Best Doctors in India for Vulvar Cancer Treatment

Profile Highlights:

  • Dr. Ramesh Sarin is one of the best surgical oncologists in India, with a mammoth experience of 49 years.
  • Furthermore, the veteran oncologist focuses on managing breast cancer and related disorders like sentinel node biopsy.
  • She is also interested in Phyaryngeal Cancer, Uterine Cancer, Bladder Cancer, Cervical Cancer, Liver Cancer, Fallopian Tube Cancer, Bone Cancer, Lung Cancer, Colon and Rectal Cancer, Lymphedema, and Brain Cancer.

Profile Highlights:

  • One of the finest oncologists in India, Dr. Ruqaya Ahmad Mir has been practicing surgical oncology for the past 20 years and is currently functioning as a Senior Consultant, Oncology at Indraprastha Apollo Hospital, New Delhi.
  • Dr. Ruqaya Mir is  known for her outstanding performance in some of the advanced surgical techniques which include Uterus and Ovary and Limb Conservation surgery and Cytoreductive surgery and Hyperthermic Intraperitoneal chemotherapy for advanced colorectal and recurrent ovarian malignancies.
  • She is also a well trained Robotic Surgeon practicing implementation of minimal invasion in surgical oncology.

Profile Highlights:

  • Dr. Rama Joshi is an extensively skilled and professional Gynae oncologist in India who specializes in Gyne onco surgery and Robotic surgery for ovarian and other gynecological cancers.
  • Dr. Joshi provides treatment and management for cancers of the ovaries, uterus, and cervix and performs all types of gynae onco surgeries.
  • She received her training in cancer surgery and robotic surgery from prestigious institutes in France and the USA.

Profile Highlights:

  • With an experience of 20 years, Dr. Buchun Mishra is a practicing gynecologist, who is proficient in performing gynae surgeries for ovarian cancer, uterine cancer, and cervical cancer.
  • She finished her MBBS in 1999 from Veer Surendra Sai Institute of Medical Sciences and Research, Sambalpur, Odisha. She later completed her DNB in 2011 from Army Base Hospital, in New Delhi. In 2013, she completed her fellowship from Rajiv Gandhi Cancer Institute and Research Center, Delhi.

Profile Highlights:

  • Dr. Girish Kumar is a Surgical Oncologist whose expertise lies in the surgical treatment of both adult and pediatric cancer and provides services for head and neck, breast, GI, bone and soft tissue, urological, colorectal, and gynecological cancers.
  • Along with the surgical treatment of various types of cancers, Dr. Girish Kumar also provides pre and post-operative cancer care.
  • He has also trained a number of medical students in surgical oncology and continues to mentor postgraduate students.

Profile Highlights:

  • Dr. Yogesh Kulkarni is a well-known name in the field of Gynae Onco surgery.
  • He holds an experience of more than 22 years and has performed more than 2000 gyne oncological surgeries.
  • Dr. Yogesh Kulkarni has performed over 1000 gyne cancer surgeries in the hospital. He also holds the credit for 500 ovarian, 250 endometrial, 214 cervical cancer surgeries, and 144 robotic cancer surgeries at KDAH alone.
  • He gained popularity when he performed the first Reported Fertility Sparing Surgery for Cervical Carcinoma on a 4-year-old for clear cell cervical carcinoma

Profile Highlights:

  • Dr. Dimple K Ahluwalia is one of the prominent Gynae-oncologists at Medanta-The Medicity at Gurugram in India.
  • She has years of experience in treating serious and critically ill patients from different parts of the country.
  • She has won numerous awards and honors for her countless contributions to the field of medicine.

Best Hospitals in India for Vulvar Cancer  Treatment

Indraprastha Apollo Hospital, New Delhi

Hospital Highlights:

  • Indraprastha Apollo Hospital is a 700-bedded multispecialty hospital in the heart of the capital of India. It is a part of Apollo Hospital group, one of India’s most reputed healthcare chains. Indraprastha Apollo Hospital has been accredited by Joint Commission International, making it the first internationally accredited hospital in the country in 2005.
  • There are 52 specialties in the hospital with one of the best cardiology centers in the country. The hospital is also equipped with State of the art infrastructure facilities with the largest Sleep Lab in Asia and the largest number of ICU bed facilities in India.
  • The hospital also has one of the largest dialysis units in India along with a dedicated Bone Marrow Transplant unit.
  • The latest and highly advanced technologies that are installed in the hospital include Da Vinci Robotic Surgery System, PET-MR, PET-CT, Cobalt-based HDR Brachytherapy, Brain Lab Navigation System, Tilting MRI, Portable CT scanner, 3 Tesla MRI, 128 Slice CT scanner, DSA Lab, Endosonography, Hyperbaric Chamber and Fibro scan.

