Colon cancer consultations, second opinions and treatment planning across CION centres in Hyderabad · Call 1800 202 8726

CION Cancer Clinics

Colon cancer care in Hyderabad: where do you actually start? | CION Cancer Clinics

Where you start depends on what you are already holding. With bowel symptoms and no diagnosis, the first step is a colonoscopy, which CION arranges through partner units. With a biopsy report or a scan that mentions a growth, the first step is a medical oncologist, who puts your case to the tumour board. This page explains each starting point, what to bring and what happens in the first week. At CION Cancer Clinics, we explain costs in writing and help families from across Telangana and Andhra Pradesh plan treatment in Hyderabad.

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Medically reviewed by Dr. Naresh GunduConsultant Medical Oncologist · MBBS, DNB (Internal Medicine), DM (Medical Oncology, AIIMS) · last reviewed October 2026, next review due October 2027
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15,000+patients treated
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The short answer

Where should you start with colon cancer care in Hyderabad?

Start from what you already have in your hand. If you have bowel symptoms but no diagnosis, the first step is a colonoscopy, the camera test that looks inside the large bowel. If you have a biopsy report or a scan that mentions a growth, the first step is a medical oncologist, the cancer specialist who plans drug treatment and pulls the rest of the care together.

Why the starting point matters

Families often lose weeks at the wrong door. A general physician may order more blood tests. A piles clinic may treat the bleeding without looking further. A surgeon may be seen before the scans that decide whether surgery should come first at all. None of these is wrong on its own. Each one simply adds a visit before the step that moves things forward.

Where CION fits in

CION centres run consultations, second opinions, the tumour board, chemotherapy, targeted therapy, immunotherapy, nutrition advice and follow-up. Colonoscopy, scans, biopsy and pathology are arranged through diagnostic partners. Surgery is planned by CION's surgical oncologists and carried out at an accredited partner hospital. The coordinator books each part, so the family is not left to chase every partner alone.

If someone has severe belly pain with vomiting, a swelling belly, has passed no stool or wind, or is bleeding heavily, do not book an appointment. Go to the nearest emergency department today.

Four starting points

Which of these describes where you are right now?

Most families who call fall into one of four situations. Each has a different first step.

Symptoms, but no diagnosis yet

Bleeding, a change in bowel habit, anaemia (a low haemoglobin) or weight loss without a reason. Most of these turn out to be something other than cancer, such as piles, a fissure or an infection. The first step is a consultation and then a colonoscopy, which CION arranges through a partner unit. Our page on which doctor to see helps if you are unsure.

A report says growth or cancer

This is the moment to see a medical oncologist. The next steps are usually staging scans, a CT of the chest, abdomen and pelvis, and tests on the tissue for markers that guide treatment. The tumour board then decides whether surgery or chemotherapy comes first.

Usually needed next

  • Staging CT, if not already done
  • A CEA blood test, a marker used to track the disease
  • Marker tests on the biopsy tissue

A plan has been offered elsewhere

If another hospital has advised surgery or chemotherapy, asking for a second opinion is reasonable and common. Bring every report, the scan discs and, where possible, the pathology slides or blocks. Ask at the first call how quickly the review can be done, so that it does not hold up treatment. See second opinions in Hyderabad.

Treatment is over, or follow-up has slipped

Follow-up after colon cancer means regular CEA tests, scans and colonoscopy for several years. If the hospital that operated is far away, or visits have lapsed, a CION medical oncologist can take over the schedule. Bring the discharge summary and the final pathology report, because they set how closely you need watching.

Not sure whether this applies to you?

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The first week

What happens after you call the helpline?

The first call

Describe what you have so far: symptoms, reports or a diagnosis. The coordinator asks where you live, which language you prefer, and whether you have insurance or a scheme card. An appointment is then fixed at a CION centre that suits your travel.

The first consultation

The medical oncologist reads every report, examines you and explains what is already known and what is not yet known. Expect questions about family history, other illnesses and the medicines you take. Bring a family member who can take notes.

Filling the gaps

If the colonoscopy, biopsy, CT or marker tests are incomplete, CION arranges them through diagnostic partners. Results come back to the same oncologist, so you are not carrying reports between hospitals and explaining your story again each time.

