One out of every four deaths is due to cancer. Gynaecological cancers are among the most common cancers in women and hence of public health importance. Ovarian cancer has emerged as one of the most common malignancies. Although cervical cancer is on a decline, it remains the second most common cancer in women after breast cancer. Management of gynecological malignancies need special approach and advanced training.
Poverty is a carcinogen. This is literally true for cervical cancer. India carries more than 25% world burden of cervical cancer with high prevalence of oncogenic HPV. The approach to cervical cancer starts from prevention to early diagnosis and treatment.
In the current management of endometrial cancer, clinical staging has been replaced with surgical staging . During surgery, sampling of pelvic and paraaortic lymph nodes or lymphadenectomy is a must.
Treatment options for vulval cancers are radical vulvectomy, sentinel node biopsy, groin nodes dissection ,radiotherapy and reconstructive surgery .
To treat a patient of GTN, we must have a thorough knowledge of chemotherapy.
Management of ovarian malignancies are challenging specially due to their broad spectrum of presentations. Most recent data on the influence of specialization on the treatment of ovarian cancer patients shows a significant difference in the relative risk of achieving debulking to no residual disease in patients with stage III disease when surgery was performed by Gynecologic oncologists compared with general gynecologists. Data further shows that there is a impact of specialized hospitals in odds ratios of achieving optimal debulking compared to non- specialized hospitals.
Specialized skills to treat Gynaecological Oncology cases are not learnt during the formal training as a general gynecologist. The gynecologic oncologist is trained to manage vaginal, intestinal, and urologic problems because they may be encountered during elective surgical procedures, deliver chemotherapy and understand the principles of radiotherapy.
The medical practice now a days is more towards specialized and superspecialized services. If we have to give a better outcome to our patients, it is important to have a proper referral chain. In the management of oncological cases, we have to respect the principles of oncology. The first attempt has to be the best one because the patients may not get a second chance.
At Healthcity hospital, we are offering gynae oncology services under the guidance of an expert team of oncologist with the support of a state of art radiotherapy, critical care, OT and diagnostic facilities. Here are few visuals of our works.
We give the best cancer care services at par with the standard protocol followed worldwide. This practice will definitly improve the survival rates and the quality of life of our patients because we know, in oncology, there is no second chance .
