Gynaecological Cancer

Gynecological cancers refer to cancers that begin in a woman’s reproductive organs. These include the uterus, cervix, ovaries, fallopian tubes, vulva, and vagina. Early detection and advanced treatment can greatly improve outcomes and preserve quality of life.

At Max Hospital, Dwarka, under the care of Dr. Peush Bajpai, Director & Unit Head, Medical Oncology, women receive comprehensive, personalised care for all types of gynaecological cancers. Combining cutting-edge therapies like targeted therapy, immunotherapy, chemotherapy, and precision oncology, Dr. Bajpai ensures every patient receives world-class treatment tailored to her unique needs.

Understanding Gynecological Cancers

Gynecological cancers develop in the female reproductive system and differ in symptoms, progression, and treatment approaches. The main types include:

• Cervical Cancer: Originates in the cervix, often linked to HPV infection.
• Ovarian Cancer: Begins in the ovaries and is often diagnosed at an advanced stage.
• Endometrial (Uterine) Cancer: Starts in the lining of the uterus and is one of the most common gynaecologic malignancies.
• Vulvar Cancer: Develops on the outer surface of the female genitalia.
• Vaginal Cancer: Arises in the vagina, often associated with HPV infection.
• Fallopian Tube Cancer: A rare type that can spread rapidly if undetected.

Common Symptoms

Gynecological cancers may show subtle symptoms initially, which is why regular check-ups are essential. Common signs include:

• Abnormal vaginal bleeding or discharge
• Pelvic or abdominal pain
• Bloating or swelling
• Unexplained weight loss
• Pain during intercourse
• Changes in menstrual cycle
• Fatigue or loss of appetite

If you experience persistent or unusual symptoms, early evaluation can be life-saving.

Diagnosis of Gynecological Cancers

At Max Hospital, Dwarka, Dr. Peush Bajpai and his team use advanced diagnostics to identify the type, stage, and genetic profile of the cancer. Diagnostic tools include:

• Pelvic Examination and Pap Smear: For cervical and uterine abnormalities.
• Ultrasound or MRI Scans: To detect tumours and assess their spread.
• Biopsy: Confirms the diagnosis and determines cancer grade.
• Blood Tests: Including CA-125, HE4, and other tumour markers.
• Molecular & Genetic Testing: Identifies gene mutations (e.g., BRCA1, BRCA2, MSI) for targeted and immunotherapy planning.

Treatment Options for Gynecological Cancers

Dr. Peush Bajpai offers personalised, multidisciplinary treatment plans that combine the most advanced and effective therapies available today.

1. Surgery

Often the first step for localized cancers, surgery removes the tumour and may include nearby tissues or lymph nodes. Minimally invasive and fertility-sparing options are considered whenever possible.

2. Chemotherapy

Uses anti-cancer drugs to destroy cancer cells or prevent their growth. It may be administered before or after surgery or used for advanced-stage cancers.

3. Radiation Therapy

Employs high-energy rays to target cancer cells, often used for cervical and uterine cancers in combination with chemotherapy.

4. Targeted Therapy

Focuses on specific genetic mutations or proteins that allow cancer cells to thrive. Examples include therapies targeting HER2, VEGF, or BRCA mutations.

5. Immunotherapy

Stimulates the immune system to recognize and attack cancer cells. Effective in certain advanced or recurrent gynaecological cancers, particularly those with MSI-high or PD-L1 positive profiles.

6. Hormone Therapy

Used for hormone-sensitive cancers, such as certain types of uterine and ovarian cancers, to slow growth or prevent recurrence.

7. Precision Oncology

Dr. Bajpai uses molecular profiling to design a treatment plan unique to each patient, maximising efficacy and minimising side effects.

Benefits of Advanced Gynecological Cancer Treatment

• Personalised care based on genetic and molecular profiling
• Access to advanced therapies such as immunotherapy and targeted treatment
• Fewer side effects compared to conventional chemotherapy
• Improved survival rates and quality of life
• Comprehensive support, including fertility preservation and psychological counselling

Who Can Benefit from These Treatments?

These modern treatments are suitable for:

• Women diagnosed with early or advanced-stage gynaecological cancers
• Recurrent or metastatic cases
• Cancers with genetic or molecular alterations
• Patients seeking personalised, minimally invasive, and evidence-based care

Every case is individually assessed by Dr. Peush Bajpai to ensure the safest and most effective treatment approach.

The Treatment Process

1. Comprehensive Evaluation
   Detailed assessment through imaging, biopsy, and genetic testing to understand the cancer’s stage and profile.
   
2. Personalised Treatment Planning
   Dr. Bajpai creates a customised plan based on the type of cancer, its genetic markers, and patient goals.
   
3. Treatment Administration
   May involve surgery, systemic therapy (chemotherapy, targeted therapy, or immunotherapy), or a combination of treatments.
   
4. Follow-Up & Monitoring
   Regular check-ups and imaging to monitor progress, manage side effects, and detect recurrence early.

Frequently Asked Questions (FAQs)

Q1. Are gynaecological cancers hereditary?
Some, such as ovarian and uterine cancers, can be linked to inherited mutations like BRCA1, BRCA2, or Lynch Syndrome. Genetic counselling and testing are recommended for high-risk women.

Q2. Can fertility be preserved during treatment?
Yes. Fertility-preserving techniques and minimally invasive surgeries can be considered in select cases.

Q3. Is immunotherapy effective for gynaecological cancers?
Yes. Immunotherapy has shown strong results in certain advanced or recurrent cases, especially those with specific biomarkers.

Q4. What is the prognosis for gynaecological cancers?
When detected early and treated appropriately, most gynaecological cancers have excellent survival rates. Advanced treatments further improve long-term outcomes.

Why Choose Dr. Peush Bajpai at Max Hospital, Dwarka?

• Over 20 years of expertise in oncology and precision medicine
• Leader in immunotherapy, targeted therapy, and hormone-based cancer care
• Comprehensive management of gynaecological and women’s cancers
• Personalised, compassionate approach with focus on patient comfort and well-being
• Access to state-of-the-art technology and multidisciplinary care

Take the Next Step

If you or your loved one has been diagnosed with a gynaecological cancer, expert care can make all the difference.

Consult Dr. Peush Bajpai, Director & Unit Head, Medical Oncology at Max Hospital, Dwarka, for a personalised treatment plan that combines advanced medical science with compassionate care.

Empowering women with precision oncology, where care meets confidence.