Care where dignity, fertility and honesty are part of the treatment plan.
Ovarian, uterine and cervical cancers are operated here by Dr. Patel alongside experienced gynae-oncology colleagues — with fertility conversations held early and menopause managed thoughtfully afterwards.
What is gynaecologic oncology?
This field covers cancers of the ovary, uterus (endometrium), cervix, vulva, and gestational trophoblastic disease. Major operations here are performed jointly with dedicated gynae-oncology colleagues, combining surgical oncology training with subspecialty depth.
The decisions in this specialty carry double weight: they touch not only survival but identity, fertility and intimate life. That is why the first consultation includes conversations many women never get offered — fertility preservation in early disease, menopause planning before surgery, and what reconstruction or recovery will honestly look like.
The encouraging truth: endometrial and cervical cancers caught at typical screening ages have strong cure rates; even advanced ovarian disease responds dramatically when cytoreduction is done properly and chemotherapy follows on time.
“No question about your body is embarrassing in this room. Ask everything.”
Warning signs that deserve a specialist’s eyes
Women’s symptoms are too often normalised away. These deserve real answers.
- ①Bleeding after menopause — any amount, even once, needs examination.
- ②Bleeding between periods, or after intimacy.
- ③Bloating lasting more than two weeks — persistent, not just monthly.
- ④Pelvic pain that stays or keeps returning on one side.
- ⑤Unusual discharge — new colour, odour or blood-staining.
- ⑥Painful intercourse, newly developed and persisting.
- ⑦Very heavy or erratic periods after years of stability, especially over 45.
- ⑧Several of these together — combinations always warrant proper imaging.
Cancers we treat in this region
◆Ovarian Cancer
Staging laparoscopy/laparotomy and optimal cytoreduction — the operation quality that decides outcomes.
◆Uterine / Endometrial
Staged surgically with sentinel node technique where appropriate; often found early through abnormal bleeding.
◆Cervical Cancer
Radical hysterectomy (Wertheim’s) and chemoradiation coordination by stage.
◆Vulvar Cancer
Function-preserving resection with sentinel node assessment in suitable cases.
◆Gestational Trophoblastic Disease
Molar pregnancy follow-up and chemotherapy coordination — among the most curable gynae cancers.
◆Coordinated Team Care
Operated by Dr. Patel with dedicated gynae-oncology colleagues — two specialities, one plan.
Operations performed here
- ◆Staging laparoscopy / laparotomyPrecise staging as the foundation of every correct decision afterwards.
- ◆Optimal cytoreduction for ovarian cancerAchieving no visible residual disease wherever safely possible — combined with HIPEC referral pathways.
- ◆Radical hysterectomy (Wertheim’s)Nerve-sparing variants discussed for appropriate early cervical cancers.
- ◆Pelvic & para-aortic lymphadenectomyNodal clearance mapped to anatomy and stage.
- ◆Fertility-preserving optionsOvary/uterus-sparing surgery in selected early disease — offered proactively, not reluctantly.
- ◆Sentinel node techniqueIn endometrial and vulvar cancer, sparing full dissections where validated.
From first visit to full recovery
Examination, ultrasound & markers
CA-125 and related tests read together with scans — never alone.
CT / MRI staging
Disease mapped before anyone promises what surgery can do.
Joint tumour board
Gynae-oncology, medical and radiation oncology align the sequence.
Surgery
Staging, cytoreduction or radical procedure — done once, done properly.
Hormonal recovery
Menopause symptoms actively managed, not dismissed as “expected”.
Surveillance
Markers, examinations and scans scheduled — plus HPV vaccination counselling for the family.
Families usually ask…
No — the overwhelming majority of cysts are functional and resolve on their own. Ultrasound features and tumour markers separate the worrying ones from the harmless. Simple cysts in young women are watched, not operated.
In selected early-stage disease, yes — fertility-preserving surgery (saving the uterus or healthy ovary) is a genuine option we discuss before committing to anything. When it isn’t safe, we say so clearly and discuss egg preservation pathways where time allows.
Periods stop and pregnancy is no longer possible; if ovaries are removed too, menopause begins — which we treat seriously with structured hormone and bone-health support rather than leaving you to endure it.
Virtually all cervical cancers follow HPV infection. Vaccination (ideally before adulthood), periodic Pap/HPV testing, and early treatment of pre-cancerous lesions make this one of the most preventable cancers we treat.
Please come within days, not months. Most causes are benign polyps or thinning — but postmenopausal bleeding is how early, highly curable endometrial cancer announces itself, and it should never be waited out.