
           Staff Pattern: There are two Professors, three Associate Professors, four Assistant
Professors, eight Junior Lecturers, one Medical Officer, fourteen Resident Doctors and two
Theater Technicians in the department.
           Services: The department offers services of anaesthesia for surgical patients. It provides
services during peri-operative period, which includes pre-anaesthetic check up and anaesthesia
fitness, intra-operative management and post-operative care of the patients. These services are
provided for all major and minor surgical procedures, gynaecological surgeries, neurological
surgeries and day stay surgeries. Anaesthesia department also gives services for either providing
anaesthesia or providing only monitoring care for radiotherapy patients, patients undergoing
radiological procedures, invasive procedures in IVTC or CT scan. The department provides
emergency services in all the wards for central / peripheral venous access and resuscitation of
the patient. Pain clinic services are offered by the department for all suffering from chronic cancer
pain. Under these services, various nerve blocks are given. Thus department of anaesthesia
plays a key role in providing overall care of the patients in peri-operative period, intensive care for
critical illness and pain relief and palliative care during terminal illness of the patients.
           Service Output:
              No.                    Details of Work Done                       Number
              1      Elective + Emergency surgeries Main OT                       3161
              2      Elective + Emergency surgeries OT 7                            266
              3      Elective + Emergency surgeries Neuro OT                        476
              4      Day Stay Unit                                               10483
              5      Pain Clinic                                                    298
              6      CT Scan + MRI + USG Guided Biopsy                              354
              7      Intra Cavitory Radium + Implant under anaesthesia              865
              8      Radiotherapy in pediatric patients under anaesthesia           712
              9      Interventional Therapy under anaesthesia                        28

        Activities: Clinical: Department is involved in all types of surgical procedures done
under anaesthesia, in cancer patients. It includes all types of elective major cancer surgeries,
minor Day Stay procedures like biopsies, emergency surgeries, and post operative and ICU care
of the patients. Different super specialties like plastic surgeries, musculo-skeletal surgeries,
urological surgeries, gynaecological surgeries etc. are involved in treatment of cancer. Our
department provides anaesthesia or monitored anaesthesia care as per the requirement of the
patient and surgeons. Neuro-oncology department is unique feature in our institute. Hence, we
have experience of conducting anaesthesia for neurosurgical procedures as well. Our department
takes lead in peripheral venous access as well as central venous access as per requirement in
the patient. All emergency calls for resuscitation, Ryle’s tube insertion, monitored anaesthesia


                                                  21
and venous access are attended by the departmental staff. We also take care of all patients
admitted in ICU, medical ICU and neuro ICU.
         Academic: Our department is recognised for post graduation studies in anaesthesia. PG
students are given dissertation topics and are guided to carry out research and prepare their
dissertation. Regular seminars and lectures are held for post graduate students. They are also
taught the practical aspect of the subject during routine theater work. They are encouraged to
participate in various conferences, seminars and quiz programme of PG students. Senior staff
members are invited for guest lectures in most of the conferences and workshops. In current year
two DA students appeared in exam. Both residents passed the examination.
         Research: Research activities related to new drugs, techniques or equipment is done in
the department. Every year nearly 4 to 5 research subjects are studied and papers are presented
in various conferences.
         Professional Contribution and Recognition: Dr. Bipin Patel, Professor and Head, has
been appointed as Member of Advisory Committee, Indian Journal of Anaesthesia. He has also
been appointed as Chairman of Indian Medical Association Standing Committee for national
planning of the health. He will be holding this post for three years. He has received ‘Best State
Secretary’ award by Indian Medical Association, head quarter. He has been also appointed as
President of Gujarat State Branch of Indian Society for the Study of Pain.
         Dr. Geeta Joshi, Professor, has been elected as Hon. Secretary for ‘Indian Society for
Study of Pain’. She will be holding this post for 3 years.
         Dr. Bhavna Shah, Associate Professor, is appointed as Treasurer for Indian Society for
Study of Pain. She was invited as a guest speaker in National Pain Conference. She is also
continued as Secretary and Treasurer for Gujarat State Branch of Indian Society of
                         th
Anaesthesiologist for 7 year. She is executive member of ISSP.
         Dr. Dipika Patel, Associate Professor, is appointed as Treasurer for Gujarat State Branch
of Indian Society of Study of Pain.
         Dr. Vinay Solanki, Resident Doctor, won the Second Prize among all residents doctors
for oral presentation of a case report in GISACON 2007.
         Public Services: Dr. Geeta Joshi is working as a Core Team Member of Unnat
Gramsamaj Nirman Kendra, a NGO working for slum children. She is involved in various health
related activities in slums of Ahmedabad. A camp for plastic surgery is organised at Sewa Rural,
Jhagadia, Bharuch, every year. Department of anaesthesia provides their services at the camp.
         Complementary Training Programme:
                                 No.   Programme      Students
                                 1     MD                      3


(G)     DEPARTMENT OF RADIOTHERAPY
         Staff Pattern: There are three Professors, two Associate Professors, one Assistant
Professor and four Junior Lecturers, five Resident Doctors, six Physicists, sixteen Radiographers,
and two Mould Room Technicians.
         Services: The department is fully equipped with four 6 MV Electa Linear Accelerators,
one Cobalt Machine, three Dimensional Conformal Radiation Therapy (3DCRT), Intensity
Modulated Radiotherapy (IMRT) Facility, Stereotactic Radiotherapy and Stereotactic
Radiosurgery Facility, one Contact Therapy Machine, one Low Dose Rate (LDR) Brachytherapy
Unit, three Micro Selectron High Dose Rate (HDR) Brachytherapy Units, two Electa Simulator
Machines, one Siemens CT Simulator Machine which is in radiology department.




                                               22
        Service Output:
                             No.       Details of Work Done      Number
                             1         OPD cases                   15000
                             2         Cobalt Teletherapy           6500
                             3         Linear Accelerators         26000
                             4         Brachytherapy                3000

        Activities: Clinical: The department is treating patients coming from nearby cities and
also from Rajasthan, Madhya Pradesh and Maharashtra. It also participates in GCRI academic
meetings.
        Academic: Regular lectures, seminars twice weekly by resident doctors, and bed side
case presentation by resident doctors conducted in the department.
        Research: Maintenance of patient’s record is done. The data is presented in national
level conferences and published in national journals.
        Professional Contribution and Recognition: Dr. Rakesh Vyas, Professor and Head,
has been awarded citation for endowment oration at Tamilnadu during Conference of Association
of Medical Physicists of India in August 2007. He has been elected as President of Gujarat-MP-
Chhattisgadh Chapter of Association of Radiation Oncologists of India (AROI) during 5th West
Zone Chapter Conference of AROI, Padhar, Betul, in February 2008.
        Dr. Maitrik Mehta, Resident, won Best Paper Award at 5th West Zone Chapter of AROI,
Padhar, Betul, during February 2008.
        Dr. Pooja Nandwani Patel, Resident, won Travel Fellowship for Best Paper Award and
Dr. Neal Joseph Fellowship Award at Association of Radiation Oncologists of India Conference
held in Chennai during November 2007. She is recipient of Dr. TB Patel Gold Medal (Young
Scientist) for oral paper presentation during Hospital Day Celebration on April 19, 2008.
        Workshop Organised: The department has organised Indo-American Collaborative
Workshop on November 17-18, 2007.
        Complementary Training Programme:
                                   No.     Programme         Students
                                   1       MD                      5

(H)     OTHER SERVICES
         These are ancillary services for patient care and play vital role in overall treatment of
patients. They are (H1) Nursing Services, (H2) Stoma Clinic, (H3) Prosthesis and Rehabilitation
Centre, (H4) Physiotherapy, (H5) Hospice Care and Home Hospice Service, (H6) Pharmacy and
(H7) Administrative Services.
(H1)     Nursing Services
         Staff Pattern: Its staff includes two Matrons (Grade - I), twenty five Head Nurses and of
them five are Nursing Supervisors, two hundred five Staff Nurses, six Junior Nursing Grade - A,
fifteen Junior Nursing Grade - B, and thirty one Nursing Assistants.
         Services: We have diversified the services of nursing to various specialties like Stoma
Clinic and BMT unit rendering services to the patients as per the requirement and this is the new
development in the Nursing department. The future goals are to have trained oncology nurses in
maximum numbers and also to train the nurses for further sub-specialties. Also, to standardise
the nursing care that will help giving quality care to the patients. The senior and junior nursing
staff have attended national workshops related to their services.
(H2)     Stoma Clinic
         Staff Pattern: In stoma clinic two Enterostomal Therapist (CET qualified specialist) are
working. Services: This is the first Stoma Clinic in Gujarat State started on March 4, 1983. The
services offered by the department include: (1) Giving pre-operative counselling to the patients
                                                   23
and their relatives, (2) Stoma marking before operation to prevent future problem, (3) Selection of
the stoma bags according to stoma size and applying on o'stomy patient as well as faecal fistula
drainage patients, (4) Giving detailed instruction and advise about stoma bags and stoma
management to patients and their relatives and application of stoma bag, (5) Giving Post
operative counselling to patients and their relatives, (6) Keeping detailed record of Indoor and
Outdoor patients like Colostomy, Ileostomy, Ileal conduit faecal fistula and Drainage, (7) Keeping
detailed record of various types of stoma bags for indoor and outdoor patients, (8) Teaching
nursing students about colostomy care and, (9) Keeping the records of cancer care patients.
        Service Output:
             No.                Details of Work Done            New Cases       Old Cases
              1         Colostomy Patients                            111             290
              2         IIeostomy Patients                             15              41
              3         Ileal conduit + Urocolostomy patients          19              99
              4         Drain + faecal fistula                         25               7
              5         Stoma bags record
                                  Total number of bags given                        5511
                                   Total number of paid bags                        5493
                                Total number bags given free                          18
(H3)   Prosthesis & Rehabilitation Centre
       Staff Pattern: Department has one Assistant Medical Sculptor.
       Services: The department prepares artificial limbs, organs, part of face and other
prosthesis. They are made from silicone and acrylic.
       Service Output:
           No. Details of Work Done Number No. Details of Work Done Number
            1 Ear Prosthesis                      8     6 Chin Prosthesis                   1
            2 Eye Prosthesis                     33     7 Forehead Prosthesis               2
            3 Nose Prosthesis                     4     8 Thumb Prosthesis                  2
            4 Lip Prosthesis                      2     9 Finger Prosthesis             29
           5 Cheek Prosthesis                     3     10 Breast Prosthesis            68
         Activities: Clinical: The department is involved in making of artificial body parts for the
patients attending cancer institute. Not only cancer patients but patients handicapped from birth,
burns patients, patients of accidental injury and having lost body parts are also benefited from
this services.
         Academic: Department arranges lectures for nursing students, also attend department
and get training in the prosthesis as it is one of the subjects of BSc and General Nursing
curriculum.
         Public Services: Department takes special interest in preparation of Taylor's Brace for
spinal support.
(H4)     Physiotherapy
         Staff Pattern: There are one Senior Physiotherapist and two Junior Physiotherapists.
         Service Output:
                   No.                 Details of Work Done                    Number
                   1.       Physiotherapy to Indoor and Outdoor patients        18894
        Activities: Clinical: The treatment mainly consist of pre and post operative chest
physiotherapy, pain relief and rehabilitation of hemiplegies, paraplegies, guadriplegies amputees
and any of the peripheral nerve injuries. Electrotherapy has various pain relieving modalities. The
department renders both indoor and outdoor services. Indoor services are mainly for post
                                                   24
operative phase for the patients who undergone surgery, those patients who are on ventilators
and ‘T’ stomy patients. These patients are given vigerous chest P.T. alongwith postural drainage
and nebulization. Neurosurgical patients are been given rehabilitature physiotherapy treatment.
         The department also treats paediatric group of patients having the above problems, by
giving them quality of treatment which helps them to live near normal life. The patients of trismus
and radiation mucositis are being treated with the help of “scanner laser therapy machine” which
helps in reducing pain and healing of ulcers due to radiotherapy.
         Academic: Nursing students attend the department and get training in physiotherapy as
it is one of the subjects of BSc/General Nursing Curriculum. The department gives clinical
teaching to students come from different physiotherapy colleagues. Postgraduate students are
doing dissertation under guidance of Dr. Manali Shah, Senior Physiotherapist.
         Public Services: Our department sends many of the patients to prosthesis department
for spinal support and mouth opening devices for chronic Gutkha chewers which are provided to
the patients at very economical rate. The patients are then rehabilitated with various exercise
regimes.
(H5)     Hospice Care and Home Hospice Service
         At the COC, Vasna, terminally ill patients with cancer are given shelter, warmth and
palliative care. The patients are referred to us by Cancer Clinicians. Emergency services like
Ryle’s Tube insertion, Catheterisation, Pain relief, IV injection treatment etc. are being provided
on receiving request by relatives. A beautiful environment is provided and all efforts are made to
ease their suffering and make their life comfortable in the small huts with all facilities. Their
entertainment is specifically looked after.
         Service Output:
                             No.    Details of Work Done      Number
                             1      Admissions                      99

         Public Services: Home Hospice services are offered to terminally ill cancer patients and
are attended at home.
(H6)     Pharmacy
         Staff Pattern: There is one Chief Pharmacist cum Store Officer, Eight Junior Pharmacists
and one Data Entry Operator.
         Services: The system is now rearranged and all indoor as well as outdoors patients are
collecting their medicines from Main Pharmacy (room No. 76). The pharmacy computer linked
with all bill collection centres to know the day today availability stock of medicines in pharmacy.
Only for outdoor patients tablets/capsules are supplied from ground floor (room No. 25), which is
just near to cash collection counter. Indoor patients and Day Care patients (patient on
chemotherapy treatment) are now dispensed medicines from second floor (indoor pharmacy near
to BMT ward room No. 210). New cash collection centre for the indoor patients is started at room
No. 211. All department/ward medicines indents are supplied from second floor (room No. 209).
Administrative work of pharmacy (main store) along with all stocks of medicines and delivery of
purchased medicines are now accepted at second floor (room No. 209). Number of patients under
School Health Programme is markedly increased and for them all medicines are purchased and
supplied. Special services are provided to special room patients. Special services are also
provided to BMT patients and advance payment from various organisations and Central Govt.
employees are being collected. Also, payment is reimbursed for patients referred from various
organisations like Railway, IFFCO, ISRO, ONGC, Bank, CGHS, SGS, ECHS, BSNL, P&T, CM
Relief Fund, BSF, RBI etc. Patients under GCS adoption scheme and GCS Poor Patient Fund are
provided free pharmacy services as per rules of the institute.
(H7)     Administrative Services
         Staff Pattern: Hospital Administrator heads this service. There are two Class-I level, four
Class-II level and thirty-nine Class-III level employees. In addition three Resident Medical Officers
offer their services. An honorary Civil Engineer and a management trainee actively assist it.
                                                 25
         For day-to-day smooth functioning of the various activities, hospital administration has 6
sections. (i) Human Resources Section, (ii) Secretarial Services Section, (iii) Store and Purchase
Section, (iv) Account Section, (v) Engineering & Maintenance Section, (vi) Resident Medical
Officer Section, and (vii) Public Relation Section.
(i)      Human Resources Section
         Activities: This section looks after the procedural aspects of the human resources
development, recruitment, promotion, disciplinary action etc. We have computerised system for
maintenance of presence of every employee and leave management of all the employees. The
section also maintains database of various training programmes and the trainees for our human
resources requirements as well as the section looks after the general administrative procedures.
(ii)      Secretarial Services Section
         Activities: Secretarial services are provided by this section with the help of ultramodern
equipments like computers, copiers, scanners, fax, Internet etc. The section also supports all the
secretarial requirements for the organisation of workshops, seminars, conferences, publications of
various materials etc.
(iii)     Store and Purchase Section
         Activities: The main duty of this section is to procure necessary consumables, purchase
of hospital supplies, medical and research equipments. It also looks after the maintenance
contracts, repairs of minor and major equipments etc.
(iv)      Account Section
         Activities: Account section looks after the maintenance of accounts, payments of various
bills, receiving hospital fees, payment of wages etc. All these activities are computerised and
most of the things are done with the help of computer.
(v)      Engineering & Maintenance Section
         Activities: Engineering & Maintenance section supports the hospital management by
undertaking various civil works, interior decoration, planning and execution of new purchases,
construction etc. Electrical engineer and his team looks after the day-to-day maintenance of
electrical installations, air-conditioning plants, Window Air Conditioners etc. They also provide
support for the maintenance of hospital's in-cable services and maintenance of sound systems in
the Cama Hall and for the various programmes arranged by the Institute. The hospital
management division also deputes employees from the aforesaid sections to attend various
programmes arranged by the AMA and other organisations to update their knowledge about the
current practices of their subjects.
(vi)     Resident Medical Officer Section
         Activities: The services offered by them include: (1) Supervision of and assistance to
clinical and supportive services of GCRI and COC, Vasna, (2) Guidance and help to patients
regarding treatment at GCRI, (3) Help to the needy patient to get their treatment at concessional
rate as per rules of the institute, (4) Supervises Patient Care and Home Hospice Services in
Ahmedabad and at COC, Vasna, (5) Conducting Patient Evaluation Meeting, and (6) Medical help
for the health of GCRI staff.
         Professional Contribution and Recognition: Dr. Dhruti Desai, RMO, has attended
Hospital Management Programme from August 27-31, 2007 at Indian Institute of Management,
Ahmedabad.
(vii)    Public Relation Section
         Activities: The section looks after patient comfort level, makes a bridge between the
patient and doctor as per patient's need and report it to RMO for necessary actions.




                                                26
                       III.   CANCER RESEARCH & EDUCATION
    Separate administrative arrangement in the form of Research and Education Services under
Dr. Shilin N. Shukla, Deputy Director (Research & Education) has helped the institute to
organise its research and educational activities and hence a definitive perspective and direction is
being provided in this aspect also. The principal areas include the (I) Research Wing (Cancer
Biology Department), (J) Educational Activities, (K) Library, and (L) Educational Graphics and
Medical Photography.
(I)     RESEARCH WING (CANCER BIOLOGY DEPARTMENT)
(I1)    Cell Biology Division
         Staff Pattern: There are two Junior Scientific Officers, one Research Assistant, one
Junior Research Assistant, and six Research Fellows in ongoing tenured research projects.
         Services: The Cell Biology Division has fine set up for clinical chromosome research and
diagnostic testing, mainly for leukemia patients of GCRI and referred cases for diagnosis and
prognosis. There are two automatic karyotyping and FISH imaging systems; IKAROS by
Metasystems, Germany, and Cytovision by Applied Imaging, USA, with two workstations each.
Hybridization and denaturation chamber (Thermobrite, Vysis, USA) helps in rapid and consistent
FISH assays. The facility for multiplex-FISH (from Gujarat State Biotechnology Mission project
grants) is first of its kind in the country. In addition to Karyotyping and FISH (Fluorescence in situ
hybridization), other cytogenetic endpoints namely; chromosome aberrations, sister chromatid
exchanges, centromeric band heterochromatin polymorphism are also employed.
         Service Output:
        No.                        Details of Work Done                            Number
        1      Cytogenetic study of leukemia from bone marrow                          1470
        2      FISH tests for following genetic rearrangements
               Translocation t(8;21)                                                       5
               Translocation t(9;22)                                                     235
               Translocation t(15;17)                                                     45
               Translocation t(12;21)                                                      2
               Translocation t(16;16)/inversion (16)                                       1
               Rearrangements of 5q (two different loci)                                   1
               Rearrangements of 7q (two different loci)                                  11
               Copy number of X &/or Y                                                    11
               Rearrangements of MLL gene                                                  3
               Rearrangements/copy number determination in metaphase                       7
               for any of the whole chromosomes [1 to 22, X, & Y]                          -
        3      Karyotyping in genetic cases                                               11
        4      Multiplex-FISH                                                             18

         Activities: Clinical: Clinical cytogenetic services for leukemia patients include karyotypic
and FISH analysis in CML, APML, and various other leukemia to help diagnosis and prognosis.
Constitutional chromosome analysis by GTG banding and multiplex FISH is also carried out in
cases referred from all over Gujarat with indication of infertility and other genetic abnormalities.
         Academic: Various graduate and post-graduate students from Ahmedabad, Vallabh
Vidhyanagar, Surendranagar, Rajkot, New Delhi, Hyderabad, Bangalore, Pune etc. visit the
department for observer ship, science projects, and dissertation. Personnel from various institutes
visit the department for technical training. Dr. Sonal Bakshi is a visiting lecturer for MSc
Biomedical Technology at Gujarat University. In a state-level seminar conducted by JJ Science

                                                 27
College, Microbiology Department, Nadiad, and at Gujarat State Biotechnology Mission, she
participated as a referee for the third year BSc students.
         Research: The main research thrust of Cell Biology Division is chromosome analysis of
leukemia patients. Chromosomal anomalies are documented at diagnosis and during later stages
of the disease, which aids in prognostication and clinical research. Metaphase chromosomes are
obtained from the peripheral blood lymphocytes, bone marrow, and malignant effusions. The
novel chromosomal anomalies as per the leukemia subtype are contributed to existing pool of
databases of chromosomal aberrations in leukemia by publishing in national and international
journals. Karyotypic analysis by GTG banded metaphases is substantiated by locus specific &/or
whole chromosome FISH, and multiplex-FISH for increased sensitivity of chromosome anomaly
detection.
         Complementary Training Programme:
                                 No.    Programme         Students
                                 1      PhD                     2
                                 2      Observership          151
                                 3      Dissertation            1
                                 4      Others                  2

(I2)    Molecular Endocrinology Division I
          Staff Pattern: The division has one Senior Scientific Officer and two Junior Research
Fellows.
          Services: Clinical evaluation of thyroid function tests and tumor markers are being
performed for diagnosis in patients with thyroid abnormalities and malignancies referred to the
division. Subsequent estimations of these hormones and tumor markers in serial samples are
also performed in follow-up studies in patients for further treatment modalities with request of
clinical practitioners. Research projects financially supported by various agencies are also carried
out. Also, gives training to under graduate and post graduate students coming from various
colleges, faculties and universities as well as guiding post graduate students for their dissertation
as a partial fulfillment of the requirement by the university for their Master’s Degree.
          Service Output:
                           No.         Details of Work Done          Number
                            1        Total T3                          3139
                            2        Total T4                          3139
                            3        TSH                               3139
                            4        Free T4                            543
                            5        Free T3                            310
                            6        Thyroglobulin                      103
                            7        TPO-Ab                              88
                            8        CEA                                 93
                            9        CA 19-9                            190
                            10       CA 72-4                            190
                            11       p27                                 80
                            12       EMA                                 98
                            13       Thyroglobulin                       98



                                                     28
        Activities: Clinical: The division is mainly engaged for clinical diagnostic and cancer
related research work. As far as the diagnostic work is concerned, patients are being referred
from institutional departments like Endocrinology/ Surgical Oncology/ Radiotherapy/ health check-
up programme of Community Oncology Centre, Vasna/ OPD of Civil Hospital, Ahmedabad, as
well as by other private Clinicians of Gujarat and even allied states, were evaluated for thyroid
function tests.
        Much of the patients referred for thyroid function tests for thyroid abnormalities had
common symptoms of thyroid swelling. In our patients, more than 65% had complaint of thyroid
swelling irrespective of Hypo-/Hyperthyroidism. Amongst referrals, incidence of thyroid
abnormality was evident in 50% and more frequent in females as compared to males. Ratio of
hypothyroidism was around two fold higher than hyperthyroidism in abnormal patients. Chances
of malignancies were noticed more with increase in duration of Goiter in our patient’s history.
Subnormal or above normal T3, T4 with normal or upper borderline TSH levels was a common
feature in our pre-treated thyroid malignant group. Incidence of thyroid malignancy was more
pronounced in solitary nodules as compared to multinodular goiter in our study groups. It is also
advisable that asymptomatic goiter cannot be ignored for presence of malignancy. If thyroid
swelling is noticed one has to refer to the clinician without delay for further management of the
goiter.
        Academic: Various students from several institutions/universities are given training
during their vacation period.
        Research: Research projects financially supported by Gujarat Cancer Society and DMER
are on-going.
        Professional Contribution and Recognition: Dr. Girish Patel, Senior Scientific Officer,
has been enrolled as PhD Guiding Teacher in Life Science by Gujarat University, Ahmedabad.
        Complementary Training Programme:
                                 No.         Programme             Students
                                 1      Observership                   158
                                 2      Dissertation (completed)         2
                                 3      Dissertation (on-going)          1

        Molecular Endocrinology Division II
        Staff Pattern: There are two Senior Scientific Officers, one Research Assistant, two
Junior Research Assistants and one Junior Research Fellow.
        Services: The Division is fully equipped with Packard Gamma Counter, Beta Counter,
Thermal Cycler, Ultracentrifuge and Spectrophotometer.
        Service Output:
                No.                    Details of Work Done               Number
                1     Clinical Work                                           8123
                      B-Human Chorionic Gonadotropin (B-HCG)                  1111
                      Alpha Fetoprotein (AFP)                                 1236
                      Carcinoembryonic Antigen (CEA)                          1988
                      Prostate Specific Antigen (PSA)                          977
                      CA-125                                                  1744
                      CA 19-9                                                  125
                      CA 15-3                                                   01
                      Parathyroid Hormone (PTH)                                 41
                      Cortisol                                                  98

                                                   29
                No.                Details of Work Done                   Number
                      Follicle Stimulating Hormone (FSH)                       161
                      Leutinizing Hormone (LH)                                 141
                      Prolactin (PRL)                                          200
                      Testosterone (T)                                          60
                      Estradiol (E2)                                            73
                      Growth Hormone (GH)                                      167
                2     Research Work
                      Immunohistochemistry                                     159
                                                                  Stat1         35
                                                                  Stat3         23
                                                                  Stat5        101
                      DNA extraction from blood/ tissues                        61
                      RT-PCR                                                   140
                                                                  Stat1         70
                                                                  Stat3         70
          Activities: Clinical: Includes quantitative evaluation of tumor markers and endocrine
hormonal profile markers.
          Academic: Imparting research training to undergraduate and postgraduate students.
Under the GSBTM Multi-institutional Training Programme in Molecular Biology and Bioinformatics
for Teachers and Researchers of Gujarat, May 17-25, 2007, Dr. Neelam Shah presented PCR
and Blotting Techniques.
          Research: Early detection depends on a better understanding of the molecular
mechanisms that drives tumor initiation and progression. For this, it is necessary to define genetic
instability and the genetic events involved in signal transduction, transcription factors and cell
cycle regulatory pathways. Based on this, our division is actively involved in studying the clinical
relevance of multiple genetic alterations in malignancies of breast, colon/rectum and oral cavity.
The other focus of research involves detection of micrometastasis using tumor associated genes.
          Professional Contribution and Recognition: As part of the Dr. TB Patel Centenary
Year and Research Wing Silver Jubilee Celebrations, the division compiled the Research
Publications of the Research Wing from 1984 to 2007 which were presented as Archives of
Publications (Volume I-III).
          Ms. Trupti Trivedi, Research Assistant, awarded PhD degree by Gujarat University for
thesis entitled 'A study of molecular markers in patients with pre-malignant and malignant lesions
of the oral cavity' in May 2007.
          Ms. Bindu Yagnik, Junior Research Fellow, won the third prize for the poster on
'Nanotechnology: A basis for next revolution in cancer' at Poster Presentation Competition on
October 3, 2007.
         Ms. Toral Kobawala, Junior Research Assistant, won the first prize in two different
events. Best Essay Award for essay entitled 'Modern techniques in drug delivery' and Rajnikant
Baxi Award for the best poster presentation on 'Molecular alterations in oral carcinogenesis:
                                                                                            th
Significant risk predictors in malignant transformation and tumor progression' at 27 IACR,
February 7-9, 2008.
          Poster Presentation Competition Organised: The division organised the Poster
Presentation Competition Event on October 3, 2007, at GCRI as a part of Dr. TB Patel Centenary
Year and Research Wing Silver Jubilee Celebrations.

                                                30
        Complementary Training Programme:
                              No.    Programme       Students
                              1      PhD                     1
                              2      Observership          158
                              3      Dissertation            2

(I3)    Receptor & Growth Factor Laboratory
        Staff Pattern: The staff includes one Senior Scientific Officer, one Research Assistant,
two Junior Research Assistants and two Junior Research Fellows.
        Services: The department is largely connected to the research and education services.
We have started the services for the estimation of IGF axis molecules in the referrals from
Radiotherapy and Endocrine OPD.
        Service Output:
        No.                           Details of Work Done                              Number
        1     Enzyme Immunoassays/ In-House ELISA                                            700
              (Matrix Metalloproteinases and their activities; Transforming Growth
              Factor Beta axis related molecules, PF-4)
        2     Radioimmunoassay/ Immunoradiometric assays                                     500
              (Insulin like Growth Factor axis molecules)
        3     Radio-receptor Assays                                                          100
              Estrogen Receptors, Progesterone Receptors, Retinoic acid receptors
        4     Real Time PCR                                                                  200
        5     Immunoprecipitation - ER, PR isoforms                                           50

          Activities: Academic: The members of the laboratory regularly participate in the weekly
departmental seminars as well as a regular biweekly intra-lab seminar is also actively organised.
The laboratory also undertakes the training to the observers (post-graduate students attending
the institute from several universities) and to the dissertations students.
          Research: Receptor & Growth Factor Laboratory work on signal transduction pathways
and their implication in etiology, diagnosis, prognosis and treatment monitoring of different tumor
types. The work is directed towards establishment of a battery of tumor markers (proved and not
proved) for the aforesaid aim in solid tumors like breast tumors, brain tumors (Meningioma,
Glioma) and uterine cervix. The aim to decipher the mechanisms / pathways / molecules
connected to cross talk between hormone receptors and growth factors in set of patients in
Western India. Also look towards prediction of radio-sensitivity of cervical tumors, and estimation
of hormone receptors like Estrogen Receptor and their variants, Progesterone Receptor and their
isoforms (PR-A & B), Retinoid Acid Receptors (RAR, RXR), Growth factor axes like Insulin like
Growth Factor axis (IGF -1, -2; Free IGF-1, IGFBPs -2, -3), Vascular Endothelial Growth Factor,
Hepatocyte Growth Factor and Matrix Metalloproteinases (MMP -2, -9) and their activities. All
these markers are quantitated at protein levels with RIA, ELISA, and IRMA. Quantitative as well
qualitative estimation of Transforming Growth Factor betas (TGF β-1, -2) and signaling molecules
at both proteins as well RNA level (with real time PCR) is being done. This work has been carried
out with the help of seven ongoing projects funded by agencies like GCS, DMER and GSBTM.
          Professional Contribution and Recognition: Dr. Sunil Trivedi, Senior Scientific
Officer, acted as visiting Faculty for post graduate programme in Biomedical Technology and in
Human Genetics, Gujarat University. He is Guest Speaker at SP University and Nirma University,
and an examiner of MPharm (Biotechnology), Ganpat University, Kherva. He was to National
Institute of Occupational Health (NIOH) as a member on their purchase committee and as a
member on their staff selection committee. He worked as Technically Qualified Expert for scrutiny
and purchase of instruments and chemicals at the institute.
                                                31
        Ms. Apexa Raval, Junior Research Assistant, received best poster presentation prize on
‘Nanotechnology: Basis for next revolution in cancer’ at Poster Presentation Competition on
October 3, 2007.
        Mr. Pankil Bhatt, Junior Research Fellow, received best poster presentation prize on
'Stem Cells: A cure to cancer?' at Poster Presentation Competition on October 3, 2007.
        Conference Organised: Dr. Sunil Trivedi was a joint organiser of a workshop on ‘Real
Time PCR’ in collaboration with Foundation for Research in Genetics and Endocrinology (FRIGE),
November 27, 2007. He and the lab members organised the pre-conference event CCRE
(Continuing Cancer Research Education) on February 6, 2008, and 27th Annual Convention of
Indian Association for Cancer Research at our institute during February 7-9, 2008.
        Complementary Training Programme:
                                 No.   Programme       Students
                                 1     PhD                    1
                                 2     Observership         158
                                 3     Dissertation           7
(I4)    Biochemistry Research Division
        Staff Pattern: There are one Senior Scientific Officer, two Research Assistants, and two
Junior Research Fellows.
        Service Output:
                         No.       Details of Work Done         Number
                          1    Serum LDH                           1812
                          2    Serum Protein Electrophoresis         176
                          3    Serum Iron                             47
                          4    Serum TIBC                             43

         Activities: Academic: Theoretical and practical demonstration of various molecular
biology and biochemical techniques were carried out for the students who came as observers
from various universities as well as for MLT students.
         Research: The area of our research curiosity integrated following aspects: (1)
assessment of the role of tobacco habits, various other lifestyle and sociodemographic factors,
dietary patterns and interplay of enzymatic and non-enzymatic antioxidants in aetiology of
tobacco related cancers, (2) Applications of proteomics in cancer research by analysis of 2D
maps from serum and cytosolic proteins of patients with various malignancies, (3) The alterations
in glycoproteins, membrane glycolipids, glycoprotein metabolic enzymes and glycoprotein
electrophoretic changes to assess their role in diagnosis, prognostication and management of
cancer patients, (4) NF-kB activation pathway and apoptosis in cancer, (5) The role of telomeres,
telomerase and its components, and matrix metalloproteinases and tissue inhibitor of
metalloproteinases in various malignancies to assess their clinical usefulness. The changes in all
bio-molecular parameters would be helpful for prognostication, treatment monitoring and in early
prediction of relapse in cancer patients. We have eight ongoing research projects based on the
above notion. The data obtained from these studies is presented in national/international level
conferences and also published in national/international journals. A weekly seminar is also
conducted in the division by staff members to discuss recent trends in cancer research.
         Professional Contribution and Recognition: The division received Smt. Vibha Mehta
Rotating Trophy for maximum research paper publications during the year 2007-2008.
         Dr. Prabhudas Patel, Senior Scientific Officer, was editor for Indian Association for
Cancer Research (IACR) News Letter and released two issues of the News Letter. He delivered
three guest lectures at national conferences during the year.

                                               32
         Dr. Franky Shah, Research Assistant, received first prize for poster presentation at 2nd
International Symposium on Translational Cancer Research held at Lonavala during December 9-
12, 2007.
         Ms. Vandana Patel, Junior Research Fellow, received best poster award for poster
presentation on 'Nanotechnology: Basis for next revolution in cancer' in poster competition on
October 3, 2007; young investigators award for poster presentation at 34th Annual Conference of
Association of Clinical Biochemists of India, New Delhi, during December 17-20, 2007, and
second prize for poster presentation in National Conference on Apoptosis and Cancer held at MS
University, Vadodara, during December 28–29, 2007.
         Ms. Hetvi Patel, Junior Research Fellow, received third prize in poster competition at
symposium on 'Natural compounds in the management of cancer' on December 3, 2007, and
second prize in oral competition at seminar on ‘Human Health Care: Redefined – 2008’ at School
of Sciences, Gujarat University, Ahmedabad, on March 17, 2008. She is recipient of Dr. TB Patel
Silver Medal (Young Scientist) for oral paper presentation during Hospital Day Celebration on
April 19, 2008.
         Complementary Training Programme:
                              No.    Programme       Students
                              1      PhD                     2
                              2      Observership          158
                              3      Dissertation            5

(I5)    Immunohistochemistry Division
        Staff Pattern: The staff include one Senior Scientific Officer, one Research Assistant, two
Junior Research Assistants, and two Junior Research Fellows.
        Services: The division works in coordination with pathology department. The division is
well-equipped for immunohistochemistry and flowcytometry work. Immunohistochemistry and
flowcytometry have been carried out to aid histopathological and haematological diagnosis.
        Service Output:
          No.                Details of Work Done                  Number      Patients
           1    Estrogen and Progesterone receptors (ER/PR)            1762         881
           2    Her-2 neu                                               223         223
           3    Immunophenotyping markers by Flowcytometry             5124         267
           4    Immunohistochemical Markers                            9133        1684
         Activities: Clinical: At the division, 54 different immunohistochemical markers are being
routinely done. Further, immunophenotyping of acute leukaemia and CLPDs is done using
flowcytometer.
         Academic: The division participates in the academic activities of the institute by
enrolment of PhD students, MSc/MPharm Dissertation students and Summer Training
Programme for MSc/BSc students. Dr. Hemangini Vora gave a lecture on 'Flowcytometry: A
versatile tool' in GSBTM multi-institutional training programme in Molecular Biology and
Bioinformatics for Teachers and Researchers of Gujarat conducted at GCRI during May 17-25,
2007.
         Research: The main areas of research include studies of HER-2 neu signalling and
epithelial-mesenchymal transition in breast cancer. Also, role of FLT3 and PRR in AML, and MRD
detection in AML and ALL are being studied. In collaboration with Surgical Department, (1)
molecular analysis of histopathologically negative surgical margins of head and neck cancer
patients is carried out to identify high risk patients for loco-regional recurrences, and (2)
identification of predictors of response to neoadjuvant chemotherapy in locally advanced head
and neck cancer patients is being studied.

