Expert Endometrial Cancer Surgery in Delhi by Dr. Kanika Batra Modi

Endometrial Cancer Surgery in Delhi: A Comprehensive Guide

INTRODUCTION

Endometrial cancer surgery in Delhi offers advanced, minimally invasive procedures ensuring optimal outcomes with lower morbidity, including robotic and laparoscopic options.

After lung, colorectal, and breast cancer, endometrial cancer is the most frequent cancer of the female genital tract in the Western world, occurring in around 400,000 cases annually. About 5 percent of cases are due to genetic alterations, which usually happen 10–20 years earlier and are often caused by random mutations. Obesity, early menarche, late menopause, estrogen-secreting tumors, PCOD, unopposed estrogen exposure, tamoxifen medication, HPNCC, nulliparity, diabetes mellitus, hypertension, and prior radiation therapy are important risk factors.

Symptoms and Diagnosis

Common symptoms of endometrial cancer include abnormal vaginal bleeding, postmenopausal bleeding, intermenstrual bleeding, heavy and prolonged periods, and purulent vaginal discharge. Among the causes of postmenopausal bleeding, endometrial cancer accounts for 15%.

Diagnosis typically involves an office endometrial biopsy with endocervical curettage, though hysteroscopy and directed biopsy may also be necessary.

Surgical Management

For endometrial cancer surgery in Delhi, the standard procedure includes a hysterectomy with bilateral salpingo-oophorectomy (BSO) and surgical staging. Sentinel lymph node biopsy is recommended for uterine-confined low and intermediate-risk histologies. During surgery, visual inspection of peritoneal, diaphragmatic, and serosal surfaces is performed, and any suspicious lesions are biopsied. Peritoneal cytology is collected and reported, though it does not affect staging.

In cases with high-risk histology, complete pelvic and retroperitoneal lymph node dissection is conducted. Excision of suspicious and enlarged lymph nodes in the pelvic and retroperitoneal region is also performed.

Minimally Invasive Surgery

Minimally invasive surgery (MIS),such as laparoscopy, has shown lower morbidity compared to laparotomy, with no significant differences in survival and recurrence rates. Robotic surgery is FDA-approved for treating endometrial cancer.

Adjuvant Therapy

Depending on the final histopathological evaluation, adjuvant treatment may be required in select cases to ensure comprehensive treatment.

Endometrial cancer surgery in Delhi ensures patients receive advanced surgical options and care, aiming for the best outcomes with minimally invasive techniques and thorough management.