The tumour board and a written plan

Medical, surgical and radiation oncologists review the case together with the radiologist and pathologist. You then hear the plan: what comes first, where each part happens and who leads it. Ask for a written cost estimate at the same time.

Before you leave home

What should you bring to the first appointment?

  • Every report, in date order, including the old ones
  • The colonoscopy report and any photographs printed with it
  • The biopsy report, and the slides or blocks for a second opinion
  • CT or other scan reports, with the disc or films
  • Recent blood tests, including haemoglobin and CEA
  • All current medicines, or photographs of the strips
  • ID proof, any scheme card and insurance papers

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Who does what

What happens at a CION centre, and what is arranged through partners?

At CION centres Arranged through partners
Consultations and second opinions Colonoscopy, polyp removal and biopsy
Tumour board review of your case CT, PET-CT and pathology
Chemotherapy, targeted therapy and immunotherapy Colon surgery, open, keyhole or robotic
Nutrition advice and supportive care Stoma nursing and stoma supplies
Follow-up and surveillance planning Radiation, in the rare cases it is needed

Being straight with you

What this page cannot tell you

It cannot tell you which treatment you need, or how urgent your situation is. Those depend on the stage, the biopsy and your general health, and only a doctor who has seen all three can answer. It also cannot tell you whether a symptom is cancer. Most bowel symptoms are not, and a colonoscopy is the test that settles it.

Who this page is not for

If the growth is in the rectum, the last part of the bowel just above the anus, or in the anus itself, treatment is planned differently and radiation plays a much bigger part. Start at the rectal cancer or anal cancer pages instead. If your report does not say clearly which part of the bowel is involved, ask the doctor who did the colonoscopy.

Cost and schemes

This page does not give prices. The bill depends on the stage, the operation, the drugs and whether a scheme or insurance applies. Aarogyasri, Ayushman Bharat and private insurance each have their own rules and paperwork, and the coordinator can tell you at the first call what to bring. The page on treatment cost in Hyderabad has indicative ranges.

If you are travelling in from a district, say so at the first call and ask for tests to be grouped into as few trips as possible.

Questions we are asked

Common questions about starting colon cancer care in Hyderabad

Do I need a referral letter to see a CION oncologist?

You can book directly through the helpline. If a family doctor or another hospital has written a letter, bring it, because it saves time. What matters more is the paperwork from earlier tests: colonoscopy, biopsy, scans and blood reports, however old or incomplete they look.

I only have symptoms. Should I see an oncologist or a gastroenterologist first?

For symptoms without a diagnosis, the key test is a colonoscopy, done by a gastroenterologist or a surgeon. CION can arrange it through a partner unit after a consultation. If it shows piles, a fissure or nothing worrying, you will not need an oncologist, and for most people with bowel symptoms that is how it ends.

How soon can treatment start once a diagnosis is made?

It depends on what is still missing. If the biopsy, staging scans and marker tests are complete, the tumour board can review the case soon after the first consultation. If tests are pending, they come first. A short wait for proper staging is usually safe. A blocked bowel is the exception and is treated as an emergency.

Can surgery and chemotherapy happen in different places?

Yes, and in colon cancer that is common. CION's surgical oncologists plan the operation and it is carried out at an accredited partner hospital. Chemotherapy, if it is needed afterwards, is given at a CION centre. The same tumour board oversees both, so the plan stays joined up.

We live in a district. Do we have to stay in Hyderabad?

Usually not for the whole treatment. Surgery needs a hospital stay, and the first chemotherapy visit is best done with family close by. After that, many families travel in for each cycle and go home in between. Tell the coordinator where you live so visits can be planned around the journey.

Can the consultation be in Telugu?

Yes. Say so when you book, and the consultation will be in Telugu or a coordinator will sit in to help. Family members are welcome in the room. Many patients find it easier to ask the questions that really worry them in their own language.

Can I use an Aarogyasri or Ayushman Bharat card?

That depends on the scheme's rules for each step and on which hospitals are listed under the scheme for it. Bring the card and ID proof to the first visit. The coordinator will tell you honestly which parts of your care the card can cover, and where those parts would happen.

What if treatment has already started somewhere else?

