Gastro-Intestinal & Hepato-Pancreatico-Biliary (GI & HPB) Cancer Center

Retroperitoneal Sarcoma

Gastro-Intestinal & Hepato-Pancreatico-Biliary (GI & HPB) Cancer Center

Retroperitoneal Sarcoma

Retroperitoneal sarcoma (RPS) is a rare tumor that can be difficult to diagnose and treat. It needs to be treated in a specialized center by a team of experts from different fields. Pathology is used to figure out the histologic subtype, which is an important part of the diagnosis.

Knowing the histologic subtype is important because it can change the prognosis and treatment options. Complete surgical resection with negative margins is still the best way to treat RPS that hasn’t spread to other parts of the body and is the only way to cure it.

 In order to get negative margins, it is often necessary to do a multi-visceral en bloc resection.

Neoadjuvant therapies (chemotherapy, external beam radiation, or a combination of radiation and chemotherapy) are safe for well-selected patients and may be considered after a careful review by a multidisciplinary sarcoma tumor board when the risk of recurrence is high.

Diagnosis and Staging of Retroperitoneal sarcoma

RPS frequently presents with atypical, nonspecific, and mild symptoms that make diagnosis difficult, or it is found only by accident during imaging procedures.

Imaging of the retroperitoneum that is sufficient, detailed, and provides a good picture of the tumor, as well as its interaction with surrounding organs and the possible involvement of those organs, is essential.

The diagnosis of RPS can frequently be made with just a contrast-enhanced CT scan of the abdominal region and pelvis. This imaging modality is useful for arranging a biopsy since it not only gives a solid indication of the nature of the tumor but also provides this information. Once this is done, the majority of cases just require a chest CT scan to finish the staging process.

The use of magnetic resonance imaging is an option for individuals who are unable to receive intravenous contrast, as well as for situations in which it is important to evaluate the involvement of spinal/vertebral foramina, nerves, and/or posterior muscles.

RPS has many histopathologic subtypes that are hard to tell apart just by looking at images. In their consensus guidelines, the Trans-Atlantic RPS Working Group (TARPSWG), which is a group of sarcoma centers from both sides of the Atlantic, stresses how important it is to get a tissue diagnosis before starting treatment.

Before, it was thought that a biopsy of RPS could lead to unintentional tumor tract seeding. However, a pooled analysis of four specialized centers showed that this doesn’t happen very often.

Image-guided percutaneous core needle biopsy should be tried first in the most aggressive-looking part of the RPS using a large core needle (14 or 16 gauge) and a coaxial technique to get as much and as good tissue as possible to look at.

The biopsy should be done from the back or side, and never from the inside of the abdomen. Also, open laparotomies and laparoscopic biopsies should not be done.

Retroperitoneal sarcoma

Surgery & Treatment of Retroperitoneal sarcomas in india

The surgical excision continues to be the most important component of the treatment for Retroperitoneal sarcoma, and the period of primary surgery presents the patient with the best opportunity to be cured.

The goal of surgery should be to achieve macroscopically complete excision of the tumor (R0 or R1) while minimizing marginality.

The therapy for a Retroperitoneal sarcoma will typically involve surgery, although the specifics of each individual instance vary. The use of medication or radiation therapy in conjunction with surgical procedures is an option for certain patients.

 These nonsurgical treatments can occasionally be administered prior to surgery in an effort to decrease the tumor, which can help make its removal easier and reduce the likelihood of the patient’s system containing tiny cancer cells.

Ideally, this should be accomplished by performing an en-bloc resection of all potentially involved structures, which can be determined by careful preoperative imaging in combination with intraoperative findings.

Given the location and size of these tumors, as well as the absence of a standard protocol to process the specimen, however, despite ongoing efforts, no convincing method has been found to assess the quality of surgical margins.

This is due to the fact that there is no standard protocol to process the specimen. An extensive surgical technique, as opposed to a simple excision, results in lower rates of local recurrence than the latter, and the reason for this is that it minimizes marginality and positive margins.

When planning a surgery, it is very important to think about both the histology of the RPS and how it is expected to act. These two things are very different. In fact, the largest transatlantic multi-institutional series found that histologic subtype was a predictor of patterns of local and distant recurrence.

Also, an analysis of a large database from a single institution showed that the histologic subtype is the best way to predict death from a disease and that it affects both local and far-away recurrence.

