Doç. Dr. Cengiz Andan

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Women’s Cancers

Gynecological Cancer Treatment in Turkey: Expert Care for Your Journey to Recovery

What are the symptoms of uterine, ovarian, and cervical cancer? Learn about laparoscopic cancer surgery, the importance of early diagnosis, and HPV vaccination with Dr. Cengiz Andan in Istanbul.

You Are Not Alone in Your Fight Against Cancer

The word “cancer” naturally evokes fear and uncertainty. However, thanks to advancements in medical science, early diagnostic tools, and cutting-edge surgical techniques, gynecological cancers are no longer hopeless conditions.

Gynecological Oncology is the specialized field dedicated to diagnosing and surgically treating cancers of the female reproductive system (uterus, ovaries, cervix, vulva, and vagina). At Dr. Cengiz Andan’s Clinic in Istanbul, our priority is not just to provide medical treatment, but to support you psychologically through this challenging journey and to map out the most accurate treatment plan.

In cancer surgery, the quality of the first operation is the single most important factor determining the patient’s future. A meticulous oncological surgery based on the principle of “leaving no tumor behind” directly increases survival rates and quality of life.

The “3 Golden Rules” in Women’s Cancers

  1. Early Diagnosis Saves Lives: Annual gynecological exams, Pap smears, and ultrasounds allow us to catch cancer before symptoms even appear.
  2. Correct Surgery: Cancer surgeries are different from standard gynecological operations. Clearing lymph nodes and ensuring tumor-free margins requires specialized expertise.
  3. Multidisciplinary Approach: The treatment process must be managed by a team including the surgeon, medical oncologist, and radiation oncologist.
  1. Uterine Cancer (Endometrial Cancer) Treatment in Turkey: Early Signs, High Cure Rates

Meta Description: What does post-menopausal bleeding mean? Learn about uterine cancer symptoms, risk factors, and laparoscopic cancer surgery with Dr. Cengiz Andan in Istanbul.

The Most Common Gynecological Cancer

Uterine cancer, medically known as Endometrial Cancer, is the most common cancer of the female reproductive system in developed countries. It arises from the uncontrolled growth of cells in the “endometrium,” the inner lining of the uterus that sheds every month during menstruation. It is most commonly seen in post-menopausal women aged 50-60, but can occur in younger women due to obesity and genetic factors.

The good news is: Uterine cancer gives very early warning signs. Because of this, 75% of patients are diagnosed at Stage 1, when the disease is confined to the uterus, allowing for a complete cure with surgery alone.

  1. Listen to Your Body: The Bleeding Alarm

The most significant and clear symptom of uterine cancer is Vaginal Bleeding.

  • Post-Menopausal Bleeding: In a woman who has entered menopause, even a single drop of blood is not normal. It must be investigated for uterine cancer until proven otherwise.
  • Irregular Bleeding: In pre-menopausal women, periods that are excessively heavy, prolonged, or bleeding between periods.
  • Foul Discharge: Watery, pink, or foul-smelling discharge.
  1. Who is at Risk?
  • Obesity: Fat tissue produces estrogen. Excess “unopposed” estrogen thickens the uterine lining, paving the way for cancer.
  • Nulliparity: Never having given birth. Pregnancy gives the uterine lining a “rest” from estrogen.
  • Diabetes and Hypertension: High blood sugar and blood pressure increase risk.
  • Medication Use: Certain drugs used for breast cancer treatment (Tamoxifen) can slightly increase risk.
  1. The Treatment: Surgical Staging

The primary treatment for uterine cancer is surgery. To determine the stage of the disease and treat it, the uterus and ovaries are removed, and if necessary, lymph nodes are cleared (Lymphadenectomy).

Dr. Cengiz Andan performs 90% of uterine cancer surgeries using Minimally Invasive Laparoscopic Surgery.

  • The Advantage of Laparoscopy: Cancerous tissues are removed in special bags without opening the abdomen. Patients recover much faster, the risk of wound infection decreases, and if chemotherapy/radiotherapy is needed, it can start sooner.

Frequently Asked Questions (Uterine Cancer)

  1. I am in menopause and had a tiny bit of spotting; should I see a doctor?ABSOLUTELY.In menopause, there is no such thing as “insignificant” bleeding. Even a single drop can be the first sign of uterine cancer (or endometrial hyperplasia). A biopsy must be performed without delay.
  2. Will I need chemotherapy after surgery?If the disease is caught early (confined only to the inner lining of the uterus – Stage 1), surgery alone is usually sufficient, and no further treatment is needed. However, if it has invaded deep into the muscle wall or spread to lymph nodes, radiation or chemotherapy may be added.
  3. Is a thickened uterine lining cancer?Not always. Polyps or fibroids can also look like thickening. However, if a biopsy shows “Atypical Hyperplasia,” this is a pre-cancerous condition. If left untreated, it can turn into cancer, so treatment is necessary.
  4. Can I keep my uterus if I get cancer at a young age?In very early stages and specific tumor types, if the patient wishes to have children, high-dose progesterone therapy can be used to temporarily suppress the disease and allow for pregnancy. However, this is a risky decision requiring strict monitoring. Removal of the uterus is recommended after childbirth.
  5. How long does the surgery take?Laparoscopic staging surgery typically takes between 1.5 to 3 hours, depending on the extent of lymph node removal required.

Dr. Cengiz Andan offers world-class expertise in gynecological oncology in Istanbul, utilizing advanced laparoscopic techniques to provide the best possible outcomes for international patients.

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