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The
Tata Memorial Hospital was initially commissioned by
the Sir Dorabji Tata Trust on 28 February 1941 as a
center with enduring value and a mission for concern
for the Indian people.
In 1952 the Indian Cancer Research Centre was established
as a pioneer research institute for basic research -
later called the Cancer Research Institute (CRI). In
1957 the Ministry of Health took over the Tata Memorial
Hospital. The transfer of the administrative control
of the Tata Memorial Centre (Tata Memorial Hospital
& Cancer Research Institute) to the Department of Atomic
Energy in 1962 was the next major milestone. The Tata
Memorial Hospital and Cancer Research Institute merged
as the two arms of the Tata Memorial Centre (TMC) in
1966 as a classic example of private philanthropy augmented
by Government support with a mandate for Service, Education
& Research in Cancer.
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Every year nearly 35,000 new patients visit the clinics
from all over India and neighbouring countries. Nearly
60% of these cancer patients receive primary care at
the Hospital of which over 70% are treated almost free
of any charges. Over 1000 patients attend the OPD daily
for medical advice, comprehensive care or for follow-up
treatment.
Nearly 8500 major operations are performed annually
and 5000 patients treated with Radiotherapy and Chemotherapy
annually in multi-disciplinary programmes delivering
established treatments. At the TMH, Evidence Based Medicine
is the keystone of our endeavour. Apart from the patient
care and service, clinical research programmes and randomized
trials contribute increasingly to improved delivery
of care and highest standards of work ethics.
Surgery remains the vital form of treatment along with
radiation therapy and chemotherapy. The strategies for
early diagnosis, treatment management, rehabilitation,
pain relief and terminal care have been established
in a comprehensive and multidisciplinary approach for
a total cancer care programme.
Many advances have taken place in every speciality.
In surgery, concepts have changed taking into account
the biology of cancer. Radic al
surgeries have yielded place to more conservative surgery
with the very important objective of quality of life,
conserving function and organ without compromising overall
survival outcomes. Radiation therapy has also made rapid
advances with high technology, precision, computerisation
and newer isotopes for therapy. Chemotherapy has played
a very major role, with new drugs and clinical protocols
investigated in clinical trials. The TMH was the first
Centre in the country to initiate Bone Marrow Transplant
in 1983. This has been possible due to better total
supportive care using newer antibiotics, nutritional,
blood transfusion support and nursing. Another important
area of progress over the last few years has been radiological
imaging techniques using ultrasound, CT Scanners, MRI
and more dynamic real time nuclear medicine scanning
and the PET Scan. A "first in India" PET CT scanner
has been procured to make this cutting edge technology
available for cancer management.
Pathology has progressed from basic histopathology
to molecular pathology with emphasis on predictive assays
for identifying the high risk prognostic factors. NABL accreditation was awarded in 2005.
Supportive care in the form of total rehabilitation,
and counselling of patients is widely recognised to
be very important aspects of therapy. Excellent work
has been carried out in areas of rehabilitation, physiotherapy,
occupational therapy, speech therapy, psychology and
medical social work.
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Preventive Oncology has a very major and important
role to play for early diagnosis, screening and down
staging of cancer. Department of Preventive Oncology
was commissioned in the year 1993, which give special
focus on education in cancer prevention and early detection,
cancer screening.
Of the 2 to 2.5 million cases of cancer in the country
over 70% of cases are detected late and report for treatment
in very advanced stages. The emphasis on early detection
would go a long way to dealing with the large numbers
as well as to mitigate avoidable suffering and a financial
burden. With this aim, TMC established its first Rural
Outreach Cancer Centre at Barshi, Sholapur Dist. for
early diagnosis and treatment in 1983. In 2003, the
second Rural Outreach Cancer Centre was set up at Dervan,
Chiplun, Ratnagiri District.
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A Scientific Review Committee critically reviews the
proposed research programmes and projects in detail
and ensures that the research effort is at the cutting
edge of an international effort. The Hospital Ethics
Committee consisting of Doctors and Scientific Officers
of the Centre and external expert members in the field
of medicine, law and social science critically evaluate
the research and medical practices followed in the Hospital.
A separate Data Monitoring and Safety Committee, in
addition, evaluates and monitors all officially sanctioned
intramural research programmes.
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The Tata Memorial Centre is a recognised training centre
for cancer education and research by national and international
organisations such as WHO, IAEA and UICC. Tata Memorial
Hospital is a post-graduate teaching centre and is affiliated
to the University of Mumbai, National Board of Examinations
and Maharashtra University of Health Sciences. Every
year about 80 post-graduate students register with the
Centre for doing their Master's or Doctorate courses.
There are about 400 students undergoing training every
year in medical and non-medical fields in long and short
term courses.
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| In 2002, a Telepathlogy
service was established starting with the rural Cancer
Hospital at Barshi. This service is now utilised by several
other hospitals as well. A telemedicine service facility
has been set up linking Dr B Borooah Cancer Institute
at Guwahati and the Dr Walawalkar Hospital at Dervan,
Chiplun. Six Hospitals in the NorthEast and Regional Cancer
Centres will be networked to enable patients to access
comprehensive cancer care from all over the country. |
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In line with recent advances in Information Technology,
the Tata Memorial Centre has established a comprehensive
computerization of Medical Records, Material Management
and Administration and also improved communication by
widening of the Electronic mail and Internet facilities.
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A 12-storey block "The Tata Clinic and Faculty Block"
is being planned on the premises vacated by the CRI.
This facility will house site speciality clinics, 50
additional beds, Minor theatre coplex, day care beds,
academic offices, post graduate education, seminar rooms
and a Telemedicine Centre.
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Advanced Centre for Treatment, Research and Education
in Cancer: As per Deputy Director ACTREC
In the final analysis, an Institution is judged by
the quality of the staff. Our eminence is entirely due
to their unquestioned and total dedication in the cause
of fighting cancer. The Tata Memorial Centre will not
rest on past achievements, splendid as they are, but
will continue to give succour to our patients, offer
them the best chance of cure, of life, and relief from
pain in continuing a tribute to the vision and dedication
of those who have guided the destiny of this Institution.
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