You can still ask for a second opinion, and many people do part-way through. Bring every report, the operation notes and the chemotherapy record. The aim is to check the plan. Whether to move is your choice, and often the answer is that the current plan is sound.

Your Specialists

Meet CION's colon cancer specialists. Bring your colonoscopy, scan or biopsy report.

Our surgical and medical oncologists plan colon cancer care together: which operation, whether chemotherapy is needed, and the follow-up that comes after.

Dr. Naresh Gundu
Medical Oncologist

Dr. Naresh Gundu

MBBS, DNB (Internal Medicine), DM (Medical Oncology)

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Dr. C. Raghavendra Reddy
Medical Oncologist

Dr. C. Raghavendra Reddy

MBBS(Gold Medal), DNB(General Medicine), DM(Medical Oncology)(Gold Medal)

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Dr. Bharati Devi Gorantla
Medical Oncologist

Dr. Bharati Devi Gorantla

MBBS, MD(General Medicine), DM(Medical Oncology)(Adyar,Chennai), ECMO, MRCP SCE(UK)

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Dr. Owais Mohammed
Medical Oncologist

Dr. Owais Mohammed

MBBS, MD (General Medicine), DrNB (Medical Oncology), ECMO, MRCP SCE (Medical Oncology) (UK)

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Dr. T. Raghavender Reddy
Medical Oncologist

Dr. T. Raghavender Reddy

MBBS, DM (Medical Oncology), MD (Radiation Oncology)

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Dr. N. Kiranmayee
Medical Oncologist

Dr. N. Kiranmayee

MBBS, DM (Medical Oncology), MD (Internal Medicine)

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Dr. Muralidhar Muddusetty
Surgical Oncologist

Dr. Muralidhar Muddusetty

MBBS (AIIMS), MS (Surgery) (AIIMS), DNB (Surgical Oncology), MRCS (Edinburgh)

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Dr. Mohammed  Imaduddin
Surgical Oncologist

Dr. Mohammed Imaduddin

M.B.B.S, MS (General Surgery), M.Ch (Surgical Oncology)

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Want a specific doctor for your case? Mention them when booking.

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Patient stories

Hear it from people we have treated

Every story is a video, in the patient's own words. Nothing here is a written testimonial.

Accreditation and empanelment

  • NABH
  • NABL
  • ISO 9001:2015
  • ArogyaSri empanelled
  • CGHS accepted
  • ECHS accepted
  • EHS accepted
  • Major cashless insurers

Paying for it

Insurance, schemes and payment

What you actually pay usually differs a great deal from the sticker figure.

AarogyasriEmpanelled. Bring the card and a referral where you have one.
CGHS / ECHS / EHSAccepted at CION centres for eligible treatment.
Cashless insuranceMost major insurers are empanelled. Pre-authorisation is handled by our desk.
Self-payItemised estimate given before treatment starts. No EMI scheme exists.

Where to find us

Our centres in and around Hyderabad

Addressed by landmark, because that is how this city navigates. One helpline books a consultation at any of these centres, and your team will tell you where each test and operation takes place.

CION Ameerpet

Beside Blue Fox Hotel, Satyam Theatre Road

Begumpet SR Nagar Punjagutta
CION Kukatpally

Opposite Big Bazaar, Mumbai Highway

KPHB JNTU Bharat Nagar
CION L.B. Nagar

Anu Arcade, next to L.B. Nagar Metro station

Vanasthalipuram Nagole Hayathnagar
CION Tolichowki

Inside Premier Hospital, Khader Bagh Road

Mehdipatnam Attapur Rethibowli
CION Masab Tank

Mahavir Hospital, AC Guards, Lakdikapul

Lakdikapul Khairatabad Basheer Bagh
CION Banjara Hills

Road No. 12

Jubilee Hills Madhapur Film Nagar
CION Kompally

Suchitra Circle, NH-44

Suchitra Circle Alwal Dundigal
CION Balanagar

Balanagar Main Road

Balanagar Fatehnagar Moosapet
CION Siddipet

Lohith Sai Hospital, Shivaji Nagar

Gajwel Husnabad Dubbaka
CION Sangareddy

X Roads, Pothreddipalle

Narayankhed Zaheerabad Patancheru

Sources

  1. National Cancer Institute — Colon Cancer Treatment
  2. NHS — Tests and next steps for bowel cancer
  3. American Cancer Society — Testing for Colorectal Cancer
  4. National Cancer Institute — Follow-Up Medical Care

This page is general information, not a prescription. Do not change or stop any treatment based on what you read here. If anything is worrying you, contact your own treating team — or call our helpline and we will help you reach the right specialist.