                                                33
        Based on above research areas nine projects are ongoing in the division.
        Professional Contribution and Recognition: As part of Dr. TB Patel Centenary Year
and Research Wing Silver Jubilee Celebrations, Archival Vistas – assembled petals of Research
Projects, Publications and Presentations of the Research Wing from 1984 to 2007 was complied
by the division.
        Ms. Shalvi Mehta, Junior Research Assistant, won first prize for oral presentation in 32nd
Annual Conference of Gujarat Pathologists & Microbiologists, Vadodara, on February 3, 2008.
        Ms. Birva Brahmbhatt, Junior Research Fellow, won fourth prize in National Symposium
on Apoptosis and Cancer at MS University, Vadodara, during December 28-29, 2007.
        Seminar Organised: As a part of Dr. TB Patel Centenary Year and Research Wing Silver
Jubilee Celebrations, 'Seminar on Current Trends in Molecular Biology and Clinical Drug Trials'
was organised by Dr. Hemangini Vora and her team on October 3, 2007. In this seminar 450
students from various universities of Gujarat State participated.
        Complementary Training Programme:
                             No.           Programme             Students
                             1       PhD                                    3
                             2       Observership                      200
                             3       Dissertation (completed)               6
                             4       Dissertation (on-going)                5

(I6)      Medicinal Chemistry & Pharmacogenomics
          Staff Pattern: The staffs include one Junior Scientific Officer and one Junior Research
Fellow.
          Services: The division is equipped with computer and scanner for bioinformatics work.
          Service Output: NABL accreditation documentation and co-ordination.
                  No.                Details of Work Done                       Number
                   1    IL-1, IL-3, IL-5, IL-6, G-CSF, TNFalpha, TGF                 48
                        beta, EPO
                   2    Cow      Urine         fractionation,    protein,            16
                        electrophoresis
                   3    Natural Compound Scaffold Design –                           15
                        Docking studies, MLL, Hsp70, LDH, Bcr-abl
                   4    Data Mining        –   Journal    Back   Volume              60
                        Downloading
                   5    e-books                                                     346
         Professional Contribution and Recognition: Dr. Rakesh Rawal, Junior Scientific
Officer, elected as Judge in Bioinformatics for Science Excellence 2008 (SCIXL-2008) event held
at Gujarat University on January 5, 2008.
         Seminar Organised: Symposium on 'Natural compounds in the management of cancer'
was organised by Dr. Rakesh Rawal on December 3, 2007
         Complementary Training Programme:
                                 No.       Programme             Students
                                 1     Dissertation                             1




                                                    34
(I7)    Joint Activities of Research Wing (Cancer Biology)
          Educational Meeting: The staff members of the Research Divisions conduct a weekly
presentation on friday and discuss topics related to basic and clinical cancer research and its
utility to Cancer Clinics. Total forty-two presentations were made in this year. Dr. Prabhudas
Patel, Senior Scientific Officer, is the coordinator of this meeting.
                       Silver Jubilee Celebration of GCRI Research Wing
          As a part of Silver Jubilee Celebrations of Department of Cancer Biology (Research
Wing), the department has organised 8 academic events. The Research Wing is carrying out
clinical and applied research activities on all possible biomedical resources available at GCRI. Its
function may be described aptly in the following words of wisdom which may now onwards
become its motto also.




         On this occasion, series of books (i) Archives of Publications (Volume I-III), compiled by
Dr. Neelam Shah, and (ii) Archival Vistas (projects/publications/presentations compiled by
Dr. Hemangini Vora, awards/honours/achievements compiled by Dr. Prabhudas Patel and
Dr. Sonal Bakshi were released. They represent most of the work and contribution of the
scientists of the institute. It also gives self-confidence that in the coming years we shall be able to
meet the challenges and expectations that future has stored in its hidden basket.
May 17-25, 2007 - 2nd launch Multi-institutional Training Programme in Molecular Biology
and Bioinformatics for Teachers and Researchers of Gujarat: This training programme was
organised by GSBTM on May 17-25, 2007. This programme was carried out at Biochemistry
Research Division and co-ordinator was Dr. Prabhudas Patel. GCRI was a network partner for
the programme along with Forensic Science Laboratory, Gandhinagar, and Anand Agriculture
University, Anand. The programme aimed at human resource development to ensure that the
teachers and researchers of Gujarat have the capacity and capability to carry out the activities
assigned to them. The faculty members were from various research departments of GCRI. A total
of 32 trainees from various institutes and colleges of Gujarat participated in the programme and
learnt various techniques in molecular biology.
July 9, 2007 - Symposium on Lysosomal Storage Disorders: Helping Patients with Rare
Genetic Diseases: GCRI was chosen by the Government of Gujarat to host a symposium on
'Lysosomal storage disorders: Helping patients with rare genetic diseases'. The one day event
was jointly organised with Genzyme CEE, GmbH; a company with major contribution in LSD
patient care with local support from the Biocare Research (I) Pvt. Ltd.
October 3, 2007 - Current Trends in Molecular Biology and Clinical Drug Trials: This
seminar was hosted under the patronage of GCRI, GCS, GSBTM and Indian Association for
Cancer Research-Gujarat Chapter on October 3, 2007. The programme was mainly for the post-
graduate students of science and pharmacy faculties. In the seminar, 425 students participated
from 25 different institutions/colleges of Gujarat. The students were postgraduates of science and
pharmacy faculties. Also, 20 renowned faculties from 15 institutions shared their knowledge with
bright students of Gujarat. This was organised by Immunohistochemistry Division and Dr.
Hemangini Vora was the Organising Secretary.
October 3, 2007 - Poster Competition on Nanotechnology: 1) Basis for next revolution in
cancer and 2) Stem cells: A cure to cancer?: A poster presentation competition coordinated by
Dr. Neelam Shah, Division of Molecular Endocrinology II, was organised on October 3, 2007, in
company with a seminar on ‘Current Trends in Molecular Biology and Clinical Drug Trials’, the
main event of the day. The total student participation was 69 and the posters displayed were 45,
which included 26 on Stem Cells: A cure to cancer?, and 19 on Nanotechnology: Basis for next
revolution in cancer.


                                                  35
November 27, 2007 - One Day Workshop on ‘Real Time PCR’ in Collaboration with
Foundation for Research in Genetics and Endocrinology (FRIGE): The workshop was
conceived as a part of training programme which FRIGE has launched for training of the 20
faculty from various places in the country in molecular genetics. Since our institute has a facility
for Real Time PCR in RGFL Lab they sought a help of the institute which was accepted by the
Director, GCRI, and conducted by Dr. Sunil Trivedi.
December 3, 2007 - Natural Compounds in Management of Cancer: A symposium on ‘Natural
compounds in the management of cancer’ was organised by GCRI, GCS and Indian Association
for Cancer Research (Gujarat Chapter) on December 3, 2007, with a generous support from
GUJCOST. There were 250 participants including medical oncologists, research scholars,
masters degree students (pharmacy, biotechnology, biochemistry), MD (Ayur & Homeopath). All
the delegates appreciated the symposium and interacted with the speakers. The symposium also
included a poster competition for students on ‘Herbal medicine in cancer management’.
Dr. Rakesh Rawal was the Organising Secretary of this symposium.
December 18-31, 2007 - GenDioT, Training Programme for Genetic Diagnostics: Cell Biology
Division was one of the three resource laboratories of Ahmedabad for the GenDioT. The genetic
diagnosis training was planned for 15 participants including basic research students, post
graduate and medical teachers, and clinicians from different parts of Gujarat. During December
18-31, 2007, two batches of participants for one week attended the laboratory for hands-on
training.
February 6–9, 2008 - 27th Annual Convention of Indian Association for Cancer Research -
Networking Research to Applications & International Symposium on Frontiers in
Functional Genomics: GCRI and GCS had organised the 27th Annual Convention of Indian
Association for Cancer Research & International Symposium on ‘Frontiers in Functional
Genomics’ on February 6-9, 2008. The pre-conference event ‘Continuing Cancer Research
Education’ (CCRE) was designed especially for the benefit of PhD students. A total of 200
participants from all over India participated in the convention. The masters of different areas in
cancer research from India as well as from around the globe were the resource faculty for
IACRCON-2008. Twenty-three eminent international speakers from USA, Switzerland, Finland,
Germany, Belgium, Austria and Netherlands working in various super-specialties of cancer
research were invited to share their knowledge. Twenty national resource faculties shared their
experiences along with them. Dr. Sunil Trivedi was the organising secretary of the event.
(J)     EDUCATIONAL ACTIVITIES
         The Institute is engaged in various types of educational and training programmes, like
(J1) Formal Educational Courses, (J2) Complementary Training Programme to Formal Education,
(J3) Professional Training to Doctors and Scientists (Conferences, Workshops), (J4) Professional
Training to Paramedics (Technological Courses), (J5) Community Education and Awareness
Programmes, (J6) Cancer Information Centre, (J7) Staff Training – Intramural and Extramural,
(J8) Hospital Day Celebration - Research and Educational Aspects, (J9) Clinical Meetings, (J10)
Activities of the Scientific Research Committee, and (J11) GCS Research Bulletin.
(J1)    Formal Educational Courses
         The Institute is affiliated to the B.J. Medical College and Gujarat University, Ahmedabad,
for subspeciality teaching in the subjects of Medical and Surgical Oncology (DM and MCh
courses) as well as postgraduate teaching in subjects like Pathology, Radiodiagnosis,
Gynaecological Oncology, Anaesthesiology and Radiotherapy (MD, DCP, DMRE, DA courses).
The Institute is also recognised for PhD degree from Gujarat University (Life Sciences and
Medical Microbiology) and MS University (Biochemistry). Hence, there are over 82 recognised
teachers and over 69 students. Details of the Formal Educational Courses during 2007-2008 are
as follows:


                                                36
 Department /Division   Course   Students           Title of the Dissertation/Thesis
Radiodiagnosis          DMRE        4                               -
Pathology               MD          7        1. Retrospective study of soft tissue sarcoma
                                             2. Pattern of invasion in oral tongue cancer
                                                as a prognostic parameter
                                             3. Retrospective study of stereotactic brain
                                                biopsy
                                             4. Histopathological and FNAC correlation of
                                                lung mass
                                             5. Pathological prognostic parameters of soft
                                                tissue sarcoma
                                             6. ER and PR receptors in breast cancer
                                             7. Study of GIST
Microbiology            MD          1        1. The study of prevalence of Methicilin
                                                resistance staphylococcus aureus (MRSA)
                                                with particular mention of low level
                                                Vancomycin resistance in infected patients
                                                and constant surveillance, control and
                                                treatment measures
Medical                 PhD         1        1. Detection of high risk human papilloma
Microbiology                                    virus in cancerous and non-cancerous
                                                cervical lesions by polymerase chain
                                                reaction
Radiodiagnosis          MD          8        1. Role of CT in large bowel pathologies
                                             2. Role of mammography and intervention in
                                                non-palpable breast lesion
                                             3.   Imaging in characterisation and staging of
                                                  pancreatic malignancy
                                             4.   Role of CT scan in diagnosis and staging
                                                  of cancer of the larynx
                                             5.   Role of MRI in brain tumor
                                             6.   Role of MRI in bone tumor
                                             7.   MRI evaluation of maxillary mass
                                             8.   Role of MRI in staging of cancer of the
                                                  cervix
Surgical Oncology       MCh        12        1. Sentinel node biopsy in carcinoma of
                                                penis
                                             2. Tumour thickness in tongue in relation
                                                with neck node metastasis




                                        37
 Department /Division     Course   Students           Title of the Dissertation/Thesis
Surgical Oncology         MCh                  3. Near total laryngectomy in laryngeal and
                                                  pyriform fossa cancers
                                               4. Methylene blue dye for validation study of
                                                  sentinel node in carcinoma of breast
                                               5. Clinical study of malignant salivary gland
                                                  tumour
                                               6. Prospective study of neoadjuvant CT in
                                                  locally advanced buccal mucosa cancers
                                               7. Comparative study of open vs minimal
                                                  invasive surgery for carcinoma of
                                                  oesophagus
                                               8. Treatment    outcome   in   tumor    of
                                                  hypopharynx     except   post   cricoid
                                                  concurrent chemoradiation vs total
                                                  laryngectomy
                                               9. A study of management extremity for soft
                                                  tissue sarcoma
                                               10. Study of conventional vs total laparoscopic
                                                   stomach pull up in TPLO for post cricoid
                                                   cancers
                                               11. Impact of neoadjuvant CT in locally
                                                   advanced operable buccal mucosa
                                                   cancers
                                               12. Study to compare the results of cases of
                                                   oesophageal cancer treated by transhiatal
                                                   vs total three stage oesophagectomy
                                                   (THE vs TTE)
Gynaecological Oncology   MD          8        1. Pre-operative     and  histo-pathological
                                                  evaluation in    mangement of adnexal
                                                  masses
                                               2. RMI in management of ovarian cancer
                                               3. Our experience       with   carcinoma     of
                                                  endometrium
                                               4. Clinical profile of patients with ovarian
                                                  mass
                                               5. Managenent of gestational trophoblastic
                                                  disease
                                               6. Intraoperative management of pelvic mass
                                                  based on frozen section and final clinical
                                                  outcome
                                               7. Role of VILI in detection of precancerous
                                                  lesion of cervix at community level and at
                                                  GCRI
                                               8. Urological complications in oncogynaec



                                          38
 Department /Division   Course   Students           Title of the Dissertation/Thesis
Medical Oncology        DM         12        1. Carcinoma of nasopharynx: Role of CT-RT
                                                 versus RT in locally advanced carcinoma
                                                 of nasopharynx
                                             2. Clinical profile and induction outcome of
                                                 paediatric B cell NHL
                                             3. PAIF chemotherapy in unresectable
                                                 hepatocellular carcinoma
                                             4. Impact of growth factors in induction
                                                 treatment of acute leukemias
                                             5. Study of MVP vs Carboplatin Gemcitabine
                                                 in advanced carcinoma stage NSCLC
                                             6. Study comparing melphalan, thalidomide
                                                 and prednisolone versus melphalan,
                                                 prednisolone in newly diagnosed patients
                                                 of multiple myeloma
                                             7. Neoadjuvant chemotherapy in locally
                                                 advanced carcinoma of esophagus
                                             8. A clinical profile of GIST with special
                                                 reference to imatinib
                                             9. Randomised study comparing sequential
                                                 therapy with or without gefitinib in patients
                                                 with locally advanced oral cavity cancers
                                             10. Clinical profile of non small cell carcinoma
                                                  lung in nonsmokers
                                             11. Clinical profile of patients with imatinib
                                                  resistance in CML-CP
                                             12. Clinical profile, cytogenetics and induction
                                                  outcome in paediatric AML with BFM 93
                                                  protocol
Anaesthesiology         MD          3         1. Study of effect of succinylcholine and
                                                   rocuronium      during     intubating    and
                                                   laryngoscopy
                                              2. Comparative study of effect of pre-
                                                   emptive      analgesia      with     epidural
                                                   buprenorphine alone in lower limb
                                                   amputation
                                              3. Study of ondansetron, dexamethasone
                                                   and propofol in prevention of nausea and
                                                   vomiting following thyroidectomy
Radiotherapy            MD          5        1. Comparison of concurrent chemotherapy
                                                 using carboplatin and radiotherapy in
                                                 patients       with      locally     advanced
                                                 oropharyngeal cancers
                                             2. Comparison of concurrent chemoradiation
                                                 using paclitaxel versus radiotherapy alone
                                                 in locally advanced Head and Neck
                                                 cancers
                                             3. IMRT in Head and Neck Cancer
                                             4. Effect of chemoradiation on the levels of
                                                 IGF-1 and IGF-2 in patients of carcinoma
                                                 cervix stage III B
                                        39
    Department /Division        Course   Students             Title of the Dissertation/Thesis
Radiotherapy                    MD                    5. Comparison     of     concomitant  boost
                                                         accelerated       fractionation   versus
                                                         concurrent chemoradiation with weekly
                                                         docetaxel in locally advanced head and
                                                         neck cancers
Cell Biology                    PhD          2        1. Role of cytogenetic studies in AML
                                                      2. Role of cytogenetic studies in ALL
Receptor and Growth             PhD          1        1. Study of transforming growth factor beta
Factor Lab                                               axis in breast carcinoma
Biochemistry Research           PhD          2        1. Significance of protein changes in cancer
                                                      2. Insight into molecular mechanism of oral
                                                         cancer
Immunohistochemistry            PhD          3        1. Significance of molecular markers in
                                                         breast carcinoma
                                                      2. Genetic and epigenetic changes in benign
                                                         and malignant breast diseases
                                                      3. Evaluation of molecular markers in acute
                                                         myeloid leukemia
Total Theses and Dissertations = 69 (PG Courses: 36; Speciality (DM, MCh): 24; PhD: 9)

(J2)     Complementary Training Programme to Formal Education
          GCRI allows its infrastructural facilities and educative talent to be used by other educational
institutions to give professional training to their students, who come for observership, fellowship,
project work, dissertation work, PhD work, apprenticeship, etc. Total 953 students from 101
institutions had taken benefit of learning and training facility and opportunity provided by us.
Observers:
No.                    Institution                    Observers     GCRI Department         Duration
        Medical Institutions
1       Arogya Hospital, Indore                           1         Gynaecological         31 Days
                                                                    Oncology
2       BJ Medical College, Ahmedabad                     1         Blood Bank             30 Days
3                                                         2         Gynaecological         90 Days
                                                                    Oncology
4                                                        15         Medical Oncology       30 Days
5                                                         4                                105 Days
6                                                         8         Pathology              30 Days
7                                                        13         Surgical Oncology      30 Days
8                                                        12         Gynaecological         90 Days
                                                                    Oncology
9       City Hospital, Rajkot                             1         Pathology              30 Days
10      Civil Hospital, Ahmedabad                         2         Blood Bank             15 Days
11      Darsh Gastroenterology & Surgical                 1         IVTC                   10 Days
        Hospital, Ahmedabad

                                                 40
No.                  Institution                    Observers   GCRI Department       Duration
12    Dietetic Department, Civil Hospital,              1       RMO Office           13 Days
      Ahmedabad
13    Dr. Pallavi Dixit, Ahmedabad                      1       Neurosurgery         25 Days
                                                                Anaesthesiology
14    Dr. Pankaj Mahesh, Technologist,                  1       Radiotherapy         120 Days
      Raipur, Chhatisgarh
15    Dr. Ripal Sharma, Ahmedabad                       1       Physiotherapy        30 Days
16    Dr. Bhupendra Sharma, SP Medical                  1       Urosurgery           180 Days
      College, Bikaner, Rajasthan                               Surgical Oncology
17    Dr. Devdutt Dabholkar, Bombay                     1       Gynecological        30 Days
                                                                Oncology
18    Dr. Kanjani Shukla, MN, USA                       1       Gynecological        24 Days
                                                                Oncology
                                                                Surgical Oncology
19    Dr. MI Laxmidhar, COC, Vasna                      1       Surgical Oncology    3 Days per
                                                                                     week
20    Dr. Naveen Singh, Ghaziabad                       1                            30 Days
21    Dr. Saumin Shah                                   1                            30 Days
22    Dr. Shailesh Patel, Ahmedabad                     1                            90 Days
23    Gautam Hospital, Deesa                            1       Urology              31 Days
24    Ghevariya Hospital, Bhavnagar                     1       Pathology            30 Days
25    Govt. Dental College & Hospital,                 98       Surgical Oncology    3 - 10 Days
26    Ahmedabad                                         4                            12 - 16
                                                                                     Days
27                                                      4       Pathology            14 - 31
                                                                Research Divisions   Days
28                                                      2       Surgical Oncology    30 Days
29    HM Patel Centre for Medical Care &                3       Surgical Oncology    30 Days
30    Education, (Pramukhswami Medical                  1       Gynaecological       30 Days
      College), Karamsad                                        Oncology
31    KM Shah Dental College & Hospital,                3       Pathology            93 Days
      Piparia, Baroda                                           Research Divisions
32    Kakatiya Medical Co, Warangal, AP                 1       Radiodiagnosis       90 Days
33    MP Shah Medical College, Jamnagar                 8       Radiodiagnosis       15 Days
                                                                Nuclear Medicine
34    Medical College, Bhavnagar                        1       Surgical Oncology    25 Days
35                                                      1       Medical Oncology     30 Days
36    Medical College, Vadodara                        21       Radiodiagnosis       15 Days
37    Mr. Ameya Boprikar, McMaster                      1       Musculoskeletal      40 Days
      University, Canada                                        Surgery
38    MS General Surgery, Gollala                       2       Surgical Oncology    30 Days
      Mammidada, East Godavari, AP
39    Muni. Institute of Medical & Research,            2
      Surat


                                               41
No.                 Institution                      Observers   GCRI Department       Duration
40    Nahrain University, Medical College,               1       Gynaecological       60 Days
      Iraq, Baghdad                                              Oncology
41    Pacific Detnal College & Hospital,                 4       Surgical Oncology    28 Days
      Udaipur                                                    Pathology
42    Prathma Blood Centre, Ahmedabad                    3       Anaesthesiology      3 - 12 Days
                                                                 Pathology
43    Rajkot Cancer Society, Rajkot                      1       Gynaecological       1 Day
                                                                 Oncology
44    Sardar Smarak Hospital, Bardoli                    1       IVTC                 15 Days
45    Trimurthy Hospital, Bavla                          1                            18 Days
46    VS Hospital, Ahmedabad                             3                            16 - 22
                                                                                      Days
      Colleges
47    Ahmedabad Academy of Paramedical                  81       Physiotherapy        5 Days
      Sciences, Ahmedabad
48    Amity University, Noida                            6       Research Divisions   28 Days
49    Bharati Vidyapeeth University, Rajiv               1                            15 Days
      Gandhi Institute of IT & BT, Pune
50    Biochemistry Dept., School of Sciences,            5                            20 Days
      Gujarat University, Ahmedabad
51    Biomedical Technology Dept., School of            37       Research Divisions   27 Days
      Sciences, Gujarat University,                              Pathology
      Ahmedabad
52    Biotechnology Dept., School of                     2       Research Divisions   15 - 26
      Sciences, Gujarat University,                                                   Days
      Ahmedabad
53    BRD School of Biosciences, Sardar                  3                            28 - 35
      Patel University, Vallabh Vidyanagar                                            Days
54    BV Patel Pharmaceutical Education &                1                            2 Days
      Research Development (PERD) Centre,
      Ahmedabad
55    Community Medicine Department, BJ                 25       COC, Vasna           10 Days
      Medical College, Ahmedabad
56    Computer Science Dept., Veer Narmad                4       Research Divisions   4 Days
      South Gujarat University, Surat
57    CU Shah College of Engineering &                  15       Research Divisions   30 Days
      Technology, Wadhwan                                        Nuclear Medicine
                                                                 Radiodiagnosis
                                                                 Radiotherapy
                                                                 Physiotherapy
                                                                 Operation Theatre
58    Dept. of Chemistry, Saurashtra                     2       Research Divisions   13 - 14
      University, Rajkot                                                              Days
59    Dept. of Pathology, BJ Medical College,            1       Endocrinology        1 Day
      Ahmedabad

                                                42
No.                   Institution                     Observers   GCRI Department       Duration
60    Dept. of Pharmacology & Toxicology,                 1       Pathology            6 Days
      Zydus Research Centre, Ahmedabad
61    Dr. Dinesh Rathod, VS General                       1       Research Divisions   12 Days
      Hospital, Ahmedabad
62    Dr. MGR Deemed University, Chennai                  1                            15 Days
63    Dr. Nighat Tirmizi                                  1       Research Division    25 Days
64    Government Engineering College,                     3       Research Divisions   27 Days
      Gandhinagar                                                 Nuclear Medicine
65    Government Polytechnic, Gandhinagar                 3       Radiodiagnosis
                                                                  Radiotherapy
                                                                  Physiotherapy
                                                                  Operation Theatre
66    Human Genetics Dept., School of                     9       Research Divisions   13 Days
      Sciences, Gujarat University,
      Ahmedabad
67    Industrial Training Institute,                     17       Research Divisions   13 Days
      Gandhinagar                                                 Nuclear Medicine
                                                                  Radiodiagnosis
                                                                  Radiotherapy
                                                                  Physiotherapy
                                                                  Operation Theatre
                                                                  Pathology
68    Institute of Research in Biotechnology &            8       Research Divisions   30 Days
      Allied Sciences, New Vallabh
      Vidyanagar
69    Kadi Sarva Vishwavidyalaya,                        18                            6 Days
      Gandhinagar
70    Karunya University, Coimbatore                      1                            17 Days


71    KM Shah Dental College and Hospital,                3       Microbiology         56 - 90
      Vadodara                                                    Research Divisions   Days
72    Life Science Dept., School of Sciences,             8       Research Divisions   20 Days
      Gujarat University, Ahmedabad
73    Medical Officers                                   22       COC, Vasna           1 Day
74    Mahadev Desai Social Work College,                  3       OPD and other        72 - 110
      Gujarat Vidyapith, Ahmedabad                                Departments          Days
75    Maharshi Dayanand Saraswati                         6       Research Divisions   26 Days
      University, Ajmer
76    Mehsana Urban Bank Institute of Bio-               12                            23 - 27
      sciences, Ganpat University, Kherva                                              Days
77    MG Science Institute, Ahmedabad                    22                            15 -17
                                                                                       Days
78    Microbiology Dept., School of Sciences,             1                            20 Days
      Gujarat University, Ahmedabad
79    Mr. Yashpalsinh Raj                                 1                            30 Days
80    Ms. Priti Solanki                                   1                            31 Days


                                                 43
No.                   Institution                      Observers   GCRI Department       Duration
81     Netaji Subhash Institute of Technology,            1        Research Divisions   30 Days
       Delhi
82     Nirma University of Science &                      5                             28 Days
       Technology, Ahmedabad
83     PS Science College, Kadi                            8                            16 Days
84     Science College, Visnagar                          50                            1 Day
85     Sheth MN Science College, Patan                    1                             20 Days
86     St Xavier’s College, Ahmedabad                     13                            12 - 31
                                                                                        Days
87     Swami Vivekanand College of                        1        Research Divisions   29 Days
       Engineering, Indore                                         Nuclear Medicine
88     UV Patel College of Engineering,                   3        Radiodiagnosis       49 Days
       Kherva                                                      Radiotherapy
                                                                   Physiotherapy
                                                                   Operation Theatre
89     VVP Engineering College, Rajkot                    6        Visit                1 Day
90     Zoology Dept., School of Sciences,                 4        Research Divisions   27 Days
       Gujarat University, Ahmedabad
       Nursing Institutions
91     School of Nursing, LG Hospital,                    20       ICUs, OTs, OPDs,     1 Day
       Ahmedabad                                                   Wards,
92     College of Nursing, Civil Hospital,                20       Physiotherapy        30 Days
       Ahmedabad
93     FHW School, RR General Hospital,                   20                            1 Day
       Limbadi
94     School of Nursing, Civil Hospital,                 66                            30 Days
       Ahmedabad
95     Sindhi Institute of Nursing, The Gujarat           40       ICUs, OTs, OPDs,     30 Days
       Research & Medical Institute,                               Wards,
       (Rajasthan Hospital), Ahmedabad                             Physiotherapy
96     School of Nursing, Civil Hospital,                 79                            1 Day
       Ahmedabad
97     School of Nursing, General Hospital,               18                            30 Days
       Nadiad
98     School of Nursing, Smt SCl General                                               1 Day
       Hospital, Saraspur, Ahmedabad
99     School of Nursing, ESIS, Bapunagr                   1                            1 Day
100    Govt. General Hospital, Surendranagar              13                            7 Days
101    General School of Nursing,                         20                            6 Days
       General Hospital, Mehsana
Total Institutions = 101                                           Observers = 953




                                                  44
Dissertation Work:
       Thirty-one students from sixteen institutions did dissertation for MSc/ MPharm/ MPhil/
BTech/ MTech/ BE degree at our institute.
   Department /       Programme                     Subject                         Institute
     Division         (Students)
Microbiology         MSc                Identification of candida          MB Patel Science College,
                     Dissertation       albicans and other candida         SP University, Vallabh
                                        species from cancer patients       Vidyanagar
                     (6)
                                        Study of Klebsiella Spp.
                                        Emergence of non-lactose
                                        fermenting bacilli causing
                                        hospital acquired infection
                                        Comparison of AST by disc          Bio-technology Dept.,
                                        diffusion and MIC among the        SP University, Vallabh
                                        isolates of                        Vidyanagar
                                        enterobacteriaceae group
                                        causing infection in cancer
                                        patients
                                        Study of urinary tract
                                        infection
                                        Study of staphylococcus            Dept. of BioSciences, SP
                                        Spp. from the cancer patient       University, Vallabh
                                                                           Vidyanagar
Cell Biology         MSc                Study of genetic                   Dept. of Biotechnology,
                     Dissertation (1)   rearrangements in chronic          M & N Virani Science
                                        myeloid leukemia with              College, Saurashtra
                                        molecular cytogenetic tools        University, Rajkot
                     MPhil              Cytogenetic analysis in            Dept. of Biomedical
                     Dissertation (2)   clinical management of             Technology, Gujarat
                                        chronic myeloid leukemia           University, Ahmedabad
                                        patients
                                        Cytogenetic study of               Dept. of Zoology, Gujarat
                                        leukemia                           University, Ahmedabad
Molecular            MPharm             Tumor markers CA 19-9 and          SK Patel College of
Endocrinology I      Dissertation (2)   CEA in serum as well as            Pharmaceutical Education
                                        pancreatic juice in pancreatic     and Research, Ganpat
                                        carcinoma                          Vidyanagar, Kherva
                                        p27 in breast carcinoma
Molecular            MSc                Stat1 mRNA expression         in
Endocrinology II     Dissertation (2)   breast cancer
                                        Stat3 mRNA expression in           DY Patil Institute of
                                        breast cancer                      Biotechnology &
                                                                           Bioinformatics, Belapur,
                                                                           Navi Mumbai
Biochemistry         MSc                A study on GSTM1 null              Biochemistry Dept., Institute
Research             Dissertation (3)   genotype in oral cancer            of Science, Nirma
                                        patients                           University




                                               45
  Department /       Programme                    Subject                        Institute
    Division         (Students)
Biochemistry                           Clinical   significance    of   Biochemistry Dept., Institute
Research                               protein profiling in multiple   of Science, Nirma
                                       myeloma patients                University
                                       Role of MMPs in metastasis
                                       of cervical cancer
                    MTech              Study of molecular markers      DY     Patil   Institute   of
                    Dissertation (1)   in oral cancer                  Biotechnology              &
                                                                       Bioinformatics,      Belapur,
                                                                       Navi Mumbai
                    MSc                Role of LDH in leukemia         Biotechnology       Dept.,
                    Dissertation (1)   patients                        Vikram Univrersity, Ujjain,
                                                                       MP
Receptor & Growth   MPhil              IGF-I: A marker in human        Dept. of Life Sciences,
Factor Lab          Dissertation (1)   breast cancers                  Gujarat University,
                                                                       Ahmedabad
                    MSc                ER PR in breast carcinoma       Biotechnology Dept.,
                    Dissertation (3)                                   Vikram University, Ujjain,
                                                                       MP
                                       MMP-9 in human                  Biotechnology Dept., SP
                                       meningioma                      University, Vallabh
                                                                       Vidyanagar
                                       MMP-2 in human glioma           Biotechnology Dept., Rajiv
                                                                       Gandhi College, Satna, MP
                    BTech              MMP-2 as a prognosticator       Biotechnology Dept.,
                    Dissertation (1)   in breast carcinoma             SBCBE, VTT University,
                                                                       Vellore
                    BE                 Role of IGFBP-3 in breast       Biotechnology Dept., VVP
                    Dissertation (1)   cancer                          Engineering College, Rajkot
Immunohisto-        BTech              Expression of p53 protein in    Dept. of Biotechnology,
chemistry           Dissertation (1)   head and neck cancer            Sathyabhama University,
                                                                       Chennai
                    MSc                A study of markers of           Dept. of Biosciences, SP
                    Dissertation (1)   proliferation and               University, Vallabh
                                       angiogenesis in breast          Vidhyanagar
                                       cancer by
                                       immunohistochemical
                                       localisation
                    MPharm             A study of vimentin and         SK Patel College of
                    Dissertation (4)   cytokeratin expression in       Pharmaceutical Education
                                       breast cancer by                and Research, Ganpat
                                       immunohistochemistry            Vidyanagar, Kherva
                                       A study of Her-2 neu
                                       expression in breast cancer
                                       by immunohistochemistry


