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theijcs.com The IJCS / Vol 1 / Issue 1
GYNAECOLOGICAL CANCERS
Dr Sandeep Kaur, MD
Assistant Professor. Deptt. Of Radiotherapy.
GMC Jammu
Contributing Authors Affiliations:
N/A
Developing countries account for approximately 77.7% of global estimate for new cases of the
commonest gynaecological cancers including cervix, uterus and ovarian cancers. These cancers account for 25% of
all new cancers diagnosed in women aged 65 years compared with 16 % in the developed world.
Indian National Cancer Control Programme emphasizes the importance of early detection and
treatment, but there is no organized screening programme, and the majority of Indian women lack both awareness
about the disease and access to prevention and treatment facilities (like HPV Vaccines, PAP smears, genetic
counseling etc).
The last few years have witnessed a better understanding of molecular events that cause
gynaecological cancers and new insights are changing the practice of Gynaecological Oncology. Regardless of
cancer origin ,or age at onset, the disease and its treatment can produce short and long term sequelae ( sexual
dysfunction, infertility, lymphoedema etc. ) that adversely affect Quality Of Life ( QOL). . The implementation of new
concepts into our daily practice may improve treatment received by patients and more importantly it could influence
their survival and QOL ,which should be our final end point.
The challenges faced by Oncologists at many centres in India ,are ,the late presentation of cases,
noncompliance with treatment regimens ,lack of use of cutting edge cytotoxic drugs, the poor outcome of radical
surgeries and lack of functional , uptodate Radiotherapy facilities. The above factors contribute to create a very difficult
Gynaecological Cancer Care environment in many places. In addition comprehensive discussion on tackling the
complex problems like drug resistance, emerging role of Immunotherapy, SLN Biopsies and issues of complete
surgeries and adequate Lymphadenectomy and Precision Radiotherapy techniques , is the need of the hour.
The aim of this didactic scientific discussion is to update the knowledge of the treating Oncologists and
to ensure that Preventive and Screening protocols are percolated to the concerned population, so that together we can
combat this disease !
Corresponding Author
Dr Sandeep Kaur, MD
Assistant Professor. Deptt. Of Radiotherapy.
GMC Jammu
Fellow UCSD San Diego California, USA.
The Integrated Indian Journal of Cancer Sciences