Talk to us

Not sure which door to knock on first?

Tell us what you have so far, whether it is symptoms, a report or a plan from another hospital, and we will say plainly what the next step is. One helpline serves every CION centre.

Call 1800 202 8726

Speak to an oncologist

Explore more

Colon Cancer Topics

Browse CION’s colon cancer guide — symptoms and screening, tests and staging, treatment decisions, diet and daily life, cost and care in Hyderabad. Tap any topic to read more.

Symptoms and early signs

Colon cancer symptoms: the complete list, and what usually causes them Early signs of colon cancer, and what usually explains them Do I have colon cancer? How to think about your symptoms Blood in stool: what it usually means, and when to get it checked Bright red or dark blood in the stool: what the colour tells you Is blood in the stool always piles? Piles vs colon cancer: how doctors tell them apart Fissure, fistula or something else: the benign causes of bleeding Blood only on the toilet paper: what it usually means Blood mixed into the stool: what it usually means and what to do Black, tarry stools: what melena means and when to act Mucus in stool: what it usually means and when it matters Change in bowel habit: when is it a warning sign? New constipation in an adult: what causes it and when to worry Diarrhoea that will not settle: could it be colon cancer? Alternating constipation and diarrhoea: what it usually means Narrow or pencil-thin stools: what they usually mean Feeling you have not emptied fully: is it tenesmus, and is it serious? Abdominal pain and colon cancer: where is it felt, and when does it matter? Bloating and gas: when they point to the colon A lump you can feel in the abdomen: what it usually is Unexplained weight loss: when is colon cancer the reason? Tiredness and iron-deficiency anaemia: could the colon be the cause? Why low haemoglobin in a man needs investigating Nausea, vomiting and bowel obstruction: what the symptoms mean When bowel symptoms are an emergency, and when they can wait How long should you wait before seeing a doctor about bowel symptoms? Which doctor should you see for bowel symptoms? What will the doctor ask and examine for a bowel symptom? Does a normal examination rule out colon cancer? Colon cancer symptoms in young adults, and why they get missed Colon cancer symptoms with no bleeding at all Can colon cancer be silent, with no symptoms at all? Symptoms that can suggest colon cancer has spread A bowel symptom diary to take to your appointment

Causes and risk factors

What causes colon cancer, and why there is rarely one answer Colon cancer risk factors you can change, and what each one is worth Colon cancer risk factors you cannot change, and what to do about them Red meat and colon cancer: how much does it really raise the risk? Does processed meat raise your risk of colon cancer? Does a low-fibre diet cause colon cancer? Alcohol and colon cancer: how much does drinking raise the risk? Smoking and colon cancer: how the risk works and what stopping changes Obesity, belly fat and colon cancer: what the link really means Does sitting all day and not exercising raise colon cancer risk? Does type 2 diabetes raise your risk of colon cancer? Inflammatory bowel disease and colon cancer risk: what it really means Colonoscopy surveillance in long-standing colitis: how often, and why Previous polyps: what they mean for your future colon cancer risk A previous cancer and your risk of a second colon cancer Age and colon cancer: how your risk changes over a lifetime Is colon cancer hereditary, and what does it mean for your family? Family history of colon cancer: what it means for your risk Gut bacteria and colon cancer: what is known and what is not Does antibiotic use raise the risk of colon cancer? Radiation to the abdomen and the risk of bowel cancer later Does the Indian diet raise or lower colorectal cancer risk? Does spicy food cause colon cancer? Does constipation cause colon cancer, or is it a warning sign? Can piles turn into colon cancer, or raise your risk? Reducing your own colon cancer risk: what actually works Does aspirin prevent colon cancer, and should you take it? Do calcium and vitamin D really prevent colon cancer?