                                             46
    Department /         Programme                    Subject                       Institute
      Division           (Students)
Immunohisto-                              A study of p53 expression in     SK Patel College of
chemistry                                 leukemia by flow cytometry       Pharmaceutical Education
                                          Clinical significance of         and Research, Ganpat
                                          immunophenotyping features       Vidyanagar, Kherva
                                          of blasts in acute leukemia
                                          by flow cytometry
Medicinal              MSc                Bioinformatics                   Laboratory of
Chemistry &            Dissertation (1)   Analysis of catalytic activity   Bioinformatics, Dept., of
Pharmacogenomics                          of MMP-1: A bioinformatics       Botany, Gujarat University,
                                          approach                         Ahmedabad
(J3) Professional Training to Doctors and Scientists (Conferences, Workshops):
        As a part of professional training efforts several scientific meets were organised during
the year. Some of them are joint efforts with the professional bodies.
No.      Conference/Workshop/Seminar                       Organisers                    Date
                  Organised
1     2nd launch multi-institutional training     Dr. Pankaj Shah                  May 17-25,
      programme in Molecular Biology and          Dr. Shilin Shukla                2007
      Bioinformatics for teachers and             Dr. Prabhudas Patel
      researchers of Gujarat                      Biochemistry Research
2     Symposium on Lysosomal Storage              Dr. Pankaj Shah                  July 9, 2007
      Disorders: Helping Patients with Rare       Dr. Shilin Shukla
      Genetic Diseases co-organised with          Dr. Sonal Bakshi
      Genzyme CEE, Germany                        Cell Biology
3     GCRI ASCO Highlights 2007                   Dr. Pankaj Shah                  July 21 and 28,
                                                  Dr. Kirti Patel                  2007
                                                  Dr. Shilin Shukla
                                                  Dr. Apurva Patel
                                                  Dr. Sonia Parikh
                                                  Medical Oncology
4     Clinical Excellence Programme               Dr. Pankaj Shah                  July 31, 2007
                                                  Dr. Kirti Patel
                                                  Dr. Shilin Shukla
                                                  Dr. Bharat Parikh
                                                  Medical Oncology
5     CME on Surgical Pathology – 2007 and        Dr. Pankaj Shah                  September 8,
      Launching of Gujarat Cancer Atlas           Dr. Kirti Patel                  2007
      Project                                     Dr. Manoj Shah
                                                  Dr. Priti Trivedi
                                                  Dr. Dhaval Jetly
                                                  Pathology
6     CME on Retinoblastoma                       Dr. Pankaj Shah                  September 22,
                                                  Dr. Kirti Patel                  2007
                                                  Dr. Shilin Shukla
                                                  Dr. Harsha Panchal
                                                  Medical Oncology
7     Seminar on Current Trends in Molecular      Dr. Pankaj Shah                  October 3, 2007
      Biology and Clinical Drug Trials &          Dr. Shilin Shukla
      Poster Competition                          Dr. Hemangini Vora
                                                  Dr. Neelam Shah
                                                  Immunohistochemistry &
                                                  Molecular Endocrinology II
                                                 47
No.       Conference/Workshop/Seminar                       Organisers              Date
                   Organised
8      International Standards for Infection      Dr. Pankaj Shah             October 7, 2007
       Prevention Focusing on Surgery             Dr. Kirti Patel
       Related Infections                         Dr. Parijath Goswami
                                                  Microbiology
9      Workshop on ‘Real Time PCR’ in             Dr. Pankaj Shah             November 27,
       collaboration with Foundation for          Dr. Shilin Shukla           2007
       Research in Genetics and                   Dr. Sunil Trivedi
       Endocrinology (FRIGE)                      Receptor and Growth
                                                  Factor Lab
10     Natural compounds in the management        Dr. Pankaj Shah             December 3,
       of cancer                                  Dr. Shilin Shukla           2007
                                                  Dr. Rakesh Rawal
                                                  Medicinal Chemistry &
                                                  Pharmacogenomics
11     GenDioT, Training Programme in             Dr. Pankaj Shah             December 18 –
       Genetic Diagnostics                        Dr. Shilin Shukla           January 7, 2008
                                                  Dr. Sonal Bakshi
                                                  Cell Biology
12     Pre-conference event CCRE                  Dr. Pankaj Shah             February 6-8,
       (Continuing Cancer Research                Dr. Shilin Shukla           2007
       Education) and 27th Annual Convention      Dr. Sunil Trivedi
       of Indian Association for Cancer           Receptor and Growth
       Research                                   Factor Lab

(J4)     Professional Training to Paramedics (Technological Courses)
        Diploma in Medical Laboratory Technologists course was carried out for MLT students
of the batch 2007-2008, by Course Coordinators Dr. Priti Trivedi, Associate Professor of
Pathology; Dr. Shilin Shukla, Hon. Deputy Director (Research & Education Services);      Dr.
Pankaj Shah, Hon. Director, GCRI; Shri Prashant Kinarivala, General Secretary, GCS; Dr.
Manoj Shah, Professor of Pathology; Dr. Parijath Goswami, Professor of Microbiology; and Dr.
Dhaval Jetly, Associate Professor of Pathology.
        A similar Medical Radiology Technologists course is also carried out by Course Co-
ordinator Dr. Kirti Goswami, Professor of Radiodiagnosis, under the guidance of Dr. Pankaj
Shah, Hon. Director, and Dr. Shilin Shukla, Hon. Deputy Director (Research & Education
Services).
(J5)     Community Education and Awareness Programmes
         Regular Community Educational Programmes are arranged with the joint efforts of the
Gujarat Cancer Society on the occasion of Anti-Tobacco Day, Cancer Victory Day, Tobacco Holi
Day, Rakshabandhan, Uttarayan (Kite Flying) etc. Moreover, a free visit to permanent exhibition
for public and students is housed at COC, Vasna. All these efforts help to promote concepts of
good health in the society and strengthen the fight against cancer.
(J6)     Cancer Information Centre
        During the year, books on general information about cancer, treatment of cancer and for
public awareness were either sold or distributed free of charge at the above centre.
                                    No.        Books        Total
                                    1      Gujarati Books   4390
                                    2      Hindi Books      1393

                                                 48
                                     No.      Books          Total
                                     3     English Books        988

(J7)    Staff Training - Intramural and Extramural
        As a part of staff training, nursing and other staff was also exposed to systemic training
programme that related to hospital infection control. This year 12 doctors and 5 other staff
members of our Institute were given support and encouraged for training. The training areas
included Review Course and Scientific Workshops.
No.           Name, Designation,                      Date                         Event
             Division/ Department
1      Dr. Geeta Joshi, Professor,            April 9-14, 2007        PGDHHM, BJ Medical College,
       Anaesthesiology                        June 25-30, 2008        Ahmedabad
                                              October 1-10,
                                              2007
2      Dr. Dhruti Desai, RMO                  April 16-21, 2007       Workshop on Right to
                                                                      Information Act, Ahmedabad
                                                                      Management Association,
                                                                      Ahmedabad
3                                             August 27-31,           Hospital Management
                                              2007                    Programme, IIM, Vastrapur,
                                                                      Ahmedabad
4      Dr. Dipak Rathod, RMO                  April 23-29, 2007       Leadership Training for
                                                                      Community - Based Cancer
                                                                      Control Programme, New Delhi
5      Dr. Parimal Jivrajani, Assistant       March 1-10, 2008        Fourth Short Course in Health
       Professor, Community Oncology &                                Data Management and
       Medical Records                                                Statistical Software, Dept. of
                                                                      Biostatistics, Christian Medical
                                                                      College, Vellore
6      Dr. Chaitanya Shroff, Assistant        June 6-July 30,         Gen. Bilimoria - ICON
       Professor, Surgical Oncology           2007                    Fellowship 2007, Liverpool
                                                                      Hospital, Liverpool, UK, under
                                                                      Dr. Postan
                                              January 24-25,          Hands on training in post-
                                              2008                    laryngectomy voice
                                                                      rehabilitation including provox
                                                                      system, TMH, Mumbai
7      Dr. Shankar Reddy, Resident,           June 21-23, 2007        6th MRI Teaching Course,
       Radiodiagnosis                                                 Nanavati Hospital, Mumbai
8      Dr. Murali Krishnan, Resident,
       Radiodiagnosis
9      Dr. Prakash Vasani, Resident,
       Radiodiagnosis
10     Dr. Shikha Pandhi, Assistant           June 21-23, 2007        6th MRI Teaching Course,
       Professor, Radiodiagnosis                                      Nanavati Hospital, Mumbai
11     Mrs. Rekha Patel, X-ray                August 20-25,           Training Course on
       Technician                             2007                    Radiological Safety for
                                                                      Radiation Therapy Technologist
                                                                      BARC, Mumbai

                                                 49
No.           Name, Designation,                      Date                    Event
             Division/ Department
12     Dr. Mudit Agarwal, Assistant          November 1-30,       UICC - ICRETT Fellowship
       Professor, Surgical Oncology          2007
13     Mr. Tushar Bopche, Radiophysicist     September 28-29,     Quality Assurance in High
14     Dr. Jaiprakash Neema, Professor,      2007                 Precision Radiotherapy for
       Radiotherapy                                               Clinicians, Physicists and
                                                                  Technologies, TMH, Mumbai
15     Dr. Tarak Patel, Medical Officer      December 14-19,      Training Programme of NACO,
       (Blood Bank)                          2007                 BJ Medical College,
                                                                  Ahmedabad
                                             March 14, 2008       State Level Workshop about
16     Dr. Rima Kusumgar, Medical                                 NABH accreditation, SIHFW,
       Officer (Transfusion Medicine)                             Sola, Ahmedabad
17     Mr. Bharat Patel, Electronic          July 9-14, 2007      Training-Switchgear
       Assistant (Supervisor Electrical)                          Maintenance Workshop, Larsen
18     Mr. Ashok Joshi, Wireman                                   & Toubro Limited, Pune
19     Mr. Narendrasinh Chavda,              February 26-28,      Human & Institution
       Hospital Administrator                2008                 Development Programme,
                                                                  Ahmedabad
                                             March 26-28, 2008    Management Development
                                                                  Programme, Bangalore


(J8)     Hospital Day – Research and Educational Aspects
         Eminent National Scientists were honoured with Dr. T. B. Patel Oration Award and Shri
Ramniklal J. Kinarivala Cancer Research Award. Young Scientists, Clinical Departments and
Research Divisions were encouraged with Dr. T.B. Patel Research Medals, Smt. Vibha Mehta
and Smt. Vimla Agrawal Rotating Trophies.
         The Hospital Day celebrated on April 19, 2008 with a festive and jubilant mood. The main
events included scientific awards, orations and felicitations in the field of Cancer Research
followed by cultural programme by the staff members. Dr. Nathubhai Patel, Founder Director of
Cardiology Institute, and Dr. JN Patel, Former Dean of BJ Medical College, were the Guests of
Honour for this occasion. The following were the awardees:
1) Dr. T. B. Patel Oration awarded to Dr. KS Gopinath, Director HCG, Bangalore Institute of
Oncology, Bangalore. He delivered a lecture on ‘Beyound mere feasibility challenges in oncology
to oncologists’.
2) Late Shri Ramniklal J. Kinarivala Cancer Research Award conferred to Dr. T. Rajkumar,
Director & Scientific Director, Cancer Institute (WIA), Adiyar, Chennai. He delivered a lecture on
‘Recent advances in molecular oncology - Cancer Institute (WIA) experience’.
3) Dr. T. B. Patel Research Medals awarded to Junior Scientists
                 Medal                Clinical Wing              Research Wing

              Gold Medal       Dr. Pooja Nandwani Patel                 -
                                    (Radiotherapy)
              Silver Medal       Dr. Anjana Chauhan               Ms. Hetvi Patel
                              (Gynaecological Oncology)      (Biochemistry Research)


                                                 50
4) Vimla Agrawal Trophy (Clinical Department) for maximum publications
        Surgical Oncology Department
5) Vibha Mehta Trophy (Research Division) for maximum publications
        Biochemistry Research Division
(J9)      Clinical Meetings
          Regular bimonthly academic and scientific clinical meetings are arranged at Cama Hall,
GCRI, on 2nd and 4th Saturdays. Dr. Neelam Shah, Senior Scientific Officer, is the coordinator of
this activity and during the year, a large number of clinical and research subjects are discussed.
Total 38 Clinical and Journal presentations were discussed at the Clinical Meetings from April
2007 to March 2008.
(J10) Activities of the Scientific Research Committee
          The Scientific Research Committee (SRC) functions throughout the year to promote,
facilitate and maintain the basic and applied research in the field of cancer under the
chairmanship of Dr. Pankaj Shah (Chairman, SRC), Hon. Director, Gujarat Cancer & Research
Institute, and Dr. Shilin Shukla, Hon. Deputy Director (Research & Education Services) and
Member-Secretary of the Scientific Research Committee. All the research activities were
scrutinised, approved and monitored by the Scientific Research Committee and also by the Ethics
Committee, both of which met regularly every alternate months or earlier, if needed. At the SRC
meeting, scientific details and other routine issues are discussed. The office bearers of Scientific
Research Committee also met in the year several times as and when required.
          At the annual meeting, in the presence of invited experts, all the new proposals as well as
the on-going projects were discussed and were approved with budgetary recommendations. At
the 6 monthly meeting, new and ongoing projects were also discussed and approved for
continuation.
          Annual Meeting of the Scientific Research Committee was held once. However, there
were as a part of scientific review committee, 4 scientific meetings (April 13 and August 11, 2007,
January 25 and February 15, 2008) and 4 ethics committee meetings (April 28, August 18 and
October 13, 2007, and February 6, 2008) were held. The Ethics Committee Meetings were held
under the chairmanship of Hon’ble retired Justice Shri AP Ravani and Member-Secretary Dr.
NL Patel. Invited Members were Shri Naranbhai Patel, Dr. Pankaj Shah, Dr. Shilin Shukla, Dr.
Kirti Patel, Dr. Rajendra Dave, Smt. Bhartiben Sunderbhai, Shri Madhav Ramanuj, and Shri
Bharatbahi Kshtriya.
(J11) GCS Research Bulletin
          As GCS Research Bulletin, academic and research work of Research Divisions and
Clinical Departments of the Gujarat Cancer and Research Institute regularly published by GCS.
Dr. Sunil Trivedi, Dr. Bharat Parikh and Dr. Pariseema Dave were the editors of the bulletin.
(K)       LIBRARY
          Staff Pattern: It has one Librarian, one Assistant Librarian and one Clerk.
          Services: GCRl Library caters to the needs of staff members with its resources. The
regular and selective addition of books and journals to this library has enriched its collection and
made it a good reference centre particularly in the field of oncology. Through this, library has a
vast collection of books and journals of oncology. Library covers area about 4,450 Square Feet.
The library provides following services: Lending, Reference Services, Xerox Services and
Interlibrary Loan. Workshop, Conference and Training details are displayed on the Notice Board.
          Library introduced free BSNL Broadband Internet Services with Static IP, 10 terminals to
their faculty members. Database search facility involving the CD Rom and online database were
used extensively during the report year. We provide more service including article search on
various subject to the postgraduate medical students, researchers and also outside members of
this library. The Library met entire professional, official and project photocopying requirements of
all divisions.

                                                 51
        Service Output: Library is equipped with modern books on various subjects on oncology.
During the report year, collection of books and journals were increased. Total numbers of the
books are 2650 and 100 subscribed Journals. Total holding of the bound volumes are about
25,000 from the year 1965 onwards. The library is being utilized by the faculty members of GCRl
and as reference library of the P.G. students of various medical institutes of the State,
Ahmedabad city and scientific community. The number of library users is continuously increasing.
        Digital Library: GCRl library has taken up initiative towards archiving the Open Access
Journals related to cancer available on net digital media for offline browsing for staff and visiting
students from other colleges and universities. During reporting year digital collection of books and
journals is about 265.
        Wifi facility is installed in library and research wing for internet and data sharing. Library
have purchased “SOUL” Software for automation and work is under progress.
Library Committee
Chairman                      Dr. Pankaj Shah, Hon. Director, GCRI
In-charge Co-Chairman         Dr. Shilin Shukla, Hon. Dy. Director (Research & Education
                              Services)
Co-Chairmen                   Dr. Rajendra Dave, Hon. Dy. Director (Surgical Services)
                              Dr. Kirti Patel, Hon. Dy. Director (Medical Services)
Professor In-charge           Dr. Rakesh Vyas, Professor & Head, Radiotherapy
Member Secretary              Dr. Asha Anand, Additional Professor, Medical Oncology – I
Members                       Dr. Ava Desai, Additional Professor, Gynaecological Oncology – I
                              Dr. Kiran Kothari, Professor, Surgical Oncology – III
                              Dr. Manoj Shah, Professor, Pathology
                              Dr. Geeta Joshi, Professor, Anaesthesiology
                              Dr. Kirti Goswami, Professor & Head Radiodiagnosis
                              Dr. Sunil Trivedi, Senior Scientific Officer, Receptor and Growth
                              Factor Lab
                              Dr. Rakesh Rawal, Junior Scientific Officer, Medicinal Chemistry &
                              Pharmacogenomics
                              Shri Narendrasinh Chavda, Hospital Administrator
                              Shri Naresh Shah, Librarian
(L)      EDUCATIONAL GRAPHICS & MEDICAL PHOTOGRAPHY
         Staff Pattern: Department has two well-experienced staff members one Chief Artist and
one Photographer cum Darkroom Technician.
         Services: The department plays an important role in catering all the needs of Medical
Photography and Educational Graphics of the institute for the purpose of clinical, educational and
public awareness activities. Publication and printing designs are the main stay of this department.
This is in the form of graphic designing, photographs, video, posters, folders, etc. Besides this,
the department is preparing the presentation materials and handouts for scientific meets. The
department is equipped with digital in-house production facility of educational material in CD form.
         Service Output:
                      No.           Details of Work Done               Number
                      1     Clinical Photographs                           2480
                      2     Photographs (General/Scientific Events)        4300
        Public Services: Participation in all the GCRI/GCS public awareness campaigns.

                                                   52
            IV. CANCER EPIDEMIOLOGY & COMMUNITY ONCOLOGY
(M)    DEPARTMENT OF CANCER EPIDEMIOLOGY & COMMUNITY ONCOLOGY
                         GENERAL STATISTICS OF REGISTERED CASES
      No.                       Details of Work Done                       Year       Year
                                                                           2006       2007
       1    Total new cases registered (Cancer & Non-cancer)                20,381     21,488
                                                           Adult cases      19,476     11,705
                                                       Paediatric cases        905        999
       2    Total number of outdoor patients visited                      2,06,503   2,12,813
       3    New admissions during the year                                  20,027     20,187
       4    Inpatient days                                                1,80,578   1,83,481
       5    Average inpatient stay                                            9.02       9.09
       6    Strength of beds                                                   650        650
       7    Death during the year                                            1,008      1,041
       8    Haematological investigations                                 6,32,159   7,21,675
       9    Biochemical investigations                                    4,25,638   4,72,793
      10    Bacteriology investigations including serology                   7,006      7,341
      11    Cytological investigations                                      12,899     12,438
      12    Histological examinations                                       71,923     79,729
      13    Bone marrow examinations                                         3,234      3,290
      14    Biopsy procedures (Other than endoscopies & BM Bx)               3,632      3,472
      15    Total BT given to the patients                                  13,875     14,409
      16    Total Plasma/PRP given to the patients                          10,433      9,667
      17    Imaging & Radiological Investigation
            (i) MMR Barium Swallow and other X-rays                        48,060     44,564
            (ii) Ultrasound examinations                                   15,391     15,037
            (iii) CT Scan                                                   6,739      8,816
            (iv) MRI                                                        1,138      1,684
            (v) Mammograms                                                  2,446      2,742
      18    Radiation Treatment
            (i) Brachytherapy                                               1,387      1,162
            (ii) Cesium Teletherapy                                          -          -
            (iii) Cobalt Teletherapy                                        1,710      2,033
            (iv) Linear Accelerator                                         4,229      3,997
            (v) Mould prepared for planning                                 1,962      1,865
            (vi) Simulator treatment planning                               6,322      5,662
      19    Surgical Operations
            (i) Major                                                       3,289      3,472
            (ii) Minor                                                      9,358     10,433
            (iii) IVTC                                                      3,219      3,266
      20    Neurosurgical operations                                          529        491
      21    Nuclear Medicine (Isotope)

                                                53
     No.                      Details of Work Done                       Year       Year
                                                                         2006       2007
           (i) Thyroid Scan                                                 184        228
           (ii) Bone Scan                                                 1,179      1,464
           (iii) Liver Scan                                                   7          3
           (iv) Kidney scan                                                 246        405
           (v) RI Therapy                                                    46        108
      22   RIA investiations                                             14,923     17,368
      23   Immunohistochemistry and Immunophenotyping                     7,114     16,242
      24   Biochemical investigations (Research wing)                     1,796      1,966
      25   Karyotyping and FISH (Research wing)                           1,187      1,487
      26   Physiotherapy treatment                                       18,275     18,838
      27   Total number of chemotherapeutic procedures                   22,836     25,818
      28   Bone Marrow Transplants                                        10            13
      29   Total FFP/SDP given to the patient                             5,681      6,354
      30   ECG                                                            5,766      6,822
         Staff Pattern: There are one Assistant Professor, one Medical Record Officer, one
Medical Record Keeper, two Statistical Assistants, one Photographer cum Artist, one Store
Keeper cum Cashier, three Senior Clerks, six Junior Clerks, three Case Writers, two Record
Clerks, two Junior Data Entry Operators, and three Field Workers.
         Services: This department is a very important section of the institute. It maintains the
records of newly registered cases as well as old (follow-up) cases.
         Service Output:
                              No.   OPD cases         Number
                               1       New              21,488
                               2       Old           2,12,813
        Activities: Research: (a) Hospital Based Cancer Registry: The department has been
maintaining Hospital Based Cancer Registry since long. (b) ICMR Project: Rural Cancer
Registry – Ahmedabad District under the network of National Cancer Registry Programme has
started from January 2004. (c) ICMR Project: Department has started the project 'Patterns of
care and survival studies of Cancer Cervix, Cancer Breast, and Head & Neck Cancer from
January 2006 under the network of National Cancer Registry Programme. (d) Government of
India Project (Ministry of Health & Family Welfare): Under National Cancer Control
Programme, Ahmedabad District Cancer Control Programme has been started from 2006.
(e) ICMR Project: Population Based Cancer Registry - Ahmedabad Urban Agglomeration Area
has started from January 2007 under the network of National Cancer Registry Programme.
(f) Government of Gujarat Project: Development of an Atlas of Cancer in Gujarat has started
from 2007.
        Under the banner of National Cancer Control Programme of Govt. of India, the
department had orgainsed a conference on June 7, 2007 and total 21 delegates attended the
same.




                                                54
        Meeting / Seminar / Workshop / Event Organised:
      Title of the Meeting            Date               Under the banner of which       No. of
                                                         Organisation/Association      delegates
National Cancer Control             June 7,          National Cancer Control                   21
Programme                           2007             Programme
Seminar on Detection of Common      July 15,         Ahmedabad District Cancer                 76
Cancer in Women in India-           2007             Control Programme
Orientation of Gynaecologist on
VILI Test
Workshop on Common Cancer in        January                                                    74
Women                               11, 2008
Gram Mitra Arogya Shibir            May 5,                                                    146
                                    2007
World No Tobacco Day                May 31,                                                   254
                                    2007
          Training Organised: Depatment had organised cancer awareness training for Medical
and Paramedical personnel under Ahmedabad District Cancer Control Programme and National
Cancer Control Programme of Government of India. The first step towards the control of any
disease is to create awareness by educating health care provider about the risk factors, early
symptoms, signs and preventive steps to be undertaken. The health care provider i.e. Health
Workers, Health Supervisors, Gram Mitra Arogya, Anganwadi and Teda Ghar Workers, and Link
Workers work in the community literally at the door step and are trained how to effectively
communicate about cancer at grass root level.
       There is a need to increase awareness among community regarding prevention and early
detection of cancers. This can be addressed by proper training and sensitisation of health care
providers. Thus Cancer Awareness Training was initiated to achieve following objectives.
1. Creating common cancer awareness among health professionals and thereby in the
     community.
2. Early detection of common cancers through capacity building and technical
     assistance at district level (PHCs, CHCs and District Hospitals), and up gradation of every
     health care provider on an ongoing basis is necessary to achieve the ultimate objective of
     every PHC as a cancer control clinic to:
i. Advise for tobacco habit cessation
ii. Propagate screening and cancer related check-up and
iii. Palliative care
Training attended by various health personnel is shown in the table below.
No.      Taluka           Health       Gram Mitra              Anganwadi         Teda Ghar/ Link
                          Worker        Arogya                  Worker              Worker
1     Viramgam               39                30                  145                  0
2     Detroj                 27                31                   77                  0
3     Mandal                 24                10                   67                  0
4     Sanand                 64                17                  136                  0
5     Bavla                  23                10                  115                  5
6     Urban(Unnat)           0                 0                        7              90
7     Dholaka                45                26                  210                  1
8     Dhandhuka              35                11                   -                   4
9     Barvala                13                 3                   33                 10


                                                    55
No.      Taluka          Health          Gram Mitra          Anganwadi          Teda Ghar/ Link
                         Worker           Arogya              Worker               Worker
10    Ranpur                13                 4                  32                     -
11    Daskroi                -                -                    -                     -
12    Urban                  -                -                  926                     -
      Total                283               142                1748                   110

IEC (Information, Education, Communication) activities:
IEC activities were commenced to achieve the following objectives:-
1. Informing people at village level about cancer, its causes and natural history.
2. Promoting common cancer screening for women in the target group.
3. Promoting screening among tobacco users.
4. Increasing awareness of signs and symptoms of cancer.
5. Reducing ignorance, fear, embarrassment and stigma related to cancer.
To achieve the above objectives IEC activity work plan included.
1. Street play on tobacco by TV Artist Mr. Archan Trivedi,
2. Group discussion on cancer by gathering villagers at a common place in a village and,
3. Meeting of important local leaders like Sarpanch of the village and School Principals.
          During each IEC activity on an average 4-5 villages were covered. A total of 152 villages
were covered for IEC in the 2nd year of ADCCP. The visit consisted essentially of creation of
awareness on risk factors, and early warning signals, thus empowering the population to seek
good life styles and health related examination to detect and diagnose the disease in early stages
and undergo treatment.
          Increased knowledge is associated with greater participation rates in cancer screening
activities. So, public education was the ardently pursued activity. Self examination methods were
emphasized, particularly of oral cavity with need for quitting tobacco. A method of Breast Self
Examination was also propagated among women group.
          Awareness about cancer was created by personal discussion, group discussion, and
distribution of publicity material like pamphlets, posters, flip charts, exhibition and audio-visual
programmes, especially targeted to the more vulnerable sections of the society.
          As a part of project activity, TV artist Mr. Archan Trivedi and his team performed street
plays in the village covered of IEC. The theme of this play was to create awareness about
tobacco related cancers and effectively convey message of tobacco hazards amongst general
population.
Cancer Detection Programme:
          Following IEC activity Cancer Detection Camp was organised at PHC level of each
Taluka. This cancer screening and detection programmes addressed normal people and were
undertaken in a campaign mode i.e. IEC activities preceded screening camps. It was found that a
cancer screening camp is most productive if conducted on following day after IEC.
The objectives of Cancer Detection Camp were:-
1. Early detection of common cancers in women: Breast and Cervix cancers
2. Early detection of common cancers in men: Head and Neck cancer
3. Counseling of suspicious patients detected in camp
4. Tobacco cessation counseling of people attending camp
5. Educating villagers through cancer exhibition
Follow-up work of camp patients at GCRI:

                                                   56
This included mainly counseling of:
1. Suspicious patients attending GCRI for diagnostic confirmation of the disease.
2. Confirmed cancer diagnosed patients to comply with the treatment.
         Any suspicious or precancerous condition were motivated and counseled to attend GCRI
for diagnostic confirmation. Once the patient attends GCRI hospital is re-counseled.
         Counseling of confirmed cancer patient to complete treatment: Due to lack of awareness
about cancer paucity of information regarding early signs and symptoms of the disease and
ignorance about the treatment modalities amongst lay people causes fear and feeling of
helplessness. As cancer hospitals are based only in big cities a person coming from a rural area
faces many problems in a big city. Consuming of such people is essential. It is also true that at
times treatment. Often patients do not complete treatment for various reasons especially if
symptomatic relief is obtained by the patient. Thus counseling of patient is an important aspect to
help patient cure his cancer.
         Public Services: Department is actively involved in various GCRI events like Anti
Tobacco day, Kite flying day, Hospital day, National Cancer Awareness day etc. Under the
Ahmedabad District Cancer Control Programme, a programme 'Sangeet Sandhya' was
organised. This programme was held at Gujarat Law Society – Auditorium, Law Garden,
Ellisbridge, Ahmedabad, on September 24, 2007. Hemant Chauhan was the main attraction of
this programme. He sang songs particularly on tobacco – alcohol deaddiction and cancer
awareness. These songs were written by Shri Vitthalbhai. Whole programme was recorded for
preparation of CDs and these CDs will help in community based IEC activities. Along with
'Sangeet Sandhya', blood donation camp, anti-tobacco and cancer awareness exhibition also held
at programme site. Department has participated in 95 cancer awareness exhibitions and camps
as well as in three public lectures.
(N)     COMMUNITY ONCOLOGY CENTRE (COC)
        The COC, Vasna, houses several activities. Prominent among them are the (1) Hospice
Service, (2) Permanent cancer as well as tobacco-de-addiction related exhibition, (3) Cancer
related health check-up and, (4) Medicinal plantation.
(N1)    Hospice Service
         At COC, terminally ill patients with cancer are given shelter, warmth and palliative care as
a part of Hospice service. The details are given in (H5) – vide supra.
(N2)    Cancer Awareness & Anti-Tobacco Exhibition
         It houses permanent exhibition for cancer education and awareness. This year 6,179
visitors including students and teachers from schools, colleges and other oraganisations visited
COC.
(N3)    Health Check-up Plan
        Regular Health Check-ups are carried out for early detection of cancer at this centre.
Different diagnostic facilities for Cancer Screening are also available i.e. Mammography, X-Rays,
Sonography, Pap smear, FNAC, Biopsy etc. During this year, total 2,023 males and 3,688
females (total 5711) were screened at Vasna Centre.




                                                 57
       Service Output:
 Procedure       Parameter        Number          Procedure            Parameter       Number
Cases          Male                 2023       FNAC                   Total                25
Screened       Female               3688                              Normal                6
               Total                 5711                             Abnormal               10
               Normal                4573                             Positive                9
               Abnormal               417      Sonography             Total cases          5711
Mammo-         Total                 3536      Pap Smears             Total                3745
Graphy         Normal                3054                             Normal               1933
               Fibroadenoma           139                             Inflammation         1787
               Fibrocystic            295                             Dysplasia              13
               Disease                                                Positive                2
                                                                      Ref. to GCRI           10
                                               Nipple Discharge       Total cases            24
               Malignancy               48     Positive Cases                                48
                                               of Malignancy
(N4)   Development of Medicinal Plant Park
        From VIKSAT Group, a Garden with 130 plantations was developed. These plants are
having some Herbal Medicinal importance, which might be useful in treatment of the cancer or its
manifestation.




                                              58
                              V. OUT-REACH ACTIVITIES
(O)     CANCER DETECTION CAMPS, BLOOD DONATION CAMPS, AND CANCER
        AWARENESS EXHIBITION
The Institute along with the Gujarat Cancer Society organises regular cancer detection camps
and cancer awareness exhibition in various parts of the State. Many a times they are coupled with
blood donation camps. The Institute had attended 95 camps at following places. There were 83
voluntary blood donation camps and collection of 3430 blood bags.
Cancer Detection Camps: 63 places and 95 camps
Military Hospital, Ahmedabad Cantonment, Ahmedabad (8/4/07); Yogini Vasanti Devi Smarak
Trust, Vadodara (21/04/07, 14/07/07, 20/10/07, 19/01/08); Smt. Santokba Bhagwati General
Hospital, Dholka (26/04/07, 26/07/07, 25/10/07, 24/01/08); Govt. Hospital, Dhragandhra
(28/04/07, 16/6/07, 23/6/07); Kathavada High School, Kathavada, Daskroi (29/04/07); Dawoodi
Bohra Jamaat, Aligadh, Viramgam (06/05/07); Rukmaniben Prasutigruha, Ahmedabad (09/05/07,
13/06/07, 11/07/07, 08/08/07, 05/09/07, 08/09/07, 10/10/07, 07/11/07, 05/12/07, 09/01/08,
06/02/08/, 05/03/08); Nagar Heatlh Service Centre, Kapdiwad, Hospital, Sarangpur, Ahmedabad
(12/05/07, 09/06/07, 14/07/07, 11/08/07, 08/09/07, 13/10/07, 10/11/07, 08/12/07, 12/01/08,
09/02/08, 08/03/08); Champa Vijaya General Hospital, Rampura (Bhankoda), Detroj, Ahmedabad
(26/05/07); Giriraj Complex, Ahmedabad (22/07/07, 23/07/07); Savaliya Hospital, New
Bapunagar, Ahmedabad (05/08/07, 02/09/07); Super Surgical Hospital, Navrangpura,
Ahmedabad (15/08/07); Samta Hospital, Chandlodiya, Ahmedabad (19/08/07); HQ11, Military
Station, Chiloda (25/08/07); LIC of India, Main Office, Gandhinagar (03/09/07); Karakthal
Prathmik Arogya Kendra, Karakthal, Viramgam, Ahmedabad (15/09/07); Kumarkhan Prathmik
Arogya Kendra, Kumarkhan, Viramgam (17/09/07); Manipur Prathmik Arogya Kendra, Manipur,
Viramgam (22/09/07); Aga Khan Health Service, Balwa, Amreli (22/09/07); Ansuya General
Hospital, Maninagar, Ahmedabad (23/09/07); Trent Prathmik Arogya Kendra, Mandal (24/09/07);
Prathmik Arogya Kendra, Sitapur, Mandal (29/09/07, 01/10/07); Hospital Saraswati Mandir
Complex, Junagadh (30/09/07); Shri Jalaram Arogyadham, Vasantpura, Nadod, Narmada
(30/09/07); Prathmik Arogya Kendra, Dalod, Mandal (01/10/07); Prathmik Arogya Kendra,
Rampura, Ahmedabad (06/10/07); Prathmik Arogya Kendra, Katosan Road, Ahmedabad
(08/10/07); Air Force Station, Makarpura, Vadodara (12/10/07); PHC Santhal, Sanand,
Ahmedabad (13/10/07); PHC, Jholapur, Sanand, Ahmedabad (15/10/07); PHC, Nadiad and
Vadodara (20/10/07); PHC, Upardal, Ahmedabad (20/10/07); PHC, Modasar (22/10/07); PHC,
Chekhla, Sanand (27/10/07); Agakhan Health Service, Kankariya, Ahmedabad (31/10/07);
Prathmik Arogya Kendra, Kavitha, Bavla, Ahmedabad (17/11/07); Prathmik Arogya Kendra,
Nanodara, Bavla, Ahmedabad (19/11/07); Prathmik Arogya Kendra, Bagodara, Bavla,
Ahmedabad (26/11/07); PHC, Noblenagar, Ahmedabad (08/12/07); PHC, Hansol, Ahmedabad
(10/12/07); PHC, Khodiyarnagr, Ahmedabad (17/12/07); PHC, Saraspur, Ahmedabad (22/12/07);
PHC, Ramol, Ahmedabad (29/12/07); PHC, Vastral, Ahmedabad (31/12/07); PHC, Prathmic
Arogya Kendra, Chaloda, Dholaka, Ahmedabad (19/01/08); Prathmik Arogya Kendra, Gam-
Ambaliara, Dholaka, Ahmedabad (21/01/08); Prathmik Arogya Kendra, Transad, Dholaka,
Ahmedabad (28/01/08); Prathmik Arogya Kendra, Koth, Dholaka, Ahmedabad (02/02/08);
Prathmik School, Kathada, Dasada, Surendranagar (03/02/08); Prathmik Arogya Kendra,
Vataman, Dholaka, Ahmedabad (04/02/08); Kathwada Primary School, Kathwada, Dascroi,
Ahmedabad (08/02/08); Primary Health Centre, Piple, Ahmedabad (16/02/08); Mahavir
International, Red Cross Bhavan, Dahod (17/02/08); Primary Health Centre, Dholera, Ahmedabad
(18/02/08); Primary Health Centre, Bhadiyad, Ahmedabad (23/02/08); Primary Health Centre,
Vagad, Ahmedabad (25/02/08); Primary Health Centre, Jalila, Ahmedabad (01/03/08); Primary
Health Centre, Baravala, Ahmedabad (03/03/08); Primary Health Centre, Bhimnath, Ahmedabad
(08/03/08); Air Force Station, Wadsar, Kalol, Gandhinagar (13/03/08); Primary School, Malanpur,
Patdi, Surendranagar (15/03/08); Aga Khan Health Service, Aga Khan Hostel, Botad, Bhavnagar
(19/03/08); English Medium School, Maninagar, Ahmedabad (19/03/08)
                                               59
Blood Donation Camps: 80 places and 83 camps
National Institute of Fashion Technology, Gandhinagar (11/04/07); Pritampura Society 1, Section-
1, Girdharnagar, Ahmedabad (15/04/07); Varmora Prathmik Vidhyalaya, Mandal, Ahmedabad
(15/04/07); Motiff India Pvt Ltd, Ahmedabad (18/04/07); Raj Academy, Ambavadi, Ahmedabad
(22/04/07); Shivanand Aashram, Jodhpur Tekra, Ahmedabad (29/04/07); Ashish School, Vatva,
Ahmedabad (29/04/07); CHC Training Center, Prathmik Shala No.2, Mansa (04/05/07); Uma
Sanskar Tirth, Chandrala, Prantij (06/05/07); Shanidev Temple, Shahibaug, Ahmedabad
(12/05/07); Sun City Shopping Center, Bopal, Ahmedabad (27/05/07); Sandipani Ashram,
Porbandar (3/6/07); LIC of India, Relief Road, Ahmedabad (4/6/07); Gujarat Institute of Radio
Vibhash, Gandhinagar (10/6/07); Ramaji Mandir, Paldi, Ahmedabad (10/6/07); Municipal
Transport Service, Jamalpur, AMTS, Ahmedabad (14/06/07); GCRI Hospital Donor Day, Asarwa,
Ahmedbad (14/6/07); IDBI Bank, CG Road, Ahmedabad (02/07/07); Jaldhara Shopping Centre,
Gandhinagar (11/07/07); Jan Kalyan Sewa Trust, State Bank of India, Shahibaug, Ahmedabad
(15/07/07); Jamsanu Bandhol Gram Panchayat, Bhartiya Kishan Sungh, HH Patel High School,
Kalol, Nardipur (22/07/07); Bhartiya Kisan Sangh, Jamva Gram Panchayat, Kalol (25/07/07); MN
Shukla College of Education, Thaltej, Ahmedabad (28/07/07); Pavitrakunj Society, CTM,
Ahmedabad (29/07/07); Sadhna Ashram, Koba, Gandhinagar (29/07/07); All India Insurance
Local Self, Barfiwala Bhavan, Khanpur, Ahmedabad (14/08/07); Radhe Bunglows, Khokhara,
Ahmedabad (15/08/07); Sachin Tower, Satellite, Ahmedabad (15/08/07); Shrimali Swarnajayanti,
Brahamseva Samaj Hall, Paldi, Ahmedabad (15/08/07); Sardar Patel Seva Samaj Hall,
Ahmedabad (19/08/07); Salyasi Seva Samiti, Varjdham Haveli, Satellite, Ahmedabad (19/08/07);
Dr. Vishwas Amin, Ahmedabad (21/08/07); Ahmedabad Management Association, Ahmedabad
(21/08/07, 22/08/07, 23/08/07); L&C Mehta Arts college, Ahmedabad (24/08/07, 25/08/07); LA
Shah Low College, Ahmedabad (25/08/07); Pravin Sintex Pvt Ltd, Kalol (25/08/07); Shrinand
Nagar Vibhag-2, Vejalpur, Ahmedabad (26/08/07); LIC of India, Gandhinagar (03/09/07); HL
Institute of Computer Application, Navrangpura, Ahmedabad (06/09/07); HDFC Bank, Maninagar,
Ahmedabad (10/09/07); Kameshwar Hall, Naranpura, Ahmedabad (14/09/07); Govt. Engineering
College, Gandhinagar (22/09/07); Town Hall, Gandhinagar (25/09/07); Shree Jalaram
Arogyadham, Vasantpura, Nadod, Narmada (30/09/07); Upmanya Education College,
Ahmedabad (30/09/07); Hiraba School, Mahadev Nagar Tekra, Vastral, Ahmedabad (01/10/07);
Community Health Centre, Nardipur, Gandhinagar (02/10/07); Chuwal Gam Vikas Trust,
Sarangpur, Ahmedabad (04/10/07); Community Health Centre, Kasturbanagar, Saraspur,
Ahmedabad (07/10/07); Community Health Centre, Naranpura, Ahmedabad (10/10/07);
Community Health Centre, Lions Ground, Gandhinagar (18/10/07); Jagatdarshan Society,
Chhatral Road, Kadi (18/10/07); Shri Narayan Banglows, Thaltej Shilaj road, Ahmedabad
(21/10/07); HDFC Bank, Sarangpur, Ahmedabad (27/10/07); Indian Institute of Management,
Ahmedabad (28/10/07); Mahavit Maradge Dom, Krishnnagar, Ahmedabad (17/11/07); Lal
Bahadur Shastri Stadium, Bapunagar, Ahmedabad (21/11/07); LD Arts College, Navrangpura,
Ahmedabad (29/12/07); Kalyanpura Gam, Achara road, Viramgam (30/12/07); Subhavan
Prarthna Bhavan and Party Plot, Gulbai Tekra, Ahmedabad (30/12/07); Anjana Society Campus,
Matru Shakti Society, Bapunagar, Ahmedabad (06/01/08); Arbudgiri Society, Sabarmati,
Ahmedbad (06/01/08); Malanpur, Dashada, Surendranagar (12/01/08); Rotary Hall, Sabarmati,
Ahmedabad (26/01/08); Chandisar Prathmik School, Chandisar, Dholka, Ahmedabad (27/01/08);
Bhaleshwar Mahadev Vadi, Bapunagar, Ahmedabad (27/01/08); IIM Students Jose, Vastrapur,
Ahmedabad (02/02/08); Tatsat Society, Ambawadi, Ahmedabad (03/02/08); Home Guards,
Laldarwaja, Ahmedabad (03/02/08); Girdharnagar Secondary School, Shahibaug, Ahmedabad
(09/02/08); Bapa Sitaram Sayog Sarita Mandal, Nikol Naroda Road, Ahmedabad (10/02/08);
Sardar Patel Smark Bhavan, Shahibaug, Ahmedabad (10/02/08); Bapunagar Ahmedabad
(17/02/08); Daskoshi Kadwa Patidar Hall, Sola, Ahmedabad (28/02/08); Nima Vidhyalaya, Nava
Vadaj, Ahmedabad (02/03/08); Gurjar Kartikey Kadia Samaj, Nirnay Nagar Garnala , Chandlodiya
(02/03/08); Sector - 1 Gandhinagar (08/03/08); Navshakti Yuvak Mandal, Malanpur, Patdi,

