gynae oncology services

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Gynae Oncology Services

Overview

At Rajiv Gandhi Cancer Institute and Research Centre, we aim to provide the most scientifically advanced treatment to women diagnosed with or suspected to have any form of gynecological cancer or precancer. We have a team of expert Gynecologic Oncologists who provide dedicated care and support, much required by the cancer patients.

What is Gynecological Cancer ?

Gynecologic cancer is any cancer that begins in a women’s reproductive organs. Any woman is at risk for developing gynecologic cancer.

Gynaecological cancer includes

Cervical

Ovarian

Endometrial(Uterine)

Fallopian tube

Vagina

Vulval cancer

Of all gynecological cancers, cervical cancers can be detected early by screening (PAP’s test). Effective vaccination is available for cervical cancer prevention.

symptoms of gynecological cancers

Vaginal bleeding after sex
Vaginal bleeding after menopause
Abnormal vaginal bleeding
Spotting or bleeding between periods
Heavier or longer heavier menstrual periods than the usual
Pain during sexual intercourse
Other abnormal vaginal discharge
Precocious puberty
Hirsutism
Swelling or ulcer over vulva
Nodes in groin area
Swelling lower limb

DIAGNOSIS AND INVESTIGATIONS

All the patients coming to OPD are examined thoroughly, clinically staged and triaged as per their disease status. The following tests and investigations are performed in the OPD:

PAP smear, HPV testing including high risk m-RNA E6, E7
Colposcopy and directed biopsies
Cervical biopsies and smears such as vault smear and vulvar smear
Endometrial aspiration
Ultrasound abdomen and pelvis is basic investigation.
CT scan of abdomen, MRI of lower abdomen depending on the site and cancer to be evaluated.
PET scan in selected cases.
Tumor markers—CA-125, CEA

Minor of Procedures

A comprehensive minor OT is separately provided for following procedures:

major of procedures

We have one of the most advanced operating suites in the country providing state of the art facility for a wide variety of oncological surgeries

treatment of gynaecological cancer

Some common types of treatment options involve Surgery, Radiation Therapy, Chemotherapy and Targeted Therapy.

Different types of doctors are involved in treating this condition:

Gynecologic oncologist: A surgeon who specializes in curing female related cancers by surgical procedures.
Radiation oncologist uses radiation therapy for treating different types of cancer, including cervical cancer.
Medical oncologist uses chemotherapy and other procedures like targeted therapies for treating cervical cancer.

minimal access surgeries

Both laparoscopic and robotic surgeries are routinely performed. We have the largest series of robotic surgeries done for gynecological cancers like ca cervix and ca endometrium, especially suited for very obese, diabetic and hypertensive patients.

LAPAROSCOPIC SURGERY

ROBOTIC SURGERIES

Robotic simple hysterectomy
Robotic Radical hysterectomy
Pelvic lymph node dissection
Completion surgeries
Secondary cytoreductive surgeries in localized recurrent disease
Robotic assisted video endoscopic inguinal lymph node dissection
Retroperitoneal Lymph Node Dissection

major open surgeries

Staging laparotomies, Primary and Secondary Cytoreductive surgeries for ovarian cancer
Simple hysterectomy
Radical hysterectomy for ca cervix
Pelvic lymph node dissection
Simple vulvectomy
Radical vulvectomy
Inguinal lymph node dissection

Other surgeries performed in the major OT include hysteroscopic procedures like endometrial biopsies, polypectomies and EUA and biopsies for some patients requiring disease assessment and clinical staging.

How is RGCI Different?

RGCI is Tech savvy and our Gynae oncologists are performing most extensive surgeries.

Challenging cases are discussed in tumor boards.

RGCI has the most advanced Molecular lab for stratifying different cancers and planning appropriate treatment.

Gynaecological Cancer Risk Factors

Tobacco smoking
Overweight
HIV infection
Current or Past Chlamydia infection
Immune system suppression
Long-term administration of oral contraceptives
Having more than three full-term pregnancies
Being pregnant before the age of 17
Living in unhygienic conditions
The family history of Ovarian, breast, colon cancer

Gynaecological Cancer : Prevention

Know and recognize the warning signals of gynecologic cancers. Report to your gynecologist if you have any of the symptoms.
Regular Health check ups and Screening. Your doctor will examine you , do PAP test, some blood tests and request an Ultrasound of pelvis and and abdomen.
Vaccination (HPV) after 12 years up to 25 years.
Maintain good sexual hygiene
Follow small family planning norms
Hold on to one partner.
If you have a strong family history of cancer, or cancer is occurring at young age or multiple cancers are occurring—must consult a genetic counsellor

DO’s after Surgery

Keep wound area clean if it was open surgery.
Pain medication and other medicines for comorbidities to continue as advised by your doctor
Walk around several times to prevent clots in legs and gas pains
Eat small frequent meals. Fiber supplement or stool softener if constipation. Laxative if no relief.
Showers are permitted.
Return to work in 2 days time after small surgery. It may take 4 to 6 weeks time to return to work after a major surgery.
ake care of your drains as advised.
WHEN TO CALL DOCTOR OR PREPONE YOUR SCHEDULE TO HOSPITAL