Fortis Memorial Research Institute, Gurugram

Hospital Highlights:

  • Fortis Memorial Research Institute is a multi-super-specialty, quaternary care hospital with 1000 beds. The hospital comprises reputed clinicians, and international faculty and is also equipped with cutting-edge technology. The hospital is a part of Fortis Healthcare Limited, a reputed chain of private hospitals in India.
  • It is a NABH-accredited hospital that is spread across 11 acres of land and has a capacity of 1000 beds. The hospital has 55 specialties and is one of the premier health care centers in the Asia Pacific region popularly known as “the Mecca of Healthcare”.
  • The hospital has 260 diagnostic centers and is also equipped with the latest and advanced techniques that include 3 Telsa which is the world’s first Digital MRI technology. The hospital also has world-class Radiation Therapy techniques which have been developed by leading technology experts from Elekta and Brain Lab.

Apollo Hospital, Chennai

Hospital Highlights:

  • Apollo Hospitals, Chennai, is one of the best hospitals for heart care in India. Over the years, Apollo has expanded all over India, as a healthcare chain.
  • India’s first ‘Only Pancreas’ transplant was performed in Apollo Hospital. The hospital is known for successfully performing Asia’s first en-bloc combined heart and liver transplant, and over the years, it has attained a remarkable achievement in the global healthcare space. Around 3-4 organ transplants are performed in the hospital per day.
  • Equipped with over 500 beds, this hospital in Chennai was established in 1983 and since then has been among the most preferred hospital for patients from all over the world.
  • The hospital holds accreditation of the NABH and JCI and is the first hospital in India to be ISO 9001 and ISO 14001 certified. It is also the first South Indian Hospital to receive subsequent reaccreditation from the JCI USA 4 times.

Medanta-The Medicity, Gurgaon

Hospital Highlights:

  • One of India’s best and largest multi-specialty hospitals, Medanta was built with the aim to bring India to the highest standards of medical care. The hospital has been providing the best medical services to its patients, since its inception, with care, commitment, and compassion.
  • Equipped with 1250 beds, the hospital was founded by Dr. Naresh Trehan in the year 2009 with an aim to provide the best medical care at affordable costs. The hospital is spread across 43 acres and includes 45 operation theatres and 350 beds dedicated solely to ICU. The hospital includes over 800 doctors, and more than 22 specialty departments and has a dedicated floor for individual specialty in order to offer the best services under one roof.
  • The hospital is considered one of the premier institutes in India for Cardiac Care and includes staffs and members of high caliber. The hospital has 6 distinct centers of excellence.

Max Super Specialty Hospital, New Delhi

Hospital Highlights:

  • One of the well-regarded providers in India committed to the highest standards of clinical excellence and patient care, Max Super Specialty Hospital is a part of Max Healthcare, which is the second-largest healthcare chain in India. Regarded as one of the most well-regarded healthcare providers in the country, Max Super Specialty Hospital is committed to the highest standards of clinical excellence as well as patient care. The hospital is also equipped with the latest technology as well as cutting-edge research. The hospital is known to deliver and ensure the highest level of patient care.
  • The hospital has more than 500 beds and offers treatment for over 35 specialties. The hospital also holds the credit of having installed the first Brain Suite in Asia. This is a highly advanced Neurosurgical machine that allows MRI to be taken while surgery is ongoing.
  • Other advanced and latest technologies are also installed in the hospital such as the 1.5 Tesla MRI machine, 64 Slice CT Angiography, 4D ECHO, LINAC, and 3.5T MRI machine.