                                              60
Surendranagar (15/03/08); Rashtriya Blood Sewa Mandal, Khanjan Darwaja Dargah, Jamalpur,
Ahmedabad (16/03/08); Mahesana Prajapati Yuva Sansthan, Mahesana (30/3/08)
Cancer Awareness Exhibition: 57 Places and 90 Camps: Pritampura Society Section-1,
Girdharnagar, Ahmedabad (15/04/07); Shri Santram Mandir Dairy, Nadiad (19/04/07, 19/07/07,
18/10/07, 17/01/08); Yogini Vasanti Devi Smarak Trust, Geeta Mandir, Pratapnagar Vadodara
(21/04/07); Diwan Ballubhai School, Kankaria, Ahmedabad (21/04/07, 22/04/07); Kathvada High
School, Kathwada, Daskroi (29/04/07); Champa Vijaya General Hospital, Rampura, Detroj,
Ahmedabad (26/05/07); Nagar Health Service Centre, Sarangpur, Raipur, Ahmedabad (12/05/07,
09/06/07, 14/07/07, 11/08/07, 08/09/07, 13/10/07, 10/11/07, 08/12/07, 12/01/08, 09/02/08,
08/03/08); Government Hospital, Dhrangandhra, Surendranagar (23/06/07); Rukmaniben
Prasutigruha, Khokhara, Ahmedabad (09/05/07, 13/06/07, 11/07/07, 08/08/07, 05/09/07,
08/09/07, 10/10/07, 07/11/07, 05/12/07, 09/01/08, 06/02/08, 5/03/08); Savaliya Hospital, New
Bapunagar, Ahmedabad (05/08/07); HQ II Military Station, Gandhinagar (25/08/07); Kumarkhan
Prathmik Arogya Kendra, Viramgam, Ahmedabad (17/09/07); Manipur Prathmik Arogya Kendra,
Manipur, Viramgam, Ahmedabad (22/09/07); Aga Khan Health Centre, Babra, Amreli (22/09/07);
Trent Prathmik Arogya Kendra, Trent, Mandal, Ahmedabad (24/09/07); Prathmik Arogya Kendra,
Sitapur, Mandal, Ahmedabad (29/09/07); Shri Jalaram Arogyadham, Vastrapur, Nadod, Narmada
(30/09/07); Mandal Prathmik Arogya Kendra, Mandal, Ahmedabad (1/10/07); Rampura Prathmik
Arogya Kendra, Rampura, Detroj, Ahmedabad (06/10/07); Prathmik Arogya Kendra, Katosan,
Detroj, Ahmedabad (08/10/07); Kapdiwad Hospital, Raipur, Ahmedabad (13/10/07); Nadiad -
Vadodara Camp (20/10/07); Sheth P&R High School, Bhakhariya Pratij, Sabarkantha (23/10/07);
Agakhan Health Service, Kankariya, Ahmedabad (31/10/07); Prathmik Arogya Kendra, Kavitha,
Bavla, Ahmedabad (17/11/07); Prathmic Arogya Kendra, Nanodara, Bavla, Ahmedabad
(19/11/07); Prathmik Arogya Kendra, Ganfadi, Bavla, Ahmedabad (24/11/07); Prathmic Arogya
Kendra, Bagodara, Balva, Ahmedabad (26/11/07); PHC Nobal Nagar, Ahmedabad (08/12/07);
PHC Hansol, Ahmedabad (10/12/07); PHC Khodiyar Nagar, Ahmedabad (17/12/07); PHC
Saraspur, Ahmedabad (22/12/07, 24/12/07); PHC Ramol, Ahmedabad (29/12/07); PHC Vastral,
Ahmedabad (31/12/07); PHC Pitahi, Kathlal, Kheda (06/01/08); Dhandhuka Cotton Sale,
Shakhazin, Bhavnagar (09/01/08); Prathmik Arogya Kendra, Chaloda, Dholaka, Ahmedabad
(19/01/08); Prathmik Arogya Kendra, Ambaliara, Dholaka, Ahmedabad (21/01/08); Atmiya Amrut
Mahotsav Samiti, Gujarat University Ground, Ahmedabad (26/01/08); Prathmic Arogya Kendra,
Transad, Dholaka, Ahmedabad (28/01/08); Prathmik Arogya Kendra, Koth, Dholaka, Ahmedabad
(02/02/08); Prathmik Arogya Kendra, Vataman, Dholaka, Ahmedabad (04/02/08); Kathwada
Primary School, Kathwada, Dascroi, Ahmedabad (08/02/08); Primary Health Centre, Piple,
Ahmedabad (16/02/08); Primary Health Centre, Dholera, Ahmedabad (18/02/08); Primary Health
Centre, Bhadiyad, Ahmedabad (23/02/08); Primary Health Centre, Vagad, Ahmedabad
(25/02/08); Primary Health Centre, Jalila, Ahmedabad (01/03/08); Primary School, Koth, Dholka,
Ahmedabad (01/03/08); Primary Health Centre, Baravala, Ahmedabad (03/03/08); Torrent
Pharmaceuticals Ltd, Indrad, Kadi, Mahesana (07/03/08); Primary Health Centre, Bhimnath,
Ahmedabad (08/03/08); Air Force Station, Vadsar, Gandhinagar (13/03/08); Primary School,
Malanpur, Patdi, Surendranagar (15/03/08); General Hospital, Gandhinagar (15/03/08 to
17/03/08); Chaklasi, Nadiad, Kheda (24/03/08 to 26/03/08); Shree Karunasagar Seva Samaj
Trust, Satkaival Ashram, Vasad, Anand (26/03/08); Fagvel, Kathalal, Kheda (29/03/08 to
31/03/08)
(P)    COMMUNITY LECTURES BY STAFF
        At Cancer Detection Camps, the staff of GCRI also delivers Public Lectures. They are
often invited by the Social Organisations also. At COC, Vasna, the visiting school/college
students, Mahila Mandals and other Social and Cultural Organisations arranged meetings where
the faculty of the Institute address and interact with people.




                                             61
No.       Name of                Place                        Topic                Date
          Speaker
1     Kalpana Dave     CME on Oncology,             Management of gynaec        July      29,
                       Mahesana                     cancers                     2007
2                      Obstetrics and Gynaec        Management of GTN           August
                       Society, Ahmedabad                                       2007
3     Ava Desai        Obstetrics and Gynaec        Hereditary ovarian cancer   April     29,
                       Society, Bhavnagar                                       2007
4                      Practical Obstetrics &       Surgical technique of       November
                       Gynaecological Congress,     Wertheim’s hysterectomy     2007
                       Chennai
5                      Symposium on                 Ovarian tumours in young    August 12,
                       Gynaecological Cancer,       women                       2007
                       Obstetrics and Gynaec
                       Society, Rajkot
6                      FOCUS Post-Graduate          Cervical cancer & ovarian   August 21-
                       Teaching Programme,          cancer                      22, 2007
                       Thrissur
7                      West Zone YUVA FOGSI         Post menopausal bleeding    October 13-
                       Conference, Ahmedabad                                    14, 2007

8                      Gujarat Sarvar Mandal,       Menopause – The change      October 6,
                       AMA Hall, Ahmedabad          of life                     2007
9                      AOGS PG Training             Cervical cancer             August
                       Programme, Ahmedabad                                     2007
10                     Obstetrics and Gynaec        Early diagnosis of gynaec   December
                       Society, Bharuch             malignancies                16, 2007
11                     PG Lecture at Pulse          Gestational trophoblastic   December
                       Hospital, Ahmedabad          disease                     22, 2007
12                     Regional Provident Fund      Women’s Health              March      7,
                       Office, Ahmedabad                                        2008
13    Meeta Mankad     AOGS, Ahmedabad              Lecture on recent           December
                                                    advances in detection of    2007
                                                    cervical cancers
14    Anjana Chauhan   CME jointly organised with   HPV vaccine in prevention   April     29,
                       SOGOG, Bhavnager             of cancer cervix            2007
15                     Yuva FOGSI West Zone         HPV infection of cervix     October 13,
                       Conference, Ahmedabad                                    2007
16    Ruchi Arora      Kadvasan Camp                Pap Smear                   January 26,
                                                                                2007
17    Kamlesh Mishra   Camp at Mahavir              VILI and Pap smear for      February
                       International Society,       detection of preinvasive    2008
                       Dahod, Gujarat               and early cancer cervix
18                     Army Hospital, Ahmedabad     lesions                     March     12,
                                                                                2008

                                            62
(Q)     PATIENT CARE EVALUATION COMMITTEE
        The first meeting of Patient Care Evaluation Committee was held on July 25, 2003. Dr.
Pankaj Shah, Dr. NL Patel, Shri Prashant Kinarivala, Dr. Rajendra Dave, Dr. Kirti Patel, Dr.
Shilin Shukla, Dr. BG Pandya, Mr. NT Chavda, Smt. Jayaben Panchal and Smt. Ashaben
Desai are the permanent members of the committee. The committee randomly called the patients
from different wards and asked them about their experiences regarding hospital. Patient’s
suggestions are followed. A questioner has been made with a mention of duration of admission in
the hospital, experiences on admission and during their stay in the hospital, information received
about the disease, suggestions regarding treatment expense, opinion about the behaviour of
Doctors, Nurses and other staff members and other important remarks of the patients.
       Date of Meeting                                    Chief Guest
April 21, 2007                 Office bearers of GCRI and GCS
May 5, 2007                    Office bearers of GCRI
May 19, 2007                   Office bearers of GCRI and GCS
June 30, 2007                  Dr. Girish Parmar, Dean Dental College; Office bearers of GCRI
                               and GCS
August 4, 2007                 Office bearers of GCRI
August 18, 2007                Office bearers of GCRI and GCS
September 1, 2007              Dr. Ramesh Mehta, Invited Guest; and Office bearers of GCRI
September 15, 2007             Office bearers of GCRI
September 22, 2007             Office bearers of GCRI
November 3, 2007               Office bearers of GCRI
December 1, 2007               Dr. Chirag Desai and Office bearers of GCRI
December 15, 2007              Office bearers of GCRI
December 29, 2007              Smt. Sadhanaben Bhatt, Director, Akashvani;
                               Shri Tarunbhai Shukla, Akashvani; and Office bearers of GCRI
January 19, 2008               Office bearers of GCRI
February 9, 2008               Shri Ajay Upadhyay and Office bearers of GCRI
February 23, 2008              Smt. Amitaben Shah, Patient’s relative; Shri Prafulbhai Patel,
                               Donor; and Office bearers of GCRI and GCS
March 29, 2008                 Office bearers of GCRI




                                               63
                          VI. GCRI RESEARCH ACTIVITIES
                              APRIL 2007 – MARCH 2008
                        RESEARCH PROJECTS - SUMMARY TABLE
   DEPARTMENT/ DIVISION               PROJECTS           PUBLICATIONS   PRESENTATIONS
Pathology                                 01                     00           02
Blood Bank                                00                     00           01
Microbiology                              01                     00           01
Radiodiagnosis                            00                     02           01
Surgical Oncology                         02                     05           02
Gynaecological Oncology                   02                     00           12
Medical Oncology                          00                     04           10
Anaesthesiology                           00                     01           06
Radiotherapy – Medical Physics            00                     03           08
Cell Biology                              07                     01           04
Molecular Endocrinology I                 06                     00           03
Molecular Endocrinology II                05                     00           07
Receptor & Growth Factor Lab              05                     01           05
Biochemistry Research                     07                     06           12
Immunohistochemistry                      07                     00           11
Medicinal Chemistry &                     03                     00           01
Pharmacogenomics
Community Oncology                        05                    00            00
Total                                     51                     23           86


Funding Agencies:
Gujarat Cancer Society                                                    :   24
Department of Biotechnology (DBT)                                         :   01
Department of Atomic Energy (DAE)                                         :   01
Government of India                                                       :   01
Indian Council of Medical Research (ICMR) – IndoGerman Collaboration      :   01
Indian Council of Medical Research (ICMR)                                 :   03
Government of Gujarat                                                     :   01
Gujarat State Biotechnology Mission (GSBTM)                               :   02
Directorate of Medical Education & Research (DMER), Gujarat State         :   16
Gujarat Council of Science and Technology (GCST)                          :   01
                            CLINICAL TRIALS
                 sponsored by Pharmaceutical Companies
                                 Department         Clinical Trials
                               Medical Oncology           19


                                               64
                                   RESEARCH PROJECTS
                                  APRIL 2007 – MARCH 2008
Pathology:                                              identify patients who are at risk of developing
1. Project Title: Angiogenesis, p53, ER, PR             local recurrence and aggressive adjuvant
and bcl-2 expression as prognostic                      treatment can be instituted to decrease the
indicator in endometrial carcinoma: 100                 incidence of locoregional relapse in these
                                                        patients. Number of patients (100); Number of
cases study. PI: Dr. Kaushambi Shukla;
                                                        Tests (300); Name of Parameters: MMP9,
CO-PI: Dr. Kirti Patel, Dr. Manoj Shah, Dr.
                                                        elF4E and p53; Status: On-going.
Priti Trivedi, Dr. Biren Parikh, Dr. Birwa
Shah, Dr. Lopa Modi; Funding: The Gujarat               4. Project Title: Assessment of molecular
Cancer Society; Aim: The purpose of the study           predictors of response to neoadjuvant
was to determine molecular markers in                   chemotherapy in locally advanced head
                                                        and neck squamous cell carcinoma
endometrial carcinoma to identify patients at
                                                        patients. PI: Dr. Kiran Kothari, Dr. Modit
high recurrence or metastasis. Number of
                                                        Agarwal; CO-PI: Dr. Hemangini Vora, Dr.
Patients (100); Number of Tests (450); Name
                                                        Manoj Shah, Dr. Shilin Shukla, Dr. Mahesh
of Parameters: p53, ER, PR and bcl-2;                   Patel; Funding: The Directorate of Medical
Inference: Hormone receptor negativity, p53             Education & Research; Aim: To identify
expression and Bcl2 expression as well as               molecular markers which will help us to identify
high microvessel count identifies aggressive            patients who are likely to            respond to
phenotype of endometrioid carcinoma. Status:            chemotherapy and these patient should be
                                       th
Completed; Presentations (2): 1) 25 IACR,               offered upfront chemotherapy so that organ
February 2005, Navi Mumbai; 2) 27th IACR,               preservation can be achieved. Number of
February 2008, Ahmedabad.                               patients (100); Number of Tests (300); Name
Microbiology:                                           of Parameters: GST-p, p53, bcl-2, bax and
                                                        EGFR; Status: On-going.
2. Project Title: Detection of high and low
risk human papilloma virus (HPV) subtypes               Gynaecological Oncology:
prevalent in cancerous and non-cancerous                5. Project Title: Concurrent radiotherapy &
lesions of the uterine cervix in Indian                 chemotherapy (Cisplatin) vs radiotherapy
women. PI: Dr. Parijath Goswami; CO-PI:                 for locally       advanced cancer cervix. PI:
Dr. Kalpana Dave, Dr. Ava Desai; Funding:               Dr. Pariseema Dave; CO-PI: Dr. Anjana
The Gujarat Cancer Society; Aim: Study was              Chauhan, Dr. Kalpana Dave, Dr. Ava Desai,
conducted to detect the HPV subtypes in                 Dr. Mita Mankad, Dr. Shilpa Patel, Dr. Ronak
clinically diagnosed cervical lesions using             Bhansali, Dr. Rakesh Vyas, Dr. Jayprakash
multiplex PCR. Number of Patients (263);                Neema, Dr. Asha Anand, Dr. Apurva Patel,
Number of Tests (263); Name of Parameters:              Dr. Harsha Panchal; Funding: The Gujarat
multiplex PCR and histopathology; Inference:            Cancer Society; Aim: To analyze the effects of
HPV 16 is more than 18, though other types of           chemoradiotherapy on: (i) overall and
HPV like 45,31,35,39,52,59,33 were also                 progression free survival, (ii) local and distant
detected in the cervical lesions. Status: On-           control, and (iii) side effect profile in patients
going; Presentations (2): 1) Update for                 with locally advanced cancer cervix. Number of
Paramedical     Techniques     in    Pathology,         Patients: (Arm A: 55, Arm B: 53); Number of
October 2006, Ahmedabad; 2) AGOICON                     Tests: (1080); Name of Parameters: biopsy of
2006, November 2006, New Delhi.                         the cervix, radiological examination - chest X-
Surgical Oncology:                                      ray, USG abdomen-pelvis, blood tests-CBC,
                                                        LFT, RFT, HIV, HBsAg, urine-routine and
3. Project Title: Molecular assessment of
surgical margins in head and neck                       microscopy, clinical and radiological evidence
squamous cell carcinoma patients. PI: Dr.               of disease, treatment related toxicity; Status:
Kiran Kothari, Dr. Hemangini Vora; CO-PI:               Completed; Publication/Presentation:-
Dr. Manoj Shah, Dr. Modit Agarwal, Dr.                  6. Project Title: Role of neoadjuvant
Shilin Shukla; Funding: The Directorate of              chemotherapy in advanced epithelial
Medical Education & Research; Aim: To                   ovarian cancer. PI: Dr. Shilpa Patel; CO-PI:
identify molecular markers which will help us to        Dr. Ronak Bhansali, Dr. Kalpana Dave, Dr.


                                                   65
Ava Desai, Dr. Mita Mankad, Dr. Pariseema                 BCR-ABL dual color dual fusion/ 9q34/ or other
Dave, Dr. Anjana Chauhan, Dr. Bharat                      relevant probes (Vysis, USA) as per the case;
Parikh, Dr. Apurva Patel, Dr. Harsha                      Status: On-going; Publication (1): 1) Journal of
Panchal, Dr. Shreedevi Patel; Funding: The                Association of Genetic Technologists, 32:162-
Gujarat Cancer Society; Aim: To evaluate                  167, 2006; Title: Atypical D-FISH patterns of
neoadjuvant chemotherapy in advanced                      BCR/ABL gene rearrangements in chronic
epithelial ovarian cancer with respect to                 myeloid leukemia patients. Abstract: The
response rate, the rate of optimal debulking,             Philadelphia (Ph) chromosome, a hallmark
surgical morbidity and quality of life. Number of         chromosomal anomaly observed in 95 percent
Patients: (30); Number of Tests: (360); Name              of chronic myeloid leukemia (CML) cases, is
of Parameters: CBC, BT, CT, PT, RFT, LFT,                 known to involve the Abelson (ABL) proto-
HBSAg, HIV, CA125, X-ray Chest, USG, CT                   oncogene on chromosome 9 and the
Scan; response to chemotherapy and toxicity,              breakpoint cluster region (BCR) gene on
rate of resectibility, surgical morbidity, quality        chromosome 22, producing BCR/ABL mRNA
of        life;        Status:         Completed;         encoding an abnormal tyrosine kinase protein.
Publication/Presentation:-                                In the process of generating BCR-ABL fusion,
Cell Biology:                                             the deletion of residual BCR or ABL occurs in
                                                          15-30 percent of CML patients. In addition,
7. Project Title: Characterization of
                                                          some rearrangements are complex, and do not
chromosome rearrangements of malignant
                                                          yield the ABL/BCR fusion due to the
effusions with multiplex-FISH. PI: Dr. Sonal
                                                          involvement of a third chromosome in the
Bakshi; CO-PI: Dr. Shilin Shukla, Dr. Pankaj
                                                          rearrangement. The possible role of these
Shah;      Funding:      The    Gujarat     State
                                                          deletions and complex rearrangements in
Biotechnology Mission; Aim: To study
                                                          disease outcome is an on-going topic of
malignant effusion cells for Karyotype analysis
                                                          research. We report our results of cytogenetic
aided with FISH and m-FISH in patients with
                                                          analysis with GTG banding and fluorescence
various malignancies having ascitic or pleural
                                                          in situ hybridization using dual color dual
effusion. Number of Patients: (30); Number of
                                                          fusion probe (D-FISH) from Vysis Inc, USA in
Tests:     (60); Name of Parameters: GTG
                                                          169 (109 males and 60 females) CML patients
banded          karyotyping;      Multiplex-FISH
                                                          registered at The Gujarat Cancer & Research
karyotyping; Status: On-going.
                                                          Institute (GC & RI) from April 2004 to
8. Project Title: A conventional and                      December 2005. GTG banding was carried out
molecular        cytogenetic      analysis     of         in 123 cases having analyzable metaphases.
philadelphia chromosome and variants in                   Of these 123 cases, D-FISH revealed atypical
chronic myeloid leukemia patients. PI: Dr.                signal patterns in 57 patients (46%), and 12
Beena       Patel;    CO-PI:     Ms.     Manisha          cases        revealed     additional    complex
Brahmbhatt, Dr. Sonal Bakshi, Dr. Shilin                  translocations      indicative    of     disease
Shukla, Dr. Pankaj Shah; Funding: The                     progression. Out of 57 cases with atypical
Gujarat Council of Science and Technology;                FISH patterns, 22 included metaphase FISH
Aim: To study the bone marrow and/or blood                results, and the rest had only interphase FISH
lymphocytes for karyotype analysis aided with             performed. In addition to the hallmark
FISH in CML patients. The status of the                   Philadelphia chromosome, other chromosomal
additional chromosomal anomaly other than                 aberrations in CML revealed heterogeneity of
the known philadelphia chromosome will be                 molecular events. Pooling of more data may
correlated clinically in terms of response to             lead to identification of new CML sub-groups
therapy, duration of chronic phase, and overall           and hence help in the analysis of clinical trials.
survival. Number of Patients: (150); Number of            Patients enrolled in our prospective study of
Tests: (150 at diagnosis and during follow-up);           prognostic significance will be followed up for
Name of Parameters: (i) Philadelphia                      disease free and overall survival in correlation
chromosome         and    other    variants    by         with ABL-BCR deletion status. Presentations
conventional cytogenetics, (ii)         BCR-ABL                     th
                                                          (2): 1) 27 IACR, February 2008, Ahmedabad;
fusion by the FISH and, (iii) Deletion status of          2) Human Health Care: Redefined 2008,
der(9)t(9;22) by FISH using LSI BCR/ABL-ES/               March 2008, Ahmedabad.

                                                     66
9. Project Title: Acute lymphocytic                      Number of Patients: (75); Number of Tests: (75
leukemia: A cytogenetic exploration. PI: Dr.             at diagnosis and during follow-up); Name of
Sonal Bakshi; CO-PI: Ms. Manisha                         Parameters: Karyotyping and FISH using
Brahmbhatt, Dr. Bharat Parikh, Dr. Kirti                 commercially available and custom made
Patel, Dr. Shilin Shukla, Dr. Pankaj Shah;               probes; Status: On-going; Presentation (1): 1)
                                                            th
Funding: The Gujarat Cancer Society; Aim: To             27 IACR, February 2008, Ahmedabad.
record cytogenetic anomalies in ALL patients             12. Project Title: Cloning of novel and rare
at diagnosis, and during treatment; to analyse           chromosomal translocations in acute
retrospectively the effect of different variables        myeloid and lymphoblastic leukemia (AML
like type of anomaly, treatment given etc.; to           and ALL). PI: Dr. Sonal Bakshi, Dr. Stefan
characterize complex chromosomal anomalies               Bohlander; Funding: ICMR, Indo-German
with advanced cytogenetic approaches like                collaboration; Aim: To characterize rare
FISH; and to establish a consortium of BAC               balanced chromosomal translocations and
FISH probes for routine use for GCRI patients.           other rearrangements in acute myeloid and
Number of Patients: (75); Number of Tests: (75           acute lymphoblastic leukemias. Number of
at diagnosis and during follow-up); Name of              Patients: (15 to 20); Number of Tests: (60 to
Parameters: Karyotyping and FISH using                   80); Name of Parameters: GTG banded
commercially available and custom-made                   karyotyping, FISH, M-FISH, and BAC-FISH;
probes; Status: On-going.                                Status: On-going.
10. Project Title: Acute myeloid leukemia: A             13. Project Title: Detection of BCR-ABL
cytogenetic exploration. PI: Dr. Sonal                   gene by polymerase chain reaction in
Bakshi; CO-PI: Ms. Manisha Brahmbhatt,                   chronic myeloid leukemia (CML) and
Dr. Bharat Parikh, Dr. Kirti Patel, Dr. Shilin           differential     diagnosis       of     lymphoid
Shukla, Dr. Pankaj Shah; Funding: The                    leukaemia. PI: Dr. Beena Patel; CO-PI: Dr.
Gujarat Cancer Society; Aim: To record                   Sonal Bakshi, Dr. Shilin Shukla, Dr. Pankaj
cytogenetic anomalies in AML patients at                 Shah; Funding: Directorate of Medical
diagnosis, and during treatment; to analyse              Education and Research; Aim: The PCR
retrospectively the effect of different variables        based detection of p210 and p190 sequences
like type of anomaly, treatment given etc.; to           are the only test for the differentiation of acute
characterize complex chromosomal anomalies               lymphocytic leukemia (ALL) from chronic
with advanced cytogenetic approaches like                myeloid leukemia (CML) as well as detection
FISH; to establish a consortium of BAC FISH              of minimal residual disease and monitoring
probes for routine use for GCRI patients.                CML patients following transplantation. The
Number of Patients: (75); Number of Tests: (75           sensitivity of PCR allows detection of as few as
at diagnosis and during follow-up); Name of              1-10 bcr-abl positive cells in million cells, which
Parameters: Karyotyping and FISH using                   makes PCR methods ideal for early detection
commercially available and custom-made                   of relapse. Number of Patients (55); Number of
probes; Status: On-going; Presentation (1): 1)           Tests (75); Name of Parameters: p210 and
   th
27 IACR, February 2008, Ahmedabad.                       p190 sequence; Inference: The first year report
11. Project Title: Chronic myeloid leukemia:             consists of the standardization of the PCR
A cytogenetic exploration. PI: Dr. Sonal                 reaction using positive cell line k562 (for p210)
Bakshi; CO-PI: Ms. Manisha Brahmbhatt,                   and SupB15 (for p190). cDNA samples from
Dr. Bharat Parikh, Dr. Kirti Patel, Dr. Shilin           these cell lines were received as generous gift
Shukla, Dr. Pankaj Shah; Funding: The                    from Dr. Hany Ariffin (University of Malaya,
Gujarat Cancer Society; Aim: To record                   Paediatric     Hematology       Oncology       Unit,
cytogenetic anomalies in CML patients at                 Malaysia). cDNA from SupB15 showed 298 bp
diagnosis, and during treatment; to analyse              fragment using specific primers for p190
retrospectively the effect of different variables        sequence. While cDNA of K562 cell line is
like type of anomaly, treatment given etc.; to           under process for the identification of p210
characterize complex chromosomal anomalies               sequence. Blood samples from 6 CML and 3
with advanced cytogenetic approaches like                ALL patients were drown. WBC were
FISH; and to establish a consortium of BAC               separated from the blood samples and RNA
FISH probes for routine use for GCRI patients.


