"CT scan can help identify and assess the local, regional and distant spread of cancer arising from the small intestine."



CT scan can help identify and assess the local, regional and distant spread of cancer arising from the small intestine.

When endoscopy can reach the area easily, a biopsy can further help identify the type of tumour.

Neuroendocrine tumours need to be assessed with certain markers in the blood like Chromogranin levels and special PET scans that use molecules like DOTANOC to label and pick up cancer better.

On biopsy, additional tests like immunohistochemistry, molecular testing may need to be performed especially if lymphoma is suspected.



What are the treatment options for small intestine cancer?

When the disease is confined to the small intestine, surgery consisting of excision remains the mainstay of treatment. Depending upon the location and extent, the nature and type of surgery will vary. The lymph nodes along the mesentery supplying the tumour bearing small intestine are removed together.

Depending on the stage after the final biopsy, the individual may need chemotherapy and/ or radiotherapy.

The mainstay of treatment in lymphoma is chemotherapy. Surgery plays a role in presence of certain complications like obstruction, bleed, or perforation.

In neuroendocrine tumours, there is a widening role of a variety of modalities including long-acting octreotide, theranostics, transarterial therapy and ablative modalities when the disease has spread to other locations.

Winning Over Cancer

Dr. Ashwathy Mathew, Consultant - Radiation Oncologist at APCC and our expert in Gastrointestinal oncology explains how Proton therapy is an effective treatment in Gastrointestinal cancers.


Welcoming Dr Bhawna Sirohi. Dr. Bhawna Sirohi is a leading Medical Oncologist with an exemplary experience of more than 25 years. She is a renowned senior consultant across the globe who specializes in treating Breast Oncology and Gastrointestinal Cancers.

Dr. Bhawna has worked with the top Oncology Centres & Oncologists around the world. She joins as the Lead – Medical Oncologist at Apollo Proton Cancer Centre.


Dr. Smarajit Patnaik from Bhubaneswar underwent proton therapy at Apollo proton cancer centre under the guidance of Dr. Ashwathy, Radiation Oncologist, APCC. Dr Smarajit Patnaik says "Thank you for making me feel safe & comfortable and taking utmost care during COVID-19". He also appreciated the quick action taken by the doctors & the professional & warm environment in the hospital.


Dr. Bhawna Sirohi, Lead - Medical Oncologist at APCC, who specializes in GI Cancers talks about Pancreatic Cancer in this video. She outlines the risk factors, symptoms and the way forward for testing & treatment associated with this specific disease.


Other Gastrointestinal Cancers