Gynecological Oncology

About the Specialty

A Compassionate Haven for Gynaecological Oncology Excellence Where every Journey is supported with Expertise, Compassion, and Dedication.

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MGMCH has a dedicated Department of Obstetrics & Gynaecology to provide comprehensive care for pregnant & gynaecology Cancer patients. The department comprises a team of skilled Gynaecologic oncologist , nursing staff & other paramedical staff, who treat patients using state-of-the-art holistic facilities.

We have a team of highly qualified gynaecologists with many years of quality experience to their credit who consistently deliver high-quality Surgical and medical care to patients along with effective communication. Department of Gynaecological Oncology gamut of Gynaecological cancer care. We have a fully equipped department with state-of-the-art OTs, procedure room with colposcopy, cryocauterization and other equipment to manage Gynaecological pre cancers and cancers.

The department is aptly supported by onco pathology, onco radiology, nuclear medicine and other ancillary services to provide comprehensive Gynaecological cancer care.

HOD Message

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I, Dr. Ranu Patni, feel proud and privileged to be an integral part of MGUMST’s pioneering endeavour to set up the first and the only Gynaecological Oncology department in the state of Rajasthan.

Dr. Ranu Patni

Professor & HOD

Department of Gynecological Oncology

In my 22+ years of experience in this speciality practise, I have found that for various reasons public lacks awareness about this subject. It has been tough to make people acknowledge this speciality. I applaud the management of MGUMST to not only start this speciality but to focus on its future too.

Dr. Ranu Patni Received prestigious "Chikitsa Vibhushan" award by Jaipur Medical Association in 2017 and Received Academic Excellence award by Indian Medical Association, state branch in 2023

She also edited a book titled ‘Endometrial Carcinoma: Current Concepts’ published by Springer in 2017.

I hope the people of Rajasthan and other parts of the country will avail the state of the art services available in Gynecological Oncology at Sri Ram Cancer Centre, Mahatma Gandhi University of Medical Sciences and Technology, Jaipur and reap the benefits of quality management of all gynaecological cancers.

Specialty Clinics

Infertility Clinic

The department has a state-of-the-art IVF Centre for ART and ICSI for patients facing challenges in conceiving through other medical procedures. We also provide assistance in systematic total infertility evaluation for both males & females, Ultrasound scanning, Doppler, HSG, sonosalpingography, IUI- treatment, Hysteroscopy, and Laparoscopic surgeries for infertility treatment.

Male Infertility Clinic

We have proficient experts for procedures like PESA, TESA, and Microsurgery for Tubal Recanalization.

Genetics Department

At MGMCH, we have an OPD for genetic counseling and investigations by expert geneticists. We offer treatment for previous bad obstetric history, elderly patients wishing to conceive, or patients with a family history of genetic abnormalities.

Cancer Clinic

We have advanced medical diagnostic equipment for preventive oncology screening that includes mammography for breast cancer, pap smear & biopsy for cervix cancer, ultrasonography for ovarian cancer & endometrial Biopsy for endometrial cancer. Our team also has surgeons who are experts in Gynaecological oncology surgeries like Wertheim’s hysterectomy and vulvectomy.

Menopausal Clinic

Menopause clinics are conducted in the out-patients clinic & screening facilities for cancer screening mammography, colposcopy and ultrasonography for breast cancer, cervical cancer, Uterine, and ovarian cancer respectively are available. Screening for cardiovascular diseases in menopause is done by qualified cardiologists.

Family Planning Clinic

Counselling for contraception, insertion of intrauterine contraceptive devices & sterilization operations are done. Sterilization operations are done free of cost.

Core Competencies

Basic Sciences in Obstetrics

Our team emphasizes the Importance of maternal and child health. Our department guides different stages of pregnancy such as Early Development of the Embryo, Development of the Placenta and Membranes. We have experts in Applied Physiology who specialize in the Physiology of Ovulation, Conception, and Implantation. Our team guides the patients and their families through the physiological changes during pregnancy, labour, puerperium, lactation, etc.

Clinical Case Taking and Skills in Obstetrics

At MGMCH, we have expertise in the Diagnosis of Pregnancy, obstetric history, Antenatal examination, Basic Investigations in pregnancy, and detection of risk factors. Our experienced healthcare professionals identify the warning signs and symptoms related to Antepartum haemorrhage, Anaemia, Post-partum haemorrhage, and other Hypertensive disorders of pregnancy.

Antenatal Care and Counselling

We have a team of experts for follow-up of pregnant patients. Our team advises on common ailments, immunization, nutrition, travel, medications, and other critical information that assist during the pregnancy phase. We offer regular assessments of fetal well-being in pregnancy too.

