Q01? What is hematology / hemato-oncology ?

Hematology / hemato-oncology is the branch of science that deals with cancer and non-cancer disorders of the following four liquid organs.

  1. Blood cells,
  2. Bone marrow cells(production unit),
  3. Lymph nodes (Development area) ,
  4. Spleen(Storage and filter organ)

Q02. What diseases do hemato-oncologists/hematologists treat?

Diseases arising from all four liquid organs, which can be either, Cancerous / Malignant Leukaemia (ALL, AML, CLL, CML, Myelofibrosis, Myelodysplastic syndromes), Lymphoma (Hodgkin’s and Non-Hodgkin’s), Myeloma.

Non-Cancerous: Pancytopenia, Aplastic Anemia, Pyrexia of unknown origin, ITP, TTP, DVT, Hemophilia, Thalassemia, Sickle Cell Anemia.

Q03. Why would you need a hematology /Hemato oncologist consultation?

This consultation is for  Bone Marrow Transplant, cancer and non-cancer diseases. We know that unlike solid organs (brain, liver, lungs, stomach, etc.), blood is not limited/restricted to one particular area. So, if it is not detected on time or not guided properly, then we may not achieve the desired quality outcome.

Q04. What are cancerous hematological disorders/ liquid organ disorders ?

Leukaemia (ALL, AML, CLL, CML, MDS, Myelofibrosis), Lymphoma (Hodgkin’s and Non-Hodgkin’s), Plasma cell disorders including Multiple Myeloma.

Q05. How these cancerous hematological (liquid organ) disorders differ from solid organ cancers?

All the four liquid organs are closely linked with each other, starting from their origin to development, functions and subsequently their removal from the blood circulation by Spleen. Moreover, blood cells are our policemen  and army. So, if there is a delay in the detection and treatment, it can lead to an advanced stage with more chances of failure, higher hospital billing, mental and physical stress for patients and family. We can minimise unnecessary tests and treatment including, repeated Bone Marrow examinations and Blood Transfusions.

Q06. I don't have cancer. Do I need to consult a hemato-oncologist/hematologist?

A hematologist also treats non-cancerous disorders in children, adults as well as the elderly population.  Sometimes, these are even more serious than cancerous. For examples, Congenital Immune Deficiencies, Aplastic Anemia, Pancytopenia, TTP, HLH.

Q07. Is it possible to detect these critical disorders like Blood Cancer, Lymphoma, Myeloma early?

Everything is possible in life subjected to right guidance at an early stage. Identifying early symptoms will help in early detection. Symptoms like persistent fever, unexplained weight loss, decreased food intake, weakness, reddish/bluish spots over the skin, nodular swelling on neck, armpits are a few examples. Nowadays, routine health check-ups include the most common test i,e. Complete Blood Count (CBC/CBP). If this test has been performed at the right center and analysed by a good hematologist, we club these tests along with proper physical examination. More than 70% of these critical but highly curable hematological disorders can be detected early.

Q08. What are the tests required to detect the disorder early?

Doing blood tests alone is not sufficient to diagnose solid/liquid disorders at an early stage, what matters is who is analysing these tests and where the tests are being performed.

Nowadays, there are a lot of laboratories which are doing the tests at lesser cost without giving attention to the quality. This leads to either missing the details of the diagnosis or doing more diagnosis or tests.

Q09. We heard that Blood Cancer or Leukaemia is not curable. What's the truth?

In Acute Leukaemia (ALL, AML), there are always chances of cure. We have examples of Acute Leukemia cases which Dr Gupta has treated successfully and his patients are now happily married and enjoying life with family and kids.

Q10. How careful should I be while visiting an oncologist or a hospital for any liquid organ disorders treatment?

Try to avoid a doctor who is treating both solid organs ( Medical oncology) and branding himself as a combined medical oncologist and hematologist, even though they have treated earlier. Remember, extra quality care matters a lot in treating Hematological/Hemato-oncological cancers.

Q11. What is oncology and its relation to hematology?

Oncology deals with cancer diseases. There are four specialisations in oncology: Medical Oncology, Surgical Oncology, Radiation Oncology are related to the treatment of solid organs (brain, head, neck, breast, lungs, uterus, liver, prostate, bones, etc.). At the same time, the fourth specialisation is related to more delicate/fragile/critical liquid organs (blood cells, bone marrow cells, spleen, lymph nodes and its limited cancerous diseases like Leukaemia, Lymphoma and Myeloma). Hemato-oncologists also treat non-cancer disorders of these four liquid organs.

Q12. I don't have any hemato-oncology cancer (Leukaemia, Lymphoma, Myeloma), still is it better to take Dr S.K. Gupta sir's opinion for solid organs (breast, brain, prostate, liver, etc.)?

When we hear shocking news about cancer affecting someone we know, the first few things that come to our mind are:

  1. Will he/ she survive?
  2. What is the stage of this cancer?
  3. Let us go to one of the branded hospitals or visit our family doctor or meet a cancer specialist doctor who has treated one of our friends/relatives.

Dr S.K. Gupta comes with a lot of experience in this field. He has been a part of almost 250 Bone Marrow transplants and is also a specialist. He is the best hematologist in India who possesses a friendly nature towards his patients and family.

Dr. SK Gupta is Specialised in:

  • MBBS (Gold Medalist), MD – Pediatrics (AIIMS – Delhi)
  • DM-Clinical Hematology & BMT (AIIMS – Delhi)
  • Clinical Hematologist | Hemato Oncologist
  • Pediatric Hematologist | Hemato Oncologist
  • Blood & Bone Marrow Transplant Specialist