Profile of gynecological malignancies after the start of gynecology oncology surgeries in Sikkim-experience from a tertiary hospital in North East India

Authors

  • Pesona Grace Lucksom Department of Obstetrics and Gynecology, Sikkim Manipal Institute of Medical Sciences (SMIMS), Gangtok, Sikkim, India
  • Annet Thatal Department of Obstetrics and Gynecology, Sikkim Manipal Institute of Medical Sciences (SMIMS), Gangtok, Sikkim, India
  • Zigmee Dorjee Tamang Department of Obstetrics and Gynecology, District Hospital Gyalshing, West Sikkim, India
  • Barun Kumar Sharma Department of Radiodiagnosis, SMIMS, Gangtok, Sikkim, India
  • Ezzat Khalda Department of Radiodiagnosis, SMIMS, Gangtok, Sikkim, India
  • Mingma Sherpa Department of Pathology, SMIMS, Gangtok, Sikkim, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20210971

Keywords:

Gynecological, Cancer, Surgery, Facility

Abstract

Background: North East is the “cancer capital” of India where there is acute lack of oncologists and oncology facilities. Objectives of the study were to evaluate the trends of gynecological malignancies and to evaluate the need for oncology facility in Sikkim.

Methods: This is a retrospective desk review conducted in department of obstetrics and gynecology at Sikkim Manipal institute of medical sciences, India, for a period of three years after the start of oncology surgeries. Women operated for any gynecological malignancy were taken into the study while women referred outside for alternative treatment were excluded from the study.

Results: A total 29 women with gynecological malignancies were operated during the 3-year period. Of the total, 17 (58%) were women operated for carcinoma ovary, 6 (21%) for cancer cervix and 6 (21%) for carcinoma uterus. Epithelial ovarian cancer was the most common ovarian cancer. 105 women with large complex ovarian masses were operated during the three-year period, however, only 17 women were diagnosed with cancer of which 8 women had stage I disease while 9 women had advanced disease (stage III-IV). 12 women underwent primary debulking surgery while 5 women underwent interval debulking surgery. Average age for cervical cancer was 48 years, average age for ovarian cancer was 46 years while 52 years was the average age for cancer uterus. 

Conclusions: High number of gynecological malignancies operated in the only center offering minimum oncological surgical facility points towards the need for a specialized center providing all the needs for treating oncology cases in Sikkim

Author Biographies

Pesona Grace Lucksom, Department of Obstetrics and Gynecology, Sikkim Manipal Institute of Medical Sciences (SMIMS), Gangtok, Sikkim, India

Associate Professor 

OBG department 

Annet Thatal, Department of Obstetrics and Gynecology, Sikkim Manipal Institute of Medical Sciences (SMIMS), Gangtok, Sikkim, India

Associate Professor, department of OBG

Zigmee Dorjee Tamang, Department of Obstetrics and Gynecology, District Hospital Gyalshing, West Sikkim, India

Specialist in Obstetrics and Gynaecology

Barun Kumar Sharma, Department of Radiodiagnosis, SMIMS, Gangtok, Sikkim, India

Professor, department of Radiodiagnosis

Ezzat Khalda, Department of Radiodiagnosis, SMIMS, Gangtok, Sikkim, India

Associate Professor, department of Radiodiagnosis

Mingma Sherpa, Department of Pathology, SMIMS, Gangtok, Sikkim, India

Professor, department of Pathology

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Published

2021-03-24

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Original Research Articles