Unlike most other diseases, cancer treatment requires an integrated approach from several specialists, each with their own expertise. This team of specialists who would work together on your cancer, is referred to as the Multi-Disciplinary Team (MDT). Many global organisations have recognized the importance of a MDT for cancer treatment, as it improves coordinated care to you, as a patient. Your MDT would include specialists from the following:
Gastroenterologist: Specialist dealing with diseases of the gastrointestinal tract. Performs the endoscopic procedures. Surgeon or surgical oncologist: Specialist in operating on various types of cancer.
Medical oncologist: Specialist who decides the optimum schedule and agent for chemotherapy
Radiation oncologist: Specialist in administering radiation therapy to treat cancer
Pathologist: Examines biopsies and other samples under the microscope.
Radiologist: Specializes in using imaging tests to diagnose diseases such as gall bladder cancer
Palliative care specialist: Specialist in palliative and end-of-life care.
Nutritionists: To customize diet during treatments.
Some of the best cancer hospitals in India that take an organ-based approach to cancer, have a separate department for Hepatobiliary Cancers (Liver, Gall bladder and also pancreas). These teams comprise of specialists who have dedicated training in cancers of the Hepatobiliary system.
A tumor board is a meeting where a Multi-Disciplinary Team discusses cancer cases and share knowledge. The board’s goal is to determine the best possible cancer treatment and care plan for an individual patient. Having fresh perspectives from other doctors makes it much easier to come up with that plan.
In some hospitals, all cancer cases are discussed at the Tumor Board, while in other hospitals the Tumor Board focuses on cases where a doctor seeks inputs from other specialists on the patient's case. It’s OK to ask your doctor if or why your case was discussed at a tumor board. Or if it wasn’t, why not? In some cases, a patient’s treatment plan is very straightforward using standard treatment guidelines, and the doctor may feel a tumor board review isn’t needed. However, you can request that one be done.
These are offline or online groups that connect patients suffering from cancer. Do find out about a support group around you. The cancer specialist hospital where you are being treated may have a support group that you could join.
Sources: Mayo Clinic