Artemis Hospital, Gurugram

Hospital Highlights:

  • One of the most well-known hospitals in the Delhi NCR, Artemis Hospital is the first hospital in Gurugram to get accredited by the Joint Commission International.
  • With more than 40 specialties, the hospital has been designed to be one of the most technically advanced hospitals in the country, with the best medical and surgical health care. The hospital has eleven special and dedicated centers, for Heart, Cancer, Neurosciences, etc.
  • The latest technologies in the hospital include Endovascular Hybrid Operating Suite and Flat panel Cath Labs for the cardiovascular department, 3 Tesla MRI, 16 slice PET CT, 64 Slice Cardiac CT Scan, HDR Brachytherapy, and highly advanced Image Guided Radiation Therapy techniques (LINAC) are installed in the hospital.
  • The hospital has won several awards as well, since its inception.

BLK Max Super Specialty Hospital, New Delhi

Hospital Highlights:

  • Equipped with 650 beds, BLK Superspecialty Hospital is the largest stand-alone private sector hospital in Delhi.
  • With over 1500 healthcare providers and 150 globally renowned super specialists, the hospital is one of Asia’s largest Bone Marrow Transplant Centres. The hospital is known for having some of the best cancer doctors in the country.
  • The hospital is NABH and NABL accredited and was inaugurated by the first Prime Minister of India. Pt. Jawahar Lal Nehru.

Gleneagles Global Hospitals, Chennai

Hospital Highlights:

  • Established in 1999, Gleneagles Global Hospital, Chennai, is one of the top healthcare facilities in Southern India. It is part of the Gleneagles Hospital Chain, which is the fourth largest healthcare chain in the country. The hospital specializes in multi-organ transplants of kidneys, liver, lungs, heart, etc.
  • The hospital has an excellent infrastructure and state-of-the-art lab and equipment set-up. The hospital boasts cutting-edge technologies, a highly skilled team of doctors and surgeons, and trained support staff. Located in Perumbakam, Chennai, it is one of India’s premier health care destinations. The hospital has performed some of the most complex surgical and clinical procedures in India including multi-organ transplantations.
  • The hospital’s lung transplantation program is one of the best in the country. The hospital is known for having performed India’s first single lung transplant and first minimal invasive lung transplant. It is also the only Indian hospital to be associated with King’s College Hospital, London, United Kingdom for liver transplantations.

Fortis Hospital, Mulund, Mumbai

Hospital Highlights:

  • Fortis Hospital in Mulund is a 315-bed multi-speciality tertiary care hospital with five JCI accreditations that offers a wide variety of diagnostic and therapeutic services. The Fortis Hospital in Mulund delivers patient-centred treatment with cutting-edge technology, highly skilled and experienced surgeons, and paramedical staff.
  • This institution houses Maharashtra’s largest multi-organ transplant centre. It is also the first heart transplant centre in western India to conduct 100 or more consecutive heart transplants in under four years. It is the only hospital in the city to have multi-organ transplants and has handled the youngest patient for angioplasty. Fortis Hospital Mulund now boasts the first advanced surgical robot in central Mumbai.
  • Cardiology and heart surgery, urology, nephrology, neurosciences, orthopaedics, digestive care, emergency and critical care, and maternity care are among the services provided by the hospital.

Kokilaben Dhirubhai Ambani Hospital, Mumbai

Hospital Highlights:

  • Kokilaben Dhirubhai Ambani Hospital, Named after the wife of Indian industrialist Dhirubhai Ambani, the founder of Reliance Industries, this is one of the top hospitals in Mumbai. This 750-bed multi-specialty hospital became operational in 2009. Known as one of India’s most advanced tertiary care facilities, the hospital is designed to raise India’s global standing as a healthcare hub, with an emphasis on excellence in clinical services.
  • Kokilaben Dhirubhai Ambani Hospital uses Protocol and Care Pathway based treatment models to ensure the best outcomes for patients.
  • The hospital represents a confluence of top-notch talent, cutting-edge technology, state-of-the-art infrastructure, and, most importantly commitment.
  • The hospital also holds the accreditation of the NABH, NABL, CAP, and JCI.
  • The hospital has been recognized as the No. 1 Multispecialty Hospital in Mumbai and the West Zone for the fifth year in a row in 2020 by The Week.

Vulvar Cancer

Vulvar cancer is a type of cancer occurring on the vulva, the other surface area of a woman’s urethra, vagina, as well as the clitoris, and the labia.

