Gynecologic Oncology at Drexel Cancer Care
Drexel Cancer Care specialists work with the gynecologic oncology team at Hahnemann University Hospital to offer comprehensive consultation, diagnosis, and treatment for premalignant and malignant diseases of the female reproductive system.
Our multispecialty approach includes expertise in the most complicated surgical procedures, chemotherapy, radiation therapy, pathology, cytopathology, diagnostic radiology, and genetic counseling. The support of expert ancillary services such as anesthesiology, intensive care medicine, coagulation disorders, pulmonary medicine, pain management, enterostomal therapy, and social services, among others, are available as well.
Gynecologic Oncology Procedures
Minimally invasive laparoscopic surgery
Our specialists use a minimally invasive device called a laparoscope for diagnosis, staging and treatment of gynecological cancers when possible. This technology shortens the patient's hospital stay and allows for faster recovery.
Surgical staging for endometrial, cervical, and ovarian cancer
We specialize in hysterectomy, ovariectomy and removal of the lymph node tissue in the pelvic and para-aortic regions for endometrial and ovarian cancer, as well as in preradiation for retroperitoneal aortic and pelvic node removal for staging and debulking in cervical cancer.
Abdominal hysterectomy combines the removal of the tissues surrounding the cervix along with the uterus. This surgery is used at Drexel Cancer Care to treat selected cases of cervical and uterine cancer. The degree of surgery needed is adjusted to the extent of the cancer being treated.
Advanced ovarian cancer tumor reductive surgery
Advanced ovarian cancer tumor reductive surgery includes the removal of the uterus, cervix, fallopian tubes and ovaries. To make chemotherapy as effective as possible in some patients, tumor-reductive surgery may also include the removal of the peritoneum, omentum, bowel segments, and retroperitoneal nodal disease.
Second-look surgery is usually performed for ovarian cancer at the end of chemotherapy, to assess the status of the cancer and the response to treatment. This information is used to determine whether to stop, continue or change therapy. The procedure can be done laparoscopically or by laparotomy. Second-look surgery includes the examination of the abdomen and the pelvis, with multiple biopsies and removal of aortic and pelvic lymph nodes.
Vulvar cancer surgery
Vulvar cancer surgery is the removal of the vulvar skin and surrounding tissues to remove cancer cells. The emphasis is on conservation, meaning a partial vulvectomy rather than total vulvectomy. The removal of more than half the vulva is seldom necessary, and conservative surgery usually spares the clitoris. Regional lymph node dissection, when necessary, can often be limited to one side. Even this can sometimes be avoided by use of lymphatic mapping (lymphocintigraphy). For more advanced cancers, chemoradiation is used to reduce the extent of the surgical resection.
LEEP cone biopsy
LEEP cone biopsy procedure is performed under local anesthesia for diagnosis and treatment of cervical dysplasia.
The information on these pages is provided for general information only and should not be used for diagnosis or treatment, or as a substitute for consultation with a physician or health care professional. If you have specific questions or concerns about your health, you should consult your health care professional.
The images being used are for illustrative purposes only; any person depicted is a model.
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