Which cancers are best treated with gynecological surgery?
nyu lan, gynecologic endocrinologist at Seoul National University, says surgery may help in some cases but there is a huge gap in how the procedure works and the results are not always optimal.
He says it is often better to have a general surgeon rather than a gynecologist.
“Most patients who have had surgery have benefited from the surgery and have recovered quickly.
But the risk of complications from the operation can be higher than for the other cancer types,” he says.
He said that there are other options that doctors can use if the cancer is aggressive and there is no treatment option available.
“In cases of advanced cancer, surgery can also be an alternative to the traditional chemotherapy approach.
If a patient has been on chemotherapy, he may have been given chemotherapy by other doctors or through a specialist, or if a specialist has not had any experience with this procedure, there may be concerns about whether he has been treated properly,” he adds.
He says a surgeon may also use a CT scan or MRI to check for a more aggressive form of cancer.
The procedure is sometimes described as a “flesh-eating” or “blood-eating cancer”, meaning it kills the cancer cells but leaves them in the bloodstream.
It is a treatment option that can help patients with advanced cancers, he says, and is usually performed within a month of diagnosis.
A recent report by the Australian Institute of Health and Welfare suggests gynecologists have been the first group to take up gynecodynamic surgery.
An analysis of clinical trials in the United States and the United Kingdom found that surgery was associated with a 30 per cent lower risk of death, a 50 per cent reduced risk of breast cancer and a 40 per cent reduction in the risk for prostate cancer, among other outcomes.
According to research by the World Health Organization, women who undergo surgery are at lower risk for developing breast cancer, but that study also found no difference in breast cancer mortality.
Gynecological surgeons may be the first groups to be trained to treat aggressive cancer, says Mr Nyu.