All about gynaecological cancer

Written in association with: Miss Nahid Gul
Published:
Edited by: Kate Forristal

Gynaecological cancer, affecting the reproductive organs exclusive to individuals assigned female at birth, encompasses a range of malignancies including those of the uterus, ovaries, fallopian tubes, cervix, vagina, and vulva. Additionally, peritoneal cancer, affecting the abdominal lining, is grouped under gynaecological cancers due to its similarities to ovarian and tubal cancers. In her latest online article, Miss Nahid Gul gives us her insights.

Types of gynaecological cancer

Diverse in nature, gynaecological cancers vary based on the originating organ and tumour type. Uterine cancer ranks among the most common, affecting approximately 1 in 41 women in the UK, with around 10,000 new cases diagnosed annually. Ovarian, tubal, cervical, vulva, vaginal, and peritoneal cancers constitute the spectrum of gynaecological malignancies. Some cases may arise from genetic predispositions such as BRCA1 and BRCA2 mutations or Lynch syndrome.

 

Causes and risk factors

The genesis of gynaecological cancer involves complex interplays of genetic and environmental factors. While ageing is a significant risk factor, lifestyle choices such as smoking and obesity can elevate susceptibility. Hormonal imbalances, particularly with unopposed oestrogen use, also contribute to certain types of gynaecological cancers. Human papillomavirus (HPV) infection, for instance, significantly heightens the risk of cervical cancer.

 

Symptoms

Symptoms of gynaecological cancer vary depending on the affected organ and the stage of the disease. Early signs may be subtle, including irregular bleeding, pelvic pain, or abnormal discharge. Postmenopausal bleeding warrants immediate medical attention, as it could indicate endometrial cancer. Other symptoms such as bloating, altered bowel habits, and persistent itching may signal advanced stages of certain gynaecological malignancies.

 

Treatment and prognosis

Successful treatment outcomes hinge on early detection and intervention. Surgical intervention remains a cornerstone, with procedures tailored to the specific cancer type and stage. For instance, uterine cancer often necessitates hysterectomy, while cervical cancer may be treated with excisional procedures for pre-cancerous lesions. Adjuvant therapies like chemotherapy and radiotherapy complement surgery in advanced cases, improving overall survival rates.

 

Rapid diagnosis services

Early diagnosis is pivotal in enhancing treatment efficacy and patient outcomes. Rapid diagnosis services play a crucial role in promptly evaluating symptoms and expediting necessary investigations. Education of patients and healthcare providers alike aids in recognising abnormal symptoms and seeking timely medical intervention. Utilising advanced diagnostic techniques such as ultrasound and biopsies, gynaecological cancers can be swiftly identified and managed.

 

Miss Nahid Gul is an esteemed consultant gynaecological, pelvic, robotic and laparoscopic surgeon. You can schedule an appointment with Miss Gul on her Top Doctors profile.

By Miss Nahid Gul
Obstetrics & gynaecology

Miss Nahid Gul is a highly-skilled and respected consultant gynaecological, pelvic, robotic and laparoscopic surgeon based in Manchester and Wirral who specialises in endometrial cancer, endometriosis and neuropelveology (pelvic pain), alongside minimally-invasive procedures - both laparoscopic and robotic myomectomies and hysterectomies, complex pelvic surgery (pelvic floor surgery) and early cancer diagnosis using colposcopy and vulvoscopy techniques. She privately practices at The Christie Private Care and Spire Murrayfield Hospital Wirral, while her NHS base is Wirral University Teaching Hospital NHS Foundation Trust. 

Miss Gul has an impressive educational history. She has an MBBS from the University of Osmania, India, and is a fellow of the Royal College of Obstetricians and Gynaecologists (FRCOG) and the International College of Robotic Surgeons (FICRS). She went on to undertake subspecialist training in obstetrics and gynaecology with an interest in gynaecological cancer, complex benign gynaecological surgery, colposcopy and vulval diseases, in the West Midlands. 

She gained extensive expensive in complex pelvic open and vaginal surgery and after completing her CCST, she did a one year post-CCST fellowship in gynaecology at Birmingham Cancer Centre. 

Miss Gul is passionate about research and her interest lies in understanding immunological basis of cancer and development of safe surgical techniques. Her current aim is to understand the anatomy and physiology of pelvic nerves and pelvic floor. Furthermore, Miss Gul's research has been featured in various peer-reviewed journals. 

Miss Gul is a member of several professional organisations, including the Royal College of Obstetricians and Gynaecologists (FRCOG), the British and Irish Association of Robotic Gynaecologists (BIARGS) and the British Society for Colposcopy and Cervical Pathology (BSCCP). She's also a member of the British Society of Urogynaecologists (BSUGS), the European Society of Endoscopic Surgery (ESGE) and the Society of European Robotic Gynaecological Surgery (SERGS). 

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