Gynecology Oncology

Gynecology Oncology

Gynaecology is the medical practice dealing with the health of female reproductive system. At MSCC our emphasis is to help young cancer patients of the reproductive age groups – both male & female patients – prior to chemotherapy or radiotherapy through gamete & embryo cryopreservation. Gynaecological problems can be controlled through vaccination, screening and educational programmes. We also provide treatment & rehabilitation with pain relief & palliative care.

The programme of Gynaecological Oncology at Mazumdar Shaw Cancer centre provides treatment to all gynaecological cancers. We strive to provide excellent care in Ovarian, Cervical, Endometrial, Vulval and Vaginal cancers. Our approach to all cancers is ‘holistic’ and integrated with a team of counsellors, specialist nurses, physiotherapists, yoga teachers, palliative medicine and oncologists.

We provide minimally invasive surgery and robotic surgery for complex gynaecological oncological procedures and benign gynaecological conditions. Currently, over 95% of all procedures are performed laparoscopically ensuring minimal blood loss and speedy recovery to the patients. We are the only centre in the country to have a Gynaecology Oncology specialist nurse to provide one to one support before, during and after the admission. Our specialist nurse is trained to address issues related to different treatments, including chemotherapy and radiotherapy. Our counsellor attached to the women’s oncology wing is the best available for sexuality and psychological support.

Our centre also provides treatment for recurrent gynaecological cancers including exenteration surgery, secondary cytoreductive surgery with HIPEC and side wall recurrence excision.

Services & Facilities

Laparoscopic/ Robotic Staging Procedures

Fertility-preserving surgery for Cervical cancer (radical Trachelectomy)

6 days a week frozen section to optimise decision making

Laparoscopic/ Robotic Radical Hysterectomy for early cervical cancer

Sentinel node surgery for vulval cancer

Cervical Cancer

It is the commonest cause of cancer related deaths in women. Majority of the women present in advanced stages where the survival rates are poor. Education, screening and vaccination can bring about reduction in mortality due to the disease. Cervical cancer detected early and treated according to the guidelines have higher chance of cure. Cervical cancer is the No. 1 cancer in women as for globocan 2012 statistics

Ovarian Cancer

Another important gynecological malignancy whose incidence has been increasing especially in the urban areas in recent times. Again the presentation in most cases is advanced stages. The treatment options are an aggressive cytoreductive surgery or chemotherapy or a combination of

both.

Endometrial / Uterine cancer

Incidence is more in urban women as there is a rise in the incidence of contributory factors like hypertension, obesityand hyperestrogenism. Surgery in combination with radiotherapy or chemotherapy is the treatment of choice. Detected in early stages, patients have a good chance of survival.

Vulval Cancer

This type of cancer is less common in India. occurs mainly in elderly women. treatment options are a combination of surgery, radiotherapy and chemotherapy.

  • Early marriage
  • Early initiation of sexual activity, multiple sexual partners
  • Immunocompromised condition
  • Obesity
  • Genetic causes and BRCA mutations
  • Hormone replacement therapy
  • Early menarche and late menopause
  • Alcohol, smoking
  • Exposure to prolonged estrogen
  • Hypertension, diabetis mellitus etc
  • Laparoscopic/Open/Robotic assisted Radical hysterectomy
  • Laparoscopic/Open Robotic Pelvic /Para aortic lymph node dissection
  • Laparoscopic/Robotic/Open staging surgery for endometrial cancer
  • Cytoreductive surgery for ovarian cancer
  • Fertility preservation strategies
  • Radical Vulvectomy/Hemi vulvectomy/Wide radical excision of vulval lesion
  • Groin node dissection
  • LEEP/LLETZ, Cone biopsy
  • Hyperthermic Intraperitoneal Chemotherapy (HIPEC)
  • Robotic surgeries in the management of Gynec cancers
  • Robotic / Laparoscopic Ovarian Transposition

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