Even more interesting is that the patterns of organ involvement depend a lot on the histologic subtype. Evidence of histopathologic organ involvement is a strong predictor of overall survival, according to a recent study of 302 patients done by a single institution.

Cancer rs

Dr. Vinay is your one-stop solution for a safe & successful treatment of Retroperitoneal sarcomas in india

Dr. Vinay Samuel Gaikwad is a highly skilled oncologist who specializes in cancer surgery. He has more than two decades of clinical experience and has worked in the past for a number of India’s most prestigious hospitals.He is knowledgeable in some of the most cutting-edge Whipple surgery thanks to his 21 years of experience in the field.

FAQ (Frequently Asked Questions)

Is retroperitoneal sarcoma cancerous?

Sarcoma is an extremely uncommon form of cancer that originates in the connective tissues of the body, including fatty tissue, muscle tissue, blood vessels, and fibrous tissue. Approximately twenty percent of all sarcomas start in the area behind the kidneys in the abdomen, which is also referred to as the retroperitoneum.

What is the percentage of retroperitoneal sarcoma patients who make a full recovery?

Patients who have retroperitoneal sarcomas (RPS) have a relatively poor prognosis, with a survival rate of 36–58% after 5 years according to the overall survival (OS) statistic and natural history that is characterized by late recurrences . RPS tend not to exhibit any symptoms until they have grown to significant proportions.

Is retroperitoneal sarcoma a soft tissue sarcoma?

Because of the abdominal cavity’s remarkable ability to accommodate these slowly expanding masses with a paucity of attendant symptoms, retroperitoneal soft-tissue sarcomas are locally invasive tumors that remain occult for long periods of time and grow quite large.

This is because of the abdominal cavity’s remarkable ability to accommodate these slowly expanding masses. In order to arrive at a conclusive diagnosis, you will need to perform an open biopsy.

What is retroperitoneal liposarcoma?

Rare retroperitoneal liposarcomas are mesenchymal tumors of the retroperitoneum. They typically manifest themselves at an advanced stage of the disease and are associated with a dismal outlook most of the time.

These cancerous tumors are uncommon and can be found in unusual anatomic locations; as a result, diagnosing them can be difficult, and treating them can be difficult for several different reasons.

What kind of treatment is available for patients who have retroperitoneal sarcoma?

The treatment for a sarcoma will typically involve surgery, although the specifics of each individual case vary. The use of medication or radiation therapy in conjunction with surgical procedures is an option for certain patients.

These nonsurgical treatments can sometimes be given prior to surgery in an effort to shrink the tumor, which can help make its removal easier and reduce the likelihood of the patient’s system containing microscopic cancer cells.

What sets sarcoma apart from carcinoma in terms of its characteristics?

Carcinoma is cancer that originates in the cells of the skin or the tissue that lines the internal organs of the body, such as the kidneys and the liver. A sarcoma is a cancer that develops in the cells of the body’s connective tissue, which can be found in fatty tissue, blood vessels, nerves, bones, muscles, cartilage, and deep skin tissues.

Dr. Vinay Samuel Gaikwad is a profound Surgical Oncologist with 18+ yrs of experience. Expertise: Advanced Minimal Access Surgical Oncology, Pancreatic and Hepatobiliary (Liver) Cancer surgery, Laparoscopic Colorectal Surgery, Upper GI (Stomach and Esophagus) Cancer Surgery, Hyperthermic Intraperitoneal Chemotherapy (HIPEC), Pressurized Intraperitoneal Aerosolised Chemotherapy (PIPAC) Neuroendocrine Tumours.

Dr. Vinay Samuel Gaikwad is a reputed and exceptional Gastrointestinal and hepatopancreatobiliary (GI & HPB) cancers surgeon. Dr. Vinay specializes in Advanced Minimal Access Surgery and HIPEC. He also has expertise in Pancreatic and Liver Cancer Surgery, Laparoscopic Colorectal and Upper GI Cancer Surgery and Neuroendocrine Tumours, to list a few. He has undergone specialsed training in Advanced Minimally Invasive Upper GI Surgery, IRCAD at Taiwan and has also gone through a dedicated Certified 2 year fellowship in GI and HPB Oncology, Tata Memorial Hospital, Mumbai. Over the years he has successfully handled numerous complex cancer surgery cases. India.