                                                    67
was extracted from these samples. Status: On-          Dr. Premal Thakor, Dr. Shilin Shukla, Dr.
going.                                                 Manas Mayank, Dr. Pankaj Shah; Funding:
Molecular Endocrinology I:                             The Gujarat Cancer Society; Aim: To evaluate
                                                       circulating levels of Thyroglobulin, anti-
14. Project Title: Immunohistochemical
                                                       Thyroglobulin Ab, TPO Ab, and TSH-R in
studies in thyroid malignancies. PI: Dr.
                                                       patients with thyroid abnormality and thyroid
Girish Patel; CO-PI: Dr. Premal Thakor, Dr.
                                                       cancer. Number of Patients (200); Number of
Manoj Shah, Dr. Shilin Shukla; Funding: The
                                                       Tests: (1000; pretreatment and follow-up blood
Gujarat Cancer Society; Aim: To study the
                                                       samples); Name of Parameters: Thyroglobulin,
expression of Thyroglobulin, TPO, EMA, Leu7
                                                       Anti-thyroglobulin Ab, TPO Ab and TSH-R;
Ag in thyroid carcinoma patients. Number of
                                                       Status: On-going.
Patients (60); Number of Tests (240); Name of
Parameters: Thyroglobulin, TPO, EMA, Leu7              18.      Project     Title:     Understanding
Ag; Status: On-going.                                  involvement of several molecules in thyroid
                                                       tumorigenesis. PI: Dr. Girish Patel; CO-PI:
15. Project Title: Tumor markers in
                                                       Dr. Sunil Trivedi, Dr. Premal Thakor, Dr.
pancreatic carcinoma. PI: Dr. Girish Patel;
                                                       Shilin Shukla, Dr. Pankaj Shah; Funding:
CO-PI: Dr. Yatin Patel, Dr. Rajan Tankshali;
                                                       Directorate of Medical Education and
Funding: The Gujarat Cancer Society; Aim: To
                                                       Research; Aim: To determine TNF, Interleukin,
study usefulness of CA 19-9, CEA and CA
                                                       Interferone, TGF & TSH-R in suspected cases
72.4 in pancreatic carcinoma patients. Number
                                                       of thyroid malignancies. Number of Patients
of Patients (100); Number of Tests: (600; blood
                                                       (200); Number of Tests: (1000; pretreatment
and pancreatic juice samples of pancreatic
                                                       blood and follow-up samples); Name of
cancer patients); Name of Parameters: CA 19-
                                                       Parameters: TNF, Interleukin, Interferone,
9, CEA, CA 72-4; Inference: CA19-9 in
                                                       TGF, TSH-R; Status: On-going.
pancreatic juice was significantly higher in
patients with pancreatic cancer. No correlation        19. Project Title: Clinical utility of p27 in
with CA19-9 and CEA in pancreatic juice and            colorectal carcinoma. PI: Dr. Girish Patel;
serum were found. Rise in the levels of both           CO-PI: Dr. Sunil Trivedi, Dr. Rajendra Dave,
CEA and CA 19-9 were correlated with clinical          Dr. Shilin Shukla, Dr. Pankaj Shah; Funding:
disease status. Status: On-going; Presentation         Directorate of Medical Education and
          th
(1): 1) 27 IACR, February 2008, Ahmedabad.             Research; Aim: To evaluate the level of p27 in
                                                       malignant tissues of colorectal carcinoma
16. Project Title: Clinical utility of p27 in
                                                       patients by enzyme immunoassay (EIA)
breast carcinoma. PI: Dr. Girish Patel; CO-
                                                       technique. Number of Patients (200); Number
PI: Dr. Sunil Trivedi, Dr. Shashank Pandya,
                                                       of Tests: (400; tumor and normal adjacent
Dr. Shilin Shukla, Dr. Manoj Shah; Funding:
                                                       tissue samples); Name of Parameters: Total
Directorate of Medical Education and
                                                       protein and p27 protein; Status: On-going.
Research; Aim: To evaluate the level of p27 in
pre-therapeutic primary breast cancer patients         Molecular Endocrinology II:
and in patients with secondaries in bones.             20. Project Title: Clinical significance of
Number of Patients (40); Number of Tests               Stat1 and Stat3 expression in breast
(160; tumor and adjacent normal tissue                 cancer. PI: Dr. Neelam Shah; CO-PI: Dr.
samples); Name of Parameters: p27 protein;             Trupti Trivedi, Dr. Jignesh Goswami, Dr.
Inference: The present study conclusively              Shilin Shukla, Dr. Pankaj Shah; Funding:
supports implication of p27 expression in the          Directorate of Medical Education and
prognostication of breast cancer. It signifies         Research; Aim: To study one of the signals
the important role of p27 in breast                    essential for upregulation of cell-cycle
tumorigenesis. Status: On-going; Presentation          regulatory genes. Thus, the present study
          th
(1): 1) 27 IACR, February 2008, Ahmedabad.             aimed to examine the protein and mRNA
17.      Project    Title:  Immunochemical             expression of Stat1 and Stat3 in primary breast
substances in thyroid disorders and                    tumors of patients with early and advanced
thyroid malignancies. PI: Dr. Girish Patel;            breast cancer. Number of Patients: (100);
CO-PI: Dr. Sunil Trivedi, Dr. Urvi Parekh,             Number of Tests: (400); Name of Parameters:



                                                  68
Stat1 and Stat3 protein and mRNA expression;              (APC) and D3S1283 (hMLH1) instability;
Status: On-going.                                         Status: On-going.
21. Project Title: Role of Stat5 and Stat6 in             24. Project Title: Expression of EGFR, c erb
oral squamous cell carcinoma. PI: Dr.                     B2, STAT-3, Bcl-2 and cyclin D1 in pre-
Neelam Shah; CO-PI: Dr. Trupti Trivedi, Dr.               malignant and malignant lesions of the
Rajan Tankshali, Dr. Jignesh Goswami, Dr.                 buccal mucosa. PI: Dr. Neelam Shah; CO-
Shilin Shukla, Dr. Pankaj Shah; Funding:                  PI: Dr. Trupti Trivedi, Dr. Jignesh Goswami,
Directorate of Medical Education and                      Dr. Shakuntala Shah, Dr. Shilin Shukla, Dr.
Research; Aim: Future advances in the                     Pankaj Shah; Funding: The Gujarat Cancer
treatment and prognosis of OSCC rely upon a               Society; Aim: Studies have shown the
better understanding of the molecular events              importance of cell cycle regulatory pathways
that underlie tumor development and                       (Rb and p53) in oral carcinogenesis but there
progression, allowing specific targeting of the           is paucity of data on the clinical relevance of
involved molecules and pathways. In this                  STAT-3 and EGFR (gene products of the
context, lack of data on the clinical relevance           mitogenic signaling pathway and involved in up
of Stat5 and Stat6 prompted us to determine               regulation of cell cycle regulatory pathway) in
their role in oral squamous cell carcinoma.               oral carcinogenesis. Hence, the present study
Number of Patients: (125; 25 premalignant and             aimed to evaluate the significance of EGFR, c
100 malignant); Number of Tests (250); Name               erb B2, STAT-3, Bcl-2 and cyclin D1
of Parameters: Stat5 and Stat6; Status: On-               expression in normal oral mucosa, and pre-
going.                                                    malignant and malignant lesions of the buccal
22. Project Title: Expression of Fas                      mucosa. Number of patients (122); Number of
receptor mRNA and Fas ligand mRNA in                      Tests (600); Name of Parameters: EGFR, c
patients with colorectal carcinoma. PI: Dr.               erb B2, STAT-3, Bcl-2 and cyclin D1;
Nandita Ghosh; CO-PI: Dr. Neelam Shah,                    Inference: Amongst the five markers studied,
Dr. Shilin Shukla, Dr. Shakuntala Shah, Dr.               cyclin D1 an important cell cycle regulatory
Rajendra Dave, Dr. Pankaj Shah; Funding:                  pathway protein was an independent predictor
Directorate of Medical Education and                      of risk for hyperplasia and early stage disease
Research; Aim: To study the expression of Fas             from normal and dysplasia conditions,
and Fas ligand (FasL) mRNA by RT-PCR in                   respectively. On the otherhand, the significant
patients with colorectal cancer to examine its            risk predicators for transition to dysplasia from
relationship      with     several     prognostic         hyperplasia and to progressive disease from
pathological     features,     to   evaluate   its        early stage were STAT-3 at step 1 followed by
correlation if any with treatment response and            EGFR. Thus, STAT-3 and EGFR associated
to correlate it with survival. Number of Patients         with the mitogenic signalling pathway play an
(50); Number of Tests (100); Name of                      equally significant role in oral carcinogenesis
Parameters: Fas ligand mRNA and Fas                       as cyclin D1 which is an important cell cycle
receptor; Status: On-going.                               regulatory pathway protein. Status: Completed;
                                                          Publication (1): 1) International Journal of
23. Project Title: Role of microsatellite
                                                          Biological Markers, 22:132-143, 2007; Title:
markers in patients with adenomatous
                                                          Molecular alterations in oral carcinogenesis:
polyps and colorectal carcinoma. PI: Dr.
                                                          significant risk predictors in malignant
Nandita Ghosh; CO-PI: Dr. Neelam Shah,
                                                          transformation      and    tumor     progression.
Dr. Shilin Shukla; Dr. Yatin Patel, Dr.
                                                          Abstract: In this study an attempt was made to
Shakuntala Shah, Dr. Jignesh Goswami, Dr.
                                                          address significance of a battery of molecular
Pankaj Shah; Funding: The Gujarat Cancer
                                                          alterations and thereby identify risk predictors
Society; Aim: To evaluate the usefulness of
                                                          in oral carcinogenesis. For this, EGFR, Stat3,
microsatellite instability status in patients with
                                                          H-ras, c-myc, p53, cyclin D1, p16, Rb, Ki-67
adenomatous polyps and colorectal cancer.
                                                          and          Bcl-2         were          localized
Number of patients: (25 adenomatous polyps
                                                          immunohistochemically in normal mucosa
and 50 adenocarcinoma); Number of Tests:
                                                          (N=12), hyperplasia (N=35), dysplasia (N=25),
(375); Name of Parameters: hMSH2 and
                                                          early stage carcinoma (N=65) and advanced
hMLH1 protein and BAT-26 (hMSH1), D5S346
                                                          stage     carcinoma      (N=70).     Deregulation


                                                     69
occurred at an early stage and number of                Bhubaneswar; 2) International symposium on
alterations increased with disease progression.         translational        Research,        December
Using multivariate logistic regression analysis,        2004,Thiruvananthapuram.
the significant risk predictor for hyperplasia          26. Project Title: Insights into basic biology
from normal mucosa was Ki-67 (OR=5.75,                  of oral cancer. PI: Dr. Prabhudas Patel; CO-
P=0.021), for dysplasia from hyperplasia, they          PI: Dr. Rakesh Rawal, Dr. Devendra Patel;
were EGFR (OR=12.96, P=0.002), Stat3                    Funding: Department of Biotechnology; Aim:
(OR=17.16, P=0.0001), p16 (OR=5.50,                     Evaluation of (i) telomerase activation (ii)
P=0.039) and c-myc (OR=5.99, P=0.052), for              evaluation of telomere length alterations and
early stage carcinoma from dysplasia, they              expression of telomere repeat binding factors,
were p53 (OR=6.63, P=0.0001) and Rb                     TRF-1 and TRF-2 (iii) expression of
(OR=3.81, P=0.056), and with further                    telomerase components including hTR (RNA
progression, they were EGFR (OR=5.50,                   component), hTERT (catalytic subunit) and
P=0.0001), Stat3 (OR=4.49, P=0.0001), H-ras             hTLP      (protein component) (iv) mutation in
(OR=4.05, P=0.001) and c-myc (OR=2.99,                  important cell cycle regulatory genes including
P=0.015). Cyclin D1 holds a key position                p53, Rb, ras and c-myc in oral scrapping
linking upstream signaling pathways to cell             samples. Number of Patients: (200); Number
cycle regulation. Gene products of mitogenic            of Tests: (2000); Name of Parameters:
signaling pathway play an equally significant           Telomerase activation, telomerase repeat
role as cell cycle regulatory proteins in               binding factors, TRF-1, TRF-2, hTERT, hTLP,
hyperplasia- dysplasia- early- advanced-                p53, Rb, ras and c-myc; Status: Ongoing;
carcinoma sequence and together may provide             Publication (1): 1) Biomarker Insights 2: 12–22,
a reference panel of markers for use in                 2007; Title: Clinical significance of telomere
defining premalignant lesions and predicting            length and associated proteins in oral cancer.
risk of malignant transformation and tumor              Abstract: Telomere shortening is an important
progression. Presentations (3): 1) International        event during carcinogenesis. Although studies
Symposium on Translational Research,                    suggest role of multiple proteins in telomere
December 2005, Trivendrum; 2) 26th IACR,                length regulation, there is dearth of reports in
                                       th
January 2007, Bhuvneshwar; 3) 27 IACR,                  oral cancer which is a leading malignancy in
February 2008, Ahmedabad.                               Asian countries especially in India. Thus the
Biochemistry Research:                                  present study was carried out to study these
25. Project Title: Multi-parametric approach            mechanisms and explore the pathways
to predict treatment outcome in patients                involved in telomere - telomerase regulation
with malignant solid tumors undergoing                  and identify possible prognostic markers to
primary radiotherapy. PI: Dr. Prabhudas                 understand the biology of oral tumors for better
Patel; CO-PI: Dr. Rakesh Rawal, Dr. Shilin              treatment approaches. Telomere length was
Shukla,      Dr.   Pankaj     Shah;    Funding:         determined by southern hybridisation method,
Department of Atomic Energy; Aim: To assess             telomeric repeat binding factor (TRF) 1 and 2
the clinical usefulness of molecular and                expression was detected by western blot
biochemical markers in patients with head and           method and telomerase activation by telomeric
neck cancer and cervix cancer undergoing                repeat amplifi cation protocol. Statistical
radiotheraphy as primary anti cancer                    analysis was done using SPSS (Version 10)
treatment. Number of Patients: (200); Number            software. Significant shortening of telomeres
of Tests: (2800); Name of Parameters:                   was seen in the tumor tissues as compared to
Glutathione       S-transerase,       Glutathion        normal tissues. Poor prognosis was observed
Reductase,        Glutathione       Peroxidase,         in the patients with higher telomere length in
Superoxide Dismutase, Catalase, Lipid                   malignant tissue, higher tumor to normal
Peroxidation, Total and Lipid bound Sialic acid,        telomere length ratio (T/N TRF LR).
Seromucoid Fraction, p53, p21, NFK-B, DNA               Expression of TRF-2 but not TRF-1 protein
damage and repair by comet assay (Single                was significantly higher in the malignant
Cell Gel electrphoresis); Status: On-going;             tissues. We also observed telomerase
                        th
Presentations (2): 1) 26 IACR, January 2007,            activation in 75 malignant tissues. Our results


                                                   70
reveal significant clinical usefulness of               30. Project Title: E-cadherin expression as
telomere length, T/N TRF LR and telomerase              marker for invasion and metastasis in
activation in the prognosis of oral cancer              breast cancer. PI: Dr. Franky Shah; CO-PI:
patients. TRF-2 overexpression in malignant             Dr. Prabhudas Patel, Dr. Shilin Shukla, Dr.
tissues appears to play an important role in            Pankaj Shah; Funding: The Directorate of
telomere length shortening in oral cancer.              Medical Education and Research; Aim: Breast
Presentations (2): 1) 26th IACR, January 2007,          cancer is a leading female malignancy and
Bhubaneswar; 2) 24th IACR, February 2005,               invasion and metastasis is the major problem
Noida.                                                  in these patients. The expression of E-
27. Project Title: Study of GST-T1, GST-M1              cadherin, which is directly related to cell to cell
and CYP1A1 polymorphisms in oral cancer.                cohesion, is inversely correlated with tumor
PI: Dr. Prabhudas Patel; CO-PI: Dr. Shilin              progression and metastasis. Therefore, this
Shukla, Dr. Pankaj Shah; Funding: The                   project work is proposed to study E-cadherin in
Directorate of Medical Education & Research;            breast cancer patients, which may be
Aim: Analysis of the polymerphisms in GST               significantly useful in prognostication and early
T1, GST-M1 and CYP1A1 genes in patients                 detection of metastasis in breast cancer
with oral cancer and patients with oral                 patients. Number of Patients: (150); Number of
precancers. Number of Patients: (150);                  Tests: (150); Name of Parameters: E-cadherin;
Number of Tests: (450); Name of Parameters:             Status: On-going.
GST-M1, GST-T1 and CYP1A1 genotype;                     31. Project Title: Role of Nitric Oxide and its
Status: On-going; Presentation (1): 1) National         associated biomarkers in oral cancer. PI:
Symposium on Apoptosis and Cancer,                      Dr. Jayendra Patel; CO-PI: Dr. Prabhudas
December 2007, Vadodara.                                Patel, Dr. Shilin Shukla, Dr. Pankaj Shah;
28. Project Title: Evaluation of NF-kB                  Funding: The Directorate of Medical Education
activation pathway in oral cancer. PI: Dr.              and Research; Aim: Oral cancer is a leading
Prabhudas Patel; CO-PI: Dr. Beena Patel,                malignancy in India. It is a multi-step process
Dr. Hemant Shukla; Funding: The Gujarat                 progressing through various stages including
Cancer Society; Aim: (i) To study role of NF-Kb         hyperplasia, dysplasia and carcinoma in situ.
activation pathways including activation of NF-         Free radicals and antioxidant enzymes play an
KB dissociation of NF-KB inhibitory proteins,           important role in development of oral cancer.
IKBs, up regulation of interlukin-8 (IL-8) and          Therefore, aims of project are to (i) evaluate
activation of matrix metalloproteins, MMP-2             plasma nitrite+nitrate (NO2+NO3) in healthy
and MMP-9 (ii) to study clinical usefulness of          individuals without habit (NHT), healthy
the status of the NF-KB pathways in early               individuals with tobacco habits (WHT) and oral
diagnosis and management of oral cancer                 cancer patients, (ii) study of expression of
patients. Number of Patients: (150), Number of          inducible nitric oxide (iNOS) in oral cancer
Tests: (450); Name of Parameters: NF-kB,                patients, (iii) estimate antioxidant enzymes in
IKBs, IL-8, MMP-2, MMP-9; Status: On-going;             NHT, WHT, and oral cancer patients, (iv) study
Presentation (1): 1) International Symposium            association of plasma NO2+NO3 with
on Translational Research, December 2004,               antioxidant enzymes. Number of Patients:
Thiruvananthapuram.                                     (150); Number of Tests: (600); Name of
                                                        Parameters:         NO2+NO3,          Superoxide
29. Project Title: Study of molecular
                                                        dismutase, catalase, Inducible Nitric oxide;
mechanism in head and neck cancer. PI:
                                                        Status: On-going.
Dr. Prabhudas Patel; CO-PI: Dr. Shilin
Shukla, Dr. Pankaj Shah, Dr. Shakuntala                 Receptor and Growth Factor Lab:
Shah, Dr. Rakesh Rawal; Funding: The                    32. Project Title: Progesterone receptor
Gujarat Cancer Society; Aim: Study of                   isoforms in breast cancer. PI: Dr. Sunil
differential protein expression profiles between        Trivedi; CO-PI: Dr. Manoj Shah; Funding:
tumor and adjacent normal tissues from head             The Gujarat Cancer Society; Aim: (i) To detect
and neck cancer patients. Number of Patients:           progesterone receptor (PR) in human breast
(150); Number of Tests: (150); Name of                  tumors, (ii) To estimate the progesterone
Parameters: Protein Profile; Status: On-going.          receptor (PR) protein isoforms in breast tumor
                                                        tissues,     malignant     lymph    nodes      and


                                                   71
macroscopically normal breast tissue in                    was seen in ~90% tumors. (v) TBRI was
synchronous tissues (obtained at the same                  highest in positive LN and lowest in normal
surgery), (iii) To correlate PR protein isoforms           tissues. Further, TβRI expression was reduced
to established prognosticators (PR DCC levels;             to half in 30% early and 40% advanced
TNM stage; node positivity; various histologic             tumors. Amongst the tumors with TβRI
parameters [histologic type, histologic grade,             expression, the magnitude of rise was higher
vascular permeation, lymphatic permeation,                 for advanced (1.49 fold) as compared to early
lymphocytic infiltration]), (iv) To evaluate these         tumors (0.80 fold). (vi) TβRII was highest in
parameters for prognostication in a short                  normal tissues than tumors. Majority of tumors
follow-up of 2 years (and compute overall- and             exhibited reduced TβRII expression. (vii)
relapse – free survival). Number of Patients:              TβRIII was lowest in LNs than tumors and
(100); Number of Tests: (250); Name of                     normal. TβRIII expression was reduced in 48%
Parameters: Progesterone receptor isoforms,                early- and 88% advanced primaries; extent of
PR – DCC; Inference: PR isoforms were                      expression was higher (5.02 fold) in advanced
detectable in around 40% of primary tumors,                tumors with increased expression as
malignant lymph nodes and around 20                        compared to only 1.83 fold for early tumors.
macroscopically normal tissues. Status: On-                Status: On-going; Presentation (1): 1) 27
                                                                                                            th


going.                                                     IACR, February 2008, Ahmedabad.
33.     Project      Title:      Receptors     for         34. Project Title: Study of estrogen receptor
transforming growth factor β and their                     system in human breast cancer. PI: Dr.
coactivators in breast carcinoma. PI: Dr.                  Sunil Trivedi; CO-PI: Dr. Shilin Shukla;
Sunil Trivedi; CO-PI: Dr. Manoj Shah;                      Funding: Gujarat State Biotechnology Mission;
Funding: The Gujarat Cancer Society; Aim: (i)              Aim: (i) To evaluate co-expression of ER α and
Estimation of TGFβ (1,2,3) RNA levels in                   ER β at RNA levels in the prognostication of
breast carcinoma tissues, (ii) To correlate                operable human breast cancers, (ii) To
TGFβ RNA levels to clinico-pathologic                      correlate these levels to clinicopathologic
variables in breast cancers, (iii) To estimate             prognosticators; Number of Patients: (100);
levels of TβR (I, II, III) levels (Protein, RNA)           Number of Tests: (200); Name of Parameters:
and correlate them with other prognosticators              (i) m RNA ERα, (ii) mRNA ER β. Inference: (i)
in breast cancers, (iv) Correlation of all these           we have been able to detect ERα and ER β
likely prognostic variables to other known                 mRNA in primary tumors, malignant LN and
histologic variables in breast cancers in a                adjacent normal tissues, (ii) Incidence of ER β
follow-up study of 2 years. Number of Patients:            RNA expression was significantly lesser than
(200); Number of Tests: (600); Name of                     ERα.      Their      relationship     with   other
Parameters: mRNA levels of (i) TGF β-1, (ii)               prognosticators is being analyzed. Status: On-
TGF β-2, (ii) TGF β-3, (iv) TβR-I, (v) TβR-II, (vi)        going.
TβR-III, (vii) GAPDH as house keeping gene;                35. Project Title: Expression of co-activator
Inference: The transcript levels exhibited a               SMAD-4 in human breast carcinoma. PI: Dr.
unique pattern in each group. (i) Expression of            Sunil Trivedi; CO-PI: Heena Dave; Funding:
GAPDH was maximum as compared to all set                   Directorate of Medical Education and
of genes and all tissues; (ii) Tumor TGF-β1                Research; Aim: (i) To determine expression of
was higher than adjacent normal tissues and                common mediator SMAD-4 in breast
lower than malignant LN. Further, TGF-β1                   carcinoma,      (ii)   To     correlate    SMAD-4
expression was less (50%) than adjacent                    expression profiles with clinico-pathological
normal tissues in 80% early tumors while in                prognosticators,      (iii)  To     evaluate   the
20%, it was 2.5 fold higher. (iii) Tumor TGF-β2            usefulness of SMAD-4 estimation in predicting
was highest than both (positive LN and normal              treatment response. Number of Patients:
tissue). Further, TGF-β2, showed an increased              (150); Number of Tests: (150); Name of
expression (1.95 fold) in 40% early tumors and             Parameters: m RNA SMAD-4; Inference: (i) we
(4.29 fold) in advanced tumors. (iv) A similar             have been able to detect SMAD-4 mRNA in
expression of TGF-β3 was seen in all sample                primary tumors, malignant LN and adjacent
types. Further, reduced TGF-β3 expression                  normal tissues, (ii) Half of the tumors showed


                                                      72
~61% reduction of SMAD-4 RNA as compared                  leukemogenesis. The study aimed to
to the synchronous normal tissues, (iii)                  determine role of FLT3 in AML. Number of
Similarly, synchronous malignant lymph nodes              Patients (100); Number of Tests (375); Name
exhibited a reduction in SMAD-4 RNA by                    of Parameters: FLT3 mutation and protein;
                                                                                                         th
~64%.      Their     relationship    with    other        Status: On-going; Presentation (1): 1) 27
prognosticators is being analyzed. Status: On-            IACR, February 2008, Ahmedabad.
going.                                                    39. Project Title: A study of apoptosis-
36. Project Title: Estimation of insulin like             related proetin expression in minimal
growth      factors      in   human       cervical        residual disease in acute myeloid leukemia
carcinoma. PI: Dr. Sunil Trivedi; CO-PI: Dr.              by flow cytometry. PI: Dr. Hemangini Vora,
Rakesh Vyas, Ms. Heena Dave; Funding:                     Dr. Shilin Shukla; CO-PI: Ms. Nilima Desai,
Directorate of Medical Education and                      Dr. Sonia Parikh, Dr. Shailesh Talati, Dr.
Research; Aim: (i) To estimate the Insulin like           Manoj Shah, Dr. Swapan Desai, Dr. Pankaj
Growth Factors (-I, -II) and their binding protein        Shah; Funding: Gujarat Cancer Society; Aim:
(IGFBP-3) in human cervical carcinoma, (ii) To            In acute myeloid leukemia (AML), the complete
correlate their levels with clinico-pathological          remission rate has been reported in 70-80%
prognosticators, (iii) To assess the utility of           patients, however; approximately 60-70% of
IGF-I, IGF-II and IGFBP-3 in predicting                   the patients will eventually relapse because of
treatment response and survival. Number of                the presence of residual leukemia cells.
Patients: (100); Number of Tests: (300); Name             Measuring apoptosis parameters in MRD cells
of Parameters: (i) IGF-I, IGF-II, IGFBP-3;                will help to unravel the importance of apoptosis
Inference: We have analyzed these molecules               resistance in AML. Therefore, the study aimed
from 42 patients before start of any treatment            to determine apoptosis related proteins to
(Pre-therapeutic values) till date. (i) The               detect MRD in AML by Flow Cytometry.
median IGF-I, IGF-II and IGFBP-3 were 144                 Number of Patients (50); Number of Tests
ng/ml, 994 ng/ml and 3187.50 ng/ml serum                  (200); Name of Parameters: apoptotic
respectively. Their relationship with other               markers; Status: On-going.
prognosticators is being analyzed. Status: On-            40. Project Title: Detection of truncated
going.                                                    Her-2 neu protein in patients with breast
Immunohistochemistry:                                     cancer. PI: Dr. Hemangini Vora; Dr. Shilin
37. Project Title: Study of Her-2 neu                     Shukla; CO-PI: Dr. Harsha Panchal, Dr.
expression in breast cancer and its                       Manoj Shah, Dr. Pankaj Shah; Funding:
correlation with ER, PR, clinicopathological              Directorate of Medical Education and
parameters and treatment. PI: Dr. Shilin                  Research; Aim: In earlier study on Her-2 neu
Shukla, Dr. Hemangini Vora; CO-PI: Dr.                    mRNA in breast cancer, splice variant of Her-2
Manoj Shah, Dr. Harsha Panchal, Ms. Nilima                neu mRNA was detected which correlated with
Desai, Dr. Pankaj Shah; Funding:              The         early tumor recurrence. The hypothesis made
Gujarat Cancer Society; Aim: To study role of             that is protein translated by variant HER-2 neu
Her-2 neu signalling in breast cancer. Number             mRNA truncated? The study aimed to detect
of Patients (100); Number of Tests (300);                 the role of truncated HER-2 neu protein in
Name of Parameters: Her-2 neu mutation and                breast cancer. Number of Patients (60);
protein; Status: On-going; Presentation (1): 1)           Number of Tests (75); Name of Parameters:
   th
27 IACR, February 2008, Ahmedabad.                        Her-2 neu extracellular and intracellular
                                                          domain protein; Status: On-going; Presentation
38. Project Title: FLT3 Expression in acute                          th
                                                          (1): 1) 27 IACR, February 2008, Ahmedabad.
myeloid leukaemia. PI:            Dr. Hemangini
Vora; Dr. Shilin Shukla; CO-PI: Ms. Nilima                41. Project Title: A study of PRR1 and PRR2
Desai, Dr. Sonia Parikh, Dr. Shailesh Talati,             proteins expression in AML and ALL
Dr. Manoj Shah, Dr. Swapan Desai, Dr.                     patients by flow cytometry. PI:              Dr.
Pankaj Shah; Funding: The Gujarat Cancer                  Hemangini Vora, Dr. Shilin Shukla; CO-PI:
Society; Aim: FLT3 tyrosine kinase receptor is            Dr. Sonia Parikh, Dr. Manoj Shah, Dr.
highly expressed in most acute leukemia and               Pankaj Shah; Funding: Directorate of Medical
frequently mutated and might contribute to the            Education and Research; Aim: Poliovirus
altered     signalling      that     characterizes        receptor-related (PRR1 and PRR2) proteins


                                                     73
belong to the Nectin-adhesion molecules                  expression of cytokeratin (a cytoskeletal
group, are expressed on endothelial cells and            marker) and vimentin (a mesenchymal marker)
on CD34+ stem cells and mediate the                      was studied which indicated that gain of
organization of endothelial and epithelial               vimentin expression and loss of cytokeratin
junctions. Both may participate not only in              expression are indicators of biologically
adhesive reactions but also in transendothelial          aggressive breast carcinomas. In light of these
migration of monocytes or in regulation of               findings, the study aimed to answer – Does
intracellular     functions     through    signal        PRL-3 driven PI3K-AKT signaling pathway has
transduction. These molecules might also play            a role in mediating EMT in breast cancer?
a role in the pathogenesis of leukemia. The              Number of Patients (100); Number of Tests
goal is to study expression of PRR1 and PRR2             (1200); Name of Parameters: PRL-3, Snail,
on blasts of AML and ALL at initial diagnosis to         Her-2 neu, fibronectin, vimentin, N-cadherin,
determine their diagnostic and prognostic                E-cadherin, cytokeratin, alpha and gamma
relevance. Number of Patients (100); Number              catenin; Status: On-going.
of Tests (230); Name of Parameters: PRR1                 Medicinal             Chemistry             and
and PRR2 protein; Status: On-going;                      Pharmacogenomics:
                         th
Presentation (1): 1) 27 IACR, February 2008,
                                                         44. Project Title: To assess the medicinal
Ahmedabad.
                                                         value of wheatgrass as nutritional
42. Project Title: A study of methylation of             supplement for rectification of anemia in
tumor suppressor gene PTEN in patients                   patients with solid tumour receiving
with breast cancer. PI: Dr. Hemangini Vora,              platinum based chemotherapy. PI: Dr.
Dr. Shilin Shukla, Dr. Manoj Shah, Dr.                   Rakesh Rawal; CO-PI: Dr. Shilin Shukla;
Pankaj Shah; Funding: The Gujarat Cancer                 Funding: The Gujarat Cancer Society; Aim: To
Society; Aim: PTEN, the lipid phosphatase and            assess the medicinal value of wheatgrass.
tensin homologue, is a key tumor suppressor.             Number of Patients (25); Number of Tests
PTEN not only antagonizes tumorigenesis but              (250; pretreatment blood samples + follow-up
also sensitizes breast cancer to targeted                samples); Name of Parameters: IL5,6, TNF-a,
therapy with trastuzumab. The loss of PTEN               TGF-b, hEPO; Status: On-going.
predicts resistance to trastuzumab treatment
                                                         45. Project Title: Assessment of LDH as a
and chemo/endocrine therapy. The goal of this
                                                         potential drug target. PI: Dr. Rakesh Rawal;
proposal is to study the role of PTEN and
                                                         CO-PI: Dr. Shilin Shukla; Funding: The
PI3K-AKT pathway in breast cancer. Number
                                                         Gujarat Cancer Society; Aim: Insilico analysis
of Patients (150; Malignant and Benign);
                                                         of LDH molecule using bioinformatics tools for
Number of Tests (700); Name of Parameters:
                                                         identification of putative binding sites and
PTEN gene, PTEN and AKT protein; Status:
                                                         designing of small molecule ligand for docking
On-going.
                                                         studies. Invitro analysis of the same designed
43. Project Title: Epithelial mesenchymal                ligand to check its anticancer potentiality.
transition in breast cancer: Role of PRL-3               Number of Patients (NA); Number of Tests
mediated PI3K-AKT pathway. PI:                Dr.        (NA; pretreatment blood samples + follow-up
Hemangini Vora, Dr. Shilin Shukla, Dr.                   samples); Name of Parameters: Insilico study;
Manoj Shah, Dr. Pankaj Shah; Funding: The                Status: On-going.
Gujarat Cancer Society; Aim: Epithelial–
                                                         46. Project Title: To evaluate the molecular
mesenchymal transition (EMT) is an important
                                                         mechanism of Imatinib resistance in
process during development by which
                                                         patients with CML. PI: Dr. Rakesh Rawal;
epithelial     cells    acquire     mesenchymal,
                                                         CO-PI: Dr. Shilin Shukla; Dr. Sonia Parikh;
fibroblast-like properties and show reduced
                                                         Funding: The Gujarat Cancer Society; Aim:
intercellular adhesion and increased motility.
                                                         Gene expression and biochemical profiling to
Accumulating evidence points to a critical role
                                                         predict     molecular    mechanism    that    is
of EMT-like events during tumor progression
                                                         associated with cytogenetic response in
and malignant transformation, endowing the
                                                         chronic phase CML patients after 12 months of
incipient cancer cell with invasive and
                                                         Imatinib therapy. Number of Patients (100);
metastatic properties. In a preliminary work,
                                                         Number of Tests (300; pretreatment blood

                                                    74
samples + follow-up samples); Name of                    49. Project Title: Population based cancer
Parameters: alpha-1 acid glycoprotein, serum             registry - Ahmedabad Urban Agglomeration
Imatinib Insilico study; Status: On-going.               Area. PI: Dr. Pankaj Shah, CO-PI: Dr. Shilin
Community Oncology & Medical Records:                    Shukla, Dr. Parimal Jivrajani; Funding:
                                                         National Cancer Registry Programme, ICMR;
47. Project Title: Rural Cancer Registry
                                                         Aim: (i) To study cancer patterns in the male
Project, Ahmedabad District. PI: Dr. Pankaj
                                                         and female population of all in the Ahmedabad
Shah; CO-PI: Dr. Shilin Shukla, Dr. Parimal
                                                         Urban Agglomeration Area, (ii) To have a valid
Jivrajani; Funding: National Cancer Registry
                                                         estimate of annual incidence of cancer cases
Programme, ICMR; Aim: (i) To study cancer
                                                         in the Ahmedabad Urban Agglomeration Area,
patterns in the male and female population of
                                                         (iii) To study cancer related mortality through
all ages in the rural district of Ahmedabad, (ii)
                                                         death records from the Municipal Corporation
To have a valid estimate of annual incidence of
                                                         and Municipality Offices, (iv)        To initiate
cancer cases in the Ahmedabad District, (iii)
                                                         appropriate Epidemiological studies on specific
To study cancer related mortality through
                                                         problems which emerge as important and
death records from Village/Nagar Panchayat
                                                         relevant to the population of the Ahmedabad
Offices and from the information collected by
                                                         Urban Agglomeration Area, (v) To have a
health workers during home visits, (iv) To
                                                         valid estimate of time trends in the incidence of
initiate appropriate epidemiological studies on
                                                         cancer      in    the     Ahmedabad        Urban
specific problems which emerge as important
                                                         Agglomeration       Area.    Status:    On-going;
and relevant to the population of the district.
                                                         Presentation: 1) Progress report of year 2007
Status: On-going; Presentation (1): 1) Report
                                                         for Population Based Cancer            Registry –
of year 2004-2005 for Rural Cancer Registry in
                                                         Ahmedabad Urban Agglomeration Area in
XXIII Annual Review Meeting, NCRP, ICMR,
                                                         XXIII Annual Review Meeting, NCRP, ICMR,
Aizwal, November 2007; 2) Progress report of
                                                         November 2007, Aizwal.
year 2005-2006 for Rural Cancer Registry in
XXIII Annual Review Meeting, NCRP, ICMR,                 50. Project Title: Development of an Atlas
November 2007, Aizwal.                                   of Cancer in Gujarat. PI: Dr. Pankaj Shah;
                                                         CO-PI: Dr. Shilin Shukla, Dr. Parimal
48. Project Title: Ahmedabad District
                                                         Jivrajani; Funding: Government of Gujarat;
Cancer Control Programme. PI: Dr. Pankaj
                                                         Aim: (i) To obtain the overview of patterns of
Shah, CO-PI: Dr. Shilin Shukla, Dr. Parimal
                                                         cancer in different part of the Gujarat State, (ii)
Jivrajani; Funding: National Cancer Control
                                                         To calculate estimate of cancer incidence, (iii)
Programme, Government of India (MOHFW);
                                                         To strengthen the pathology department of
Aim: The ADCCP has been designed with a
                                                         major Government Hospitals and Medical
focus on: (i) prevention of cancer, (ii) early
                                                         Colleges in the field of oncopathology. Status:
detection, (iii) minimal treatment of common
                                                         On-going.
cancers, (iv) provision of supportive care in the
district. Inference: The important components            51. Project Title: Patterns of care and
of this project are 1) Intensive public                  survival studies of cancer cervix, cancer
education, particularly about prevention and             breast and head & neck cancers. PI: Dr.
early diagnosis and identifying increasing risk          Pankaj Shah; CO-PI: Dr. Shilin Shukla, Dr.
population, 2) Spreading cancer knowledge                Parimal Jivrajani; Funding: National Cancer
through IEC and detection camps and mobile               Registry Programme, ICMR; Aim: (i) To obtain
exhibition camps, 3) A total of 152 villages             core identifying and diagnostic information in
                            nd
were covered in the 2 year ADCCP, 4)                     all patients with cancer cervix/ cancer breast/
Around 6000 patients were screened for                   head and neck cancers, (ii) To record details
common cancer, 5) Approximately patients                 of clinical stage and types of treatment in all
referred as suspicious at GCRI are Head &                patients commenced on cancer directed
Neck and others – 45, Breast – 50 and Cervix             treatment, (iii) To have periodic follow-up and
(VILI positive) – 141, 6) 8 patients have been           record the patient and disease status in all
diagnosed with cancer and precancerous                   patients so as to have clinical stage and
cases (LSI9L/HSIL) are 3 and ASCUS are 27.               treatment based survival on these sites of
Status: On-going.                                        cancer. Status: On-going.