Normal Labour and Delivery

Our team comprises healthcare professionals who are efficient in the management of all stages of labour. We guide pregnant couples about the maternal pelvis, fetal skull, and mechanism of Labour for an informed treatment plan. We have facilities for fetal and maternal monitoring during different stages of pregnancies as well as labour.

Normal Puerperium

At MGMCH, we have experts for addressing the common complaints in the postnatal period & management. Our team provides comprehensive care through proper advice on discharge and alert signs to be vigilant about before you leave our premises. We offer assistance related to breastfeeding and related complications. Our patients can also seek contraceptive advice from our experts.

Diagnostic and Clinical Services

The department continuously strives to bring smiles onto the faces of aggrieved couples. stressed-out patients and anxious families

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Aims and Objectives

Gynecological malignancies contribute to female health problems in a big way. In order to improve female health status in a society, it is very essential to prevent, diagnose early, diagnose correctly, treat properly and ensure a good quality of life after treatment during follow up of suspicious, premalignant and malignant lesions of the female reproductive tract.

Specialized Gynecological Oncology services aim to channelize gynaecological oncology patients, provide Comprehensive, dedicated, specialized services and fulfil all the above mentioned objectives for betterment of female health.

Treatments

Following are the main special services provided under this speciality

  • Primary prevention of cancer cervix by HPV vaccination
  • Screening for cervical cancer by HPV-DNA test, Cytology (conventional/ LBC)
  • Diagnostic colposcopy
  • Operative Colposcopic procedures for premalignant lesions of cervix/vulva (LEEP etc.)
  • Surgical Treatment of premalignant lesions of cervix, endometrium, vulva, vagina
  • Borderline Ovarian tumors
  • Surgery for early malignant lesions of all female genital organs
  • Fertlity preserving procedures/ surgeries
  • Hormonal conservation
  • Cancer survivorship/ maintaining quality of lifestyle
  • Appropriate referral for primary/ adjuvant Radiotherapy/ Chemotherapy/ other therapy
  • Regular follow-up for gynecological malignancies
  • Counseling for hereditary cancers

Procedures

Our center is one of the very few where special procedures and interventions are performed to diagnose and treat complex Gynecological Oncology disorders. Some of these procedures include:

  • Diagnostic/ Operative Colposcopy
  • LLETZ/LEEP
  • Cold Knife Conization
  • Trachelectomy (Simple/ Radical)
  • Radical Hysterectomy for Carcinoma Cervix (Type I, II,III)
  • Diagnostic/ Operative hysteroscopy
  • Staging Laparotomy for Ca Endometrium
  • Staging Laparotomy for Ca Ovary
  • Primary / Interval Cytoreductive surgery for Ca Ovary
  • Secondary cytoreductive surgery where needed
  • Completion surgery including complete RPLND
  • Vulvectomy ( skinning/simple/ hemi/ radical) with groin node dissection
  • Surgery for Ca Vagina
  • Diagnostic and operative laparoscopy
  • Risk reducing procedures like Salpingo-oophorectomy
  • Ovarian conservation like ovarian transposition
  • Exenterations
  • Palliative surgical procedures etc.

These special procedures are performed by our team of skilled Gynecological Oncologists

Our Associated Doctors

FAQs

Main gynaecological cancers are-

  • Cancer of uterine cervix
  • Cancer of Endometrium
  • Cancer of Ovary
  • Cancer of Vulva/ Vagina
  • Cancers of the peritoneum, fallopian tubes and few others also fall in this branch.

Following should alarm the patient to go for further evaluation -

  • Persistent abnormal uterine bleeding
  • Post menopausal bleeding
  • Post coital bleeding
  • Persistent abnormal vaginal discharge
  • Persistent/ frequent altered bowel habits
  • Lump/ fullness in the abdomen
  • Vulvar/ vaginal/ cervical growth etc.

Yes, Cancer Cervix is preventable to a large extent. Primary prevention is by HPV vaccination. Secondary prevention is by screening by HPV DNA test and/or Cytology. Both primary and secondary prevention should be done under medical guidance

No, a biopsy does not cause spread of cancer. In fact, it is the most authentic way to diagnose cancer. However, it should be done judiciously by an expert for obtaining proper specimen.

An intact, large, complex ovarian/ adnexal cyst/mass should not be biopsied but should be removed intact by surgery. If there is already spread in the form of as it is etc., it can be biopsied. Again, any form of procedure should be done under expert guidance.

A Gynecological Oncologist who is trained in both gynaecology and oncology is the best person to treat gynaecological cancers.

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