Screening

Colon cancer screening: who needs it, when, and how it is done Why screening works for colon cancer, and who it is for At what age should colon cancer screening start? Should colon cancer screening start at 45 or 50? Colon cancer screening tests compared: which one should you choose? FIT test explained: what the home stool test can and cannot tell you How to do a FIT stool test at home, step by step A positive FIT result: what happens next A negative FIT result: what it does not rule out FOBT vs FIT: how the two stool blood tests differ, and which to choose Stool DNA testing: what it finds and whether it suits you in India Screening colonoscopy: what happens, step by step How often should you have a screening colonoscopy? Sigmoidoscopy as a screening test: what it checks and what it misses CT colonography: what a virtual colonoscopy can and cannot do Colon capsule endoscopy: the camera pill, explained Can a blood test screen for colon cancer? Is a CEA blood test a screening test for colon cancer? Average-risk vs high-risk colon cancer screening: which pathway are you on? Screening when a parent or sibling had colon cancer: when to start Screening in Lynch syndrome and polyposis families Colon cancer screening with inflammatory bowel disease When should colon cancer screening stop? What does colon cancer screening cost in Hyderabad? Is colon cancer screening covered by insurance or Aarogyasri? Why so few Indians get screened for colon cancer Overcoming embarrassment about bowel screening and colonoscopy Colon cancer screening for women and men: what is different? Health check packages: do they include bowel screening? How to convince a parent to get screened for colon cancer

Treatment by stage

Colon cancer treatment options, explained stage by stage How your colon cancer treatment plan is decided Treatment for stage 1 colon cancer: what to expect Treatment for stage 2 colon cancer: surgery first, then a careful decision Treatment for stage 3 colon cancer: surgery, then chemotherapy Treatment for stage 4 colon cancer: how the plan is decided The tumour board: who decides your colon cancer treatment? Does surgery always come first for colon cancer? When is chemotherapy given before colon cancer surgery? Do you need chemotherapy after colon cancer surgery? The stage 2 dilemma: do you need chemotherapy after surgery? Three months or six months of chemotherapy after colon cancer surgery? How soon after colon cancer surgery should chemotherapy start? ctDNA testing after colon cancer surgery: can a blood test guide chemotherapy? Which chemotherapy regimen for which situation in colon cancer? When is targeted therapy added for colon cancer? Why does tumour side change the drug choice in colon cancer? When is immunotherapy an option for colon cancer? Is radiation ever used for colon cancer? Treatment when you are not fit for colon cancer surgery Colon cancer treatment in elderly patients: why age alone does not decide Colon cancer treatment alongside diabetes, heart or kidney disease Refusing or delaying colon cancer treatment: what happens How quickly does colon cancer treatment need to start? Clinical trials for colon cancer in India: how they work and how to find one Getting a second opinion on your colon cancer treatment plan Questions to ask before starting colon cancer treatment

Metastatic and advanced disease

Metastatic colon cancer: what it means and what can still be done Colon cancer that has spread to the liver: what it means When colon cancer in the liver is curable by surgery Who is eligible for liver surgery when colon cancer has spread? Conversion chemotherapy: shrinking liver spread so surgery becomes possible Ablation for colon cancer that has spread to the liver Colon cancer that has spread to the lungs: what it means and what can be done Peritoneal spread in colon cancer: what it means Colon cancer that has spread to the bones: what it means and what is done Colon cancer that has spread to the brain In what order is stage 4 colon cancer treated? First-line, second-line and third-line treatment for colon cancer When colon cancer treatment stops working: what comes next Maintenance treatment and chemotherapy breaks in stage 4 colon cancer Chemotherapy rechallenge in colon cancer: going back to a drug that worked Managing bowel obstruction in advanced colon cancer: the options and how to choose Fluid in the abdomen with colon cancer: what ascites means Liver failure and jaundice in advanced colon cancer How pain is controlled in advanced colon cancer Living well with stage 4 colon cancer: what it looks like day to day Deciding when to stop active treatment for colon cancer Palliative care alongside colon cancer treatment: what it is and when to ask Advance care planning in colon cancer: putting your wishes on record End of life with colon cancer: what to expect and how to help
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