                                                    75
                                         CLINICAL TRIALS
                                     APRIL 2007 – MARCH 2008
Medical Oncology:                                    response between Arm A (Paclitaxel plus AMG
1. Project Title: A phase III, multicenter, 706/placebo) and Arm B (Paclitaxel plus AMG
randomized, placebo-controlled, double- 706), to estimate the differences in objective
blind trial of AMG 706 in combination with response rate, progression-free survival time,
Paclitaxel and Carboplatin for advanced clinical benefit, overall survival and duration of
non-small cell lung cancer. PI: Dr. Kirti response between Arm B (Paclitaxel plus AMG
Patel; CO-PI: Dr. Shilin Shukla, Dr. Bharat 706) and Arm C (Paclitaxel plus Bevacizumab),
Parikh, Dr. Asha Anand, Dr. Shailesh Talati, to evaluate safety and tolerability in the three
Dr. Sandip Shah, Dr. Harsha Panchal, Dr. treatment arms. Number of Patients: (20);
Apurva Patel, Dr. Sonia Parikh; Funding Number of Tests: (168); Name of Parameters:
agency: Amgen Tech Pvt Ltd; Aim: To Response Rate: CT scan of chest, abdomen,
determine if treatment with AMG 706 in pelvis, brain, whole body bone scintigraphy;
combination with Paclitaxel and Carboplatin tumour responses will be measured and
improves overall survival compared to recorded by using the RECIST guidelines;
treatment with placebo in combination with toxicity: haematology (complete blood count
Paclitaxel and Carboplatin in subjects with including differential), coagulation factors (PTT,
advanced NSCLC. Number of Patients: (62); INR), blood chemistry (creatinine, total
Number of Tests: (2180); Name of Parameters: bilirubin, AST, ALT, alkaline phosphatase, free
response rate: CT or MRI of head, chest, T4, TSH, lipase, amylase), dipstic urine
abdomen and pelvis, bone scan; tumour analysis, pregnancy test (serum or urine),
responses will be measured and recorded by HER2 status; survival: OS, DFS by statistical
using the RECIST guidelines; toxicity: analyses; Status: On-going.
haematology panels: Hb, haematocrit, RBC, 3. Project Title: A randomized phase III trial
MCV, WBC, DC, platelets, ANC, chemistry of ALIMTA® (Pemetrexed) and Carboplatin
panels: total bilirubin, alkaline phosphatase, versus Etoposide and Carboplatin in
ALT, AST, BUN or urea, creatinine, glucose, extensive stage small cell lung cancer. PI:
bicarbonate, sodium, potassium, chloride, uric Dr. Kirti Patel; CO-PI: Dr. Shilin Shukla, Dr.
acid, LDH, albumin, s.amylase and s.lipase, Bharat Parikh, Dr. Asha Anand, Dr. Shailesh
free T4 and TSH , PTT, INR, urine analysis, Talati, Dr. Sandip Shah, Dr. Harsha Panchal,
survival: OS, DFS by statistical analyses; Dr. Apurva Patel, Dr. Sonia Parikh; Funding
Status: On-going.                                    agency: Eli-lilly; Aim: To compare the overall
2. Project Title: A randomized phase II Trial survival of previously untreated patients with
of double-blind, placebo-controlled AMG ED-SCLC after treatment with Pemetrexed
706 in combination with Paclitaxel, or open- plus Carboplatin versus Etoposide plus
label Bevacizumab in combination with Carboplatin. Number of Patients: (100);
Paclitaxel, as first line therapy in women Number of Tests: (1400); Name of Parameters:
with HER2 negative locally recurrent or Response Rate: CT Scan and MRI, tumour
metastatic breast cancer. PI: Dr. Asha responses will be measured and recorded by
Anand; CO-PI: Dr. Kirti Patel, Dr. Shilin using the RECIST guidelines; toxicity:
Shukla, Dr. Bharat Parikh, Dr. Shailesh haematology (Hb, WBC, platelets, neutrophils),
Talati, Dr. Sandip Shah, Dr. Harsha Panchal, chemistry (total bilirubin, alkaline phosphatase,
Dr. Apurva Patel, Dr. Sonia Parikh; Funding ALT, AST, s.creatinine, LDH), serum and urine
agency: Amgen Tech Pvt Ltd; Aim: The pregnancy test, creatinine clearance, survival:
primary objective of the study is to determine if OS, DFS by statistical analyses;          Status:
treatment with Paclitaxel and AMG 706 is             Enrollment stopped.
superior to Paclitaxel plus AMG 706 /placebo 4. Project Title: A phase III randomized
in patients with HER2 negative locally recurrent controlled trial of Myocet, Trastuzumab and
or metastatic breast cancer based on objective Paclitaxel            versus    Trastuzumab     and
response rates, Secondary: to estimate the Paclitaxel for first line therapy of metastatic
differences in progression-free survival time, breast cancer. PI: Dr. Harsha Panchal; CO-
clinical benefit, overall survival and duration of PI: Dr. Kirti Patel, Dr. Shilin Shukla, Dr.
                                                  76
Bharat Parikh, Dr. Asha Anand, Dr. Shailesh                chemistry: (sodium, potassium, chloride,
Talati, Dr. Sandip Shah, Dr. Apurva Patel,                 bicarbonate, BUN, creatinine, uric acid,
Dr. Sonia Parikh; Funding agency: Sopherion                glucose,     AST(SGOT),      ALT(GTP),      total
Therapeutics Inc; Aim: Primary: Progression                bilirubin, magnesium, calcium, phosphorus,
free survival (PFS) in the final analysis and              alkaline phosphatase, total protein, albumin,
objective response rate in the interim analysis,           LDH, CK, urine analysis, pregnancy test, ECG;
Secondary: overall survival objective response             Survival: OS, DFS by statistical analyses;
rate (complete and partial) in the final analysis          Status: On-going.
safety profile. Number of Patients: (56);                  6. Project Title: A phase II safety and
Number of Tests: (1848); Name of Parameters:               efficacy study of bavituximab plus
CT Scan and MRI of chest/abdomen/pelvis,                   paclitaxel and carboplatin in patients with
bone scan, MUGA scan or echocardiogram;                    previously untreated locally advanced or
tumour responses will be measured and                      metastatic NSCLC. PI: Dr. Apurva Patel;
recorded by using the RECIST guidelines;                   CO-PI: Dr. Kirti Patel, Dr. Shilin Shukla, Dr.
toxicity: haematology (CBC), chemistry:                    Bharat Parikh, Dr. Asha Anand, Dr. Shailesh
(sodium, potassium, chloride, bicarbonate,                 Talati, Dr. Sandip Shah, Dr. Harsha Panchal,
BUN,      creatinine,  uric    acid,     glucose,          Dr. Sonia Parikh, Dr. Ashish Gupta; Funding
AST(SGOT),        ALT(GTP),     total    bilirubin,        agency: Clinigene International Pvt Ltd; Aim:
magnesium, calcium, phosphorus, alkaline                   Primary objective: To determine the overall
phosphatase, total protein, albumin, LDH, CK,              response rate to a combination of Bavituximab
urine analysis, pregnancy test, ECG, HER2                  plus Carboplatin and Paclitaxel in patients with
status, survival: OS, DFS by statistical                   locally advanced or metastatic NSCLC;
analyses; Status: On-going.                                Secondary objective: To determine time to
5. Project Title: Protocol EFC 10339:                      progression, duration of response, overall
International randomized study to evaluate                 survival and safety; Number of Patients: (49);
the     addition    of   docetaxel      to     the         Number of Tests: (392); Name of Parameters:
combination of Cisplatin-5-Fluorouracil                    CT scan chest and abdomen, tumour
(TCF) vs Cisplatin 5-Fluorouracil (CF) in the              responses will be measured and recorded by
induction treatment of nasopharyngeal                      using the RECIST; toxicity: haematology,
carcinoma       (NPC)     in    children       and         coagulation, d-dimer and serum chemistries,
adolescents. PI: Dr. Shailesh Talati; CO-PI:               blood for anti chimeric antibodies, pregnancy
Dr. Kirti Patel, Dr. Shilin Shukla, Dr. Bharat             test; Survival: OS, DFS by statistical analyses;
Parikh, Dr. Asha Anand, Dr. Shailesh Talati,               Status: On-going.
Dr. Sandip Shah, Dr. Harsha Panchal, Dr.                   7. Project Title: A phase II, open label,
Apurva Patel, Dr. Sonia Parikh, Dr. Amit                   randomized, multicenter trial of Pazopanib
Joshi; Funding agency: Sanofi Aventis; Aim:                (GW786034) in combination with Lapatinib
To estimate the complete response (CR) rate                (GW 572016) compared to Pazopanib
of TCF compared to CF in the induction                     monotherapy and Lapatinib monotherapy in
treatment of NPC, to determine the safety of               subjects with FIGO Stage IV B or recurrent
TCF in comparisons to CF after induction                   or persistent cervical cancer with zero or
treatment of NPC, to determine overall                     one prior chemotherapy regimen for
response of TCF and CF on completion of                    advanced/recurrent disease. PI: Dr. Apurva
induction and consolidation, treatment of NPC:             Patel; CO-PI: Dr. Kirti Patel, Dr. Shilin
to compare overall survival between TCF and                Shukla, Dr. Bharat Parikh, Dr. Asha Anand,
CF, to characterize the role of EBV in the                 Dr. Shailesh Talati, Dr. Sandip Shah, Dr.
pathogenesis of NPC and investigate the                    Harsha Panchal, Dr. Sonia Parikh, Dr.
predictive value of the detection of the EBV-              Ashish Gupta; Funding agency: The Glaxo
DNA in the peripheral blood of children with               SmithKline group of Companies; Aim: To
NPC. Number of Patients: (100); Number of                  evaluate progression-free survival (PFS) of the
Tests: (2600); Name of Parameters: Response                combination regimen versus each of the
Rate: CT Scan and MRI of head and neck, in                 monotherapy arm in subjects with FIGO Stage
addition CT/MRI scan of chest, abdomen,                    IV B or recurrent or persistent cervical cancer
pelvis, bone scan; tumour responses will be                with zero or one prior chemotherapy regimen
measured and recorded by using the RECIST                  for advanced/recurrent disease. Number of
guidelines; toxicity: haematology (CBC),                   Patients: (180; 60 subjects/arm will be enrolled
                                                      77
in a 12 month period all over world [(40                    (130); Number of Tests: (520), Name of
patients in India over 4 centers)]; Number of               Parameters: Toxicity: routine haematology
Tests: (370); Name of Parameters: CT                        assessment,        routine     blood    chemistry,
Scan/MRI chest and abdomen, pelvis,                         immunological assessment, urine analysis,
echocardiogram; tumour responses will be                    survival: OS, DFS by statistical analyses;
measured and recorded by using the RECIST                   Status: On-going.
guidelines; toxicity: haematology (HCT, HGB,                10. Project Title: A randomized, controlled
PT, WBC, DC), coagulation test: (PT, PTT,                   phase III trial of Picoplatin and Best
INR), chemistry: alkaline phosphatase, ALT,                 Supportive Care (BSC) versus BSC alone in
AST,               bicarbonate,            bilirubin        patients with small cell lung cancer (SCLC),
(total/direct/indirect), BUN, chloride, creatinine,         refractory or progressive within six months
calculated creatinine clearance, albumin, urea,             of completing first-line, platinum containing
uric acid, calcium, magnesium, phosphate,                   chemotherapy. PI: Dr. Shailesh Talati; CO-
potassium,        sodium,     glucose,     lactase          PI: Dr. Kirti Patel, Dr. Shilin Shukla, Dr.
dehydrogenase (LDH), protein (total), urine                 Bharat Parikh, Dr. Asha Anand, Dr. Sandip
analysis, TFT; survival: OS, DFS by statistical             Shah, Dr. Harsha Panchal, Dr. Apurva
analyses; Status: Completed.                                Patel, Dr. Sonia Parikh;            Aim: Primary:
8. Project Title: An open label multicentric                Overall survival, Secondary: The duration of
study to assess the efficacy and safety of                  response, progression free survival; Safety:
Recombinant Human Granulocyte Colony                        Safety will be evaluated by the incidence of
Stimulating Factor (Filgrastim) injections in               laboratory and non-laboratory adverse events,
patients undergoing myelosuppressive                        including serious adverse events. Funding
chemotherapy. PI: Dr. Asha Anand; CO-PI:                    agency: Sopherion Therapeutics Inc; Number
Dr. Kirti Patel, Dr. Harsha Panchal, Dr.                    of Patients (20); Number of Tests: (540); Name
Apurva Patel, Dr. Sonia Parikh; Funding                     of Parameters: CT scan chest and abdomen;
agency: Cadila Healthcare Ltd; Aim: To assess               tumour responses will be measured and
the efficacy and safety of Recombinant Human                recorded by using the RECIST guidelines;
Granulocyte       Colony    Stimulating      Factor         toxicity: haematology (Hb, WBC, platelets,
(Filgrastim) injections in patients undergoing              neutrophils), chemistry: alkaline phosphatase,
myelosuppressive chemotherapy. Number of                    ALT,        AST,         bicarbonate,      bilirubin
Patients: (10); Number of Tests: (90); Name of              (total/direct/indirect), BUN, chloride, creatinine,
Parameters: toxicity: haematology, blood                    calculated creatinine clearance, albumin, urea,
glucose, blood urea, s.creatinine, s.bilirubin,             uric acid, calcium, magnesium, phosphate,
SGPT, alkaline phosphatase, urine analysis:                 potassium,        sodium,      glucose,    lactase
protein, sugar; survival: OS, DFS by statistical            dehydrogenase (LDH), protein (total), urine
analyses; Status: On-going.                                 analysis, survival: OS, DFS by statistical
9. Project Title: An open lable dose finding                analyses; Status: On-going.
prospective multicenter randomized parallel                 11. Project Title: A randomized, open label
group study to asses the efficacy and                       multi-center study of XRP6258 at 25 mg/m2
safety of three different dose levels of AVI-               in combination with Prednisone every 3
014 (G-CSF) compared with a standard                        weeks compared to Mitoxantrone in
dose of NEUPOGEN in breast cancer                           combination with Prednisone for the
patients       at    high   (>20%)      risk     for        treatment of hormone refractory metastatic
chemotherapy induced Neutropenia. PI: Dr.                   prostate cancer previously treated with a
Kirti Patel; CO-PI: Dr. Shilin Shukla, Dr.                  Taxotere- containing regimen. PI: Dr. Bharat
Bharat Parikh, Dr. Asha Anand, Dr. Shailesh                 Parikh; CO-PI: Dr. Kirti Patel, Dr. Shilin
Talati, Dr. Sandip Shah, Dr. Harsha Panchal,                Shukla, Dr. Asha Anand, Dr. Shailesh Talati,
Dr. Apurva Patel, Dr. Sonia Parikh; Funding                 Dr. Sandip Shah, Dr. Harsha Panchal, Dr.
agency: AviGenics Inc; Aim: To assess the                   Apurva Patel, Dr. Sonia Parikh; Funding
dose response, efficacy and safety of three                 agency: Sanofi-Aventis; Aim: The aim of this
different dose levels of AVI-014 in breast                  study is to determine whether XRP6258 in
cancer patients at high risk for chemotherapy               combination with Prednisone improves overall
induced Neutropenia. Number of Patients:                    survival when compared to Mitoxantrone in
                                                       78
combination with Prednisone; This study will               pregnancy test (serum or urine), HER2 status,
also compare between the two treatment                     survival: OS, DFS by statistical analyses;
groups, prostate specific antigen response /               Status: Completed.
progression, progression free survival, overall            13. Project Title: Protocol No: EPO-ANE-
response       rate,   pain     response,     pain         3010/Amendment INT-5: A randomized
progression, and safety. Number of Patients:               open-label, multicenter, phase III study of
(720; patients will be participating in the trial          Epoetin Alfa plus standard supportive care
worldwide at approximately 150 study centers               versus standard supportive care in anemic
i.e. 5 patients per centre); Number of Tests:              patients with metastatic breast cancer
(95), Name of Parameters: CT scan pelvis,                  receiving first-line standard chemotherapy.
thorax and abdomen, bone scan, X-ray                       PI: Dr. Shilin Shukla; CO-PI: Dr. Kirti Patel,
(pelvis), echocardiogram, tumour responses                 Dr. Bharat Parikh, Dr. Asha Anand, Dr.
will be measured and recorded by using the                 Shailesh Talati, Dr. Sandip Shah, Dr. Harsha
RECIST guidelines; toxicity: haematology                   Panchal, Dr. Apurva Patel, Dr. Sonia Parikh,
(complete blood count including differential,              Dr. Ashish Gupta; Funding agency: Johnson
and platelets), blood chemistry (creatinine, total         & Johnson; Aim: Primary: Progression free
bilirubin, AST, ALT, alkaline phosphatase,                 survival; Secondary: response rate, duration of
glucose, serum electrolytes, PSA, PK blood                 response, time to tumor progression (TTP),
draw, pain assessment by McGill-Melzack                    overall survival and thrombotic vascular event.
present pain intensity scale, survival: OS, DFS            Number of Patients: (250); Number of Tests:
by statistical analyses; Status: On-going.                 (8250); Name of Parameters: CT Scan of
12. Project Title: An open label randomised                abdomen, pelvis and chest, MRI/CT of brain,
phase II study of two different dosing                     echocardiography,      bone    scan,    tumour
regimens of Capecitabine in combination                    responses will be measured and recorded by
with intravenous Docetaxel (Q3 W) in                       using     the    RECIST     criteria;  toxicity:
patients with locally advanced and/or                      haematology (Hb, RBC, WBC, platelets, DC),
metastatic breast cancer. PI: Dr. Shilin                   chemistry: alkaline phosphatase, ALT, AST,
Shukla; CO-PI: Dr. Kirti Patel, Dr. Bharat                 bicarbonate, bilirubin (total/direct/indirect),
Parikh, Dr. Asha Anand, Dr. Shailesh Talati,               BUN, chloride, creatinine, albumin, cholesterol
Dr. Sandip Shah, Dr. Harsha Panchal, Dr.                   and triglycerides, GGT, uric acid, calcium,
Apurva Patel, Dr. Sonia Parikh, Dr. Ashish                 magnesium, phosphate, potassium, sodium,
Gupta; Funding agency: HoffMann-LaRoche-                   glucose, lactase dehydrogenase (LDH), protein
Inc; Aim: Primary: to demonstrate that the                 (total), urine analysis, serum beta-HCG;
combination of Capecitabine (825 mg/m2 BID                 survival: OS, DFS by statistical analyses;
daily d1-14) and Docetaxel (75mg/m2 iv d1                  Status: Completed.
every 3 weeks) is at least equivalent to the               14. Project Title: To evaluate safety and
combination of capecitabine (1250 mg/m2 BID                efficacy of G-CSF in treatment of
daily d1-14) and docetaxel (75mg/m2 iv d1                  chemotherapy induced neutropenia in
every 3 weeks) in terms of time to disease                 patients with at least one episode of
progression or death due to any cause,                     clinically significant neutropenia (ANC
Secondary: Overall response rate, complete                 <1500) in past 3 months prior to enrollment
and partial responders, time to response and               in the study. PI: Dr. Kirti Patel; CO-PI: Dr.
duration of overall response, time to treatment            Shilin Shukla, Dr. Bharat Parikh, Dr. Asha
failure, and overall survival to evaluate effect of        Anand, Dr. Shailesh Talati, Dr. Sandip Shah,
age on efficacy, toxicity, dose and                        Dr. Harsha Panchal, Dr. Apurva Patel, Dr.
pharmacokinetics. Number of Patients: (155);               Sonia Parikh; Funding agency: Reliance Life
Number of Tests: (2635); Name of Parameters:               Sciences; Aim: To study duration of
CT Scan /MRI, Bone scan, X-Ray, tumor                      neutropenia (ANC <1500/mm); to study
responses will be measured and recorded by                 duration of grade 4 neutropenia; to study time
using      the     RECIST      criteria,  toxicity:        to ANC recovery, to determine safety. Number
haematology (complete blood count including                of Patients: (100); Number of Tests: (1500);
differential), blood chemistry (creatinine,                Name of Parameters: haematology (Hb,
creatinine clearance, total bilirubin, conjugated          platelets, TLC, neutrophils, lymphocytes,
bilirubin, ASAT, ALAT, alkaline phosphatase,               monocytes, eosinophils, basophils, absolute
LDH, serum electrolytes, serum folate level,               neutrophil count), LFT chemistry (alkaline
                                                      79
phosphatase, ALT, AST, bilirubin, albumin);                 survival: OS, DFS by statistical analyses;
survival: OS, DFS by statistical analyses;                  Status: On-going.
Status: On-going.                                           17. Project Title: A phase II study of
15. Project Title: An open label multicentric               Mycobacterium w in combination with
phase III study to access the efficacy and                  Etoposide in platinum refractory, advanced
safety of Pegylated form of recombinant                     or relapsed carcinoma ovary. PI: Dr. Asha
Human Granulocyte Colony Stimulating                        Anand; CO-PI: Dr. Kirti Patel, Dr. Shilin
Factor (Pegfilgrastim) injection in patients                Shukla, Dr. Bharat Parikh, Dr. Shailesh
undergoing                    myelosuppressive              Talati, Dr. Sandip Shah, Dr. Harsha Panchal,
chemotherapy. PI: Dr. Kirti Patel; CO-PI: Dr.               Dr. Apurva Patel, Dr. Sonia Parikh; Funding
Shilin Shukla, Dr. Bharat Parikh, Dr. Asha                  agency: Cadila Pharmaceutical Pvt Ltd; Aim:
Anand, Dr. Shailesh Talati, Dr. Sandip Shah,                Primary: To determine and compare the effect
Dr. Harsha Panchal, Dr. Apurva Patel, Dr.                   of this treatment on quality of life of the patients
Sonia Parikh; Funding agency: Cadila                        in the two arms; To determine and compare
Healthcare Limited; Aim: To assess the safety               median survival in both the arms; Secondary:
and efficacy of pegylated form of Recombinant               To determine and compare the response rate;
Human Granulocyte Colony Stimulating Factor                 To assess and compare the toxicity in both
(Pegfilgrastim) injection in patients undergoing            arms; To study the bone marrow protective
myelosuppressive chemotherapy. Number of                    effect of Mw if any; Number of Patients: (21);
Patients: (100); Number of Tests: (1000);                   Number of Tests: (483); Name of Parameters:
Name of Parameters: hematology (HB, WBC,                    toxicity: CBC (WBC, RBC, haemoglobin,
platelets, DC), chemistry (blood urea nitrogen,             haematocrit, MCV, MCH, MCHC, platelet
creatinine, bilirubin, ALT, alkaline phosphatase,           count) urine routine/microscopic examination,
RBS), survival: OS, DFS; Status: On-going.                  alanine      aminotransferase          (ALT)/SGPT,
16. Project Title: A study of Mycobacterium                 aspartate     aminotransferase        (AST)/SGOT,
w in combination with Etoposide plus                        alkaline phosphatase, bilirubin, creatinine,
Cisplatin in advanced NSCLC. PI: Dr. Bharat                 BUN, electrolytes, HIV, HBsAg, ascites fluid
Parikh; CO-PI: Dr. Kirti Patel, Dr. Shilin                  cytology, response rate: X-ray chest, CT scan
Shukla, Dr. Asha Anand, Dr. Shailesh Talati,                abdomen and pelvis, sonography abdomen
Dr. Sandip Shah, Dr. Harsha Panchal, Dr.                    and pelvis, FNAC; tumour responses will be
Apurva Patel, Dr. Sonia Parikh; Funding                     measured and recorded by using the RECIST
agency: Cadila Pharmaceutical Pvt. Ltd.; Aim:               guidelines; survival: OS, DFS by statistical
Primary: To determine and compare the                       analyses; Status: Completed.
median survival time of patients in the two                 18. Project Title: A phase III double blind,
arms; To determine and compare the effect of                randomized study to evaluate the safety
this treatment on quality of life of the patients in        and efficacy of BAL8557 vs a Caspofugin
the two arms; Secondary: To determine and                   followed by Voriconazole regimen in the
compare the response rate; To study the bone                treatment of candidemia and other invasive
marrow protective effect of Mw if any. Number               candida infections. PI: Dr. Kirti Patel; CO-PI:
of Patients: (50); Number of Tests: (1250);                 Dr. Shilin Shukla, Dr. Shailesh Talati, Dr.
Name of Parameters: CBC (WBC, RBC,                          Sandip Shah, Dr. Parijath Goswami, Dr.
hemoglobin, haematocrit, MCV, MCH, MCHC,                    Harsha Panchal, Dr. Apurva Patel, Dr. Sonia
platelet count) urine routine/microscopic                   Parikh;       Funding       agency:         Basilea
examination,        alanine      aminotransferase           Pharmaceutical Pvt Ltd; Aim: Primary: To
(ALT)/SGPT        aspartate      aminotransferase           compare safety and efficacy of treatment with
(AST)/SGOT, alkaline phosphatase, bilirubin,                Isavuconazole (WSA) vs a Caspofugin (CAS)
creatinine, BUN, electrolytes, HIV, HBsAg,                  – Voriconazole (VRC) regimen in patients with
ascites fluid cytology response rate: X-ray                 candidemia or other invasive candida
chest, CT scan abdomen and pelvis,                          infections; Secondary: To compare the effects
sonography abdomen and pelvis, CA 125;                      of the treatment on the response rate; time to
tumour responses will be measured and                       first negative blood culture; All cause 14 and
recorded by using the RECIST guidelines;                    90 day mortality; To characterise the safety of
                                                            treatment with Isavuconazole; To characterise
                                                       80
the pharmacokinetics of Isavuconazole; and              Joshi; Funding agency: GlaxoSmithkline; Aim:
cleavage product in the relevant patient                Primary: To demonstrate the clinical efficacy of
population; Number of Patients: (46); Number            recMAGE-A3+AS15 versus Placebo in NSCLC
of Tests: (1150); Name of Parameters: CBC               after complete surgical resection; two co-
(WBC, RBC, haemoglobin, platelet count),                primary objectives, efficacy in overall
chemistry: alkaline phosphatase, ALT, AST,              population, efficacy in population of patients
bicarbonate, bilirubin (total/direct), chloride,        who did not receive adjuvant chemotherapy,
creatinine, albumin, creatinine phosphokinase,          Secondary: To evaluate and compare
GGT, uric acid, calcium, magnesium,                     recMAGE-A3+AS15 ASCI versus placebo with
phosphate, potassium, sodium, glucose,                  respect to other clinical and biological
lactase dehydrogenase (LDH), urine analysis,            indicators of safety and efficacy; Translational
pregnancy testing in females at baseline;               research: to examine the gene expression
survival: OS, DFS by statistical analyses;              profile of primary tumour by microarray as
Status: On-going.                                       defined prospectively in protocol and
19. Project Title: A double-blind randomized            correlation to clinical outcome to treatment;
placebo-controlled phase III study to                   Number of Patients: (10); Number of Tests:
access the efficacy of recMAGE-A3 +AS15                 (130); Name of Parameters: haematology (Hb,
antigen-specific cancer immunotherapeutic               WBC, platelets, neutrophils), chemistry: (total
as adjuvant therapy in pts with resectable              bilirubin, alkaline phosphatase, ALT, AST,
MAGE-3 positive NSCLC. PI: Dr. Kirti Patel;             s.creatinine),    anti-MAGE-A3,    anti    protd
CO-PI: Dr. Shilin Shukla, Dr. Bharat Parikh,            antibody response, anti cpg antibody response,
Dr. Asha Anand, Dr. Shailesh Talati, Dr.                2-D gel electrophoresis; survival: OS, DFS by
Sandip Shah, Dr. Harsha Panchal,             Dr.        statistical analyses;       Status: On-going.
Apurva Patel, Dr. Sonia Parikh, Dr. Amit




                                                   81
                                                                PUBLICATIONS
                                                           APRIL 2007 – MARCH 2008
               No.   Department/Division        Authors                           Title                           Journal Citation
               1     Radiodiagnosis      Prakash Odedra        Radiological quiz (Head and Neck): Cavernous    Indian J Radiology and
                                         Shreedevi Patel       haemangioma of the tongue and oral cavity       Imaging, 17:138; 2007
                                         Kirti Goswami
                                         Dhara Patel
               2                         Himanshu Soni         Intraabdominal gossypiboma                      Gujarat Medical J,
                                         Shreedevi Patel                                                       3:67-68; 2008
                                         Kirti Goswami
                                         Kavita Patel
                                         Himanshu Vadodaria




                                                                                                                                        THE GUJARAT CANCER & RESEARCH INSTITUTE
               3     Surgical Oncology   Bhavna Parikh         Liposarcoma of breast: A case report            Eur J Gyneconcology,
                                         A Ohri                                                                28:425-427; 2007
                                         Mittal Desai
V Proof




                                         Shashank Pandya
          82




                                         Rajendra Dave
               4                         Mittal Desai          Malignant melanoma of rectum: A rare entity     The Internet J of
                                         Bhavna Parikh                                                         Surgery, 10:1-7; 2007
                                         Jayesh Prajapati
                                         Phulkumari Talukdar
                                         Rajendra Dave
               5                         Bhavna Parikh         Primary retroperitoneal hydatid cyst            Nigerian J Surgery,
                                         Mittal Desai                                                          29:29-31; 2008
                                         Phulkumari Talukdar
                                         Jayesh Prajapati
                                         Shashank Pandya
                                         Rajendra Dave
               6                         Rajen Tankshali       Carcinoid of ampulla of vater - A case report   Indian J Cancer,
                                         Jayesh Patel                                                          44:90-92; 2007
                                         Narendra H
                                         Rohan Vinayak
                                         Abhinandan H
                                                                                                                                           THE GUJARAT CANCER & RESEARCH INSTITUTE
               No.   Department/Division         Authors                           Title                           Journal Citation
               7     Surgical Oncology     Narendra H           Bipaddle PMMC vs deltopectoral flap for          Gujarat J
                                           Rohan Vinayak        reconstruction of skin defects in cancer of      Otorhinolaryngology: An
                                           Abhinandan H         buccal mucosa                                    Head and Neck
                                           Jayesh Patel                                                          Surgery,
                                           Rajen Tankshali                                                       4:11-12; 2007
               8     Medical Oncology      Kirti Patel          Myasthenia gravis with imatinib                  Gujarat Medical J,
                                           Sandip Shah                                                           3:75-76; 2008
                                           Apurva Patel
                                           Ratnesh Shrivastav
                                           Kiran Kattimani
                                           Abhishek Kakroo
               9                           Bharat Vasvani       Non-hodgkin’s lymphoma of tongue – Case report   Indian J of Medical
                                           Mithun Shah                                                           & Paediatric
                                           Pankaj Shah                                                           Oncology, 29:59-61;
                                           Bharat Parikh                                                         2008
V Proof




          83




                                           Asha Anand
                                           Gopal Sharma
               10                          Sandip Shah          Reduced intensity stem cell transplantation      Hematology Today 2008,
                                           Silky Chotai                                                          63:501; 2008
               11                          Purvish Parikh       Role of imatinib mesylate in chronic myeloid     CML - An Update with
                                           Tapan Saikia         leukemia                                         Indian Experience,
                                           AK Tripathi                                                           11:89; 2008
                                           Sandip Shah
                                           Apurva Sheth
                                           Pankaj Shah
               12    Anaesthesiology       Sachin Mittal        Intraoperative complication in a case of         Gujarat Medical J,
                                           Dipika Patel         paraganglioma                                    3:81-83; 2008
                                           Madhuri Bhade
                                           Bipin Patel
               No.   Department/Division         Authors                              Title                                Journal Citation
               13    Radiotherapy          Rakesh Vyas            Role of interstitial brachytherapy using MUPIT in     Int J Radiation Oncology
                                           Jayprakash Neema       locally advanced gynaecological malignancies          Biology Physics,
                                           U Suryanarayan                                                               69:5406; 2007 (abstract)
                                           Chirag Amin
                                           Kinjal Jani
               14                          Pooja Nandwani Patel   Retrospective analysis of role of interstitial        J Cancer Research and
                                           Rakesh Vyas            brachytherapy using template (MUPIT) in locally       Therapeutics, 3:111-115;
                                           Jayprakash Neema       advanced gynaecological malignancies                  2007
                                           U Suryanarayan
                                           Devang Bhavsar
                                           Kinjal Jani
               15                          Phulkumari Talukdar    Skin metastasis from head and neck cancer             Gujarat J




                                                                                                                                                   THE GUJARAT CANCER & RESEARCH INSTITUTE
                                           Bhavna Parikh                                                                Otorhinolaryngology: An
                                           Rimpi Sarin                                                                  Head and Neck
                                           Rakesh Vyas                                                                  Surgery, 4:10-12; 2008
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          84




                                           Rajendra Dave
               16    Cell Biology          Sonal Bakshi           Characterisation of a small familial supernumerary    Cancer Genetics &
                                           Bhavna Dave            marker chromosome in a patient with adult-onset       Genome Research (In
                                           Warren Sanger          tongue cancer                                         press)
                                           Shailesh Patel
                                           Pina Trivedi
                                           Manisha Brahmbhatt
               17    Biochemistry          Jayendra Patel         Utility of urinary biomarkers in oral cancer          Asian Pacific J
                     Research              Shilin Shukla                                                                Cancer Prevention,
                                           Hiten Patel                                                                  8:229-235; 2007
                                           Kiran Kothari
                                           Pankaj Shah
                                           Prabhudas Patel
               18                          Franky Shah            Significance of alterations in plasma lipid profile   Integrative Cancer
                                           Shilin Shukla          levels in breast cancer                               Therapies, 7:33-41;
                                           Pankaj Shah                                                                  2008
                                           Hiten Patel
                                           Prabhudas Patel
                                                                                                                                               THE GUJARAT CANCER & RESEARCH INSTITUTE
               No.   Department/Division          Authors                        Title                                  Journal Citation
               19    Biochemistry          Manisha Shah      Tissue and serum α-2-3 and α-2-3 linkage specific        Glycoconjugates J,
                     Research              Shaila Telang     sialylation changes in oral carcinogenesis               3:279-290; 2008
                                           Pankaj Shah
                                           Prabhudas Patel

               20                          Beena Patel       Lipid peroxidation, total antioxidant status and total   Integrative Cancer
                                           Upendra Rawal     thiol levels predict overall survival in patients with   Therapies, 6:365-371;
                                           Tina Dave         oral squamous cell carcinoma                             2007
                                           Rakesh Rawal
                                           Shilin Shukla
                                           Pankaj Shah
                                           Prabhudas Patel

               21                          Beena Patel       Association of antioxidant enzymes, GST-μ and            American J Clinical
                                           Upendra Rawal     tobacco habits with oral cancer                          Oncology, 2008 (In
                                           Shilin Shukla                                                              Press)
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                                           Pankaj Shah
          85




                                           Prabhudas Patel

               22                          Beena Patel       Tobacco, antioxidant enzymes, oxidative stress           Free Radicals and
                                           Pankaj Shah       in oral cancer                                           Antioxidants in Health
                                           Upendra Rawal                                                              and Disease, 129-146;
                                           Prabhudas Patel                                                            2007