GI Cancer Patient’s Journey

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أنا طارق عبيس الجنابي من العراق كنت اعاني من النزف مع البراز فجئنا إلى مستشفى سي كيه بيرلا بمنطقة جورجاؤن الهند وتم اكتشاف انسداد القالون بسبب الورم ثم أجريت لي عملية استئصال الورم بالناظور ع يد آلدكتور فيناي سموئيل جايكواد والحمدلله بعد جهود الأطباء والكادر الطبي تكللت العملية بنجاح تام. فأنا أقدم لهم إحترامي و شكري وتقديري لجهودهم الطبية وخاصة المترجم عبد المحيط الذي جاء بنا لهذا المستشفى الراقي وبصراحة هذا الولد كان تعامله معنا جيد جدا وساعدنا بأقصى جهوده في كل آن وأوان. أتمنى لهم كل التوفيق والنجاح الدائم
أخوكم أبو زياد طارق عبيس الجنابي

(Translated by Google) I am Tariq Abbas Al-Janabi from Iraq. I was suffering from bleeding with stool, so we came to India, and it was discovered that the colon was obstructed due to the tumor. Then I underwent a endoscopic tumor removal operation by Dr. Vinay Samuel Gaikwad. Thank God, after the efforts of the doctors and medical staff, the operation was a complete success. . I offer them my respect, thanks and appreciation for their medical efforts, especially the translator Abdul Mohit, who brought us to this prestigious hospital. Frankly, this boy treated us very well and helped us with his best efforts at all times. I wish them all the best and lasting success
Your brother Abu Ziyad Tariq Abes Al-Janabi
Thank you

Mr. Abu Ziyad Tariq Abes Al-Janabi


الحمد لله رب العالمين لقد تم اجراء العملية وقد نجحت الحمد لله
اقدم شكري ومتناني الدكتور وكادر المستشفى

(Translated by Google) Praise be to God, Lord of the worlds. The operation was performed by Dr Vinay Sir & his team, and it was successful, praise be to God
I extend my thanks and gratitude to the Doctor Vinay and the hospital staff

Mr. Sami Khan


الدكتور جيد والكروب ايضا يتمتعون بخبره كبيره جدا. المستشفى كذلك نظيفه والممرضات متمرساات

(Translated by Google) Dr. Vinay Sir and Dr. Jyoti Sir have a lot of experience. The hospital is also clean and the nurses are experienced, Thanks Dr

Dr. Jaid and Mr. Al-Karub


(Original)من العراقي اقدم شكري وتقديري واحترامي الى الكادر الطبيب الذي قام باجراء عملية الى زوجتي وكانو على قدر عالي من المهنيه والانسانيه والرعايه الطبيه المحترمه فلهم مني جزيل الشكر والاحترام

(Translated by Google) From the Iraqis, I extend my thanks, appreciation and respect to Dr. Vinay Sir, Dr. Jyoti Sir and their team who performed the operation.
Dr. Vinay Sir & team

Mr. Kamal Danish


السلام عليكم انا من العراق اجرينا عمليه جراحيه في البطن وكانت المريضة مصابه باورام سرطانيه
سريعهالانتشار.وقام.باجراء.العمليه.الدكتور.فينا.في مستشفي سي كے برلا وكانت العملية وانا اشكر دكتور

(Translated by Google) Peace be upon you. We are from Iraq. had an abdominal surgery, and the patient had cancenoma tumors It spread quickly.
It spread quickly. The operation was performed by Dr. Vinay Samuel Gaikwad Sir.  I thank Dr. Vinay Sir & Team, Peace be upon you.

Mr. Abdul Aleem


डॉ विनय सेमीउल गायकवाड़, डॉ ज्योति भट जी एवं सभी सहकर्मीगण, मेरी सर्जरी के दौरान आपकी मदद के लिए धन्यवाद। मैं वास्तव में आपके द्वारा प्रदान की गई विशेषज्ञ देखभाल की सराहना करता हूं।

मुझे बहुत अच्छा लग रहा है और मैं अपने सामान्य जीवन में वापस आने के लिए उत्साहित हूं। मुझे उम्मीद है कि आपका भी दिन अच्छा बीतेगा।

(Translated by Google) Thank you Dr. Vinay Samiul Gaikwad, Dr. Jyoti Bhat and all colleagues, for your help during my surgery. I really appreciate the expert care you provided.

I feel great and am looking forward to getting back to my normal life. I hope you have a nice day too.

