Purbanchal Cancer Hospital

PCH
Sunday, 06 October 2024

Best Gynecologic Cancer Treatment in Nepal

At the Gyane Oncology Department, we are dedicated to providing comprehensive care for women with gynecologic cancers. Our multidisciplinary team offers personalized treatment plans, advanced technology, and compassionate support throughout your journey.

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Services and Treatments Offered:

Diagnosis

Diagnosis of cancer requires a thorough history, clinical examination, and relevant investigations to reach to a conclusion. At PCH, we have the following modalities to suspect and diagnose the cases.

1. History and Clinical Examination.
2. Imaging: Ultrasonography, CT scan, MRI, PET-CT for all kinds of gynecological cancer.
3. Colposcopy and biopsy for cervical cancer.
4. Management of precancerous lesions of the cervix (CIN I, II, and III).
5. Screening of cervical cancer by Pap smear and HPV DNA test.
6. Availability and counseling regarding HPV vaccination for prevention of cervical cancer.
7. Germline mutation tests for hereditary cancers and genetic counseling for such patients.
8. Diagnostic Hysteroscopy and endometrial biopsy for suspected endometrial cancer.
9. Tumor markers for diagnosis, prognosis, and follow-up in ovarian carcinoma
10. IHC( Immunohistochemistry) as and whenever required to differentiate the type and origin of the tumor
11. Diagnostic Laparoscopy in cases of doubtful ovarian malignancy

Treatment

Gynecologic cancers are treated in different ways. It depends on the type and stage of the cancer. At PCH we treat the disease following the most updated guidelines. Cases are discussed on the tumor board weekly and the best treatment modality is selected and individualized. Treatment modalities are

Surgery: Generally cancer surgery is more radical and involves the removal of surrounding tissues and lymph nodes. The principle of surgery in oncology is to remove all visible diseases.

Cervical cancer: Radical hysterectomy with Bilateral Salpingoophorectomy with bilateral pelvic LN dissection. Ovaries are preserved and transposed in the reproductive age group female.

Endometrial Cancer: Laparoscopic/Open Hysterectomy and bilateral salpingo-ophorectomy plus pelvic and para-aortic lymphadenectomy and omentectomy.

Ovarian Carcinoma: Ovarian carcinoma- Primary debulking surgery, Interval/ Delayed debulking surgery after neiadjuvant chemotherapy. Main aim is to achieve complete cytoreduction.

Vulvar Carcinoma: Radical vulvectomy and b/I inguinal lymphadenectomy +local flap reconstruction if required.

Vaginal cancer: Vaginectomy.

Chemotherapy: In unresectable cases or advanced cases, chemotherapy is given as neoadjuvant therapy or palliative therapy. Chemotherapy drugs are used to shrink or kill cancer. The drugs can be pills or injectables. Chemotherapy in ovarian cancer is usually given as neo-adjuvant and adjuvant therapy. Gestational trophoblastic cancer responds very well to chemotherapy.

Radiation: It is the method in which high-energy rays are used to kill cancer. Mostly used in advanced cases of cervical cancer, vulvar cancer, and vaginal cancer.
Immunotherapy and hormonal therapy

Why Choose Purbanchal Cancer Hospital:

State-of-the-Art Technology: Ensures precise and effective cancer treatment.
Experienced Team: A multidisciplinary team of experts dedicated to providing the best possible care.
Patient-Centered Approach: Focuses on the individual needs of each patient, offering compassionate and comprehensive support throughout the treatment journey.
Integrated Care: Provides a seamless and coordinated approach to cancer care by integrating various oncology services under one roof.