               23    Receptor & Growth     Dave Heena        Circulating levels of transforming growth factor         GCS Research Bulletin,
                     Factor Lab            Sunil Trivedi     β1 (TGF-β1) in breast cancer patients                    9–10:70–77; 2007
                                           Trupti Trivedi
                                           Rohini Shah
                                           Manoj Shah
                                                         CONFERENCE PRESENTATIONS
                                                           APRIL 2007 – MARCH 2008
               No.       Department/         Presenting                        Title                           Conference (Presentation Mode)
                          Division             Author
               1     Pathology           Priti Trivedi       Accuracy of squash preparation in frozen          6th Evidence Base Management
                                                             diagnosis of CNS tumor                            in CNS Tumor, Mumbai,
                                                                                                               February 2008 (Oral)
               2                         Biren Parikh        Immunophenotyping of acute leukemia - A           Advanced Techniques in
                                                             GCRI experience                                   Haematological Malignancies,
                                                                                                               Mumbai, October 2007 (Poster)
               3     Blood Bank          Jayshree Shukla     Maximizing the yield stem cell harvest            ISBTI Conference, Bhopal,
                                                                                                               November 2007 (Oral)




                                                                                                                                                   THE GUJARAT CANCER & RESEARCH INSTITUTE
               4     Microbiology        Parijath Goswami    Antibiotics resistance pattern in the bacterial   3rd International Congress of
                                                             isolates causing infections in the                Asia Pacific Society of Infection
                                                             cancer patients                                   Control, Kuala Lumpur, Malaysia,
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                                                                                                               July 2007 (Oral)
          86




               5     Radiodiagnosis      Himanshu Soni       Retinoblastoma in developing country – USG        Radiological Society of North
                                                             Doppler and CT findings                           America – 2007 Educational
                                                                                                               Exhibit, Chicago, USA,
                                                                                                               November 2007 (Oral)
               6     Surgical Oncology   Narendra H          Pattern of nodal metastasis in T4 buccal          NATCON IASO 2007,
                                                             mucosal cancer                                    Ludhiana, September 2007 (Poster)
               7                         Gopal Gajjar        Total laryngectomy                                NATCON IASO 2007,
                                                                                                               Ludhiana, September 2007 (Oral)
               8     Gynaecological      Ava Desai           Surgical pelvic anatomy                           51st AICOG, New Delhi,
                     Oncology                                                                                  February 2008 (Oral)
               9                         Meeta Mankad        Screening for cervical cancer and preinvasive     National CME on Obstetrics and
                                                             lesions of the cervix                             Gynaecology, New Delhi,
                                                                                                               November 2007 (Oral)
               10                        Ronak Bhanshali     Preservation of ovarian function in malignant     International Conference of
                                                             ovarian germ cell tumors in adolescent girls -    Association of Paediatric
                                                             The GC & RI experience                            Oncologists, Mumbai, November
                                                                                                               2007 (Poster)
                                                                                                                                                   THE GUJARAT CANCER & RESEARCH INSTITUTE
               No.       Department/        Presenting                          Title                             Conference (Presentation Mode)
                          Division            Author

               11    Gynaecological     Sonali Garg            Sarcoma of uterus – Six years experience at        YUVA FOGSI West Zone
                     Oncology                                  GC & RI                                            Conference, Ahmedabad,
                                                                                                                  October 2007 (Oral)
               12                       Bijal Patel            Borderline epithelial ovarian tumor: Six years
                                                               experience at GC & RI
               13                       Ruchi Arora            Conservative surgery in stage IC epithelial
                                                               ovarian cancer: A case report
               14                                              Carcinoma ovary
               15                       Vishal Dave            Our experience of bulky cervical cancer stage
                                                               IB2 and IIA (FIGO): Treated with radical
                                                               hysterectomy and pelvic node dissection and
                                                               role of adjuvant radiotherapy
               16                       Hiten Arye             Colposcopic prediction in patients having normal   Annual Conference of AGOI,
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                                                               pap’s smear                                        Madurai, November 2007 (Oral)
          87




               17                       Kamlesh       Mishra   Retrospective analysis of 117 patients of
                                                               carcinoma endometrium treated at GC & RI,
                                                               Ahmedabad: A regional cancer institute
               18                                              Facts about carcinoma endometrium -                FOGSI, New Delhi, February
                                                               A retrospective study at GC & RI, Ahmedabad:       2008 (Oral)
                                                               A regional cancer institute
               19                       Apurva Gupta           Vaginal delivery of breech still a role after      FOGSI, Calcutta, 2007 (Oral)
                                                               Hannah trial - A study of 361 patients
               20    Medical Oncology   Kirti Patel            Cefipime monotherapy in paediatric patients        SIOP, Mumbai, October 2007
                                                               in febrile neutropenia                             (Poster)
               21                       Sandip Shah            Experience of peripheral blood stem cell
                                                               collection in paediatric patients
               22                                              A retrospective review of allogenic BMT at         ESO Conference, Mumbai,
                                                               GC & RI                                            March 2008 (Poster)
               23                       Ratnesh                Single institute review of Hodgkin’s disease       SIOP, Mumbai, October 2007
                                        Shrivastav             in children at GCRI                                (Poster)
               No.      Department/        Presenting                       Title                         Conference (Presentation Mode)
                         Division            Author
               24    Medical Oncology   Kiran Kattimani   Teratoid Wilms tumour experience at a           SIOP, Mumbai, October 2007
                                                          regional cancer center in India                 (Poster)
               25                       Gopal Sharma      Paediatric brain tumours experience at a
                                                          regional cancer centre in India - GCRI
               26                                         Solitary extramedullary lymphoid blast crisis   ESO Conference, Mumbai,
                                                          (B cell) in chronic myeloid leukemia : An       March 2008 (Poster)
                                                          unusual presentation
               27                       Tushar Patil      An overview of primary extra nodal non-         ESO Conference, Mumbai,
                                                          hodgkin’s lymphoma cases presenting             September 2007 (Poster)
                                                          at GC & RI




                                                                                                                                           THE GUJARAT CANCER & RESEARCH INSTITUTE
               28                       Bharat Vasvani    Ph +ve AML and their outcome
               29                                         Cytogenetics in denovo AML - GC & RI            ESO Conference, Mumbai,
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                                                          experience                                      September 2007 (Oral)
          88




               30    Anaesthesiology    Vinay Solanki     Anaesthetic management of bilateral carotid body GISACON, Rajkot, October
                                                          tumor - A case report                            2007 (Oral)
               31                       Bhavna Shah       Chronic pain syndrome in women                  ISSPCON, Vellore, January
                                                                                                          2008 (Oral)
               32                                         Palliative care in cancer patients              Advancement in Cancer
                                                                                                          Treatment - A Workshop for
                                                                                                          Surgeons, Mahesana, March
                                                                                                          2008 (Oral)
               33                       Priti Sanghavi    Cancer chemotherapy and its anaesthetic         GISACON,      Rajkot, October
                                                          implications                                    2007 (Oral)
               34                       Dipika Patel      Management of neuropathic pain syndrome         GIMACON, Visnagar, October
                                                                                                          2007 (Oral)
               35                                         Pain and palliative care                        Training Programme of District
                                                                                                          Medical Officers, Ahmedabad,
                                                                                                          November 2007 (Oral)
                                                                                                                                                       THE GUJARAT CANCER & RESEARCH INSTITUTE
               No.       Department/       Presenting                           Title                            Conference (Presentation Mode)
                          Division           Author
               36    Radiotherapy      Rakesh Vyas            Live workshop on MUPIT                             AROICON, Chennai, December
                                                                                                                 2007 (Oral)
               37                      Devang Bhavsar         Role of radiotherapy in carcinoma of prostate        Indo-American       Collaborative
                                                                                                                   Workshop on Radiotherapy,
                                                                                                                   Ahmedabad, November 2007 (Oral)
               38                      Maitrik Mehta          Comparison of hypofractionated SRT                   5th West Zone Chapter of AROI,
                                                              versus SRS in patients with brain metastasis         Padhar, Betul, February 2008
                                                                                                                   (Oral)
               39                                             Prognostic factors and survival assessment by Evidence Based Management of
                                                              recursive partitioning analysis criteria in patients CNS Tumors in India, Mumbai,
                                                              of carcinoma breast with brain metastasis            March 2008 (Poster)
               40                      Pooja Nandwani Patel   Comparison of hypofractionated SRT versus            International Conference on
                                                              SRS in patients with brain metastasis                Oncology – Oncology Current
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                                                                                                                   Trends, Pune, August 2007
          89




                                                                                                                   (Oral)
               41                                             Comparison of X-Knife versus surgery in              AROICON, Chennai, December
                                                              patients of arteriovenous malformation of brain 2007 (Oral)
                                                              (AVM)
               42                      Rushi Panchal          IMRT in head and neck cancer                         5th West Zone Chapter of AROI,
                                                                                                                   Padhar, Betul, February 2008
                                                                                                                   (Poster)
               43                      Mayur Munshi           Measurement of neutron dose in 18 MV                 Association of Medical Physicists
                                                              photons and various energies of electrons in         of India, Srinagar, November
                                                              SL20 LINAC                                           2007 (Poster)
               44    Cell Biology      Pina Trivedi           AML with complex karyotype: A subtype                27th IACR, Ahmedabad, February
                                                              candidate for M- FISH                                2008 (Poster)
               45                      Manisha   Brahmbhatt   Complex chromosomal rearrangements in CML
                                                              patients: Making simple with M-FISH
               46                      Sejal Purani           Clinical implication of BCR-ABL fusion gene
                                                              detection in CML by FISH
               No.       Department/       Presenting                      Title                           Conference (Presentation Mode)
                          Division           Author

               47    Cell Biology       Ramesh Iyer       Targeted therapy in cancer: The chronic myeloid Healthcare: Redefined 2008,
                                                          leukemia model                                  Gujarat University, Ahmedabad,
                                                                                                          March 2008 (Oral)
               48    Molecular          Dhara Gajjar      Nanotechnology: A basis for next revolution in   Poster Competition, GC&RI,
                     Endocrinology I                      cancer                                           Ahmedabad, October 2007
                                                                                                           (Poster)
               49                                         p27 as a prognostic factor in breast carcinoma 27th IACR, Ahmedabad, February
                                                                                                         2008 (Poster)
               50                       Rachana Shah      Clinical usefulness of CEA and CA19-9 in
                                                          pancreatic carcinoma




                                                                                                                                              THE GUJARAT CANCER & RESEARCH INSTITUTE
               51    Molecular          Nandita Ghosh     Role of cell cycle regulatory proteins in patients
                     Endocrinology II                     with colorectal adenocarcinoma
               52                       Trupti Trivedi    Stat3: An early event in oral carcinogenesis
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          90




               53                       Toral Kobawala    Stem cells: A cure to cancer?                      Poster Competition, GC & RI,
                                                                                                             Ahmedabad, October 2007
                                                                                                             (Poster)
               54                                         Molecular alterations in oral carcinogenesis:      27th IACR, Ahmedabad, February
                                                          Significant risk predictors in malignant           2008 (Poster)
                                                          transformation and tumor progression
               55                       Kinjal Patel      Role of telomerase and its subunits in breast
                                                          cancer
               56                                         Nanotechnology: A basis for next revolution in Poster Competition, GC & RI,
               57                       Bindu Yagnik      cancercancer                                       Ahmedabad, October 2007
                                                                                                             (Poster)
               58    Biochemistry       Prabhudas Patel   Tobacco usage and antioxidant status:              2nd International Symposium on
                     Research                             The major culprits for oral cancer?                Translation Research - Natural
                                                                                                             Products and Cancer, Lonavla,
                                                                                                             December 2007 (Oral)
                                                                                                                                                    THE GUJARAT CANCER & RESEARCH INSTITUTE
                   No.       Department/      Presenting                           Title                         Conference (Presentation Mode)
                              Division          Author

                   59    Biochemistry      Prabhudas Patel       Emerging trends in molecular biology of human National Conference on
                         Research                                oral cancer                                   Apoptosis and Cancer,
                                                                                                               Vadodara, December 2007 (Oral)
                   60                                            Contemporary issues in molecular biology of   Dia-Can 2007, Annamalai
                                                                 oral cancer in India                          University, Annamalai Nagar,
                                                                                                               December 2008 (Oral)
                   61                      Jayendra      Patel   Study of nitric oxide and antioxidant enzymes 27th IACR, Ahmedabad, February
                                                                 in oral pre-cancers and oral cancer           2008 (Poster)
                   62                      Franky Shah           Significance of alterations in plasma non-    2nd International Symposium on
                                                                 enzymatic antioxidants in breast cancer       Translational Cancer Research,
                                                                                                               Lonavala, December 2007
                                                                                                               (Poster)
                   63                                            Clinical relevance of MMP-2 and MMP-9,          27th IACR, Ahmedabad, February
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                                                                 TIMP-1 and TIMP-2 in breast cancer              2008 (Poster)
              91




α
                   64                      Vandana Patel         Significance of Sialyl Lewis-X and E-cadherin   34th Association of Clinical
                                                                 in oral cancer and oral pre-cancer              Biochemists of India, New Delhi,
                                                                                                                 December 2007 (Poster)
                   65                                            GST isoenzymes and GST GR levels in             National Conference on
                                                                 oral cancer                                     Apoptosis and Cancer,
                                                                                                                 Vadodara, December 2007
                                                                                                                 (Poster)
                   66                                            Significance of sialylation changes in oral     27th IACR, Ahmedabad, February
                                                                 cancer and oral pre-cancer                      2008 (Poster)
                   67                      Hetvi Patel           Tissue and serum α -2,3 and -2,6 linkage        34th Association of Clinical
                                                                 specific sialylation changes in oral            Biochemists of India, New Delhi,
                                                                 carcinogenesis                                  December 2007 (Poster)
                   68                                            Significance of alterations in plasma non-      Healthcare: Redefined 2008,
                                                                 enzymatic antioxidants in breast cancer         Gujarat University, Ahmedabad,
                                                                                                                 March 2008 (Poster)
               No.       Department/         Presenting                      Title                         Conference (Presentation Mode)
                          Division             Author

               69    Biochemistry        Hetvi Patel      Interplay between antioxidants: Role in          27th IACR, Ahmedabad, February
                     Research                             breast cancer                                    2008 (Poster)
               70    Receptor & Growth   Heena Dave       TGF-α signaling in early versus advanced
                     Factor Lab                           human breast cancers
               71                        Trupti Trivedi   MMP-2 (Gelatinase A) and its activity in         27th IACR, Ahmedabad, February
                                                          human meningioma                                 2008 (Oral)
               72                        Apexa Raval      Insulin like growth factor-I: Implication in     27th IACR, Ahmedabad, February
                                                          breast cancer prognostication                    2008 (Poster)
               73                        Pankil Bhatt     Vascular endothelial growth factor in
                                                          breast cancer: Influence of sample type




                                                                                                                                               THE GUJARAT CANCER & RESEARCH INSTITUTE
               74                        Poonam Mehta     Retinoic acid receptors in breast cancer
               75    Immunohisto-        Nilima Desai     Regulators of apoptosis in human breast          National Conference on
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                     chemistry                            cancer                                           Apoptosis and Cancer,
          92




                                                                                                           Vadodara, December 2007
                                                                                                           (Poster)
               76                                         P53 exon 5 and 7 and p53 protein analysis        27th IACR, Ahmedabad, February
                                                          in breast cancer                                 2008 (Poster)
               77                        Kruti Rajvik     Investigation of Her-2 neu protein, Her-2 codon 32nd Conference of Gujarat
                                                          655 SNP frequency and PTEN protein              Pathologists and Microbiologists,
                                                          alterations in breast cancer                    Vadodara, February 2008 (Oral)
               78                                         A study of expression of PTEN protein in         27th IACR, Ahmedabad, February
                                                          benign and malignant breast diseases             2008 (Poster)
               79                        Shalvi Mehta     Epithelial mesenchymal transition in breast      32nd Conference of Gujarat
                                                          carcinoma                                        Pathologists and Microbiologists,
                                                                                                           Vadodara, February 2008 (Oral)
               80                                         Loss of Her-2 neu ECD predicts worse             27th IACR, Ahmedabad, February
                                                          clinical outcome in Her-2 neu ICD positive       2008 (Poster)
                                                          breast cancer
                                                                                                                                           THE GUJARAT CANCER & RESEARCH INSTITUTE
               No.       Department/          Presenting                       Title                      Conference (Presentation Mode)
                          Division              Author

               81    Immunohisto-          Birva Brahmbhatt   Herbal medicine in cancer management        Seminar on Natural Compounds
                     chemistry                                                                            in Management of Cancer,
                                                                                                          Ahmedabad, December 2007
                                                                                                          (Poster)
               82                                             BAG-1, an antiapoptotic protein: Down       National Symposium on
                                                              regulation in chewing tobacco mediated      Apoptosis and Cancer,
                                                              tongue carcinogenesis                       Vadodara, December 2007
                                                                                                          (Poster)
               83                                             Expression of markers of apoptosis,         27th IACR, Ahmedabad, February
                                                              angiogenesis and hormone receptors in       2008 (Poster)
                                                              endometrial carcinoma
               84                          Nupur Patel        FLT3 and PRR2 protein expression in acute
                                                              myeloid leukemia
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               85                          Himanshi Trivedi   Herbal medicine in cancer management        Seminar on Natural Compounds
          93




                                                                                                          in Management of Cancer,
                                                                                                          Ahmedabad, December 2007
                                                                                                          (Poster)
               86    Medicinal Chemistry   Rakesh   Rawal     Role of bioinformatics in drug discovery    UGC sponsored Seminar on
                     & Pharmaco-                                                                          Bioinformatics: Leads in
                     genomics                                                                             Gujarat, Gujarat University,
                                                                                                          March 2008 (Oral)
                                                            CONFERENCE ATTENDED
                                                            APRIL 2007– MARCH 2008
                 Department /              Name                                             Conference
                   Division
               Pathology           Dhaval Jetly         International CME in Surgical Pathology & Cytopathology, Mumbai, November 2007
                                   Priti Trivedi        32nd Conference of Gujarat Association of Pathologists and Microbiologists, Vadodara,
                                                        August 2007
                                   Priti Trivedi        Update in Surgical Pathology 2007, Mumbai, August 2007
                                   Lopa Mody
                                   Priti Trivedi        Evidence Based Management of Cancers in India, Mumbai, February 2008
                                   Kaushambi Shukla     National Meeting on Guidelines for Immunophenotyping of Haematolymphoid Neoplasms and




                                                                                                                                                   THE GUJARAT CANCER & RESEARCH INSTITUTE
                                   Biren Parikh         Workshop on Detection of Minimal Residual Disease & Analysis of Flow Cytometric Data,
                                                        Mumbai, March 2007
                                   Biren Parikh         Advanced Techniques in Haematological Malignancies, Mumbai, October 2007
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          94




                                                        14th National CME in Haematology and Haemato-Oncology, Mumbai, January 2008
               Microbiology        Parijath Goswami     2nd National Conference of Infectious Diseases Society of India, Hyderabad, January 2008
               Blood Bank          Jayshree Shukla      MAPCON 2007 - Pre Conference Workshop on Transfusion Medicine, Apheresis and PBSC
                                                        Harvest, Navi Mumbai, October 2007
                                                        The Regional Thalassemia Conference, Ahmedabad, October 2007
                                   Ketki Meghiawala     ISBTI Conference, Bhopal, November 2007
               Radiodiagnosis      Kirti Goswami        Evidence Based Management of Cancer in India, Mumbai, March 2008
                                   Saumil Desai
                                   Ajay Upadhyay
                                   Himanshu Vadodaria   Radiological Society of North America, Chicago, USA, November 2007
                                   Saumil Desai         CME of ICRI and Annual Conference of IRIA, Bhopal, April 2008
                                   Shikha Pandhi        2nd MR Spectroscopy Workshop, Mumbai, June 2007
                                   Kavita Patel
                                   Shikha Pandhi        Color Doppler Workshop, Ahmedabad, March 2008
               Surgical Oncology   Shakuntala Shah      Bleeding Management in General Surgery, Mumbai, August 2007
                                                                                                                                               THE GUJARAT CANCER & RESEARCH INSTITUTE
                 Department /              Name                                            Conference
                   Division

               Surgical Oncology    Shakuntala Shah    National Conference ACRSICON 2007, Ahmedabad, September 2007
                                    Kiran Kothari
                                    Mukul Trivedi
                                    Kiran Kothari      CME on Conservative Breast Surgery, Diu, April 2007
                                                       39th Annual Meeting of ASCO, Chicago, USA, May 2007
                                    Kiran Kothari      NATCON IASO 2007, Ludhiana, September 2007
                                    Mukul Trivedi
                                    Kiran Kothari      ASIMANICON 2007, Imphal, October 2007
                                                       Symposium on Recent Trends in Cancer Research & Treatment, Kolkata, October 2007
                                                       Excellence in Oncology 2007, Kolkata, November 2007
                                                       1st CME/Operative Workshop in Head and Neck Oncology, Miraj, February 2008
                                                       8th World Congress - IHPBA 2008, Mumbai, February 2008
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          95




                                    Jayesh Patel       Cancer CI – 2008, Hyderabad, February 2008
                                    Jayesh Prajapati   Workshop on Laparoscopy Surgery in Oncology, Coimbatore, November 2007
                                    Mukul Trivedi
               Paediatric Surgery   Sudhir Chandna     SIOP Conference, Mumbai, November 2007
                                    Nitin Joshi
                                    A Kiran
               Neurosurgery         Navin Patel        4th International Symposium of Psychiatry, Vienna, Austria, October 2007
                                    Dipak Patel        9th National Skull Base Surgery Conference, New Delhi, October 2007
                                    Parimal Tripathi
                                    Tejas Patel
                                    Dipen Patel
                                    Tejas Patel        56th Annual Conference of Neurological Society of India, Agra, December 2007
                                    Dipen Patel
               Gynaecological       Kalpana Dave       CME jointly organised with SOGOG, Bhavnagar, April 2007
               Oncology
                                    Kalpana Dave       Ahmedabad Forum of Infection Prevention, Hospital Infection Society on India, Gujarat
                                    Anjana Chauhan     Chapter, Ahmedabad, October 2007
                 Department /           Name                                               Conference
                   Division
               Gynaecological     Kalpana Dave        YUVA FOGSI West Zone Conference, Ahmedabad, October 2007
               Oncology           Ava Desai
                                  Meeta Mankad
                                  Pariseema Dave
                                  Anjana Chauhan
                                  Ronak Bhanshali
                                  Kalpesh Prajapati
                                  Kalpana Dave        2nd International Conference of BJMC Alumni Association, Ahmedabad, December 2007
                                  Anjana Chauhan
                                  Ava Desai           1st International Conference on Ovarian Cancer, Bangalore, April 2007
                                  Meeta Mankad




                                                                                                                                                    THE GUJARAT CANCER & RESEARCH INSTITUTE
                                  Ava Desai           5th TMH-WCI Conference on Advanced Breast and Ovarian Cancers, Mumbai, October 2007
                                  Pariseema Dave
                                  Hiten Arye
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                                  Kamlesh Mishra
          96




                                  Ava Desai           Annual Conference of AGOI, Madurai, November 2007
                                  Pariseema Dave
                                  Shilpa Patel
                                  Hiten Arye
                                  Kamlesh Mishra
                                  Ava Desai           Annual Conference of Indian Association of Gynaecological Endoscopists, Ahmedabad,
                                                      June 2007
                                  Anjana Chauhan      Workshop of Endoscopic Laparoscopic Surgeries & Annual Conference of Indian
                                                      Association of Gynaecological Endoscopists, Ahmedabad, June 2008
                                  Kamlesh Mishra      Workshop on Gynaec Oncology of FOGSI, New Delhi, February 2008
               Medical Oncology   Kirti Patel         Indian Society of Nuclear Medicine Conference, Udaipur, October 2007
                                  Shilin Shukla       Breast Cancer Conference, Mumbai, October 2007
                                                      International Conference of Clinical Oncology, Hyderabad, November 2007
                                  Bharat Parikh       GI Expert Forum, Goa, July 2007
                                                      ISMPO Meeting on Febrile Neutropenia, Bhutan, August 2007
                                                      Empiric Antibiotic Therapy in Febrile Neutropenia, IDSA Guidelines, Gurgaon, September 2007
                                                                                                                                            THE GUJARAT CANCER & RESEARCH INSTITUTE
                 Department /            Name                                            Conference
                   Division
               Medical Oncology   Bharat Parikh     SIOP Conference, Mumbai, November 2007
                                  Mithun Shah
                                  Suman Mittal
                                  Bharat Vasvani
                                  Kiran Kattimani
                                  Bharat Parikh     Second Meeting of the Task Force on National Retinoblastoma Registry, New Delhi,
                                                    November 2007
                                                    National Haematology CME Programme, Mumbai, January 2008
                                                    1st Asian Conference on Breast Cancer, New Delhi, February 2008
                                  Bharat Parikh     ESO - Leukemias Molecular Insights to Treatment Paradigms, Mumbai, March 2008
                                  Sandip Shah
                                  Sonia Parikh
                                  Tushar Patil
                                  Gopal Sharma
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                                  Bharat Vasvani
          97




                                  Abhishek Kakroo
                                  Bharat Parikh     18th Conference of Asian Pacific Association for the Study of the Liver, Seoul, South
                                                    Korea, March 2008
                                  Asha Anand        Haematopoietic Stem Cell Transplant Meeting, CMC, Vellore, March 2008
                                  Sandip Shah
                                  Sandip Shah       43rd ASCO Meeting, Chicago, IL, USA, June 2007
                                  Sonia Parikh
                                  Apurva Patel      MAGRIT (1.9493) Investigator’s and Monitor’s Meeting, Singapore, July 2007
                                  Apurva Patel      INDOX Training on Phase 1 Clinical Trial, Oxford University, Oxford, UK,
                                  Sonia Parikh      September 2007
                                  Sonia Parikh      Principal Investigator Meeting by Elli Lilly for protocol H3E-MC-S103, New Delhi,
                                                    November 2007
                                  Dinesh Sheth      CME on CML, Mumbai, April 2007
                                  Mithun Shah
                                  Suman Mittal
                                  Bharat Vasvani
                                  Gopal Sharma
                 Department /           Name                                            Conference
                   Division
               Medical Oncology   Gopal Sharma      One day Symposium on Leukemia and Management of Colorectal Cancer, Mumbai,
                                  Bharat Vasvani    July 2007
                                  Tushar Patil
                                  Tushar Patil      ASH UPDATE, Mumbai, December 2007
                                  Gopal Sharma
                                  Bharat Vasvani
                                  Abhishek Kakroo
                                  Mithun Shah       Haematology Update, Mumbai, January 2008
                                  Kiran Kattimani
                                  Gopal Sharma
                                  Kamlesh Shah




                                                                                                                                       THE GUJARAT CANCER & RESEARCH INSTITUTE
               Anaesthesiology    Geeta Joshi       23rd National Conference of Indian Society Study of Pain, Vellore, January 2008
                                  Bhavna Shah
                                  Priti Sanghavi
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          98




                                  Bhavna Shah       GISACON, Rajkot, October 2007
                                  Priti Sanghavi
                                  Bijal Shah
                                  Dipika Patel      GIMACON, Visnagar, October 2007
                                  Bipin Patel       Advanced Regional Anaesthesia and Ultrasound Workshop, Ahmedabad, March 2008
                                  Geeta Joshi
                                  Bhavna Shah
                                  Dipika Patel
                                  Vaibhavi Javeri   Anaesthesia Review Course, Mumbai, April 2007
                                  Bhumika Pathak
                                  Sachin Mittal     National CME on Emergency and Trauma, New Delhi, August 2007
               Radiotherapy       Rakesh Vyas       AROICON, Chennai, December 2007
                                  Mainank Patel
                                  Chirag Amin
                                  Rakesh Vyas       Association of Medical Physicists of India, Hyderabad, Andhra Pradesh, July 2007
                                                    Association of Medical Physicists of India, Tamilnadu, August 2007
                                                    American Society of Radiotherapy and Oncology (ASTRO), LA, USA, October 2007
                                                                                                                                                  THE GUJARAT CANCER & RESEARCH INSTITUTE
                 Department /                Name                                             Conference
                   Division
               Radiotherapy           Rakesh Vyas         5th West Zone Chapter of AROI, Betul, Madhya Pradesh, February 2008
                                      Jaiprakash Neema
                                      Maitrik Mehta
                                      Rushi Mehta
                                      Jaiprakash Neema    Evidence based management of CNS tumors in India, Mumbai, February 2008
                                      Devang Bhavsar
                                      Maitrik Mehta
                                      Devang Bhavsar      RTOG IGRT Workshop, Florida, April 2007
                                                          Frameless SRS & SRT Workshop, Mobil, August 2007
               Medical Physics        Om Prakash          5th Annual Nuclear Medicine Conference, Udaipur, September 2007
                                      Mayur Munshi        Association of Medical Physicists of India, Srinagar, November 2007
               Cell Biology           Sonal Bakshi        Healthcare: Redefined 2008, Gujarat University, Ahmedabad, March 2008
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               Receptor & Growth      Sunil Trivedi       International Course in Molecular Epidemiology, Mumbai, September 2007
          99




               Factor Lab
               Immunohistochemistry   Hemangini Vora      National Meeting on Guidelines for Immunophenotyping of Hematolymphoid Neoplasms and
                                      Nilima Desai        Workshop on Detection of Minimal Residual Disease & Analysis of Flow Cytometric Data,
                                                          Mumbai, March 2007
               Community              Parimal Jivrajani   Pre Annual Review Meeting Workshop of NE Region and XXIII Annual Review Meeting of
               Oncology &             RD Patel            National Cancer Registry Programme, Aizawl, Mizoram, November 2007
               Medical Records        Jayesh Solanki
                                      Parimal Jivrajani   Short course on Health Data Management and Statistical Software, Department of
                                                          Biostatistics Christian Medical College, Vellore, Tamilnadu, March 2008
                                      Himanshu Patel      CME on Research Methodology & Application of Biostatistics in Health Sciences,
                                      Jayesh Solanki      Ahmedabad, January 2008
                                      Vishruti Pandya
                                      Aarti Vasani
                                                  LECTURES BY GUEST FACULTIES
                                                     APRIL 2007 - MARCH 2008
                 Name of the Guest Speaker   Country                  Topic                            Date
                Dr. Lakshmi Madabusi         India        RNA interference in 2007             July 10, 2007
                Dr. Lakshmi Iyer             USA          Angiogenesis in cancer research      July 24, 2007
                Dr. Girish Shah              USA          Recent advances in prostate cancer   November 11, 2007




                                                                                                                   THE GUJARAT CANCER & RESEARCH INSTITUTE
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          100
                           VII. LIST OF INSTRUMENTS

 No.                   Name of the Instruments                      Year of   Cost in Rs.
                                                                   Purchase
                                            HISTOPATHOLOGY
1.     Cryocut Microtome                                             1980          45,403
2.     Automatic Tissue Processor                                    1985        2,37,247
3.     Cryostat Bench Standing Microtome                             1987          86,010
4.     Baush & Lomb Galen III Microscope                             1989          81,716
5.     Nikon Japan Binocular Research Microscope                     1994        3,46,317
6.     Rotary Microtome BRIGHT 5040                                  1995        3,97,988
7.     Nikon Japan Bionocular Research Microscope LABOPHOT -         1995        4,84,096
       Y2 45
8.     Cryostat Bench Model BM/FAS-001 'BRIGHT'                      1995        4,30,954
9.     Leitz Binocular Microscope Model LABORRUX-5                   1995        6,40,026
10.    Shandon Laboratory Equipment (Histocentre, pathcentre,        1997       23,18,185
       Autosharp Microtome, knife, slide stainer, cytospine)
11.    Leica Teaching Microscope DMLB                                1997        2,94,429
12.    Trinocular Phase Contrast Microscope with computer &          2002       15,40,950
       Networking – 5 Nos “AXIOSTAR”
13.    Yorco Automatic Tissue Processor YSI-103 – 2 Nos.             2003        2,82,891
14.    Rotary Microtome Leica RM-2125 – 2 Nos.                       2004        4,79,066
15.    Tissue Floatation Bath - 2 Nos.                               2004          11,000
16.    Paraffin Dispenser - 2 Nos.                                   2004          21,000
17.    Slide Warming Table - 1 No.                                   2004           5,500
18.    Hot Air Oven - 1 No.                                          2004          11,000
19.    Cryocut Frozen Section, Leica CM 1510S                        2007        6,36,738
                                              BIOCHEMISTRY
20.    Fully Automatic Batch Analyzer Clinical System 700            1992       11,13,213
21.    ABL 510 Computerized Blood Gas Analyzer                       1994        9,40,241
22.    Beckman Synchron CX-7 Delta Automatic Chemistry Analyzer      1997       61,99,909
                                                CYTOLOGY
23.    Cytocentrifuge 'Shandon'                                      1982          26,198
                                             HAEMATOLOGY
24.    Nikon Binocular Research Microscope - 2 sets.                 1984          40,730
25.    STIKS COULTER Automatic Cell Counter                          1997       31,20,000
26.    Sartorius Electronic Balance                                  1998        1,06,907
27.    Blood Cell Counter with Three Parts Differential Count        2002        3,70,000
28.    Blood Cell Counter Coulter ACT– 2 Nos                         2004        8,00,000
29.    Fully Blood Coagulation Analyzer ACL – 100 – 1 No.            2004        6,00,000
                                               BLOOD BANK
30.    Forma Scientific Platelet Incubator & Platelet Agitator       1997        3,29,775
31.    CODA Automated EIA Analyser                                   1997       10,61,810
32.    Baxter Optipress System                                       1997        5,90,000
33.    Heavy duty refrigerated Centrifuge                            1997        5,90,000
34.    Blood Cell Separator Baxter                                   1997       14,50,000
35.    Cell Saver Equipment                                          1998        1,06,600
36.    Nikon Japan Trinocular lnverted Microscope Model TS-100 F     2000        3,58,054
37.    Laminar Air Flow System AHL-16                                2000          39,000
38.    Blood Bank Refrigerated Centrifuge                            2001       15,51,000
39.    Blood Bag Refrigerated ‘Best’                                 2001          64,790
                                         101
 No.                   Name of the Instruments                  Year of   Cost in Rs.
                                                               Purchase
40.    Hemo Pharm Blood Bag Tube Sealer BT-200                   2001        1,26,000
41.    Blood Irradiator-BARC                                     2001       15,00,000
42.    Sterile Connecting Device for Sterile Tubing welder       2002        5,00,000
43.    Biochemistry Analyzer BTR-830 – 2 Nos                     2004        4,00,000
44.    Remi Ultra Low Vertical -80 deg.C freezer 185 Ltr.        2004        2,90,503
45.    Blood Collection Monitor - 2 Nos.                         2007        2,34,963
46.    Baxter's Donor Chair 4R4213 - 2 Nos.                      2007        2,74,040
                                             MICROBIOLOGY
47.    Dias UV fast Automatic Micro plate Elisa Reader           1995       10,40,898
       (Dynatech)
48.    Horizontal High pressure Cylindrical Steam Sterilizer     1997        1,11,720
49.    Bactec 9050 Blood Culture System                          1999        4,77,000
50.    Perkin Elmer PCR System (Thermal Cycler) - 9700           2000        6,25,455
51.    Gel Electrophoresis GTH-15                                2000          87,041
52.    Millipore Water System                                    2000          50,000
53.    Heraeus "Biofuge Primo R" Micro Centrifuge                2000        1,87,560
54.    BOD Incubator -ATCIL                                      2000          61,000
55.    Laminar Flow                                              2001        2,15,201
56.    Ultra Low Deep Freezer                                    2001        3,30,000
57.    Mediquip Horizontal High Pressure                                     1,35,000
       Cylindrical Steam Sterilizer, Model HPS - II
                                            IMAGING SERVICE
58.    CT Scan Equipment CTW 4-40                                1984      1,00,00,000
59.    Panex EC Panaromic X-ray Equipment (Orthopenzograph)      1991         3,62,201
60.    Diacam Gamma Camera                                       1994      1,03,67,987
61.    Mammomat 3 stereo Mammography - 2 Nos.                    1994        48,17,811
62.    Automatic x-ray Film Processor                            1995         1,54,976
63.    Hitachi CT Scanner Model CT-W-2000                        1995      1,73,28,181
64.    Ultrasound Equipment & Portable Ultrasound                1997        13,30,000
65.    Siemens I.I.T.V. Sireskop 5.45 X-ray Machine              1998      1,64,97,622
66.    Sonography Machine – Logiq-200 Prodigital                 2002        11,00,000
67.    Hitachi Permanent MRI Magnet Aperto - 0.4 Tesla           2005      2,61,59,753
68.    Anclilary for MRI                                         2005        10,12,040
69.    CCTV with Camera and Moniter                              2005         6,25,000
70.    SS Stracher Trolly and SS wheel chair                     2005           41,040
71.    Anesthesia Machine                                        2005         2,20,000
72.    Pulse oximeter                                            2005           26,000
73.    BPL Defrillaor with Monitors                              2005         1,00,000
74.    CR System (Fuji Computed radiography system-FCR XG-1      2005        32,00,000
       (Single Cassettle Reader)-2 Nos.
75.    Shimadzu high frequency X ray system 2 Red-50             2005         8,25,000
76.    C.T. Scanner with C.T. Simulation                         2005      2,00,00,000
77.    Radio Frequency Tissue Ablation System - 1 No.            2007        10,04,000
78.    Mobile X-Ray unit Model : 6010 FR - 2 Nos.                2007         2,58,750
                                           NUCLEAR MEDICINE
79.    1) Mobile Barrier – Saxsons – 4 Nos.                      2003       16,64,103
       2) S.S. Lead Lined Waste Container Saxsons – 4 Nos.
       3) Shielded Syringe Carrier Saxsons – 4 Nos.
       4) Multiple Syringe Holder for unshielded syringe

