Over the past decade, the treatment of gynecological cancer has undergone a significant transformation, incorporating technical advances and a more patient -centered approach. The psychosocial impact of gynecological neoplasms, especially young women of childbearing age, has led to a change of scenario: treating cancer effectively without neglecting reproductive and hormonal aspects.
This evolution does not only occur by the incorporation of new technologies, but mainly by a broader and more integrative view of cancer care, where the prognosis and preservation of female identity walk side by side. With the improvement of oncogycology, several neoplasms previously treated with highly invasive procedures today can be addressed with minimally invasive techniques and conservative strategies.
In well -selected cases of early -stage cervical cancer, for example, radical trachelectomy emerges as an alternative to hysterectomy, allowing the preservation of the uterus and, consequently, fertility. The same reasoning applies to low-grade ovary cancer and endometrial cancer in young patients, where it is possible, in certain scenarios, to preserve ovaries and uterus with rigorous and individualized monitoring.
Laparoscopy and, more recently, robotic surgery have allowed more accurate resections, with less bleeding, shorter hospitalization and better postoperative recovery, as well as less impact on adjacent reproductive structures.
Preservation of fertility
Oncofertility has become an essential subspecialty within female oncology. Techniques such as freezing eggs, embryos or ovarian tissue are already part of the routine in reference centers and should be discussed with all patients of childbearing age before treatment.
In addition, the use of ovarian suppression with GnRH analogs during chemotherapy has shown efficacy in protecting ovarian function, particularly in patients with negative hormonal receptor cancer.
Planning the reproductive future of a cancer patient is part of treatment. Increasingly, international guidelines recommend that fertility preservation be addressed before therapy began, offering real autonomy and options for these women.
Early diagnosis and multidisciplinary approach
Although therapeutic advances are relevant, their effectiveness depends directly on early diagnoses and skilled teams. Gynecological neoplasms diagnosed in early stages expand the possibilities of conservative interventions.
The role of the gynecologist in this context is critical to early suspicion. Once cancer, the joint performance of clinical oncologists, gynecological surgeons, fertility specialists, psychologists and specialized nurses constitute the ideal model of patient care and follow -up.
Humanized treatment and personalized medicine
The humanized approach is also indispensable. The woman in gynecological cancer treatment does not just face a disease, she experiences a symbolic mourning of her fertility, her sexuality and sometimes her femininity. Proper and continuous psychological support is not accessory: it is an integral part of treatment.
Modern cancer medicine is heading towards personalization and preservation. Treating gynecological cancer with cancer safety and without erasing the possibility of being a mother is an increasingly concrete reality.
These advances require scientific update, personalized protocols and active listening, so that the patient can follow her trajectory not only free from the disease, but also with dignity and preserved choices.
*Text written by oncologist Luis Eduardo Werneck (CRM 9638-PA / RQE 73414), Clinical Director of the Oncological Group of Brazil and Member Brazil Health
This content was originally published in gynecological cancer: Advances allow us to preserve fertility and well-being on CNN Brazil.
Source: CNN Brasil
I am an experienced journalist and writer with a career in the news industry. My focus is on covering Top News stories for World Stock Market, where I provide comprehensive analysis and commentary on markets around the world. I have expertise in writing both long-form articles and shorter pieces that deliver timely, relevant updates to readers.
