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Gynecological Oncology

Comprehensive Gynecological Cancer Treatment

1. Introduction & Overview

Specialized treatment is provided for:

  • Ovarian Cancer: Cytoreductive (debulking) surgeries and pelvic/para-aortic lymph node dissections.
  • Cervical Cancer: Radical hysterectomies and pelvic lymphadenectomies with nerve-sparing protocols.
  • Uterine Cancer: Hysterectomy, bilateral salpingo-oophorectomy, and staging evaluations.
  • Vulval & Vaginal Cancers: Radical vulvectomy, vaginectomy, and groin (inguinal) lymph node dissection.

Treatment planning is designed to provide effective cancer care with personalized support and guidance.

2. Key Warning Symptoms

Common signs that warrant immediate oncologist evaluation:

  • Abnormal post-menopausal bleeding or vaginal discharges.
  • Chronic bloating and persistent pelvic or back distress.
  • Unexplained pelvic masses or painful intercourse indicators.

3. Diagnostic Mappings

High-precision staging evaluations performed at our center:

  • Transvaginal Ultrasound scans for structural maps.
  • Cervical Pap Smear and targeted biopsies.
  • CA-125 Tumor Antigen blood assay for ovarian monitoring.

4. Specialized Surgical Options

Advanced procedures customized for the patient's stage:

  • Radical Hysterectomy: Resecting uterus, cervix, and surrounding parametrium.
  • Ovarian Cytoreduction: Complete tumor debulking for complex ovarian cases.
  • Laparoscopic Pelvic Lymphadenectomy: Keyhole lymph node evaluations.
  • Radical Vulvectomy & Vaginectomy: Advanced resections with groin and pelvic node clearances.

5. Surgical Recovery Guidance

Laparoscopic gynecological procedures permit discharge in 2 to 4 days, while complex cytoreductive clearances require 6 to 9 days under balanced recovery roadmaps.

Frequently Asked Questions

It is an advanced surgical technique where autonomic nerve structures in the pelvis are carefully dissected and preserved. This maintains normal bladder and bowel function after complex cervical cancer clearances.

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Dr. Parveen Mendiratta

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