                                         102
 No.                    Name of the Instruments                  Year of   Cost in Rs.
                                                                Purchase
        5) Saxsons – 4 Nos.                                       2005       12,25,000
        6) L Beta Shield – 1 No.
        7) Scintimamo Graphy Prone Breast Cushion –1 No.
        8) ION Chamber Survey Meter – 1 No.
        9) Fume Free Radiation Fume Hood ‘GAMMA SONIC’
        10) Narrow Drawmed chair W / Molded Seat - 1 No.
        11) Decontamination Kit Complete. – 1 No.
        12) Primdent-35 Area Radiation Monitor – 2 Nos.
        13) Isotop CAL / RAD mark-V - Dose Calibrator – 1 No.
        14) Molydenum break - 1 No.
        15) Label Printer for Dose Calibrator – 1 No.
        16) Tech Mark Reusable Shielded Marker – 1 No.
        17) Allvue vial shield – 2 Nos.
        18) Cylindrical vial shield – 2
        19) Radiation Resistant Lead Gloves – 7 Pairs
        20) Pocket Dosimeter - 1 No.
        21) Calibrator Reference Set
        22) Radioiodine Therapy Facility Equipment
80.    Infinia - Dual Head Spect Gamma Camera - 1 No.             2007     2,00,00,000
81.    CRC-15 Beta Dose Calibrator                                2007        5,50,147
       Model : 5130-3097 (S/N : 510211) - 1 No.
                                          OPERATION THEATRE
82.     Operating Microscope                                      1979        1,75,644
83.     Electro Surgical Generator / Diathermy 'DAVOL'            1981          36,418
84.     Trolley Mounted Nova-II                                   1982          60,000
85.     Cold Lights for Operation Theatre                         1983        1,79,751
86.     Leg Operated Sink Sterilizer                              1983          72,910
87.     Electrosurgical Generator 'HONDA'                         1983          36,419
88.     French make Angenisur Operting Theatres Light AX 14       1984        1,25,753
        plus AX 4 & Accessories
89.     Halogen Millian OT Light                                 1984           64,359
90.     Cyto-Urethroscope                                        1986           27,253
91.     Karl Storz Cystoscope                                    1986           58,106
92.     Balmont Operating Table                                  1987         1,60,782
91.     Valley Lab Force-4 Electro Surgical Generator            1988         1,17,040
92.     Hospilight Halogen Million Light                         1990         2,73,914
93.     Operating Table DR 7700 B ‘BELMONT’ – 2 sets             1990         9,02,010
94.     Spiro Analyzer ST 300 C                                  1990         1,43,900
95.     National Panasonic TV Camera System for D.K.K.           1991         4,07,800
        Operating Light
96.     Infasomate Secure Pump                                    1993          89,200
97.     Operating Table DR 7700 B ‘BELMONT’                       1993        9,99,903
98.     Halogen Million O.T. light HA 4FL – 6 sets                1994        7,41,407
99.     Rectangular Steam Sterilizer Auto Sliding Door            1994        1,70,572
100.    Rectangular Steam Sterilizer 600 x 600 x 1200 mm          1994        4,54,860
        single Door, No. 289
101.    Lawton Vascular & Endoscopic Instruments                  1994        9,38,296
102.    Table Sterilizer small High speed Autoclave, No. 116      1995          37,905
103.    Lawton Vascular & Endoscopic Surgical Instrument          1996        6,63,520
104.    Operation Theatre Light ‘PHILIPS’ – 2 sets                1996        3,80,000
105.    Horizontal H.P. Sterilizer 2x2x4 mm, No. 289              1997        6,46,800
106.    Instrumental washer and disinfector No. 111               1997          74,480
                                         103
 No.                    Name of the Instruments                        Year of   Cost in Rs.
                                                                      Purchase
107.   Hydraulic O.T. Table                                             1997        1,82,000
108.   Horizontal H.P. Sterilizer 2x2x4mm No.291                        1997        6,46,800
109.   Horizontal High pressure cum Low Pressure ETO Sterilizer         2000          95,000
       No. 514
110.   Vital Sign Cardiac Monitor – 6 Nos.                              2002       14,00,000
111.   Portable Pulmonary Function Test (SPIROMETER)                    2002        1,15,000
112.   Anaesthesia Ventilator with Battery Backup MX-10AL – 3 Nos.      2003        2,40,000
113.   Operating Laryngoscope with accessories “Karl Strorz”            2003        4,31,000
114.   CO2 Laser PDR-30 JZ                                              2003       12,48,560
115.   Therapeutical Laproscopic Set for MIS Surgery –1 set (Indian     2003        5,64,020
       make)
116.   Therapeutical Laproscopic Set for MIS Surgery – 1set             2003        5,24,520
       (Germany)
117.   Microclean Ceiling Suspended Laminar Airflow connected with      2003        1,94,750
       Operation Light – 1 set
118.   Fogaster-ULV Fogging Machine – 2nos.                             2003          44,063
119.   Ultrasonic Harmonic Scalpel (Gen-04)                             2004       10,45,000
120.   Ceiling Halogen Light Single Dome with 4X4 Reflector             2004        1,49,890
       Model: AG 4 (Twin)
121.   Laproscopic Instruments of Karl Storz Germany – 1set             2004       13,27,827
122.   Leica Surgical Operating Zoom Microscope Model                   2001       24,15,563
       MS-1 with CCTV Camera
123.   Manman New Mini Simple Burr Hand Piece (electronic)              2005          43,031
       1 No.
124.   Manman Driving Unit-1No.                                         2005          21,835
125.   Manman pen type drill with 4 mm check                            2005          10,241
       New Mini Salttal saw Handpiece (electronic) 1No.
126.   Under water Electro Surgical Unit                                2005        1,08,000
       HM-400 H with all Standard Accessories serial No. 183
       2 No.
127.   Sterrad Nx Hydrogen Peroxide Low temperature Gas Plasma          2005        2,00,000
       Strilization system
128.   Bronchscope Tube universal                                       2005          61,600
       6.5×43 cm-7010318 A
       8.5×43cm-7010318 B-2 No.
129.   Fogstar- ULV Machine Formaldehyde Free Fumigation                2005           20,736
130.   ECG Machine (Cardiograph) - 2 Nos.                               2005           40,800
131.   Manman Bone Cutting Drilling &                                   2005      1,80,580.80
       Reaming Sys.
132.   Orthopaedic Instruments                                          2005        2,43,000
133.   General Surgical Instruments (Main OT, DSU, Neuro ward,          2005
       CSSD)                                                                        9,79,864
134.   Baxter's Syringe Pump Model- SEP-10S- 1 No.                      2007          29,120
135.   Drager Ventilator Model-Oxylog 3000 - 2 Nos.                     2007       11,48,470
136.   Philips Sure Sign VM6 Monitor - 4 Nos. &                         2007       14,00,000
       Philips MP20J Monitor - 2 Nos.
137.   Horizontal Rectangular Type Steam Sterilizer Pressure type -     2008        6,43,500
       1
138.   Under Water Electro Surgical Unit HM-400H - 1 No.                2007          54,000
139.   Baxter's Syringe Pump Model- SP-12S PRO - 2 Nos.                 2007          58,240
                                           104
 No.                   Name of the Instruments                    Year of   Cost in Rs.
                                                                 Purchase
140.   Halogen Ceiling Light 1) Sunlite 2001 C-GL - 4 Nos.         2007        5,60,000
       2) Sunlite 2001-1 C-GL - 2 Nos.
                               INTERVENTIONAL THERAPEUTIC CENTRE
141.   Peritoneoscope,Cystoscope Cholangiography Sigmoidoscopy      1984       2,35,693
       with Accessories
142.   Karl Storz Endoscopes with Accessories                       1986       8,39,227
143.   Diagnost-5 Compact Image Intensifier Integrated X-ray        1988      10,11,111
       System
144.   Tracheal Intubation Fiber scope 'Olympus'                    1992       2,23,168
145.   Colonovideoscope CFIT 100 'Olympus'.                         1994       8,94,321
146.   Video Olympus Endoscopes TJF 200 GIF 2T 200                  1996      37,41,297
       BFIT 200
147.   PENTEX Fiberoptic Gastroscope with standard accessories.     2003       3,19,500
       Model FG-29V
148.   PENTEX Fiberoptic Colonoscope with standard accessories &    2003       4,49,000
       light source Model FC-38LV
149.   Video Endoscopic System “PENTEX”                             2003      18,50,500
       1) Gastroscope with accessories EG-2930 K
       2) Duodenoscope with accessories ED-3430TK
       3) Colonoscope with accessories EC-3830 LK
150.   Fiber Optic Bronchoscope BF-TE2                              2004       4,07,000
                                         SURGICAL ONCOLOGY
151.   Urolose Fibre                                                1995       2,32,203
152.   1) Compact drainage pump                                     1996       7,30,297
       2) Universal Secretion
153.   Lawton Vascular & Endoscopic surgical Instruments.           1996       2,25,526
154.   Micro Processor Controlled solid state electro surgical unit 1997      10,43,000
       Bovie X-10 - 2 Sets
155.   Surgical Diatherapy                                          1997       2,25,000
156.   Biopty Biopsy Inst. with Needle BARD                         2000         88,950
                                             NEUROSURGERY
157.   1) Siemens Siremobil compact economic IITV                   1997      59,31,400
          System with C-Arm
       2) Siemens Siremobil 1000-2 Mobile X-ray I.I. with
          C-Arm D.S.A.
158.   M 1205 A, Omicare 14 - 4 channel LCD Modular Monitoring      1997       7,78,724
       System
159.   HP Medical M.1166 A - 6 channel color Anesthesia,            1997      30,77,100
       component monitoring System
160.   Excel 2lose Ohmeda Anesthesia System - 2 sets                1997      19,46,966
161.   Bear 1000 Micro Processor Ventilator - 2 sets                1997      23,85,846
162.   System 6000 Argon Beam Coagulator - 2 sets                   1997      14,83,741
163.   Carl Zeiss Surgical Operating zoom microscope OPMI Pro-      1997      15,77,623
       magic
164.   Lawton Microsurgical Instruments & Endoscopic                1997      18,43,517
       Surgical Instruments
165.   Hilan High Speed Motor System                                1997      10,16,800
166.   Maquet ALPHASTAR 1132.01 Universal Mobile Operating          1997      23,62,718
       Table - 2 sets
167.   Valleylab CUSA System 200                                    1997       26,31,000
168.   Philips O.T. Light for Neurosurgery - 2 sets                 1997        4,18,000
169.   Radionics Linear Accelerator Stereotactic Radiation System   1998     1,50,18,345
                                        105
 No.                   Name of the Instruments                         Year of   Cost in Rs.
                                                                      Purchase
170.   Multi Purpose Head Frame Type II set                             1998        6,89,216
171.   Mizuho Sugita Neuro Surgical Instruments                         1998        3,75,281
172.   Horizontal H.P. Cylindrical Steam Sterilizer 20 x 48             1998        1,78,752
173.   H.P. cum regular speed ETO Sterilizer Single Door 20x48          1998        2,01,096
174.   Gloves Processing Unit                                           1998        1,91,520
       1) Gloves Inspecting Machine
       2) Gloves Washing Machine
       3) Gloves Drying
175.   Table Top Sterilizer 24W x 16L x 20D                             1998          44,688
176.   Table Top ETO Sterilizer                                         1998          78,800
177.   Various Neuro Surgical Instruments                               2000        6,33,920
178.   Intra Cranial Pressure Monitoring System – 2                     2001        5,86,992
179.   High Speed Pneumatic Craniotome with Drill                       2002       10,42,608
       “MIDAS REX”
180.   CRW Target Calculations software Stereocalc                      2003        2,20,000
       SC-SW-1CD – Radionics
181.   Micro Surgical Instruments & Instruments for Spinal Fusion       2003          97,073
       “SISCO” – 24 items – 69 Nos.
182.   Manman Cranitome complete 1 No.                                  2005        1,11,937
183.   Q cutler CRANITOME                                               2005          13,417
       5 No. (set)
184.   Fogstar- ULV Machine Formaldehyde Free Fumigation Denice         2005          20,736
       1 No.
                                     GYNAECOLOGICAL ONCOLOGY
185.   Carl Zeiss Colposcope OPMI IFC                                   1989        3,33,600
186.   Leisgang Standard Colposcope Model ID                            1991        1,05,134
187.   Colposcope OPMI 1-FC-2 Nos.                                      1994       16,03,854
                                          MEDICAL ONCOLOGY
188.   BEAR 1000 Ventilator                                             1993       15,36,405
189.   BCI 9100 Series Multigas Monitor                                 1994       20,35,952
190.   Anaesthesia Apparatus Excel '80' - 2 sets                        1997        9,00,000
191.   Volumetric Infusion pump - 12 sets                               1998        7,48,800
192.   Revco Ultra Low Temp Deep Freezer - 140°C                        1999       10,31,056
193.   Computer Controlled Rate Freezer Ice cute 181°C                  1999        8,02,515
194.   Liquid Nitrogen Ultra Deep Freezer 10K Cry storage               1999        5,35,260
       System -180°C
195.   153013 HAMILTON AMADEUS Ventilator                               1999        6,84,856
196.   Blood Cell Separator C.S. 3000 Plus "BAXTER"                     1999       20,85,300
197.   Baxter SPS-1550-Hemodialysis machine                             1999        7,22,228
198.   S.S. scrub machine                                               1999        5,70,145
199.   Volumetric Infusion Pump Infutec 520 S (4 Nos)                   1999        2,06,000
200.   Cardiac Resuscitation System                                     1999       3, 48,732
201.   Concept Multipara Monitor with printer - 5 Nos                   1999        8,55,625
202.   Cardiac Resuscitation System                                     1999       3, 48,732
203.   Concept Multipara Monitor with printer - 5 Nos                   1999        8,55,625
204.   BPL Defibrillator with cardiac Monitor Model DF-2509 - 2 Nos     2004        2,00,000
205.   Pulse Oximeter Model - OXI-SAT 2060 - 2 Nos.                     2007          71,370
206.   Baxter's Syringe Pump Model- SEP-10S- 2 Nos.                     2007          58,240
207.   Pulse Oximeter Model - OXI-SAT 2060 - 1 No.                      2007          35,685

                                          106
 No.                    Name of the Instruments                         Year of   Cost in Rs.
                                                                       Purchase
                                             RADIOTHERAPY
208.   Linear Accelerator SL 75-5 Sr.No. 327 'PHILIPS'                   1980        67,41,653
209.   Selectron Equipment                                               1983        12,50,000
210.   Simulator Equipment 'PHILIPS'                                     1983        31,00,000
211.   Linear Accelerator SL-75-5 Sr.No. 3021 'PHILIPS'                  1989        75,24,243
212.   'Nucletron' Treatment Planning System                             1993        14,06,150
213.   Linear Accelerator 20 MEV Sr.No.5232 ‘PHILIPS’                    1993      2,53,19,708
214.   Micro Selectron HDR Brachytherapy                                 1995        18,72,624
215.   Varian Ximatron CX Radiotherapy Simulator                         1997      1,54,46,200
216.   Digital Plate Film Recorder                                       1997         3,74,293
217.   Siemens or Doppler Ultrasound G-50                                1998        20,00,000
218.   'Nucletron' Plato Treatment Planning System                       2000       2 9,43,769
219.   15 MEV Precise Digital Linear Accelerator                         2001      5,13,00,000
220.   Plato 3D Radiotherapy Treatment Planning System &                 2003         4,03,711
       accessories for LA-4.
       Networking TPS to Precise Digital Linear Accelerator
221.   ION chamber Based Survey Meter (451P-RyR Inovision)               2004        1,30,890
222.   ICRT Applicator Set for Selectron LDR                             2004        3,04,395
223.   CVC Applicator Set for Micro-HDR                                  2004        1,34,450
224.   E-Class Hopkins II Telescope 70o with Fiber Optic Light Cable     2005          83,100
       & Light Source
225.   Q. A. Equipment Blue Phantom Dosimetry system with                2005       61,63,722
       Accessories
226.   Upgrade of Precise Digital Linear Accelerator with MLC            2005      2,08,84,000
       Hardware and IMRT Software
227.   Digital cold Light Source 24 V, 252W twin                         2005          12,000
228.   E-Class Itopkins II Telescope 70° 4mm (Sr.No.6218435)             2005          51,300
       Cat No.7230 (WACS) -1No.
229.   Fiber Optic Light Cable 3.5 (Lot:MF) Cat.No.495NL                 2005           19,800
230.   Fogstar- ULV Machine Formaldehyde Free Fumigation                 2005           20,736
231.   (1) MicroSelectron HDR V3 Remote Afterloading                     2007      1,75,44,000
       Brachytherapy unit
232.   (2) Microselectron HDR GENIE Brachytherapy system
233.   Gamma Zone Monitor Model - PAM - 452 - 2 Nos.                     2007           49,634
234.   Low Energy Linear Accelerator (6MV)                               2008      2,76,03,570
                                           MEDICAL PHYSICS
235.   PTW Dosimeter Aspirator                                           1996        4,11,196
                                             CELL BIOLOGY
236.   Photo Microscope-III ‘Zeiss’                                     1980          2,24,069
237.   Research Microscope 'Zeiss’                                      1980          1,80,000
238.   Vacuum Pump & Nova-II                                            1982            31,038
239.   Photomicrographic Exposer                                        1982            10,200
240.   Nikon Binocular Research Microscope - 4                          1984          1,02,638
241.   Sartorious Electronic Balance                                    1984             8,321
242.   Lyophiliser                                                      1989          2,27,893
243.   Laboratory Microscope Olympus BHT 112                            1991            64,562
244.   Binocular Res. Microscope Nikon - 3 No                           1992          2,41,581
245.   Confocal Microscopy MRC - 1000 Biorad                            1995         38,62,651
246.   CO2 Incubator                                                    2000       2,64,325.00
247.   Automatic Karyotyping System with Fluorescence Microscope        2000         37,74,000


                                            107
 No.                    Name of the Instruments                          Year of   Cost in Rs.
                                                                        Purchase
248.   ISIS Software for up gradation of Automatic Karyotyping            2004        5,98,758
       IKAROS-3
249.   Multicolor Karytyping system with compatible CCD Camera            2004       26,36,888
       computer and Laser Colour Printer
250.   LG-366 DMQ Capacity 350 Liters                                     2004          52,500
       LG-454 TM Capacity 430 Liters
                                     MOLECULAR ENDOCRINOLOGY
251.   Brinkman Polytron Homogenizer                                      1981          28,315
252.   Micro Rapid System Electrophoresis                                 1986           6,709
253.   Automatic Gamma Counter H.P. COBRA                                 1991        6,39,000
254.   Ultra Centrifuge 'Beckman' L7-65.                                  1992       16,23,810
255.   Fotodyne System with MP 4 Camera                                   1993        2,51,000
256.   GNA 200 Gel Electrophoresis                                        1993        2,43,641
257.   Ultra Low Temperature Deep Freezer -80°C ULT-1386                  1993        3,92,000
258.   Mini Protein-II Cell Biorad                                        1993          33,802
259.   Table Top Refrigerated Centrifuge Beckman GS-6R                    1994        3,81,578
260.   Elgastat Prima water purification system                           1994        3,88,285
261.   SLAB Gel Dryer 'Biorad'                                            1994          57,255
262.   VCX-400 Microprocessor based Vibra-Cell Ultrasonic                 1994        1,27,465
       Processor
263.   Refrigerated Centrifuge Avanti – 30                                1995        6,67,737
264.   Gene Amp PCR System 9600 Perkin - Elmer Cetsus                     1995        5,71,366
265.   Hybridization Oven Amersham RPN 2510                               1995          84,731
266.   Rotary Microtome Leica 2035-2                                      1995        4,51,789
267.   D Gene Complete System, mini protean cell, Gel Dryer.              1996        3,54,000
       'BIORAD'
268.   High Speed Micro Centrifuge 'Sigma 113’                           1996           47,358
269.   Rotor for Beckmann Centrifuge                                     1996         6,00,448
270.   Liquid Scintillation Counter Wallac 1409                          1996         8,76,400
271.   Amersham Contamination Monitor                                    1997           42,574
272.   Centrifugal Evaporator RC 10.10                                   1997         2,61,379
273.   Ultima series Ultra Low temp. Deep Freezer - 860C                 1997         9,09,357
       ULT 2186 9V 'REVCO'
274.   Milli Q plus System                                                1997        2,15,129
275.   Spectrophotometer                                                  2001        5,50,644
276.   Water Purification System ZIXS 5010Y ELIX-10                       2004        1,75,972
277.   Microcentrifuge (RC-4815D Eltek)                                   2004          62,700
278.   Tissue Microdismembratorl                                          2001        3,03,522
279.   Multigas 3 S-R Refrigerated Table Top Centrifuge                   2001        4,63,961
280.   Liquid Nitrogen Cryostorage System                                 2001        3,64,750
281.   Thermolab System Multiscan Spectrum UV                             2002       12,36,200
       Spectrophotometer with computer
282.   Power Pack for Electrophoresis                                     2002        1,30,000
283.   Real Time PCR System ABI Prisam - 7000                             2004       24,44,352
284.   Master Cycler CP Gradient with Manual Lid inclusive of control     2004        3,02,762
       Panel (5340002.000) equipment
285.   AIRTECH’ make Laminar Air flow cabinets.                           2004          61,750
       Size 4’×2’×2’ (Horizontal) Model: ATH 1200


                                           108
 No.                   Name of the Instruments                    Year of     Cost in Rs.
                                                                 Purchase
                                      BIOCHEMISTRY RESEARCH
286.   Microzone Electrophoresis System.                            1980            28,069
287.   HPLC DFB System & Electrophoresis System                     1993         15,63,000
288.   Ultima series Ultra Low temp. Deep Freezer - 860C ULT        1997          9,09,357
       2186 9V 'REVCO'
289.   Bio-Rad Densitometer                                         1997         19,80,847
       integrated System
290.   Beckman DU-640 Spectrophotometer                             1997          9,36,869
291.   Fluorescence Spectrophotomer                                 2001         15,21,237
292.   Systronics Double Beam UV-VIS Spectrophotometer              2003          3,03,441
       Type 2201
293.   Proteomic Work Station (Protean IEF System)                  2004         16,04,805
                                       IMMUNOHISTOCHEMISTRY
294.   Hyper Cut Rotary Microtome 'Shandon'                         1985            61,867
295.   Rotary Microtome Leica 2035-2                                1995          4,51,789
296.   Facsort Flow Cytometer System                                1995         41,26,490
297.   LeitzAdvanceresearch Microscope Model DMRB with Micro        1995          7,10,844
       Pathology
298.   Electro Transfer System Blotting Apparatus                   2005            26,180
                                           PHYSIOTHERAPY
299.   Intermittent Compresion Therapy Unit                         2007          1,35,169
       (Pression Compression 6 Chamber) - 1 No.
                                                WARDS
300.   Servoventilator 900 C – Siemens (ICU)                        1989          4,46,500
301.   Air Sterilizer                                               2002          2,55,368
       4 Nos (Leukemia F. Ward)
       2 Nos (Leukemia M. Ward)
       2 Nos(Paediatric Leukemia)
       2 Nos(BonemarrowspWard)
       2 Nos (Special Ward)
302.   Pulse oximeter with Alrams                                   2005          1,04,000
       Model: TOP SAT-DX
       1 No (PostOp Ward)
       1 No. (ICU)
       2 Nos (BMT unit / Medical Ward)
303.   Fire extinguishers                                           2005          1,86,500
       ABC MAP 90 (SP) FE 2 Kg- 34 Nos.
       ABC MAP 90 (SP) FE 5 Kg-13 Nos.
       CleanAgent HCFC 123 FE 2 Kg-6 Nos.
          Clinical Meetings, Conferences, Workshops, Seminar & Video Conference
304.   Multimedia Projector - 3 Nos                                               1,96,620
                                              COC, Vasna
305.   LCD Projector                                                2004            79,178
306.   Olympus Binocular Microscope                                 2004            73,000
                                         Total Cost                   50,49,01,991=00




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                 THE GUJARAT CANCER & RESEARCH INSTITUTE

                  VIII. ACCOUNTS




              BALANCE SHEET
                 2007-2008




The Gujarat Cancer & Research Institute
   Civil Hospital Campus, Asarwa, Ahmedabad-380 006
         Tel : 079-22688000 • Fax : 079-22685490




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     ACADEMIC ACTIVITIES INITIATED IN MEMORY OF DR. T.B. PATEL

                          DR. T. B. PATEL ORATION AWARD

In the memory of Dr. T. B. Patel, Oration Award is given every year to an individual who has
substantially contributed for more than ten years in the field of cancer. Dr. T. B. Patel Award was
instituted in 1991. The list of recipients of the Oration Award is as follows:

1991-1992: Dr. M. R. Das, Director, Centre for Cellular Molecular Biology, Hyderabad.
1992-1993: Dr. John Leuis, Leeds, U. K.
1993-1994: Dr. Ashok Khar, Centre for Cellular Molecular Biology, Hyderabad.
1994-1996: Dr. N. Anantha, Director & HOD, Dept. of Radiation Therapy, Kidwai Memorial
           Institute, Bangalore
1997-1998: Dr. Bhanu Iyenger, HOD, Institute of Pathology (ICMR), New Delhi.
1998-1999: Dr. Mamen Chandy, Christian Medical College, Vellore, Tamil Nadu.
1999-2000: Dr. Sanat Bhagwati, Consultant Neuro Surgeon, Bombay Hospital, Mumbai.
2001-2002: Dr. G. K. Rath, Prof. & Head, Dept. of Radiation Oncology, AIIMS, New Delhi.
2002-2003: Dr. Vinod Kochupillai, Prof. & Head, Dept. of Medical Oncology, AIIMS, New Delhi.
2003-2004: Padmavibhushan Dr. Praful Desai, Ex-Director Tata Memorial Hospital, Mumbai.
2004-2005: Dr. Rajendra A. Badve, Professor and Head, Surgical Oncology, Tata Memorial
           Hospital, Mumbai.
2005-2006: Dr. V. Shanta, RCC, Chennai.
2006-2007: Dr. M. B. Agarwal, Haematologist, Bombay Hospital, Institute of Medical Sciences,
           Mumbai.
2007-2008: Dr. K. S. Gopinath, Director, HCG Bangalore Institute of Oncology, Bangalore.

Special Oration Award:
2000-2001: Dr. Sen Pathak, Prof. Cell Biology, University of Texas, M.D. Anderson Cancer
           Center, USA.


               DR. T. B. PATEL TRAVEL FELLOWSHIP 2007 - 2008

                    No.            Name              Department / Division
                    1     Mr. Gaurav Pancholi       Biochemistry Research
                    2     Ms. Vandana Patel         Biochemistry Research
                    3     Dr. Mithun Shah           Medical Oncology
                    4     Dr. Kiran A.K.            Medical Oncology
                    5     Dr. Nitin Joshi           Pediatric Oncology
                    6     Dr. Bharat Parikh         Medical Oncology
                    7     Ms. Birva Brahmbhatt      Immunohistochemistry
                    8     Ms. Nilima Desai          Immunohistochemistry
                    9     Dr. Ronak Bhansali        Gynaecological Oncology
                    10    Ms. Kruti Rajvik          Immunohistochemistry
                    11    Ms. Shalvi Mehta          Immunohistochemistry
                    12    Dr. Pariseema Dave        Gynaecological Oncology
                    13    Dr. Shilpa Patel          Gynaecological Oncology
                    14    Dr. Dhaval Jetly          Pathology
                    15    Dr. Parijath Goswami      Microbiology
                    16    Dr. Biren Parikh          Pathology




                                              135
           DR. T. B. PATEL YOUNG SCIENTIST RESEARCH MEDALS

Gold, Silver and Bronze medals are awarded to young scientists for their outstanding published
research work. For the purpose of this felicitation, only the Research Fellows, Residents,
Research Assistants are considered. The medals are given as a mark of appreciation of the
enthusiastic research workers, at the same time it is hoped that it may also encourage the
budding brilliance to turn into a full-blown scientist some day in the future. These Medals were
instituted in 1991-92. For the first two years, only gold medals were given. From 1997, Gold,
Silver and Bronze Medals are being given.

               Year              Recipient           Medal      Department / Division
             1991-1992   Dr. Prabhudas Patel         Gold     Biochemistry Research
                         Dr. Neelam Shah             Gold     Molecular Endocrinology
                         Dr. Amit Trivedi            Gold     Cell Biology
             1992-1993   Dr. Hemangini Vora          Gold     Molecular Endocrinology
                         Dr. Nandita Ghosh           Gold     Molecular Endocrinology
                         Ms. Rina Jaju               Gold     Cell Biology
             1993-1994   Dr. Neelkamal Karelia       Gold     Molecular Endocrinology
                         Mrs. Rashmi Patel           Silver   Cell Biology
                         Ms. Gira Raval              Bronze   Biochemistry Research
             1994-1996   Ms. Tejal Suthar            Gold     Molecular Endocrinology
                         Ms. Sonal Bakshi            Silver   Cell Biology
                         Mr. Rakesh Rawal            Bronze   Biochemistry Research
             1997-1998   Ms. Mintoo Patel            Gold     Biochemistry Research
                         Ms. Priya Chikhlikar        Silver   Molecular Endocrinology II
             1998-1999   Ms. Trupti Trivedi          Gold     Molecular Endocrinology II
                         Ms. Nilima Desai            Silver   Immunohistochemistry
             1999-2000   Dr. Sonal Bakshi            Gold     Cell Biology
                         Ms. Beena Patel             Silver   Biochemistry Research
             2001-2002   Ms. Harshini Mehta          Gold     Immunohistochemistry
                         Ms. Rachana Sainger         Silver   Biochemistry Research
                         Ms. Pina Trivedi            Bronze   Cell Biology
             2002-2003   Ms. Franky Jha              Gold     Biochemistry Research
                         Ms. Hiral Broker            Silver   Molecular Endocrinology II
             2003-2004   Ms. Rupa Dalal              Gold     Molecular Endocrinology II
                         Ms. Kruti Shah              Silver   Immunohistochemistry
                         Mr. Jayendra Patel          Bronze   Biochemistry Research
             2004-2005   Ms. Manisha Brahmbhatt      Gold     Cell Biology
                         Dr. Ahsish Gupta            Gold     Medical Oncology
                         Ms. Amisha Desai            Silver   Biochemistry Research
                         Dr. Sonali Garg             Bronze   Gynaecological Oncology
             2005-2006   Ms. Shalvi Mehta            Silver   Immunohistochemistry
                         Ms. Tina Dave               Silver   Biochemistry Research
                         Dr. Biren Parikh            Bronze   Pathology
             2006-2007   Ms. Vandana Patel           Gold     Biochemistry Research
                         Dr. Bhavna Parikh           Gold     Surgical oncology
                         Ms. Birva Brahmbhatt        Silver   Immunohistochemistry
                         Dr. Madhuri Bhade           Silver   Anaesthesiology
                         Ms. Pina Trivedi            Bronze   Cell Biology
             2007-2008   Dr. Pooja Nandvani Patel    Gold     Radiotherapy
                         Ms. Hetvi K. Patel          Silver   Biochemistry Research
                         Dr. Anjana Chauhan          Silver   Gynaecological Oncology




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                                 ACKNOWLEDGEMENTS

Our sincere thanks and gratitude to:
Shri Nawal Kishore Sharma, His Excellency, The Governor of Gujarat
Shri Narendra Modi, Hon’ble Chief Minister, Gujarat State
Shri Jaynarayan Vyas, Hon’ble Health Minister, Gujarat State
Shri Sudhir Mankad, IAS, Chief Secretary, Govt. of Gujarat
Sushri Rita Teotia, Additional Chief Secretary, Health & Family Welfare Dept., GOG
Dr. Amarjeet Singh, IAS, Commissioner of Health, Govt. of Gujarat
Shri V.L. Joshi, IAS, Chairman & Managing Director, GMDC
Shri A.K. Joti, IAS, Secretary, Finance Dept. (Exp), Govt. of Gujarat
Shri K. Ramamoorthy, IAS, Joint Secretary, Ministry of Health & Family Welfare, Govt. of India
Addl. Director General, Dept. of General of Health Services, Govt. of India
Shri S.D. Jha, Director (IF), Ministry of Health & Family Welfare, Govt. of India
Shri Kanaji Thakor, Mayor, Ahmedabad Municipal Corporation
Shri I.P. Gautam, IAS, Municipal Commissioner, Ahmedabad
Dr. M.M. Prabhakar, Superintendent, Civil Hospital, Ahmedabad
Dean, Govt. Dental College, Ahmedabad
Dean, B.J. Medical College, Ahmedabad
Director General, Indian Council for Medical Research, New Delhi
Dr. A. Nandakumar, Officer-Incharge, ICMR, NCRP, Bangalore
Director, NIOH, Ahmedabad
Dr. Parimal Trivedi, Vice Chancellor, Gujarat University, Ahmedabad
Department of Health & Family Welfare, Govt. of Gujarat
Ministry of Health & Family Welfare, Govt. of India
Director General of Department of Science & Technology, New Delhi
Director General of Department of Biotechnology, New Delhi
Additional Director of Medical Education & Research, Gandhinagar
Shri K.R. Kaushik, IPS, Commissioner of Police, Ahmedabad
Gujarat Cancer Society, Ahmedabad
Social Organisations providing helping hand to our day today activities
All staff members of Gujarat Cancer & Research Institute and Gujarat Cancer Society Parivar



                       Annual Report Preparation Committee
               Heads of Departments/ Units/ Services/ Research Divisions
                             Dr. Shilin Shukla (Convenor)
            Dr. Hemangini Vora, Mr. Mahendra Kumpavat, Mr. Bankim Desai,
                                Mr. Dharmesh Panchal,
                           Heads of Administrative Sections




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