Vulvar cancer generally forms as a lump or sore on the vulva, which might lead to itching. Although it may occur at any age, it is usually diagnosed in other adults.

Symptoms

There might not be any symptoms early on, but over time, you might develop few symptoms which can include:

  • A change in the color of your vulva
  • Unusual growths or bumps that may be pink, red, or white as well as feel rough or thick
  • A change in how a mole looks
  • Thickened skin on the vulva
  • Pain, soreness, or burning
  • Unusual vaginal bleeding or discharge
  • An open sore
  • Itching that refuses to go away
  • Pain during urination

 

Sometimes, these can be signs of other conditions, and therefore it is important that you talk to your doctor if you notice any of these problems.

Causes & risk factors

Although what exactly causes vulvar cancer is not known, certain risk factors increase your chances of developing it. Some of them include:

  • Age- Over half of the cases are in women are over the age of 70.
  • HIV or AIDS
  • A family history of melanoma
  • Melanoma or unusual moles
  • A history of unusual Pap tests
  • HPV
  • A precancerous condition such as vulvar intraepithelial neoplasia (VIN)- These are changes in tissue or cells that can occur years before you get diagnosed with cancer.
  • Vaginal or cervical cancer
  • Smoking, especially if you’ve also had HPV
  • Lichen sclerosus, a condition that makes the vulvar skin thin as well as itchy

Diagnosis

Some tests and procedures that are used to diagnose vulvar cancer include:

Examining your vulva

Your doctor is going to likely conduct a physical exam of your vulva in order to look for abnormalities.

Using a special magnifying device for examining the vulva

During a colposcopy exam, your doctor uses a device that functions like a magnifying glass to closely inspect your vulva to look for any abnormal areas.

Removing a sample of tissue for testing

This process, also known as a biopsy, involves removing a sample of skin on your vulva for testing. During a biopsy procedure, the area is numbed with a local anesthetic and a scalpel or other special cutting tool is used to remove all or part of the suspicious area.

Staging tests

Once the diagnosis has been confirmed, your doctor will need to determine the size and extent or stage of your cancer. Staging tests can include the following:

Examination of your pelvic area for cancer spread

Your doctor needs to conduct a more thorough examination of your pelvis to look for any signs that cancer has spread.

Imaging tests

Images of your chest or abdomen might help to show whether your cancer has spread to those areas. Imaging tests generally include X-ray, magnetic resonance imaging (MRI), computerized tomography (CT), and positron emission tomography (PET).

The stages of vulvar cancer are indicated from I to IV, with the lowest stage indicating cancer that is limited to the vulva. By stage IV, the cancer is considered advanced and has most likely spread to nearby areas.

Treatment

Treatment options for vulvar cancer can depend on the type, stage as well as location of cancer, as well as your overall health and preferences.

Some of the types of surgeries for treating this condition include:

Excision

This involves removing the cancerous as well as a margin of healthy tissues.

Vulvectomy

This method involves removing part of the vulva or the entire vulva.

Ultrasound surgical aspiration

This method involves sound waves that break up the tumor into small pieces, after which your doctor is able to remove them.

Laser surgery

In this method, a laser is used to cut into or take out any affected tissue such as your lymph nodes, part of your vulva, or any other organs. In cases of invasive tumors, this treatment might not be used.

It is noteworthy that there are some risks of complications that might occur with surgery, such as infection as well as healing around the incision. Removal of lymph nodes might cause fluid retention, as well as leg swelling, a condition which is termed as lymphedema.

 

Other than surgeries, there are a few other treatments, which might be used as well, such as:

Radiation therapy

This method involves using high-powered X-rays or other forms of radiation to kill cancer. Your doctor might use a machine that beams the rays directly into your body. He/she might also implant a radioactive needle or seed inside your body, on or near cancer.

Chemotherapy

This method uses medicines to kill or stop the growth of cancer cells. These drugs may be taken by mouth or through an IV. Sometimes, it may also come as a lotion, that you are able to put on your skin.

Immunotherapy

This treatment helps your immune system to boost your body’s defenses to fight against your cancer.

Prevention

In order to reduce your risk of vulvar cancer, it is important to reduce the risk of the sexually transmitted infection HPV.

Using a condom during intercourse can reduce the risk. You may also consider getting the HPV vaccine.

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