Chairman & Sr. Consultant
The Gynaecologic Cancer Programme offers expert treatment to patients with Ovarian, Cervical, Endometrial and other cancers of the reproductive system. BLK-Max Cancer Centre is one of the leading centres in the country to provide major Gynaecological Oncology services to women diagnosed with or suspected to have Gynaecological Cancer.
A team of dedicated Gynae-Onco Surgeons perform radical surgeries for all Gynaecological Cancers such as:
Radical Hysterectomy with Nodal Dissection
Staging surgery for Ca Endometrium with Sentinel Lymph Node Mapping
Surgical cyto-reduction for advanced Ovarian Cancer including Peritonectomy, Bowel Resection and Anastomosis, Ileostomy /Colostomy, Hepatectomy, Splenectomy, Distal Gastrectomy, Distal Pancreatectomy
Exenteration surgeries for recurrent Gynaecological Cancers
Radical Vulvectomy with inguinofemoral Lymph Node Dissection
Vulval / Vaginal Plastic Reconstruction using flaps
Some of the other services offered at the Unit are:
Management of suspicious pelvic masses with intra-operative frozen section analysis
Cervical Cancer Screening and Immunisation
Ovarian and Endometrial Cancer Screening in high-risk women
Gynaecologic Cancer is any cancer that originates from the reproductive organs of a woman. It refers to uncontrolled growth and the spread of abnormal cells in the reproductive organs. There are several types of Gynaecological Cancers such as:
Primary Peritoneal Cancer
Fallopian Tube Cancer
Gestational Trophoblastic Neoplasias
Symptoms of Gynaecologic Cancer depend on the site of the tumour and can include either any one of the following or a combination of the below-mentioned complaints:
Abnormal uterine bleeding
Bleeding after sexual intercourse
Inter-menstrual bleeding (bleeding between two periods)
Vaginal bleeding or spotting after menopause
Foul-smelling vaginal discharge
Urinary symptoms (haematuria, urgency or frequency)
Rectal symptoms (diarrhoea or constipation, bleeding per rectum)
Persistent pelvic pain or pressure
The feeling of lump in the abdomen
Feeling full quickly
Loss of appetite
Persistent itching over the vulva
Change in the colour of vulval skin
The appearance of wart, sore or an ulcerated lesion
Enlarged groin lymph nodes
All gynaecological cancers have 4 stages and each stage to which cancer belongs can only be determined after the pathological examination of the surgical specimens. Thus, thorough surgical staging with complete tumour removal is the key to increasing the chances of survival.
Gynaecological Cancers can be diagnosed by a combination of :
Certain blood tests (tumor markers)
Imaging studies which include transvaginal ultrasound, abdominal Magnetic Resonance Imaging (MRI), or abdominal Computed Tomography (CT)
Whole-body PET CT, if indicated
Gynaecological Cancer Treatment in Delhi requires a multi-modality approach and usually involves a combination of Surgery, Chemotherapy or Radiation Therapy.
Surgery: It is the mainstay of treatment for most Gynaecological Cancers, particularly in the early stages of the disease when the cancer cells have not spread to other organs or to the advanced stages of the disease when the tumour is grossly visible.
Depending on the biopsy report of the surgical specimens, the Gynaeonco-surgeon decides on the treatment plan which would be either in the form of Radiation Therapy Chemotherapy or both.
Radiation therapy: Involves the use of ionizing radiation to kill cancer cells. It is a form of local treatment that affects cancer cells only in the treated area.
Chemotherapy: Involves the use of anti-cancer medicines to kill cancer cells.
All women between 21-65 years should undergo regular screening with Cervical Cytology (Pap smear)
Avoid promiscuous sexual behaviour
Adopt safe sex practices
Consult a doctor for HPV vaccination
Exercise regularly to maintain a healthy body weight since obesity is a risk factor for some Gynae Cancers
Consume alcohol in moderation
Do not hesitate in seeking medical help while experiencing any untoward or new onset of symptoms
Some of the factors that may lead to Gynaecological Cancers are:
Persistent Human Papilloma Virus (HPV) infection: It is the most important risk factor that leads to cervical cancer
Age: The risk of developing cancer increases with advancing age. Most cancers develop in women above 40 years or after menopause
Obesity: Obesity increased body weight also poses a great risk
Family history: Women with a family history of Ovarian Cancer, Breast Cancer, or Colorectal Cancer are at an increased risk of developing Gynaecological Cancers
Personal history of Breast Cancer: If you have undergone treatment for Breast Cancer, you are at high risk of developing Gynaecologic Cancer
Smoking: Women who smoke are twice as likely to get Cervical Cancer, than women who do not. Smoking makes the immune system less effective in fighting HPV infections
Sexually Transmitted Diseases: History of sexually transmitted diseases increase the risk of Cervical Cancer
Sexual activity at an early age: Women who get involved in sexual activity at an early age (less than 16 years) are at high risk of developing Cervical Cancer
Multiple sexual partners: Having sex with multiple partners increases the risk of Cervical Cancer
Genetic Disorder: A genetic syndrome called Hereditary Nonpolyposis Colon Cancer (HNPCC) or Genetic mutations in BRCA1 or BRCA2 gene increases the risk of Gynaecologic Cancers
Ovarian cancer refers to the abnormal growth of cells or uncontrolled division of cells in the ovaries....
Uterine cancer refers to abnormal cell growth in the uterus (womb) in females. This abnormal uncontrolled...
The vulva is the region around the opening of the vagina that forms the external genitalia in women....
The lower part of the uterus is called the cervix. Cervix cancer is caused due to infection with high...
Cervical cancer refers to the abnormal growth...
Vaginal cancer is a cancer of the vagina. It occurs when cancerous cells grow in the vagina. It is...
Endometrial cancer is the type of cancer in which there is an uncontrolled...
The omentum comprises a double layer of fatty tissues that support and cover the organs in the lower...
Salpingo denotes the fallopian tubes and oophor denotes ovaries. Bilateral salpingo-oophorectomy is...
Dr. S Hukku
Dr. Surender Kumar Dabas
Surgical Oncology & Robotic Surgery
Dr. Sajjan Rajpurohit
Dr. Shikha Halder
Dr. Chandragouda Dodagoudar
Dr. Aditya Vidushi
Dr. Nidhi Nayyar
Gynaecologic Surgical Oncology & Robotic Surgery
Dr. Sourabh Mukharjee
Surgical Oncology & Robotic Surgery