Gynaecological malignancies from palliative care perspective

Area of Science:

• Gynecologic Oncology
• Public Health
• Cancer Epidemiology

Background:

• Gynecological malignancies account for 10-15% of all new cancer cases in India annually.
• Leading cancers among Indian women include cervix uteri, breast, and oral cavity.
• Cervix uteri, breast, corpus uteri, and ovaries comprise 50-60% of all female cancers in India.

Purpose of the Study:

• To highlight the critical role of Gynecologic Oncologists in managing gynecological cancers.
• To emphasize the challenges posed by late-stage diagnosis in India.
• To underscore the importance of comprehensive care for improving patient outcomes.

Main Methods:

• Analysis of data from population-based registries under the National Cancer Registry Program.
• Review of diagnostic and treatment service utilization patterns.
• Assessment of survival and mortality rates associated with advanced-stage disease.

Main Results:

• Over 70% of women with gynecological cancers present at advanced stages, leading to poor survival.
• Ovarian cancer is particularly deadly, with 2/3rds diagnosed late.
• Cervical cancer remains a leading cause of female cancer mortality in India due to inadequate screening.

Conclusions:

• Gynecologic Oncologists play a vital role in combating gynecological malignancies through comprehensive care.
• Preventive, curative, palliative, and follow-up services are essential for improving quality of life.
• Addressing late-stage diagnosis and improving screening are critical for reducing mortality.