Mr. Amresh Singh Mavi


It was a great experience. We came to know about Dr Vinay S Gaikwad . we came here from Jammu for the treatment. After meeting Dr Vinay Sir and Dr Jyoti Sir, we got the confidence to move forward with the treatment. It was very comfortable. We don’t know how to thank him. Both of them were very friendly. And also Nawed and Ibrahim helped us for each and everything.
Nursing staffs were so supportive.
Indeed the experience was amazing

Ms. Neha Koul


We Mr & Mrs James Mubia Want to thank the team of Doctors who did a wonderful And successful surgery to remove stomach tumor in mr James Mubia. We were very worried and you calmed us down.
No enough words can thank you enough for the wonderful surgery pain free process James went through .

Mr & Mrs James Mubia

Nairobi, Kenya

Dr. Vinay Gaikwad. Very experienced doctor with miracle hands and golden heart!

We consulted Dr Vinay Gaikwad for my mothers treatment. In addition to being a very experienced doctor, with very clear thinking and logical approach, what we realy appreciated and helped us connect with him was how he made the patient comfortable. He has a great humane side and a lot of empathy and builds connect with the patient. My mother found comfort with Dr Vinay and was able to put trust in him for the surgery. He and his team espasially Dr Jyoti Bhatt were always there to guide us through the hospitalisation period. His team with Shadik and Ibrahim were also very caring and in constant touch though the hospitalisation process.

We are very thank full to Dr Vinay and his team for taking care of my mom and providing us best care and treatment.

Mr. Sachin B


Dr. Vinay Gaikwad is an exceptional surgeon and a thorough gentleman. We had a complicated case and only Dr. Vinay gave us a surgical option and with conviction. He spent over an hour with me explaining the complications and explaining what would be the best course of action. His confidence and passion made it easier for our family to go for the surgery first option. He has a very strong and capable team who make post operative recovery a very smooth affair. I would thank Dr. Vinay and his whole team for their efforts. I believe it was almighty’s grace that we found him and I wish him a lot of success in treating other patients. I would extend my thanks to Dr Jyoti who beyond his expertise is very helpful and friendly, Dr. Naved who was on top of every post operative tasks and making sure we got the best attention, Dr. Shadiq and Ibrahim to make it such a good experience for all of us

Mr. Paresh Sharma


I say that it was a wonderful experience for me to have come from Mauritius all alone for treatment under the able and highly experienced Dr Vinay Gaikwad and his fantastic team composed of Dr Jyoti Bhat, Dr Naved, Dr Mansi and Ibrahim. Dr Vinay is among the the top iconic surgeons in India. God has given him special qualities to treat patients with great care and compassion. He is unique with his special dedicated team. I thank you all and hail you as a team of excellence. Who would have imagined that a person can come alone under the care of Dr Vinay and become a member of the family blessed by this special team of dedicated medical professionals. Thank you all for your devotion in this humane profession. After my surgery I am top fit again as a youngster to face challenges in life.

Mr. Somduth Dulthumun


Amazing Doctor & Great Professional. (Truly messenger of God)
My mother was diagnosed with Pancreatic cancer on 1st August,2022 and have carried out all basic test to access current stage of cancer. We were getting mixed feedback on whether it is operable or not.
She is required to undergo a Whipple Surgery, and this is not a simple surgery. Very handful of doctors in world can perform this surgery successfully.
We moved across various Hospitals and met lot of surgeons to seek an opinion.
During this process, we met Dr Vinay Samuel Gaikwad, he examined all reports of mother and met her. Later he explained merits of surgery and assured us that it is operable. He was very confident that though reports say it is 3rd or 4th stage cancer, but this is a very early-stage detection, and will get more to know once we operate.
The compassion with which we saw, and he treat the patients is more effective than any medicine!
Looking at his expertise, Knowledge on subject and God willing, we decided to go ahead with surgery of my mother through Dr Vinay Samuel Gaikwad.
He decided a date 10th August,2022. This was more than 5-6 Hours Surgery. Dr Vinay Samuel Gaikwad along with his Great committed / Dedicated & highly professional Team – Dr. Jyoti Bhat, Naved ji and other Team members, have performed operation successfully.
Finally, we had a successful Whipple surgery and all credits to Dr Vinay Samuel Gaikwad and his great Team. My mother got a second life and for us Dr Vinay Samuel Gaikwad and his team are messenger of God, who came together to save my mother from this illness.
Today is 30th Day post-surgery and she is getting back to normal. As per Doctor, she is perfectly okay and Cancer growth has been removed from body 100%, and no further treatment is required, other than periodic checkup.
He was right, my mother seems to have 1st or 2nd stage of cancer, which was earlier predicted as 3rd or 4th stage through radiolist reports.
I sincerely want to Thank you for your wonderful treatment and kind gesture. You have always made sure my mother was doing okay. Thanks for that Doctor Vinay Samuel Gaikwad and his Team (special mention Dr Jyoti Bhatt and Naved ji)!
Highly recommend Dr Vinay Samuel Gaikwad for all type of Cancer Treatment. He is a messenger of God and can cure patients with is positive attitude and enrich experience.

