Gynecologic Oncology

Gynecologic Oncology

Comprehensive Gynecologic Cancer Care — Advanced Surgery, Precision Medicine, Personalized Support.

Robotic and fertility-sparing surgery, targeted systemic therapy, and survivorship programs for cancers of the ovary, uterus, cervix, vulva, and vagina.

The Gynecologic Oncology Service offers comprehensive cancer care that includes high-ADR screening colonoscopy, advanced endoscopic resection (EMR/ESD), EUS & ERCP staging, cutting-edge imaging (PET-CT, MRI liver protocols), molecular profiling, minimally invasive and robotic surgery, organ-preservation protocols, liver-directed therapies (TACE, Y-90), and state-of-the-art systemic and radiation therapies. Our weekly Gyne-Onc Tumor Board ensures every patient receives a personalized, guideline-based treatment plan.

1,150+

gynecologic cancer cases treated in 2024

78%

of resections for early-stage disease performed using minimally invasive or robotic techniques

<7

days from biopsy to multidisciplinary treatment plan

23

active Phase I–III clinical trials, including PARP inhibitors, ADC, and immunotherapy

Common Conditions & Subspecialty Clinics.

  • Epithelial ovarian cancer 
  • Germ-cell tumors
  • Sex-cord stromal tumors 
  • Secondary cytoreductive surgery 
  • Hyperthermic intraperitoneal chemotherapy (HIPEC) 

  • Endometrial carcinoma 
  • Uterine sarcoma 
  • Cervical squamous-cell carcinoma and adenocarcinoma 
  • Fertility-sparing trachelectomy 

  • Vulvar squamous-cell carcinoma 
  • Paget disease of the vulva 
  • Bartholin-gland carcinoma 
  • Vaginal cancer 

  • Complete and partial hydatidiform mole 
  • Choriocarcinoma 
  • Placental-site trophoblastic tumor 
  • hCG surveillance and chemotherapy 

  • Oocyte and embryo cryopreservation 
  • Ovarian tissue freezing 
  • Ovarian transposition prior to pelvic radiation or surgery 

  • BRCA1/2, Lynch syndrome, RAD51C/D mutation carriers 
  • Risk-reducing surgery (e.g., salpingo-oophorectomy, hysterectomy) 
  • Surveillance and chemoprevention 

Procedures & Treatments.

Pelvic Exenteration & Complex Reconstruction with plastic surgery support

Fertility-Sparing Surgery – Radical trachelectomy, unilateral oophorectomy, cystectomy

HIPEC (intraperitoneal heated chemotherapy) during interval debulking

Sentinel-Node Mapping using ICG and near-infrared imaging

Robotic or Laparoscopic Cytoreductive Surgery with fluorescence perfusion

Robotic Radical Hysterectomy & Lymphadenectomy (da Vinci Xi)

Hormonal Therapy – Progestins, aromatase inhibitors for low-grade endometrioid carcinoma

Immunotherapy – PD-1 inhibitors for MSI-H/dMMR endometrial & PD-L1+ cervical cancers

Antibody-Drug Conjugates (mirvetuximab, tisotumab) for recurrent disease

PARP Inhibitors (olaparib, niraparib) maintenance for BRCA & HRD tumors

Platinum/Taxane Chemotherapy with dose-dense and intraperitoneal options

SBRT boost for oligometastatic lesions

Image-Guided Adaptive Brachytherapy (3-D MRI-based) for cervix & vault

IMRT / VMAT pelvic radiation with bowel-sparing techniques

Genetic counseling & cascade testing for hereditary syndromes

Lymphedema prevention & management clinic

Sexual health and pelvic-floor rehabilitation

Onco-fertility counseling and ovarian suppression

Care Pathway & Coordination.

1
Rapid Referral & Diagnostics

Rapid Referral & Diagnostics

Pelvic MRI, PET-CT, tumor markers, biopsy within 5 days.

2


GI Tumor Board

GI Tumor Board

Consensus plan (surgery, neoadjuvant, systemic, trials).

3


Treatment Phase

Treatment Phase

Timely start of therapy; nurse navigator coordinates appointments.

4


Response Assessment

Response Assessment

Imaging labs per protocol; ctDNA monitoring.

5


Surgery / Intervention

Surgery / Intervention

Minimally invasive resection or liver-directed therapy.

6


Survivorship Follow-up

Survivorship Follow-up

Surveillance schedule, wellness programs, rapid re-entry for recurrence.

Technology & Facilities.

da Vinci Xi Robotic Suites with Firefly ICG Imaging

Hybrid OR & Intra-operative CT for complex resections

3-T Pelvic MRI & 64-slice PET-CT for precise staging

MRI-Guided Brachytherapy Suite

Real-time applicator placement

On-site Genomics Lab

HRD, MSI, and comprehensive NGS panels

Fertility Preservation Lab

Oocyte/embryo cryostorage, ovarian tissue cryobank

Patient Stories.

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Frequently Asked Questions.

Will minimally invasive surgery affect survival?

For early-stage disease, laparoscopic/robotic outcomes match open surgery with faster recovery. Advanced cases are assessed individually.

Can I keep my fertility?

Fertility-sparing options are available for certain cervical and ovarian tumors—our onco-fertility team will discuss suitability.

What genetic tests do I need?

BRCA1/2, Lynch (MMR genes), and others based on family history and tumor profile—covered by our genetics clinic.

Is HIPEC safe?

Performed by experienced surgeons; evidence shows improved survival in select ovarian cancer cases with acceptable toxicity.

Ready to Start Your Health Journey?

Take the first step towards better health with our expert team.

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