Mr. Aman Rekhi


My father’ Inguinal surgery was suggested by his local physicians at Jalandhar. Given his age (84) and other complications, I was keen to minimize the accompanying risks and have a trouble – free procedure for him. A close friend of mine (a senior surgeon himself whose medical opinion has been invaluable for my family over the years) recommended Dr. Vinay Gaikwad to me. His words were, “If I needed someone to operate on my family, it would be Dr. Vinay). I reached out to Dr. Gaikwad and from the very beginning, he was totally invested in my father’s health.
He took time to understand the case and the accompanying risks. He also told me that while he was currently focused more on oncological cases, he would make sure that we got the best surgeon for dad. He personally requested Dr. Mayank Manjul Madan (an awesome surgeon and a wonderful human being) to conduct the surgery.
Even though Dr.Vinay was himself not conducting the surgery, he was involved throughout the process to ensure the well-being of my father. He took time out to address our concerns prior to the surgery, and he was always around to check on my father’s recovery post the surgery..
I wish him and his wonderful colleagues the best always.

Mr. Jagmohan Bhanver


My mother in law was sucessfully operated by Dr Vinay Gaikwad for a very complex pancreatic surgery in Aug’2022.
Many senior & competent doctors had refused to do the surgery, where as Dr Vinay right from the first meeting was confident in handling the case. He explained us the whole situation & process very pateintly & clarified all our doubts.
Doctor Vinay & his team took very good care post operation & my mother in law is home & doing well.
We are totally satisfied with Dr Vinay & would highly recommend him for serious cancer cases.

Mr. Gurpreet Singh Sawhney


Dr.Jyoti Bhat was very kind and supportive throughout the surgery. He was motivating us throughout which had a very positive affect.

Ibrahim was very supportive throughout the processes in the hospital.Wewere very happy with the experience.

Ms. Rachna Pilani


I went for my PIPAC procedure at C K Birla Hospital, Gurgaon , carried out by Dr Vinay Samuel Gaikwad and his team , Dr Jyoti Bhat, Mr Ibrahim, Mr Shardik and the rest.
The whole experience , which I came to know through my sister because I was under general anesthesia, was nothing short of a miracle in the hands of Dr Vinay and his team. Excellent.
I thank Dr Vinay that I could experience his expertise and efficiency of his team during this procedure.
I look forward to my remaining treatment under their care and the care of the warm , friendly and efficient staff of the hospital.

Mr. Allan Phillips

Dear team,

I have been taking my treatment from many other consultants but nobody advised me for a surgery . Dr Vinay is like God for me now. It was my blessing that I got to know about him through Dr Pooja Babbar , special thanks to her.

Dr Vinay & Dr Jyoti made us comfortable in the first meeting itself. The entire team Nawed, Ibrahim, nursing staffs especially Seema , the food, the housekeeping team ❤️

After surgery also I’m feeling better. I’m going home with a great satisfaction. God bless you all

Jasleen Kaur

Ms. Jasleen Kaur & Mr. Raminder Singh


Passionate, sympathetic and optimistic are the words which sketch the courteous and tenderness persona of Dr. Vinay Samuel gaekwad and Dr. Jyoti Bhatt. I underwent isr surgical approach for rectal CA , right from my first appointment in opd to the post op care the whole oncology team has been a boon for my recovery. Post surgical care n guidance of Mr brahim and Mr Naved has ensured a speedy and optimum recovery. The hospitality of hospital is admirable , each n every single person has delivered their helping hand with a positive smile and aura. I would express my gratitude for the wonderful care offered by the whole staff.

Rameshwar Dutt Awasthi


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